2/11/2024 EnchantaVaughn Approved 1. Behavior: Upon QMHP’s arrival, client conduct was viewed as hyperactive, restless, busy, and fidgety. Client did not communicate his feelings at the beginning of session and remained silent while QMHP asked about his day and what things he likes and dislikes. Client chose to distance himself from the QMHP when reflecting on his bad experiences. Client was observed easily distracted during the session with behaviors lasting up to 20 minutes in duration. 2. Behavior: During the session, the QMHP attempted to help the client regain and regulate his emotions and feelings, as he attempted to calm down with words of comfort. Client was hyper aggressive and continuously shouted inappropriate statements with behaviors lasting up to 5 minutes in duration. 1. Intervention: QMHP assessed and monitored client’s mood and behavior. QMHP probed in order to process and explore causes of client’s increase in possible reasons for setbacks and failures. QMHP redirected client a few times in the session to refocus and pay attention in order to finish the session and get the most out of it. QMHP educated client on ways to prevent distractions from affecting his attention span. QMHP discussed and spoke with dad and client about in-home services and how they liked it so far. QMHP reviewed and discussed objectives and goals that will allow and teach client how to channel his reported behaviors within the home, school, and community environments. QMHP explained the importance of removing distractions when trying to complete 2. Intervention: QMHP examined and evaluated client responses to feedback. QMHP focused on client’s ISP objectives and what he needs to do in order to achieve them. QMHP offered new ways to heighten client awareness of his ill-mannered behaviors, as well as helping him with functioning more constructively within his daily life. QMHP encouraged client to present healthier habits and routine by challenging himself to make better choices and try new things. QMHP questioned client on the statements he made about having difficulty expressing his feelings. QMHP facilitated an activity on emotions to assist client to be able to identify and positively express them. QMHP reviewed strategies targeted at helping client to work through his difficulties expressing his anger. 1. Response: Client did not seem to be interested in having session today and continued to exhibit an unconcern attitude in response to QMHP reeducating the conflict-resolution skills. Dad and grandma were attentive and focused on the information that was provided. Client was reluctant and hesitate, as he remained mistrustful in regard to extending a friendly or respectful rapport back to the QMHP. Client acknowledged QMHP’s redirection after 4-5 prompts. Client stated ok and then began to calm down his actions. 2. Response: Client said he was aware of his expectations and what he is expected to do each day. Client practiced some of the examples of alternate behaviors (e.g. counting, coloring, thinking about happy moments, repeating positive “I-statements” 5-10 times, and asking questions that will help him understand things better) at home when he found himself bored or unproductive. Client understood that raising his hand and positive eye contact prevents disruption and is the most respectful way to wait his turn if he wants to get someone’s attention.