10/8/2023 EnchantaVaughn Approved Behavior: When QMHP-C showed up to the home, Josiah was just waking up from a nap. Josiah appeared to be in a jovial mood, as evidenced by his happy spirit and positive attitude. Josiah presented himself to be ready for his session, as evidenced by his upbeat spirit and enthusiasm when seeing QMHP-C. Josiah presented himself with a positive attitude and remained on task. Behavior: Josiah presented defensive behaviors towards the end of the session as mother as well his grandmother discussing his negative behaviors within the home as Josiah was screaming to the top of his lungs when the session was completed when discussing his behaviors. Intervention: QMHP-C asked Josiah about how he was doing today and conversed about his weekend activities. QMHP-C displayed gratitude while Josiah shared his thoughts. QMHP-C reminded Josiah of his goals and objectives to encourage consistency. QMHP-C employed positive reinforcement when Josiah was observed drawing distance to himself. QMHP-C educated Josiah about how well he has been doing since being in the pandemic. QMHP-C processed with Josiah about increasing his interpersonal skills and communicating his feelings verbally with his mom and siblings. Intervention: QMHP-C monitored Josiah progress in demonstrating acquisitions of pro-social skills. QMHP-C reviewed Josiah’s ISP objectives with him in efforts to reinforce his commitment to achieving them on a daily basis. QMHP-C facilitated worksheet to engage Josiah in building rapport with mom in efforts to build trust and reduce verbal altercations between them. QMHP-C encouraged Josiah to participate in desirable behaviors for the entire day. QMHP-C reinforced Josiah’s positive behaviors by modeling more positive behaviors. QMHP-C encouraged Josiah to maintain his behavior and stay committed to his objectives. QMHP-C offered simple praises to Josiah for exhibiting the appropriate behaviors. Response: Josiah responded in a positive manner acknowledging the positive reinforcement that QMHP-C provided by saying “thank you” while presenting a smile. Josiah attends therapeutic day treatment daily and has completed all psycho educational activities. Josiah utilized relaxation strategies appropriately. Josiah displayed self determination to stay focused and pay attention while mom and QMHP-C were talking. Josiah utilized meditation and relaxation techniques as needed. Josiah reported a decrease in symptoms following the relaxation techniques. Response: Josiah verbalized positive feelings about building healthy relationships in the home. Josiah engaged in self-reflection and reflected on his day, the good and the bad. Josiah communicated his likes and dislikes. independently. Josiah displayed good participation in therapy session and was responsive to all instructions given by authority. Josiah understands that he is expected to act civilized and treat others with respect. Josiah responds well to praise, support, and positive reinforcement provided by QMHP-C and is seen increasing self-esteem and confidence.