12/20/2023 EnchantaVaughn Approved Behavior: As the Josiah prepared session. Josiah was in a calm mood, as evidenced by his quiet and relaxed expressions. Josiah wore comfortable clothes and displayed good hygiene. Josiah was observed being a good listener while QMHP reviewed his objectives and goals. QMHP-C engaged mother in a discussion about behaviors since the last session. Mother continues to talk about his behaviors in the school setting and how she really does not know what else to do when he gets in trouble at school. Behavior: The Josiah shared that he had a good day. Josiah has implemented interventions and strategies taught by QMHP in his daily activities. Josiah said that catching up with all of his work and spending more time with his mom has made things more loving in the home. Josiah was observed conducting himself appropriately without hyperactive behaviors. Josiah symptoms of ADHD have been decreasing due to avoiding distractions. Josiah shares his daily experiences in order to reflect during the session. Intervention: QMHP went to the home for the purpose of meeting with each family member for family session and meeting with Josiah individually to discuss his mental health. QMHP engaged in conversation with each family member regarding Josiah’s services. QMHP reiterated the expectations and rules for family session. QMHP also monitored effects of medication and coping practices and reported progress to mom. QMHP listened to mother verbalize any issues or concerns she had with his medication. QMHP explored the Josiah’s capability to cope with his stressors and to get back on track. QMHP assisted Josiah with finding and utilizing necessary resources at home. QMHP advised Josiah to make the right choices and to keep up the good work. QMHP processed Josiah positive behaviors. QMHP inquired about possible challenges Josiah can experience with applying this skill. QMHP provided positive feedback. QMHP applauded Josiah for making the big decision to want to work on changing his behavior. Intervention: QMHP motivated Josiah to respond to exercise and express his feelings. QMHP inquired about Josiah’s day and what things is he doing to make it a good day. QMHP probed Josiah about his schedule in efforts to understand his daily routine. QMHP discussed with him the importance of working hard to make sure that he continues to stay focused on his goals. QMHP challenged Josiah to continue displaying a positive attitude while employing positive reinforcement when Josiah is able to achieve his goals and objectives. QMHP listened as the Josiah communicated his feelings with his mom. QMHP supported Josiah in approaching his mother with his ideas. QMHP encouraged the Josiah to continue to work on understanding his feelings and making sure that he responds in a positive way. QMHP provided praise when the Josiah continued to display positive behaviors throughout the day, remaining on task and was very respectful to all adult figures. Response: Josiah exhibited a positive attitude toward his family. Josiah smiled and hugged QMHP. The Josiah responded in a positive manner acknowledging the positive reinforcement that the QMHP provided by saying “thank you” while presenting a smile. Josiah utilized relaxation strategies appropriately. The Josiah showed his gratitude for being able to release physical tension stating that he felt relaxed. Josiah was able to cooperate and comply to rules and regulations due to positive reinforcement provided by the QMHP. Josiah was able to utilize coping skills to eliminate stressors and unwanted feelings. Josiah displayed self-determination to stay focused and pay attention. Josiah interacted well with others and demonstrated good team building skills. Josiah displays a good attitude when communicating his thoughts about himself. Josiah did an excellent job by showing interest in the session by asking appropriate questions. Response: Josiah communicated that he felt safe and comfortable talking to the in-home counselor. Josiah informed QMHP that he was coping and utilizing deep breathing techniques to stay calm and not overreact. Josiah demonstrates problem solving by staying calm and using his senses. Josiah displays good social behavior, as observed and supported by mental health professional. Josiah is reported building healthy relationships in the home.