1/17/2024 EnchantaVaughn Approved 1.Behavior: Upon arrival to the home setting, Josiah arrived to session on time and appeared to be having a conversation with father as QMHP-C entered. Josiah started to shut down as QMHP-C implied his behaviors. Josiah was refuses to express the situation and continued to respond nothing. Josiah was shutting down as QMHP-C asked questions. Josiah continues to struggle with engaging appropriate and showing positive self-esteem. Josiah refuses to be support by others and continued to shut down when getting assisted. Josiah struggled with having confidence when ask to complete a task as evidenced by Josiah stating "I Can’t" and walked away from the activities with behaviors lasting up to 10-20 minutes in duration. 2. Behavior: Josiah struggled with having confidence when ask to complete a task as evidenced by Josiah stating "I Can’t" and walked away from the activities at which mother reports behaviors last up to 20 minutes in duration. 1.Intervention: QMHP-C introduced self as Josiah and discussed methods for building therapeutic relationship through open communication and rapport-building exercises’-C addressed Josiah’s behavioral issues on self-images. QMHP-C recommended Josiah to express himself and refrain for being nonchalant. 2. Intervention: QMHP-C recognized Josiah’s positive mood and behaviors and encouraged him to maintain his current mood with self-checks and positive self-talk. QMHP-C encouraged Josiah to utilize his ability of being honest and taking responsibility. QMHP-C discussed with Josiah on the ability to manage behaviors according to the classroom expectations with effective self-monitoring 1.Response: Josiah was receptive of feedback given and verbalized an understanding of advice. Josiah acknowledged feedback and was able to express insight and spoke clearly. Josiah was able to successfully follow directions and implemented skills without difficulties. 2. Response: Josiah verbalized to QMHP-C on how he continues to try not to get in trouble on a daily basis by his mother but at times his sister is always “pissing” him off which makes him get in trouble.