1/7/2024 EnchantaVaughn Approved 1.Behavior: QMHP-C greeted Josiah upon arrival to the home setting. Upon arrival to the home setting, Josiah appeared to be in a good mood. QMHP-C engaged Josiah in a discussion to determine behaviors since the last session. Mother reports he continues to struggle with being able to manage his anger when he is asked to complete certain task within the home with behaviors lasting up to 20 minutes within the home setting when he is asked to complete certain task within the home setting. 2. Behavior: During the second portion of the session, Josiah was displaying hyperactive behaviors such as him leaving the room when discussing his behaviors with his mother with behaviors lasting up to 20 minutes within the home setting when he is being redirected by his mother. 1.Intervention: QMHP-C listened actively as the mother that since last visit Josiah had been disrespectful and displaying challenging behaviors. QMHP-C conducted family session in the living room. QMHP-C asked the mother to process with counselor on Josiah's current behaviors. QMHP-C talked to Josiah about the importance of being respectable and responsible in the home. 2. Intervention: QMHP-C utilized a therapeutic worksheet called “What is R-E-S-P-E-C-T”. Josiah completed the exercises from the worksheet and counselor went over it with him. QMHP-C talked to Josiah about learning that there is a right time to play and a wrong time to be playful. QMHP-C engaged Josiah in a game to assist him with patience, and positive communication skills. QMHP-C processed on anger control and coping skill such as journaling and building constructive actions to direct his anger/frustrations. 1.Response: Josiah stated that no changes needed to be made towards his safety plan. Josiah and family was receptive to QMHP-C's suggestions for today's session. Josiah struggled with understanding his mother while in session as he was focused on the game activity. Soon after, Josiah indicated that he talked back and was disrespectful toward his stepfather by stomping his feet after being told to stop talking. 2.Response: Mother verbalized that he was tired of Josiah's actions and felt that he do things to agitate him Josiah interacted with counselor in a positive manner and was able to demonstrate positive communication.