2/8/2024 EnchantaVaughn Approved 1. Behavior: Upon arrival, client was engaging in conversation with mother. Client appeared to be in a moderate mood, as evidenced by client smiling during conversation with mother. Client greeted QMHP welcoming counselor into his home. Client was very cheerful, indicating he was going to have a good session. Client displayed affection toward mom when she left the room as mother reports behaviors can last up to 20 minutes when things do no go his way. 2. Behavior: Client exhibits a good attitude transitioning into the therapeutic activity. Client was polite and attentive at this time. Client displayed interest in session by debriefing and answering appropriate questions at which he was commended for the positive behaviors being shown. 1. Intervention: During conversation at the home, QMHP communicated with client and mother about client’s progression and possibilities of goals and objectives during continuation of services. QMHP also encouraged mother to point out possible stressors and/or irritations that client may trigger by behaving negatively. QMHP consulted with mother about increasing structure in the home to aid client in acknowledging the importance of operating and cooperating in the home setting. QMHP urged mother and client to participate in role reversal activity to aid mother and client to realize how to respond to and interact with each other. 2. Intervention: QMHP continued to monitor client’s relationship with mother and compliance to duties and expectations for the client in the home and in the community. QMHP encouraged client to use his strategies and skills with peers, family, and other relatives to support him with managing symptoms associated with ADHD. QMHP encouraged client to make good choices and to utilize self-calming techniques (i.e. counting and deep breathing) and processed with him that this behavior is acceptable and discussed actions and consequences. 1. Response: During the session at the home, mother expressed client’s behaviors have improved but he still has to remind client about remaining consistent with reacting positively when being reprimanded or redirected by an adult. Mother and client displayed good communication with each other. Although mom is more stressed with client actions and behaviors in the home, mom explains that she wants to spend more time with her sons each day. 2. Response: Client responded well to review and was confident he can meet ISP objectives. Client communicated positive affirmations and self-talk. Client stated he is tired in the morning because he goes to bed late. Client understands it is his responsibility to prepare himself for each day. Client acknowledges that he has to be more respectful to his mother and brother before expecting to be treated fairly. Client modeled appropriate behavior in the therapeutic session by focusing on his goals.