3/22/2024 EnchantaVaughn Approved Behavior: Client did not communicate his feelings at the beginning of session and remained quiet while QMHP asked about what was on his mind. Once he was able to process his emotions, Client described that he worries about issues between his parents, among other things. Client communicated that he didn’t feel like talking about his day. Client said he was tired and wanted to lay down. Client was prompted to try his best to get through the session and to relax and pay attention. Client cheered up and decided to do his best and challenge himself so that he could finish the session without complaining or falling asleep. Behavior: Client was given praise and reinforced for participating in the session and developing self-determination skills. Client continues to display appropriate social skills in therapeutic setting. Client demonstrated ability to multi task by working independently and helping his mom when she needed. Client showed he is capable of exhibiting responsible behavior at home by being fair towards his sister and brother who wanted to play with some of his things. Although client had a hard time paying attention and sitting still he was careful not to talk over QMHP while she was going over the instructions to the therapeutic activity. Intervention: QMHP educated client on behavior modification to help client identify what behavior he needs to decrease and avoid daily. QMHP utilized behavior modification system to aid the client with following directions given by authority figures. QMHP explored the client’s capability to cope with his stressors and to get back on track. QMHP modeled the correct behaviors and conduct during quiet time. QMHP assisted client with finding and utilizing necessary resources. QMHP verbalized the awareness that all people are unique, learn differently, and have various strengths and weaknesses that can either hold them back or push them forward. Intervention: QMHP utilized cognitive skills to give the client a chance to openly and honestly discuss his feelings about his current state. QMHP utilized active listening skills and was empathetic with the client as he vented the overwhelming events that had occurred, resulting in him taking his frustration out on his mother. QMHP addressed the client’s thinking errors. QMHP encouraged client to be respectful to authority and peers. QMHP reminded client to build healthy relationships with his family and use them for support.. QMHP reiterated the importance of positive thinking and exercising his coping skills. QMHP will assist with reducing anger-provoking situations through self-talk and role play scenarios. Response: Client discussed mental illness and its causes as a family. Client displayed interest in learning about Attention Deficit Hyperactive Disorder. Client believes he will get better if he continues to work hard. Client was acceptive of support and encouragement. Client exhibited good social behaviors. Client was able to reevaluate himself and display a more positive attitude toward peers and authority. Client has become more involved in age appropriate social activities and was given positive reinforcement for these choices. Client demonstrated expectations and reported a decreased stress level due to his modulation of social contact. Response: Client responded well to feedback, interacting well with others. Client implemented his plan for restoring relationships, and this was reviewed. Client acknowledged QMHP and explored his options. Client proceeded to reduce the aggression in his voice while calming down. Client accepted suggestions from QMHP as evidenced by the client smiling and saying thank you. Client knows what he needs to do to improve socially and academically. Client expressed to QMHP that he understood the importance of intensive in-home and promised to do a better job in each session moving forward. Client dismissed without incident.