4/10/2023 EnchantaVaughn Approved 1.Behavior: QMHP-C greeted Khanilya upon arrival to the home setting. Upon arrival to the home setting, Khanilya appeared to be in a positive mood evident by her facial expressions such as a smile on the face. QMHP-C inquired about her day. She stated to QMHP-C that she was in a good mood. QMHP-C informed Khanilya that this session was going to consist of a family session. Mother reported she continues to struggle with Khanilya being able to follow directives and communicate with her. 2. Behavior: During the second portion of the session, Khanilya appeared to be a little irritated with her mother as well as QMHP-C when discussing ways to control her behavior to prevent her from getting in trouble in the home daily. 1. Intervention: QMHP-C began session by inquiring about Khanilya’s current thoughts, feelings and emotions. QMHP-C engaged Khanilya and mother in open dialog to allow them to verbalize interactions and behaviors since last session. QMHP-C engaged Khanilya in therapeutic activity on communication skills and being more assertive. QMHP-C role-played the scenarios with Khanilya and her grandmother to practice communication skills and how to display respectful behaviors. QMHP-C processed positive and negative feelings about the exercise. 2. Intervention: QMHP-C discussed following rules and regulations and ask mother about how often she has to talk with Khanilya before she listens. QMHP-C talked with Khanilya about expressing her thoughts and feelings in a more constructive manner through more constructive actions. QMHP-C discussed sibling rivalry and alternative measures to confrontation and being argumentative with each other. QMHP-C discussed family dynamics and assessed environmental stressors. 1. Response: Khanilya and Ms. Spencer appeared to be receptive to QMHP-Cs’ interventions and services that were provided to her during the session. Through the role-plays Khanilya and grandmother were able to recognize positive and negative responses and reactions toward each other. Khanilya struggles with talking back and not respecting her grandmother's limitations. 2. Response: Ms. Spencer verbalized that she has to constantly talk with Khanilya and redirect her on several occasions daily because she knows that she misses her mother. Ms. Spencer as well as Khanilya reported that when Khanilya gets upset when she do not have her way and sometimes walks away from her. Khanilya admitted that she gets upset immediate after being told "no".