4/16/2023 EnchantaVaughn Approved 1.Behavior: QMHP-C informed family that QMHP-C would continue to practice social distancing such as counseling session being within 6 feet while also having the proper PPE while conducting the session. Family was receptive as family indicated that they are grateful to continue to receive services during this pandemic. QMHP-C arrived to the home of Khnailya. Upon arrival to the home, Khnailya appeared to be in a content mood evident by her facial expressions such as a smile on the face. QMHP-C inquired about her day. She indicated to QMHP-C her day was going well. QMHP-C engaged mother in a discussion to determine behaviors since the last session. Ms. Spencer reports she has trouble with controlling what she says out of her mouth. 2. Behavior: During the second portion of the session, Khnailya was a little upset with her mother when discussing her how she talks to people as Khnailya was pouting and smacking her lips throughout the session. 1. Intervention: QMHP-C began the session by inquiring about Khnailya’s current thoughts, feelings and emotions. QMHP-C reminded Khnailya of ability to demonstrate leadership qualities and encouraged her to do a better job of expressing her needs and feelings without being disrespectful. QMHP-C discussed coping strategies taught to include deep breathing and modeled appropriate responses in order to reduce profanity and aggression toward peers and others in the home. 2. Intervention: QMHP-C encouraged Khnailya to work harder to let down walls to openly discuss feelings surrounding sensitive topics as they adversely affect her ability to build healthy relationships and positive self-image. QMHP-C modeled more appropriate ways to communicate with adults and reminded Khnailya of potential consequences for being argumentative and disrespectful toward persons of authority. 1. Response: Khnailya appeared to be receptive to QMHP-Cs’ interventions and services that were provided to her during the session. Khnailya discussed with QMHP-C on how she has to show leadership skills due to her potential of moving up within the company and how much her managers like her. She discussed she continues to have to tell her grandmother all the time to let her grow up due to her always telling her what she needs to do and what she is not doing as she now feels as though her mother is not going to see her grow up physically on earth but she will have to in heaven which makes her so upset. 2. Response: Khnailya discussed with QMHP-C on how she wishes that she could have just gotten one more chance to just do everything with her mother that she wanted to do. She verbalized that although her grandmother is acting as her mother, she will never take her place. She reports that she could run to her grandmother to bail her out of trouble when her mother would get mad at her so it is not the same because she has to do what her grandmother tells her to do which is not fun at this point.