4/24/2023 EnchantaVaughn Approved 1.Behavior: Khanilya greeted QMHP-C by saying good afternoon and hello. Khanilya was observed sitting quietly on the couch displaying positive prosocial behaviors during quarantine. Khanilya displayed productive behaviors and was very persistence throughout the day. Khanilya appeared to be in an excited and upbeat mood as evidenced by her smiling and initiating a conversation with QMHP-C. 2. Behavior: Khanilya presented withindrawn behaviors during the second portion of the session when discussing her behavior about respecting those who are in authority. 1.Intervention: QMHP-C had one on one with Khanilya. QMHP-C will conduct evening session to debrief and talk about a plan to follow and ways to reduce tension and negative energy so that she can have a successful and positive day. QMHP-C provided support and encouragement with Khanilya staying on task in the home. QMHP-C will educate Khanilya about being respectful, encouraging, mindful, and fair to peers and authority while making good decisions. QMHP-C will teach Khanilya necessary coping skills to decrease impulses. QMHP-C will brainstorm strategies with Khanilya and encourage self-monitoring. QMHP-C will provide mediation and relaxation techniques, as well as, simple praises to help build high self-esteem and challenge Khanilya to do good on her own. 1. Response: Khanilya displays normal behavior in home setting. Khanilya exhibited a positive attitude toward mother and counselor. Khanilya said she is having challenges with certain activities and needs help. Khanilya said she was being good but got in trouble for talking back to her mom. Khanilya knows what is expected of her and is trying to make better choices. Khanilya verbalizes positive feelings about herself but recognizes areas she needs to work on. Khanilya smiled and hugged QMHP-C for being there for her when she needed. Khanilya displayed positive interaction with her peers and was supported with building healthy relationships in other group settings. Although Khanilya has difficulty staying focused, she is extremely dedicated to getting her chores done on time and getting her daily free time. Khanilya presents a positive attitude when given the opportunity to earn a reward. Khanilya implemented the positive reinforcement provided by her mother and was able to stay motivated and enjoy her session. 2. Response: Khanilya exhibited good manners after earning incentive for her hard work. Khanilya transitions smoothly to the next activity, displaying appropriate behaviors. Khanilya expresses good statements about her day saying she was doing her work, using her manners, and being fair to others. Khanilya is more confident, as evidenced by assertive and proud tone. Khanilya have been doing a better job controlling impulsive and hyperactive behaviors, due to keeping her hands to herself and complying to home rules. Khanilya reduces sadness and finds more excitement in learning about different ways to control her reaction to certain situations and be more receptive and open in therapeutic setting. Khanilya practiced some of the examples of alternate behaviors (e.g. coloring or drawing, thinking about happy moments, repeating positive “I-statements” 5-10 times, and asking questions that will help her understand things better) when she found herself bored or unproductive. Khanilya displays more productiveness and is observed paying more attention and being respectful to authority. 2. Intervention: QMHP-C inquired about Khanilya’s day and what things is she doing to make it a good day, as well as, a productive day. QMHP-C educated Khanilya about what she can do to make social distancing fun and interesting, such as reading her favorite book, drawing in a journal, or simply closing her eyes and practicing mindful exercises, such as deep breathing and positive self-talk or even taking a nap and getting much needed rest. QMHP-C prompted Khanilya to refrain from impulsive, hyperactive, defiant, and aggressive behaviors especially running, refusing authority instruction, and interrupting another’s person day. QMHP-C utilized behavior modification strategies including removing Khanilya from the stimulant environment in efforts for her to reduce inappropriate behaviors. QMHP-C will monitor effects of meditation and coping practices daily and report progress to mom.