1/17/2023 EnchantaVaughn Approved (AM) Upon arrival, client was monitored displaying age appropriate behaviors while entering the school building. Client was polite to staff and respectful toward his peers who were arriving at the same time as him. Client is very cooperative during morning announcements and remains silent during the appropriate times even when others were talking. Client was observed at his desk displaying positive expressions by waving and smiling with his peers. Client appeared to be having a good start to his day. client was observed displaying positive social behaviors in the classroom. Client was in a fantastic mood, as evidenced by his energetic and fulfilled spirit. The client was supported for displaying an understanding of the social skills that were reviewed. Client verbalized positive I statements by saying “I feel good” and “I will have a god day”. Client was given a compliment for his dedication and willingness to learn. Client was praised for being on his best behavior when an adult isn’t present because integrity is important. Client demonstrates ability to hold himself accountable and adapt to new challenges. (PM) Client transitioned to lunch in a happy manner. Client exhibited excellent pro social behaviors by sharing and helping others. Client demonstrates good teamwork skills during session. Client expressed a positive attitude toward authority, as evidenced by him saying please and thank you. Client was able to utilize his break to draw and engage in reflective thinking. Client was acceptive of feedback and encouraged to go back to class and finish out the day doing what he is asked and to try to comply to teacher directives. Client said okay and returned to class with a positive attitude. Client displays an increased pattern of independence through engaging in school activities. Client is making good choices and being solution oriented. Client is on task and following teacher’s prompts successfully. (EOD) Client was reminded to utilize relaxation techniques if he feels overwhelmed or frustrated. Client displayed an optimistic attitude going into the end of the day. Client attended his individual stations and interacted well with his peers. Client was seen sharing and taking turns without conflict and this behavior was praised and supported. Client was praised for recognizing his anger triggers and choosing to be the solution instead of the problem. Client prepared for dismissal and announcements quietly at his seat. Client was observed completing assigned work until the bell rung. Client continues to acknowledge right from wrong and have made progress with achieving his goals and objectives, as evidenced and witnessed. (AM) QMHP welcomed client to school and provided support and encouragement to ensure a good start to his day and to be on track with achieving his goals and objectives. QMHP inquired about 3-day weekend activities, asking what was exciting about your weekend. QMHP inquired about morning routine and how client was feeling. QMHP monitored client individualized behaviors in collaboration with his teacher and other mental health professional. QMHP encouraged client to make good choices and to utilize self calming techniques (i.e. counting and deep breathing) and processed with him about last week's behaviors, the good and bad. QMHP challenged client to continue displaying a positive attitude while employing positive reinforcement when client is able to achieve his goals and objectives. (PM) QMHP provided praise when the client continued to display positive behaviors throughout the day, remaining on task and was very respectful to peers and authority. QMHP isolated client from distractions to decrease disruptive behaviors and to reduce excessive talking in class. QMHP explored the client’s capability to cope with his stressors. QMHP brainstormed how to resolve conflict without engaging in aggressive behaviors. QMHP offered help. QMHP encouraged client to continue having a good day. (EOD) QMHP monitored for acquisition of objectives. QMHP redirected client negative behaviors. QMHP encouraged client to stay in class and comply to rules and directives. QMHP encouraged client to be the example. QMHP encouraged client not to follow others that he see are doing wrong. QMHP intervened to assist in explaining behaviors to client. QMHP reflected with client on his day, both happy and frustrating experiences. QMHP encouraged client that tomorrow is a new day. QMHP processed client feelings. QMHP engaged in active listening. QMHP assisted client with recognizing his own personal strengths and how to apply them to reach his goals and objectives. (AM) Client greeted QMHP by saying good morning. Client reflected on his weekend activities. Client said he woke up feeling good and was ready to have a good day. Client expressed positive thoughts about himself. Client stated he didn't need help with anything at the moment but would tell an adult if he needs help. Client communicated by nodding and exhibiting good eye contact. Client verbalized positive feelings about goals and objectives. Client communicated that he wants to work independently. Client displayed good participation in various settings and was responsive to all instructions, interacting well with his peers. Client responded in a positive manner acknowledging the positive reinforcement that the QMHP provided. (PM) Client said thank you and continued to do what he was told. Client said he was going to have a good day and decided to practice yoga poses with group member before returning to class. As the client has made more of his own decisions, he reported increased satisfaction and function. Client responded well to feedback, interacting well with his peers. Client agreed to behave and communicated a positive attitude when reviewing problem solving and self control strategies. Client promised he would try his best to correct himself when faced with conflict. Client was displaying respectful, non aggressive behaviors in lunch. Objectives were being met at this time, dispite stressful environment. (EOD) Client avoided distractions in social setting, while utilizing anger management skills. Client seem to have a big influence on his peers. Client displays leadership skills by helping others and being a good citizen in school. Client acknowledged interventions and verbalized clear understanding. Client engaged in reflective thinking. Client communicated the do's and don'ts. Client was in a pleasant mood after feedback was given. Client was seen having a good evening. Client was able to identify the role he plays in each situation and continues to comply with authority rules and regulations. Client remembered to apply himself and utilize his strengths to focus on meeting his goals and objectives.