3/13/2023 EnchantaVaughn Approved (AM) Client was witnessed in his seat and working on his morning worksheets. Client is making progress with his goals and objectives, as evidenced by him learning new ways to resolve conflict with his teachers and peers. Client appeared to be in a good mood, as evidenced by his positive facial expressions and ability to reframe from all distractions. Client models great listening skills when it is not his turn to speak. Client raises his hands when he has a question. Client understands that it is his responsibility to be a good student and follow directions. Client states that he is going to have a good day and utilize his relaxation techniques when he needs recoup. (PM) Client transitioned to lunch in a cheerful mood, as evidenced by him smiling and laughing with his peers. Client shared his snacks with group member. Client always ask appropriate questions when he’s unsure of something. Client finished his lunch without disruptive behaviors. No redirection was needed at this time. Client transitioned to recess to exert his energy and get a breath of fresh air. Client seemed to be taking in everything he has learned and using them to problem solve and make good choices. (EOD) Client appeared to be on task, displaying appropriate and desirable behaviors, as noticed by both counselor and teacher. Client was observed following directions and maintaining a positive attitude. The client was supported as he practiced approaching others to increase his involvement in social activities. The client has used positive characteristics, and the benefits of this were reviewed. Client seem to understand the importance of uninterrupted listening by waiting his turn to speak. Client was seen in his seat and exhibiting positive body language. Client is monitored in academic setting making good choices. Client maintains ability to pay attention despite other distractions in class. Client is given positive feedback from his teacher regarding progress with his grades and academics. Client expressed gratitude by smiling. Client prepared for dismissal, listening to the announcements and walking safely to his bus. Client met ISP objectives. (AM) QMHP had one on one with client. QMHP reviewed yesterday's activities. QMHP provided support and encouragement to ensure goals and objectives are met. QMHP monitored client individualized behaviors in collaboration with his teacher and social environment. QMHP encouraged client to make good choices and to avoid negative thoughts about himself. QMHP processed client positive behaviors. (PM) QMHP assited client in developing more social skills. QMHP inquired about possible challenges client can experience with applying this skill. QMHP provided positive feedback. QMHP reflected on client goals and objectives. QMHP isolated client from distractions to decrease disruptive behaviors and to reduce episodes. QMHP assisted client in normalizing the changes that are occuring in school. (EOD) 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 session 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. (AM) Client communicated positive affirmations and self talk. Client verbalized positive feelings about building relationships in school. Client displayed management of individualized behaviors. The client has not overreacted with anger to minor frustrations or irritants. Client responded in a pleasant manner acknowledging the positive reinforcement that the QMHP provided. (PM) 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 responded well to feedback. Client reported a decreased stress level due to his modulation of social contact, and the success of this was reviewed. (EOD) As the client developed understanding of academic expectations, he reported increased satisfaction and function. Client responded well to feedback, interacting well with others. Client implemented his plan for restoring relationships, and this was reviewed.