5/24/2023 EnchantaVaughn Approved (AM) QMHP monitored client individualized behavior modifications in collaboration with his classmates and teachers. QMHP motivated client to respond to exercise and express his feelings. QMHP offered active listening skills. QMHP provided client with encouragement to demonstrate the positive behaviors and expectations they had been talking about. QMHP encouraged client to communicate to his teacher when he needs help. QMHP praised client for staying on task. QMHP complimented client for utilizing acquired skills, paying attention, and focusing on the importance of the assignment. QMHP supported client displaying positive social interaction with peers and authority. QMHP provided redirection when needed and processed with client on what he needs to do to achieve ISP objectives. (PM) QMHP led the group through each therapeutic day treatment exercise. QMHP inquired about client’s day in class and what things are he doing to make it a good day. QMHP educated client about what he can do to make school fun and interesting, such as reading his favorite book, drawing in a journal, or putting his head down close his eyes and practice the mindful behaviors learned in session. QMHP modeled pro-social behaviors for client to strengthen his understanding of what to do in school, at home, and in the community. QMHP prompted client to refrain from impulsive, hyperactive, defiant, and aggressive behaviors especially running, refusing authority instruction, and interrupting others who are trying to learn. QMHP utilized behavior modification strategies including removing client from the stimulant environment in efforts for him to reduce inappropriate behaviors. QMHP will monitor effects of meditation and coping practices daily and report progress to all parents, teachers, and administrative staff. QMHP will assist with reducing anger-provoking situations through self talk and role play scenarios in order to prevent escalation and dealing with anger assertively. (EOD) QMHP will continue to assist client with managing anger and frustration by reviewing and role-playing effective coping skills. QMHP helped client problem solve when he began displaying negativity towards himself and others. QMHP modeled proper positive behavioral expectations for the client to encourage additional layers of support and understanding of rules and expectations. Although client needs improvement, QMHP commended client on his efforts to maintain his ISP objectives throughout the day. QMHP observed client dismissing without incident and preparing for after school activities in a positive manner, as witnessed and reported.