5/3/2023 EnchantaVaughn Approved (AM) Upon arrival, client displayed inappropriate conduct when coming into class. Client have been a little off this week, due to personal distractions. Client have not practiced self control or utilized appropriate voice volume during school activities. Client brought a cellphone to school today and continued to take it out of his pocket. When prompted to put i away client got upset and started having episode. Client fell out of his seat, crawled under the table, and started kicking the student’s seat next to him. Teacher reported client was having difficulty maintaining appropriate behavior in class and needed to take a break. Client look extremely frustrated. Client expressed he wanted to attend the program. Client sat with his counselor during the program to ensure he would not act up. Client was not doing a good job sitting quietly and paying attention. Client was directed to focus on the speaker or the phone would be taken away. Client continued being disruptive and loud. Client was prompted a few more times before getting administrative involved. QMHP collaborated with the school’s principal to see how we could handle the situation without interrupting the program. Client was given redirection and positive encouragement that no one is going to take his phone unless he gives adult staff a reason to take it. Client rolled his eyes and smacked his lips. Client was having trouble accepting redirection and consequences went into effect. The principal put the phone in a safe place until the end of the day. Client was encouraged to listen to the adult and behave and he could earn his phone back during free time. Client was educated that reading and writing is fundamental to his education and he needs to take it more seriously. Client shook his head and yelled “No, I don’t want to read”. Client only wants to color and draw or he displays outbursts and temper tantrums when instructed to do other work. Client was given a chance to make better choices and was monitored and supported for changing his day around. (PM) Client behaved hinself at lunch. Client was observed interacting well with peers and being respectful to staff. Client displayed little to no hyperactive behaviors while eating his lunch. Client was assisted by mental health professional and given a coloring activity to encourage him to make good choices. (EOD) During class, client decided to grab his snack early when it was not snack time. Client was not in compliance with teacher’s instruction when prompted several times to put it away. Client ran out of class and displayed episodes down the hallway. When escorted to mental health professional client was resistance and ran back down the hallway. Client was seen in class horse playing on the carpet. Client was directed to put the snack away or he would keep losing privileges. Client was upset and starting kicking objects around the class and banging on the table. Client walked out a few times then returned to the back of the class. Client was seen standing by his cubby hole and hiding. Client was given one more chance to make better choices or his parents would be called. Client went to his seat in a frustrated manner, pouting and sitting in another student’s seat. Client was told to get up and go to the correct seat. Client hesitated and then went to his seat expressing negative attitude and refusing to do his work. Client was given a moment to himself to cope and distress. Client calmed down and began working on his assignment. Client was back on track and doing a much better job. Although, client got himself together by the end of the day he did not achieve his objectives, as observed.