6/21/2023 EnchantaVaughn Approved (AM) Upon arrival, client was observed entering the camp building in a positive mood, as evidenced by his cheerful spirit. Client was seen waiting his turn and being polite to peers and staff. Client put up his belongings and went to his seat and began morning assignment. Client is observed listening and following directions. Client is cooperative in class and attentive during lesson. Client demonstrates excellent team work skills by sharing and taking turns. Client displays appropriate social skills. Client is supported for his contribution and having a good start to his day. Client was encouraged to keep up the good work and try to make good choices. Client was given a break to unwind and socialize with different age groups during lunch time. Client displayed good interaction with peers and was respectful to authority at this time. (PM) Client was witnessed transitioning from lunch to tutoring without incident. Client was able to comply with objectives. Client was able to participate in team building activities with no need for redirection or interaction with QMHP regarding behavioral adjustments. Client was observed displaying positive behaviors, thinking and exercising his coping skills by QMHP. Client walked with his counselor to attend group therapy. Client communicated that he did not get into any trouble today and was happy to be on green. Client was given praise for doing a good job. Client displays respectful manners in the hallway while going from class to stage. Client enjoys being around his group members, as evidenced by him laughing and smiling. Client was respectful and polite to adult staff and complying to school rules. Client was observed displaying positive behavior by displaying on task behavior by completing class assignments without being distracted. (EOD) As time progressed, the client has demonstrated a cooperative attitude while being supportive of others. Client followed his instructions and stayed on task until dismissal. Client was able to achieve goals and objectives.(AM) QMHP monitored client individualized behavior modifications in collaboration with his classmates and teachers. QMHP expressed gratitude toward positive interaction with his classmates and teachers. QMHP encouraged client to continue displaying positive behaviors. QMHP supported client involvement in selected activities. QMHP processed with client about what he learned from activity after the review from the teacher. QMHP praised client for his cooperation despite of not wanting to go to class or be in school today. (PM) QMHP discussed with student how empathy, communication and awareness of another point of view can prevent or reduce conflicts. QMHP brainstormed with client a list of conflicts that typically occur in his life in school or at home in efforts to identify possible conditions or triggers that preceded the actual conflict. (EOD) QMHP utilized role playing to demonstrate the calming effects of predicting the thoughts, feelings and actions of self and others prior to the outbreak of a conflict. QMHP prompted client to share anticipated thoughts and feelings and to indicate how this process reduces angry reactions. QMHP asked appropriate questions about group activity. QMHP reminded client of school rules and expectations. QMHP supported and monitored client in social and academic setting to ensure goals and objectives are met.(AM) Client modeled different ways to walk away from a conflict when frustrated. Client modeled how to separate himself from negative situations by counting to 10. Client demonstrated how to verbalize his feelings without yelling and being aggressive. Client was able to speak calmly and demonstrate his improved verbalization skills while conversing with other QMHP. (PM) Client participated in brainstorming exercise and was able to identify possible conditions or triggers that precede a conflict in school or at home. Client did not display any outbursts during the role play exercise. Client had difficulty understanding due to minor distractions. Client appeared to be learning from his mistakes and correcting them throughout the day. Client responded well to praise. (EOD) Client was receptive as QMHP demonstrated and defined the meaning of empathy. Client actively participated with QMHP as they discussed and processed empathy. Client demonstrated that he was able to process productive expressions of anger. Client displayed active behaviors in group settings. Client is making progress with expressing himself. Client made insightful comments which contributed to discussion. Client did not run away from group or get frustrated like he normally does during room changes. Client said he likes coloring activities. Client agreed to follow instructions and finish his work. Client was seen interacting well with his classmates and teachers. Client seemed to be enjoying the day and looked excited when transitioning to dismissal setting.