11/23/2023 EnchantaVaughn Approved 1.Behavior: During the visit, client was witnessed displaying appropriate socializations in the home. Client displays impulsive and hyperactive behaviors ( last occurring on yesterday) lasting 30 minutes in duration as reported by mother. 2.Behavior: Client displayed great participation in all of her home activities. Client still displays aggressive actions ( last occurring on yesterday) , but is becoming less aggressive around peers and authority, as monitored and reported in the home lasting 30 minutes in duration as reported by mother. 1.Intervention: QMHP facilitated a family discussion to talk about common mistakes children with ADHD make and how she can make better choices. QMHP reviewed expectations. QMHP encouraged client to continue displaying age appropriate behavior, and the benefits of this will be updated in her charts for improvement. QMHP conducted a review of previous week interventions regarding mindfulness and solution focused. QMHP assisted client with problem-solving in a safe and calm way. QMHP provided client with positive feedback. QMHP educated client about using good manners at home and offering alternative methods and suggestions to model appropriate language that client should use to ask for things or to get someone’s attention. QMHP utilized empathetic listening skills as client expressed her feelings. QMHP processed client’s responses and gave appropriate feedback. QMHP helped client discover positive outlets of expression and using creative aides, such as music, art, paint, or coloring. QMHP explored positive self-talk, instruction modeling, and social communication skills with positive reinforcement during role play activities. 2.Intervention: QMHP provided client with an incentive for her excellent manners during assigned activity. QMHP explored Client’s capability to cope with her stressors and to cooperate. QMHP modeled communication and conduct during psycho educational. 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. QMHP provided positive gestures to encourage client to verbalize positivity with peers and authority. QMHP enhanced food management skills by encouraging client to eat healthy snacks at home as opposed to junk food/candy. QMHP expressed understanding of self-care and personal hygiene. QMHP offered praise and positive reinforcement to enhance self-esteem and sense of achievement. QMHP probed sense of empowerment by communicating positive self-talk. QMHP enhanced knowledge of a consistent daily routine. QMHP collaborated with mother in regard to home rules and regulations, behavior management, effective teaching practices, role playing exercises, and an appropriate incentive system to ensure client needs were being met. 1.Response: Client is observed and supported with doing the right thing. Client was able to identify interests and similarities displayed as a mental health client. Client was respectful during family discussion, avoiding interruption or talking over authority. Client avoids negative language (i.e. without using profanity, sexual comments, or aggressive words). Client has improved with staying productive and utilizing her breaks appropriately without needing to display attention seeking behaviors to get her way or to try to get out of doing work. 2.Response: Client is observed problem solving on her own and handling her emotions appropriately. Client avoids meltdowns and is seen cheerful and energetic. Client responds well to praise and support increasing self-esteem and confidence. Client utilized relaxation strategies. Client showed good understanding of what it means to be respectful, encouraging, mindful, and fair to others. Client showed her gratitude for being able to release unwanted tension within the home environment. Client has improved with staying in the home, following rules, and utilizing her breaks appropriately without displaying attention seeking behaviors.