12/4/2023 EnchantaVaughn Approved 1.Behavior: QMHP-C greeted Laylah upon arrival to the home setting. Upon arrival to the home setting, Laylah appeared to be in a positive mood evident by her facial expressions such as a smile on the face. QMHP-C engaged Laylah and Ms. Boone in a discussion to determine any new behaviors since the last session. Ms. Boone verbalized to QMHP-C, Laylah has struggled with talking back to her and not being able to control her anger for she punched a hole in the wall. QMHP-C informed Laylah this session was going to focus on social skills, resolving conflicts, calming techniques, assertive communication, disclosure, strategies for anger management, and respecting authority figures with behaviors lasting 20 minutes in duration. 2. Behavior: Laylah participated in the session and displayed some verbal aggressive behaviors as she mentioned to QMHP-C she did not mean to punch the wall the way that she did, she just have so many things that run through her mind at which Laylah reports having an attitude lasting in 2-3 hours in duration. 1. Intervention: QMHP-C taught Laylah about assertive communication through instruction, modeling, and role playing. QMHP-C instructed Laylah to demonstrate similar behavior as she was provided several situations to allow her to employ assertive communication. QMHP-C named several authority figures for Laylah to explain her relationship with each one. She was instructed to verbalize how she maintains a level of respect with the authority figures named. 2. Intervention: QMHP-C role played situations in which each of the authority figures were challenging. QMHP-C introduced her to calming techniques when she becomes angry. QMHP-C modeled various calming techniques to be implemented in different situations at home, school or in the community. QMHP-C engaged her in to worksheet activities to allow her to resolve conflicts through communication versus aggression or anger. 1. Response: Laylah appeared to be receptive to QMHP-Cs’ interventions and services that were provided to her during the session. She was able to utilize assertive communication as modeled by QMHP-C. She identified authority figures her verbal level of respect did not match her body language as evidenced by her speaking nicely about the authority figures but body was slouched, she talked in inaudible tones and did not maintain eye contact as the QMHP-C named authority figures. 2. Response: Laylah has little insight into resolving conflicts peacefully without using aggression or anger. Laylah verbalized to QMHP-C during the session on how she tries to control her anger. She verbalized during the session the different coping skills she continues to utilize when she becomes angry. Ms. Boone verbalized to QMHP-C, “At times I fear what Laylah may do when she is anger for I have seen so many different things when she becomes angry”. QMHP-C Interpretation of client’s progress towards today’s objectives: Laylah continues to struggle with being able to implement learned coping skills when she is angry or upset. QMHP-C Plan of Action: VACCD staff will continue to use calming techniques, modeling and role-playing to teach Laylah assertive communication to reduce anger outburst.