1/29/2024 EnchantaVaughn Approved 1.Behavior: QMHP-C arrived to the home of Laylah. QMHP-C met with Laylah for in-home services and to check on how she was doing since the last visit. Laylah was present in the home during session. Laylah was mildly talkative during session. Laylah communicated she was a little off guard and uptight at first at which mother reports behaviors last up to 10 minutes in duration. 2. Behavior: Laylah presented positive behaviors throughout the remainder of the session needing minimal redirection from QMHP-C to focus as she was withdrawn from the session at times at which behaviors last 2-4 minutes in duration before being drawn back to the session. 1.Intervention: QMHP-C actively listened to Laylah verbalize that she was agitated today and the reasons to her agitation. Instruction, modeling and role-playing techniques were used to help Laylah’s general communication skills. QMHP-C taught Laylah effective problem-solving skills (i.e. identifying the problem, brainstorm alternate solutions, select an option, implement a course of action, and evaluate). QMHP-C informed Laylah that when she is agitated to refrain from taking it out on people and communicate how she is feeling to others, so they know exactly how she is feeling. QMHP-C encouraged Laylah to have a better day tomorrow. QMHP-C listened to mother verbalize how Laylah became agitated when she didn’t get what she wanted. 2. Intervention: QMHP-C will review key concepts of being a responsible student with her family. QMHP-C will educate Laylah about being respectful, encouraging, mindful, and fair to peers and authority while making good decisions in school. QMHP-C will teach Laylah necessary coping skills to decrease impulses. QMHP-C will brainstorm strategies with Laylah and encourage self-monitoring. QMHP-C will provide mediation and relaxation techniques, as well as, simple praises and encouragement to continue the positive behaviors she was exhibiting. QMHP-C aided this intervention with Laylah on social skills. QMHP-C introduced Laylah to an "Unexpected Behaviors" activity. QMHP-C educated Laylah that unexpected behaviors are a behavior that occurs without warning and are behaviors that aren’t acceptable in school like they are at home. 1. Response: Laylah started talking after she became a little receptive as QMHP-C talked to her and coached her on ways to communicate without being hostile or agitated. Laylah reported to QMHP-C that she doesn’t like the way that people talk to her in the house and that she was not happy to stop what she was doing. Laylah expressed frustration and hopes of her attention span and focus improving. Laylah blames her mental illness for her attitude, mood, and behaviors. Laylah stated that she doesn’t intend on being negative and agrees she need to work on controlling and channeling her anger, as well as, listening and communicating her feelings better. Laylah displayed management of individualized behaviors. 2. Response: Laylah verbalized that she was agitated all day but did not give any specific reasons as to why she remained agitated even after her counselor arrived. Laylah appeared to grasp a clear understanding of the “unexpected behaviors” she often displays in the home especially the behaviors that have affected her the most. Laylah was assisted in practicing general communications skills. Laylah understood effective problem-solving skills to help solve or overcome a problem or stressor the she is currently facing. Laylah understood that when she becomes agitated she needs to refrain from taking it out on people and to communicate how she is feeling to others. Laylah communicated positive affirmations and self-talk once she was able to let go of negative, agitated feelings.