4/7/2024 EnchantaVaughn Approved Behavior: When QMHP-C arrived at the residence, Laylah was observed in her room cleaning up. Mom commented that Laylah has been listening and not giving her a hard time about her chores. Laylah was thankful to hear her mom tell her counselor good things about her. Laylah displayed age-appropriate behaviors and was able to stay on track with goals and objectives. Laylah continues to be inattentive in the home setting last occurring noon today. Behavior: During second portion of the session, Laylah displayed inattentive behaviors with QMHP-C when discussing her behaviors in the home as it relates to Laylah not completing her chores and becoming angry with her mother when she takes her telephone from her at which mother reports behaviors last up to 20 minutes in duration. Intervention: QMHP-C encouraged Laylah and her family to communicate any problems, issues or concerns. QMHP-C listened attentively as Ms. Boone verbalized her frustrations over Laylah's disrespectful behavior toward her and noncompliance with directives issued. QMHP-C explored with Laylah her reluctance of helping. QMHP-C discussed open communication and actively listening to Laylah feelings and thoughts when she is able to explain herself. QMHP-C reviewed these strategies with Ms. Boone. Intervention: QMHP-C addressed the negative behaviors reported by Ms. Boone with Laylah. QMHP-C reiterated the expectations of following household rules and treating authority figures with respect. QMHP-C encouraged Laylah to stop and think before reacting with anger by implementing learned coping skills. Laylah and Ms. Boone were receptive to QMHP-C's suggestions. Response: Laylah stated to QMHP-C that she is used to her mother doing everything that she needs to be done within the home when it comes to her room so yes, she did get an attitude and became angry with her mother. Response: Ms. Boone reported Laylah became angry and frustrated with her instead of communicating appropriately her feelings. She reported that Laylah fails to discuss things with her but will talk in the presence of QMHP-C.