7/20/2023 EnchantaVaughn Approved Behavior: Client was present and very relaxed when QMHP arrived. Client greeted the QMHP in a friendly manner. Client was happy to see her counselor and thanked her for coming to see her. Mom appeared to be in a joyful mood and grateful to get a break. Behavior: The client was supported as she focused on the therapeutic activity that was presented to her. Client was in a happy mood and expressing healthy emotions toward the activity provided by QMHP. Client was given a thumbs up for showing positive emotions and exhibiting empathy toward in-home staff. Intervention: QMHP explored positive behavior options with client to support her willingness to make good decisions in the home. QMHP engaged in conversation with client about positive decisions and her plan to continue building relationships with her mom and sibling. QMHP inquired about evening routine and after school activities client is currently involved in. QMHP assisted client in monitoring her own behaviors in efforts to promote exercising self-control. QMHP supported client in approaching her family with new and innovative ideas. QMHP continued to establish a positive supportive role. Intervention: QMHP processed client’s thoughts and feelings during self-reflection. QMHP applauded client for wanting to work on changing her behavior so that she leads by example and takes responsibility for her actions. QMHP reviewed client after school schedule with her and supported as she prepped for the evening work she had. QMHP commended client on utilizing creative strategies to increase her understanding of feelings and emotions as it relates to her mental illness. Response: Client responds well to praise and support. Client implemented good communication skills by listening attentively. Client verbalized good thoughts and understanding. Client developed better communication skills by expressing herself in a calm and pleasant manner while acknowledging the positive reinforcement that the QMHP provided. Response: Client was happy and in a good spirit throughout the entire session. Client expressed positive self-talk, modeled positive behavior, and good communication skills during role play activity. Client communicated a positive attitude when reviewing problem solving and self-control strategies with her support system. Client expressed excitement, demonstrating mindfulness and seemed to be motivated to do the right thing.