8/26/2023 EnchantaVaughn Approved Behavior: QMHP met with Laylah to identify needs and what new changes have transpired since the last report. Laylah was very impatient with QMHP and mom during the beginning of the session. Laylah spoke in an aggressive tone, “I don’t want to do this” (referring to the session). Laylah was inquired why she felt this way. Laylah did not respond. Laylah displayed poor communication and was given a moment to cool off. Laylah appeared to be in a downward mood. Mom expressed that Laylah often acts like this when things don’t go her way. Laylah have had multiple issues within the home from outside resources that have been addressed numerous of times by mom. Laylah continues to avoid answering any of the questions and have a hard time following along in the session. Intervention: QMHP conducted session on helping mother and family reduce the stressors in the home and community. QMHP informed mom that Laylah can benefit from other services, thus probing them to utilize resources in the community that will help Laylah reduce her aggressive behaviors. QMHP reviewed with mother the ability to limit the stress in the home and to utilize the reward system. QMHP utilized active listening skills while probing mother on the affect ways that she attempts to reduce Laylah's negative behaviors. Mother was praised for her efforts to better herself and her living situation by making sure she provides Laylah with everything she needs to move forward and keep Laylah away from negative influences/situations. Response: Laylah appeared to be receptive to QMHP’s interventions and services that were provided to her during the session. Laylah reported that her and mom have a close relationship but have difficulty with communicating when Laylah is upset. It was communicated by parent that Laylah needs to realize that she has a lot going for herself, but she allows others to get her off track. Laylah was able to deescalate once given a new discussion topic, but only minimally participated as she continued to be guarded. Laylah is aware that she can be a hand full. Laylah admitted that she can’t control her temper sometimes. Laylah reported that she is looking forward to receiving help and wants to learn how to deal with her anger and depression. Laylah stated that talking and sharing things in her life helped her to evaluate her poor choices and correct her mistakes.