8/27/2023 EnchantaVaughn Approved Behavior: QMHP 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. Behavior: Laylah was given a small break to choose an activity of her choice as long as she was being productive. Laylah presents self-control and good social behaviors in therapeutic setting. Laylah utilizes her writing journal as a coping tool to stay calm and collected. Laylah was polite and courteous to mental health professional while reviewing activity. Laylah interacted well with her family and displayed excellent leadership skills by modeling listening skills and attending to her therapy. Mom was happy Laylah was being respectful and expressed joy for her responsible behaviors. Laylah informed QMHP that she has been learning a lot in each session. Intervention: QMHP went to the home to meet with Laylah to support her with her anxiety. QMHP initiated a rapport building conversation with Laylah in efforts to learn more of her likes and dislikes as well as triggers to negative behaviors listed on her ISP. QMHP engaged in conversation with Laylah about her day. QMHP 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 taught Laylah effective problem-solving skills (i.e. identifying the problem, brainstorm alternate solutions, select an option, implement a course of action, and evaluate). Intervention: QMHP engaged the Laylah in a role reversal exercise and required the Laylah to think about her goals for the future. QMHP will review key concepts of being a responsible student with her family. QMHP will educate Laylah about being respectful, encouraging, mindful, and fair to peers and authority while making good decisions in school. QMHP will brainstorm strategies with Laylah and encourage self-monitoring. QMHP will provide mediation and relaxation techniques, as well as, simple praises and encouragement to continue the positive behaviors she was exhibiting. QMHP will teach Laylah necessary coping skills to decrease impulses. QMHP commended Laylah on utilizing coping strategies to increase her understanding of feelings and emotions. Response: 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. Laylah responded in a pleasant manner acknowledging the positive reinforcement that the QMHP provided. Laylah discussed mental illness and its causes as a family. 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. Response: Laylah was able to reevaluate herself and display a more positive attitude toward peers and authority. Laylah demonstrated expectations and responded well to feedback. Laylah has become more involved in age appropriate social activities and was given positive reinforcement for these choices. 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 displayed interest in learning about ADHD.