8/31/2023 EnchantaVaughn Approved Behavior: Throughout the session the family was calm and engaging with one another. Laylah and her mother were sitting next to each other. Laylah appeared to be in a jovial mood, as evidenced by her happy spirit and positive attitude. Laylah presented herself to be ready for the day. Behavior: Laylah completed the in home exercise in a cooperative manner, reviewing rules and expectations for the home setting. Laylah displayed great attitude in therapy setting and was praised for continuing to make progress with her daily life functioning. Intervention: QMHP supported Laylah participation and recognizing her own behaviors and correcting herself without guidance. QMHP processed with Laylah the feelings she shared and assisted her in sorting through them. QMHP provided Laylah with encouragement to demonstrate the positive behaviors and expectations they had been talking about. QMHP listened as Laylah communicated her feelings with her mom. QMHP assisted Laylah in monitoring her own behaviors in efforts to promote exercising self-control in focused areas such as respecting boundaries with others. QMHP assisted Laylah in normalizing the changes that are occurring in school and session. Intervention: QMHP facilitated worksheet to engage Laylah in building rapport in efforts to build trust and reduce verbal altercations between them. QMHP introduced concept of nonverbal communication cues in efforts to review the expected behaviors or results to the nonverbal cue. QMHP monitored Laylah progress in demonstrating acquisitions of pro-social skills. QMHP reviewed Laylah’s ISP objectives with her in efforts to reinforce her commitment to achieving them on a daily basis. QMHP will implement a routine that will encourage Laylah to be responsible and promote self confidence in academic and social settings. QMHP encouraged Laylah to participate in desirable behaviors for the entire day. Response: Laylah presents a positive attitude when given the opportunity to earn a reward. Laylah implemented the positive reinforcement provided by her counselor and was able to stay motivated and enjoy her day. Laylah exhibited good manners at this time. Laylah demonstrated ways to change her responses as evidenced by communicating appropriate verbalizations. Laylah shared her eagerness and excitement about this change and how it will help her with dealing with other challenging relationships in her life. The family shared they plan to work together to figure out how to keep Laylah in a good space so that she develops good habits. Response: Laylah was open and attentive during the intervention. Laylah did an excellent job by showing interest in the session by asking appropriate questions. Laylah utilized relaxation strategies appropriately. Laylah showed her gratitude for being able to release physical tension stating that she felt relaxed. Laylah was able to cooperate and comply to rules and regulations due to positive reinforcement provided by the QMHP. Laylah implemented pro social skills successfully. Laylah shared that she will continue to make sure that she is working to change her response and doing things that are going to help do so.