9/10/2023 EnchantaVaughn Approved Behavior: Client described that she worries about issues related to personal safety, going back to school, and her mental health, among other things. Client said she has to readjust herself back into in-person instruction. Behavior: Client expressed resentment for not being able to be open with her mom during this difficult moment in time. Client continued to show guarded and distant behaviors. Client admitted that some of her decisions can cause her to hurt other people close to her. Intervention: QMHP inquired about client’s day in the home and what things she’s doing to make it a good day. QMHP educated client about what she can do to make her daily activities more fun and interesting, such as reading her favorite book, drawing in a journal, stretching and closing her eyes and practicing the mindful behaviors learned in sessions. QMHP offered active listening skills when client wanted to speak. Intervention: QMHP led the client through each therapeutic day treatment exercise. QMHP motivated client to respond to exercise and express her feelings. QMHP modeled proper positive behavioral expectations for the client to encourage additional layers of support and understanding of rules and expectations. QMHP processed with client on what she needs to do to achieve ISP objectives. QMHP encouraged client to be the example for others. QMHP encouraged client not to follow others she sees that are doing wrong. QMHP commended client on her efforts to maintain her ISP objectives as best as she could even with minor difficulties. QMHP observed client preparing for the rest of the evening in a positive manner. QMHP will implement a routine that will encourage client to be responsible and promote self-confidence in academic and social settings. Response: Client displays normal behavior in therapeutic setting. Client exhibited a positive attitude toward mom and counselor at the beginning of the session. Client has implemented the correct behaviors in session toward in-home staff. Client was observed avoiding disruptive and impulsive actions demonstrated when client proceeded to walk away and utilize deep breathing. Client was observed intervening and regulating her emotions. Client knows what is expected of her and is trying to make better choices moving forward. Response: Client was observed in her seat and raising her hand when she wanted to ask a question. Client interacted well in the session and demonstrates good work ethic. Client finds more excitement in learning about her mental illness. Client was fully engaged in the activities presented to her today, showing great sportsmanship and responsibilities in the home. Client displays good attitude by saying “thank you”.