9/18/2023 EnchantaVaughn Approved Behavior: Upon arrival, client was observed helping her mom with different chores around the house (i.e. washing dishes, folding clothes, taking out the trash, and cleaning up her room). Client appeared genuinely happy and energetic when greeted by QMHP. Client was cheerful and expressed good manners. Client was patient and waited for QMHP to direct her through her treatment plan. Behavior: Client transitioned into the next activity without conflict and proceeded to engage into meaningful conversation. Client expressed that she wanted to look into more activities that could benefit her and help her deal with her stress at home better. Client expressed positive thoughts about herself stating “I feel amazing”. Client verbalized, “I’m learning so much about myself” in response to the assignment. Client was able to stay focus during session. Intervention: QMHP conducted family session. QMHP debriefed and inquired about her daily experiences. QMHP supported client making good decisions and having positive behaviors in the home. QMHP expressed gratitude toward positive interaction with mom and sibling. QMHP supported and monitored client in social and academic setting to ensure she was gaining insight on her mental illness. Intervention: QMHP supported client involvement in selected activities. QMHP processed with client about what she learned from activity. QMHP praised client for her cooperation. QMHP encouraged client’s mother to provide frequent positive reinforcement to maintain client's interest and motivation in maintaining positive behaviors and completing her “at home” school assignments and/or chores. QMHP praised client for listening and following directions and interacting safely during each intervention. Response: Client said she woke up feeling good and was ready to have a good day. Client expressed positive thoughts about herself. Client stated she didn't need help with anything at the moment but would say something if she needed help. Client communicated by nodding and exhibiting good eye contact. Client verbalized positive feelings. Client displayed respectful, non-aggressive behaviors in the home. Client was pleasant and cooperative and demonstrated a willingness to discuss the factors contributing to her desirable mood. Response: Client displayed good participation and was responsive to all instructions, interacting well with mom and QMHP. Client responded in a positive manner acknowledging the positive reinforcement that the QMHP provided. Client responded well to feedback and discussed some things she can do better when it comes to new challenges.