9/9/2023 EnchantaVaughn Approved Behavior: During the in-home visit, QMHP noticed client had been extremely manic, as she appeared unmindful toward what was being processed with her in the home. Client had one on one with QMHP. Client displayed challenges with following instruction and listening to authority. Client was inattentive and unfocused as it was challenging and difficult for her to remain seated during the session. Client would periodically interrupt QMHP. Client became frustrated, beginning to exhibit negative episode causing unnecessary drama in the home. Intervention: QMHP inquired about client’s overall day. QMHP attentively listened to client’s issues. QMHP reeducated client on the dangers of involving herself with activities that are both negative and harmful. QMHP worked with client on methods and techniques to help her reduce, lesson, or eliminate her impulsive conduct and as well as to be more aware of her unpleasant behaviors within her daily functioning life. QMHP reiterated to client the benefits of following the rules and of the privileges she can receive when she does so. QMHP assisted client with identifying privileges that she would like but does not receive due to her negative behaviors; in efforts to stimulate her thinking about cause and effect of her behavior choices. Response: Client exhibited an unemotional and flat facial expression on her face, indicating she was not in the mood to process or reflect on her day. Client was reluctant and hesitate, as she remained mistrustful in regard to extending a friendly or respectful rapport back to the QMHP. Client acknowledged QMHP’s redirection after 2-3 prompts. Client stated she was okay and began to calm down. Client proceeded to lower her voice when communicating with her counselor to show more respect. Client promised she would implement her objectives to the best of her ability. Client agreed to follow the expectations and rules in the home. Client responded well to the support provided by QMHP. .