3/8/2023 EnchantaVaughn Approved Behavior: Client made good constant eye contact and was very attentive during the in-home hours. Client was well dressed and groomed displaying excellent hygiene and appearance. Mother reports client continues to struggle with being able to commucniate with her as well as others her feelings which causes issues within the home setting. Behavior: Client was observed in her seat and raising her hand during the activity. Client presented a good attitude throughout the session. Client continues to struggle with being discuss her feelings with her mother as well as her not being able to control her aggressivness. Intervention: QMHP had one on one with client. QMHP will conduct a one on one to debrief and talk about daily behaviors. QMHP initiated a rapport building conversation with client in efforts to learn more of her likes and dislikes as well as triggers to negative behaviors listed on her ISP. QMHP will review key concepts of being a responsible child in the home. QMHP will educate client about being respectful, encouraging, mindful, and fair to peers and authority while making good decisions in the home. QMHP will teach client necessary coping skills to decrease impulses. Intervention: QMHP provided client with an alternative activity instead of being obligated to talk about her feelings. QMHP provided guidance on alternative behaviors and clear instruction on the alternative behavior. QMHP introduced concept of nonverbal communication cues in efforts to review the expected behaviors or results to the nonverbal cue. Response: Client had one on one with QMHP to reflect on her day. Client communicated positive affirmations and self-talk, stating positive thoughts about others when asked about her interpersonal relationships. Client was excited to share things she enjoys and couldn’t wait to implement them during the session. Client displayed positive expressions and maintained good tone when communicating with QMHP. Response: Client participated in rapport building activity with QMHP. Client participated in reviewing key concepts regarding her mental disorder. Client was observed displaying respectful, non-aggressive behaviors in the home as mom and QMHP had a conversation. Client exhibited good manners after earning incentive for her hard work and completing the activity.