1/31/2023 EnchantaVaughn Approved 1. Behavior: Client greeted QMHP by welcoming her into his home. Client presented appropriate hygiene and was fully dressed for the session. Client displayed interest in session by debriefing and answering appropriate questions regarding his overall well-being. Client reflected on his day and what new things were happening in his life that he was proud of. Client communicated that he spends a lot of time helping his mom take care of his brother and sister. Client demonstrates a positive attitude and is seen participating in family discussion. 2. Behavior: Client was observed engaging in meaningful conversation with his mother about his mental health. Client appeared to be in an acceptive mood, as evidenced by client smiling during conversation with his mother. Client modeled positive social and communication skills as she interacted with the QMHP in the second half of the session. Client continued to show mature and responsible behaviors as he was able to identify things that made him feel good. 1. Intervention: QMHP greeted client and inquired about his day at home. QMHP provided positive affirmations to help motivate client to see things from an optimistic point of view. QMHP actively listened to client express his needs and wants while understanding the position he plays in his family. QMHP commended client for his positive communication skills modeled and managing his emotions effectively. QMHP acknowledged his role and was supportive of his choices. 2. Intervention: QMHP related the session to being able to express feelings appropriately and continued to provide positive reinforcement for client appropriate behaviors and acknowledged his efforts with building rapport and sharing his experiences without shutting down or displaying an episode. QMHP probed client about talking with his mother about his feelings daily. QMHP examined and evaluated client responses to feedback. QMHP focused on client’s ISP objectives and what he needs to do in order to achieve them. 1. Response: Client was receptive and open to the information that was provided by QMHP, as he listened attentively to all that was presented to him regarding his behaviors. Client’s mom was approachable and open-minded to the feedback given by QMHP. Client was able to express his feelings and moods in a positive way without getting upset. Client stayed on task and returned a sociable and friendly rapport back to mental health counselor without any negativity. 2. Response: Client fully participated in role-play interventions. Client followed the instructions and remained focus and active during the therapeutic activity. Client was able to demonstrate positive interaction and excellent manners towards peers and authority. Client displayed high self-esteem and confidence. Client appropriately answered QMHP open-ended questions. Client was cooperative and complaint within the home and community settings.