1/5/2024 EnchantaVaughn Approved (AM) Upon arrival to the Winter Program client was observed in class following directions. Client demonstrated excellent participation while interacting with his peers during group activity. Client appeared to be in a positive mood, as evidenced by his content social behaviors and display of self control. Client presented himself good hygiene and a fresh haircut. Client was engaged into his work today, reframing from all distractions. Client was able to transition and recognize his anger triggers by associating himself with the right crowd and staying focused on achieving his goals and objectives. (PM) Client expressed excitement to see QMHP and communicated that he acts out whenever he wants to get out of group room from completing assignment provided to him during this time. Client was given a break because he refused to participate in his assigned station and is often disregarding counselors' instructions. Client was prompted to pay attention or remove himself away from the station. (EOD) Client displayed an optimistic attitude going into the end of the day. Client was seen sharing and taking turns without conflict. Client was rewarded for exhibiting good pro social skills and utilizing his calming down techniques to make it to dismissal without upsetting his peers or being verbally aggressive with his teacher. Client was supported and praised for having a great day at school, meeting all objectives, as observed. (AM) QMHP welcomed client to Winter Program and provided support and encouragement to ensure a good start to his day and to be on track with achieving his goals and objectives. QMHP monitored client individualized behaviors in collaboration with her teacher and other figures of authority. (PM) QMHP reminded client to utilize self calming techniques (i.e. counting and deep breathing) if he starts getting distracted. QMHP brainstormed ways client can make himself better. QMHP isolated client from aggressive behaviors to decrease disruption in class and to reduce excessive talking. QMHP processed behaviors and offered self reflection. (EOD) QMHP taught client alternative method to interpret and cope with stress in the classroom by reevaluating situation or problem in a more positive way. QMHP educated client on coping strategies to deal with his feelings and emotions. QMHP supported client with creating a hobby to engage in during free time and individual breaks (i.e. writing a story or coloring a picture). QMHP challenged client to continue displaying a positive attitude while employing positive reinforcement when client is able to achieve his goals and objectives. QMHP reviewed psycho educational activities to ensure retention and knowledge gain. QMHP provided praise when the client continued to display positive behaviors. QMHP explored client feelings about different subjects in school and how to manage his confidence level and self esteem when he return back to the school setting for the NEW YEAR. (AM) Client greeted QMHP by waving and saying good morning. Client shook his head in agreement and returned to his daily routine. Client said he woke up feeling good. Client appeared to be ready for today’s activities. Client agreed to try his best to avoid aggressive and impolite behaviors. The client listed many activities in which he wishes to engage as his mental illness symptoms lesson and was given additional feedback in this area. (PM) Client remembered all of the relaxation techniques discussed and smiled. Client assured he would know how to handle his emotions if faced with conflict due to understanding of his recurrent pattern of mental illness symptoms. Client responded well to feedback. Client was acceptive and motivated to make himself better each day. (EOD) Client was able to reflect on his day, admitting to any mistakes. Client said "thank you". Client agreed that he needs to start taking his education and learning opportunities more seriously and expressed confidence about art and music class, but little confidence when talking about math and other academic challenges.