7/13/2023 EnchantaVaughn Approved Upon arrival to the summer camp setting, the client appeared to be in a content state as evidenced by greeting QMHP-C with moderate emotions. During morning observations, the client communicated/responded to authority in an appropriate manner while helping to hand out breakfast to her peers. During midday observations, the client exhibited difficulty interacting with her peers and adults in a positive manner, communicating/responding to authority in an appropriate manner, and remaining focused while riding in the van to Maymount park. During afternoon observations, the client exhibited difficulty remaining focused by refusing to follow directions and putting her seat belt on while in the van. QMHP provided Therapeutic Day Treatment services for the client throughout the day. During morning observations, QMHP provided the client with verbal praise and encouraged her to continue communicating/responding to authority in an appropriate manner. During midday observations, QMHP redirected the client and reiterated the importance of interacting with her peers and adults in a positive manner, communicating/responding to authority in an appropriate manner, and remaining focused. During afternoon observations, QMHP redirected the client and reiterated the importance of remaining focused and following directions. The client responded well towards Therapeutic Day Treatment services as evidenced by positive engagement throughout the day. During morning observations, the client agreed to continue communicating/responding to authority in an appropriate manner while helping to hand out breakfast to her peers. During midday observations, the client was unreceptive to redirection by throwing a tantrum, kicking the seats, and hitting the windows inside the van. The client was then able to calm down and agreed to interact with her peers and adults in a positive manner, communicate/respond to authority in an appropriate manner, and to remain focused while riding in the van. During afternoon observations, the client was unreceptive to redirection by still refusing to put her seatbelt on in the van. The client was then able to calm down and agreed to remain focused by following directions and to always put her seat belt on.