4/13/2023 EnchantaVaughn Approved (AM) Upon arrival, client was observed entering the school building in a positive mood, as evidenced by his cheerful spirit. Client was seen waiting his turn and being polite to peers and staff. Client put up his belongings and went to his seat and began morning assignment. Client is observed listening and following directions. Client is cooperative in class and attentive during lesson. Client demonstrates excellent team work skills by sharing and taking turns. Client displays appropriate social skills. Client is supported for his contribution and having a good start to his day. Client was encouraged to keep up the good work and try to make good choices. Client was given a break to unwind and socialize with different age groups during lunch time. Client displayed good interaction with peers and was respectful to authority at this time. (PM) Client transitioned into group session in a positive manner. Client was able to participate and contribute to discussion. Client was monitored in social setting on task and well behaved. Client was prompted to give his undivided attention when others are talking. Client was redirected to sit down correctly and pay attention. Client was observed staying focused and finishing his work. Client appeared to be in a good space and shared his picture with the group. Client expressed he was happy and in good mood and plans to have a good rest of the day. Client returned to his class in a calm and peaceful manner, while walking quietly down the hallway. (EOD) Client was engaged and active. Client exhibits a positive attitude. Client is observed interacting well with others and participating in assigned activities. Client was seen in his seat and listening to instructions. Client prepared for dismissal and announcements without impulsive/hyperactive behaviors, regaining recognition for decreasing symptoms of ADHD and meeting all objectives. (AM) QMHP will teach client necessary coping skills to decrease impulses. QMHP will brainstorm strategies with client and encourage self monitoring. QMHP will assist client with self monitoring skills to enable him to participate in fundamental learning. QMHP will provide mediation and relaxation techniques. QMHP inquired about after school activities. QMHP will collaborate with teacher regarding behaviors and performance. (PM) QMHP applauded client for being the bigger person. QMHP will review and give feedback regarding ADHD and its causes and affect toward client well being and academic functioning. QMHP will provide client with support and encouragment. QMHP will monitor, observe, and redirect client behaviors as needed. QMHP will build rapport. QMHP will explore positive self talk, use instruction modeling, and increase social communication skills with positive reinforcement role play activities. (EOD) QMHP will educate client on behavior modification to help client identify what behavior he need to decrease and avoid daily. QMHP will utilize behavior modification system to aid the client with following directions given by authority figures. QMHP will meet with client daily to discuss progress and expectations that are working and not working in school daily. (AM) Client communicated positive affirmations and self talk. Client utilized self monitoring skills in class. Client displayed management of individualized behaviors. The client has not overreacted with anger to minor frustrations or irritants. Client responded in a pleasant manner acknowledging the positive reinforcement that the QMHP provided. (PM) Client was able to reevaluate himself and display a more positive attitude toward peers and authority. Client has become more involved in age appropriate social activities and was given positive reinforcement for these choices. Client demonstrated expectations and responded well to feedback. Client reported a decreased stress level due to her modulation of social contact, and the success of this was reviewed. (EOD) As the client developed understanding of academic expectations, she reported increased satisfaction and function. Client responded well to feedback, interacting well with others. Client implemented her plan for restoring relationships, and this was reviewed.