7/12/2023 EnchantaVaughn Approved (AM) Upon arrival, client came to summer camp in a good mood, as evidenced by his polite tone and demeanor. Client displayed age appropriate behaviors walking down the hallway. Client was observed listening and following directions. Client displayed appropriate social skills while interacting well with authority and peers. Client communicated that it was going to be a good day. Client was supported for being on task and cooperative while teacher administered activity. Client displayed productive in academic studies. Client transitioned to lunch in a positive manner, walking in line and waiting his turn. Client exhibits good sportsmanship heading to pm activities by holding the door for others and keeping his hands to himself. Client communicates positive self talk when sharing his feelings with his peers and is observed building healthy relationships. Client has been listening and following classroom rules and attending to his work. Client demonstrates that he knows how to manage his emotions and have self control without hyperactive and disruptive behaviors. (PM) Client was observed sitting quietly at his desk reviewing his class assignment along with his teacher. Client seemed to be in a positive mood, as evidenced by his happy expressions and excitement to come to group session. Client demonstrated ability to multi task by working independently and helping his peers with staying on task. Client displayed a good attitude and was very respectful in class. Client was seen being polite and respectful. Client exhibited high participation in all of his assigned activities and completed his work promptly. Client was observed making insightful comments and engaging in group discussion. Client demonstrated excellent mannerisms in various settings, transitioning to specials with a positive attitude. (EOD) Client was praised for all of his hard work and for correcting all unpleasant behaviors. Client continues to build new interpersonal relationships with his peers, sharing and taking turns in a civilized manner. The client was provided with positive feedback regarding his socially appropriate use of eye contact and positive body language during social interactions. Client expressed positive attitude toward mental health professional, exhibiting that he is capable of managing his emotions while utilizing effective coping skills (e.g. taking small breaks when he becomes frustrated and try to talk out his feelings before engaging in hurtful actions). Client communicates positive feelings toward his group members and teachers, as observed. Client continues to execute responsibility for his actions by making good choices and utilizing all strategies. Client was cooperative during dismissal and announcements, meeting objectives. (AM) QMHP welcomed client to school 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 inquired about weekend activities, asking what was exciting about your week. QMHP inquired about morning routine at home before coming to school. QMHP monitored client individualized behaviors in collaboration with his teacher and other mental health staff. QMHP encouraged client to make good choices and to utilize self calming techniques (i.e. counting to 10 and deep breathing skills) and processed with him about weekly behaviors, the good and bad, as well as, expectations. QMHP challenged client to continue displaying a positive attitude while employing positive reinforcement when client is able to achieve his goals and objectives. QMHP will teach client positive outlets and identify anger triggers. QMHP will assist client with developing effective focus techniques. QMHP will role play and demonstrate appropriate ways to interact with adults. (PM) QMHP provided praise when the client continued to display positive behaviors throughout the day, remaining on task and was very respectful to peers and authority. QMHP will teach positive alternatives to deal with anger. QMHP will provide opportunities for positive age communication. QMHP will verbally process with client ways to display improved impulse control. QMHP isolated client from distractions to decrease disruptive behaviors and to reduce excessive talking in class. QMHP explored the client’s capability to cope with his stressors. QMHP brainstormed how to resolve conflict without engaging in aggressive behaviors. QMHP offered help. QMHP encouraged client to continue having a good day. (EOD) QMHP monitored for acquisition of objectives. QMHP redirected client negative behaviors. QMHP encouraged client to stay in class and comply to rules and directives. QMHP encouraged client to be the example. QMHP encouraged client not to follow others that he see are doing wrong. QMHP intervened to assist in explaining behaviors to client. QMHP reflected with client on his day, both happy and frustrating experiences. QMHP encouraged client that tomorrow is a new day. QMHP processed client feelings. QMHP engaged in active listening. QMHP assisted client with recognizing his own personal strengths and how to apply them to reach his goals and objectives daily. QMHP reviewed several strategies for conflict resolution and positive social behaviors with client in efforts to increase client’s awareness. QMHP provided simple praises to client for his commitment to his progress. (AM) Client greeted QMHP by saying good morning. Client reflected on his weekend activities. Client said he woke up feeling good and was ready to have a good day. Client expressed positive thoughts about himself. Client stated he didn't need help with anything at the moment but would tell an adult if he needs help. Client communicated by nodding and exhibiting good eye contact. Client verbalized positive feelings about goals and objectives. Client communicated that he wants to work independently. Client displayed good participation in various settings and was responsive to all instructions, interacting well with his peers. Client responded in a positive manner acknowledging the positive reinforcement that the QMHP provided. (PM) Client said thank you and continued to do what he was told. Client said he was going to have a good day and decided to practice yoga poses with group member before returning to class. As the client has made more of his own decisions, he reported increased satisfaction and function. Client responded well to feedback, interacting well with his peers. Client agreed to behave and communicated a positive attitude when reviewing problem solving and self control strategies. Client promised he would try his best to correct himself when faced with conflict. Client was displaying respectful, non aggressive behaviors in lunch. Objectives were being met at this time, dispite stressful environment. Client demonstrates full understanding and capability of decreasing his symptoms associated with his mental illness and increasing his level of thinking, so that he can meet his objectives and make the right choices. Client appeared to be in a more calm mood, as evidenced by his upbeat spirit and enjoying himself during the activity. (EOD) Client avoided distractions in social setting, while utilizing anger management skills. Client seem to have a big influence on his peers. Client displays leadership skills by helping others and being a good citizen in school. Client acknowledged interventions and verbalized clear understanding. Client engaged in reflective thinking. Client communicated the do's and don'ts. Client was in a pleasant mood after feedback was given. Client was seen having a good evening. Client was able to identify the role he plays in each situation and continues to comply with authority rules and regulations. Client remembered to apply himself and utilize his strengths to focus on meeting his goals and objectives. Client administered positive behavioral expectations, reducing symptoms associated with his ADHD.