7/6/2023 EnchantaVaughn Approved (AM) Upon arrival, client was reported to have been seated on the camp van and listening to the van driver. Client was observed working and playing causing no disruptions. Client was focused and on task. Client appeared happy as evidenced by him smiling and laughing. Client presented himself with good hygiene and clean appearance. (PM) Client was observed during lunch. Client had appropriate interaction with peers. Client was having appropriate conversation. Client was respectful of staff and peers. Client was helpful to his peers, as evidenced by him picking up trash that wasn’t his. Client was courteous to authority requests and demands. Client engaged in group discussion utilizing team building skills and active listening skills while interacting with his peers during psycho educational activity. Client expressed positive thoughts. Client showed excellent teamwork, helping his group member complete activity. Client displays appropriate social skills in group setting. (EOD) Client had a good day following directions, staying on task. Client was provided with feedback about how his behavior or verbal messages have an impact on others. Client expressed positive “I statements” in all settings. Client appeared to be having fun, playing and laughing. Client participated in a small group activity of role playing appropriate social skills. Client met objectives. (AM) QMHP monitored client individualized behavior modifications in collaboration with his peers and other mental health professionals. QMHP motivated client to reframe from having episodes when given directions and do what he is supposed to do. QMHP offered active listening skills. QMHP encouraged client to stay on task and avoid temper tantrums. (PM) QMHP processed with client about psychoeducational activity while assisting with each step. QMHP supported client involvement in psychoeducational activity (i.e. asking appropriate questions, giving feedback, and verbalizing his work) while expressing understanding of assignment. QMHP praised client for cooperation and following directions. (EOD) QMHP redirected client to show more effort and to try. QMHP expressed there is no right or wrong way to play but not participating is unacceptable. QMHP offered timeout as an alternative to help client make better choices. QMHP processed with client about not participating in psychoeducational activity and expressed the importance of listening to authority. QMHP educated client that he needs to a better job at handling his emotions but there is no reason to get upset or frustrated. QMHP expressed disappointment at client for continuing to act like a baby after returning back to camp. (AM) Client responded well to the support provided by QMHP. Client said thank you and joined the other campers in the morning group. Client said he was going to be good and treat others with respect. Client ensured he would listen and follow directions. Client said okay and communicated that when an adult isn’t around it’s hard for him to deal with conflict on his own. Client agreed to be patient and separate himself by walking away, deep breathing, or counting to 10. Client acknowledged QMHP's redirection after 4-5 prompts. client stated ok and then began to calm down his actions. Client proceeded to reduce the aggression in his voice while calming down. Client took over 45 minutes to display fully deescalated behaviors. (PM) Client became more impulsive and started to cause more disruptions. Client was eventually separated from his peers and endured his consequences of solitude from the community outing for 15-minutes. (EOD) Client accepted suggestions from QMHP as evidenced by the client smiling and saying thank you. Client stated he would keep his hands to himself. Client stated he would help when needed. Client stated he would treat others fairly. Client stated he would respect adult figures and do what he is told. Client verbalized positive statements about camp and the campers he has met so far. Client contributed to group discussion and shared his personal expectations and thoughts about his camp experience. Client dismissed without incident.