7/20/2023 EnchantaVaughn Approved (AM) Upon arrival, client entered into the summer school program in a calm mood. Client was seen grabbing breakfast and going into class. Client displayed impulsive behaviors due to following behind others who were being disruptive. Client was prompted 1-2 times before getting back on task. Client shifted his positive attitude into a negative attitude. Client was asked to go see his counselor. Client was welcoming to his peers as he transitioned into social setting. Client was observed displaying inappropriate behaviors by jumping off the stage, running around the cafeteria, and talking back to authority. Client initiated conflict with peers, hitting them and blaming them first. Client exhibits disrespectful manners when confronted and redirected. (PM) Client was seen going into session with an aggressive tone and walking in the opposite direction while stating, "I want to go home" "I don't want to be here". Client expressed sad and serious comments about hating school and not liking his teacher. Client was encouraged to think positive and to try to give it a chance. Client was encouraged of how lucky he is to be able to go to school and to be given so much love and support. Client was educated that life will get hard but you have to believe in yourself and be thankful because it could be a lot worst. Client showed understanding by nodding his head and good eye contact. Client spoke to mom and seemed a lot more cheerful and upbeat. Client displayed minor outbursts but was able to control his anger. (EOD) Client was observed in class and in his seat. Client was seen listening and following directions. Client went to tutoring without incident. Client was supported for his cooperation and for pulling his day together and ending things on a positive note. Client dismissed from school safely, but failed to achieve objectives 1 and 2, as evidenced. (AM) QMHP welcomed client to school. QMHP inquired about evening and morning. QMHP asked how client was feeling. QMHP asked if client needed help with anything. QMHP encouraged client to have a good day. QMHP monitored individualized behaviors for acquisition of objectives. QMHP encouraged client to listen to his teacher. QMHP encouraged client to be the example for others. QMHP encouraged client not to follow others he see that are doing wrong. QMHP reminded client of goals and objectives. QMHP intervened to assist in explaining behaviors to client and what he needs to work on if he wants to meet his goals and objectives. (PM) QMHP will monitor medication schedule and positive and negative behavioral changes and communicate regularly with the client. QMHP will provide strategies for coping and self control when faced with conflict. QMHP will review and give feedback regarding ADHD and its causes and effect to well-being and school performance. QMHP will teach client meditation skills to decrease anger and frustration. QMHP will implement a routine that will encourage client to be responsible and promote self confidence in academic and social settings. (EOD) QMHP reflected with client on his day, reviewing both good and bad experiences. QMHP processed with client, "what would you do different tomorrow”. QMHP encouraged client to have a good evening. QMHP encouraged client that tomorrow is a new day. QMHP praised client for utilizing coping strategies and being able to get back on track without episode. QMHP processed client positive responses and challenged client to maintain appropriate behaviors throughout the entire day. (AM) Client had one on one with QMHP. Client verbalized positive feelings about evening and morning. Client said he was feeling good and plans to have a good day. Client shook his head and returned to his work. 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 while being supportive of others. Client demonstrated expectations and responded well to feedback. Client reported a decreased stress level due to his modulation of social contact, and the success of this was reviewed. Client communicates he's going to remind himself to take his medication on time by preparing the night before. (EOD) As the client developed understanding of academic expectations, he reported increased satisfaction and function. Client responded well to feedback, interacting well with others. Client implemented his plan for restoring relationships, and this was reviewed. Client engaged in self reflection, discussing good and bad parts of his day. Client explained he would try to start his day off on a good note by completing his homework and taking his medication. Client said "thank you". Client chose to get back on task, as observed by him listening and following directions.