7/21/2023 EnchantaVaughn Approved (AM) Upon arrival, to the summer camp program, client arrived to school in a negative mood. Client behaviors were viewed as aggressive and careless. Client displayed impulsive behaviors due to following behind others who were being disruptive in the hallway. Client displayed defiant and disrespectful manners towards mental health professional when confronted to get to class or he would lose his break during psycho social. Client did not seem to care and shrugged his shoulders. 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 compliant in session, due to following orders presented by QMHP and managing his disorder in a productive way. Client was observed displaying inappropriate behaviors while transitioning from social environment back to class and was reprimanded by his teacher to leave his attitude at the door or he would be given additional consequences. Client went to his seat to and stayed to himself for the rest of the morning. (PM) Client went into his lunch period with a nonchalant attitude. Client appeared to be moody and needing one on one. Client was confronted by QMHP. Client was inquired how he was feeling. Client shared negative affirmations at this time. Client have to be willing to make better choices in school in order to achieve all objectives on a consistent basis. Client has shown minimum progress with following treatment plan. Client was seen having difficulty complying to rules and demonstrating inappropriate manners in gym, lunch, and classroom settings. (EOD) Client exhibits disrespectful manners when confronted and redirected. 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 is required to practice and review objects/expectations over the weekend with parent/siblings. Client partially met objectives, as witnessed by his half way listening and following directions and showing some progress in needed areas. (AM) QMHP will teach client necessary coping skills to decrease impulses. QMHP will brainstorm strategies with client and encourage self-monitoring. QMHP will provide mediation and relaxation techniques. QMHP inquired about after school activities. QMHP will collaborate with teacher regarding behaviors and performance. QMHP applauded client for being the bigger person. QMHP modeled language for client to use while in school, home and in the community that will promote pro-social behaviors and effective communication. QMHP reiterated to client the benefits of following the rules and of the privileges he can receive when he does so. QMHP assisted client with identifying privileges that he would like but does not receive due to his negative behaviors; in efforts to stimulate his thinking about cause and effect of his behavior choices. (PM) QMHP provided simple non-verbal praises as client was observed displaying positive classroom behaviors. QMHP trained client in taking steps to prevent problems including displaying positive classroom behaviors. QMHP refocused client as he was observed becoming fidgety and restless. 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 encouragement. 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 used positive regard as he told the client that he appeared to have positive classroom management in class earlier in the day. QMHP informed client of more acceptable and expected responses to classroom and hallway situations that would normally lead client to be triggered and display inappropriate, negative behaviors while in the classroom or hallway. QMHP will educate client on behavior modification to help client identify what behavior he needs 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 utilized coping skills and impulses started decreasing. Client was observed strategizing a plan to better himself by writing down his thoughts and feelings and exploring his creative side with arts and crafts. Client was taught to deep breathe until he is ready to process his feelings. Client was reported displaying age appropriate behaviors and was productive and studious throughout the day. Client thanked QMHP for the support and assistance and helping him stay on track with his goals and objectives. Client was able to be redirected successfully. Client stated he would try better self-management as the day pursues. Client was able to contain impulsive actions. Client was observed having positive interactions with peers and mental health professionals. (PM) Client demonstrated responsibility and leadership. Client was acceptive of redirection. Client was able to complete his classwork with less than 3 prompts to redirect his focus to the classwork. Client showed an improvement from previous days experiences in the classroom with client. Client showed interest in building interpersonal relationships with peers and authority to increase support system. Client expressed positive self talk, modeled positive behavior, and good communication skills during role play activity. (EOD) Client learned to avoid negative and defiant behavior and comply to rules. Client was seen following directions. Client joined session to utilize and learn new interventions and strategies. Client expressed appreciation to QMHP by smiling and giving good eye contact. Client expressed that he should receive an incentive for his display of desirable behaviors throughout the day. Client did not engage in any disruptive activities or behaviors. Client was able to maintain his composure when he was confronted with the potential for conflict. Client was observed engaging in several conflict resolution skills with peers by walking away and telling an adult first. Client demonstrated more acceptable responses, avoiding anger provoking situations in the classrooms and hallways.