7/27/2023 EnchantaVaughn Approved Upon arrival to the summer program setting, the client appeared to be in a content state as evidenced by greeting QMHP-C with moderate emotions. During morning observations, the client controlled impulsive behavior by interacting with peers in a positive manner while eating breakfast. During midday observations, the client exhibited difficulty interacting with his peers in a positive manner, utilizing positive anger management skills, and utilizing self control while outside on the playground. During afternoon observations, the client exhibited difficulty interacting with his peers in a positive manner and utilizing self control while riding on the van. QMHP provided Therapeutic Day Treatment services for the client throughout the day. During morning observations, QMHP provided the client with verbal praise and encouraged him to continue utilizing positive anger management skills by interacting with peers in a positive manner. During midday QMHP redirected the client and reiterated the importance of interacting with his peers in a positive manner, utilizing positive anger management skills, and utilizing self control. During afternoon observations, QMHP redirected the client and reiterated the importance of interacting with his peers in a positive manner and utilizing self control. The client responded well towards Therapeutic Day Treatment services as evidenced by positive engagement throughout the day. During morning observations, the client agreed to continue to control impulsive behavior by interacting with peers in a positive manner while eating breakfast. During midday observations, the client was unreceptive to redirection by using inappropriate language and refusing to follow directions. The client was then able to calm down and agreed to interact with his peers in a positive manner, control impulsive behavior, and follow directions given while outside on the playground. During afternoon observations, the client was unreceptive to redirection by refusing to follow directions. The client was then able to calm down and agreed to interact with his peers in a positive manner and to follow directions given while riding on the van.