Qp's Case Study: Zachariah

Discussion: Mr.Spooner reported that Jeffery is doing well at school, home and in the community. He reported that his neurologist discontinued Zolpidem and decrease Trileptal. Mr.Spooner informed the team that Jeffery's mother is back in his life and he deemed it helpful. Jeffrey will continue to attend Neshaminy High School in Pennsylvania and the ESY for summer. Mr.Spooner stated that the teachers have recommended that Jeffrey continues at Neshaminy High school in September as well. Mr. Spooner will make a decision by August if Jeffrey will reside in NJ or Pennsylvania.

2/8 4-5pm this worker went for a parent/child and home visit in the home of Kevin Gates. Everyone was at first sitting living room. Lamyia gave the children pictures of herself. Lamyia sat on the couch hugging and kissing Terrance and Tamyia. Tamyia had done her hooked on phonics. Mr Gates reported that Terrance had done 75% better that day at school. Terrance reported to this worker that he was safe, but he wanted to return home. Mr gates reported that he told Terrance's teacher that she would have to pick battles with Terrance. Mr gates reported that Tyren was having difficulties in school. This worker mentioned that lamyia reported Tyren had an IEP. Mr gates stated he would understand Tyren having an IEP because he was having difficulties with his spelling words and they were basic words. This worker would check with the prior school. Mr gates spoke about 8:30 bed time but Terrance cried himself to sleep at night. Tyren at times plays off his brothers behaviors. This worker informed Mr gates that this worker would be picking the children up the following week to take them for testing. This worker spoke with mr gates about coming out for a home visit on the 25th.

Scott overhears Kelly, Julia’s best friend, asking Julia is she finished her book review. The only people that do book reviews is the club that writes the school newspapers. Therefore, Scott decides to join the school newspaper club, so he can try to get closer to Julia, only to learn that Julia was a guest and never actually joined the club. Scott also finds out that Kelly and Julia are planning to join the drama club. By giving Scott another chance to get closer to Julia, he decides to join the drama club. After a horrible performance, Scott joins the stage crew, later to find out that Julia did not even make the cut. After failing twice trying to get closer to Julia, Scott finds out that Julia is running for student council. So again, Scott decided to run too. As usual, Julia does not make student council and Scott does. With piles of homework, a new baby brother on the way, and tons of activities to do Scott is barely getting enough sleep. After learning how hard starting high school was for him, Scott decides to start a survival guide for his upcoming younger brother. Later in the year, a new girl, named Lee, comes to J.P. Zenger High

A,B) MSTT and Leslie address her cogntions around helping Lemuel by reaching out to the school. Leslie stated Lemuel is old enough to handle his academic but agreed with MSTT that reaaching out to the school would show the school she is a parent who cared about her son's future. Leslie stated she would reach out to the school to see how Lemuel is doing. We aslo assessed her thoughts on Lemuel while out in the community. Leslie stated she is allowing Lemuel with a lot of freedom because he will be turing 18 soon and needs to be more independent. MSTT encourage her to allow Lemuel the freedom but remain

QP gave the purpose of this session which was to address medication, Lizzie’s mother decision to stop smoking, and contacting the school.

Dominique listened as the QP shared certain situations bring certain response out of people that they may not mean.

The interviewer introduces themselves by name and begins to build rapport by asking the child some questions about their life.

Mental health/behaviors: CM was informed Dwayne has made a great improvement in the program; Dwayne has been on the right path and has not Awoled from the program since June’17. Ms. Harmon noted youth has not been cleaning his room, however, youth made an agreement with the team that he will clean his room. Dwayne has been engaged in other chores around the home, which has been allowing him to earn allowance.

QP brainstormed with Quadir solutions to problem solving. QP explained to Quadir what destructive thinking thoughts are and provided an example. QP discussed with Quadir the destructive thinking thoughts that people have and how to change them. QP asked Quadir to list some of his destructive thinking thoughts. QP asked Quadir to explain what causes anger situation escalates. QP explained to Quadir the strategies for controlling anger. QP asked Quadir to explain some ways he could manage his anger. QP asked Quadir to list some ways anger can affect other people. QP asked Quadir to explain how a person can control anger in the moment. QP assisted Quadir in identifying the different reasons a person get angry. QP asked Quadir to identify dome feelings of anger. QP explored with Quadir alternative ways to resolve anger. QP asked Quadir to list some consequences of anger for him QP explored with Quadir the benefits and consequences of anger. QP provided Quadir with worksheet in which he had to explain alternative ways to resolve conflict situations provided. QP provided Quadir the opportunity to express his feelings and thoughts during the

QP met with Lyric and her grandmother for the first time. QP explained to them the services that will be provided. QP explained to Lyric and her grandmother that she will learning skill building activities and techniques. QP explained some of the intervention Lyric will be working towards such as learning about anger and how to identify its physical signs. Identify negative thoughts and how to replace them with more positive thinking to solve problems, Identify and use new ways of coping with difficult feelings and situations and how to communicate effectively and resolve conflicts in a healthy way. QP asked Lyric, what are some of the behaviors that she thinks she needs to work on. QP asked Lyric, how often she feel angry and frustrated. QP asked Lyric, to explain how she express her anger, what frustrates her the most in terms of your relationship with her grandmother, how do she express your anger at home, and list some of the consequences for responding to anger poorly at home.

QP provided Juwan with a CBT activity geared towards building a respectful family relationship. QP explained to Juwan that the activity will examined issues he has with his mom, enhance his communication skills with his mom and siblings and teach him respectful communication skills that he can utilize in all settings. QP asked Juwan to list some problems or issues he is having with his mom. QP asked Juwan, if he thinks he is respectful to his mom. QP asked Juwan, on an average week home, how many times he has disagreement with his mom. QP asked Juwan to discuss his recent disagreement he had with his mom. QP asked Juwan to explained, how he handle difficult situation at home. QP asked Juwan to list some of the consequences he gets for disobeying

In order to make the mother feel comfortable the interview was conducted in her home. Further, the mother was provided with an accurate description of what the interview was about and how the information from the interview would be shared. Further, the mother was also assured that no names would be identified. During the interview the mother was made to feel at ease through the use of basic counseling skills such as the use of minimal encouragers, active listening, and open-ended questions. The use of open-ended questions and follow up questions about topics the mother brought up allowed the mother to feel at ease because she was able to talk and discuss topics that were important to her.

At the time of the assessment Mr. Parker was calm however not cooperative at first. After a few minutes he starts to communicate effectively with QP. Mr. Parker

QP asked Robert, if he follow school rules and rules at homes. QP asked Robert to list some ideas of treating other with respect. QP provided Robert with a worksheet in which he had to identify, if the behaviors or situations described is respect or disrespectful. QP asked Robert to explain, how he feels when someone is disrespecting him. QP provided Robert with statements in which he had to identify how each statement make him feel. QP asked Robert to list some things the kids at his school does that are disrespectful. QP explained to Robert what being honest means. QP discussed with Robert, why it is important to be honest. QP asked Robert, when was the last time he was dishonest. QP discussed with Robert, why he should not be dishonest. QP examined with Robert, why people who are dishonest cannot be trusted. QP provided Robert with a list of behaviors in which he had to choose which ones were dishonest. QP provided Robert with yes and no response on his behavior of being honest. QP provided Robert with a worksheet on statements and labeling feelings associated with each scenario. QP provided Robert on statements in which he had to identify what instrument or animal he mostly

Zack's gaze seemed to be locked on the passing scenery, everything was covered in a blanket of snow, the window frosted as the cool air swept through the the broken bus windows. With the twins directly in-front of him and Dolly on his shoulder, he couldn't be happier, but he dare not show it. "I'm sure in the long run it'll be worth it." he pulled the shivering golden eyed girl closer to his chest, his hand running through her long black hair as he tried to comfort her. Being the suborn reaper that he was he didn't bother with reading the brochure, although he did know the basics. Monster Camp, a camp where the gifted go to learn to control their powers. Being one of the few requested to attend made the blue eyed boy scoffed, believing he had