Reyna Behavior Summary

Focus: Zynaria and family will learn and demonstrate increased honesty, compliance with rules, control over impulses, and acceptance of responsibility for her behaviors and actions. Ms. Smalls (MHP), Zynaria and Mr. and Mrs. Bryant (MHS) discuss Zynaria’s change in behaviors.

The CPS social worker was available to meet with the QP and provide information about Kayla's biological family dynamics.

My-Kayla responded well to the intervention. My-Kayla continues to make progress towards her goals. My-Kayla stated that she is not pleased, and she feels angry and is worried that she may not like the person she has to live with. My-Kayla stated, alone, and frustrated. My-Kayla stated, journaling, talking to someone, listening to music, and having good thoughts. My-Kayla was able to explained, how each of the feeling words provide to her make her feel. My-Kayla stated, frustrated, guilt, shame, fear, embarrassment and resentment. My-Kayla stated, she feels angry with her mother, because she is not doing the things she need to get better, so that she and her brother can move back in with her. My-Kayla stated, having to move again, not being

Intervention: MHP and MHS discuss several incidents in the home that Samantha displayed defiance and disrespect. MHP use role-play to process outcomes from reported behaviors and practice alternative ways to express herself. MHP, MHS and Samantha discuss the role-play and possible trigger for the behaviors. MHP provide Samantha examples of her behaviors that is consistent in all environments. MHP administer the circle of support to prepare for Samantha’s discharge. MHP offers Samantha to review coping skills to improve overall behaviors. MHP explain to Samantha adjusting to a family unit is important.

The family checked-in as being “okay” and week was “good.” The family presented in a euthymic mood and it was congruent with affect. During this session, the therapist and family focused on treatment goals accomplished and completion of the therapeutic process. The youth’s mother was asked to identify what was the most difficult challenge she experienced during the therapeutic process. The mother reported it was difficult to handle a teenager with anger management problems while leaning how to adjust to an alternative way of disciplining. She indicated Denae’s attitude is not perfect, but she and her husband has learned how to punish without having to use physical force. The youth reported her greatest challenge was controlling her behavior and anger.

Nasir responded well to the intervention. Nasir appeared to be relaxed and in a good mood. Nasir stated that everything was going okay with him and that his behavior has be good since the last session. Nasir responded yes, when he is upset. Nasir stated, his mom repeating thigs to him; like taking the garbage out, being bossed around, being teased by his brothers, not get thing he want and being disappointed. Nasir rated his anger 10. Nasir responded no. Nasir stated, yelling fighting arguing, throwing thing running away and talking back. Nasir responded yes. Nasir stated, being told to do the same thing over and over, having to do most of the chores, being told he just like his older brother, being threatened, teased, using his stuff

Karyn and Stephen are a loving and family oriented couple. They understand the importance of building a trusting and positive relationship with each child placed in their home. Karyn and Stephen work diligently to develop a positive relationship with each child regardless of the difficult behaviors they may display in the home. Karyn and Stephen also understand the importance of parenting each child differently based on the child’s. They believe that it is important to treat each child placed in their home as if they are a part of the family. They believe that it is important for each child in their home to feel comfortable. Karyn and Stephen have included all the children placed in her home, ongoing and short-term, in all family activities

Since last review consumer has made very good progress with his behavior in all setting. Per grandma consumer has not had any aggressive outburst since last review. Per grandma consume has made some progress with his behavior at home and at school. Per grandma consume sometime have difficulty dealing with being told what to do, being compliant and apply coping skills and anger manage techniques in a consistent manner. Per grandma consume need to learn how to handle and dealing with being disappointment and impulse control in some situations. Per grandma, consume behavior has become more manageable sine having IIH services. Per grandma IIH service has been very effective in help her cope and manage her grandson behavior. Per grandma, consume

It is essential for Kaya to learn self-regulatory controls, combined with positive reinforcement, to begin to effect change in Kaya’s day to day activities and behaviors. As a counselor, it is key, in teaching the child to recognize things that may be destructive, and cause harmful consequences for her young life, and replace it with constructive, positive thoughts and behaviors. Behaviors that will have her striving to achieve things that she wants, behaviors that will have her running to access life.

Aliza has maintained progress on the goals she had previously met. She continued to make friends at school and have meaningful conversations with them about their similar interests. Mrs. Neumann has provided Aliza with plenty of opportunities to engage with her peers and friends and Aliza appears to be comfortable with having social interactions. Aliza has done well in home and at school with communication.

1. Ms. Gailliard (MHS) reported Mary contiunes improving negative behaviors of defiance, verbally aggressive and argumentative behaviors. Mary is working on increasing positive interactions with adults.

Zachariah responded well to the intervention. Zachariah is making progress towards his goals. Zachariah stated, crying, sadness, guilt and anger. Zachariah stated disappointment, hurt fear, guilt and anger. Zachariah stated, learning, getting along with peers, and being able to complete something. Zachariah stated, getting into trouble, not having friends, not being able to learn, and getting into fights and arguments. Zachariah stated, arguments, fights, peer pressure, being teased, being bullied, and gossip. Zachariah stated, being nice to them helping, not getting into arguments, not teasing or bulling and being supportive. Zachariah stated that he gets along very well with his peer. Zachariah stated that he assist other kids at his school,

Jayden has been able to utilize his coping skills in regard to control is impulsive. Physical aggression within the home towards his twin brother has been eliminated. Jayden no longer breaks things due to parent/child conflict. Jason is holding Jayden accountable for his behaviors and following through with consequences. The home school link has improved and Jayden's grades are starting to improve. Youth and his brother have been living with their father now for about two months and verbal aggression and verbal altercations have reduced and they are looking forward to engaging in school sports.

Discussion: Ms. Calandria reported that Devon behavior at school and home is "stable." She said that his grade is improving, he is able to engage and respond to questions appropriately. She said that the improvement in his intellectual wellness has been " a big step in the right direction." Ms.Calandria expressed her displeasure with Devon's pediatrician, she said that the wait for an appointment is long, as a result, devon is out of medication. Ms.Calandria stated that she is the process of changing his pediatrician.

FOCUS OF PRESENT SESSION: The youth checked-in as feeling “good,” and her week was the same. During this session, therapist and client reflected on treatment goals accomplished and Denae’s future plans after therapy. The youth expressed she was not open to therapy, but acknowledges her behavior has improved in many ways. The client admitted to having a difficult time controlling her anger, not wanting to socialize with her family and frequently engaged in inappropriate sexual behaviors. Denae reported during therapeutic sessions, she has learned coping strategies to control her anger, use of positive self talk to build her self-esteem and refrained from engaging in inappropriate sexual behaviors. Additionally, the youth reported she has obtained