11/3/2023 EnchantaVaughn Approved Behavior: QMHPA arrived to the home of Kaila. Upon arrival to Kaila home, she displayed a positive attitude and showed no signs of anxiety, depression or emotional outburst. QMHPA inquired about her afternoon. She stated to QMHPA that her afternoon was going well. Intervention: QMHPA began the session off by engaging Kaila in a discussion surrounding her current emotional state. QMHPA began the session by addressing all relevant daily life skill activities, reinforced coping skills to reduce anxiety, release stress and manage depressive behavior patterns. QMHPA provided Kaila with cognitive/behavioral modification techniques to improve self-esteem and strengthen self-determination to successfully achieve all treatment goal objectives. QMHPA educated Kaila on the importance of assertive communication skills to ensure that the intervention process meets the expectations and provides the resources to improve Kaila overall quality of life standards. QMHPA and Kaila discussed utilizing time efficiently, using guidelines and structure to remember daily tasks. QMHPA provided Kaila with communication skills to assist Kaila with expressing her concerns proactively, develop a plan of the day, establish medication compliance and attend to all health management obligations. Response: Kaila appeared to be in receptive to QMHPAs’ suggestions that were provided to her during this session. Kaila compliantly engaged in all topic discussions without any negative oppositional defiant behavior. Kaila required prompting to organize her weekly planner for all mental health related appointments. Kaila spoke about her recent disagreement with her mother and how she effectively used positive communication skills to avoid a confrontation. Kaila expressed to QMHPA that she has a difficult time dealing with her family and their many issues stemming from drug addiction and money problems then having to deal with her own battles. Kaila indicated that she is aware that when she becomes frustrated, she tends to demonstrate down and isolate to cope with her anxiety. Kaila receptively acknowledged all interventions presented to improve effective communication skills that will reduce tensions within her household. Kaila shared that she is working hard to improve her daily life skills so that she can become more self-sufficient and not have to depend entirely on others for help. Plan: QMHPA will utilize role play techniques addressing appropriate and inappropriate behaviors in social settings (1-2x weekly).