12/14/2023 EnchantaVaughn Approved QMHPA arrived at the home to conduct individual session with the QMHPA. QMHPA inquired about her morning. QMHPA verbalized to QMHPA that her morning was going well. QMHPA informed QMHPA the topic of today’s session. QMHPA did not present any symptoms of SI or HI. QMHPA engaged QMHPA in a discussion surrounding her organizational skills. QMHPA engaged QMHPA in a skills building activity. QMHPA explained to QMHPA that the purpose of this activity was to demonstrate with QMHPA on how to organize a wallet, utilize a calendar and keeping track of appointments. QMHPA guided QMHPA with writing down her appointments, medications and ADL's. QMHPA reviewed with QMHPA literature on depression and anxiety. QMHPA processed with QMHPA the key points from literature provided and compared some of the behaviors. QMHPA explained to QMHPA she has to follow mental health recommendations in order to keep her conditions stabilized. QMHPA discussed with QMHPA that she does adhere to her medication management. During the session, QMHPA was agreeable with independent living skills. QMHPA said she does organize her things and separate her clothes but there are times that she doesn’t feel like doing anything and so she do just that. QMHPA said she wears the same clothes because they were the first thing seen on the floor. QMHPA shut down during the discussion on hygiene. QMHPA said she does wear deodorant but she needed some more. QMHPA will not notify anyone when she runs out of hygiene products. QMHPA wrote down things she did for the day but she will not write down things without being prompted.