2/11/2024 EnchantaVaughn Approved QMHPA greeted Kaila upon arrival to the home setting. Upon arrival to the home setting, Kaila appeared to be in a pleasant mood evident by her facial expressions such as a smile on the face. QMHPA inquired about her day. Kaila verbalized to QMHPA that her day was going well. Kaila did not present any symptoms of S/I or H/I at the time of the session. QMHPA began the session by inquiring about Kaila’s current thoughts, feelings and emotions. QMHPA engaged Kaila in a discussion to determine if she has been adhering to her medication management. QMHPA engaged Kaila in a skills building activity to assist Kaila with different techniques to respond to anxiety and depressions. QMHPA assisted Kaila with calming exercises and appropriate behaviors. QMHPA questioned Kaila about listening to music and how it helps her with depression. QMHPA explained to Kaila about her triggers and how can she recognize her triggers. QMHPA accompanied Kaila to improve her interactions throughout the community where she was able to participate on an activity she enjoys. QMHPA encouraged Kaila to become more active and do not give up after 15 minutes of an activity. Kaila appeared to be receptive to QMHPAs’ interventions and services that were provided to her during the session. Kaila verbalized to QMHPA that she has been adhering to her medication management; however, she doesn’t have to get another appointment until June so that she will be okay. Kaila actively participated in skills building activity and was able to provide QMHPA with what techniques that use when she is depressed. Kaila verbalized to QMHPA that she does struggle with being able to think about those calming techniques when she is past the limit because her mind doesn’t think about those skills. While out in the community, Kaila struggled with interacting with her peers due to her talking negatively about them as she struggles with anxiety. Kaila did discuss with QMHPA that she was going to try to be more sociable with others in the community, but she cannot promise QMHPA.