6/18/2023 EnchantaVaughn Approved QMHP-A greeted Kaila upon arrival to the home setting. Upon arrival the home, Kaila appeared to be in a positive mood evident by her facial expressions such as a smile on the face. QMHP-A inquired about her afternoon. Kaila verbalized to QMHP-A her afternoon was well. Kaila did not present any symptoms of S/I or H/I at the time of the session. QMHP-A began the session by inquiring about Kaila’s current thoughts, feelings, and emotions. QMHP-A supports daily compliance with her medications so that she can continue her consistently. QMHP-A discussed with Kaila on strengthening her communication skills when she may feel frustrated verses being verbally and or physically abusive. QMHP-A supports practicing breathing techniques daily, developing daily affirmations and journaling daily as skill builders she can use in coping with her feelings of anxiety and paranoia. QMHP-A supports improving her mental health symptoms through identifying her triggers that creates her anger and isolation. QMHP-A reinforced utilizing her support system to help her decrease her depression, utilize journaling to help her decrease her stress from 5 days to 3 days per week. QMHP-A supports practicing eye contact, voice tones and body languages with a family member 1-2 times per week so that she can improve her communication skills. Kaila appeared to be receptive to QMHP-As’ interventions and services that were provided to her during the session. Upon arrival Kaila was talking on her cell phone in a very loud tone. Kaila apologized for being rude. Kaila stated, “Sometimes you just got to let people know you mean business. Kaila was dressed, and Kaila was prepared for the session. Kaila shared that she was not able to avoid all the conflicts she encountered but she managed to identify two that she felt she was on top of. Kaila was supported for being able to redirect a behavior through avoiding any verbal or physical confrontation. Kaila shared that she can contribute the positive behaviors to being medication compliant.