11/6/2023 EnchantaVaughn Approved Behavior: QMHPA greeted Ms. Broadnax upon arrival to the home setting. Upon arrival to the home setting, Ms. Broadnax appeared to be in a content mood evident by her facial expressions such as a smile on the face and engaging in general conversation with QMHPA. Intervention: QMHPA inquired about Ms. Broadnax’s current thoughts, feelings, and emotions. QMHPA and Ms. Broadnax practiced several skills on how she can begin communicating to others using positive eye contact and appropriate body languages. QMHPA used modeling to demonstrate several voice tones so that Ms. Broadnax can identify the importance of using appropriate voices tones encouraged her to identify coping skills she can use to avoid those angry triggers that she experiences 2-3 times per week in the home. QMHPA and Ms. Broadnax reviewed an emergency safety plan to assist in supporting her when she is unable to manage those triggers that cause her to respond negatively and lash out at others. QMHPA supports Ms. Broadnax in using her support system in the case of an emergency or when she feels she cannot manage her thought’s/feelings. QMHPA and Ms. Broadnax reviewed and up-dated her list of individuals that can provide support in a crisis or an emergency. QMHPA reinforces using positive strategies/techniques she has been taught to utilize when she is unable to manage her anger and angry outbursts. Response: Ms. Broadnax appeared to be receptive to QMHPA’s services and interventions that were provided to her during the session. Ms. Broadnax shared that she can contribute the positive behaviors to being medication compliant. Ms. Broadnax acknowledged that she meets with her psychiatrist once per month and she feels that if she takes her medications, she can avoid negative encounters or at lease avoid getting herself in serious trouble. Ms. Broadnax shared that her relationships with mother and father can at times create anxiety, stress and anger that cannot always go away when they talk. Ms. Broadnax shared that at least 3-5 times per week their negative behaviors contribute to her angry feelings. Ms. Broadnax shared that she is trying to use self-monitoring so that she can avoid becoming angry in the home, on her job and in social settings. Ms. Broadnax shared that she understood the importance of effective communications too avoid depression. Ms. Broadnax admitted that utilizing effective communication skills helped her avoid becoming stressed or depressed or when she does not communicate with them at all. Ms. Broadnax was able this week to identify that she can express her anger/stress using effective communication skills taught. Ms. Broadnax acknowledges that she has been verbally aggressive when she is unable to share what she is feelings. Plan: QMHPA will continue to teach Ms. Broadnax how to identify as well as process triggers and educate her regarding positive coping skills and interpersonal skills 1-2 times (Weekly).