9/15/2023 EnchantaVaughn Approved Behavior: QMHPA arrived to the home of Ms. Broadnax. QMHPA informed Ms. Broadnax that this session was going to focus on her mental health. Before QMHPA began the session, QMHPA allowed Ms. Broadnax the opportunity to discuss with QMHPA any current situations that she felt needed to be addressed. Ms. Broadnax did not present any symptoms of S/I or H/I at the time of the session. Intervention: QMHPA began the session by assessing Ms. Broadnax emotional well-being. QMHPA reinforced developing a list of chores she can complete that will help her decrease some of her clutter. QMHPA encouraged Ms. Broadnax to listen to her music as a motivator she can use to help her with her chores. QMHPA modeled several coping methods Ms. Broadnax can implement in her daily life to help reduce periods of depression. QMHPA encouraged and supported for using deep breathing exercises and positive self-talk to get her through her day-to-day responsibilities in her home. QMHPA focused on supporting and encouraging developing and practicing good decision-making skills based upon immediate need(s) and priority. This skill will help Ms. Broadnax weigh her pros and cons in decision making. Response: Ms. Broadnax appeared to be receptive of QMHPA’s suggestions that were provided to her during the session. Ms. Broadnax was able to identify what her daily needs are for the next three days and schedule them accordingly. Ms. Broadnax was supported for her willingness to stick with her plan to clean her living area and not make excuses. Ms. Broadnax acknowledged that sometimes she finds it hard to make it through her morning and some nights because she deals with so much anger and aggression. Ms. Broadnax was encouraged to begin thinking and talking positive. Ms. Broadnax shared that she was tired of having all these bad days so she plans on utilizing the skill builders taught. Ms. Broadnax was supported for making positive stride today and for future improvement. Ms. Broadnax admitted that making some bad decisions and choices has created most of her depression, anxiety and feeling overwhelmed. Plan: QMHPA will examine the problematic IADL areas with the client to identify any patterns of behavior or cognitions that cause the failure at independent functioning (1-3x weekly).