Hi Chloe
I am sorry that you have found yourself in this position. Especially with the lack of support worker options in a rural area.
Your concerns are valid so I don’t want you thinking that bringing them up is going to ruin things.
I have an article here with how to go about having the talk:
Some pointers with your specific circumstances:
With regards to the notes to the psychologist, your support worker may simply not know your expectations. Sitting down with both to get your input on what you would like reported, your psychologists input on what is helpful and the support workers input on what they are comfortable with could clear that up.
With regards to activities there are a few things that could be happening. Either the support worker is being complacent, the support worker feels they haven’t had enough direction on what activities would benefit you from your plan or they aren’t sure how to ask you what you want to do in a way that feels effective. Communication is really important and I would suggest going into any meeting to discuss it with ideas of things you want to do in the community instead of what you have been doing.