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Question Description
Read the scenario and apply your understanding of crisis management to respond to the discussion questions that follow.
Scenario:
While interviewing Tom, a new client, you begin to suspect that he might be high. His responses to your questions do not make sense and you worry that he is getting agitated. He blurts out that he came to see you because he “needs money NOW” and does not understand why he has to answer so many questions. He stands up and demands that you give him money because he needs to go. You calmly ask him to sit down so that you can help him complete the paperwork. You also explain that he will not get money today or even later and that public services include food stamps, public housing (either free or reduced payments), and medical insurance. He can apply for monetary assistance if he has lost a job (not been fired) and qualifies for unemployment. Hearing this, he becomes further agitated and throws his fist on your desk. “You DON’T UNDERSTAND! I have nowhere to live, no money, no car, no family. If you can’t help me, I just don’t know what I’ll do.”
Questions:
- Given the client’s emotional state, behaviors, and your suspicion of substance abuse, how should you proceed to help him to move from his crisis state? Do you have to do anything about the threat of suicide?
- What immediate referrals will you make given his needs? Provide support for your response, justify why each referral is necessary, and explain how you would prioritize those needs.
- Should you notify someone in his family about his seemingly unstable state? Why or why not?
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