The Client, A Hispanic Male, Age 69 Essay

Client (AM) is a 20-year-old heterosexual African American female, born in Durham, and currently still resides there. Her primary language is English. She lives with her 13 moth old child (NM) in a one-bedroom apartment. The client is unemployed and currently receives SSI benefits. AM resides in subsidized housing because of her social security income. Client did not finish high school and has no desire to do so.

Claire: 33 year old female lives with sister and second cousin. client was terminated from last job for

Black and Hispanic Americans are more likely to end up in prison. As Carroll writes, “According to the U.S. census, blacks are incarcerated five times more than whites are, and hispanics are nearly twice as likely to be incarcerated as whites. Hispanic men are 2.4 times more likely, to a sentencing project analysis of the data”. Given these statistics, the most important question is: why is the disparity so great between whites, blacks and Hispanics in terms of the prison population.

The Hispanic elderly characterize a large, ethnically diverse group with many subgroups, such as Mexican Americans, Mexican Nationals, Puerto Ricans, and Cubans. There has been a dramatic increase in the older Hispanic population on the United States –Mexican border (U.S. Census Bureau 2000). Hispanic Americans, mostly of the Mexican origin, will be the largest minority group in the United States with 62.8 million people by the year 2030. In El Paso County (Texas), 78% of the population is Hispanic of whom Mexicans are the largest subgroup, the Hispanic elderly (60 years and older) comprise 67% of the elderly population (U.S. Census Bureau 2000). This increase have contributed to a number of problems, including poor health conditions, lack of health insurance, increased incidence of chronic diseases, high rates of poverty, and unemployment. The future provision of care to older adults in the United States will be influenced by anticipated demographic changes including increasing life expectancies, declining birth rates among the general U.S. population, and increases in aging populations among

The client resides with her adult son, aged 20. The client also has two adult daughters that each live over two hours away.

Social Services: On 12/08/2016, client Lissy Figueroa met with assigned Case Manager Ms. Gilgen for Intake Assessment and Initial Independent Living Plan (ILP). Client is 21 years Hispanic female. Client has a 3 year old son named Maxwell. Case Manager asked client how and why she became homeless. Client stated that she was

Client is a married father of two young children ages 5 and 7. He resides in a home he leases in the city of Corona, CA. He works 9AM to 5PM Monday through Friday at a call center where he has been employed for six months. Outside of work and home, his social circle is limited to a

The ethnic terms Latino or Hispanics refer to a diverse population of Latin American descent that includes many nationalities and races. Latino refers to a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race. Latinos comprised nearly 16 percent of the US population in 2009, making them the largest minority group. By 2050, it is projected that they will comprise up to 30 percent of the US. The three largest subgroups include Mexican Americans, (about 65 percent), mostly settled in the Southwest, Puerto Rican, (9.1 percent) in the urban Northeast, and Cuban Americans (3.5 percent) in Florida. About 23 percent of Latinos in the US live in poverty.

Monica is 32 year old African American female seeking mental health treatment and therapeutic supportive counseling. Monica is divorced and currently lives with her two teenage sons in Virginia. Monica struggles with being a single parent, maintaining stability, and has been homeless a few times. Monica is of low socioeconomic status in which she is currently unemployed and receives disability for income. Monica has a history of oral cancer in which she was diagnosed in her early 20s. Due to the severity of the cancer, Monica had to have her upper right jaw bone removed along with several teeth. She now wears a prosthetic which causes her to have a speech impediment. After years of chemotherapy and countless surgeries, Monica’s cancer is currently in remission.

Housing Update: GP Housing package completed and submitted. She also has a Linc IV certificate. Client is actively searching for low income housing and NYCHA Project. Client submitted a letter from Lemle & Wolfe Inc. stating client housing application was denied due to credit score.

He must assist her with all personal care. The home is very neat and tidy. They live in an apartment. Mr. Bell reports he does all of the housework and cooking along with her personal care. She has a walker in the home and is able to walk short distances. Once outside of the home she uses an Amigo from a store or her wheelchair. Per Mr. Bell, her wheelchair and walker are both over 7 years old. I confirmed that they did not have any needs for additional DME other than a new wheelchair and possibly a walker. He did ask about an Amigo for her also. I confirmed that there are no new surgeries pending or treatment options other than he follows up with Dr. Robertson. Dr. Robertson provided all of her medications. I did ask Mr. Bell is they have a contingent person to take over her care if he were to become ill or incapacitated. He said their daughter would take care of her. I asked about their travel to visit their children. He said that once

A social assessment report including all relevant domains of social functioning would include how Jessica was in a physically abusive relationship before John’s father who is now her ex-husband. Her ex-husband was emotionally abusive to her and physically abusive to John. She also states she had a history of sexual abuse as a child. John also has behavioral problems he receives speech and occupational therapy. Jessica’s mother told her to try spanking John to help with his problems. She is having money problems as well as transportation difficulties as her work is 35 miles away. Jessica also has a depressed mood. Jessica’s culture or values would include her family by loving her son and trying to understand him better. She is from a small town in Washington therefore one would think she is a citizen of the United States. She is having difficult with car problems as well as finical problems which would led me to think she may be from a poverty culture. Jessica has three very solid strengths

Client continues to report she wants to be transferred to another shelter, because she mistrusts staff and residents, there is no structure in the room and residents and staff are very inconsiderate towards her. She also states that worker are hacking her email account and also stealing things from her locker.

The literature review provides various insights of the evidence-based interventions that have been effective in the past. The intervention plan specifically needs to address the various challenges faced by Hispanics including acculturation, ethnic background, language barriers, social barriers, limitations in communication, perception, adherence, and understanding of treatment. The other challenges that need to be solved are the family and culturally related barriers. The lack of intervention strategies was cited as one of the causes for the barriers. Interventions that can address the barriers include family support, management skills education and culturally relevant resources. There is also need to establish ways of addressing the miscommunication that occurs between the NPs and Hispanic men.

On 7/15/2015, CM conducted a search via Security to locate client. Client was found sitting in the patio. Security asked the client to go upstairs to the 3rd floor to see social services. CM met with the client and completed Bi-Weekly ILP Review. In the meeting the client was well groomed and dressed appropriately for the weather. She appears to be calm, cooperative and friendly. CM inquires how client is doing since the last Bi-Weekly IlP. Client replies she is doing well and she is still waiting for DHS Manifest if she was approved or disapproved for the apartment” CM reiterates to the client as per P4P meeting on 7/9/2015, client was informed to be “open minded” and also there is a possibility she may not be accepted for the housing.