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Carefully read Chapter 10: Bringing Up Difficult Issues . In N….
Carefully read Chapter 10: Bringing Up Difficult Issues. In N. Summers Fundamentals of Case Management Practice.
In each of the vignettes that follow, you have a problema concern about something affecting the client. For each of these situations, construct an I–message from you to the client. Be sure to follow the rules for bringing up your point of view. Make certain you sound tentative and ask for collaboration. Use several sentences to soften and put forth your ideas.
A woman, who has been a prostitute, recently discovered she is HIV+. She is currently staying in a shelter where you see her. Several nights she comes in drunk and tells you, “Hey, it doesn’t hurt as much this way.” The next day you approach her with an I-message expressing your concern and initiate an exchange of views.
A woman you have been working with tells you her husband is really a dear. He has done many wonderful things for her, and she is feeling guilty about calling you, but he does keep her confined to the house and slaps her a lot. You use an I-message to express your concern and initiate an exchange of views.
A man with two children needs temporary shelter. His oldest, a daughter, is old enough to drop out of school; and in the course of placing him, you learn that he has encouraged her to do just that. He tells you he needs someone at home to look after the place, now that they have one, and to see that the younger child is taken care of. You use an I-message to express your concern and initiate an exchange of views.
A woman, the victim of a violent crime, is using a prescription medication her doctor gave her to help her with the anxiety of facing the perpetrator in court. Lately, you feel she has been abusing her medication. Her speech seems slurred, and you often see her slip one of the pills into her mouth. You use an I-message to express your concern and initiate an exchange of views.
A woman has not come out of her house since she suffered a major injury at work. Although her doctors say she will be able to return to work if she goes to rehabilitation, she refuses to go and cites her concern for her fragile recovery. You have talked to her many times by phone and invited her to attend support groups at the rehabilitation center where you work and to see a counselor, but she never comes, and you are becoming aware that she is terribly fearful. You use an I-message to express your concern and initiate an exchange of views.
