Hypothetical client

Click the Audio icon to listen to the recording of a narrative taken from a hypothetical client during intake. A transcript of the audio is available in the Script icon. Take notes and use those to respond to the discussion questions.

  • Identify and prioritize Lula’s needs according to her narrative.
  • Using the socioecological model, identify some of the systems that have influence over her life (e.g., micro, meso, and macro). Explain how being a member of each system is likely to impact her decisions and her ability to access services.
  • Taking into consideration her values, propose some referrals to help her remove any barriers to treatment. Use 211.org or other referral tools to find agencies that could provide services for her. Assume that she lives in Arkansas in the Ozarks.

Here is the script from the audio

Discussion Script | Unit 2

Well, like I said on the phone, my living situation is, you know, kinda iffy. I never know how my husband is gonna be when he comes home. Sometimes, he’s okay, but other times, well maybe not so good. I guess it’s hard because, you know, I’m not able to get around too good being in this wheelchair. Okay, so I like… you know, I got kinda lit and drove the pickup into my neighbor’s barn. Boy, you shoulda seen that mess! My legs broke, and I didn’t even feel it. My neighbor called the cops and the rest is history. Now, I gotta do what the judge says to get my license back. My husband told me that he is gonna throw me out if I don’t stop drinkin. I told him that if he would stop roughin me up, I wouldn’t need to drink. My kids, they seen it all, my drinking, his hitting me, but they never say nothing. I have to stay because, now, I can’t drive, and he is being kinda nice taking me to treatment and all. I don’t know how long this’ll last though.
Wait till he sees the medical bills from my accident; I bet he’ll flip. We got no money and now, we will have to deal with the hospital and court costs. On top of that, my kids- I gotta girl, you know. She just started high school. She got herself a boyfriend and I think that they’re having sex. I told her- no babies till she’s at least 16. She does real good in school though, so maybe she’ll wait. My boy, he’s only 7. Well, he’s another story. The school sent some letter telling us that they want to have a meeting with us. Something about him being slow and not learning too good. I don’t know, it’s like all of this has me thinking a lot, like I’m real sad. My brain doesn’t seem right. I just kinda cry a lot and well, probably I’ve said too much. What can you do for me?