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Case study on issues in immigration

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Case Study
Esmeralda Trujillo, 35, has lived in your community for six months with her four children, ages 4, 6, 10, and 15. The family is living with relatives in a small house on the outskirts of the city, and they cannot stay there much longer. In Guatemala, Esmeralda lived with her husband, had a garden that virtually fed the family, and spent part of her time weaving and sewing garments to sell at the local market. Her husband left to look for work "up north" and she has not heard from him for five months. Esmeralda has a chronic cough and a skin rash. She speaks very little English. She has found occasional work cleaning houses, but it has not been enough to support her and the children. She has come to your agency asking for help and you are her case worker. Your job is to help her obtain the services she needs.

Answer each of the following questions in a short paragraph:

1.What do you need to find out about Esmeralda and her family and how will you do that?
2.What are the psychological, medical, and social issues she may be facing?
3.What do you need to know about her culture? How will you obtain that information?
4.How do you approach her in a culturally sensitive way? What pitfalls must you avoid?
5.Knowing what you know so far, what services might be helpful for Esmeralda?

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Solution Summary

Hypothetical case working with a diverse culture and issues to address in 5 paragraphs.

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1.What do you need to find out about Esmeralda and her family and how will you do that?

Some of the key background information to gather from Esmeralda is to find out what services she currently is receiving and any she received in the past. Find out which of these were beneficial and which ones hindered; that will save time duplicating any of your suggestions. Asking her what type of services she thinks she might be interested in, instead of just throwing any and all of the ones out there at her. Some clients, even if need it, will not take some services; either from pride or cultural/religion reason. With her limited English you could ask a close family member to help interpret. Another option is the language line that most agencies process.

2.What are the psychological, medical, and social issues she may be facing?

Some psychological issues come from her family situation. She could be depressed from the 'missing' of her husband, the living in small quarters, the difficulty finding work to provide for her family. She might also be stressed from the pressures of ...

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