Create an Evaluation Criteria Addictions Checklist that can be used across all treatment settings

Case Management in Addictions

Week 6 – Alberto’s Story

Program Transcript

Alberto is an elderly Spanish-speaking male who lives alone. Neighbors have recently

noticed that he never leaves his home and sometimes wanders around the yard. When

approached, he looks and smells unkempt, and he often seems intoxicated. Concerned,

one neighbor has called the local adult protective services agency.

The assigned social worker plans a visit to his home and notices immediately that he is

not argumentative or resistant, and, in fact, invites her in. She notices there is very little

food in the refrigerator, and the house is dirty and in disarray. She also notices empty

bottles of liquor in the house.

Realizing no one else lives there, she asks about his family, but Alberto seems confused

and shrugs her off. Alberto appears to understand her when she speaks in English, but

his use of the language is limited. He is able to answer simple yes or no questions but is

confused about family details and why she is there.

Not knowing if he belongs in a psychiatric facility or substance abuse treatment center, the

social worker has Alberto transported to a mental health facility for an assessment and

further intake recommendations. He sits quietly, but he is easily distracted while she

discusses his case with a colleague. He makes no eye contact and shows no affect.

During his intake, Alberto was not asked if he wanted the help of a translator nor was he

asked if he could read or write English. However, he signed where directed on his informed

consent forms.

© 2012 Laureate Education, Inc.