Review the following case scenario. Propose possible micro, mezzo, and macro alternatives you might pursue on Mr. Pithon's behalf. ? Suppose you are a generalist practitioner for a rural Midwest county. Your job entails receiving referrals from your supervisor (who routinely receives them from an intake worker). You then establish initial connections with clients by engaging them in the

Question

problem-solving process, familiarizing them with the agency and supplying them with information, soliciting data to assist in service provision, providing short-term counseling when needed, and making referrals to agency units and other community resources as appropriate. You receive a referral involving an elderly individual, Monti Pithon. The person who called, Duke Earl, is one of Mr. Pithon's concerned neighbors. Mr. Earl expressed concern because Mr. Pithon twice fell down on his icy sidewalk. On neither occasion was he able to get back up and into the house. Both times Mr. Earl happened to notice the fall and assisted Mr. Pithon into the house. While inside, Mr. Earl noticed extremely chaotic conditions. Rotting garbage was strewn around the kitchen and about a dozen cats wandered around at will. Mr. Earl noticed that one pitch- black cat with a white patch over her left eye was eating what seemed to be canned creamed corn mixed with ketchup from a plate on the table that looked like it might be Mr. Pithon's lunch. Mr. Earl also expressed concern about Mr. Pithon's diet in a general sense. Mr. Earl wondered whether Mr. Pithon was able to shop or cook adequately, as he looked gaunt and thin. Initially, you call Mr. Earl to clarify any questions you have and to thank him for his interest and help. This means that you have engaged Mr. Earl in the problem-solving process. Subsequently, you proceed to figure out what to do about Mr. Pithon. You must also engage him as the client in the problem-solving process. Of course you, as a generalist practitioner, must work with the client to establish what he needs and wants. During the assessment phase of the problem-solving process, you may decide to pursue planning and implementation at either the micro, mezzo, or macro level. You might also decide that intervention at more than one level would be appropriate.

What will be an ideal response?

Answer 1

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