P​‌‍‍‍‌‍‍‍‌‍‍‍‌‌‌‌‌‌‍‍​rompt: Read the following vignette and answer the questions. James Hathaway is a 76-year-old, African American gay male who sought counseling for depression and survival issues, after his partner, Thomas, of 42 years, was hospitalized for a broken hip. Thomas is a 75-year-old, white, gay, male and his surgeon recommended at least six months of institutional assisted care. James was placed on your caseload by your agency supervisor, who is a Licensed Clinical Social Worker [LCSW] at the local mental health office. James is concerned that he doesn’t have a medical power of attorney for Thomas, who has demonstrated s​‌‍‍‍‌‍‍‍‌‍‍‍‌‌‌‌‌‌‍‍​ome confusion and inability to make decisions since being hospitalized. 

Prompt: 

• Examine and discuss the significant cultural differences that might exist between you and James. How will you engage with him to gain his trust and demonstrate cultural sensitivity? 

• What are the pertinent assessment areas needing examination with this client system regarding the issues that impact the clients?

 • Identify and discuss obstacles that may exist in engaging and assessing this client system on a more advanced level of practice that require your support and intervention.