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Case study
You have just finished meeting with your client, Mary, to
review her treatment plan and discuss why she has been missing appointments at
your agency. Referring to the state-funded transportation program, Better
Transportation Company (BTC), Mary stated, “BTC just don’t show up or I have to
wait and sometimes I miss the appointment.” “Sometimes I have to wait for hours
to get a ride back home.” “They even forgot me last week.” “You know, back in
my younger days, I would have picketed the state house and shown them a thing
or two!” “I love the drivers though; they are kind, help me with my bags and
walker, and are always polite and respectful.” Mary has few financial resources
and significant mental health needs and physical disabilities.
Mary is also finding it difficult to pay for alternative
transportation or to rely on friends and family, though they are sometimes
available. The therapist has recommended that Mary come to treatment group
three times per week. Mary has only been able to attend three groups in the
past two months. She states she would be willing to come to the therapy groups
if she could find reliable transportation. For Mary, attending these groups
would likely mean greater medical and mental health stability and therefore
fewer emergency room visits, fewer hospital admissions, and a greater quality
of life.
As a human services professional, you already understand
that Mary is facing a very real, personal, and difficult problem that may be
challenging to remedy quickly. You also know from your experience with other
clients that transportation is a systemic issue and not one unique to Mary.
Because you have a friend who works at BTC, you have been able to arrange for
an opportunity to present your concerns to the company
In your assignment, be sure to address the following
critical elements:
a. Regarding the individual client (Mary): What specific
social and cultural factors must be considered in your client’s case that might
affect her use of transportation services?
b. Regarding the larger transportation services in the
geographic area: What social and cultural factors will impact the use of
transportation services? In other words, does dispatch have to know if the
client uses a wheelchair so an appropriate vehicle is sent for pickup? How will
the transportation company engage with non-English speakers?
c. How will social
and cultural factors influence your presentation? Differentiate the specific
social and cultural factors you will need to consider in delivering your
message to each of the target audiences. In other words, how will you
communicate the intended message most effectively to a diverse population of
audience members?
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