Adolescent Hispanic/Latino boy living in a middle-class suburb write a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient. 3 APA References

Summary:
The interview conducted with the adolescent Hispanic/Latino boy living in a middle-class suburb revealed several important aspects about his background, lifestyle, and potential risk factors. The patient is a 15-year-old boy from a Hispanic/Latino background, raised in a middle-class suburban environment. His parents migrated from Mexico before he was born, and he is the oldest of three siblings. The patient highlighted the cultural influence on his life, particularly the importance of family and traditions within his community. He expressed his aspirations for academic success and a desire to pursue higher education. However, he also mentioned the challenges he faces as a minority in his predominantly white school, including instances of discrimination and cultural disconnection.

Communication Techniques:
In order to effectively communicate with the assigned patient, it is important to employ culturally sensitive and competent communication techniques. Here are some strategies that can enhance the communication process:

1. Active Listening: Actively listening to the patient’s concerns, thoughts, and experiences is crucial. This involves giving full attention, maintaining eye contact, and validating his feelings and emotions. This technique allows the patient to feel heard and understood, promoting trust and a deeper therapeutic relationship.

2. Culturally Sensitive Language: Using language that respects and values the patient’s cultural background is essential. Being aware of potentially offensive terms or phrases and avoiding them helps establish a safe and inclusive environment. Additionally, using culturally sensitive language ensures effective understanding and communication.

3. Non-verbal Cues: Paying attention to non-verbal cues, such as body language and facial expressions, can provide additional insight into the patient’s emotions and thoughts. Reacting appropriately and reflecting those non-verbal cues can help create a comfortable space for the patient to express himself more openly.

4. Empathy and Understanding: Demonstrating empathy and understanding towards the patient’s experiences is crucial for establishing rapport. Acknowledging the challenges he faces as a minority and validating his feelings can help make the patient feel heard and supported, thereby facilitating a more meaningful therapeutic relationship.

5. Cultural Competence: Having knowledge and understanding of the patient’s cultural background is essential. This includes knowledge of social norms, traditions, and values of the Hispanic/Latino culture. Recognizing and incorporating cultural considerations into the therapeutic approach helps avoid misunderstandings and fosters a culturally responsive environment.

Risk Assessment Instrument:
The risk assessment instrument selected for the assigned patient is the CRAFFT screening tool. The CRAFFT is a validated, evidence-based screening tool used to assess substance use disorders specifically in adolescents. It has been widely used and validated across different cultural groups, including Hispanic/Latino populations. The CRAFFT contains six questions designed to identify risky substance use behaviors, including alcohol and drug use, as well as potential related problems.

Justification:
The CRAFFT screening tool is applicable to the selected patient for several reasons. Firstly, substance use is a prevalent concern among adolescents, regardless of their cultural background. The tool’s validation and adaptation for use among Hispanic/Latino populations ensure its accuracy and relevance. Secondly, the patient mentioned challenges he faces at school, including instances of discrimination, which may potentially contribute to risky behaviors such as substance abuse. The CRAFFT, with its focus on identifying risk behaviors, will help assess the patient’s susceptibility to substance use disorders and related problems.

Targeted Questions:
1. Have you ever tried alcohol or drugs? If yes, what substances have you used and how frequently?
2. Are you currently experiencing any peer or societal pressures regarding alcohol or drug use?
3. Have you ever engaged in risky behaviors while under the influence of alcohol or drugs? If yes, can you provide examples?
4. Do you feel any stress or pressure that might lead you to use substances as a coping mechanism? If yes, can you elaborate on the sources of your stress?
5. Are you aware of any negative consequences or problems associated with substance use?

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