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You are an outreach worker in a town heavily populated by undocumented individuals. An individual in the community brings to your attention a friend of his who has been exhibiting concerning behaviors such as frequently crying, not wanting to leave his residence and it appears he has lost a significant amount of weight. The individual brings you to meet Fernando, a 69 year-old Hispanic male, who resides with his wife. Both individuals are undocumented. Upon assessment, you realize Fernando presents as disheveled, with a flat affect and does not make frequent eye contact with you. Upon discussing some services which Fernando would be eligible, he quickly dismisses the help citing lack of finances and fear that he will be judged as weak. How do you engage Fernando so he feels comfortable with the services which he could utilize? What barriers to mental health, health care and social work services do you see here?
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