Hi,
I have recently begun volunteering at a new homeless shelter facility. I have been conversing with a homeless man who resides at the shelter on my volunteer days. He is about 35 years of age and looks to be in good physical health. He is unable to complete most sentences he is attempting to articulate without inserting random words. However, the random words will typically fall under a goup of topics that he also has in his mind and that he appears to be distracted by. It appears that this man at one time was likely a very high functioning individual. He is paranoid and delusional and appears to get frustrated with his inability to communicate in a concise way. He does exhibit some really good recall. He also says things that communicate that he would like me to understand that he is intelligent, though I am careful and thoughtful in attempting to help him feel at ease and that I am there to listen and am not making judgments. He does not appear to have a capacity for humor. He seems to have great need to ascertain and ensure that I mean him no harm. He also will make remarks about how his intent is not to harm me or others. He appears withdrawn, but will still engage. He has a difficult time allowing me to respond to his communication and allowing me to ask him questions. I am trying to establish a healthy report; one that brings him some sense of peace as he engages in conversation. Can you recommend a conversation technique that might address this within the limitations of his mental health challenges?
Thank You,
Patti





