He reports that his grandfather died of a stroke 2 years ago. He has refused a complete physical exam - he doesn't want to miss his meal at the mission. No one wants to look at me or talk to me. I just don't see the point in going on. One way or another, this has got to stop.
Life hurts too much to keep going on.
Make a list of resources in the Kansas City area for Paul. Call several shelters and inquire about family services. Describe what is available. You may visit City Union Mission on the web. Write primary, secondary, and tertiary prevention interventions for Paul.