How should a social worker respond to a delusional and disorganized homeless woman who refuses hospitalization?

Encouraging the woman to visit a walk-in emergency room is the most appropriate response in this situation. This option respects her autonomy while still providing a pathway to necessary medical evaluation and support. Walk-in emergency rooms are equipped to assess mental health conditions and can offer immediate help in a less restrictive environment than hospitalization.

Moreover, this approach allows the social worker to engage with the woman in a non-confrontational manner, which is particularly important when dealing with individuals who may be delusional or disorganized. It demonstrates an understanding of her reluctance to seek hospitalization while still promoting her health and safety.

Other potential responses, such as insisting on treatment, may exacerbate her resistance and create a confrontational situation. Arranging for a shelter stay, while helpful in getting her off the street, may not address her immediate mental health needs. Calling the police can escalate the situation and may lead to further distress or conflict, especially if the woman feels threatened or coerced. Thus, encouraging a visit to a walk-in emergency room strikes the best balance between care and respect for her wishes.