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Learning Resources

Hart City Case Studies

Walden University. (2020).

Hart City

[Interactive media]. Walden University Blackboard.


Identifying Presenting Challenges

Miller, W. R., & Rollnick, S. (2013).

Motivational interviewing: Helping people change

(3rd ed.). The Guilford Press.

Chapter 7, “Exploring Values and Goals” (pp. 74–90)

Chapter 8, “Why Focus?” (pp. 93–101)

Chapter 9, “Finding the Horizon” (pp. 102–119)

Chapter 10, “When Goals Differ” (pp. 120–130)

Reflective Listening

Miller, W. R., & Rollnick, S. (2013).

Motivational interviewing: Helping people change

(3rd ed.). The Guilford Press.

Chapter 5, “Listening: Understanding the Person’s Dilemma” (pp. 48–61)

Biggs, J., Sprague-Jones, J., Garstka, T., & Richardson, D. (2018). Brief motivational interviewing training for home visitors: Results for caregiver retention and referral engagement.

Children and Youth Services Review, 94



56–64. https://doi.org/10.1016/j.childyouth.2018.09.021

Miller, W. R., Hedrick, K. E., & Orlofsky, D. R. (1991). The Helpful Responses Questionnaire: A procedure for measuring therapeutic empathy.

Journal of Clinical Psychology



(3), 444–448. https://doi.org/10.1002/1097-4679(199105)47:3<444::AID-JCLP2270470320>3.0.CO;2-U


Reflection Worksheet (PDF)

To Prepare

Review your Course Announcements for possible information related to this week’s Discussion and Assignment.

Review the Learning Resources on identifying presenting challenges. Pay particular attention to the strategies for identifying presenting challenges to establish a direction or goal.

Review the Learning Resources on reflective listening. Consider the purpose of reflecting listening in the motivational interviewing process, and examine specific examples of simple and complex reflections.

Go to the Hart City virtual community using the link that is provided in the Learning Resources. Once you are in the community, review the case study you were assigned.

Select two presenting challenges that the service user has identified.

Write simple and complex reflections for each challenge.

By Day 4

Identify the Hart City case study you were assigned in the subject line of your post, and choose two presenting challenges that your Hart City service user has identified.

Post a brief explanation of the two presenting challenges, and briefly discuss those challenges in 1–2 sentences. Finally, write one simple and one complex reflective statement for each challenge.

By Day 6

Respond to two of your colleagues who were assigned a different case study than you were. Provide constructive feedback about their reflective statements, noting strengths and limitations of the statements, any revisions you would make, and why.

Alex and Ani

Maria and her four-year-old sister Ana were placed in the Hart City Home for Children after their mother died of an overdose. Before she died, Maria and Ana lived with her in a very unstable environment of homelessness, drugs, and abuse. A physical exam of both girls indicated past sexual trauma. Since coming to the Hart City Home for Children, both girls have been withdrawn and stay to themselves. Recently, a couple, Alex and Ani Simpson, asked to foster Maria and Ana. They fostered other children over the years and decided to foster with the intention of adoption. They never had children of their own, and they are ready to provide lifelong care. They believe Maria and Ana would be a perfect addition to their home and family. However, the advanced human services professional practitioner assigned to their case must conduct an assessment first. The assessment will help to determine whether Alex and Ani understand and are able to meet the unique complexities and challenges of fostering and possibly adopting children with physical and sexual trauma and an unstable background. The agency does not want to place Maria and Ani only to have them moved and further traumatized.

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