Robert is a 39-year-old male. He has been admitted to the Hart City Hospital after someone found him unresponsive in a parking lot.

Robert is a 39-year-old male. He has been admitted to the Hart City Hospital after someone found him unresponsive in a parking lot. Robert had no identification and hospital workers assume he is homeless. Robert received a diabetes diagnosis related to gangrene, which required one of his legs to be amputated below the knee. Robert reports that he has no family, no income, and no permanent residence. He is in need of an assessment to determine placement and services after the hospital releases him.

REFLECTIVE LISTENING

Reflections are statements that accurately represent what a service user has just said. Miller and Rollnick (2013) liken reflections to an iceberg. Simple reflections, which represent the portion of the iceberg above the waterline, repeat or slightly rephrase what a service user has just said. Complex reflections, which represent the portion of the iceberg below the waterline, paraphrase what a service user has just said and may capture unstated thoughts, feelings, and beliefs that underlie what the service user said.

In this Discussion, you will choose two presenting challenges the service user in your case study has identified. Then, you will write simple and complex reflections for each of the challenges.

Reference: Miller, W. R., & Rollnick, S. (2013).  Motivational interviewing (3rd ed.). The Guilford Press.

RESOURCES

Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

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.

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)