1 University of Georgia School of Social Work SOWK 7055 Field Instructor Evaluation Clinical Competencies-1st Semester FACE SHEET Student Name: Check One: Fall Year Field Instructor: Spring Year Field Site: Clinical CEPD Placement hours completed at time of evaluation: Please check all methods of evaluation used to evaluate your student s progress: Direct observation Review of all written work Weekly supervision Feedback from task supervisors or other staff Feedback from other community/agency personnel Taped interviews/meetings Role-play situations in supervision Other: Grade: Please assign a letter grade that reflects the student s performance in field placement. You may choose to give + or with the letter grade (e.g., A-, B+, B-, C+, C-) The student s recommended grade for field placement this semester is: Field Instructor Signature: Date: Faculty Liaison s Signature (when providing social work supervision): I have read this evaluation and have discussed it with my Field Instructor. I have attached an addendum to this evaluation: No Yes Student s Signature: Date:
2 University of Georgia School of Social Work SOWK 7055 Field Instructor Evaluation Clinical Competencies-1st Semester Name of Student Date Name of Field Instructor Agency Instructions for Field Instructor Evaluation The Council on Social Work Education (CSWE) identifies 10 Practice Competencies (#2.1.1 through 2.1.10) for all MSW graduates of accredited schools of social work. In the table below each competency you will find a list of practice behaviors that demonstrate mastery of the broader competency. Please rate the student s ability to perform each of the practice behaviors using the following scale. Indicate your response by circling only one number to the right of each practice behavior. A rating of 3 is equivalent to adequate competency for a beginning MSW practitioner. 1=Very Low Level of Competence 2=Low Level of Competence 3=Adequate Level of Competence 4=High Level of Competence 5=Very High Level of Competence NO = No opportunity to demonstrate practice behavior 2.1.1 Identify as a professional social worker and conducts oneself accordingly A Identify opportunities for clinical social work involvement in the enhancement and maintenance of psychosocial functioning B Maintain professional boundaries, roles, and demeanor in clinical social work practice settings C Utilize professional resources, i.e. supervision, self-reflection, and self developed learning plans to improve professional clinical social work practice
3 2.1.2 Apply social work ethical principles to guide professional practice A Apply ethical decision-making principles and frameworks to issues specific to clinical social work practice 2.1.3 Apply critical thinking to inform and communicate professional judgments A Apply problem-solving techniques based on informed discernment within clinical social work practice B Communicate effectively with a variety of stakeholders, i.e. diverse clientele and multi-disciplinary colleagues 2.14 Engage diversity and difference in practice A Identify and apply appropriate clinical social work models with diverse client populations for engagement, assessment, intervention, and evaluation
4 2.1.5 Advance human rights and social and economic justice A Advocate on behalf of people to secure basic human rights, including the availability and accessibility of psychosocial services B Educate and empower people to advocate on their own behalf for their basic human rights, including the availability and accessibility of psychosocial services 2.1.6 Engage in research-informed practice and practice-informed research A Identify, select, and evaluate strategies for maintaining and enhancing psychosocial functioning B Work collaboratively with agency personnel or faculty member to assess and improve intervention effectiveness 2.1.7 Apply knowledge of human behavior and the social environment A Relate theories, models, and evidence-based knowledge to the maintenance and enhancement of people s psychosocial functioning
5 2.1.8 Engage in policy practice to advance social and economic well-being and to deliver social work services A Apply policy practice skills, including education and advocacy to work with clients 2.1.9 Respond to contexts that shape practice A Adapt clinical social work practices in response to contextual events and advances in knowledge 2.1.10 Engage, assess, intervene, and evaluate with individuals, families, groups, organizations, and communities Engagement A Utilize interpersonal and contracting skills to engage members of diverse groups in interventions aimed toward increased psychosocial functioning Assessment B Conduct a comprehensive biopsychosocial assessment of a client in the context of the clinical practice environment C Use empathy and sensitive interviewing skills to facilitate clients identification of their strengths and problems D Employ the DSM-IV-TR and/or another appropriate assessment protocol to accurately assess needs and/or diagnose psychopathology
6 E Create an appropriate and mutually agreed upon treatment plan aimed at improving psychosocial needs identified through assessment Intervention F Select and apply strategies aimed toward effective prevention of psychosocial dysfunction adapting them for relevance to target populations G Select and apply effective clinical social work interventions to improve clients psychosocial functioning Evaluation H Apply research skills to the evaluation of psychosocial interventions I Communicate and disseminate evaluation results appropriate to the intended stakeholders