Universidad del Turabo School of Social Sciences Graduate Program in Counseling Psychology Psy.D. Practicum Manual Counseling Psychology Training Program Revised May 2014 Cohort 2014 and after
Table of Contents ACKNOWLEDGMENT OF RECEIPT AND UNDERSTANDING...4 COUNSELING PSYCHOLOGY TRAINING PROGRAM...5 COURSES...5 GOALS...6 CRITERIA FOR APPROVED PRACTICUM SITES AND TRAINING...8 REQUIREMENT FOR THE APPROVAL OF A PRACTICUM SITE... 8 PRACTICUM REQUIREMENTS FOR STUDENTS...10 PRACTICUM I... 10 PRACTICUM II... 11 PRACTICUM III... 12 PRACTICUM IV... 13 EVALUATION OF PROGRESS...14 STUDENT EVALUATIONS... 14 EVALUATION OF RELATIONS COMPETENCE... 14 SITE AND SUPERVISOR EVALUATION... 15 GRADING OF COUNSELING PSYCHOLOGY PRACTICE...15 ETHICAL STANDARDS...15 DRESS CODE...16 DOCUMENTATION OF CLINICAL ACTIVITIES...16 SUPERVISION...16 RESEARCH EXPERIENCE...16 DOCUMENTATION OF TIME IN CLINICAL TRAINING...17 EVALUATION FORMS...17 GUIDELINES AND PROCEDURES...17 2
DUAL ROLE OF PRACTICUM SUPERVISORS NOT ALLOWED....18 ASSIGNMENT OF PRACTICUM SITES...18 HANDLING OF CLINICAL EMERGENCIES...18 SCHEDULE OF PRACTICUM DEADLINES...19 APPENDIX A: STUDENT PRACTICUM CONTRACT...20 APPENDIX B: EVALUATION OF STUDENTS COMPETENCIES...22 APPENDIX C: ASSESSMENT OF PRACTICUM STUDENT COMPETENCIES...26 APPENDIX D: PRACTICUM PROGRAM EVALUATION BY STUDENTS...33 APPENDIX E: EVALUATION OF CASE CONCEPTUALIZATION PROCESS FORM & EVALUATION OF PSYCHOLOGICAL ASSESSMENT PROCESS FORM...39 APPENDIX F: REMEDIAL PLAN FORM...42 APPENDIX G: RESEARCH MENTORSHIP CERTIFICATION...44 3
ACKNOWLEDGMENT OF RECEIPT AND UNDERSTANDING I,, Practicum Student of the Graduate Student s Name and Id Number Psychology Program have read the Practicum Manual. I understand the implications that the Graduate Practicum requires. I make the compromise to abide to the policies and procedures that are presented in this manual. I also agree to adhere to the APA Code of Ethics and the Puerto Rico Psychology Board Code of Ethics. If I don t understand any policy stated in this document, I make the commitment to communicate it to my primary supervisor and/or my Practicum Coordinator. Student Signature Date Note: This document must be included in the Practicum Record 4
COUNSELING PSYCHOLOGY TRAINING PROGRAM A major objective of the Counseling Psychology Training Program (CPTP) is to enable students to acquire the required competencies for the practicum in counseling psychology, which include assessment, diagnosis, counseling/psychotherapy and other professional interventions. In addition, the program strives to enhance students professional development through identification with Counseling Psychology as a professional specialty and the incorporation of the American Psychological Association (APA) ethical principles and standards for practice. In order to comply with program objectives, students are required a practicum experience. This manual will describe the goals and procedures for the practicum experience. Since doctoral students are required a master s degree in counseling or clinical psychology (or a closely related field) before admittance to the Psy.D program, students must have acquired a minimum of 400 hours of practicum experience prior to the doctoral program (500 hours of practice are required at the master s in counseling psychology at Universidad del Turabo (UT). It is expected that doctoral student complete at least 900 hours of practicum experience prior to the internship requirement. COURSES The practicum component of the program has been structured in a sequential manner to foster the progressive acquisition of clinical skills that began at the master level. Although Puerto Rico Regulation for the practice of professional psychology states that a master level counseling psychology can be eligible for licensing, our program recognize that the competencies acquired at the master are in an intermediate level. It is expected that a student admitted to the doctoral program, continue to enhance their knowledge and clinical competencies acquired to an advanced level in areas of case conceptualization and treatment planning as well as in the use of evidenced based practices in assessment, and counseling and psychotherapy. The doctoral practicum courses are presented in the following chart: 5
Number of Practicum Coding and Name Year & Semester Practicum Hours CPSY 906 Practicum I Year 1: Semester 1 120 CPSY 907: Practicum II Year 1: Semester 2 300 CPSY 908: Practicum III Year 2: Semester 1 300 CPSY 909: Practicum IV Year 2: Semester 2 300 During the first practicum, students are presented with didactic experiential information pertaining to interpersonal relation development and intermediate case conceptualization. The main objective of the Practicum II is to immerse the student in an advance case conceptualization and treatment planning based on evidenced based practices at practicum sites. The Practicum III course provides students the opportunity to strengthen their clinical competencies with the expectation that they will be able to demonstrate an advanced competency level. The student will be presented with advance clinical and assessment techniques to be used their practicum sites. Practicum IV will focus on refining advanced clinical skills in special population enhancing the experience with diverse clientele. Combined with the didactic course work, the student will acquire 300 hours of practicum experience were the student will integrate the experience of the training site (250 hours), with the didactic experience of the course (30 hours) and integrate the research working with a faculty member in a research project (20 hours) per practicum experience. Upon completion of the four doctoral practicums, the student will have acquired 1020 hours of supervised experience (post masters). Students are under the supervision of a licensed doctoral level psychologist at their practicum sites. GOALS The APA Accreditation Handbook describes the goals of the practicum training as facilitating the development of knowledge and skills in the following areas: 6
1. Understanding of and commitment to professional and social responsibility as defined by the statutes of the ethical code of the profession. 2. The capability to conceptualize human problems. 3. Awareness of the full range of human variability within the dimensions of Puerto Rico. 4. Understanding of one s own personality and biases and of one s impact upon others during professional interaction. 5. Skills in relevant interpersonal interactions such as systematic observation of behavior, interviewing, psychological testing, psychotherapy, counseling, and consultation. 6. Contribution to current knowledge and practice. 7. Application of different theoretical models in evidence based practices (EBP). In addition, the following list specifies Counseling Psychology Training Programs (CPTP) goals for practicum training. Students will: 1. apply ethical principles and the ethical decision making model in interactions at their setting. 2. gain knowledge of the structure and routine associated with a counseling setting, as well as fully participate as a professional in the setting. 3. use assessment strategies in defining and appraising client concerns, including behavioral observations, interviewing skills and/or formal tests. 4. work with clients in goal setting and identify ways to evaluate whether these goals have been achieved. 5. demonstrate knowledge and use of basic counseling skills including: a. attending skills b. empathy c. application of theory and change in the evidence based interventions 6. appropriately use supervision and consultation in on-site supervision by: a. conducting case discussions b. reviewing sessions tapes c. identifying problem areas d. incorporating feedback from the supervisor e. interacting with clients f. interacting with other professionals 7
7. use the practicum experience to continue developing their competence in dealing with diversity issues in counseling by: a. examining awareness of self and issues in diversity b. developing skills to incorporate in counseling with diversity c. gaining knowledge of other s experiences and contexts CRITERIA FOR APPROVED PRACTICUM SITES AND TRAINING Practicum sites must be familiar with and approved by the CPTP following these criteria: 1. The practicum site must be a service agency with training as one of its major functions. Psychological services at the location should conform to all relevant APA standards and guidelines and the regulation and code of ethics of the Puerto Rico Board of Examiners. 2. The site should provide students with a high degree of access to professional psychologists who will serve as appropriate role models. 3. The site should provide at least: a. 16 hours of practicum experience per week, including at least 7 hours of client contact per week. b. One (1) hour of individual supervision by a licensed doctoral level psychologist per week. c. Other practicum activities that may include attending investigations, case conferences, report writing, taking clinical notes, etc. 4. Practicum sites should not require more than 22 hours of students time per week. However, in negotiation with practicum site supervisors, students may choose to commit more time to their practicum activities according to their training interests and needs, and in consideration of other demands they may have. Requirement for the Approval of a Practicum Site The program welcomes and encourages the gesture of students in increasing the approved practicum sites. For a Practicum Site to be approved by the Counseling Psychology Program the agency must abide by the criteria presented in the previous section, fill and sign the Practicum Agreement and the Acknowledgment of Receipt and Understanding, and with the following process. 8
1. Student requesting a new center or an Agency must submit the following information with at least three months before the beginning of the practicum experience. ( Since practicum centers may not necessary be approved on time, students shall apply to other approved centers in order to enhance the possibility of admittance to an approved center by the commencement of the semester). a. Name of the Agency/Institution b. Postal and Physical Address, telephone, fax and email c. Puerto Rico Treasury Department Commerce Registration Number d. Employer ID Number e. Agency Director s Name and email f. Primary and Secondary Supervisors Curriculum Vitae, phone number and email g. Primary and Secondary Supervisors Psychology License 2. The Practicum Coordinator will review the application and will present to the program associate dean for final approval. 3. The Practicum Coordinator will contact the Agency for the signature of the practicum contract 4. Once approved by the Associate Dean, and the contract is signed by the Agency, the application will be submitted to UT administration for processing 5. The Counseling Psychology program will process the malpractice insurance with SUAGM Administration 6. NO STUDENT WILL BE APPROVED TO BEGIN AT THE PRACTICUM AGENCY WITHOUT AN APPROVED AND SIGNED CONTRACT BY ALL PARTIES AND WITHOUT THE ISSUANCE OF THE MAL PRACTICE INSURANCE. 7. Practicum centers in which all legal and administrative procedures and documentation have not been officially approved 15 days prior to the commencement of the academic semester in which the practicum is to be taken will not be available as practicum centers during such semester and the student will have to resort to other centers for placement. 9
PRACTICUM REQUIREMENTS FOR STUDENTS 1. Students are required three semesters of practicum (CPSY 907, 908 & 909) at an approved practicum site. 2. All practicum experience cannot be waived. 3. Students must approve CPSY 906 prior to begin CPSY 907. 4. Practicum may not be transferred from another doctoral program. 5. Compulsory attendance to meetings and seminars scheduled by the Practicum Coordinator. Activities could be scheduled during the day. The student must make arrangements to attend to the scheduled activity. If the student cannot participate in the scheduled activity, he/her must attend to a continued education activity and provide proof of participation to the Practicum Coordinator. 6. Students must make arrangements at their workplace to adjust to their practicum site attendance necessity. PRACTICUMS Practicum I CPSY 906: Didactic and experiential training targeted to strengths the development and application of interpersonal and clinical skills in an advanced practice of counseling psychology. The practicum will focus in the critical and systematic analysis of the interpersonal competencies of the doctoral students and the implications in the therapeutic alliance and professional performance. Course Content: 120 hours (45 in class teaching and supervising, 55 hours of handson training that will include video recording, role plays, interviews and others techniques, and a minimum of 20 hours of research experience) Student Evaluation Criteria: Standard Passing Grade (student must obtain a minimum of 80% or B to approve the practicum; completion of research experience with a faculty of the doctoral program) Student Documentation: Al documentation required for the practicum file will be collected by the Practicum Professor and delivered to the Practicum Coordinator at the end of the semester. Practicum Clinical Horus Record will be done at mypsychtrack.com. The required documents include the: 10
Practicum II o Acknowledgement of Receipt and Understanding (page 4) o Competency of Relation Form (midterm and final) o Research Mentorship Certification (Appendix G) o Any other required by the Practicum Professor CPSYC 907: Didactic and clinical experience approach in enhancing the skills related to case conceptualization and treatment planning based on evidenced based practices. A minimum of 300 hours of clinical practice, 30 hours of course meeting for didactic and 20 hours of research experience are required. Practice hours: minimum of 300 (25 % or a minimum of 75 hours for face to face contact) Minimum requirements: at the end of the semester the student must prove competence at the advance level of clinical skills following the evaluation guidelines stated in the Assessment of Practicum Student Competencies in Appendix C. To achieve such competencies the student will complete as many assessment and/or interventions as the supervisor understands necessary. Student Evaluation Criteria: The student must obtain at least 80% on both evaluations (Evaluation of Student s Competencies, Appendix B, and Supervisor Evaluation of Student and Student s Self-Evaluation; Appendix C) to approve the practicum. Failure to approve will result in a NP. Student Documentation: Al documentation required for the practicum file will be collected by the Practicum Professor and delivered to the Practicum Coordinator at the end of the semester. Practicum Clinical Hours Record will be done at mypsychtrack.com. The required documents include the: o Acknowledgement of Receipt and Understanding (page 4) o Learning-Training Contract o Assessment of Practicum Student Competencies o Evaluation of Student Competencies o Practicum Program Evaluation by Students 11
o Evaluation of Case Conceptualization Process Form from two (2) different cases. o Evaluation of Psychological Assessment Process Form from two (2) different cases. If the Practicum Center doesn t provide Psychological Assessment, the Center must certify it, at the beginning of the semester, with a formal letter to the Practicum Coordinator. o Research Mentorship Certification (Appendix G) Practicum III CPSYC 908: This course provides the prospective counseling psychologist with the opportunity to enhance the clinical competencies needed to deal with the diagnosis, conceptualization and development of a psychological intervention plan, as well as with counseling and psychotherapeutic interventions, outlined in the code of ethics of the profession. A minimum of 300 hours of clinical practice, 30 hours of course meeting for didactic and 20 hours of research experience are required. Practice hours: minimum of 300 (25 % or a minimum of 75 hours for face to face contact) Minimum requirements: at the end of the semester the student must prove competence at the advance level of clinical skills following the evaluation guidelines stated in the Assessment of Practicum Student Competencies in Appendix C. To achieve such competencies the student will complete as many assessment and/or interventions as the supervisor understands necessary. Student Evaluation Criteria: The student must obtain at least 80% on both evaluations (Evaluation of Student s Competencies, Appendix B, and Supervisor Evaluation of Student and Student s Self-Evaluation; Appendix C) to approve the practicum. Failure to approve will result in a NP. Student Documentation: Al documentation required for the practicum file will be collected by the Practicum Professor and delivered to the Practicum Coordinator at the 12
end of the semester. Practicum Clinical Hours Record will be done at mypsychtrack.com. The required documents include the: o Acknowledgement of Receipt and Understanding (page 4) o Learning-Training Contract o Assessment of Practicum Student Competencies o Evaluation of Student Competencies o Practicum Program Evaluation by Students o Evaluation of Case Conceptualization Process Form from two (2) different cases. o Evaluation of Psychological Assessment Process Form from two (2) different cases. If the Practicum Center doesn t provide Psychological Assessment, the Center must certify it, at the beginning of the semester, with a formal letter to the Practicum Coordinator. o Research Mentorship Certification (Appendix G) Practicum IV CPSY 909: This practicum provides students the opportunity to strengthen their clinical competencies by providing an additional 300 of clinical experience at a practicum site. A minimum of 300 hours of clinical practice, 30 hours of course meeting for didactic and 20 hours of research experience are required. Practice hours: minimum of 300 (25 % or a minimum of 75 hours for face to face contact) Minimum requirements: at the end of the semester the student must prove competence at the advance level of clinical skills following the evaluation guidelines stated in the Assessment of Practicum Student Competencies in Appendix C. To achieve such competencies the student will complete as many assessment and/or interventions as the supervisor understands necessary. Student Evaluation Criteria: The student must obtain at least 80% on both evaluations (Evaluation of Student s Competencies, Appendix B, and Supervisor 13
Evaluation of Student and Student s Self-Evaluation; Appendix C) to approve the practicum. Failure to approve will result in a NP. Student Documentation: Al documentation required for the practicum file will be collected by the Practicum Professor and delivered to the Practicum Coordinator at the end of the semester. Practicum Clinical Hours Record will be done at mypsychtrack.com. The required documents include the: o Acknowledgement of Receipt and Understanding (page 4) o Learning-Training Contract o Assessment of Practicum Student Competencies o Evaluation of Student Competencies o Practicum Program Evaluation by Students o Evaluation of Case Conceptualization Process Form from two (2) different cases. o Evaluation of Psychological Assessment Process Form from two (2) different cases. If the Practicum Center doesn t provide Psychological Assessment, the Center must certify it, at the beginning of the semester, with a formal letter to the Practicum Coordinator. o Research Mentorship Certification (Appendix G) EVALUATION OF PROGRESS Student Evaluations Students receive two performance evaluations from their clinical supervisor each semester. The first evaluation is conducted during the middle of the semester and the second at the end. The supervisor will use the form included in Appendix B. Evaluation of Relations Competence The supervisor will also complete and submit the Relations Competence Evaluation Form (annexed to the student evaluation) for each supervisee at least twice during the semester. Any concern in this area will receive immediate attention by the Universidad del Turabo Counseling Psychology Program (CPP) and the program s administration. 14
Site and Supervisor Evaluation The student will evaluate the practicum site and the work done by the clinical supervisor at the end of the practicum experience. The evaluation form is included in Appendix D. The student in each practicum has the responsibility to obtain and submit all the evaluations and other practicum requirements to the practicum coordinator. No grade will be posted in the student s transcript until all evaluation forms have been submitted. GRADING OF COUNSELING PSYCHOLOGY PRACTICE Practicum hours are credited by the office of the practicum coordinator, based on the practicum log that the student must submit each month through the www.mypsychtrack.com website that is verified and approved by the student s clinical supervisor. If the student s performance is evaluated as satisfactory by the practicum supervisor and the number of hours logged for the semester is acceptable, the practicum coordinator will certify the student s practicum approval by using the designated Approve (AP) or Not Approved (N/AP). ETHICAL STANDARDS Students will abide by the ethical standards of the American Psychological Association and the Puerto Rico Psychology Board of Examiners with regards to all professional behavior and to the delivery of clinical services. Students will follow all rules and regulations of Universidad del Turabo (UT) and will conduct themselves according to the applicable legal standards. Any concern about the student s professional behavior in the clinical setting will be addressed according to UT policies and due process. The safety of clients and issues related to dual relationships are considered among the most important aspects of ethical behavior to be observed by all students. It is the student s responsibility to evaluate the potential of danger to him / her or others in the clients served. Likewise, situations related to child or elderly abuse need to be reported according to the applicable law. Issues regarding domestic violence and abuse to women and children in any form will be handled with utmost care. 15
DRESS CODE The way that students dress to attend their clinical sites has particular significance at different levels. Adequate clothing transmits a sense of professionalism and respect for patients and the professional staff at the training site. Attire should be consonant with the practice settings, weather and time of day. Shorts, sneakers, jeans, skin-tight female pants that expose portions of the body are unacceptable clothes to be worn at the practicum sites. However, when predominantly working with children, less formal clothing are usually permitted as well as when the specific situation requires it. Male students are encouraged to consider using long or short sleeves shirts and a tie. DOCUMENTATION OF CLINICAL ACTIVITIES Student will document each intervention that they have performed with a patient, collaterals or with any other person involved in the case. Students will use whichever system is required by their Practicum site. When the Practicum Site does not promote a particular system, students are recommended to utilize SOAP. Students need to remember that failure to document sessions or crucial information about the patients being served constitutes a serious infraction to their ethics of clinical practice. SUPERVISION Students will have at least one hour of individual supervision each week. Students may cancel a supervision appointment only when the circumstances that prompts such cancellation justifies such action. Any supervisor may require objective proof of such justification. All supervisory session will be documented and countersigned by the supervisor. RESEARCH EXPERIENCE Students will participate in scholarly research activities during the practicum experiences. This experience is design to immerse the student in scholarly activities that can contribute to the integration of science and practice. A minimum of 20 hours per practicum are required to satisfy this criteria. The student must select a regular faculty member of the graduate program to serve as a mentor. The student will select the mentor based on the student s research interest and the mentor s expertise and area of research. The mentor will assign research tasks to the student to satisfy the requirement. 16
DOCUMENTATION OF TIME IN CLINICAL TRAINING AND RESEARCH EXPERIENCE Students will report their Clinical Practice Hours to and obtain certification from their site supervisor. Clinical Practice Hours research experience will be reported using the web page www.mypsychtrack.com. Students will assume the cost of accessing the webpage. After students have registered their clinical hours, they will ask their clinical supervisor to verify and validate the information they have reported. Once verified, the information on the web page will be sent to the CPP and stored in the student s file. EVALUATION FORMS In addition to the monthly log, practicum students have the responsibility of obtaining and submitting all the original required evaluations on time to the CPP office thru the practicum professor. These include the: Teaching-Learning Contract: at the beginning of every year (Appendix A) Student Evaluation by Supervisor: mid semester and at the end of semester (Appendix B) Evaluation of Relation Competency by Supervisor: one each semester (Appendix C) Site and Supervision Evaluation by Student: end of the semester (Appendix D) Research Mentorship Certification (Appendix F) GUIDELINES AND PROCEDURES Students are encouraged to learn about the variety of available practicum sites so they can select a suitable site that fits their training interests and needs and can optimize their practicum experience. Students should consider the type of clientele the setting serves, the nature of the activities they will be involved in, the models for assessment and intervention represented by the practicum site staff, and any minimal requirements that the Practicum Site may have (e.g., some sites require students to make a two-semester commitment or to have additional training in assessment). Information about the practicum sites is available at the program administrator s office. Students are encouraged to consult their selection of practicum sites with their Practicum Coordinator and adviser. 17
DUAL ROLE OF PRACTICUM SUPERVISORS NOT ALLOWED. Students should not be supervised by a supervisor who has been or is currently working with them in the role as a therapist or counselor. ASSIGNMENT OF PRACTICUM SITES Practicum assignments are typically selected in November for the following two semesters. Students are required to submit requests to the practicum coordinator by October for the January Placement. The practicum coordinator organizes the practicum assignments for students requesting practice with the goal of optimizing the fit between the students training needs and their expressed interests with the demands of and opportunities provided at the various training sites. Students are informed of their practicum assignments by December. Most practicum sites may request an interview with prospective students to ensure that they are well-informed on what the site has to offer and to ensure a good fit between their interests and skills and the opportunities and demands of the practicum setting. Students must pass thru, at least, three interview process at three different sites. It is the responsibility of the Graduate Program to have a list of approved practicum sites so that the student may apply. Therefore, it is required that students apply to at least three (3) practicum centers in order to enhance the possibilities of selection. Students are not guaranteed acceptance to practicum sites. Those students that are not accepted will have to re-apply for the following practicum cycle. It is expected that unaccepted student meet with the practicum coordinator to assess the possible competency s deficiencies that may have contributed for him/her not being accepted. In special circumstances, students may be allowed to propose new practicum sites. However, the final approval of such sites relies on such site to meet the minimum requirements established by the graduate program. Such approval must have been completed before the initiation of the practicum semester. HANDLING OF CLINICAL EMERGENCIES Students will identify the site supervisor designated to assist them in handling crisis/emergency situations. Students will request a copy of the procedures utilized at their Practicum site to address none life threatening emergencies (for critical life threatening emergencies requiring immediate assistance, such as fire, injury, etc., they must call 9-1-1.).. 18
Cases that may be potentially dangerous or at risk of deteriorating will immediately be supervised by the corresponding supervisor. If the site supervisor is not available at the time when the emergency occurs, students will call a Universidad del Turabo supervisor or advisor for instructions and support. In the absence of such person, the student will contact the CPP. If contact with this person through the cellular phone is not possible, the student will call the Program s office and contact the Program Director or any other clinical professor available. SCHEDULE OF PRACTICUM DEADLINES ACTIVITY WHEN Student submits practicum application placement October 15 form. Practicum Coordinator contacts practicum sites. October and November Practicum Coordinator notifies and offers students October practicum site. Students are given clearance for interview at sites. November Evaluation of Practicum Experience (mid semester). March 25 October 25 Final Evaluation for Practicum Experience. May 18 December 18 Student Request to Change Practicum Site. April 30 19
APPENDIX A: STUDENT PRACTICUM CONTRACT Universidad del Turabo Counseling Psychology Training Program Student Practicum Contract Name of Student: Supervisor: Supervision time: Phone Number: I. Initial Student Self Evaluation: A. Strengths B. Needs C. Goals II. Competencies that must be acquired. Select in order of priority by assigning 1 to the item with the highest importance. ( ) Integration of theory with practice in conducting an interview. ( ) Conceptualization of presenting problem using different theoretical frameworks. ( ) Elaboration of long and short term intervention plans. ( ) Establishment of clear and realistic therapeutic contracts. ( ) Proficiency in the administration and interpretation of psychological testing and report writing. ( ) Providing effective feedback to referral sources and clients on evaluations performed. ( ) Offer effective psychotherapeutic services in accordance with the ethical and legal principles of the profession. ( ) Learn, select, and integrate psychotherapeutic techniques to assist clients in the solution of their problems. 20
( ) Write clear and adequate progress notes. ( ) Focusing on the client s problem and maintaining an atmosphere of respect and acceptance. ( ) Achieve effective termination of the therapeutic relationship. III. Individual development plan: IV. Methods of Feedback / Evaluation: ( ) Participation in weekly supervision meetings ( ) Revision of records ( ) Case discussions ( ) Revision of psychological reports ( ) Discussion of midterm and end of semester evaluation ( ) Participation in case conferences and training ( ) Use of case narratives. ( ) Use of audio tapes ( ) Use of video tapes ( ) Other: V. Date for revision of contact VI. Additional Comments Supervisor Name Signature Date Supervisor Email: Supervisor Phone: Student Name Signature Date Student Email: Student Phone: 21
APPENDIX B: EVALUATION OF STUDENTS COMPETENCIES Universidad del Turabo Counseling Training Psychology Program Evaluation of Student s Competencies CPSY 907, CPSY 908, CPSY 909 Student Name: Student #: Professor s Name: Professor s Signature: This evaluation should be performed by the CPSY 907, CPSY 908 or CPSY 909 Practicum Professor who will only evaluate the student s performance in class. Instructions: Use the following rating scale to rate your supervisee. 1 2 3 4 5 Unsatisfactory Needs improvement Adequate Good Excellent PART I EVALUATION OF STUDENT CLINICAL COMPETENCIES IN CLASS Basic Conceptualization Skills 1. Coherently summarizes client concern(s) and possible contributing/relevant factors. 2. Articulates a general plan for addressing the client s concern in the therapeutic work. 3. Description of interventions is consistent with actual behavior observed on videotape. 4. Demonstrates awareness and understanding of process factors by describing their presence or possible impact on the therapeutic relationship or work. 5. Able to reflect upon and analyze the activities of the therapy hour. Basic Intervention Skills 6. Interprets: offers possible explanations for certain behaviors, feelings, and thoughts. 7. Confronts: appropriately challenges client to look at discrepancies and conflicting messages. 8. Is sensitive to timing and appropriateness of interventions. 9. Maintains facilitative balance between support and challenge. 10. Works at uncovering and intensifying client affect when appropriate. 11. Works at helping client manage affect when appropriate. 12. Makes appropriate use of immediacy in therapy hour. 13. Integrates material into meaningful theme or coherent goal for session. 22
Openness to Supervision/Training 14. Is open to feedback and suggestions. 15. Accepts responsibility for learning. 16. Prepares for supervision (e.g., has questions/topics ready, queued video, etc.). 17. Is willing to examine and critique own work. 18. Willing to self-disclose and/or explore personal issues that affect counseling process. 19. Able to articulate own sense of clinical strengths. 20. Able to articulate own sense of clinical limitations. 21. Explores issues of professional identity for self. 22. Utilizes language that demonstrates sensitivity to cultural, gender, and sexual orientation. issues. Sensitivity to Diversity Issues 23. Utilizes language that demonstrates sensitivity to cultural, gender, and sexual orientation issues. 24. Demonstrates comfort in raising issues of difference or diversity during sessions. 25. Asks questions or offers suggestions that help clients to think about how systemic issues may impact on their presenting concerns. 26. Directly addresses issues of difference between therapist and client along salient dimensions in therapy. 27. Brings up and processes issues of cultural difference and diversity. * To score, add all the points and write these in the appropriate space at the end of the document. PART II EVALUATION OF STUDENT S COMPETENCY OF RELATIONS Instructions: Use the following rating scale to rate your student on the following table Rating Explanation: 5 = Excellent: Student s performance was at an exceptionally high level. 4 = Very Good: Student s performance was solidly competent, clearly above average, and characterized by absence of difficulties. 3 = Good: Student s performance was basically competent and fulfilled requirements. There were no major problems and the work was adequate. 23
2 = Satisfactory with Possible Concerns: Student s performance was acceptable, but there were some weaknesses or concerns which, though minor, might require some remediation or corrective action, as noted in the comment section. 1 = Satisfactory with Concerns: Student s performance was minimally acceptable; there was a major problem or some minor difficulties that identify a need for remediation/corrective action, as noted in the comment section. 0 = Unsatisfactory: Student s performance was unacceptable; there were several major problems that identify a need for remediation/corrective action, as noted in the comment section. Dimension Rating Comments 1. Respectful Interpersonal Behavior Towards Supervisor(s) Peers 2. Punctuality/Attendance 3. Level of Participation/Preparedness 4. Use/Integration of Theory with Practice 5. Clinical Sensitivity 6. Sensitivity and Awareness 7. Insight and Use of Self 8. Appropriate Affect Modulation 9. Ethical Competence 10. Professional Values and Attitudes 11. Organizational and Systems Awareness 12. Openness to Feedback 13. Written and Communication Skills Total Points Please explain any score of 1, 2, or 0 24
Summary of Evaluation of Student Competencies Part Total Points Percentage Part I: Clinical Competencies (135 points) Part II: Relations Competency (65 points) Total (200 points) To pass this part of the Practicum the student must obtain at least 80% on the evaluation performed by the professor. Student Signature Date Practicum Professor Date Received and filed by Practicum Coordinator Date 25
APPENDIX C: ASSESSMENT OF PRACTICUM STUDENT COMPETENCIES Universidad del Turabo Counseling Psychology Training Program Supervisor Evaluation of Student and Student s Self-Evaluation Student: Practicum II III IV Supervisor: Period of Supervision: Mid Term Final Agency: Instructions Please rate each item according to the scale provided below and sign in the appropriate signature block and return this form to the Practicum Coordinator. Please discuss all of these ratings with the student, and compare the student s self-assessment on these dimensions with your ratings. In your feedback, it is important to give specific examples if you have concerns about progress; it is also important to give clear examples of what you think the student does well. Please use the feedback sessions to plan what you and the student would like to emphasize in his/her continued training. If there are significant concerns about performance on any dimensions, you need to decide whether the student is passing at this point in the training (see target goals in each signature block). If not, please contact the Practicum Coordinator as soon as possible. Please indicate below what modalities/work samples you have used to obtain information for making your evaluations. Observation during team meetings Review of written work samples Consultation with other clinical supervisors Consultation with team members other staff Role Play Student s self-report Audio record Video record One way mirror Direct, live observation Other: 26
Supervisor: Use the scale below to rate from 1 to 10. Track-specific competencies may be added. To obtain that rating, within the past month, the student should have consistently display the specific quality/skill in every clinical area and/or know when he/she needs to consult. Student: Use these self-assessments to guide development of training plan. Scale 1-2 (Novice) = Inexperienced in this capacity and is still developing basic skills; cannot identify problems but open to discussion in supervision 3-5 (Intermediate) = Developing some skills to function independently; can identify problems to discuss in supervision. 6-8 (Advance) = Functions independently most of the time but requires supervision for difficult situations (only can be given to doctoral students or above; MAXIMUM SCORE OF DOCTORAL STUDENTS). 9-10 (Advance- Independent level) = Student functions fully independently in this capacity at almost all the time ( can only be given to interns or above). All Level Students U (unsatisfactory) = Student is experiencing significant difficulties in developing skills to function independently in this capacity and is unable/unwilling to discuss problems in supervision or change practices according to suggestions. Competencies Psychological Assessment, Diagnosis and Counseling Middle Middle Final Final AREAS Student Supervisor Student Supervisor 1. Understand differential diagnosis and case conceptualization. 2. Select and administer appropriate test. 3. Interpret and integrate test result. 4. Write clear, organized reports. 5. Develop adequate conceptualizations. 6. Facilitate development of specific achievable therapeutic goals. 7. Develop action steps for goals achievement. 8. Match person with resources as needed. 9. Recognize unique and shared skills and roles of other professions. Comments Mid Term Total Final Average Total 27
Evidence Based Interventions Middle Middle Final Final AREAS Student Supervisor Student Supervisor 10. Develop and maintain a positive working alliance: a. actively listen to enhance understanding b. instill hope c. provide support d. be directive, give advice and set limits when appropriate e. be collaborative in goal setting and treatment planning 11. Facilitate appropriate expression of emotions. 12. Enhance person s understanding of emotional instability: a. provide appropriate psycho-education b. normalize emotional reactions when appropriate 13. Use empirically supported psychotherapeutic techniques: a. describe theoretical basis and goals of chosen treatment approach b. formulate goals/problems consistent with treatment approach c. structure therapy sessions consistent with treatment approach d. modify treatment plan based on ongoing evaluation 14. Use homework effectively. 15. Conduct appropriate therapy termination. 16. Group therapy skills and preparation: a. promote group interaction b. structure and manage time efficiently c. develop and maintain a positive working alliance d. instill hope, provide support, set limit when appropriate e. instill emotional expression f. interact with co-therapist in planning Comments: Mid Term Total Final Total 28
Law and Ethics Middle Middle Final Final AREAS Student Supervisor Student Supervisor 17. Work in an ethical manner in accordance with the ethics code in all relevant laws. 18. Maintain appropriate professionalism and boundaries. 19. Recognize limits of own expertise and seek appropriate consultation. 20. Assess person s at-risk and intervene appropriately. 21. Maintain a person s confidentiality. Comments Mid Term Total Final Total Cultural Diversity Middle Middle Final Final AREAS Student Supervisor Student Supervisor 22. Support the inclusion of all persons. 23. Cultivate awareness of one s own biases and limitations; seek consultation as needed. 24. Assess cultural factors to ensure formulation of relevant treatment. 25. Conduct treatment in preferred communication style and language of the person. 26. Remove institutional barriers to participation by all persons. 27. Teach persons the skills necessary to overcome cultural barriers. Comments Mid Term Total Final Total 29
Supervision Middle Middle Final Final AREAS Student Supervisor Student Supervisor 28. Be aware of one s limitations; seek consultation or suggest alternative supervision plans as appropriate. 29. Possess sufficient knowledge to provide guidance and legal/ethical issues to supervisee or other providers. 30. Maintain an effective, professional supervisory relationship. 31. Recognize the precedence of the person s well-being over your own (or supervisee) wishes. 32. Be well prepared for supervision (e.g. prepares video, etc.). 33. Integrate and implement supervisor feedback. 34. Be willing to discuss problem areas and accept constructive criticism. Comments Mid Term Total Final Total Organization Management and Administration Middle Middle Final Final AREAS Student Supervisor Student Supervisor 35. Write timely, complete progress notes and reports. 36. Complete administrative tasks on time. 37. Use time management skills to prioritize. 38. Attend required meetings regularly. 39. Interact effectively with administrative staff and manage conflict. 40. Maintain caseload with appropriate number of attended persons and weekly visits. Comments For the next table use the following rating scale Mid Term Total Final Total 30
Rating Explanation: 5 = Excellent: Student s performance was at an exceptionally high level. 4 = Very Good: Student s performance was solidly competent, clearly above average, and characterized by absence of difficulties. 3 = Good: Student s performance was basically competent and fulfilled requirements. There were no major problems and the work was adequate. 2 = Satisfactory with Possible Concerns: Student s performance was acceptable, but there were some weaknesses or concerns which, though minor, might require some remediation or corrective action, as noted in the comment section. 1 = Satisfactory with Concerns: Student s performance was minimally acceptable; there was a major problem or some minor difficulties that identify a need for remediation/corrective action, as noted in the comment section. 0 = Unsatisfactory: Student s performance was unacceptable; there were several major problems that identify a need for remediation/corrective action, as noted in the comment section. Competency of Relations Middle Middle Final Final Dimension Student Supervisor Student Supervisor 41. Respectful Interpersonal Behavior Towards Supervisor(s) Peers 42. Punctuality/Attendance 43. Level of Participation/Preparedness 44. Use/Integration of Theory with Practice 45. Clinical Sensitivity 46. Sensitivity and Awareness 47. Insight and Use of Self 48. Appropriate Affect Modulation 49. Ethical Competence 50. Professional Values and Attitudes 51. Organizational and Systems Awareness 52. Openness to Feedback 53. Written and Communication Skills Comments Mid Term Total Final Total 31
Summary of Assessment of Student Clinical Competence Competencies Psychological Assessment, Diagnosis and Counseling (72 points) Evidence Based Interventions (160 points) Law and Ethics (40 points) Cultural Diversity (48 points) Supervision (32 points) Organization Management and Administration (48 points) Competency of Relations (65 points) Overall Evaluation (465 points) Mid Term Points Mid Term Percentage Final Points Final Percentage To pass this part of the Practicum the student must obtain at least 80% in each competency and on the overall evaluation performed by the professor. Student Name: Student Signature Date Practicum Supervisor Name: Practicum Supervisor Date Received and filed by Practicum Coordinator Date 32
APPENDIX D: PRACTICUM PROGRAM EVALUATION BY STUDENTS Universidad del Turabo Counseling Training Psychology Program Practicum Program Evaluation by Students Training Year: Date: Name: Practicum Site Please answer the following questions and explain, elaborate and give suggestions when appropriate. I. Supervision: Supervisor s Name: 1. Was there an assessment of your levels of clinical development performed by your supervisor at the beginning of this placement? 2. Was the amount of supervision adequate? (at least an hour of individual supervision per week) 3. Was supervision readily available? 4. Was the supervision challenging and of sufficient complexity for your levels of development? 33
5. Were the feedback provided and the evaluation done on your work helpful? 6. Which supervision needs were not met? 7. How did this supervision compare with the one you received in other placements? Overall rating: (1= lowest; 10= highest) Comments: II. General Characteristics of the Agency: 1. Were the facilities adequate for carrying out your work? (i.e., space, equipment, support staff, etc.) 2. Was the Agency supportive of your development as a professional? 3. Was there freedom and flexibility to learn and gain new experiences? 34
4. Were you able to interact with other disciplines in ways that added to your understanding of their unique contributions and facilitated cooperation and mutual respect? 5. Was your caseload audited during the past year? 6. Did you receive feedback on the audit performed on your caseload? Was this feedback a learning experience? Overall rating: (1= lowest; 10= highest) Comments: III: Diagnostic Experience: 1. Did you gain adequate experience in formulating diagnoses, doing mental status exams, and treatment planning? 2. Were you exposed to a variety of diagnostic categories? 3. Did you have an adequate mix of age, gender, and cultural cases? 35
Overall rating: (1= lowest; 10= highest) Comments: IV. Counseling Psychology Experience: 1. Did you have a sufficient number of cases? 2. Was there an adequate variety of clinical cases? 3. Did you experience the case assignments as sequenced and graded in complexity as you gained experience throughout your practicum? 4. Did your supervisors provide encouragement and help in conceptualizing cases? 5. Did you gain adequate knowledge about case management, managed care, and practical aspects of treatment? 6. Did supervision help you gain an understanding of your influence in the therapeutic process? 36
7. Were diversity issues (gender, religious or affective orientation, socioeconomic), encountered through your therapy sessions. Overall rating: (1= lowest; 10= highest) Comments: V. Psychological Assessment: 1. Did you receive an adequate number of referrals for assessment? 2. Were the assessment cases sufficiently varied? 3. Did you develop adequate experience with the major testing instruments? 4. Were there other tests instruments that you would have liked to learn or use to enhance your experience? 5. Did you gain sufficient knowledge and ability in administering, scoring, interpreting psychological test and conceptualizing cases based upon such conceptualizations? 37
6. Did you develop adequate ability to write meaningful and accurate test reports in a timely manner? 7. Was the testing supervision adequate? Overall rating: (1= lowest; 10= highest) Comments: VI. Other Clinical Training Issues: 1. Did you gain skills and understanding in dealing with professional, ethical, and legal issues? 2. Did this practicum further your appreciation for cultural, ethnic, and socioeconomic diversity? 3. Did you have adequate opportunity for consultation and supervision? Overall rating: (1= lowest; 10= highest) Comments: 38