Department of Social Work Field Evaluation- Pass/Fail. Date of Evaluation: Total Hours Completed To Date for this semester: /300

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1 Macro Spring 2015 Department of Social Work Field Evaluation- Pass/Fail Student Agency/Program Field Instructor Task Supervisor Faculty Field Liaison Date of Evaluation: Total Hours Completed To Date for this semester: /300 Students will not receive a passing grade on the Field Evaluation if they have not completed all of their hours: BSW and MSW Foundation Year Students must complete at least 240 hours each semester. MSW Concentration Year Students must complete at least 300 hours each semester. If hours do not meet the minimum requirement, please describe timeline in which they will be completed: Evaluation Instructions: The 10 competencies that are specified in this evaluation form are those established by our national accrediting organization (the Council on Social Work Education). Under each competency statement are several practice behaviors that we ask that you rate using the scale on the following page. Step 1: Student completes self-evaluation, including all comment sections. Responses must be typed. Student saves evaluation document and s it to agency supervisor(s). Step 2: Agency supervisor(s) (Field Instructor and Task Supervisor together) complete the evaluation of student. Comments should be made on the last page. If a student receives a rating of EE, AE, or DE comments are required to provide detail in which areas the student is exceptionally strong or in which areas the student needs improvement. Agency supervisor(s) saves document, and prints a copy for themselves and student. Step 3: Evaluation Conference: Agency supervisor(s) and Student schedule a one-hour meeting to have the evaluation conference. This conference is intended to be used as a mechanism for dialogue to give the student feedback about their performance. Students and Agency supervisor(s) should both explain their ratings and provide examples to support their selections. Agency supervisor(s) may choose to adjust their ratings and comments based on this dialogue. The Student and Agency supervisor(s) ratings and comments do not need to be in agreement. Step 4: Finalized evaluation is printed and both Student and Agency supervisor(s) must sign the field evaluation. Two extra copies of the field evaluation should be made so the Student and Agency supervisor(s) can both keep a copy for their records. It is the Student s responsibility to ensure the original field evaluation, with signatures, is turned in to their Faculty Field Liaison by the due date. Student Signature: Field Instructor Signature: Task Supervisor Signature:

2 Macro Spring 2015 Field Evaluation Rating Scale Please use this scale to determine the ratings for each practice behavior listed. EE Exceeds Expectations: Student has performed at a superior level. Student has proven they have not only fully met expectations of a undergraduate/graduate student, but also have shown mastery of this area significantly above and beyond expectations. Student takes initiative and critically reflects on their performance in this area. ME Meets Expectations: Student has performed at an accomplished level. Student consistently and completely demonstrates competence in this area. Student has used learning activities and supervision to demonstrate full mastery of this area as an undergraduate/graduate student. AE Approaching Expectations: Student has performed at a beginning level and has not yet demonstrated the minimum expectations in this area as an undergraduate/graduate student. Student development is inprogress in this area- one can see movement and student shows an interest in, and is working towards, growth in this area. DE Does Not Meet Expectations: Student has performed at a low and inconsistent level in this area. Student has had an opportunity to demonstrate this practice behavior and has been unable to. Student performance is unsatisfactory. In the first semester only, the NO rating may be used sparingly for unusual circumstances: NO No Opportunity to Evaluate: Student has not had the chance to demonstrate competence in this area. No attempts to address this area have been made. *the NO rating may not be used in second semester*

3 EPAS Competency #1: Intern identifies as a professional social worker and conducts oneself accordingly. Social Workers serve as representatives of the profession, its mission, and its core values. They know the profession s history. Social Workers commit themselves to the profession s enhancement and to their own professional conduct and growth. The Intern: 1.1 Recognizes the impact that personal and societal biases have on diverse populations at the micro, mezzo, and macro levels and intervenes to mitigate the impact as an advanced macro level social worker. 1.1a Demonstrates understanding and identification with social work s history, mission, and core values by attending to professional conduct, social work roles, and boundaries. 1.1b Understands and identifies strengths, limitations and challenges for self and organizations. 1.1c Uses supervision to engage in reflective practice. 1.1d Identifies opportunities for social workers as agency leaders, program/policy designers and developers, and advocates. EPAS Competency #2: Intern applies social work ethical principles to guide professional practice. Social Workers have an obligation to conduct themselves ethically and to engage in ethical decision-making. Social workers are knowledgeable about the value base of the profession, its ethical standards, and relevant law. The Intern: 2.1 Applies legal and ethical decision making skills to issues specific to community assessment, program design and development, organizational leadership, social entrepreneurial activities, and management in a variety of service delivery areas. 2.1a Identifies and uses knowledge of group and relationship dynamics, including value differences, and power and privilege differences, when grappling with ethical dilemmas. 2.1b Appreciates and holds ambiguity when resolving ethical conflicts.

4 EPAS Competency #3: Intern applies critical thinking and communicate professional judgments. Social Workers are knowledgeable about the principles of logic, scientific inquiry, and reasoned discernment. They use critical thinking augmented by creativity an curiosity. Critical thinking also requires the synthesis and communication of relevant information. The Intern: 3.1 Communicates effectively with diverse populations and within organizations and communities. 3.1a Critically examines practice situations to formulate professional viewpoints. 3.1b Demonstrates effective oral and written communication to convey professional viewpoints. 3.1c Communicates effectively with other constituents and other professionals to coordinate interventions. 3.2 Evaluates, selects, and implements appropriate assessment, intervention, and evaluation tools for use with diverse target populations. 3.2a Identifies and articulates clients systems strengths, capacities and vulnerabilities. 3.2b Evaluates the array of macro practice models and theories and differentially applies them across diverse situations. Competency #4: Intern engages diversity and difference in practice. Social Workers understand how diversity characterizes and shapes the human experience and is critical to the formation of identity. The dimensions of diversity are understood as the intersectionality of multiple factors including age, class, color, culture, disability, ethnicity, gender, gender identity and expression, immigration status, political ideology, race, religion, sex, and sexual orientation. Social Workers appreciate that, as a consequence of difference, a person s life experiences may include oppression, poverty, marginalization, and alienation as well as privilege, power, and acclaims. The Intern: 4.1 Utilize culturally appropriate evidence-based theories and practices with specific diverse populations as advanced macro level social work professionals. 4.1a Manages personal biases and value conflicts so that they do not affect professional practice; demonstrates personal awareness related to power and privilege, ethnicity, race, gender identity and expression, immigration status, political ideology, religion, sex, age, and sexual orientation so that personal biases and value conflicts do not affect professional

5 practice. 4.1b Recognizes the impact that oppression and discrimination have upon individuals, groups and communities, and designs programs and policies to address inequities. 4.1c Works effectively with diverse populations. Competency #5: Intern advances human rights and social and economic justice. Social Workers understand that each person regardless of position in society, has basic human rights, such as freedom, safety, privacy, an adequate standard of living, health care, and education. Social workers recognize global interconnections of oppression and are knowledgeable about theories of justice and strategies to promote human and civil rights. Social work incorporates social justice practices in organizations, institutions, and society to ensure that these basic human rights are distributed equitably and without prejudice. The Intern: 5.1 Advocate at multiple levels for the promotion of client system well-being by identifying and reducing risk factors, increasing prevention efforts and equality of access to services regardless of social or economic status. 5.1a Identifies and engages outreach, education, and awareness activities that are designed to target and inform at-risk and disadvantaged populations. 5.1b Understand the discriminatory and marginalizing impact of institutionalized policies of oppression. 5.1c Advocates for policies, interventions, and differential strategies to address mechanisms of oppression and discrimination.

6 Competency #6: Engage in research-informed practice and practice-informed research. Social workers use practice experience to inform research, employ evidence-based interventions, evaluate their own practice, and use research findings to improve practice, policy, and social service delivery. Social workers comprehend quantitative and qualitative research and understand scientific and ethical approaches to building knowledge. The Intern: 6.1 Relate mental health disorder theories, models and research to appropriate client systems and circumstances. 6.1a Utilizes quantitative and qualitative research to understand the nature of communities and organizations, and best practices to improve wellbeing in these macro systems. 6.1b Uses empirical evidence to create strategies for system change. Practice Behaviors Student Field Agency 6.2 Identifies and selects effective evidencebased theories and models as the basis for social work macro interventions. 6.2a Uses evidence based macro leadership and management models. 6.2b Critiques and evaluates the efficacy of the strategies. Practice Behaviors Student Field Agency 6.3 Applies foundation research skills to evaluate client outcomes using advanced social work macro strategies 6.3a Assembles and critiques evaluation instruments already in use. 6.3b Applies research skills to evaluate policy outcomes and inform future policy advocacy approaches. Competency #7: Apply knowledge of human behavior and the social environment. Social workers are knowledgeable about human behavior across the life course; the range of social systems in which people live; and the ways social systems promote or deter people in maintaining or achieving health and well-being. Social workers apply theories and knowledge from the liberal arts to understand biological, social, cultural, psychological, and spiritual development. The Intern: 7.1 Relates macro theories, models and research appropriate to client systems and circumstances. 7.1a Synthesizes and differentially applies theories of human behavior and the social environment to match client systems needs and to guide social work practice.

7 7.1b Demonstrates conceptual understanding of the interrelatedness of different human service agencies and the ability to use networks of agencies in program planning and as resource systems. Competency #8: Engage in policy practice to advance social and economic well-being and to deliver effective social work services. Social workers understand that policy affects service delivery, and they actively engage in policy practice. Social workers know the history and current structures of social policies and services; the role of policy in service delivery; and the role of practice in policy development. The Intern: 8.1 Applies policy practice skills to ensure adequate and equal access to services regardless of social or economic status. 8.1a Demonstrates an awareness and comprehension of social policies and services that impact the wellbeing of diverse populations (identifies current policy issues and gaps that either promote, or deter, the wellbeing and further development of diverse groups). 8.1b Promotes and advocates for social policies and program practices to advance social welfare and enhance service delivery. 8.1c Communicates to stakeholder the implication of policies and policy change in the lives of clients/constituents. 8.1d Applies advocacy skills that can be used to inform policymakers and influence policies that impact clients and services. Competency #9: Respond to contexts that shape practice. Social workers are informed, resourceful, and proactive in responding to evolving organizational, community, and societal contexts at all levels of practice. Social workers recognize that the context of practice is dynamic, and use knowledge and skill to respond proactively. The Intern: 9.1 Act as change agents to promote client rights and humane laws including adequate representations in the legal system by advocating at multiple levels. 9.1a Work collaboratively with others to effect systemic change that is sustainable. 9.1b Act as leaders and change agents to improve the accessibility, quality, and sustainability of programs throughout the service delivery system.

8 Competency #10: Engage, assess, intervene, and evaluate with individuals, families, groups, organizations, and communities. Social Workers demonstrate professional practice involves the dynamic and interactive processes of engagement, assessment, intervention, and evaluation at multiple levels. Social workers have the knowledge and skills to practice with individuals, families, groups, organizations, and communities. Practice knowledge includes identifying, analyzing, and implementing evidence-based interventions designed to achieve client goals; using research and technological advances; evaluating program outcomes and practice effectiveness; developing, analyzing, advocating, providing leadership for policies and services; and promoting social and economic justice. The Intern: 10.1 Apply theoretical frameworks to the macro process of engagement, assessment, intervention and evaluation of treatment outcomes using evidence-based practice under supervision appropriate to client systems and circumstances. 10.1a Develops and recommends program and/or policy changes based on evaluation. 10.1b Critically applies systematic interventions that prevent problems, expand opportunities, and enhance quality of life. 10.1c Conducts community needs assessment and designs and develops programs that address the needs of diverse populations, and evaluates program outcomes.

9 If additional space is needed, please attach a typed narrative. 1. Please comment on the student s strengths and successes during this evaluation period. Note: If a rating of EE was given on any particular practice behavior, evidence/examples of success that illustrate exemplary performance in that area must also be provided below. Student: Field Agency: 2. What challenges has the student faced during this evaluation period and what areas of growth can the student work on? Note: If a rating on AE or DE was given on any particular practice behavior, strategies for improvement in those areas must also be provided below. Student: Field Agency:

10 3. Other Comments: Student: Field Agency: