Secondary Field Instructor: Phone This document is intended to be added to as needed when approved by the Faculty Liaison.

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SAMPLE BSW LEARNING CONTRACT/EVALUATION WESTERN MICHIGAN UNIVERISTY SCHOOL OF SOCIAL WORK Check Appropriate: X BSW MSW Foundation MSW Interpersonal Practice (IP) Concentration MSW Policy, Planning & Administration (PP&A) Concentration Pg. 1 Student s Name: Joe Friday Phone 269-555-1212 E-mail: joe.friday@wmich.edu Primary Field Instructor: Angelica Domain Address: 1234 Main St. Flout, MI 49000 Agency: Flout County CMH Phone 269-555- 1313 E-mail: angelicad@flout.org Secondary Field Instructor: Phone E-mail: Faculty Liaison: Lou Ignace Phone 269-555-1414 E-mail: lou.ignace@wmich.edu INSTRUCTIONS: 1. The student completes the top of this document. 2. The student and the field instructor then agree on one or more agency or placement specific activities or products the student will complete that will demonstrate their competency for each practice behavior and enter these into the space provided. 3. The student and the field instructor then print this document and sign and date in the space designated as Learning Contract on the final page of this document. 4. The student submits this to the Faculty Liaison for review, approval and signature/date if no changes are needed. 5. All parties should keep a copy of this document each time it is changed and/or signed and dated. 6. At the end of each semester, field instructors will evaluate the student s level of competency demonstrated. Field instructors will enter their evaluation ratings for the student in the appropriate column on the far right using the numerical rating scale provided at the bottom of each page. 7. The student and the field instructor then print this document and sign and date in the space designated as on the final page of this document. 8. The student submits this to the faculty liaison for review, signature and date. 9. All parties should keep a copy of this document each time it is changed and/or signed and dated. This document is intended to be added to as needed when approved by the Faculty Liaison.

Competency #1: Identify as a professional social worker and conduct 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. Pg. 2 Practice personal reflection and self-correction. Demonstrate professional demeanor in behavior, appearance, and communication. Use supervision and consultation. I will reflect on my experiences in field in my journal and review Faculty Liaison s feedback. I will seek feedback each week from my supervisor regarding my professional demeanor and use this to improve as indicated. Complete Safety checklist with field instructor and submit to faculty liaison by due date. I will prepare an agenda for supervision. I will take initiative in scheduling weekly supervision. I will bring my learning contract for review once a month during supervision. I will integrate feedback from supervision into my practice and review how this is going with my supervisor. Competency #2: Apply social work ethical principles to guide professional practice. Social workers have an obligation to conduct themselves ethically and engage in ethical decision-making. They are knowledgeable about the value base of the profession, its ethical standards, and relevant law. Recognize and manage personal value in a way I will discuss my personal values when they that allows professional values to guide practice. conflict with the values of the profession during Make ethical decisions by applying NASW or International ASW Code of Ethics using ethical reasoning to arrive at principled decisions. Tolerate ambiguity in resolving ethical conflicts. weekly supervision and during Field Seminars. I will present case scenarios to my supervisor and to my Faculty Liaison in seminars that require ethical reasoning. I will journal when I experience an ethical conflict that is not clear cut and seek feedback from my supervisor and Faculty Liaison on how to increase my ability to tolerate ethically ambiguous decisions and policies.

Pg. 3 Competency #3: Apply critical thinking to inform 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 and curiosity. Critical thinking also requires the synthesis and communication of relevant information. Distinguish, appraise, and integrate multiple sources of knowledge, including research-based knowledge and practice wisdom. Analyze models of assessment, prevention, intervention, and evaluation. Demonstrate effective oral and written communication in working with individuals, families, groups, organization, communities, and colleagues. During supervision and seminars I will discuss material from class and from field and how I can integrate them. I will explore evidence based practices that apply to the population served by my agency and share them during supervision and seminar. I will conduct an initial assessment on four clients and present one during seminar. I will compare assessments from other agencies as peers present them during seminar. I will integrate evaluation strategies from my course materials into my work with each client. I will analyze and synthesize the findings of the intake assessment in written form. I will observe/co-facilitate a support group. I will adhere to agency requirements for written documentation. I will orally present cases during supervision and seminars.

Competency #4: Engage 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, reli8gion, 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 acclaim. Recognize the extent to which a culture s structures and values may oppress, marginalize, alienate, or create or enhance privilege and power. Communicate understanding of the importance of difference in shaping life experiences. I will interact will individuals who are different from me based on age, SES, color, culture, disability, ethnicity, gender, religion and/or sexual orientations and I will journal about these experiences and review during supervision and seminars. I will discuss client practitioner similarities and differences with each client from a strengths based perspective and review in weekly supervision and seminars. Pg. 4 Competency #5: Advance human rights and social and economic justice. Each person has basic human rights, such as freedom, safety, privacy, an adequate standard of living, health care, and education. Social workers recognize the global interconnections of oppression and are knowledgeable about theories of justice and strategies to promote human and civil rights. They incorporate social justice practices in organizations, institution, sand society to ensure that these basic human rights are distributed equitably and without prejudice. Understand forms and mechanisms of oppression and discrimination. Advocate for human rights and social and economic justice. Engage in practices that advance social and economic justice. I will identify barriers clients face when accessing services at my agencies and at other agencies. I will advocate for clients to access needed services. I will participate in Legislative Education Awareness Day in Lansing.

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. They comprehend quantitative and qualitative research and understand scientific and ethical approaches to building knowledge. Use practice experience to inform scientific inquiry. Use research evidence to inform practice. I will interview social workers in the field about effective practices and review findings in supervision and seminars. I will discuss evidence based practices with my supervisor and in seminars that apply to the population my agency serves. Pg. 5 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 tor achieving health and well-being. Social workers apply theories and knowledge from the liberal arts to understand biological, social, cultural, psychological, and spiritual development. Utilize conceptual frameworks to guide the processes of assessment, intervention, and evaluation. Critique and apply knowledge to understand person and environment. I will work with clients to assess, analyze and formulate treatment plans from the ecological framework, to evaluate the effectiveness of treatment plan outcomes and make recommendations for revisions. I will discuss behaviors of clients and the ways the agency, system, community and society promotes or deters them from achieving health and well-being in supervision and seminars.

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. They 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. Analyze, formulate, and advocate for policies that advance social well-being. Collaborate with colleagues and clients for effective policy action. I will write to a legislator to address a policy that is socially unjust and reflect on this experience in my journal, supervision, and seminars. I will implement a petition, a plan and/or a demonstration with clients, colleagues or peers and reflect on this experience in my journal, supervision, and seminars. Pg. 6 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. They recognize that the context of practice is dynamic, and use knowledge and skill to respond proactively. Continuously appraise and attend to changing I will survey consumers at the agency about locales, populations, scientific and technological their satisfaction with the use of technology in developments, and emerging societal trends to meeting their needs, i.e. use of voicemail, email, provide relevant services. returned calls Provide leadership in promoting sustainable changes in service to improve the quality of services. I will summarize the findings of the survey in a report and explore ways to promote change in the agency during supervision and seminars.

Competency #10: Engage, assess, intervene, and evaluate with individuals, families, groups, organizations, and communities. Social workers recognize individuals, families, groups, organizations, and/or communities as clients. Social workers possess the knowledge and skills to practice with clients while recognizing the dynamic and interactive processes of engagement, assessment, intervention, and evaluation at all levels including: identifying, analyzing, and implementing evidence-based interventions designed to achieve client goal; using research and technological advances; evaluating program outcomes and practice effectiveness; developing, analyzing, advocating, and providing leadership for policies and services; and promoting social and economic justice. Effectively prepare for interaction with clients. Use interpersonal skills to engage clients. Develop a mutually agreed upon focus of work, goals, objectives and desired outcomes. Assess client strengths and limitations. Use appropriate interventions. Collect, organize, critically analyze and interpret client data to monitor and evaluate interventions. Implement prevention interventions that enhance client capacities. Help clients to achieve goals and/or resolve problems through negotiation, mediation, advocacy and the facilitation of transitions and endings. I will shadow social workers in my agency and review client files and then be shadowed by a social worker to prepare for client interaction. I will use interpersonal skills from the communication labs when engaging with clients such as: reflective listening, empathy, open ended questions, content clarification, seeking feedback, and appropriate confrontation and problem solving. I will work w/ clients to identify common ground for the focus of our work together. I will write goals, objectives and desired outcomes in the client s own words. I will ask clients to help me assess their strengths and limitations and I will seek feedback during supervision. I will use evidence based interventions to develop treatment plans. I will use a number of methods to evaluate the effectiveness of interventions, such as client report, worker observation, and rating scales. I will implement asset building interventions with clients. I will assist clients to navigate around barriers to achieve their goals by using a strengths based perspective. Pg. 7

Pg. 8 Additional Comments: Role Learning Contract Signature & 1 st Signature & Signature & Student Primary Field Instructor Secondary Field Instructor Faculty Liaison