Dear Field Instructor: Below are questions regarding the field experience performance of the Walden University MSW student you have been working with this term. Please complete all of the questions and, if a student receives a rating of 1 or 2 on any items in the section, also please give written feedback on what improvement needs to occur. If you wish to leave the survey and come back to it later, please use the “Save Draft” button at the bottom of the page. Please note that once you submit the evaluation using the “Save Final” button, it will close and you will not be able to make changes. As part of this process you need to review the evaluation with your student. The student can log in under his/her account, review the evaluation, enter comments, and save them. If you have any questions about completing this evaluation feel free to contact mswfield@mail.waldenu.edu. Thank you again for all that you do.

Please summarize the student’s primary responsibilities: Jacque is a Therapist Intern at Affirmations Community Center, the largest LGBTQIA+ community center in the state of Michigan. Primary responsibilities include, conduct assessment intakes, create appropriate treatment goals, and utilize appropriate EPB interventions, using a culturally humility perspective as well as a Trauma Informed Care lens.

Please rate the student on each of the following competencies using the following scale: 5 Demonstrates a high level of competency 4 Clearly demonstrates competency 3 Demonstrates minimal level of competency 2 Demonstrates inadequate level of competency 1 Fails to demonstrate even minimal competency

NA

Have not had an opportunity to observe (Only use this choice if the student has not had the opportunity to demonstrate the skill. Do not use if the student has had an opportunity but did not demonstrate the skill—this would be rated as “1”.)

Competency 1 – Demonstrate Ethical and Professional Behavior 5 = highly competent, 4 = clearly competent, 3 = minimally competent, 2 = inadequately competent, 1 = fail, NA = not observed

Score Criteria

5   1. Makes clinically appropriate decisions based on the NASW Code of Ethics, and other local, state, and federal legal statutes and regulations.

5   2. Identifies and manages personal values to provide clinical service delivery, according to professional values and standards.

5   3. Incorporates professional behavior when engaging clients, families, colleagues, and other professionals.

5   4. Evaluates the ethical and appropriate use of technology to facilitate delivery of clinical social work services.

5   5. Integrates principles of supervision and consultation to guide professional judgement and behavior.

5   6. Demonstrates professional development by identifying the specialized skills and knowledge needed to practice clinical social work.

Please provide over-all feedback on this competency: Overall, Jacque is excelling in this area, always acting with the utmost professionalism and ethical standards.

Competency 2 – Engage Diversity and Difference in Practice 5 = highly competent, 4 = clearly competent, 3 = minimally competent, 2 = inadequately competent, 1 = fail, NA = not observed

Score Criteria

5

7. Demonstrates cultural awareness by recognizing and integrating diverse populations’ varying values, culture, norms, and beliefs throughout the therapeutic process.

4   8. Demonstrates cultural humility by managing personal biases when partnering with clients.

5   9. Communicates in a culturally responsive way recognizing various community structures, norms, and values.

Please provide over-all feedback on this competency: Overall, Jacque is excelling in this area, only lacking more experience with utilizing culturally humility more appropriately with client from an oppressed and stigmatized group, like individuals from LGBTQIA+ communities.

Competency 3 – Advance Human Rights and Social, Economic, and Environmental Justice 5 = highly competent, 4 = clearly competent, 3 = minimally competent, 2 = inadequately competent, 1 = fail, NA = not observed

Score Criteria

5

10. Examines the effects of oppression, discrimination, structural social inequality, and historical trauma on clients/constituents and their systems to guide intervention planning.

5   11. Chooses social work clinical practices that promote human rights and social, economic, and environmental justice.

Please provide over-all feedback on this competency: Overall, Jacque is excelling in this area.

Competency 4 – Engage In Practice-informed Research and Research-informed Practice 5 = highly competent, 4 = clearly competent, 3 = minimally competent, 2 = inadequately competent, 1 = fail, NA = not observed

Score Criteria

4   12. Critically evaluates evidence based and “best practice” treatment interventions.

4   13. Develops clinical intervention plans based on the best available research and “best practices”.

Please provide over-all feedback on this competency: Overall, Jacque needs to gain more experience in critically evaluating and developing clinical interventions.

Competency 5 – Engage in Policy Practice 5 = highly competent, 4 = clearly competent, 3 = minimally competent, 2 = inadequately competent, 1 = fail, NA = not observed

Score Criteria

5   14. Critically evaluates and creates awareness about agency and/or government policies and regulations that impact the well-being of clients.

4   15. Applies critical thinking to analyze, formulate, and advocate for policies that support the needs of clients who present for clinical services.

Please provide over-all feedback on this competency: From working in other areas of programing and departments at Affirmations, Jacque is gaining the appropriate experiences to advance engagement in policy practices.

Competency 6 – Engage with Individuals, Families, Groups, Organizations, and Communities 5 = highly competent, 4 = clearly competent, 3 = minimally competent, 2 = inadequately competent, 1 = fail, NA = not observed

Score Criteria Individuals

4   16. Uses empathy, reflection, and interpersonal skills to engage diverse clients in the therapeutic process.

Families

NA   17. Uses empathy, reflection, interpersonal skills, and knowledge of human behavior and the social environment and family systems to engage with families.

Groups

NA   18. Uses empathy, reflection, interpersonal skills, and knowledge of group dynamics to engage group members in the group process.

NA   19. Engages with inter-professional teams and stakeholders associated with clients’ care.

Organizations

4   20. Engages with organizations that provide services, support, advocacy, and resources to support to clients.

Communities

4   21. Identifies and actively participates in opportunities to communicate with community leaders and members about community service gaps for clients.

Please provide over-all feedback on this competency: Overall, Jacque could benefit from more experiences with individuals and couples in this area, noting that there is not an opportunity to engage with organizations and groups.

Competency 7 – Assess Individuals, Families, Groups, Organizations, and Communities 5 = highly competent, 4 = clearly competent, 3 = minimally competent, 2 = inadequately competent, 1 = fail, NA = not observed

Score Criteria Individuals

4   22. Conducts clinical assessments that provide information about the biopsychosocial-spiritual needs of clients.

4

23. Uses critical thinking to apply the strengths perspective and theories of human behavior and the social environment when analyzing and interpreting assessment information in a clinical setting.

4   24. Develops mutually agreed-upon evidence-based therapeutic interventions that consider culture, values, and safety.

Families

NA   25. Conducts family assessments to understand family roles, functioning, relationships, resources, and support needs.

NA   26. Uses critical thinking to apply theories of family systems when analyzing and interpreting family functioning, support, and dynamics.

Groups

NA

27. Identifies the professional social work role in inter-professional and supervision group meetings and assesses how that role contributes to the group’s purpose.

NA

28. Assesses the functioning and needs of professional and/or client focused groups, and considers the best intervention strategies, based on professional knowledge and ethics.

Organizations

NA   29. Assesses how the agency’s mission, structure, vision, connect to client outcomes.

NA   30. Uses critical thinking to consider the strengths and limitations of therapeutic services provided to clients.

Communities

4   31. Develops knowledge about community resources, resources, governance, political climate, and initiatives to support mental health.

4   32. Uses critical thinking to consider the strengths and limitations of the community and how those impact the functioning of clients.

Please provide over-all feedback on this competency: Overall, Jacque could benefit from more experiences with individuals and couples in this area, noting that there is not an opportunity to engage with organizations and groups.

Competency 8 – Intervene with Individuals, Families, Groups, Organizations, and Communities 5 = highly competent, 4 = clearly competent, 3 = minimally competent, 2 = inadequately competent, 1 = fail, NA = not observed

Score Criteria Individuals

4

33. Implements therapeutic interventions based on the strengths perspective, biopsychosocial needs, and current theories appropriate for the setting and client needs.

4   34. Utilizes appropriate resources and services for clients. Families

NA   35. Implements family interventions based on the strengths perspective, family culture, family systems theory, and evidence-based practice.

NA   36. Utilizes appropriate resources, services, and interventions for families. Groups

NA   37. Uses professional ethics, knowledge, and evidence-based interventions in groups.

Organizations

NA   38. Participates in opportunities to improve agency/organization service delivery that will support the needs of clients.

Communities

4   39. Explores and actively participates in opportunities to advocate for community services and support mental health services.

Please provide over-all feedback on this competency: Overall, Jacque could benefit from more experiences with individuals and couples in this area, noting that there is not an opportunity to engage with organizations and groups.

Competency 9 – Evaluates with Individuals, Families, Groups, Organizations, and Communities 5 = highly competent, 4 = clearly competent, 3 = minimally competent, 2 = inadequately competent, 1 = fail, NA = not observed

Score Criteria Individuals:

4   40. Evaluates the effectiveness of therapeutic intervention strategies for with individuals.

4   41. Utilizes evaluation data to inform new intervention strategies. Families

NA   42. Evaluates the effectiveness of intervention strategies used to improve family functioning and support.

NA   43. Utilizes evaluation data to inform new intervention strategies and resources. Groups  NA   44. Evaluates the effectiveness of group related processes.  NA   45. Utilizes evaluation data to inform future group processes. Organizations

NA   46. Evaluates the effectiveness of social services and intervention strategies provided by agencies to support clients.

NA   47. Utilizes evaluation data to inform advocacy initiatives to improve services. Communities

4   48. Evaluates the effectiveness of community services and resources for clients and their families.

4   49. Utilizes evaluation data to inform advocacy initiatives.

Please provide over-all feedback on this competency: Overall, Jacque could benefit from more experiences with individuals and couples in this area, noting that there is not an opportunity to engage with organizations and groups.

Saturday, August 6, 2022

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Jacque

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