Evaluation of Practicum Student Competencies SIU Counseling Psychology Program

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1 Evaluation of Practicum Student Competencies SIU Counseling Psychology Program Student Agency Focus: Career Personal Other: Supervisor Semester (eg, SP-3 rd year) The following evaluation items reflect the APA/CCTC Competency Benchmarks and additional competencies identified by the SIU Counseling Psychology program For each of the following items, please provide three ratings: (a) whether or not a competency was demonstrated, (b) for competencies that can be demonstrated to different degrees, rate the current developmental level of performance, and (c) whether the student should focus on it for the next practicum (check up to 6 individual competency items) Evaluate the student with the rating that best indicates the student s performance over the course of the semester, with particular attention to the student s strengths As a competency-based evaluation, items reflect competencies that may represent beginning (B) or advanced (A) level content, and those not marked for level are relevant at all levels of training It is anticipated that not all students will exhibit all of the competencies, but it is expected that students will demonstrate competencies at or below their level in the program For example, a beginning practicum student will not be expected to demonstrate any of the competencies identified as advanced However, an advanced level student not demonstrating a beginning level competency would cause concern Please keep the following principles in mind as you rate the student supervisee: First, consider whether or not you observed a given competency demonstrated by the student Items reflect competencies emphasized at different levels of development, so not all students will demonstrate all of the competencies use not-applicable as appropriate The degree of performance ratings are designed to represent a developmental progression, such that lower scores/means are expected for students earlier in their training, corresponding approximately with year in program N/A = Not Applicable/No Data, or Not Enough Data for Judgment 0 = Needs Improvement to Reach Beginning Practicum Level Competency 1 = Some Acquisition of Beginning Level Competencies (1 st Year Level) 2 = Competence on Basic Skills Demonstrates all Beginning Level Competencies (2 nd Year Level) 3 = Some Demonstration of Advanced Level Competencies (3 rd Year Level) 4 = Continued Acquisition/Development of Advanced Level Competencies (4 th Year Level) 5 = Demonstrates All Advanced (and Basic) Competencies (4 th Year to Internship Level) A Professionalism 1 Knowledge of and behavior consistent with the professional values of a psychologist 2 Takes responsibility for one s own actions, decisions, and mistakes 3 Demonstrates appropriate physical conduct, including attire, for the context 4 Exhibits appropriate language and demeanor in professional situations 5 Completes paperwork and assignments promptly and accurately 6 Responsible and available to clients according to agency expectations 7 Compassion and acceptance of others, even those with divergent perspectives or backgrounds 8 Balances independence of functioning with appropriate consultation and use of supervision 9 Demonstrates soundness of judgment

2 A Professionalism (cont) SIU Counseling Practicum Evaluation page 2 B Reflective Practice/Self-Assessment/Self-Care 10 Recognizes impact of self on others 11 Systematically reviews own professional performance with supervisors 12 Self-identifies multiple individual and cultural identities 13 Knowledge of clinical competencies for professional training (B) 14 Identifies areas for further professional growth (A) 15 Awareness and attention to self-care to ensure effective training C Scientific Knowledge and Methods 16 Demonstrates knowledge of the theoretical and scientific explanations of relevant behavior 17 Displays understanding of the scientific foundations for professional competencies (B) 18 Formulates appropriate questions regarding case conceptualizations (A) 19 Generates hypotheses regarding own contribution to therapeutic process and outcome (A) 20 Applies evidence-based practice concepts in case conceptualizations, treatment planning, and interventions (A) D Relationships 21 Demonstrates interpersonal relationship skills verbally and non-verbally (B) 22 Forms effective working alliances with clients 23 Communicates ideas, feelings, and information clearly using verbal, nonverbal, & written skills 24 Receives, acknowledges, and implements feedback from others 25 Effectively provides feedback to others (supervisor, peers) (A) 26 Tolerates interpersonal conflict and acknowledges own role in difficult interactions

3 E Individual and Cultural Diversity SIU Counseling Practicum Evaluation page 3 27 Knowledge, awareness, and understanding of one s own cultural dimensions and attitudes toward diverse others (B) 28 Knowledge, awareness, and understanding of the way culture and context shape the behavior of others (B) 29 Understands and monitors one s own cultural identities in relation to work with others (A) 30 Understands the role of multiple cultural identities in interactions among individuals (A) 31 Knowledge of and sensitivity to the scientific, theoretical, and contextual issues related to individual and cultural diversity (B) 32 Knowledge of APA policies and guidelines for practice with diverse individuals, groups, and communities (A) 33 Works respectfully and effectively with diverse others in professional activities F Ethical and Legal Standards and Policy 34 Knowledge of ethics, ethics codes, and ethical decision making models (B) 35 Knowledge of typical legal issues (eg, child and elder abuse reporting, HIPAA) (B) 36 Implements ethical and legal concepts in professional behavior (eg, boundary management) (B) 37 Identifies ethical dilemmas and consults with supervisor to address ethical and legal issues (A) 38 Uses an ethical decision making model when discussing cases in supervision (A) 39 Articulates knowledge of own moral principles and ethical values and can discuss their intersection with professional ethical and moral issues (A) G Interdisciplinary systems 40 Knowledge, respect, and valuing of roles, functions, and service delivery of other professions (B) 41 Ability to recognize when a referral to another professional or agency is warranted (B) 42 Ability to cooperate with other professionals in work toward shared goals or task completion (B) 43 Knowledge of strategies of interdisciplinary collaboration vs multidisciplinary functioning (eg, communicating without jargon, dealing with disagreements about diagnosis or treatment goals) (A) 44 Develops and maintains collaborative relationships and respect for other professionals (A)

4 H Assessment SIU Counseling Practicum Evaluation page 4 45 Ability to use clinical interview to identify client s goals for counseling and formulate case conceptualization (B) 46 Understanding of basic psychometric constructs such as reliability, validity, and test construction (B) 47 Knowledge regarding the range of normal and abnormal behavior in the context of human development and diversity (B) 48 Identifies appropriate assessment tools and procedures for cases seen in practice site 49 Demonstrates ability to administer, score, and interpret the results of assessment tools 50 Articulates relevant developmental features, cultural/contextual factors, and clinical symptoms as applied to the presenting question (A) 51 Identifies problem areas and effectively uses diagnostic systems (eg, DSM) and concepts of differential diagnosis (A) 52 Ability to recognize psychopathology, defense mechanisms, maladaptive coping styles, and signs of conflict in the therapeutic relationship (A) 53 Ability to discuss case conceptualization and diagnostic formulation in case presentations and reports 54 Ability to synthesize case data from multiple sources into a psychological report (A) I Intervention Skills 55 Attending behavior (B) 56 Empathy and acceptance (B) 57 Warmth and caring (B) 58 Paraphrasing and summarizing of content (B) 59 Reflection of feeling (B) 60 Open-ended questions (B) 61 Clarification and elaboration (B) 62 Confrontation (A) 63 Probing (A) 64 Sharing/self-disclosing (A) 65 Demonstrates knowledge of career development approaches to counseling 66 Integrate career information resources into counseling 67 Suggesting experiments, role plays, or model as a part of the treatment program (A) 68 Using homework when necessary (A) 69 Using contracting (A) 70 Approaching feelings of hurt, anger, avoidance (A) 71 Dealing with attraction and friendship issues (A) 72 Giving client feedback regarding nonverbal behavior (A) 73 Demonstrates knowledge of at least three different theoretical approaches to counseling (A)

5 SIU Counseling Practicum Evaluation page 5 J Intervention Planning and Implementation 74 Educates client about the counseling process, roles, and responsibilities of counselor and client (B) 75 Sets and observes therapeutic boundaries (ie, time limits, attendance, relationship issues, motivation, etc) (B) 76 Ability to guide and focus the therapy session (B) 77 Identifies basic strengths and weaknesses of intervention approaches for different problems and populations (B) 78 Investigates existing literature related to client problems and issues (A) 79 Articulates a theoretical orientation with which to conceptualize cases and plan interventions (A) 80 Demonstrates ability to select interventions for different problems and populations based on assessment information and principles of evidence-based practice (A) 81 Writes understandable case conceptualization reports and collaborative treatment plans 82 Applies specific evidence-based interventions, taking into account empirical support, clinical judgment, and client diversity (A) 83 Knowledge of methods to examine intervention outcomes (B) 84 Assesses and documents treatment progress and outcomes, altering treatment plan accordingly (A) K Supervision 85 Prepares for supervision 86 Receptivity to supervision (responds with openness to supervisor questions, comments, suggestions) 87 Uses supervision effectively 88 Capacity for self-awareness and self-reflectiveness 89 Ability to self-supervise when appropriate (A) 90 Openness to discussing diversity issues as they relate to clients or the supervision relationship

6 SIU Counseling Practicum Evaluation page 6 SUMMARY Mean Developmental Evaluation Rating [total / (90 Number of N/A items)]: Mean of Professionalism items Mean of Reflective Practice/Self-Assessment/Self-Care items Mean of Scientific Knowledge & Methods items Mean of Relationships items Mean of Individual and Cultural Diversity items Mean of Ethical and Legal Standards and Policy items Mean of Interdisciplinary Systems items Mean of Assessment items Mean of Intervention Skills items Mean of Intervention Planning and Implementation items Mean of Supervision items [Note: To update these scores automatically, Press <ctrl>-a to select all text, then press F9 to update these fields A score will appear for sections that have no ratings Please change to N/A before printing] What are this trainee's greatest clinical assets? List those areas in which you have some concerns about the student's proficiency or progress and make suggestions for improvement Suggestions for further development (eg, types of clients, evaluations, etc) Note focus areas Signature of student date Signature of supervisor date

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