1 PRACTICUM AND INTERNSHIP MANUAL for School Counseling Ed.S. Students Counselor Education Program Department of Educational Psychology University of South Carolina (803) Updated 11/01/05 NOTE: It is your responsibility to keep duplicate records of your Practicum and Internship activities and supervision from both your on-site and university supervision. You may need these records in the future, to support your application for certification and/or licensure. Records of your work are only maintained for five years in the program office.
2 Practicum and Internship Manual for School Counseling Ed. S. Students Introduction Purpose of this Handbook: This handbook is designed to introduce prospective student interns to program expectations and requirements for satisfactory completion of EDCE 802 E & S (School Counseling Practicum) and EDCE 805 E & S (School Counseling Internship). No handbook can ever completely prepare one for the Practicum and Internship experience; the experiences and resultant learning can come only through the exploration of the unknown, taking risks, making mistakes, and incorporating this learning into one s counseling. However, this handbook can provide information about much of the necessary paperwork, suggest ways to ensure solid communication between student and supervisor, and share background data relative to professional standards and ethics. The intent of this handbook is to concentrate on the mechanics, thereby freeing the student to focus on and maximize the learning opportunities that the clinical experiences are intended to provide. Prerequisites Practicum: The following prerequisite courses must be completed with a grade of B or higher before taking the Elementary (EDCE 802E) or Secondary (EDCE 802S) Practicum. EDCE 510 EDCE 600 EDCE 601 EDCE 700 EDCE 706 EDCE 707 EDCE 710 EDCE 712 EDCE 720 EDCE 721 EDPY 705 EDRM 700 Introduction to Counseling Communication Skills in Counseling Group Procedures in Guidance Cross-Cultural Counseling Individual Appraisal Laboratory Career Development Professional, Ethical, and Legal Issues in Counseling Comprehensive Developmental School Counseling Theories of Counseling Techniques of Counseling Human Growth and Development Introduction to Research in Education Internship: The following prerequisite course must be completed with a grade of B or higher before taking the Elementary (EDCE 805E) or Secondary (EDCE 805S) Internship. EDCE 802E EDCE 802S Elementary School Practicum or Secondary School Practicum
3 Applications Deadlines: There are two deadlines for submitting Practicum and Internship applications. These are: Fall Practica/Internships--Applications must be received no later than January 15 Spring Practica/Internships--Applications must be received no later than September 1 Course Sections: All Ed.S. School Counseling students must complete at least nine credit hours of field experience in schools with approved site supervisors. Three of these credit hours are earned in practicum (EDCE 802 E or S) and the other six are earned in internship (EDCE 805 E or S). The internship may be completed in one semester, or split into two three-credit hour internships over two semesters. Of the required nine credit hours of field experience, at least three must be completed in an elementary school and another three in a secondary school. Students are encouraged to complete the other three hours of credit in a middle school, but this is optional. If students choose to complete their fieldwork in elementary and secondary schools only they must enroll in one field experience course using the suffix E and the other course using the suffix S. If students wish to include middle school experience in their fieldwork, they should choose one of the following options. 1. Practicum in elementary school (802E) Internship, half in middle school and half in high school (802S) 2. Practicum in high school (802S) Internship, half in elementary school and half in middle school (805E) 3. Practicum in middle school (802E or S) Internship, half in elementary school and half in high school (805E or S select the letter that was not used for 802) Procedures: First, complete a Counselor Education Practicum/Internship application and return it to the Counselor Education Office. These application forms are available in the hallway just outside this office. Second, do not contact a site-supervisor or other school personnel to request your own placement! In the event that you have a special preference for a particular site or counselor who is not on our list of approved supervisors, you may do the following. Contact the school counselor you prefer and ask if he/she would be interested in applying to become an approved supervisor. If so, you may give him/her a copy of Form B: Application to Serve as School Counseling Site Supervisor. For students who desire a field placement outside of the Columbia Metropolitan area, you are required to meet with your faculty advisor regarding your plans for field experience. Although students are allowed to arrange and participate in field experiences outside of the Columbia metropolitan area, students are required to attend supervision on the USC campus. In addition, all placements require approval by the appropriate placement committees. Reminder: All students are required to have professional student liability insurance when enrolled in Practicum and/or Internship courses. We have found that ACA insurance adequately meets our program requirements. Brochures for the Professional Liability Insurance Program - Student Coverage can be found
4 outside of the Counselor Education Office or obtained from ACA by calling You must bring proof of this coverage to your first University Practicum/Internship class meeting. Therefore, application for ACA membership must begin at least a month or more before the semester begins. Purposes of the Clinical Experiences The Practicum and Internship are designed to satisfy requirements for professional training as stipulated by the Council for Accreditation of Counseling and Related Educational Programs (CACREP) accreditation standards. There is a fundamental difference in emphasis between the Practicum and the Internship. The Practicum stresses counseling skills. Individual and small group counseling activities should be the student s primary focus while on site. The Internship is intended to provide students with a broad-base practical experience in school settings. This experience is designed to have interns relate academic and theoretical learning to field experience. Interns are expected to assume a broad spectrum of counseling roles and functions. The intern is asked to participate in as many activities as feasible in the settings that are similar to the responsibilities of an employed counselor. The Internship also provides students with evaluative feedback on their knowledge, attitudes, and skills with specific client populations. Since interns have previously received training in counseling, the staff and the clientele at the placement site should benefit from the services. Criteria for Approval of a Site Placement - Site supervisors will only be approved for settings that reflect culturally diverse populations. Typically, students will do their Practicum and Internship in a variety of settings. - Facilities also play an important role in site selection. Certain minimum standards must be met. Suitably equipped office space must be available to you to ensure counseling privacy and the ability to tape each session. In addition, the office should be located within the center of the institution for easy client access. Additional facilities and equipment (such as videotape machines, observation rooms, computer availability) may also be site selection considerations. - A major portion of a student s evaluation is based upon audio and/or videotapes of on-site counseling sessions. Therefore, the student is responsible for selecting a site which ensures that onsite taping may be accomplished.
5 Site Supervisor Selection In order to work with a school counselor who is not currently on the approved list, you will need to request that he/she apply to become an approved site supervisor. Application forms are included in this handbook (see Form B). This application needs to be submitted to the Office of Counselor Education for approval. If this application is approved, a notification of acceptance will be sent directly to the school counselor. You will be ultimately responsible for communicating Counselor Education expectations and requirements (application procedures, assignments, taping of sessions, etc.) to the site supervisor. The steps suggested as a means of assuring Practicum and Internship course expectations are included in this handbook beginning with Form C. However, your job is to discuss fully all program expectations with the site supervisor to whom you are assigned You should be prepared to work on a number of objectives during the Practicum/Internship. These should be communicated to the site supervisor (preferably in writing). It is advisable to schedule a meeting with the site supervisor to discuss these plans once you have been assigned. As a professional courtesy, you should also provide the site supervisor with a schedule of the beginning and ending dates of the Practicum/Internship as well as dates (holiday and the like) when you would not expect to be present at the site. In addition, a schedule of your week should be submitted to the site supervisor and updated as necessary (see Form C for a sample schedule). During the semester, the university supervisor will meet with you and your site supervisor. During such communications the university supervisor will discuss your progress, course expectations, and may wish to observe you conducting one or more counseling sessions. You must meet a minimum of one hour per week with your site supervisor. The content of these sessions is determined jointly by the student and the site supervisor. The format of supervision will vary; some site supervisors will wish to have tape critiques that their site supervisor and university supervisor will review, while others will wish simply to consult directly with the student counselor. In any case, you have the responsibility of making sure that you receive the best possible supervision. If concerns arise, you should first talk with the site supervisor. However, if problems persist, you should relate such concerns to your university supervisor. Evaluations of student counselors should be completed by the site supervisor near the end of the Practicum/Internship. These evaluation forms should be given to the site supervisor in the beginning of the internship so that the program expectations are clear (see Forms D, I, and N).
6 Activities and General Requirements Practicum: The Practicum experience is supervised by the university instructor and the site counselor. Students enrolled in the Practicum are required to accumulate a minimum of 150 clock hours. Of these 150 hours, a minimum of 60 hours must be in direct service work with clients appropriate to one s program of study. Emphasis is placed on developing individual and group interaction skills. The Practicum student is to have a minimum of one-hour-per-week in supervision with the site supervisor, one hour supervision per week with a program faculty member or doctoralstudent supervisor working under the supervision of a program faculty member, and one and one-half hours per week in group supervision. These supervision hours may count toward the total number of Practicum hours. The student s progress in the Counselor Education Program is reviewed by the faculty at the time of Practicum completion. If the progress is judged as satisfactory, registration in the Internship will be permitted. If it is judged as unsatisfactory, registration will not be permitted and a conference with the student will be arranged by the student s adviser. The primary purpose of the conference is to develop intervention strategies, which the student might complete prior to progressing further in the degree program Students should refer to the course syllabus for the specific requirements of their Practicum. Students are also required to keep a log book (see Form E) describing their field experiences, the date of the experience, the amount of time spent at it and the student s reactions to the experience. It is required that all students attend all Practicum individual and group supervisory meetings held during the semester. Internship: The Internship (EDCE 805E or EDCE 805S) is a required six-semester-hour supervised opportunity for the student to perform all the expected activities that a regularly employed counselor in a school setting would be expected to perform. Students enrolled in the Internship are required to spend a minimum of 600 clock hours in a school where one can perform all the activities that a regularly employed staff member in the setting would be expected to perform. Of the 600 hours, 240 hours are to be spent in direct service work with clients appropriate to one s program of study. The Internship students are to have a minimum of one-hour-per-week in supervision with a program faculty member or doctoral-student supervisor working under the supervision of a program faculty member, and one-and-a-half-hours per week in group supervision. These supervision hours may count towards the total number of hours accrued in Internship. Note: Students may elect to take the Internship over two semesters. In such cases the student should register for three (3) semester hours of Internship and complete 300 clock hours per semester.
7 Supervision Practicum: The Practicum student is to have a minimum of one hour per week in supervision with the site supervisor, one hour supervision per week with a program faculty member or student supervisor working under the supervision of a program faculty member, and one and one-half hours per week in group supervision. The Practicum experience is designed and supervised by the instructor of EDCE 802 E or S and by the site supervisor in the field. Site supervisors are required to have a minimum of a master s degree from a CACREP approved program, or a master s degree with a supervised field Practicum and Internship, and certification as a school counselor in South Carolina. They must also be involved in at least one professional counseling association such as ASCA or SCSCA, and have a minimum of two years of school counseling experience at the appropriate grade level. The site supervisor is expected to acquaint the student with the site and its activities, policies, and procedures; meet weekly with the student to discuss progress; participate in an evaluation of the student; and consult with the university supervisor about the student s progress. The university supervisor is expected to provide weekly individual and group supervision with other students in similar field experiences, consult with the site supervisor about the student s progress, assure that all required field experience forms are submitted, assure that all students complete all practicum requirements, assess student counselor competencies (see Form D), and submit grades for the students to the Department secretary at the end of the semester. Internship: The Internship students are to have a minimum of one-hour-per-week in supervision with the site supervisor, one hour every other week in supervision with a program faculty member or student supervisor working under the supervision of a program faculty member, and 90 minutes per week in group supervision. The Internship site supervisor is expected to assist the student by acquainting him/her with the site and its personnel, facilitate the student s accomplishment of the course requirements, meet once a week with the student to discuss progress, participate in a midterm and final evaluation of the student (see Forms I & N) and consult with the university supervisor about the student s progress. The university supervisor is expected to provide individual supervision for each student, conduct group supervision with students in similar field experiences, critique audio and video counseling tapes for each student, consult with the site supervisor about the student s progress, assure that all required Internship forms are submitted, attend all university meetings of supervisors, assure that students complete all internship requirements, assess student counselor competencies (see Forms I & N), and submit grades for the students and the student logs documenting their Internship experiences with the course instructor at the end of the semester.
8 Procedures and Steps (Summary) Step 1: Submit application for Practicum or Internship to the Counselor Education Office in room 266, Wardlaw, by the deadline. Step 2: You will be assigned a site and supervisor, or in the event that there is not a designated site or supervisor in your area you may request that a school counselor may complete and send the Site Supervisor Application Form. Step 3: Obtain professional liability insurance and submit verification at the first University class meeting. Step 4: Visit your site (after site supervisor approval) to plan with your site supervisor prior to the first week of class. Step 5: Become familiar with your responsibilities and assist your site supervisor in understanding her/his responsibilities, as described in this handbook. Step 6: If, after receiving your letter of approval, you have an emergency situation which makes it impossible to proceed with the Practicum or Internship, notify the School Counseling Field Experiences Coordinator immediately. You must reapply (by the deadline) for the semester you want to be readmitted to the class.
9 SUMMARY OF COURSE EXPECTATIONS EDCE 802: PRACTICUM Student's responsibilities: 1. To commit 150 clock hours to a site, including 60 hours of direct student contact. Direct service hours are those in which the student is offering either individual or group counseling to clients. The remaining 90 hours can be devoted to other relevant professional activities on site. Examples of appropriate activities are: in-service training, participation in staff meetings, educational activities at the practicum site, preventive interventions, consultation, observation, supervision, etc. 2. To audiotape (or videotape) the client contact sessions for the purpose of supervision. 3. To attend weekly group supervision seminars with the USC instructor. 4. To write case notes on all clients and complete all other paper-work connected to practicum. 5. To meet all other course requirements. 6. To meet any additional requirements as determined by the site supervisor. Faculty supervisor's responsibilities: 1. To visit the practicum site and meet with the site supervisor. 2. To conduct weekly group supervision seminars on campus. 3. To offer the student individual supervision of taped or live counseling sessions. 4. To communicate with the site supervisor regarding the clinical ability of the student as determined through supervision. 5. To read all case notes turned in by student. 6. To keep records of all practicum activity engaged in by the student. 7. To seek evaluation from the site supervisor. 8. To assign a grade at the end of the semester based on the student's performance.
10 Site supervisor's responsibilities: 1. To organize the practicum experience at the site and assure that the student will have an opportunity to work with appropriate clients. 2. To help orient the student to the site. 3. To provide appropriate space for the student to meet with clients. 4. To monitor the practicum to determine that the student's needs and the client's needs are being met. 5. To provide the faculty supervisor with evaluation of the student's overall performance and professionalism during the practicum. 6. To be available to the student in case of emergency. 7. To provide any additional supervision for reasons of necessity or preference. (In other words, the university faculty welcome the site supervisor's involvement in supervision above and beyond the minimum expectations listed above.) Adapted from Fairfield University Practicum Manual with written permission of Program Faculty
11 SUMMARY OF COURSE EXPECTATIONS EDCE 805: INTERNSHIP Student's responsibilities: 1. To commit 600 hours to a site, including 240 hours spent in direct client contact. All other internship hours will involve relevant professional activity including in-service training, participation in staff meetings, individual and group supervision, etc. 2. To meet all requirements of the site supervisor for the purpose of supervision, e.g., completing case notes, audiotaping, etc. 3. To attend the weekly group supervision seminars with the USC instructor. 4. To meet all course requirements. 5. To meet all additional requirements of the site. Faculty supervisor's responsibilities: 1. To visit the internship site and meet with the site supervisor. 2. To conduct weekly group supervision seminars on campus. 3. To keep records of the student's internship activity safely secured. 4. To seek evaluation of the student from the site supervisor. 5. To be available to the site supervisor should supervision difficulties arise. 6. To assign a final course grade for the student.
12 Site supervisor's responsibilities: 1. To organize the internship experience and assure that the student will have an opportunity to engage in individual and group counseling, as well as other appropriate professional activities. 2. To help orient the student to the site. 3. To provide appropriate space for the student to meet with clients and engage in other professional activities. 4. To meet with the student for a minimum of one hour per week for purposes of individual supervision. 5. To provide the faculty supervisor with evaluation of the student's overall performance during the internship. 6. To be available to the student in case of emergency. Adapted from Fairfield University Practicum Manual with written permission of Counselor Education Program Faculty
13 FORM A: School Site Placement Form DIRECTIONS 1. For practicum/internship to be successful, the responsibilities stated in the Practicum and Internship Manual for School Counseling Ed.S. students need to be implemented Student's Name: Home Phone: ( ) Work Phone: ( ) Mailing Address: School Site: Site Address: Phone Number: ( ) Site Supervisor: S.S.# I have reviewed the Roles and Responsibilities statements attached to this form, and I agree to accept them in my work as a student counselor for the (Fall or Spring), semester., (Student s Signature) (Date) Return To: Counselor Education Program Office Wardlaw #266, University of South Carolina Columbia, SC FORM B: Application to Serve as School Counseling Site Supervisor
14 UNIVERSITY OF SOUTH CAROLINA COUNSELOR EDUCATION PROGRAM Directions to the Applicant: The pages at the end of this document outline the benefits, qualifications, and expectations for site supervisors, as well as the requirements for practicum and internship. After you read the materials, fill out the information below, and send or fax to: Counselor Education Program, University of South Carolina, Wardlaw Bldg room 266, Columbia, SC 89208; fax: You will then receive a letter with your approval status. Name: Date: Social Security # _ Home Address: Phone: ( ) City: State: Zip: School: Phone: ( ) Site Address: Grade Levels: City: State: Zip: Number of years as a counselor at these grade levels: Number of years as a counselor in this building/school: 1. Formal Training Universities Attended Degrees Earned Majors 2. Professional Certifications/Licenses Are you a certified school counselor? If yes, in what state(s)? Do you have a professional license? If yes, which one(s)? Do you have any supervision credentials? If yes, which one(s)? Are you certified by the N.B.C.C.? Do you hold any other professional credentials? If yes, which one(s)? 3. Involvement In Professional Associations (Note: To be approved, you must have continuous involvement in one or more professional counseling associations.). List the counseling professional association(s) and divisions in which you currently hold membership. Also, provide the number of concurrent years you have been a member for each primary professional association.
15 Counseling Associations/ Divisions Membership Years In the following space, describe your level of involvement with these associations. For example, how often do you attend conferences? How else have you been involved? 4. Developmental Counseling Focus In the following space, briefly describe how your program follows a comprehensive developmental school counseling framework. 5. Supervision Background Have you completed any coursework or had any other training in supervision? (Yes/No) If so, please provide a description including the approximate date(s). Have you previously served as a site supervisor for our school counseling program? (Yes/No) If so, please (briefly) describe the experience, including the approximate date(s). How many students have you supervised? (Approximate) Of those, how many have been USC students? 6. Site Suitability All students will be required to tape sessions and to provide individual and group counseling. Would our students be able to record audio and/or videotapes of their work with students at your school? (Yes/No) Does your school have a video camera and monitor that would be available for our students to tape some of their sessions? (Yes/No) Will students be able to provide individual and group counseling at your school? (Yes/No) What about your site would be most helpful for our students? What (if anything) about your site would provide a limitation to the practicum/internship experience for our students? 7. Personal Preferences The following pages outline the practicum and internship experiences as defined by the University of South Carolina and CACREP. Based on this information, would you rather supervise a Practicum or Internship student? (check all that apply)
16 Would you prefer to supervise in Fall or Spring? (check all that apply) Would you prefer to interview the student before placement? Yes No Approvals: Applicant signature: Date: Building principal signature: Date:
17 FORM C: Student and Site Profile Student s Name: Student's Address: Student's Phone: Site Supervisor s Name: Site Supervisor s SS #: Site Address: Site Phone: Fax: Address: Site Schedule DAYS Monday Tuesday Wednesday Thursday Friday TIMES On-Site Supervison: Day M: T: W: Th: F: Times
18 FORM D: Evaluation of Practicum Counselor Behaviors Student s Name: Date: Directions: Please complete this evaluation of your practicum student two times, once around mid-semester and once again near the end of the semester. Use a different colored pen or pencil for each of these evaluations and indicate which color was used for each. Process (Individual Counseling) Not Observed Weak Average Strong Rate the student s ability to: 1. Begin counseling relationships N effectively 2. End counseling relationships N effectively 3. Use verbal counseling skills (E.g., open N questions, summarizations, and feeling-focused responses) 4. Use nonverbal counseling skills N (E.g., eye contact, body posture and hand gestures) 5. Structure interviews appropriately N (e.g. establish rapport, define problem, define goals, explore and evaluate alternatives) Other Comments:
19 Not Observed Weak Average Strong Process (Small Group Counseling) Rate the student s ability to: 6. Organize a small counseling group N Facilitate the effective start of the N counseling group (E.g., communicating ground rules and goals, and initiate group bonding) 8. Handle challenges/conflicts within the N group in a manner that is helpful to group members 9. Transition the group to the working stage N Facilitate the effective end of a counseling N group (E.g., summarizing group process and events, and promoting supportive group closure) 11. Exhibit leadership skills during a group N (E.g., drawing out silent members, keeping on task, maintaining order) Other Comments:
20 Not Observed Weak Average Strong Conceptualization Rate the student's ability to: 12. Identify the client s primary N concerns, strengths and resources 13. Understand the problem within a N theoretical framework 14. Help the client set appropriate goals N based on the understanding of the problem 15. Understand the cultural and gender issues N related to cases 16. Write progress notes that are pertinent N Know when to consult with others in N order to enhance counseling Other Comments:
21 Not Observed Weak Average Strong Supervision/Professional Development Rate the student s ability to: 18. Use the supervision experience to gain N insight into one's own beliefs 19. Use feedback from supervision in N future sessions 20. Accept feedback from supervisor N Be professional in his or her approach N to practicum (E.g., prompt, ethical, and self-responsible) 22. Know when and how to seek consultation N for professional or legal reasons Additional Comments First feedback session: Student Supervisor Date Second feedback session: Student Supervisor Date Developed by Janine M. Bernard Revised 1981, 1986, 1992, 1999 Adopted with written permission of author, 11/96. Further adapted, 9/1999.
22 FORM E: Weekly Log of Field Experience Activities Student s Name: Please circle course: Practicum/ Internship Semester: Week: Activity Weekly Hours Cumulative Hours I. Direct Service 802 Practicum (Items 1-4) 805 Internship (Items 1-8) 1. Individual Counseling 2. Small Group Counseling 3. Classroom Guidance 4. Peer Facilitation 5. Consultation 6. Student Intervention Team 7. Individualized Education Plan 8. Parent Education Class 9.Teacher In-Service II. III. IV. Indirect Service 1. Coordination 2. Referral 3. Program Planning 4. Evaluation of Child/Class 5. Observation of Child/Class 6. Research into Student Information 7. Research into Professional Issues Supervision 1. Individual Supervision (USC) 2. Field Supervision 3. Group Supervision/Seminar Other Hours 1. Counselor Staff Meeting 2. District Counselor Meeting 3. State-wide Counselor Conference 4. Tape Critiques 5. Maintain Progress Notes TOTAL HOURS Site Supervisor USC Faculty _
23 Date Date FORM F: Field Experience Summary Student s Name: Course: Semester: WEEK A. DIRECT SERVICE 802 Practicum(1-4 only) 805 Internship (1-8) 1. Individual Counseling 2. Small Group Counseling 3. Classroom Guidance 4. Peer Facilitation 5. Consultation 6. Student Intervention Team 7. Individualized Education Plan 8. Parent Education Class 9. Teacher In-Service Total B. INDIRECT SERVICE 1. Coordination 2. Referral 3. Program Planning 4. Evaluation of Child/Class 5. Observation of Child/Class 6.Research into Student Information 7. Research into Professional Issues C. SUPERVISION 1. Individual Supervision (USC) 2. Field Supervision 3. Group Supervision/Seminar D. OTHER 1. Counselor Staff Meeting 2. District Counselor Meeting 3. State-wide Counselor Conference 4. Tape Critiques 5. Maintain Progress Notes TOTAL Direct Service Hours Site Supervisor Indirect Service Hours Total Hours USC Faculty
24 FORM G: SITE SUPERVISION Counselor Education University of South Carolina Site Supervisor:_ Semester/Year: Please evaluate your supervisory experience in the following areas using the rating scale. The rating scale is as follows: 5 = Almost always descriptive of my supervisor s behavior 4 = Frequently descriptive of my supervisor s behavior 3 = Generally descriptive of my supervisor s behavior 2 = Infrequently descriptive of my supervisor s behavior 1 = Almost never descriptive of my supervisor s behavior NA = Not applicable Please circle your response. 1. My supervisor was genuinely interested in my growth as a professional counselor NA 2. My supervisor was very professional in his/her dealings with me NA 3. My supervisor made suggestions regarding my taped sessions that were beneficial NA 4. My supervisor created a setting of support NA 5. I was treated as a professional by my supervisor NA
25 6. My supervisor was dependable regarding his/her meetings with me and my colleagues NA 7. The supervisor offered me constructive criticism that assisted in improving my counseling skills NA 8. The requirements made of me by the supervisor were fair and challenging NA Please comment on the following: 9. What do you feel you gained as a result of working with your supervisor? 10. What could have been done differently by your supervisor to make your experience more profitable? 11. If you were grading your site supervision experience, how would you grade it? A B C D F 12. Were the physical facilities at your site appropriate? Please be specific regarding problems or strengths like having your own space for counseling. If the site were to be graded I would rate it A B C D F Additional Comments: (Please include these)
26 FORM H: Practicum University Supervision Feedback UNIVERSITY SUPERVISOR'S NAME: DIRECTIONS: The following list of items provides descriptions of behaviors which contribute to effectiveness in supervising counselor education students. Please rate your supervisor on the following items according to how accurately each item describes the supervisor's actual behavior during the semester which has just ended. Do not sign your name on this form; the ratings are to remain anonymous. The rating scale is as follows: 5 = Almost always descriptive of my supervisor's behavior 4 = Frequently descriptive of my supervisor's behavior 3 = Generally descriptive of my supervisor's behavior 2 = Infrequently descriptive of my supervisor's behavior 1 = Almost never descriptive of my supervisor's behavior N/A = Not applicable DESCRIPTION OF MY SUPERVISOR S BEHAVIOR SCALE RATINGS This supervisor NA 1. Gives appropriate feedback to supervisees about positive counseling behaviors. 2. Gives appropriate feedback to supervisees about negative counseling behaviors. 3. Labels counselor behavior as effective or ineffective rates that's right or wrong. 4. Gives us direct suggestions to supervisees when appropriate. This supervisor NA
27 5. Confront supervisees when appropriate. 6. Helps supervisees assess their own strengths. 7. Helps supervisees assess their own weaknesses. 8. Establishes clear goals conjointly with supervisees against which progress in supervision can be measured. DESCRIPTION OF MY SUPERVISORY BEHAVIOR SCALE RATINGS This supervisor NA 9. Evaluates supervisees at mid-semester. 10. Helps supervisees in developing self-confidence as emerging counselors. 11. Shares his or her own experiences with clients with supervisees. 12. Establishes good rapport with supervisees. 13. Demonstrates an openness to address professional issues which arise from experiences in practicum/internship setting. 14. Models within the supervision session good task-oriented skills. 15. Provides more structure during the initial sessions than during later sessions. 16. Helps supervisees realize that trying new skills usually seems awkward at first.
28 This supervisor NA 17. Helps supervisees to conceptualize cases. Works with supervisees to evolve a joint conceptualization. 18. Helps supervisees define and maintain ethical behavior in counseling and case management. 19. Encourages supervisees to experiment with different assessment and intervention techniques to discover their own unique styles. 20. Offers resource information when I request or need it. ADDITIONAL COMMENTS:
29 FORM I: Evaluation of Internship Competencies Student s Name: Date: The rating is as follows: 5 = Almost always descriptive of the intern s behavior 4 = Frequently descriptive of the intern s behavior 3 = Generally descriptive of the intern s behavior 2 = Infrequently descriptive of the intern s behavior 1 = Almost never descriptive of the intern s behavior NA = Not applicable Please circle your response. The intern is able to: Not Applicable Low High (Consistently) demonstrate the high NA facilitative responses in counseling and consulting relationships. Establish and maintain a helpful counseling NA relationship. Explore and identify counselee goals. NA Help counselee through the stages of problem- NA solving. Evaluate and validate the changes in the NA counselor's behavior and/or attitude. Recognize personal issues that affect NA counseling. Develop a plan to deal with personal issues NA related to counseling.
30 Not Applicable Low High Gather and use assessment data in a counseling NA or consulting relationship. Organize, lead, and critique group counseling NA experiences. Organize, lead, and critique classroom guidance NA experiences. Develop a yearly plan for a comprehensive NA developmental program. Consult with parents and teachers in order to NA promote successful learning and adjustment for students. Conduct parent/teacher workshops. NA Assess environmental factors that negatively NA impact on children and is able to plan strategies for appropriate interventions. Conduct a needs assessment. NA Evaluate his/her guidance program. NA Demonstrate professional commitment by active NA participation in professional organizations for school counselors. Stay abreast of current issues through profes- NA sional journals. Other Competencies: (please describe) NA NA NA NA Comments:
31 FORM J: Consent for Counseling of a Minor Child and Recording Release Form I (we) give permission for my (our) child to participate in counseling with, a graduate student at the University of South Carolina, who is enrolled in the course EDCE during the semester, 20. It is understood that the counseling sessions will be electronically recorded and played in class with both the instructor and class members present. These recordings will be used for educational purposes and erased at the end of the course. It is understood that my (our) child is entitled to confidentiality and that information regarding communications made in the counseling sessions will be limited only to those directly involved in receiving, providing, or sharing the educational process and any professional consultants. I (we) do also release and forever discharge the University of South Carolina, its officers, agents, employees, and students from any and all suits, claims, damages, demands, liabilities, costs and expenses, including reasonable counsel fees, which may result from participation in counseling. Parent or Guardian/Date: Witness/Date: USC Student/Date: USC Faculty Member/Date: Note: The parent or guardian, USC Student, and USC Faculty Member are to be given copies of this form after it is signed by all parties.
32 FORM K: Consent for Counseling and Recording Release Form I give permission for my participation in counseling with, a graduate student at the University of South Carolina, who is enrolled in the course EDCE during the semester, 20. I understand that the counseling sessions will be electronically recorded and played in class with both the instructor and class members present. These recordings will be used for educational purposes and erased at the end of the course. It is understood that I am entitled to confidentiality and that information regarding communications made in the counseling sessions will be limited only to those directly involved in receiving, providing, or sharing the educational process and any professional consultants. I do also release and forever discharge the University of South Carolina, its officers, agents, employees, and students from any and all suits, claims, damages, demands, liabilities, costs and expenses, including reasonable counsel fees, which may result from participation in counseling. Signature/Date: Witness/Date: USC Student/Date: USC Faculty Member/Date: Note: The client, USC Student and USC Faculty Member are to be given copies of this form after it is signed by all parties.
33 FORM L: Insurance Responsibility Voluntary and required field experiences (i.e., practicum and internship courses) at the University of South Carolina are not covered by professional liability or health insurance through USC or school districts. For each semester of enrollment, all full time students (Full Time Student are Those who are Enrolled for 12 or More Hours of Credit) and those Who Pay the University Fee are automatically provided with health insurance coverage for accidents occurring on campus or in University-related activities in accordance with the specifications provided in the material below. Read all the information about health and liability insurance provided in this form. Your Signature is Required on the Page Which Follows. HEALTH INSURANCE The following information is provided concerning health services and health insurance for students while enrolled at the University of South Carolina, Columbia Campus. Health Care Eligibility: All students enrolled in academic classes at the University of South Carolina, Columbia Campus are eligible to use all facilities operated by the Student Health Services. This includes Thomson Student Health Center, the Counseling and Human Development Center, and the Health and Wellness Programs Office. Eligibility is verified using various student databases. Charges for Student Health Services: All students enrolled in the Fall and Spring semester who have paid the Health Fee (check with U.S.C. Student Health for current fee information) are entitled to provider office services at no charge at all Student Health facilities. Students who have not paid the Fall or Spring Health Fee are charged a fee-for-service for each visit with a provider. During Summer School sessions, all enrolled students are entitled to free professional services. All students are charged at special student rates for ancillary services (laboratory, x-ray, and pharmacy) and for various procedures, such as minor surgery, during all academic sessions. Fall and Spring Health Fee: The Health Fee is a component of the University Fee. All undergraduates taking 12 or more hours are required to pay the University/Health Fee. Most graduate students taking 9 or more hours and most graduate assistants are either required to pay the Health Fee, or it is included in their paying the University/Health Fee. Health Fee payment status will be verified when students present for care at Student Health facilities. Summer Health Fee: All students enrolled in Summer I and Summer II courses have a Health Fee component included in their fee structure, and they are entitled to use Student Health Services facilities without paying provider fees. Health Insurance: Student Health Services cannot meet all potential health care needs. All students are encouraged to have comprehensive health care insurance coverage.
34 a. No comprehensive health care coverage is provided by payment of the University Fee or Health Fee. Students currently covered under health plans, such as their parent's insurance plan, or through a plan carried by their employer, should verify that these plans will continue to cover them while attending the University. Students who need comprehensive health insurance coverage should consider purchase of coverage under an optional group health insurance plan sponsored by the University. Information on the available plan can be obtained by calling the Student Health Center, b. Students who pay the University Fee or Health Fee are automatically covered under a limited plan which provides reimbursement of up to $500 for out-of-pocket expenses associated with treatment of an emergency illness or injury. This plan includes no coverage for non-emergency conditions or routine care. c. The current health care insurance contracts changed August, Students may check on status and coverages under replacement plans by calling the Student Health Center ( ). LIABILITY INSURANCE Liability insurance is available through membership in the student NEA, (Dr. Beverly Bushing, ), to student members in the Palmetto State Teachers Association ( ), or through various professional development organizations. Contact your advisor for more information. Student counselors have other sources for insurance specifically for counseling liability. Information is available on the insurance provided to student members of the American Counseling Association, and other professional associations. Allow up to 60 days for confirmation of your liability insurance. Detach and return the bottom section of this form to your instructor the first day of your practicum or internship course along with evidence of liability coverage I have read the Form L material on health insurance and services, and I understand my responsibility for my own health care and insurance. I understand and accept the condition that the College of Education, The University of South Carolina and individual faculty members or other instructional staff are released from any liability related to accidents or any other unexpected events which may occur in conjunction with my participation in required or voluntary activities outside of the University of South Carolina, Columbia campus. Student Signature Witness Signature (College of Education Employee) Date Date
35 FORM M: Supervision Log EDCE Student Signature of University Supervisor/Date Semester Signature of Site Supervisor/Date Total Hours
36 FORM N: Internship Experiences The student will demonstrate ability to do some of the following activities at competency level judged adequate by the supervising counselor and verified by the USC supervisor. Items with asterisks are required; other selected activities will be negotiated on an individual basis. A. INDIVIDUAL PLANNING DATE FIELD UNIVERSITY COMPLETED SUPERVISOR SUPERVISOR 1. Orient student groups to group appraisal instruments and purposes. 2. Administer or proctor the administration of appraisal instruments to student groups. 3. Score appraisal instruments and profile and record appraisal data. 4. Interpret appraisal data to groups and/or individuals. 5. Select appropriate appraisal instruments for individuals and groups. 6. Use appraisal data effectively in counseling and/or conferences. 7. Use systematic observation instruments to assess behavior. 8. Prepare and conduct programs for large groups on orientation to guidance services (or new services).
37 INDIVIDUAL PLANNING (continued) DATE FIELD UNIVERSITY COMPLETED SUPERVISOR SUPERVISOR 9. Collect and file personalsocial, educational, and career information. 10. Display and distribute personalsocial, educational, and career information. 11. Conduct small group activities to orient students to and distribute personal-social, educational, and career information. 12. Assist students with completing financial assistance, school admission, and job application forms. 13. Assist students with routine educational and career planning. 14. Coordinate efforts to place students in appropriate educational programs. 15. Coordinate efforts to place students in appropriate setting for work experience and/or part-time work. B. RESPONSIVE SERVICES 1. Document individual counseling with a student with a personalsocial problem. 2. Document individual counseling with student with an educational problem.
38 RESPONSIVE SERVICE (continued) DATE FIELD UNIVERSITY COMPLETED SUPERVISOR SUPERVISOR 3. Document individual counseling with a student with a problem concerning career choice. 4. Help students to learn how to collect and evaluate information and use decision-making processes. (May be documented with individuals or groups). 5. Document with a case study the on-going counseling for at least one student with rather serious concern for a minimum of six sessions. (Requirement) 6. Document with an evaluation summary the leadership of a counseling group that meets for six or more sessions. (Requirement) 7. Identify and select students for group guidance and small group counseling activities. 8. Identify students for referral to other agencies. 9. Help students who need referral, and their parents, to become aware of such needs and to obtain referral services. 10. Maintain contacts with and make referrals to referral agencies. 11. Provide consultation and information to teachers which will aid in their effort to help students achieve and adjust in the classroom.
39 RESPONSIVE SERVICE (continued) DATE FIELD UNIVERSITY COMPLETED SUPERVISOR SUPERVISOR 12. Provide consultation and information to administrators and teachers to assist them in program development and revision to meet student needs. 13. Provide consultation and information to parents to assist them with long range educational and career planning for their children. 14. Provide consultation and information to decision makers to assist them in providing a physical and psychological environment conducive to learning and adjustment. 15. Provide consultation to school personnel and monitor activities in the school's efforts toward the maximum self-realization by all students. 16. Provide consultation and coordination to school personnel and parents in referring students for special services. C. SYSTEM SUPPORT 1. Work with other professional staff in developing and maintaining contacts with employers and placement agencies. 2. Work with other professional staff in conducting student follow-up studies and analyzing data.
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