Field Practicum I: Foundation

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UNIVERSITY OF HOUSTON GRADUATE COLLEGE OF SOCIAL WORK Field Practicum I: Foundation EVALUATION OF STUDENT PERFORMANCE STUDENT: AGENCY: FIELD INSTRUCTOR: (Address) (City) (State) (Zip Code) INSTRUCTOR TELEPHONE: (Area Code) (Number) Extension INSTRUCTOR EMAIL: SEMESTER: YEAR - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - SUMMARY OF STUDENT S PRIMARY RESPONSIBILITIES

Evaluation Instrument* This evaluation instrument addresses the competencies for the Foundation Semester, Field Practicum I. It represents competencies to be achieved by the end of the semester. Ratings of each competency must be supported by content in the Evidence to support rating section for that particular competency. Evidence to support rating may also serve to highlight outstanding abilities. The Strategies to increase competence should include ways in which the specific competency can be further addressed. On the scale provided after each competency, please indicate level of performance by placing an X in the appropriate box. UP IP EC C AC Unacceptable Progress Never demonstrates awareness, knowledge and skills as a graduate social work intern Insufficient Progress Rarely demonstrates awareness, knowledge and skills as a graduate social work intern Emerging Competence Inconsistently demonstrates awareness, knowledge and skills as a graduate social work intern Competence Consistently demonstrates awareness, knowledge and skills as a graduate social work intern Advanced Competence Expertly demonstrates awareness, knowledge and skills as a graduate social work intern Evaluation Process To evaluate the student s social work practice competence, the field instructor and student jointly review the student s performance in terms of the criteria specified in this evaluation instrument. Following their review and discussion, the field instructor completes this instrument. The student then reviews it and writes comments in the section indicated. If the student wishes, he or she may append an additional statement to the instrument. Finally, the field instructor and student both sign and date the instrument. The field instructor sends the instrument to the Office of Field Education. The Office of Field Education forwards the form to the faculty field liaison, who reviews and confirms the grade recommendation. * The structure of this instrument and the rating scale were developed by the Office of Field Education at University of Texas at Austin. The content is specific to the field education program at the University of Houston Graduate College of Social Work.

A. PROFESSIONAL IDENTITY: Identify as a professional social worker and conduct oneself accordingly. 1. Define a professional relationship and explain how it differs from other relationships. 2. Define the role of the professional social worker in relationship to other professional roles. 3. Demonstrate an awareness of the importance of boundaries and practice accordingly. 4. In supervision, identify how one's own biases and/or life experiences affect the development of professional relationships, including work with clients and colleagues; demonstrate ability to modify one's behavior accordingly. 5. Participate in discussion of supervisory feedback and incorporate results of discussion into one's practice. B. VALUES AND ETHICS: Demonstrate an understanding of the value base of the profession and its ethical standards and principles. 1. Articulate with the field instructor agency practice as it relates to the NASW Code of Ethics and the Texas State Board of Social Work Examiners Code of Conduct. 2. Identify personal values as they reflect or conflict with the values of the profession. C. CRITICAL THINKING: Apply critical thinking skills within the context of professional social work practice.

1. Identify and articulate one's own belief system with regard to clients, client problems, practice skills and interventions, and social policy. 2. Demonstrate an ability to raise important questions and problems in social work and to formulate them clearly and precisely. 3. Engage field instructor in discussion when one's belief system is challenged by new circumstances or when one feels uncomfortable. D. DIVERSITY: Practice without discrimination with respect and with knowledge and skills related to age, class, color, culture, disability, ethnicity, family structure, gender, marital status, national origin, race, religion, sex, and sexual orientation 1. Identify special concerns related to meeting the needs of the above within the agency context. 2. Articulate and demonstrate an ability to work with special populations and clients who are experiencing discrimination in some form. E. HUMAN RIGHTS AND SOCIAL JUSTICE: Demonstrate an understanding of the forms and mechanisms of oppression and discrimination. 1. Review the agency s stated mission for its influence on social, economic, and political justice.

F. RESEARCH: Use critical thinking to evaluate research studies applicable to practice. 1. Take initiative to locate readings or other resources to improve practice. 2. Critically analyze readings and other resources and apply one of them to practice in the agency setting. G. HBSE/THEORY: Identify theoretical frameworks utilized in the agency setting to understand individual and organizational behavior. 1. Explore and list the theoretical frameworks used for practice within the agency setting. H. SOCIAL POLICY: Demonstrate an awareness of the impact of social policy on practice. 1. Identify a social policy that impacts agency clients. 2. Discuss the history and rationale for this policy.

I. PROFESSIONAL CONTEXT: Function within the structure of organizations and service delivery systems. 1. Describe the history of the agency, or of a specific agency unit, and how its structure has evolved over time. 2. Identify the social service delivery systems of which the agency is a part. 3. Compare the formal and informal decision-making process within the agency. 4. Communicate effectively within the agency structure. J. PRACTICE: Apply the knowledge and skills of an integrated and contextualized social work perspective to practice with systems of all sizes. 1. Define the client by answering the question, "Whom do I serve within the context of the agency?". 2. Demonstrate an ability to use both micro and macro tasks on behalf of a single client system.

K. PROFESSIONAL BEHAVIOR: Demonstrate professional behavior in both community and agency setting. 1. Be open to learning. 2. Communicate responsibly and sensitively and with respect toward colleagues, field instructors, administrators, staff, and clients. 3. Demonstrate a willingness and an ability to listen to others. 4. Work effectively with others, regardless of level of authority. 5. Show appearance and demeanor that are appropriate to the roles and settings encountered during the educational experiences. 6. Be punctual and consistent in keeping appointments with clients, colleagues, staff and community contacts. 7. Be punctual and consistent with meeting deadlines and with documentation. 8. Advocate for him/herself in a constructive manner and first use established channels for conflict resolution. 9. Demonstrate personal responsibility and accountability for one's own time and actions in relation to his or her work. 10. Actively engage in supervision.

SUMMARY OF STUDENT ACHIEVEMENT Field Practicum I: Foundation I. Student s Strengths: II. Student s Limitations or Areas Identified for Additional Experience III. Student s Comments Grade Recommendation: Satisfactory Unsatisfactory Signature of Field Instructor Date Signature of Student Date Signature of Faculty Liaison Date Rev. 5/20/09