School of Social Work


•Supervisors: Use the learning agreement outcomes as a basis for assessing the student’s accomplishments of the Practice Behaviors below.

•Each student and supervisor has to complete the PBPA form at the end of each semester of practicum.

•PBPA measurement clarification:
0 = not observed
1 = not at all
2 = somewhat
3= often
4 = most of the time
5= always

Comments are optional.

1. Supervisor Information

2. Student Information

3. Please fill out the HPU course and term associated with this assessment.

4. Today's Date (mm/dd/year)

5. Agency Name

Competency 1: Student demonstrates ethical and professional behavior. 

6. PB 1.1:
Students practice ethical decision making to resolve complex ethical dilemmas using consultation and supervision as needed. 

7. PB 1.2:
Students differentiate and manage boundaries and multiple roles at multiple system levels. 

8. PB 1.3:
Students demonstrate professional leadership in behavior, appearance, and communication that is culturally appropriate in efforts to create change, evaluate and enhance the well-being and sustainability of systems of all sizes. 

9. PB 1.4:
Students demonstrate independence and accountability as appropriate for an advanced generalist social worker.

Competency 2: Student engages diversity and difference in practice. 

10. PB 2.1:
Students demonstrate culturally responsive social work practice appropriate to the practice context. 

11. PB 2.2:
Students engage in on-going self-reflective practice to address strengths and challenges related to working with diverse groups.

Competency 3: Student advances human rights and social, economic, and environmental justice. 

12. PB 3.1:
Students identify effects of oppression and marginalization on diverse populations. 

13. PB 3.2:
Students initiate appropriate culturally sensitive social action to advance human rights of marginalized populations. 

14. PB 3.3:
Students advocate for human rights, social, economic, and environmental justice, and the inclusion of at-risk, marginalized, oppressed, discriminated populations of all sizes.

Competency 4: Student engages in practice-informed research and research-informed practice. 

15. PB 4.1:
Students use culturally competent practice experiences and theory to inform scientific inquiry. 

16. PB 4.2:
Students design and conduct culturally appropriate research to inform practice with systems of all sizes. 

17. PB 4.3:
Students generate research evidence to inform and improve practice, policy, and service delivery.

Competency 5: Student engages in policy practice. 

18. PB 5.1:
Students evaluate social policies with regard to the role of policy in service delivery, the role of practice in policy development, and the impact of social policy on the well-being of vulnerable populations.

19. PB 5.2:
Students apply policy analysis to formulate culturally appropriate strategies that advance social well-being by focusing on developing and changing social policies that impact social services and the delivery of those services to vulnerable populations.

Competency 6: Student engages with individuals, families, groups, organizations, and communities. 

20. PB 6.1:
Students demonstrate engagement with clients and constituencies utilizing culturally competent theoretical frameworks. 

21. PB 6.2:
Students demonstrate empathy skills based upon clients’ and constituencies’ diverse contexts and situations.

Competency 7: Student assesses individuals, families, groups, organizations, and communities. 

22. PB 7.1:
Students formulate comprehensive assessments of the client system appropriate to the cultural context. 

23. PB 7.2:
Students integrate clients/constituencies’ specific context and situation with knowledge of human behavior and person in environment to analyze assessment data. 

24. PB 7.3:
Students develop culturally appropriate goals and competencies that incorporate clients’/constituencies’ strengths and challenges at an ecosystemic level. 

25. PB 7.4:
Students selects culturally appropriate intervention strategies based on continuous multidimensional assessment.

Competency 8: Student intervenes with individuals, families, groups, organizations, and communities. 

26. PB 8.1:
Students demonstrate the differential application of evidence-based, theoretically grounded, and culturally responsive methods of intervention. 

27. PB 8.2:
Students engage in multidisciplinary collaborative practice. 

28. PB 8.3:
Students differentially select and implement advanced practice skills in a multidimensional, culturally competent manner. 

29. PB 8.4:
Students facilitate transitions and endings with a client system(s) at a multidimensional, culturally competent manner that advances mutually agreed-on goals.

Competency 9: Student evaluates individuals, families, groups, organizations and communities. 

30. PB 9.1:
Students evaluate interventions with client systems using approaches that are evidence-based, theoretically grounded, and culturally responsive. 

31. PB 9.2:
Students demonstrate use of evaluation to inform and improve practice.

Engage, assess, intervene, and evaluate with individuals, families, groups, organizations, and communities.

32. Additional Comments from the Supervisor (limit 500 characters):

Section B:

33. Overall assessment of student's competencies. 
I/ student have/has attained the overall competency/practice behaviors in the range of:

34. Overall comments and additional information (500 character max):

35. Final Grade (Supervisor only)

36. You agree that you have answered the questions on this assessment honestly and to the best of your ability. If you agree, please type your name below. By typing your name in the signature field, you are signing this Assessment electronically.