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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

Section A:
Identify as a professional social worker and conduct oneself accordingly

6. PB 1.1:
Students participate in social work advocacy practice to ensure people's access to services.

7. PB 1.2:
Students engage in beginning level personal reflection and self-correction to identify their professional strengths, limitations, biases, and challenges as part of continual professional development.

8. PB 1.3:
Students attend to professional roles and boundaries with systems of all sizes

9. PB 1.4:
Students identify as social work professionals and demonstrate professional demeanor in behavior, appearance, and communication in efforts to develop, manage, and maintain collaborative relationships with clients and professionals of other disciplines.

10. PB 1.5:
Students engage in career-long learning.

11. PB 1.6:
Engage in consistent and continuous use of supervision and consultation.

Apply social work ethical principles to guide professional practice

12. PB 2.1:
Students recognize, develop and manage their personal and professional social work values to guide their practice.

13. PB 2.2:
Students make ethical decisions in practice and research by critically applying ethical standards including, but not limited to, the NASW Code of Ethics and, as applicable, of the IFSW.

14. PB 2.3
Students begin to demonstrate tolerance toward ambiguity in resolving ethical conflicts.

15. PB 2.4:
Students understand and apply strategies of ethical reasoning to arrive at principled decisions.

Apply critical thinking to inform and communicate professional judgments.

16. PB 3.1:
Students distinguish, appraise and begin to integrate multiple sources of knowledge, including research-based knowledge, practice wisdom and different ways of knowing.

17. PB 3.2:
Students begin to understand and analyze models of assessment, prevention, and evaluation with systems of all sizes.

18. PB 3.3:
Students begin to demonstrate effective oral and written communication in working with individuals, families, groups, organizations, communities, and colleagues.

Engage diversity and difference in practice

19. PB 4.1: Students recognize the extent to which a culture’s structures and values may marginalize, oppress, alienate and discriminate or create or enhance privilege and power against certain populations.

20. PB 4.2:
Students gain sufficient self-awareness to eliminate the influence of personal biases and values, reflecting respect for diversity as a value that shapes practice with diverse populations.

21. PB 4.3:
Students recognize, describe and communicate their understanding of the importance of how difference shape and affect the life experiences of clients in different contexts.

22. PB 4.4:
Students begin to view themselves as life-long learners and recognize and affirm clients as the experts of their own lives.

Advance human rights and social and economic justice.

23. PB 5.1:
Students understand various forms and mechanisms of oppression and discrimination at multiple levels with systems of all sizes.

24. PB 5.2:
Students participate and advocate for human rights and social and economic justice.

25. PB 5.3:
Students recognize and engage in practicing the advancement of social and economic justice within diverse settings and systems of all sizes.

Engage in research-informed practice and practice informed research.

26. PB 6.1:
Students use beginning practice experience to inform scientific inquiry with systems of all sizes.

27. PB 6.2:
Students utilize beginning level research evidence to inform practice.

Apply knowledge of human behavior and the social environment.

28. PB 7.1:
Students understand and begin to utilize conceptual frameworks including the generalist social work model and eco-system perspective with diverse populations to guide the processes of assessment, intervention, and evaluation.

29. PB 7.2:
Students critique and apply human behavior and social environment knowledge to systems of all sizes.

Engage in policy practice to advance social and economic well-being and to deliver effective social work services.

30. PB 8.1:
Students understand, analyze, formulate and advocate for culturally appropriate strategies to enhance social and economic well-being.

31. PB 8.2:
Students collaborate with social workers, other professionals, clients and communities to advocate for and influence policy changes and action.

Respond to contexts that shape practice.

32. PB 9.1:
Students continuously discover, appraise and attend to changing social/cultural/economic/political contexts, changing scientific and technological innovations and emerging global/local trends to provide relevant services to systems of all sizes.

33. PB 9.2:
Students provide beginning leadership in collaborative with others to promote systemic change that is sustainable to improve quality of social services and service delivery.

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

34. PB 2.1.10.a: Engagement
a) Students substantively and effectively prepare for engagement with individuals, families, groups, organizations, and communities

35. b) Students substantively and effectively prepare empathy and other interpersonal skills

36. c) Develop a mutually agreed-on focus on work and desired outcomes

37. PB 2.1.10.b: Assessment
a) Students collect, organize, and interpret client data

38. b) Students assess client strengths and limitations

39. c) Students develop intervention goals and competencies

40. d) Students select appropriate intervention strategies

41. PB 2.1.10.c: Intervention
a) Students initiate action to achieve clients of all sizes and/or organizational goals

42. b) Implement prevention interventions that enhances client capacities of all sizes

43. c) Help client systems of all sizes to resolve problems

44. d) Negotiate, mediate, and advocate for client systems of all sizes

45. e) Facilitate transitions and endings with a client systems

46. PB 2.1.10.d: Evaluation
a) Students begin to utilize evaluation tools to critically analyze, monitor, evaluate and document intervention outcomes and effectiveness.

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

Section B:

48. Overall assessment of student's competencies. The overall assessment is based on Section A.
I/ student have/has attained the overall competency/practice behaviors in the range of:

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

50. Final Grade (Supervisor only)

51. 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.