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 advocate ensuring people's access to services of social work in the context of diverse and multidisciplinary settings.

7. PB 1.2:
Students practice in-depth critical personal reflection and self-correction to identify and understand strengths, limitations, biases, and challenges as part of their career-long learning, with continuous use of supervision and consultation.

8. PB 1.3:
Students practice professional roles and boundaries as it relates to cultural competent practice and systems of all sizes

9. PB 1.4:
Students demonstrate professional leadership demeanor 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.

10. PB 1.5:
Students develop and demonstrate through career-long learning specific strategies to contribute to social entrepreneurship and to the knowledge-building and leadership of the profession.

11. PB 1.6:
Students continuously seek out and using supervision and consultation as they engage with cultural competent practice.

Apply social work ethical principles to guide professional practice

12. PB 2.1:
Students reconcile, integrate and manage their personal and professional social work values into a refined culturally competent ethical worldview that promote personal integrity and advance the quality of their practice to systems of all sizes.

13. PB 2.2:
Students make ethical decisions and resolve ethical conflicts 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 demonstrate tolerance toward ambiguity in resolving ethical conflicts as they apply it to cultural competent practice.

15. PB 2.4:
Students demonstrate advanced leadership skills and strategies of ethical reasoning in resolving ethical conflicts in the context of diversity and multidisciplinary settings and intersectionality.

Apply critical thinking to inform and communicate professional judgments

16. PB 3.1:
Students distinguish, appraise and integrate multiple sources of knowledge, including research-based knowledge, practice wisdom and different ways of knowing related to systems of all sizes from a cultural competent perspective.

17. PB 3.2:
Students analyze and use models of assessment, prevention, and evaluation with systems of all sizes within a frame work of cultural competent practice.

18. PB 3.3:
Students demonstrate effective culturally sensitive oral and written communication skills with diverse populations and systems of all sizes.

Engage diversity and difference in practice

19. PB 4.1:
Students recognize, critically analyze and demonstrate how cultural and social structures affect the life experiences of clients in different contexts.

20. PB 4.2:
Students demonstrate advanced self-awareness skills to eliminate personal values, prejudices and biases, and power differential, and manage them appropriately to the best interest of diverse client systems.

21. PB 4.3:
Students integrate and communicate their understanding of the influences of differences as it shapes people’s life experiences within the context of diverse multidisciplinary and intersectional settings.

22. PB 4.4: Students view themselves as life-long learners to recognize, affirm, and respect clients as experts of their own life experience, and collaborate with them to design and implement effective culturally sensitive practices.

Advance human rights and social and economic justice

23. PB 5.1:
Students integrate and apply social and economic justice content grounded in an understanding of humanity, human and civil rights, and the global interconnections of oppression within the context of intersectionality.

24. PB 5.2:
Students take leadership in advocating for human rights, social and economic justice and the inclusion of at-risk, marginalized, oppressed, discriminated populations of all sizes.

25. PB 5.3:
Students initiate appropriate culturally sensitive social action in collaboration with other professionals and communities to advance human rights of marginalized populations.

Engage in research-informed practice and practice informed research

26. PB 6.1:
Students use culturally competent and ethical practice experiences to inform scientific inquiry with systems of all sizes.

27. PB 6.2:
Students conduct research and contribute to new knowledge, through diverse and culturally appropriate research methodologies to inform practice with systems of all sizes.

Apply knowledge of human behavior and the social environment

28. PB 7.1:
Students critically synthesize and apply conceptual frameworks such as eco-system perspective and other human behavior and social environment theories to guide assessment, intervention, and evaluation to diverse populations and their interactions with social/cultural/ political/economic environment or systems.

29. PB 7.2:
Students apply appropriate cultural 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 apply policy analysis to formulate culturally appropriate strategies that advance social well-being.

31. PB 8.2:
Students provide leadership in collaboration with social workers, other professionals, diverse client systems to advocate and influence culturally appropriate policy change and action.

Respond to contexts that shape practice

32. PB 9.1:
Students continuously discover, appraise and attend to changing global/local, social/cultural/economic/political contexts, to provide culturally sensitive and appropriate social services to systems of all sizes.

33. PB 9.2:
Students apply culturally competent strategies to utilize scientific and technological advancement to provide relevant and effective social services to diverse client systems of all sizes.

34. PB 9.3:
Students provide culturally competent entrepreneurial and leadership in developing intervention plans to accomplish systemic change that is sustainable to improve quality of service delivery.

35. PB 9.5:
Students critically analyze local and global contexts of social work practice.

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

36. PB 2.1.10.a: Engagement
a) Students substantive, and effectively demonstrate culturally competent engagement with individuals, families, groups, organizations, and communities

37. b) Students substantively and effectively demonstrate empathy and other interpersonal skills

38. c) Involve the client (all system sizes) as partners in goal-setting, focus of work, and desired outcomes

39. PB 2.1.10.b: Assessment
a) Students collect, organize, and interpret client data at a multidimensional level

40. b) Assess client strengths and limitations at a multidimensional level

41. b) Assess client strengths and limitations at a multidimensional level

42. c) Develop culturally appropriate intervention goals and competencies

43. d) Select culturally appropriate intervention strategies

44. PB 2.1.10.c: Intervention
a) Initiate action to achieve clients of all sizes and/or organizational goals and resolve problems at a multidimensional, culturally competent manner

45. b) Implement prevention interventions that enhances client capacities of all sizes at a multidimensional, culturally competent manner

46. c) Help and empower client systems of all sizes to resolve problems at a multidimensional, culturally competent manner

47. d) Negotiate, mediate, and advocate for client systems of all sizes at a multidimensional, culturally competent manner

48. e) Facilitate transitions and endings with a client systems at a multidimensional, culturally competent manner

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

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

Section B:

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

52. 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.