SUPERVISOR PBPA 7900-7901

School of Social Work

 
Instructions:


•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.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
7. PB 1.2:
Students analyze and interpret the history of the social work profession and its contemporary structures and challenges in the context of diversity and multidisciplinary settings.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
8. PB 1.3:
Students practice in-depth critical personal reflection to identify and understand strengths, limitations, biases, and challenges as part of their career-long learning, with continuous use of supervision and consultation.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
9. PB 1.4:
Students demonstrate professional leadership demeanor in behavior, appearance, and communication that are culturally appropriate in efforts to create change, evaluate and enhance the well-being and sustainability of systems of all sizes.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
10. PB 1.5:
Students develop and apply specific strategies to contribute to social entrepreneurship and to the knowledge-building and leadership of the profession.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
Apply social work ethical principles to guide professional practice
11. PB 2.1:
Students are motivated to acquire and practice within the standards of social work licenses and/or credentials.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
12. PB 2.2:
Students reconcile 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.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
13. PB 2.3
Students demonstrate advanced leadership skills and strategies of ethical reasoning in resolving ethical conflicts in the context of diversity and multidisciplinary settings.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
14. PB 2.4:
Students 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.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
Apply critical thinking to inform and communicate professional judgments
15. PB 3.1:
Students demonstrate building culturally sensitive professional relationships.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
16. PB 3.2:
Students demonstrate effective culturally sensitive oral and written communication skills.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
17. PB 3.3:
Students demonstrate advanced critical and creative thinking to find culturally competent solutions within social work practice.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
18. PB 3.4:
Students critically analyze, synthesize, and utilize multiple sources of local and global information and knowledge, including research, evidence, strength and community-based models.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
19. PB 3.5:
Students evaluate and select multidimensional assessment to identify and articulate the strengths and needs of clients from an intersectional perspective and implement appropriate intervention to client situations.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
Engage diversity and difference in practice
20. PB 4.1:
Students demonstrate advanced self-awareness particularly about their personal values, prejudices and biases, and power differential, and manage them appropriately to the best interest of diverse client systems.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
21. PB 4.2:
Students critically analyze and demonstrate how cultural and social structures affect the life experiences of clients in different contexts.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
22. PB 4.3:
Students integrate culturally sensitive/appropriate practices in the context of diverse and multidisciplinary settings.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
23. PB 4.4: Students recognize, affirm, and respect clients as experts of their own life experience, and collaborate with them to design and implement effective culturally sensitive practices.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
Advance human rights and social and economic justice
24. PB 5.1:
Students integrate 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.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
25. PB 5.2:
Students initiate appropriate culturally sensitive social action in collaboration with other professionals and communities to promote the human rights of marginalized populations.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
26. PB 5.3:
Students advocate for social justice and the inclusion of at-risk, marginalized, oppressed, discriminated individuals and groups of people.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
Engage in research-informed practice and practice informed research
27. PB 6.1:
Students apply culturally competent and ethical decisions in critically assessing, planning, conducting, and interpreting qualitative and/or quantitative data.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
28. PB 6.2:
Students engage in the generation of new knowledge, through research methodologies, including positivism, post-positivism, critical theory, constructivism, and evidence-based practice.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
29. PB 6.3:
Students apply culturally competent skills in assessing their own practice.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
30. PB 6.4:
Students integrate policy analysis, evidence, strength and community based models to appropriately apply synthesized knowledge in social work practice.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
Apply knowledge of human behavior and the social environment
31. PB 7.1:
Students critically synthesize and apply 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.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
32. PB 7.2:
Students apply culturally sensitive bio-psycho-social-spiritual theories in the formulation of comprehensive assessments and treatments in collaboration with other professionals.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
Engage in policy practice to advance social and economic well-being and to deliver effective social work services.
33. PB 8.1:
Students critically analyze social welfare history and current forms of social welfare and social service policies.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
34. PB 8.2:
Students apply policy analysis to formulate culturally appropriate strategies that advance social and economic well-being.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
35. PB 8.3:
Students demonstrate policy practice skills in regard to economic, political, and organizational systems, and use them to influence, formulate, and advocate for and with diverse client systems.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
36. PB 8.4:
Students initiate and collaborate with social workers, other professionals, diverse clients and community to advocate for social and economic well-being to influence policy change.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
Respond to contexts that shape practice
37. PB 9.1:
Students apply research and evidence-based skills to access information on changing social/cultural/economic/political contexts, innovations and global trends that affect diverse populations.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
38. PB 9.2:
Students apply culturally sensitive research skills to assess the quality of client’s multi-dimensional interactions with their social/cultural/economic/political contexts.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
39. PB 9.3:
Students develop strength-based strategies to utilize scientific and technological advancement to provide relevant and effective services to diverse client systems of all sizes.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
40. PB 9.4:
Students provide culturally competent entrepreneurial and leadership in developing intervention plans to accomplish systemic change that is sustainable to improve quality of service delivery.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
41. PB 9.5:
Students critically analyze local and global contexts of social work practice.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
Engage, assess, intervene, and evaluate with individuals, families, groups, organizations, and communities.
42. PB 10.1: Engagement
Students demonstrate and initiate partnerships with and among clients, constituents, organizations and communities that are based on culturally appropriate participation, empowerment, collaboration and leadership.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
43. PB 10.2: Assessment
Students built on clients' strengths and analyze assessment data to develop agreed-upon culturally sensitive intervention strategies and outcomes.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
44. PB 10.3: Intervention
Students demonstrate collaborative action with client systems, communities and/or organizations in developing culturally appropriate mechanisms and strategies in preventing and resolving problems.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
45. PB 10.4: Evaluation
Students utilize in depth evaluation tools to critically analyze, monitor, evaluate and document intervention outcomes and effectiveness to ensure culturally appropriate sustained changes.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
46. PB 10.5: Termination and Follow-up
Students design culturally appropriate termination and follow-up strategies and mechanisms.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
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.