SUPERVISOR PBPA 6900-6901

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 participate in social work advocacy practice to ensure people's access to services.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
7. PB 1.2:
Students are knowledgeable about the history of social work profession, and are committed to promote the profession.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
8. PB 1.3:
Students engage in beginning level personal reflection to identify their professional strengths, limitations, biases, and challenges as part of continual professional development, including consistent and continuous use of supervision and consultation.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
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.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
10. PB 1.5:
Students gain awareness of the contributions that social workers make 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 recognize the significance of adhering to the standards of the National Association of Social Workers Code of Ethics and the professional values to guide practice.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
12. PB 2.2:
Students develop and manage their personal and professional social work values into an ethical worldview that promote personal integrity and guide their practice.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
13. PB 2.3
Students begin to demonstrate tolerance toward ambiguity in resolving ethical conflicts.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
14. PB 2.4:
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.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
15. PB 2.5
Students utilize consultation appropriately in ethical decision making.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
Apply critical thinking to inform and communicate professional judgments.
16. PB 3.1:
Students begin to understand models of assessment, prevention, and evaluation.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
17. PB 3.2:
Students recognize the significant of different ways of knowing, integrating multiple source of knowledge.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
18. PB 3.3:
Students begin to demonstrate effective oral and written communication in working with individuals, families, groups, organizations, communities, and colleagues.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
Engage diversity and difference in practice
19. PB 4.1:
Students begin to demonstrate self-awareness particularly about their personal values, prejudices and biases, and power differential.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
20. PB 4.2:
Students recognize and describe how cultural and social structures affect the life experiences of clients in different contexts.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
21. PB 4.3:
Students gain awareness of cultural competence, reflecting respect for diversity as a value that shapes practice with diverse populations.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
22. PB 4.4: Students recognize the extent to which institutions may marginalize, oppress, and discriminate against certain populations.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
Advance human rights and social and economic justice.
23. PB 5.1: Students recognize intersectionality of various political and socio-economic factors that affect civil and human rights at local, national and global levels.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
24. PB 5.2:
Students understand various forms and mechanisms of oppression and discrimination at multiple levels.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
25. PB 5.3:
Students commit to promoting the civil and human rights of marginalized populations, such as the rights of indigenous people.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
26. PB 5.4:
Students recognize and engage in practicing social justice within diverse settings.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
Engage in research-informed practice and practice informed research.
27. PB 6.1:
Students distinguish, appraise, and integrate multiple sources of knowledge, include research-based knowledge and practice wisdom.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
28. PB 6.2:
Students recognize the significance of assessing their own practice through the process of evidence-based practice in assessment and intervention.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
29. PB 6.3:
Students gain beginning understanding of the significance of policy analysis, evidence, strength and community based models in social work research and social work practice.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
Apply knowledge of human behavior and the social environment.
30. PB 7.1:
Students understand the generalist social work model and eco-system perspective to diverse populations and their interactions with social/cultural/ political/economic environment or systems.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
31. PB 7.2:
Students critique and apply human behavior and social environment theories to guide assessment, intervention and evaluation at multiple system levels.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
32. PB 7.3:
Students develop an understanding of bio-psycho-social-spiritual theories in the formulation of comprehensive assessments and treatment with supervision and consultation.
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 understand the 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 understand culturally appropriate strategies that advance social and economic well-being.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
35. PB 8.3
Students understand the outcomes of policy analysis relevant to social service delivery.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
36. PB 8.4:
Students collaborate with social workers, other professionals, clients and communities to advocate for and influence policy changes to create social and economic well-being.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
Respond to contexts that shape practice.
37. PB 9.1:
Students acquire evidence-based 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 assess the quality of clients’ interactions within their social 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 client systems of all sizes.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
40. PB 9.4:
Students work collaborative with others to effect systemic change that is sustainable to improve quality of service delivery.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
41. PB 9.5:
Students recognize and develop understanding of 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 develop partnerships with and among clients, constituents, organizations and communities that are based on empowerment, collaboration and leadership.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
43. PB 10.2: Assessment
Students recognize 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 collaborate with client systems, communities and/or organizations to develop culturally appropriate mechanisms and strategies in preventing and resolving problems.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
45. PB 10.4: Evaluation
Students begin to utilize evaluation tools to critically analyze, monitor, evaluate and document intervention outcomes and effectiveness.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
46. PB 10.5: Termination and Follow-up
Students recognize and understand 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.