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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.

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1. Supervisor information

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2. Student Information

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

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

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5. Agency Name

Section A:
Competency 1: Students demonstrate ethical and professional behavior

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6. PB 1.1:
Students make ethical decisions by applying the standards of the NASW Code of Ethics, relevant laws and regulations, models for ethical decision-making, ethical conduct of research, and additional codes of ethics as appropriate to context. 

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7. PB 1.2:
Students use reflection and self-regulation to manage personal values and maintain professionalism in practice situations. 

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8. PB 1.3:
Students demonstrate professional demeanor in behavior; appearance; and oral, written, and electronic communication. 

Apply social work ethical principles to guide professional practice

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9. PB 1.4:
Students use technology ethically and appropriately to facilitate practice outcomes. 

Competency 2: Students engage diversity and difference in practice. 

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10. PB 2.1:
Students apply and communicate understanding of the importance of diversity and difference in shaping life experiences in practice at the micro, mezzo, and macro levels. 

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11. PB 1.5:
Students use supervision and consultation to guide professional judgment and behavior.

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12. PB 2.2:
Students present themselves as learners and engage clients and constituencies as experts of their own experiences. 

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13. PB 2.3
Students apply self-awareness and self-regulation to manage the influence of personal biases and values in working with diverse clients and constituencies.

Competency 3: Students advance human rights and social, economic, and environmental justice. 

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14. PB 3.1:
Students apply their understanding of social, economic, and environmental justice to advocate for human rights at the individual and system levels. 

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15. PB 3.2:
Students engage in practices that advance social, economic, and environmental justice.

Competency 4: Students engage in practice-informed research and research-informed practice. 

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16. PB 4.1: Students use practice experience and theory to inform scientific inquiry and research. 

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17. PB 4.2:
Students apply critical thinking to engage in analysis of quantitative and qualitative research methods and research findings. 

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18. PB 4.3:
Students use and translate research evidence to inform and improve practice, policy, and service delivery.

Competency 5: Students engage in policy practice. 

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19. PB 5.1:
Students identify social policy at the local, state, and federal level that impacts well-being, service delivery, and access to social services. 

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20. PB 5.2:
Students assess how social welfare and economic policies impact the delivery of and access to social services. 

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21. PB 5.3:
Students apply critical thinking to analyze, formulate, and advocate for policies that advance human rights and social, economic, and environmental justice.

Competency 6: Students engage with individuals, families, groups, organizations, and communities. 

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22. PB 6.1:
Students apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies. 

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23. PB 6.2:
Students use empathy, reflection, and interpersonal skills to effectively engage diverse clients and constituencies.

Competency 7: Students assess individuals, families, group, organizations, and communities. 

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24. PB 7.1:
Students collect and organize data, and apply critical thinking to interpret information from clients and constituencies.

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25. PB 7.2:
Students apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies. 

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26. PB 7.3:
Students develop mutually agreed-on intervention goals and objectives based on the critical assessment of strengths, needs, and challenges within clients and constituencies. 

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27. PB 7.4:
Students select appropriate intervention strategies based on the assessment, research knowledge, and values and preferences of clients and constituencies.

Competency 8: Students intervene with individuals, families, groups, organizations, and communities. 

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28. PB 8.1:
Students critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies. 

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29. PB 8.2:
Students apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in interventions with clients and constituencies. 

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30. PB 8.3:
Students use inter-professional collaboration as appropriate to achieve beneficial practice outcomes. 

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31. PB 8.4:
Students negotiate, mediate, and advocate with and on behalf of diverse clients and constituencies. 

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32. PB 8.5:  
Students facilitate effective transitions and endings that advance mutually agreed-on goals.

Competency 9: Students evaluate individuals, families, groups, organizations, and communities. 

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33. PB 9.1:
Students select and use appropriate methods for evaluation of outcomes. 

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34. PB 9.2:
Students apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the evaluation of outcomes. 

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35. PB 9.3:
Students critically analyze, monitor, and evaluate intervention and program processes and outcomes. 

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36. PB 9.4: 
Students apply evaluation findings to improve practice effectiveness at the micro, mezzo, and macro levels.

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

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

Section B:

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

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

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40. Final Grade (Supervisor only)

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41. 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.

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