Exit this survey

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.

Question Title

1. Supervisor information

Question Title

2. Student Information

Question Title

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

Question Title

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

Question Title

5. Agency Name

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

Question Title

6. PB 1.1:
Students advocate ensuring people's access to services of social work in the context of diverse and multidisciplinary settings.

Question Title

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.

Question Title

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

Question Title

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.

Question Title

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.

Question Title

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

Question Title

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.

Question Title

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.

Question Title

14. PB 2.3
Students demonstrate tolerance toward ambiguity in resolving ethical conflicts as they apply it to cultural competent practice.

Question Title

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

Question Title

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.

Question Title

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.

Question Title

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

Question Title

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

Question Title

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.

Question Title

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.

Question Title

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

Question Title

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.

Question Title

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.

Question Title

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

Question Title

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

Question Title

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

Question Title

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.

Question Title

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.

Question Title

30. PB 8.1:
Students apply policy analysis to formulate culturally appropriate strategies that advance social well-being.

Question Title

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

Question Title

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.

Question Title

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.

Question Title

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.

Question Title

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.

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

42. c) Develop culturally appropriate intervention goals and competencies

Question Title

43. d) Select culturally appropriate intervention strategies

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Section B:

Question Title

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

Question Title

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.

( Privacy & Cookie Notice

T