SUPERVISOR PBPA 4900-4910

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:
Competency 1: Professional Identity
Student identifies as a professional social worker and conducts oneself accordingly.
6. PB 1.1: Student demonstrates a commitment to continue to enhance professional skills and knowledge to work effectively with client systems of all sizes.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
7. PB 1.2: Student demonstrates professional demeanor that reflects awareness of and respect for client systems.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
8. PB 1.3: Student practices self-reflection and self-correction as tools for enhancing their professional competence.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
9. PB 1.4: Students adhere to professional roles and responsibilities.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
10. PB 1.5: Students understand and apply supervision and consultation as part of their learning process.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
11. PB 1.6: Student advocates for client access to the services of social work.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
Competency 2: Values and Ethics
Student applies social work ethical principles to guide professional practice.
12. PB 2.1: Student aspires to acquire and practice within the standards of social work licenses and/or credentials.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
13. PB 2.2: Student is aware of personal values and manages it in a way that allows professional values to guide practice.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
14. PB 2.3: Student makes ethical decisions and resolves ethical conflicts in practice by critically applying the NASW Code of Ethics and, as applicable, standards of the IFSW.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
Competency 3: Critical Thinking
Student applies critical thinking to inform and communicate professional judgments.
15. PB 3.1: Student assesses and integrates multiple sources of information, including research-based knowledge, in professional practice.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
16. PB 3.2: Student develops an ability to critically analyze and apply models of assessment, prevention, intervention, and evaluation.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
17. PB 3.3: Student demonstrates effective oral and written communication, and builds productive relationships with client systems using established professional standards and practices.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
Competency 4: Diversity
Student engages diversity and difference in practice.
18. PB 4.1: Student demonstrates self-awareness and reflection skills focusing on eliminating the influence of personal bias in working with differences.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
19. PB 4.2: Student recognizes cultural practices, beliefs and values as factors that may oppress, marginalize, alienate, or, conversely enhance privilege and power.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
20. PB 4.3: Student demonstrates professional competence that reflects awareness of and respect for diversity as a value that shapes practice with diverse populations.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
21. PB 4.4: Student recognizes clients as experts of their own life experiences, and collaborates with them to effectively implement culturally appropriate practices.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
Competency 5: Human Rights and Social/Economic Justice
Student advances human rights and social and economic justice.
22. PB 5.1: Student describes the forms and mechanisms of oppression and discrimination.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
23. PB 5.2: Student acquires theoretical knowledge of socio-economic justice to promote human rights of marginalized populations including indigenous people.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
24. PB 5.3: Student incorporates practices which advance social and economic justice in organizations, institutions and society.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
Competency 6: Research/EBP
Student engages in research-informed practice and practice informed research.
25. PB 6.1: Student locates, evaluates and critically analyzes current research literature in their areas of interest.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
26. PB 6.2: Student critically understands beginning level of policy analysis, evidence-based and research-informed practices in systems of all sizes.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
Competency 7: Human Behavior and the Social Environment

Student applies knowledge of human behavior and the social environment.
27. PB 7.1: Student is knowledgeable about the social and cultural systems in which people live and the ways in which those systems facilitate or hinder them in maintaining or achieving well-being.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
28. PB 7.2: Student applies the social work generalist model to understand and critically analyze the client system and their interactions with socio-economic environment.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
Competency 8: Policy
Student engages in policy practice to advance social and economic well-being and to deliver effective social work services.
29. PB 8.1: Student demonstrates understanding of the policy context of practice.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
30. PB 8.2: Student collaborates with stakeholders to effect appropriate policy action from analysis to advocacy.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
Competency 9: Contexts
Student responds to contexts that shape practice
31. PB 9.1: Students demonstrates skills to access current information about changing socio-economic and political contexts, innovations and changing trends to provide relevant services.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
32. PB 9.2: Students practice beginning level leadership skills to promote sustainable change to improve quality of service delivery.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
33. PB 9.3: Students practice beginning level leadership skills to promote sustainable change to improve quality of service delivery.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
Competency 10: Generalist Social Work Practice
Student engages, assesses, intervenes, and evaluates with individuals, families, groups, organizations, and communities.
34. PB 10.1 Student substantively and effectively prepares for engagement with systems of all sizes.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
35. PB 10.2: Student uses empathy and other interpersonal skills.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
36. PB 10.3: Student involves clients in goal-setting, focus of work, and desired outcomes.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
37. PB10.4: Student collects, organizes, and interprets client data.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
38. PB 10.5: Student assesses client strengths and limitations.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
39. PB 10.6: Student develops intervention goals.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
40. PB 10.7: Student selects appropriate intervention strategies.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
41. PB 10.8: Student initiates action to achieve system goals and resolution of problems.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
42. PB 10.9: Student implements prevention strategies that enhance client capacities.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
43. PB 10.10: Student applies needed social work roles to the intervention process.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
44. PB 10.11: Student facilitates transitions and endings with attention to follow-up.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
45. PB 10.12: Student critically analyzes, monitors, and evaluates interventions.
Not at allSomewhatOftenMost of the timeAlwaysNot observed
46. Additional Comments from the Supervisor (limit 500 characters):
Section B:
47. 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:
48. Overall comments and additional information (500 character max):
49. Final Grade (Supervisor only)
50. 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.