StudentSelf-Rating Scale for Evaluation of Learning: Clinical Practice Concentration

(to be completed at the end of the 2nd semester)

Name of Student ______Date ______

Instructions for Self-Rating

The 10 competencies specified in this evaluation form are those established by our national accrediting organization, the Council on Social Work Education. Under each competency statement, the Practice Behaviors that define the Clinical Practice Concentration are listed.Please rate yourself according to the scale below. Indicate your response by circling only one number to the right of each practice behavior. A rating of 3 is equivalent to adequate competency for a beginning MSW practitioner. In addition, if you would like to, you may add comments under any of the competency statements.

1=Very Low Level of Competence

2=Low Level of Competence

3=Adequate Level of Competence

4=High Level of Competence

5=Very High Level of Competence

NA= Not applicable; no opportunity to demonstrate practice behavior

Competency #1: Student identifies as a professional social worker and conducts
himself/herself accordingly.
1 / Identify opportunities for social work involvement in the enhancement and maintenance of psychosocial functioning / 1 / 2 / 3 / 4 / 5 / NA
1.2 / Maintain professional boundaries, roles, and demeanor in clinical social work practice settings / 1 / 2 / 3 / 4 / 5 / NA
1.3 / Utilize professional resources, i.e. supervision, self-reflection, and self-developed learning plans to improve professional clinical social work practice / 1 / 2 / 3 / 4 / 5 / NA

Comments:

Competency #2: Student applies social work ethical principles to guide his or her professional practice.

2.1 / Apply ethical decision-making skills and frameworks to issues specific to clinical social work practice. / 1 / 2 / 3 / 4 / 5 / NA

Comments:

Competency #3: Student applies critical thinking to inform and communicate professional judgments.

3.1 / Apply problem-solving techniques based on informed discernment within clinical social work practice / 1 / 2 / 3 / 4 / 5 / NA
3.2 / Communicate effectively with a variety of stakeholders (i.e., diverse clientele and multi-disciplinary colleagues) / 1 / 2 / 3 / 4 / 5 / NA

Comments:

Competency #4: Student engages diversity and difference in practice.

4.1 / Identify and apply appropriate clinical social work models with diverse client populations for engagement, assessment, intervention, and evaluation / 1 / 2 / 3 / 4 / 5 / NA

Comments:

Competency #5: Student advances human rights and social and economic justice.

5.1 / Advocate on behalf of people to secure basic human rights, including the availability and accessibility of psychosocial services / 1 / 2 / 3 / 4 / 5 / NA
5.2 / Inform and empower people to advocate on their own behalf for their basic human rights, including the availability and accessibility of biopsychosocial and/or entitlement. / 1 / 2 / 3 / 4 / 5 / NA

Comments:

Competency #6: Student engages in research-informed practice and practice-informed research.

6.1 / Identify, select, and evaluate strategies for maintaining and enhancing psychosocial functioning / 1 / 2 / 3 / 4 / 5 / NA
6.2 / Work collaboratively with agency personnel or faculty member to assess and improve intervention effectiveness / 1 / 2 / 3 / 4 / 5 / NA

Comments:

Competency #7: Student applies knowledge of human behavior and the social environment.

7.1 / Relate theories, models, and evidence-based knowledge to the maintenance and enhancement of people’s psychosocial functioning / 1 / 2 / 3 / 4 / 5 / NA

Comments:

Competency #8: Student engages in policy practice to advance social and economic well-being and to deliver effective social work services.

8.1 / Apply policy practice skills, including education and advocacy to work with clients / 1 / 2 / 3 / 4 / 5 / NA

Comments:

Competency #9: Student responds to contexts that shape practice.

9.1 / Adapt clinical social work practices in response to contextual events and advances in knowledge / 1 / 2 / 3 / 4 / 5 / NA

Comments:

Competency #10: Student engages, assesses, intervenes and evaluates with individuals, families, groups, organizations, and communities.

10.1 / Utilize interpersonal and contracting skills to engage members of diverse groups in interventions aimed toward increased psychosocial functioning / 1 / 2 / 3 / 4 / 5 / NA
10.2 / Conduct a comprehensive biopsychosocial assessment of a client in the context of the clinical practice environment / 1 / 2 / 3 / 4 / 5 / NA
10.3 / Use empathy and sensitive interviewing skills to facilitate clients’ identification of their strengths and problems / 1 / 2 / 3 / 4 / 5 / NA
10.4 / Accurately assess bispsychosocial needs and/or diagnose psychopathology using relevant assessment / 1 / 2 / 3 / 4 / 5 / NA
10.5 / Create an appropriate and mutually agreed upon treatment plan aimed at improving psychosocial needs identified through assessment / 1 / 2 / 3 / 4 / 5 / NA
10.6 / Select and apply strategies aimed toward effective prevention of psychosocial dysfunction adapting them for relevance to target populations / 1 / 2 / 3 / 4 / 5 / NA
10.7 / Select and apply effective clinical social work interventions to improve clients’ psychosocial functioning / 1 / 2 / 3 / 4 / 5 / NA
10.8 / Apply practice evaluation methods to assess biopsychosocial intervention effectiveness / 1 / 2 / 3 / 4 / 5 / NA
10.9 / Communicate and disseminate practice evaluation results to clients, supervisors, administrators and/or in the classroom setting / 1 / 2 / 3 / 4 / 5 / NA

Comments: