Murray State University s8

Social Work Program

FIELD PLACEMENT MANUAL

Department of Social Work, Criminal Justice, & Gerontology 31

SOCIAL WORK PROGRAM

Murray State University established a social work program in 1975 to prepare students for beginning professional generalist social work practice. The social work program has been accredited by the Council on Social Work Education since 1975. Graduates are awarded a Bachelor of Social Work (B.S.W.) degree. The program, housed in the Department of Social Work, Criminal Justice & Gerontology, is delivered to Murray State social work students at both the main campus in Murray and to satellite campuses in Paducah, Hopkinsville, Madisonville, & Henderson, KY. The Murray State Social Work program curriculum can be found on the program website http://www.murraystate.edu/academics/hshs/SWKCRJ/SWK/program.htm .

This manual has been prepared to facilitate field practicum. The field practicum is an integral component of the curriculum in social work education. It engages the student in supervised social work practice and provides opportunities to apply classroom learning in the field setting. The internship is the culmination of the social program and provides the final evaluation of the student’s competency and readiness to practice. The competencies required by the Council on Social Work Education (CSWE) and the accompanying practice behaviors make up the evaluation instrument. Through the field practicum, the agency and university are educational partners in the professional development of social work practitioners for generalist practice.

The Murray State Social Work Program requires a minimum of 500 hours in field practicum completed in the final semester of the student’s college education. All other course work must be completed by the student prior to enrolling in the field practicum, the final course before graduation, including all incomplete work from previous semesters. The university field education director is responsible for ensuring educationally directed and monitored practicum experiences for all students. While the program cannot guarantee a field placement for every student, the field director works with the student to find an appropriate field experience for that student. The university supports agency field instructors by sharing student biographical information, providing information about the content of the curriculum, articulating clear field practicum objectives (found in the syllabus) and by offering a training workshop each semester as well as sharing any other information that would be helpful to the student’s agency supervisor.

Field agencies are asked to provide students with opportunities for:

1. Practice experience in the application of knowledge, values and ethics, and practice skills with client systems of all types and sizes.

2. Use of oral and written professional communication.

3. Professional supervision to enhance learning and professional development.

4. Application of critical thinking skills to analyze the impact of social policies on client systems, workers, and agencies.

5. Involvement in agency based research for evaluation of practice, program evaluation, or community needs assessment.

6. Self awareness; professional use of self.

7. All of the practice behaviors included in the student’s contract since this is a CSWE requirement. 31 PROCEDURES USED IN THE FIELD PRACTICUM PROCESS

Agency Selection

1. A student is eligible for field placement after being formally admitted into the social work program and after completion of all other course work, including all non social work classes, required for graduation. All incompletes must be cleared prior to the beginning of the semester in which the student is enrolled in SWK 499. The student must have completed at least 108 hours.

2. All applicants for field practicum must have completed an application for admission to field as a part of SWK 498.

3. The student will make no contact with any social work agency related to field practicum unless requested to do so by the field director. If the field director asks the student to contact an agency, that contact will be limited to material specified by the field director.

4. No student may do an internship in an agency where the student has done an internship for another academic program. Students are discouraged from doing an internship in an agency where they have done 40 hours or more of volunteer work.

5. When instructed by the field director, the student makes an appointment with the appropriate agency person. During the interview, each agency determines if there is a “fit” between the student’s and the agency’s needs and the program requirements. The student then discusses the interview with the field education director. The field education director will then contact the agency before making a final decision. The field director communicates the decision to the student.

6. Each student is required to purchase a professional liability insurance policy to cover the term of the field placement and show proof of purchase by the first day of the semester in which the internship is to be carried out. A policy for this purpose is available from American Professional Agency, Inc., Amityville, New York, http://www.americanprofessional.com/socialwork/index.htm. Membership in NASW is required for insurance eligibility http://www.socialworkers.org/.

During Placement

1. A student will spend a minimum of 500 clock hours in the field agency setting and the internship in the two long terms will be no fewer than 15-16 weeks and no fewer than 12-13 weeks in summer.

2. In conjunction with the practicum, students attend field seminar, which is considered part of the entire experience. Students share case presentations and discuss concerns while preserving confidentiality. Opportunities for peer learning abound as students learn about the different agencies represented. Assignments and professional issues are also discussed.

3. The field director or designee visit or telephone the student and supervisor at least 3 times during the placement period.

4. When problem situations arise, these are handled individually. (See process for resolving field situations.) 31 5. Agency field instructors should feel free to initiate additional contacts if indicated. Two evaluations of the student’s performance are made by the agency field instructor, one at mid-term and one at the end of the semester.

6. The final grade is assigned by the university field director in consultation with the field educator after reviewing the evaluation of the student’s field performance and the student’s completed field seminar assignments.

7. Students are asked to evaluate the course, field seminar instructor, and the agency field placement at the end of the internship.

AGENCY EXPECTATIONS

Agency field instructors are asked to make assignments that provide for constructive educational experiences and to guide students in using their knowledge and developing professional skills in the methods of social work. Actual practice assignments should be made on an individual basis according to the educational needs of the student, the experience (or lack of) that a student brings to the field, and the function of the agency. Good field assignments move from simple tasks to more complex ones and hence afford the student a feeling of achievement. Social work faculty will provide consultation and assistance to this end.

The overall objective of field instruction is to produce a competent entry-level generalist social work practitioner. This objective is to be achieved through experiences such as those described in the following sections.

Expected Educational Experiences

The expected educational experiences are detailed in the contract. Each agency will provide opportunities for the student to meet the tasks set forth in the contract and the field evaluation instrument.

The mid-term evaluation is based on the evaluation instrument that also serves as the instrument for the final evaluation. At the mid-term, strengths and areas for growth are discussed by the field educator, the student, and the field director. At the final evaluation, the student’s progress through the internship is noted and the field educator and the student discuss the student’s readiness for entry level professional practice. The final grade is given by the field director or designee, with input from the agency. The agency experience serves as the basis for the grade along with performance in the field seminar.

. THE FACULTY FIELD EDUCATION DIRECTOR

The Murray State University field education director is responsible for:

1. Developing agency placements.

2. Coordinating all placements and the field placement process.

3. Conducting/overseeing the field seminars. 31

4. Coordinating and developing training for agency field instructors.

The field director or designee will visit the field placement agency three times during the semester: at the beginning of the internship to set up the internship and to answer questions, at mid-term, and at the end of the semester. Additional conferences may be scheduled as the need arises.

The student will attend concurrent seminar sessions. The semester schedule for the seminars is in place early in the semester to facilitate agency student planning.

On occasion, an individual may have difficulty functioning as a student intern within the framework of the agency. It is important to recognize early and respond to a potentially failing performance in practicum. The field director is available to assist both the student and supervisor in responding to areas of concern. The student is responsible for discussing possible areas of concern with the field director.

There may be circumstances in which the field placement may be terminated by either the agency of the university. Depending on the circumstances, there are a variety of options.

1. The student may get credit for time completed in the agency.

2. The student may be terminated from the internship with no credit for time completed at the agency.

3. The student may be replaced in the same semester at a different agency.

4. The student may be given an incomplete grade and must redo the internship at a different agency the following semester.

5. The student may be failed in the internship and may be allowed to reregister the following semester.

6. The student may be failed in the internship and terminated from the social work program.

7. A student shall not be terminated from an agency without consultation with the field director. The decision to terminate will be at the agency’s discretion. The student may not be terminated without the presence of the field director as the termination takes place. If necessary, the student may be asked to take leave until the meeting with the field director.

THE FIELD PRACTICUM AGENCY AND AGENCY FIELD INSTRUCTOR

An agency selected for field placement must have demonstrated a social service related program with standards and philosophy that fit the needs of the Social Work Program at Murray State University. The agency may not discriminate on the basis of age, color, disability, ethnicity, gender, national origin, race, religion, and sexual orientation in its client population or in its hiring practices.

The administrator and staff of the agency should have at least a basic understanding of social work education and be willing to provide field practicum placements to social work students.

Field instructors or educators are those agency staff members assigned to provide primary direct supervision to the social work intern. The person designated as field instructor must have a minimum of a baccalaureate degree in social work and 2 years post BSW practice experience. MSW level field instructors must also have a minimum of two years post MSW experience. At least one hour per week formal supervision 31 must be made available to the student. Field educators are also expected to commit to attending field education training.

In rare instances a field educator may be approved who does not have the requisite degree. In this case, the field educator will be considered a task supervisor and the social work education content will be provided by a social worker who meets the minimum requirements or by the field director or designee who will meet with the student for a minimum of an hour a week.

Because of the extreme importance of the field instructor in providing a meaningful field education, all field instructors are expected to have the following additional qualifications:

1. Sufficient time to devote to a student, at least one uninterrupted hour per week.

2. A positive attitude towards students and social work education.

3. A strong desire to learn and grow both personally and professionally.

4. A minimum of two years experience in the social work field; however five years are preferred.

5. Physical presence during time of student placement.

6. A willingness to deal with average as well as outstanding students.

7. A strong commitment to ethical practice as defined by the NASW Code of Ethics.

THE SOCIAL WORK STUDENT INTERN

A student is eligible for field placement (SWK 499, Field Practicum) after being formally admitted to the social work program and after completing all other courses required for graduation. This means there can be no outstanding incomplete grades by the first day that the field placement is scheduled to begin and all fees have been paid. Except under unusual circumstances, and with the permission of the field director and the program director, the student may not begin field later than the first day the field placement is scheduled to begin. No student may attend field seminar unless the student is currently involved in the field placement. During the regular semester (fall and spring long terms), no student may put in fewer than 15 weeks in the field placement. The student must work hours similar to those of agency professional staff and if the student works extra hours must abide by agency policies for using comp time. The student must abide by Federal requirements for hours worked. During the summer field placement, special arrangements may be made to complete the required hours. If the student is unable to work a 37.5 hour week due to physical condition, family responsibilities, or job responsibilities the field director will work out an alternative schedule with the student so that the student completes the full 500 hours.

This 12 semester hour (500+ clock hours) course is designed to provide the student with practical experience in the application of the theory and skills acquired in the general education/liberal arts courses as well as the professional foundation areas. The field practicum is designed to create an environment in which the student grows professionally, i.e., becomes a professionally reflective, self-evaluating, knowledgeable, and developing 31 generalist social worker. The student must achieve the benchmarked average of scores on the field evaluation instrument in all categories. The student at the end of the field internship should be an entry level generalist social worker, as designated by the benchmarked scores.

SWK 499 Field Practicum is a 12 credit hour course that includes a 500 hours internship for 9 credit hours and the field seminar for 3 credit hours, and includes attendance in seminar and written assignments.

Applying for Field Placement

Placements are set up when student is enrolled in SWK 498. Students planning to enroll in SWK 499, Field Practicum, must complete a Student Application for Field Placement in SWK 498. Placements are arranged for fall and spring semesters. Placements are available during the summer on a limited basis and require the approval of the Field Director.

All applications for field placement are reviewed by the field director. If there are questions about the student’s suitability for field, other faculty may be consulted. The needs, strengths, and interests of students, as well as the availability of agency and program placement resources are discussed. The Field Education Director cannot guarantee the student a field placement. In the event that a student is denied admission to field placement by the social work program, the student has the right to utilize the appeals process (see Admissions, Termination, and Appeals Policies and Procedures, Section V of the Social Work Program Handbook). An agency’s decision not to accept a student is final and may not be appealed since agencies are not under the direction of the university. If three suitable field agencies reject a student for placement, the social work program will no longer attempt to place the student unless the student is able to remediate the issues that were involved in the agencies’ rejection of the student.

Agency Interview(s)

The field education director discusses placement with the student and arranges an agency contact. Then the student sets up the interview and meets with the agency to discuss the placement, mutual expectations, and available learning opportunities. The field director reaches a final decision about placement after consultation with the student and the agency supervisor. The social work program field contract may be modified to a limited extent to meet the needs of the student and the agency.

The Placement

Within the first two weeks of placement, the field director or designee meets with the agency supervisor and the intern to discuss the contract, required hours, journal notations, time sheets, and the evaluation instruments and the fact that the student is to be oriented like a new employee. Outlines for papers, information concerning course requirements, and dates for the field seminars are disseminated in the syllabus. A student will spend a minimum of 500 hours in the agency setting. Field seminar is considered part of the internship experience but does not count toward the 500 hour requirement.

Field Seminar

In conjunction with field placement, all students meet regularly for field seminar. These seminars are set by the Field Director prior to the beginning of the semester. Students share case presentations, discuss concerns and problems, and learn about the different agencies and programs presented. Assignments and professional issues are also discussed. Confidentiality is stressed; agency regulations concerning case materials are respected. 31 Social work interns have both special privileges and responsibilities. They are responsible for meeting all time commitments as to hours, reports, and any record keeping. Interns are permitted to attend workshops and conferences relating to the field of practice, if the field director and agency agree it will not unduly interfere with agency work. These agency sanctioned events count as part of the required 500 hours.

Interns should understand that confidentiality of material entrusted to them by clients must be maintained and respected. Agency regulations regarding the release of information must be followed.

The field practicum is distinct from most other university courses in that field instruction in the community entails not only educational objectives for the student, but professional responsibilities to clients, agencies, and the community. If a student is unable to meet these professional and ethical issues in a professional manner, the internship may be terminated by either the agency or the social work program. The student may be placed in another field placement at the discretion of the field director. Hours worked at the former agency may or may not be counted toward the 500 hour minimum at the discretion of the field director and the circumstances of termination. In some circumstances, the field director may award a grade of I, or may require the student to reregister for SWK 499. Termination from an internship by an agency is not subject to appeal since the agency is not under the university’s direction.

Field Placement Monitoring and Grading

The field director visits the student and agency supervisor periodically during the placement period. Contacts are based on individual needs, but typically three contacts are arranged during the semester, normally within the first two weeks, at mid semester, and for the final evaluation. If problem situations arise from either the student, field director, or agency perspective, the field director will make additional contacts.

Two evaluations of the student’s performance are made by the field supervisor, at mid-term and at the end of the semester. The final grade is assigned by the field education director or designee upon review of the field instructor’s evaluations and comments and the student’s completed assignments and course requirements. The student participates in the evaluation process.

Interns participate in the formal course evaluation and practicum agency evaluation at the end of the placement period.

Professional Liability Insurance

Each student is required to purchase a professional liability insurance policy to cover the term of the field placement. 31

FIELD PRACTICUM FORMS

Agency Agreement or Memorandum of Understanding

Agency Field Educator Data

Student Application

Student Contract

Practicum Time Sheet

Weekly Journal

Field Evaluation Instrument

Student Evaluation 31

AGREEMENT CONCERNING SOCIAL WORK FIELD EXPERIENCE

BE IT AGREED THAT ______(hereinafter “Agency”), located at ______, and Murray State University (hereinafter “University”) will enter into arrangements for the use of Agency facilities and supervisory personnel for social work training of students from the University. This agreement will continue until it may be terminated by either or both parties. If terminated unilaterally by Agency, care will be given so as to allow any student participating in the field experience to complete the assignment if possible.

BE IT FURTHER AGREED that all such arrangements will be consistent with the Agency's policies as well as the policies and plan for field experience for social work students as conducted by the University.

BE IT FURTHER AGREED in addition that:

(A) The University will not attempt to exercise any authority in relation to Agency programs and procedures. The only control function by the University will be through consultations between the University field education director and the Agency supervisor in order to satisfy requirements for proper student learning experiences and proper reports concerning the progress of students.

(B) Students assigned to the Agency will be under the administrative authority of the Agency regarding rules, regulations, policies, and procedures.

(C) Students assigned to the Agency will carry personal liability insurance in the amount of $1,000,000/$1,000,000 during their field placement.

(D) No student will replace or act in lieu of any employment of the Agency.

BE IT FURTHER AGREED that the assignment of any student to the Agency or the assignment of any Agency employee as a supervisor of any student may be terminated for just cause and upon notification and consultation between the Agency and the University. All students will be given an opportunity to be heard prior to termination from the field experience.

BE IT FURTHER AGREED that this arrangement for off-campus field work experience for social work students is designated to be mutually beneficial to both the Agency and the University and that both parties will continually strive for ideas and incentives that will result in a better social work training program.

BE IT FURTHER AGREED that the field placement experience will be carried out without discriminating on the basis of race, color, creed, religion, sex, age, national origin, physical handicap, or veteran's status. 31

EXAMINED AS TO FORM AND LEGALITY:

______Teresa Groves, Associate Counsel Murray State University

RECOMMENDED BY:

______Peggy Pittman-Munke Interim SWK Program Director

______Steve Jones, Chair Dept. of SWK/CRJ/GTY

______James C. Broughton, Dean Health Sciences and Human Services

______Peggy Meriedeth, MSW Field Education Director

______Bonnie Higginson, Provost

______Dr. Randy J. Dunn, President Murray State University 31

FIELD EDUCATOR DATA

Name ______Title ______

Agency ______

Address ______Telephone ______

City ______State ______Zip Code ______

Degree______

Years of Experience______31

STUDENT APPLICATION FOR FIELD PLACEMENT

This application must be completed and submitted electronically to the field director. Field practicum is a supervised work experience in a community social service agency. Students will work under approved supervision. The internship period is for the full semester-- sixteen weeks and no fewer than 500 hours. The student may complete no less than a minimum of 15 weeks for spring and fall semesters. In summer the student may complete no fewer than 12 weeks in the agency. Students are required to join NASW and purchase liability insurance. Students must be approved for field one semester prior to the semester in which field practicum is requested. Practicums are arranged while the student is enrolled in SWK 498. After the student has been assigned to a field agency, this application will be forwarded to the agency field instructor. Students enroll in field practicum the semester after successfully completing SWK 498. Students must have completed all work for the BSW degree except for SWK 499 prior to starting practicum.

Please type the requested information legibly.

I. PERSONAL DATA:

Name ______(Maiden)______Date ______

Local Address ______

Telephone ( ____) ______

Local email address ______

Permanent Address ______

Telephone (____) ______

Permanent email address______

Cell Phone (____)______

Will you have a car at your disposal for field placement? Yes _____ No _____ Do you have a valid driver's license? Yes _____ No _____ Do you have medical insurance? Yes _____ No _____

Person to be notified in case of emergency

Name ______Relationship ______

Address______

Telephone (____)______Alternate Telephone (_____)______

II. Attach Resume

III. Kentucky AOC Background Check—if you have lived out of Kentucky since age 18, you must provide provide a background check from each state in which you have been a resident. 31

______Student's Signature Peggy Meriedeth, MSW Director of Field Education

CONTRACT

Contract for ______for Internship with ______The contract is structured to include elements of the Field Evaluation Instrument. Five hundred hours are required to complete the contract. Hours should be spread over the period of the internship, in other words, the student must be in the agency for 15 weeks spring and fall semester and a minimum of 12 weeks in the summer semester. Journal notations are to be submitted to Ms. Meriedeth or to Dr. Munke as designated by supervision responsibilities.

Competence #1: Intern identifies as a professional social worker and conducts himself/herself accordingly. 1. The student will use appropriate language in dealing with clients, staff and community partners. 2. The student will treat clients with dignity and respect as demonstrated both in language and behavior. 3. The student and his/her supervisor will meet at least weekly for supervision and consultation. 4. The student will practice self reflection through the weekly journal as well as in consultations with supervisor.

Competence #2: Intern applies social work ethical principles to guide his or her professional practice. 1. The student will demonstrate that he/she abides by the ethical standards of the profession and of the agency throughout the internship. 2. The student will utilize his/her weekly journal to discuss ethical conflicts/issues as well as presenting these issues in supervision. 3. The student will demonstrate throughout the internship that he/she can separate personal from professional values and allows professional values to guide his/her practice through consultation and supervisory sessions. 4. The student will demonstrate his/her ability to apply strategies of ethical reasoning to arrive at principled decisions in her practice through her supervisory sessions.

Competence #3. Intern applies critical thinking to inform and communicate professional judgments. 1. The student will complete an agency assessment on specific case(s). 2. The student will complete an agency case plan on specific case(s). 3. The student will demonstrate the use of differential and appropriate oral communication with clients, families, staff, and community organizations as necessary throughout the internship. 4. The student will demonstrate effective written communication in assessments, case plan, and other written records. 5. The student will journal and discuss with his/her supervisor issues involving critical thinking and communication.

Competence #4: Intern engages diversity and difference in practice. 1. The student will identify barriers related to diversity [race, gender, diagnosis, age, class gender, religion, marital/partner status etc] and work out strategies for dealing with clients and others respectfully in her journal and in consultation with her supervisor. 2. The student will demonstrate understanding through completion of an assessment on a diverse family with emphasis on the culture section. (i.e. race, culture, ethnicity, religion, poverty, etc.)

Competence #5: Intern advances human rights and social and economic justice. 1. The student will demonstrate by reflection in a journal notation addressing human rights, social and economic justice. 31 2. The student will discuss with supervisor during consultation.

Competence #6: Intern engages in research-informed practice and practice-informed research. 1. The student will select a client/population, identify a best practice for intervention with this particular client/population, then locate and read a minimum of 3 articles regarding this best practice. He/She will summarize, compare, and contrast the findings. Student will design an intervention from the findings and utilize in field. A written summary of the findings, the intervention, the results of the intervention, how success of the intervention was measured, and any changes the student would make will be submitted to both the field educator and Ms. Meriedeth or Dr. Munke. 2.

Competence #7: Intern applies knowledge of human behavior and the social environment. 1. The intern will demonstrate this knowledge through journal notation and consultation with supervisor. This should include discussion of specific theory regarding human behavior and the environment.

Competence #8: Intern engages in policy practice to advance social and economic well-being and to deliver effective social work services. 1. The student will read agency policy and demonstrate knowledge through consultation with supervisor and a journal notation regarding policy. 2. The student will note best practice interventions and relation to agency policies in previously mentioned written summary.

Competence #9: Intern responds to contexts that shape practice. 1. The student will complete a review of a specific case, taking into consideration case context. 2. The student will observe and/or interview agency staff and staff with other agencies regarding development of best practice. 3. The student will demonstrate results through journal notation and supervisory consultation regarding development of best practice. 4. The student will include results of review and interviews in written summary as appropriate. Competence #10: Intern engages, assesses, intervenes and evaluates with individuals, families, groups, organizations, and communities. 1. The student will complete a case review that will address individuals, families, groups, organization, and communities. 2. The student will include information in written summary as appropriate. 3. The student will reflect in a journal notation and consultation with supervisor.

Approved:

Student______date______Agency ______date ______University______date______31

Weekly Time Sheet

Murray State University Social Work Program SWK 499 Field Practicum

Week # ______

Student Name: ______

DATE Start Time Lunch End Time Daily hours

hours this week _____ total hours last week _____ hours to date _____

Comments: 31

______Student’s signature Date

______Agency field instructor’s signature Date 31 WEEKLY JOURNAL NOTATIONS: WEEK ___

1. List of activities for the week.

2. What have you done towards your contract/competencies?

3. What ethical and/or value dilemmas did you face this week? Give personal and/or agency examples.

4. Give a summary of what you discussed in formal consultation/supervision with your supervisor. Also summarize any comments made by your supervisor to you at times other than supervision about your performance in the agency or with clients.

5. What did you learn this week?

6. Any additional comments. 31

Rating Scale for Evaluation of Field Placement Performance

Midterm  Final 

Name of Intern ______Date ______

Instructions for Rating Interns on the 10 Competencies in the First Part of the Evaluation:

The standard by which an intern is to be compared is that of a new beginning-level social worker. The 10 competencies that are specified in this evaluation form are those established by our national accrediting organization (the Council on Social Work Education). Under each competency statement are several items that we ask that you rate according to the following criteria.

5 The intern has excelled in this area 4 The intern is functioning above expectations for interns in this area 3 The intern has met the expectations for interns in this area 2 The intern has not as yet met the expectations in this area, but there is hope that the intern will meet the expectations in the near future 1 The intern has not met the expectations in this area, and there is not much hope that the intern will meet the expectations in this area in the near future n/a Not applicable, as the intern has not had the opportunity to demonstrate competence in this area

Comments may be made under any competency statement, if desired. Please be sure to indicate those areas in which you think the intern is particularly strong and those areas that need improvement. This evaluation is intended to give the intern feedback about her or his performance.

Competence #1: Intern identifies as a professional social worker and conducts himself/herself accordingly.

1.1 Knows the agency’s history 1 2 3 4 5 na 1.2 Has a commitment to enhancing the profession 1 2 3 4 5 na 1.3 Has a commitment to conducting himself/herself as a professional 1 2 3 4 5 na social worker 1.4 Has a commitment to career-long learning and growth 1 2 3 4 5 na 1.5 Advocates well for client access to the services of social work 1 2 3 4 5 na 1.6 Practices personal reflection and self-correction to assure continual 1 2 3 4 5 na professional development 1.7 Attends well to professional roles and boundaries 1 2 3 4 5 na 1.8 Demonstrates professional demeanor in appearance 1 2 3 4 5 na 1.9 Demonstrates professional demeanor in communication 1 2 3 4 5 na 1.10 Uses supervision and consultation effectively 1 2 3 4 5 na

Comments: 31

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

2.1 Is knowledgeable about the value base of the profession 1 2 3 4 5 na 2.2 Is knowledgeable of, and abides by, the ethical standards of 1 2 3 4 5 na the profession 2.3 Is knowledgeable, and abides by, laws relevant to social work 1 2 3 4 5 na 2.4 Recognizes and manages personal values in a way that allows 1 2 3 4 5 na Professional values to guide practice (e.g., on such issues as Abortion and gay rights) 2.5 Tolerates well ambiguity in resolving ethical conflicts 1 2 3 4 5 na 2.6 Is able to apply strategies of ethical reasoning to arrive at principled 1 2 3 4 5 na decisions

Comments:

Competence #3: Intern applies critical thinking to inform and communicate professional judgments.

3.1 Is knowledgeable about the principles of logic and scientific inquiry 1 2 3 4 5 na 3.2 Is able to grasp and comprehend what is obscure 1 2 3 4 5 na 3.3 Is skilled in using critical thinking augmented by creativity and curiosity 1 2 3 4 5 na 3.4 Has good assessment skills 1 2 3 4 5 na 3.5 Has good problem-solving skills 1 2 3 4 5 na 3.6 Has good data gathering skills 1 2 3 4 5 na 3.7 Analyzes complex material well 1 2 3 4 5 na 3.8 Is skilled at appraising and integrating multiple sources of knowledge; 1 2 3 4 5 na including research-based knowledge and practice wisdom 3.9 Is skilled at analyzing models of assessment, prevention, intervention, and 1 2 3 4 5 na evaluation 3.10 Demonstrates effective oral communication in working with individuals, 1 2 3 4 5 na families, groups, organizations, communities, and colleagues 3.11 Demonstrates effective written communication in working with 1 2 3 4 5 na individuals, families, groups, organizations, communities, and colleagues

Comments:

Competence #4: Intern engages diversity and difference in practice.

4.1 Treats diverse clients with dignity and respect 1 2 3 4 5 na 4.2 Is knowledgeable and respectful of clients who differ by such factors as 1 2 3 4 5 na age, class, color, culture, disability, ethnicity, gender identity and expression, immigration status, political ideology, race, religion, sex, and sexual orientation 4.3 Recognizes the extent to which a culture’s structures and values may 1 2 3 4 5 na oppress, marginalize, alienate, or create or enhance privilege and power 31 4.4 Has sufficient self-awareness to eliminate the influence of personal biases 1 2 3 4 5 na and values in working with diverse groups 4.5 Recognizes and communicates her or his understanding of the importance 1 2 3 4 5 na of difference in shaping life experiences 4.6 Views herself or himself as a learner and engages those he or she works 1 2 3 4 5 na with as informants

Comments:

Competence #5: Intern advances human rights and social and economic justice.

5.1 Recognizes that each person, regardless of position in society, has basic 1 2 3 4 5 na human rights, such as freedom, safety, privacy, an adequate standard of living, health care and education 5.2 Recognizes the global interconnections of oppression and is 1 2 3 4 5 na knowledgeable about theories of justice and strategies to promote human and civil rights 5.3 Understands the forms and mechanisms of oppression and discrimination 1 2 3 4 5 na 5.4 Is skilled at advocating for human rights and social and economic justice 1 2 3 4 5 na 5.5 Is skilled at engaging in practices that advance social and economic justice 1 2 3 4 5 na

Comments:

Competence #6: Intern engages in research-informed practice and practice-informed research.

6.1 Is skilled at using practice experience to inform research 1 2 3 4 5 na 6.2 Is skilled at employing evidence-based interventions 1 2 3 4 5 na 6.3 Is skilled at evaluating her or his practice 1 2 3 4 5 na 6.4 Is skilled at using research findings to improve practice, policy, and social 1 2 3 4 5 na service delivery 6.5 Comprehends quantitative research 1 2 3 4 5 na 6.6 Comprehends qualitative research 1 2 3 4 5 na 6.7 Understands scientific and ethical approaches to building knowledge 1 2 3 4 5 na

Comments:

Competence #7: Intern applies knowledge of human behavior and the social environment.

7.1 Is knowledgeable about human behavior across the life course 1 2 3 4 5 na 7.2 Is knowledgeable about the range of social systems in which people live 1 2 3 4 5 na 7.3 Is knowledgeable about the ways social systems promote or deter people in 1 2 3 4 5 na 31 maintaining or achieving health and well-being 7.4 Is skilled at applying theories and knowledge about biological variables, 1 2 3 4 5 na social variables, cultural variables, psychological variables, and spiritual development 7.5 Is skilled at utilizing conceptual frameworks to guide the processes of 1 2 3 4 5 na assessment, intervention, and evaluation

Comments:

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

8.1 Understands that policy affects service delivery 1 2 3 4 5 na 8.2 Actively engages in policy practice 1 2 3 4 5 na 8.3 Is knowledgeable about the history of social policies and services 1 2 3 4 5 na 8.4 Is knowledgeable about current social policies and services 1 2 3 4 5 na 8.5 Is knowledgeable about the role of practice in policy development 1 2 3 4 5 na 8.6 Is skilled at analyzing, formulating, and advocating for policies that 1 2 3 4 5 na advance social well-being 8.7 Is skilled at collaborating with colleagues and clients for effective policy 1 2 3 4 5 na action

Comments:

Competence #9: Intern responds to contexts that shape practice.

9.1 Is informed, resourceful, and proactive in responding to evolving 1 2 3 4 5 na organizational, community, and societal contexts at all levels of practice 9.2 Recognizes that the context of practice is dynamic, and has the knowledge 1 2 3 4 5 na and skills to respond proactively 9.3 Is skilled at continuously discovering, appraising, and attending to 1 2 3 4 5 na changing locales, populations, scientific and technological developments, and emerging societal trends in order to provide relevant services 9.4 Is skilled at providing leadership in promoting sustainable changes in 1 2 3 4 5 na service delivery and practice to improve the quality of social services

Comments:

Competence #10: Intern engages, assesses, intervenes and evaluates with individuals, families, groups, organizations, and communities. 31 10.1 Is skilled at identifying, analyzing, and implementing evidence-based 1 2 3 4 5 na interventions designed to achieve client goals 31 10.2 Is skilled at using research and technological advances 1 2 3 4 5 na 10.3 Is skilled at evaluating program outcomes 1 2 3 4 5 na 10.4 Is skilled at evaluating the effectiveness of her or his practice 1 2 3 4 5 na 10.5 Is skilled at developing, analyzing, advocating, and providing leadership 1 2 3 4 5 na for policies and services 10.6 Is skilled at promoting social and economic justice 1 2 3 4 5 na 10.7 Is skilled at engaging (developing a positive relationship) with individuals 1 2 3 4 5 na 10.8 Is skilled at engaging families 1 2 3 4 5 na 10.9 Is skilled at engaging groups 1 2 3 4 5 na 10.10 Is skilled at engaging organizations 1 2 3 4 5 na 10.11 Is skilled at engaging communities 1 2 3 4 5 na 10.12 Is skilled at assessing individuals 1 2 3 4 5 na 10.13 Is skilled at assessing families 1 2 3 4 5 na 10.14 Is skilled at assessing groups 1 2 3 4 5 na 10.15 Is skilled at assessing organizations 1 2 3 4 5 na 10.16 Is skilled at assessing communities 1 2 3 4 5 na 10.17 Is skilled at providing effective services to individuals 1 2 3 4 5 na 10.18 Is skilled at providing effective services to families 1 2 3 4 5 na 10.19 Is skilled at providing effective services to groups 1 2 3 4 5 na 10.20 Is skilled at providing effective services to organizations 1 2 3 4 5 na 10.21 Is skilled at providing effective services to communities 1 2 3 4 5 na

Comments:

Overall Evaluation at MIDTERM:

Please check one of the following at the midterm evaluation. At the final evaluation do NOT complete this section.  This intern is excelling in field placement by performing above expectations for interns.  This intern is meeting the expectations of a field placement intern.  This intern is functioning somewhat below the expectations of a field placement intern. There is a question whether this intern will be ready for beginning level social work practice by the end of placement.  This intern is functioning below the expectations of a field placement intern. There is considerable concern that this intern will not be ready for beginning level social work practice by the end of placement. This intern should perhaps be encouraged to pursue another major.

Comments/elaboration:

FINAL OVERALL EVALUATION:

Please check one of the following at the final evaluation. At the midterm evaluation do NOT complete this section.  This intern has excelled in field placement by performing above expectations for interns. If an appropriate position were open at this agency, for a beginning level social worker, this intern would be considered among the top candidates for this position. 31  This intern has met the expectations of the field placement. This intern is ready for beginning level social work practice.  This intern is not yet ready for beginning level social work practice.  This intern is not yet ready for beginning level social work practice, and has demonstrated serious problems in performance, and perhaps should be encouraged to pursue another major.

Comments/elaboration:

Signature of Agency Field Instructor ______

Agency ______Date ______

The following section should be completed by the intern:

My agency supervisor and faculty supervisor have discussed this evaluation with me, and I have received a copy. My agreement or disagreement follows:

I agree with the evaluation  I do not agree with evaluation 

Intern’s Signature ______Date ______

 If the intern disagrees with the evaluation she/he should state that disagreement in writing and submit a copy to both the agency supervisor and the faculty supervisor. A meeting between the student, agency supervisor, and faculty supervisor should then be held to discuss the disagreement. This Rating Scale was developed by Charles Zastrow, Ph.d. 31

STUDENT EVALUATION OF FIELD AGENCY

Please answer this questionnaire truthfully. Your comments and evaluation will not be shared with this agency or with your supervisor. The program will use this evaluation only to determine how to use this agency in the future.

Student Name ______Fall ______Spring ______Summer ______Year _____ Agency ______Field Instructor ______Supervision: Daily; ____Weekly; _____ Bi-weekly; _____Monthly______; Other_____

Please circle the most appropriate response. 5—Outstanding, 4—Excellent, 3—Good, 2—Below Average, 1—Unsatisfactory

1. The agency welcomed me. 5 4 3 2 1 N/A

2. I received an adequate orientation for the agency policies and procedures. 5 4 3 2 1 N/A

3. My supervisor was readily accessible. 5 4 3 2 1 N/A

4. I received adequate supervision 5 4 3 2 1 N/A

5. My experiences followed those outlined on my contract. 5 4 3 2 1 N/A

6. I was able to network with other agencies. 5 4 3 2 1 N/A

7. I was satisfied with my agency experience. 5 4 3 2 1 N/A

8. My field instructor provided opportunities to express my needs to best suit my learning style. 5 4 3 2 1 N/A 31 9. My field instructor treated me with respect. 5 4 3 2 1 N/A 10. Staff members treated me with respect. 5 4 3 2 1 N/A 11. My field instructor supported my field educational needs. 5 4 3 2 1 N/A 12. The field placement treated clients with respect. 5 4 3 2 1 N/A 13. My field instructor allowed me opportunities to express my concerns. 5 4 3 2 1 N/A 14. My field instructor allowed opportunities to discuss the NASW Code of Ethics and real/potential dilemmas. 5 4 3 2 1 N/A 15. My placement allowed me to try/practice concepts/approaches learned in the classroom. 5 4 3 2 1 N/A 16. My field instructor encouraged me to attend professional conferences and seminars. 5 4 3 2 1 N/A 17. I would strongly recommend this field placement for other students in placement. 5 4 3 2 1 N/A 18. I would strongly recommend this field instructor for other students in placement. 5 4 3 2 1 N/A 19. I believe I am adequately prepared for beginning generalist practice. 5 4 3 2 1 N/A

Please make comments on the following questions.

1. What did you really like about this agency experience?

2. What did you think could make this agency experience better for future students?

3. Additional Comments. 31