Social Worker Evaluation Form 124J

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LAS CRUCES PUBLIC SCHOOLS
SOCIAL WORKER PERFORMANCE SUMMATIVE EVALUATION
---NAME:________________________
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SOCIAL SECURITY #:_________________
EVALUATOR MUST INDICATE: 1 – UNSATISFACTORY 2 – SATISFACTORY
Note: All items marked at Level 1 require a growth plan.
1.
The school social worker shall demonstrate professional knowledge and skills
in dealing with social phenomena as they relate to students' functioning and
achievement in school by:
A. Interpreting to school personnel the relationship between the student's
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social, emotional, and/or home problems, and his/her academic
performance.
B. Interpreting to school personnel the wide range of social, emotional,
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cultural, and economic difference among children, families and
communities.
C. Consulting with school personnel on current mental health practices and 1
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concepts.
D. Expanding knowledge through consultation with coordinators,
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specialists, psychologist/psychiatrists, colleagues, as well as through
reading, research and/or course work.
E. Keeping abreast of current community, resources and determining how
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their services may be beneficial to the student, his/her family's involvement
in the academic process.
Comments:_________________________________________________________________
__________________________________________________________________________
2.
The school social worker shall establish basic case management procedures
for effective social work intervention by:
A. Opening a case as soon after referral as possible.
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B. Prioritizing cases according to severity and seriousness of
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concern(s) identified.
C. Establishing routines for the assessment of case referrals.
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D. Coordinating multidisciplinary efforts for the management of cases when 1
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appropriate.
E. Consulting with and assisting school and community personnel
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regarding case management.
F. Participating in interdisciplinary team meetings relevant to the
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assessment and disposition of individual cases.
G. Presenting and interpreting social work assessment results and
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recommendations to school and community agency personnel.
H. Employing the process of terminating and closing cases upon
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completion of social work services.
Comments:_________________________________________________________________
__________________________________________________________________________
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3. The school social worker shall structure the method of social intervention by
appropriate planning and preparation by:
A. Investigating all relevant information regarding a referred case. .
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B. Consulting with school personnel, community agencies, and/or family
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members to assess the identified concern.
C. Conducting an individualized social - emotional – adaptive assessment
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of the student, the student's family and the educational and social
communities.
D. Formulating individual goals and objectives for the management of each 1
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case.
E. Consulting with the social work supervisor, psychologist and/or
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psychiatrist regarding individual cases as needed.
4. The school social worker shall employ appropriate methods of practice which
enables students and families to function adequately within their educational and
community settings by.
A. Providing individual, group, and family counseling to students and
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families.
B. Providing intensive crisis intervention to remedy effects of abuse,
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neglect, or exploitation of children.
C. Preparing and interpreting social histories or assessments
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D. Participating in planning for student transitions to help ensure
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continuity of services appropriate to the unique needs of individual
students leaving school or transferring between programs.
E. Helping ensure parents' understanding of decisions, procedures, and
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meetings affecting their children, particularly when cultural differences
make communication difficult between school staff and parents.
F. Helping ensure participation of parents in school conferences
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which affect their children through home visits, telephone calls,
correspondence, or other means.
G. Identifying school district and community services appropriate the
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needs of students and families, executing referrals, and providing
follow-up.
H. Serving as an advocate for parents to ensure that their wishes and
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concerns regarding their children are registered and considered by
the school personnel and agencies.
I. Recognizing the need for, and actively seeking the supervision of, an
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independent school social worker or clinically supervising school
psychologist when providing psychological counseling - services for
children with severe emotional disturbances and behavior disorders as
designated by the IEP Committee.
J. (Level 3 social worker ONLY). Supervising level 1 and level 2 school
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social workers who are providing psychological counseling services as
designated by the IEP committee for children with severe emotional
disturbances and behavior disorders.
Comments:
__________________________________________________________________________
__________________________________________________________________________
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5. The school social worker shall demonstrate a professional and helpful demeanor In
with students, parents, and school personnel by:
A. Providing support and encouragement to students, parents, and
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staff in an atmosphere of mutual respect.
B. Developing a caring relationship with students and parents and
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showing consideration of their feelings.
C. Communicating openly with students and parents by listening and
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responding to their opinions and suggestions.
D. Promoting respect and positive interpersonal relationships among
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students and families.
E. Working cooperatively with fellow employees to develop and
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maintain effective interaction.
F. Promoting free and easy communication between home and
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school.
G. Communicating to parents the significance of school program.
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H. Emphasizing positive achievements of students.
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Comments:
__________________________________________________________________________
__________________________________________________________________________
6. The school social worker shall utilize appropriate methods to continuously evaluate
his/her services by:
A. Keeping a personal, confidential file on all cases.
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B. Completing a social worker activity form which will be included in
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the student's permanent record.
C. Maintaining an up-to-date log, indicating types of referrals
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received, dates, and status of referrals and referral sources.
D. Completing any written reports that may be required, such as
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family assessments, as promptly as possible.
E. Assessing the effectiveness of and further need for social work
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services.
Comments:
__________________________________________________________________________
__________________________________________________________________________
ADDITIONAL SUGGESTIONS/COMMENDATIONS:
__________________________________________________________________________
__________________________________________________________________________
________________________
Evaluator's Signature
_________________________
Title
____________________
Date
I have read this evaluation and have been afforded the opportunity to discuss it with the
evaluator. I understand that I may respond in writing to those items with which I disagree.
________________________
_________________________
Employee's Signature
Date
Revised 1/05, Form # 124M,
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Distribution: Human Resources, Evaluator, and Employee
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