FACULTY SUPERVISOR'S EVALUATION OF PRACTICUM STUDENT
Practicum Student __________________ Faculty Supervisor __________________________
Supervisors may choose to evaluate each general skill or each objective.
Rating:
1 = needs improvement
2 = acceptable
3 = excellent
NA/? = not applicable/unknown
PROCESS SKILLS
1.
2.
Clarifying counseling/client expectations
a.
Counselor explores client expectations
and goals for therapy
1
2
3 NA/?
b.
Counselor expectations of client are
presented (punctuality, fees, honesty,
etc.)
1
2
3 NA/?
c.
Confidentiality is discussed
1
2
3 NA/?
d.
Counselor's role or mode of operation
is discussed
1
2
3 NA/?
Facilitating development and incorporation of client insights and awarenesses
a.
Summarizes and reflects insights and
awarenesses
1
2
3 NA/?
b.
Uses open-ended questions to focus
client attention on feelings
1
2
3 NA/?
c.
Uses open-ended questions to focus
client awareness on motivations, needs
1
2
3 NA/?
d.
Points out incongruities
1
2
3 NA/?
e.
Assists client in clarification of
values, needs, options, etc.
1
2
3 NA/?
3.
4.
5.
Managing the interview to facilitate client growth
a.
Is able to present logical and
theoretically sound rationale for
the type of question asked
1
2
3 NA/?
b.
Is able to present a logical and
theoretically sound rationale for the
exploration of a particular area or the
lack of exploration in another
1
2
3 NA/?
c.
Is able to explain the use of selective
responding to client verbalization
in terms of desired impact on client
behavior or awareness
1
2
3 NA/?
d.
Is able to establish and maintain
client focus on a topic when deemed
beneficial
1
2
3 NA/?
e.
Is able to use questions which promote
introspection and clarification of
affect and/or cognition
1
2
3 NA/?
f.
Is able to confront client in a manner
which minimizes defensive reactions
and fosters client growth
1
2
3 NA/?
g.
Is able to articulate general goal or
direction for counseling and to relate
interview behavior to this goal
1
2
3 NA/?
Promoting client integration of cognitive, affective, and behavioral domains
a.
Facilitates client awareness and
exploration of the domains appropriate
to the theoretical perspective being
used and the stated goals for therapy
1
2
3 NA/?
b.
Facilitates client awareness of
inconsistencies between the domains
by questioning, confrontation,
clarification, etc.
1
2
3 NA/?
2
3 NA/?
Formulating plausible hypotheses about the client's situation
a.
Is able to present a logically and
theoretically plausible analysis of
the client's situation which relates
key theoretical constructs to specific
client thoughts, perceptions, feelings,
or behaviors
1
6.
7.
8.
Facilitating the resolution of client concerns
a.
Refers clients as appropriate to
source where they can get the
assistance needed
1
2
3 NA/?
b.
Fosters client independence and
responsibility in resolution of
concerns by teaching clients
problem-solving/decision-making
processes where appropriate
1
2
3 NA/?
c.
Shares with the client all relevant,
accurate, objective information
at the counselor's disposal
1
2
3 NA/?
d.
Assists client in the identification
of relevant variables in current
situation and in change process
1
2
3 NA/?
e.
Supports and facilitates client change
in positive growth directions
1
2
3 NA/?
Ending interviews effectively
a.
Ends within or close to the agreed
upon time limit
1
2
3 NA/?
b.
Summarizes significant material from
session
1
2
3 NA/?
c.
Secures client agreement (expressed
or implied) at conclusion of the session
1
2
3 NA/?
d.
Uses sound judgment regarding
timing of ending so that the client
is not left in an extreme emotional state
1
2
3 NA/?
e.
Clearly states expectations for next
session, if any
1
2
3 NA/?
Terminating counseling relationship effectively
a.
Facilitates client developmental
change and accomplishment
1
2
3 NA/?
b.
Focuses upon future
1
2
3 NA/?
c.
Invites client to return for
additional help if necessary
1
2
3 NA/?
GROUP COUNSELING
1.
Appropriate structuring for clients
regarding screening, goals, objectives,
limitations, confidentiality
1
2
3 NA/?
2.
Appropriate use of techniques relative to
opening, middle, termination, and follow-up
stages
1
2
3 NA/?
3.
Effective use of understanding and
influencing skills in groups
1
2
3 NA/?
4.
Effective use of procedures for
transferring and supporting changes
outside the group
1
2
3 NA/?
5.
Identification of group techniques and
presentation of feedback to the group
1
2
3 NA/?
6.
Effective skills in dealing with clients who behave in
ways that are non-verbal, resistant, hostile,
or self-defeating
1
2
3 NA/?
7.
Coping with countertransference appropriately
(such as avoiding confrontation, seeking group
approval, or attraction toward a group member)
1
2
3 NA/?
8.
Separating self from others, i.e., projecting
oneself onto others
1
2
3 NA/?
PROFESSIONAL GROWTH
1.
Assesses both strengths and weaknesses
as evidenced by willingness to present and
critique one's own taped interview data
1
2
3 NA/?
2.
Explores and discusses own behavior, concerns,
needs, and values with other practicum students,
focusing on impact on client as well as self
1
2
3 NA/?
3.
Articulates and defends own theory, style
and counseling behavior
1
2
3 NA/?
4.
Actively provides and uses appropriate
feedback
1
2
3 NA/?
5.
Complies with specified (ACA) ethical
standards
1
2
3 NA/?
6.
Demonstrates consultation skills
1
2
3 NA/?
7.
Functions within the boundaries of own
competencies
1
2
3 NA/?
GENERAL SUPERVISION
1.
Completes case reports and case notes
punctually and conscientiously
1
2
3 NA/?
2.
Keeps supervision appointments
1
2
3 NA/?
3.
Maintains Practicum Activity Logs
1
2
3 NA/?
Comments:
Signature ___________________________________________ Date _________________
Faculty Supervisor
Rev. 3/09