Texas A&M University-Commerce School of Social Work MSW Concentration Field Practicum (SWK 554) Learning Plan & Evaluation Form This is the student’s (First) correct choice.) (Second) (Third) semester of field. (Please circle/check STUDENT NAME (PRINT): SWK 554 SPRING (YEAR): Agency: Faculty Liaison: Field Instructor: On-Site Supervisor (if applicable) SWK 554 SUMMER (YEAR): Agency: Faculty Liaison: Field Instructor: On-Site Supervisor (if applicable) SWK 554 FALL (YEAR): Agency: Faculty Liaison: Field Instructor: On-Site Supervisor (if applicable) Instruction for Completion: The Learning Plan is a tool to guide the field practicum experience. While each student is expected to achieve the course objectives for the field practicum, each field experience is unique. Therefore, the Learning Plan should incorporate the field practicum’s learning objectives, the agency’s goals and learning opportunities, and the student’s individual learning goals and interests. If the agency or program does not have services available to help the student meet thelearning objectives, other opportunities outside of the agency may be sought. The Learning Plan is to be completed by field student, with the assistance of the Field Instructor(and On-Site Supervisor, when applicable). Students may include class and portfolio assignments as a part of the identified tasks or activities. The student should make three copies of the learning plan tobe available for: 1) the Student’s Portfolio; 2) the Field Instructor’s file; 3) the Faculty Field Liaison’sfile. Revised Summer 2014 279 The Learning Plan should be used as part of the student’s weekly supervision with the Field Instructor. Progress towards meeting objectives should be reviewed and used as an ongoing measure for the student evaluation process. The Advanced Generalist Field Practicum is intended to provide students with opportunities to learn and assume AGP roles such as broker, facilitator, mediator, advocate, case manager, educator, researcher, administrator, clinician, and program evaluator. By the final (3rd) semester of the AGP field, students are expected to demonstrate the integration of social work values, knowledge, and skills with complex problems and situations and reflect their ability to practice independently and autonomously. The following are the MSW program goals: 1. Prepare MSW graduates for professional advanced generalist practice that reflects application and integration of critical thinking, theoretical frameworks, and differential interventions. 2. Enable MSW graduates to apply ethical reasoning to advance equality, justice, and social change. 3. Promote leadership and service that is relevant to individual contexts of practice and enhances well-being and quality of life. Rating Scale for Evaluation of Field Placement Performance Instructions for Rating Interns on the 10 competencies in the First Part of the Evaluation: The 10 competencies specified in this evaluation form are those established by our national accrediting organization (Council on Social Work Education). 5 4 3 2 1 n/a Excellent Good Average Fair Poor 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. Comments are needed for any competency statement rated under a 3. Please be sure to indicate those areas in whichyou think the intern is particularly strong and those areas in which the student needsimprovement. This evaluation is intended to give the intern feedback about her or his performance. The field instructor’s rating of these items will not directly be used to calculate the grade given to the intern. The faculty liaison has responsibility of assigning the grade for field instruction. The grade that is assigned will be based on: the faculty liaison’s overall evaluation of the student’s performance infield placement in conjunction with the field instructor’s evaluation and other submitted materials such as: intern logs, seminar participation; papers that integrate field with classroom instruction. Revised Summer 2014 280 UPON COMPLETION OF THE MSW ADVANCED GENERALIST FIELD PRACTICUM, STUDENTS WILL BE ABLE TO FULLY ENGAGE IN THE ROLE OF CHANGE AGENT. The following Competencies, Practice Behaviors, and Learning Activities are reflective of thisrole: Competency 1.1: Critically analyze practice situations and communicate judgments and reasoning through decision-making processes. Practice Behaviors: Applies professional judgment and reasoning Synthesizes and effectively communicates relevant information to other Mid Final Competency 1.2: Contribute to evidence-based best practice approaches to assess and improve effectiveness. Practice Behaviors: Uses research and evaluation to assess intervention, efficacy, and effectiveness Develops and shares data to enhance best practices and professional knowledge Uses evidence-based research findings to improve practice Mid Final Competency 1.3: Differentially apply theories and frameworks of HBSE. Mid Final Mid Final Practice Behaviors: Translates empirically-supported human behavior theories and conceptual frameworks into practice at all levels Uses appropriate assessment and intervention strategies groundedin human behavior theories and conceptual frameworks Competency 1.4: Demonstrate autonomy in dynamic practice situations that involve: 1. Relationship-building at all levels of systems 2. Evidence-based assessment tools and intervention approaches. 3. Effective intervention with complex problems and prevention strategies. 4. Response to the feedback process from interventions. Uses empathy and other interpersonal skills Builds trust with all levels of systems Collects, organizes, and interprets client data Assesses client system’s strengths and limitations Selects appropriate intervention strategies Demonstrates one’s ability to move a client system through thepractice intervention process Assists clients to resolve problems Negotiates, mediates, and advocates for clientsystems Facilitates transitions and endings Critically analyzes, monitors, and evaluates interventions Assesses, intervenes, and evaluates complex problems with all systems Revised Summer 2014 281 Competency 3.4: Develop leadership skills as advanced generalist practitioner to enhance organizations and communities. Mid Final Practice Behaviors: Becomes increasingly proactive in recommendingconstructive change in organizations and communities. Planned Field Activities that reflect the role of CHANGE AGENT: Mid Final 1. 2. 3. 4. 5. Midterm Comments: Final Comments: UPON COMPLETION OF THE MSW ADVANCED GENERALIST FIELD PRACTICUM, STUDENTS WILL BE ABLE TO FULLY ENGAGE IN THE ROLE OF ADVOCATE. The following Competencies, Practice Behaviors, and Learning Activities are reflective of thisrole: Competency 2.1: Promote social policies to improve service delivery systems. Mid Final Practice Behaviors: Interfaces with colleagues, client systems, and agencies topromote effective use of policies (ie, policy practice) Identifies impact of policies from various systems on clients and advocates on behalf of client systems Competency 2.2: Apply social work ethical principles to resolve dilemmas and create positive change Practice Behaviors: Articulates and advocates social work values and ethics among interdisciplinary situations and settings Strategically uses supervision and consultation to address ethical dilemmas in practice Revised Summer 2014 Mid Final 282 Competency 2.3: Demonstrate the ability to build strengths based on mutual engagement with diverse populations. Practice Behaviors: Refrains from acting upon biases and values as they relate to adiverse group Modifies and adapts traditional interventions to meet needs ofdiverse and oppressed populations. Applies strengths and empowerment strategies as with diversegroups Mid Final Competency 2.4: Demonstrate commitment to strategies that address discrimination, reduce disparities, and promote social and economic justice. Practice Behaviors: Actively promotes opportunities and participation of diverse constituents Mid Final Planned Field Activities that reflect the role of ADVOCATE: Mid Final 1. 2. 3. 4. 5. Midterm Comments: Final Comments: Revised Summer 2014 283 UPON COMPLETION OF THE MSW ADVANCED GENERALIST FIELD PRACTICUM, STUDENTS WILL BE ABLE TO FULLY ENGAGE IN THE ROLE OF LEADER. The following Competencies, Practice Behaviors, and Learning Activities are reflective of thisrole: Competency 3.1: Exemplify professional social work behavior and standards. Mid Final Practice Behaviors: Employs conscious use of self, self-reflection, self-monitoring,and self-correction in practice situations Models professional demeanor in behavior and communications. Adheres to professional roles and boundaries Competency 3.2: Use leadership skills to respond, influence, and and shape changing contexts. Mid Final Practice Behaviors: Demonstrates leadership in changing contexts of social, organizational, and community environments Knows leadership skills necessary for communitydecision-making processes Competency 3.3: Apply innovative solutions to social and organizational dynamics. Mid Final Practice Behaviors: Demonstrates innovative problem-solving in social and organizational systems Planned Field Activities that reflect the role of LEADERSHIP: Mid Final 1. 2. 3. 4. 5. Midterm Comments: Final Comments: Revised Summer 2014 284 Performance Evaluation of Professional Behaviors Mid Final 11. Completion of scheduled hours. 12. Completes assigned tasks in a timely & professional manner. 13. Interacts appropriately with agency staff. 14. Interacts appropriately with Field Instructor (and On-SiteSupervisor). 15. Adheres to agency rules and policies. Field Instructor’s OVERALL RATING AT THE END OF THE SEMESTER: Narrative Performance Evaluation by Field Instructor (and On-Site Supervisor-Final Evaluation 1. Identify the student’s strengths and abilities: MIDTERM: FINAL: 2. Identify areas for student growth and development: MIDTERM: FINAL: Revised Summer 2014 285 3. Progress in completing learning plan/activities: MIDTERM: FINAL: 4. What additional learning opportunities would be helpful: MIDTERM: FINAL 5. Other Comments: Revised Summer 2014 286 Student Comments, Regarding Placement and Evaluation: (Final Evaluation) 1. How would you assess your performance in the Field Practicum thissemester? 2. What have you learned in this placement? 3. What future opportunities would enhance your skills and learning opportunities? 4. Comments regarding this evaluation? MSW Field Instructor _ (Mid) Date Student Date (Final) MSW Field Instructor Date Student Date (Mid) (Final) (Mid) Faculty Field Liaison Date (Final) Faculty Field Liaison Date (Mid) On-Site Supervisor Revised Summer 2014 Date (Final) On-Site Supervisor Date 287