The University of Texas at Arlington School of Social Work Office of Field Education AGING ADVANCED GRADUATE DIRECT PRACTICE FIELD LEARNING CONTRACT FACE SHEET Student Name Printed: Student Email: Student Signature: Date: Student MAVS ID: Field Instructor Name Printed: Field Instructor Email: Field Instructor Signature: Date: Liaison Name Printed: Liaison Email: Liaison Signature: Date: Agency Name: Agency Address: Agency Phone Number Type of Placement: Advanced Graduate Direct Practice Aging Total number of clock hours to be completed for this semester: Hours: Semester: Year: Weekly Supervision Schedule: Day of the week and time Weekly Field Schedule: Day of the week and time You may be entitled to know what information UT Arlington (UTA) collects concerning you. You may review and have UTA correct this information according to procedures set forth in UT System BPM #32. The law is found in sections 552.021, 552.023 and 559.004 of the Texas Government Code. 1 AGING Advanced Graduate Direct Practice Field Learning Contract Objectives Student Name __________________________________MAVS ID: ____________________ The student will be able to: Objective 1: Advanced social workers in aging practice active self-reflection and continue to address personal bias and stereotypes to build knowledge to dispel myths regarding aging and stereotypes of older persons. Tasks: What tasks will be assigned to the student to achieve this objective? Evaluation Methods: 1. Verbal report in supervision. 2. Observation by supervisor. 3. Written reports. 4. Other ___________________________ Objective 2: Advanced social workers in aging develop an action plan for continued growth including use of continuing education, supervision, and consultation. Tasks: Evaluation Methods: What tasks will be assigned to the student to achieve this objective? 1. Verbal report in supervision. 2. Observation by supervisor. 3. Written reports. 4. Other ___________________________ 2 Objective 3: Advanced social workers in aging implement an effective decision-making strategy for deciphering ethical dilemmas on behalf of all older clients. Tasks: What tasks will be assigned to the student to achieve this objective? Evaluation Methods: 1. Verbal report in supervision. 2. Observation by supervisor. 3. Written reports. 4. Other ______________________________ Objective 4: Advanced social workers in aging evaluate, select and' implement appropriate assessment, intervention, and evaluation tools for use with the unique characteristics and needs of diverse older clients. Tasks: What tasks will be assigned to the student to achieve this objective? Evaluation Methods: 1. Verbal report in supervision. 2. Observation by supervisor. 3. Written reports. 4. Other ______________________________ 3 Objective 5: Advanced social workers in aging understand and can apply the relevant cultural, class, gender, race, age, disability, and other diversity issues to enhance the well-being of older adult clients from a strengths perspective. Tasks: What tasks will be assigned to the student to achieve this objective? Evaluation Methods: 1. Verbal report in supervision. 2. Observation by supervisor. 3. Written reports. 4. Other ____________________________ Objective 6: Advanced social workers in aging understand social stigma and injustice with respect to older adults and advocate for clients' right to dignity and selfdetermination in their assessment and intervention strategies. Tasks: What tasks will be assigned to the student to achieve this objective? Evaluation Methods: 1. Verbal report during weekly supervision time. 2. Direct Observation by supervisor. 3. Verbal feedback from colleagues. 4, Other ____________________________ 4 Objective 7: Advanced social workers in aging address any negative impacts of policies on practice with historically disadvantaged older populations. Tasks: What tasks will be assigned to the student to achieve this objective? Evaluation Methods: 1. Verbal report in supervision. 2. Observation by supervisor. 3. Written reports. 4. Other ____________________________ Objective 8: Advanced social workers in aging synthesize and apply advanced strategies to search, appraise, and select for application the most up to date evidence and evolving practice guidelines in the assessment and interventions with older adults. Tasks: What tasks will be assigned to the student to achieve this objective? Evaluation Methods: 1. Verbal report during weekly supervision time. 2. Direct Observation by supervisor. 3. Verbal feedback from colleagues. 4, Other ____________________________ 5 Objective 9: Advance social workers in aging develop effective models, programs, policies and interventions and assess their effectiveness using valid and reliable measures specific to older adults. Tasks: What tasks will be assigned to the student to achieve this objective? Evaluation Methods: 1. Verbal report in supervision. 2. Observation by supervisor. 3. Written reports. 4. Other ____________________________ Objective 10: Advanced social workers in aging apply conceptual frameworks and related theories consistent with social work perspectives and values to practice with older adults. Tasks: What tasks will be assigned to the student to achieve this objective? Evaluation Methods: 1. Verbal report during weekly supervision time. 2. Direct Observation by supervisor. 3. Verbal feedback from colleagues. 4, Other ____________________________ 6 Objective 11: Advanced social workers in aging understand the heterogeneity of aging populations and distinguish the various influences and social constructions of aging well. Tasks: What tasks will be assigned to the student to achieve this objective? Evaluation Methods: 1. Verbal report in supervision. 2. Observation by supervisor. 3. Written reports. 4. Other ____________________________ Objective 12: Advanced social workers in aging communicate to stakeholders the implication of policies and policy change in the lives of older adults. Tasks: What tasks will be assigned to the student to achieve this objective? Evaluation Methods: 1. Verbal report during weekly supervision time. 2. Direct Observation by supervisor. 3. Verbal feedback from colleagues. 4, Other ____________________________ 7 Objective 13: Advanced social workers in aging advocate for policies that advance the social and economic well-being of older adults. Tasks: What tasks will be assigned to the student to achieve this objective? Evaluation Methods: 1. Verbal report in supervision. 2. Observation by supervisor. 3. Written reports. 4. Other ____________________________ Objective 14: Advanced social workers in aging assess the quality of older adult and family member interactions within their social contexts. Tasks: What tasks will be assigned to the student to achieve this objective? Evaluation Methods: 1. Verbal report during weekly supervision time. 2. Direct Observation by supervisor. 3. Verbal feedback from colleagues. 4, Other ____________________________ 8 Objective 15: Advanced social workers in aging develop intervention plans to accomplish systemic change that is sustainable. Tasks: What tasks will be assigned to the student to achieve this objective? Evaluation Methods: 1. Verbal report in supervision. 2. Observation by supervisor. 3. Written reports. 4. Other ______________________________ Objective 16: Advanced social workers in aging use interpersonal skills to engage older clients in a collaborative, therapeutic relationship. Tasks: What tasks will be assigned to the student to achieve this objective? Evaluation Methods: 1. Verbal report in supervision. 2. Observation by supervisor. 3. Written reports. 4. Other ______________________________ 9 Objective 17: Advanced social workers in aging conduct bio-psycho-social- spiritual assessments using standardized measures appropriate for use with older adults. Tasks: What tasks will be assigned to the student to achieve this objective? Evaluation Methods: 1. Verbal report in supervision. 2. Observation by supervisor. 3. Written reports. 4. Other ______________________________ Objective 18: Advanced social workers in aging describe empirically validated and theoretical causes, advanced assessment methods, and the most effective interventions for a variety of problems which effect older adults. Tasks: What tasks will be assigned to the student to achieve this objective? Evaluation Methods: 1. Verbal report in supervision. 2 Observation by supervisor. 3. Written reports. Other ______________________________ 10 Objective 19: Advanced social workers in aging contribute to the theoretical knowledge base in the area of aging through practice-based research, and use evaluation of the process and/or outcomes to develop best practices. Tasks: What tasks will be assigned to the student to achieve this objective? Evaluation Methods: 1. Verbal report in supervision. 2. Observation by supervisor. 3. Written reports. 4. Other ______________________________ 11