______________________________________________________________________________
College of Health and Human Services
Department of Social Work
Field Education
749 Chestnut Street
Terre Haute, Indiana 47809
Telephone: 812-237-2322
Fax: 812-237-8114
MSW Field: STUDENT SELF EVALUATION
Name of Intern __________________________________ 991____________________
(To be completed at the end of the semester while in SOWK 615)
Name of Agency: _________________________________________________________
Name of Supervisor: ______________________________________________________
Name of Field Instructor: __________________________________________________
Date Evaluation was Completed __________________________
This evaluation is intended to give the intern the opportunity to self-evaluate, and to provide the
department with feedback on the student’s impression of self-development. The student’s selfevaluation is used as part of student instruction and development as well as for the department’s
evaluation of the student and program assessment. Student self-evaluation is not a graded
assignment but is a field requirement.
1
Rating the Student:
10 The student is fully prepared to be clinical level social worker and demonstrates mastery of skill. The student
qualifies as ‘a shining star’. The student initiates action and has the ability to deal with difficult situations and uses
best practices appropriately. The student no longer needs the supervisor to prompt action and demonstrates a ‘can
do’ attitude. Supervisor would like to have the student as a clinical colleague based on the student’s demonstration
of skills and abilities.
9 The student demonstrates near mastery of skill. The student is mostly proficient though sometimes does not show
‘best practice of all the necessary parts”. The student has an appropriate level of skills and acts appropriately as
situations arise most of the time. The student demonstrates best practice ‘more than 80% of the time”.
8 The student has an above average ability to perform as a clinical social worker. The student demonstrates a good
grasp of skills and abilities and is capable and confident. The student has basic skills but still needs experience and
practice to establish best practice.
7 The student is meeting the expectations of clinical social work practice, but more at a level of basic competence,
and performs to the level of the average social worker. The student is lacking ability to perform best practices most
of the time.
6 The student is developing clinical social work skills. The student is able to engage with clients and has an
understanding of the goals. The student is developing the ability to make decisions as situations occur but still
clearly is not ready to make decisions independently and needs to consult with supervisor before taking actions with
clients.
5 The student is emerging. The student is able to address basic clinical issues with a client, but is likely more
focused on learning necessary clinical theories, skills, and knowledge and observation of professionals in skill
usage.
4 The student is at the introductory, or beginning, clinical level. The student has little clinical knowledge or
experience yet is inquisitive and curious, and demonstrates an awareness of surroundings.
3 The student demonstrates less than motivated behavior and there is concern for the student’s development. The
student is demonstrating resistance to working in some aspect of the agency or with some types of clients, is not
inquisitive or demonstrating inquiry and has difficulty ‘fitting in’. Staff may be reporting not feeling that the student
is ‘getting it’ or is demonstrating a lack of empathy or compassion with clients.
2 The student is resistant to development and is not demonstrating a grasp of content. The student’s manner and
presentation are having a negative effect on the work environment and/or with clients. Supervisors feels that the
student is not ready to work with clients and needs to have some corrective plans before being ready to move on in
placement.
1 Student demonstrates unacceptable behavior that has been addressed without successful change. Further attempt
to resolve presenting problems is not likely to make a difference. Student should be removed from the field
practicum.
0 Insufficient evidence to evaluate the student
Instructions for completing the document:
Students should use this form to rate her or his own impression of self-ability of each practice behavior.
Students are expected to comment on each category of practice behaviors and should address
strengths, level of comfort with performing the competency, and areas where future attention will be
given. The ratings should be completed individually and then discussed and compared to the field
instructor/task supervisors. Each student should sign the document and turn it in to the classroom
instructor by the assigned deadline.
2
Competency 1: Identify as a professional social worker and conduct oneself accordingly.
Social workers serve as representatives of the profession, its mission, and its core values.
They know the profession’s history. Social workers commit themselves to the profession’s
enhancement and to their own professional conduct and growth. Social workers
Practice Behavior
PB 1. Advocate for client access to services of social work.
PB2. Practice personal reflection and self-correction to assure continual
professional development.
PB 3. Attend to professional roles and boundaries.
PB 4. Demonstrate professional demeanor in behavior, appearance, and
communication.
PB 5. Engage in career long learning.
PB 6. Use supervision and consultation.
Comments:
Rating
Competency 1: Advanced Practice Behavior - Clinical Social Work (For Health and Mental
Health). Advanced practitioners in clinical social work recognize the importance of the
therapeutic relationships, the person-in-environment and strengths perspectives, the
professional use of self with clients, and adherence to the ethical guidelines of professional
behavior. Advanced practitioners in clinical social work
Practice Behavior
Rating
APB-C1. Readily Identify as social work professions.
APB-C2. Demonstrate professional use of self with client(s).
APB-C3. Understand and identify professional strengths, limitations, and
challenges.
APB-C4. Develop, manage, and maintain therapeutic relationships with
clients within the person-in-environment and strengths perspectives.
Comments:
Competency 1: Advanced Practice Behavior - Prevention of Substance Use (For
MH/Addictions). At the concentration level, advanced practitioners in prevention of
substance use disorders )PUDS) recognize the potentially unique role of social work in
prevention. Advanced practitioners in PSUD
Practice Behavior
Rating
APB-SU1. Identify opportunities for social work involvement in
prevention of substance use disorders.
Comments:
3
Competency 2: Apply social work ethical principles to guide professional practice. Social
workers have an obligation to conduct themselves ethically and to engage in ethical decision
making. Social workers are knowledgeable about the value base of the profession, its ethical
standards, and relevant law. Social workers
Practice Behavior
PB 7. Recognize and manage personal values in a way that allows
professional values to guide practice.
Rating
PB 8. Make ethical decisions by applying the standards of the National
Association of Social Workers Code of Ethics.
PB 9. Tolerate ambiguity in resolving ethical conflicts.
PB 10. Apply strategies of ethical reasoning to arrive at principled
decisions.
Comments:
Competency 2: Advanced Practice Behavior - Clinical Social Work (For Health and Mental
Health). Advanced practitioners in clinical social work are knowledgeable about ethical
issues, legal parameters, and shifting societal mores that affect the therapeutic relationship.
Advanced practitioners in clinical social work
Practice Behavior
Rating
APB-C5. Apply ethical decision making skills to issues specific to clinical
social work.
APB-C6. Employ strategies of ethical reasoning to address the use of
technology in clinical practice and its impact on client rights.
APB-C7. Identify and use knowledge of relationship dynamics, including
power differentials.
APB-C8. Recognize and manage personal biases as they affect the
therapeutic relationship in the service of the clients' well-being.
Comments:
Competency 2: Advanced Practice Behavior - Prevention of Substance Use (For
MH/Addictions). At the concentration level, advanced practitioners in PSUD are
knowledgeable about ethical issues specific to substance use disorders and prevention.
Advanced practitioners in PSUD
Practice Behavior
Rating
APB-SU2. Apply ethical decision making skills to the prevention of
substance use disorders.
Comments:
4
Competency 3: Apply critical thinking to inform and communicate professional judgments.
Social workers are knowledgeable about the principles of logic, scientific inquiry, and
reasoned discernment. They use critical thinking augmented by creativity and curiosity.
Critical thinking also requires the synthesis and communication of relevant information.
Social workers
Practice Behavior
Rating
PB 11. Distinguish, appraise, and integrate multiple sources of knowledge,
including research-based knowledge and practice wisdom.
PB 12. Analyze models of assessment, prevention, intervention, and
evaluation.
PB 13. Demonstrate effective oral and written communication in working
with individuals, families, organizations, communities, and colleagues.
Comments:
Competency 3: Advanced Practice Behavior - Clinical Social Work (For Health and Mental
Health). Advanced practitioners understand and differentiate the strengths and limitations of
multiple practice theories and methods, clinical processes, and technical tools, including
differential diagnosis. They deconstruct theories and methods to evaluate how they relate to
clients and client systems within their environmental context. They regularly question and
reflect on their own assumptions and consider how these might affect practice. Advanced
practitioners in clinical social work
Practice Behavior
Rating
APB-C9. Engage in reflective practice.
APB-C10. Identify and articulate clients' strengths and vulnerabilities.
APB-C11. Evaluate, select, and implement appropriate multidimensional
assessment, diagnostic, intervention, and practice evaluation tools.
APB-C12. Evaluate the strengths and weaknesses of multiple theoretical
perspectives and differentially apply them to client situations.
APB-C13. Communicate professional judgments to other social workers
and to professionals from other disciplines, in both verbal and written
formats.
Comments:
Competency 3: Advanced Practice Behavior - Prevention of Substance Use (For
MH/Addictions). Because of the multidisciplinary nature of the problems in PSUD, at the
concentration level advanced practitioners understand cross-discipline terminology and
communication techniques. Advanced practitioners in PSUD understand how substance
abuse interfaces with problems that social workers face (e.g., health, mental health, crime,
poverty, child welfare, and violence). Advanced practitioners in PSUD
Practice Behavior
APB-SU3. Evaluate, select, and implement appropriate assessment,
intervention, and evaluation tools for use with target populations.
APB-SU4. Communicate effectively with diverse populations and with
multi- or inter disciplinary colleagues.
Comments:
5
Rating
Competency 4: Engage diversity and difference in practice. Social workers understand how
diversity characterizes and shapes the human experience and is critical to the formation of
identity. The dimensions of diversity are understood as the intersectionality of multiple
factors including age, class, color, culture, disability, ethnicity, gender, gender identity and
expression, immigration status, political ideology, race, religion, sex, and sexual orientation.
Social workers appreciate that, as a consequence of difference, a person’s life experiences
may include oppression, poverty, marginalization, and alienation as well as privilege,
power, and acclaim.
Social workers
Practice Behavior
Rating
PB 14. Recognize the extent to which a culture's structures and values may
oppress, marginalize, alienate, or create or enhance privilege and power.
PB 15. Gain sufficient self-awareness to eliminate the influence of personal
biases and values in working with diverse groups.
PB 16. Recognize and communicate their understanding of the importance
of difference in shaping life experiences.
PB 17. View themselves as learners and engage those with whom they
work as informants.
Comments:
Competency 4: Advanced Practice Behavior - Clinical Social Work (For Health and Mental
Health). Advanced practitioners are knowledgeable about many forms of diversity and
difference and how these influence the therapeutic relationship with clients' presenting
issues. Advanced practitioners are knowledgeable about the ways in which various
dimensions of diversity affect (a) explanations of illness, (b) help-seeking behavior, and (c)
healing practices. Advanced practitioners are cultural beings and understand how clinical
practice choices can be culture-bound. Advanced practitioners in clinical social work
Practice Behavior
APB-C14. Research and apply knowledge of diverse populations to
enhance client well-being.
APB-C15. Work effectively with diverse populations.
APB-C16. Identify and use practitioner/client differences from a strengths
perspective.
Comments:
6
Rating
Competency 4: Advanced Practice Behavior - Prevention of Substance Use (For
MH/Addictions). At the concentration level, advanced practitioners are knowledgeable
about various perspectives on social constructions of substance use, misuse, abuse, and
dependence. They understand substances in cultural context. Advanced practitioners are
familiar with variations in the nature and courses of substance use disorders across the life
span and in diverse communities (e.g., between men and women, across cultures and social
classes, sexual orientation and gender identity). Advanced practitioners are familiar with
bio/physiological processes impacting different populations. Advanced practitioners in
PSUD
Practice Behavior
Rating
APB-SU5. Identify appropriate substance use disorders and prevention
target groups.
APB-SU6. Assess predictive factors competently within and across groups
(e.g. gender, ethnicity/race, age, SES, sexual orientation) and across system
levels.
APB-SU7. Analyze and compare different social constructions of
substance use, misuse, abuse, and dependence and their implications.
Comments:
Competency 5: Advance human rights and social and economic justice. Each person,
regardless of position in society, has basic human rights, such as freedom, safety, privacy,
an adequate standard of living, health care, and education. Social workers recognize the
global interconnections of oppression and are knowledgeable about theories of justice and
strategies to promote human and civil rights. Social work incorporates social justice
practices in organizations, institutions, and society to ensure that these basic human rights
are distributed equitably and without prejudice. Social workers
Practice Behavior
PB 18. Understand the forms and mechanisms of oppression and
discrimination.
PB 19. Advocate for human rights and social and economic justice.
PB 20. Engage in practices that advance social and economic justice.
Comments:
7
Rating
Competency 5: Advanced Practice Behavior - Clinical Social Work (For Health and Mental
Health). Advanced practitioners in clinical social work understand the potentially
challenging effects of economic, social, and cultural factors in the lives of clients and client
systems. Advanced practitioners understand the stigma and shame associated with
disorders, diagnoses, and help-seeking behaviors across diverse populations. They also
understand strategies for advancing human rights and economic justice in the domestic and
global contexts. Advanced practitioners in clinical social work
Practice Behavior
APB-C17. Use knowledge of the effects of oppression, discrimination, and
historical trauma on client and client systems to guide treatment planning
and intervention.
Rating
APB-C18. Advocate at multiple levels for mental health parity and
reduction of health disparities for diverse populations.
Comments:
Competency 5: Advanced Practice Behavior - Prevention of Substance Use (For
MH/Addictions). At the concentration level, advanced practitioners in PSUD recognize
health disparities in the distribution of substance use, problems with substance use, and
predictors across groups. Advanced practitioners recognize stigma and shame associated
with substance use, misuse, abuse, and dependence (e.g., discrimination and denial of the
problems, stereotyping of populations). Advanced practitioners are familiar with
international perspectives on preventing substance use, misuse, abuse, and dependence.
Advanced practitioners in PSUD
Practice Behavior
Rating
APB-SU8. Advocate at multiple levels for health promotion, for reduction
of health disparities and stigma for diverse populations affected by
substances and substance use disorders.
Comments:
Competency 6: Engage in research-informed practice and practice-informed research.
Social workers use practice experience to inform research, employ evidence-based
interventions, evaluate their own practice, and use research findings to improve practice,
policy, and social service delivery. Social workers comprehend quantitative and qualitative
research and understand scientific and ethical approaches to building knowledge. Social
workers
Practice Behavior
Rating
PB 21. Use practice to inform scientific inquiry.
PB 22. Use research evidence to inform practice.
Comments:
8
Competency 6: Advanced Practice Behavior - Clinical Social Work (For Health and Mental
Health). Advanced clinical practitioners are knowledgeable about evidence-based
interventions, best practices, and the evidence-based research process. Advanced
practitioners in clinical social work
Practice Behavior
APB-C19. Use the evidence-based practice process in clinical assessment
and intervention with clients.
Rating
APB-C20. Participate in the generation of new clinical knowledge, through
research and practice.
APB-C21. Use research methodology to evaluate clinical practice
effectiveness and/or outcomes.
Comments:
Competency 6: Advanced Practice Behavior - Prevention of Substance Use (For
MH/Addictions). Advanced practitioners are familiar with valid and reliable assessment
tools for identifying the problem, risk, and protective factors; vulnerability and resilience
factors; and consequences for different groups, practice levels, and ages. Advanced
practitioners in PSUD
Practice Behavior
Rating
APB-SU9. Relate substance use disorder theories, models, and research to
appropriate client systems and circumstances.
APB-SU10. Identify, evaluate, and select effective substance use disorder
prevention strategies.
APB-SU11. Apply foundation research skills to the evaluation of
prevention of substance use disorders.
APB-SU12. Work collaboratively with evaluators/researchers to assess
intervention efficacy and effectiveness.
Comments:
Competency 7: Apply knowledge of human behavior and the social environment. Social
workers are knowledgeable about human behavior across the life course; the range of social
systems in which people live; and the ways social systems promote or deter people in
maintaining or achieving health and well-being. Social workers apply theories and
knowledge from the liberal arts to understand biological, social, cultural, psychological, and
spiritual development. Social workers
Practice Behavior
Rating
PB 23. Utilize conceptual frameworks to guide the processes of assessment,
intervention, and evaluation.
PB 24. Critique and apply knowledge to understand person and
environment.
Comments:
9
Competency 7: Advanced Practice Behavior - Clinical Social Work (For Health and Mental
Health). Advanced practitioners understand how to synthesize and differentially apply the
theories of human behavior and the social environment (biological, developmental,
psychological, social, cultural, and spiritual). They are familiar with diagnostic
classification systems used in the formation of a comprehensive assessment. Advanced
practitioners understand how sociocultural contexts influence definitions of
psychopathology. They have a working knowledge of psychotropic medications that are
typically used in the treatment of mental health disorders, including expected results and
side effects. Advanced practitioners in clinical social work
Practice Behavior
Rating
APB-C22. Synthesize and differentially apply theories of human behavior
and the social environment to guide clinical practice.
APB-C23. Use bio-psycho-social spiritual theories and multiaxial
diagnostic classification systems in formulation of comprehensive
assessments.
APB-C24. Consult with medical professionals, as needed, to confirm
diagnosis and/or monitor medication and treatment progress.
Comments:
Competency 7: Advanced Practice Behavior - Prevention of Substance Use (For
MH/Addictions). At the concentration level, advanced practitioners in prevention of
substance use disorders are knowledgeable about substances of abuse and their actions,
etiology, and course including patterns fo use, misuse, abuse, and dependence and their
interactions with environmental factors. They understand systems of service delivery in
relation to substance use problems. Advanced practitioners are familiar with multilevel
frameworks of prevention and health promotion. They understand social work specific
frameworks and theories for prevention practice, including the bio-psycho-social
perspective. Advanced practitioners in PSUD
Practice Behavior
Rating
APB-SU13. Relate substance use disorders theories, models, and research
appropriate to client systems and circumstances.
Comments:
Competency 8: Engage in policy practice to advance social and economic well-being and to
deliver effective social work services. Social work practitioners understand that policy
affects service delivery, and they actively engage in policy practice. Social workers know
the history and current structures of social policies and services; the role of policy in service
delivery; and the role of practice in policy development. Social workers
Practice Behavior
PB 25. Analyze, formulate, and advocate for policies that advance social
well-being.
PB 26. Collaborate with colleagues and clients for effective policy action.
Comments:
10
Rating
Competency 8: Advanced Practice Behavior - Clinical Social Work (For Health and Mental
Health). Advanced practitioners in clinical social work recognize the connection between
clients, practice, and both public and organizational policy. Advanced practitioners have
knowledge about factors that influence the development of legislation, policies, program
services, and funding at all system levels. They have knowledge of advocacy methods that
contribute to effective policies that promote social and economic well-being. Advanced
practitioners in clinical social work
Practice Behavior
APB-C25. Communicate to stakeholders the implications of policies and
policy change in the lives of clients.
Rating
APB-C26. Use evidence-based practice and practice-based evidence in
advocacy for policies that advance social and economic wellbeing.
APB-C27. Advocate with and inform administrators and legislators to
influence policies that affect clients and service.
Comments:
Competency 8: Advanced Practice Behavior - Prevention of Substance Use (For
MH/Addictions). At the concentration level, advanced practitioners in prevention of
substance use disorders understand how policies and service delivery system factors are part
of the prevention. Advanced practitioners are familiar with the history and current trends in
policies and service delivery systems as related to substance use, misuse, abuse, and
dependence problems and interventions. Advanced practitioners in PSUD
Practice Behavior
APB-SU14. Apply policy practice skills for substance use disorders
prevention.
Comments:
Rating
Competency 9: Respond to contexts that shape practice. Social workers are informed,
resourceful, and proactive in responding to evolving organizational, community, and
societal contexts at all levels of practice. Social workers recognize that the context of
practice is dynamic, and use knowledge and skill to respond proactively. Social workers
Practice Behavior
PB 27. Continuously discover, appraise, and attend to changing locales,
populations, scientific and technological developments, and emerging
societal trends to provide relevant services.
PB 28. Provide leadership in promoting sustainable changes in service
delivery and practice to improve the quality of social services.
Comments:
11
Rating
Competency 9: Advanced Practice Behavior - Clinical Social Work (For Health and Mental
Health). Advanced practitioners in clinical social work are knowledgeable about how
relational, organizational, and community systems may impact clients. They anticipate and
react to evolving cultural, technological, geographical, political, legal, economic, and
environmental contexts. They encourage clients to effect change within these contexts.
Advanced practitioners in clinical social work
Practice Behavior
APB-C28. Assess the quality of clients' interactions within their social
contexts.
APB-C29. Develop intervention plans to accomplish systematic change.
APB-C30. Work collaboratively with others to effect systematic change
that is sustainable.
Comments:
Rating
Competency 9: Advanced Practice Behavior - Prevention of Substance Use (For
MH/Addictions). At the concentration level, advanced practitioners I PSUD understand the
interaction of different modes and roles of intervention including prevention, intervention,
treatment and recovery. They understand the venues for prevention including individual,
family, community, service settings, local, state, and federal involvement, the contribution
of legislation, and resource distribution. Advanced practitioners are familiar with the
history and legacy of various paradigms related to substance use, misuse, abuse, and
dependence. Advanced practitioners in PSUD
Practice Behavior
APB-SU15. Act as change agent to promote prevention of substance use,
misuse, abuse, and dependence.
APB-SU16. Advocate at multiple levels for health promotion, for
promotion of known resiliency factors, for reduction of risk and
vulnerability factors, for promotion of prevention, and for diverse
populations affected by substances and substance use disorders.
Comments:
12
Rating
Competency 10: Engage, assess, intervene, and evaluate with individuals, families, groups,
organizations, and communities. Professional practice involves the dynamic and interactive
processes of engagement, assessment, intervention, and evaluation at multiple levels. Social
workers have the knowledge and skills to practice with individuals, families, groups,
organizations, and communities. Practice knowledge includes 7 identifying, analyzing, and
implementing evidence-based interventions designed to achieve client goals; using research
and technological advances; evaluating program outcomes and practice effectiveness;
developing, analyzing, advocating, and providing leadership for policies and services; and
promoting social and economic justice.
Clinical Social Work practice involves the dynamic, interactive, and reciprocal processes of
therapeutic engagement, multidimensional assessment, clinical intervention, and practice
evaluation at multiple levels. Advanced practitioners have a theoretically informed
knowledge base so as to effectively practice with individuals, families, and groups. Clinical
practice knowledge includes understanding and implementing practice theories (models,
meta perspectives, strategies, techniques, and approaches); evaluating treatment outcomes
and practice effectiveness.
A: Engagement. Social workers
Practice Behavior
PB 29. Substantively and affectively prepare for action with individuals,
families, groups, organizations, and communities.
PB 30. Use empathy and other interpersonal skills.
PB 31. Develop a mutually agreed-on focus of work and desired outcomes.
Comments:
Rating
Competency 10a: Advanced Practice Behavior - Clinical Social Work (For Health and
Mental Health). Advanced practitioners in social work
Practice Behavior
Rating
APB-C31. Develop a culturally responsive therapeutic relationship.
APB-C32. Attend to the interpersonal dynamics and contextual factors that
both strengthen and potentially threaten the therapeutic alliance.
APB-C33. Establish a relationally based process that encourages clients to
be equal participants in the establishment of treatment goals and expected
outcomes.
Comments:
Competency 10a: Advanced Practice Behavior - Prevention of Substance Use (For
MH/Addictions). At the concentration level, advanced practitioners in PSUD recognize and
understand the diverse groups affected by prevention of substance use disorders. Advanced
practitioners in PSUD
Practice Behavior
APB-SU17. Engage diverse groups (e.g., gender, race/ethnicity, sexual
orientation and gender expression, age) in prevention practice.
Comments:
13
Rating
B: Assessment. Social workers
Practice Behavior
PB 32. Collect, organize, and interpret client data.
PB 33. Assess client strengths and limitations.
PB 34. Develop mutually agreed upon intervention goals and objectives.
PB 35. Select appropriate intervention strategies.
Comments:
Rating
Competency 10b: Advanced Practice Behavior - Clinical Social Work (For Health and
Mental Health). Advanced practitioners in clinical social work
Practice Behavior
Rating
APB-C34. Use multidimensional bio-psycho-social spiritual assessment
tools.
APB-C35. Assess clients' readiness for change.
APB-C36. Assess client coping strategies to reinforce and improve
adaptation to life situations, circumstances, and events.
APB-C37. Select and modify appropriate intervention strategies based on
continuous clinical assessment.
APB-C38. Use differential and multiaxial diagnoses.
Comments:
Competency 10b: Advanced Practice Behavior - Prevention of Substance Use (For
MH/Addictions). At the concentration level, advanced practitioners PSUD understand the
epidemiology of substance use and problems with substance use, as well as the predictors of
substance use and abuse in populations, across place and development. Advanced
practitioners are familiar with multidisciplinary and multidimensional assessment methods.
They understand etiology, nature and course, substance use, misuse, abuse, and dependence.
Advanced practitioners are familiar with theories and models of prevention. Advanced
practitioners in PSUD
Practice Behavior
Rating
APB-SU18. Adapt, modify, and use assessment tools and approaches,
including in situations in which specific abilities and functions may be
affected by substance use, misuse, abuse, and dependence - such as short
and long term cognitive, affective, and physiological effects.
APB-SU19. Evaluate, select, and implement appropriate assessment
instruments for use with target populations.
APB-SU20. Conduct needs assessment for prevention of substance use
disorders, including identifying and using existing epidemiological data.
APB-SU21. Relate substance use disorders theories, models, and research
appropriate to client systems and circumstances.
Comments:
14
C: Intervention. Social workers
Practice Behavior
PB 36. Initiate actions to achieve organizational goals.
PB 37. Implement prevention interventions that enhance client capacities.
PB 38. Help clients resolve problems.
PB 39. Negotiate, mediate, and advocate for clients.
PB 40. Facilitate transitions and endings.
Comments:
Rating
Competency 10c: Advanced Practice Behavior - Clinical Social Work (For Health and
Mental Health). Advanced practitioners in clinical work
Practice Behavior
APB-C39. Critically evaluate, select, and apply best practices and
evidence-based interventions.
Rating
APB-C40. Demonstrate the use of appropriate clinical techniques for a
range of presenting concerns identified in the assessment, including crisis
intervention strategies as needed.
APB-C41. Collaborate with other professionals to coordinate treatment
interventions.
Comments:
Competency 10c: Advanced Practice Behavior - Prevention of Substance Use (For
MH/Addictions). At the concentration level, advanced practitioners in PSUD understand
the relationships among prevention, early intervention, and treatment, as well as different
types of prevention (e.g., abstinence based, harm reduction, relapse prevention). They
understand types of prevention strategies (e.g., primary, secondary, tertiary; universal,
selective, dedicated). Advanced practitioners are familiar with resources for identifying
effective substance use disorders prevention approaches. They understand how to adapt
substance use disorders models and prevention strategies to make them relevant to the target
population. Advanced practitioners in PSUD
Practice Behavior
APB-SU22. Apply types of prevention strategies across levels of
intervention, including the individual, family, school, agency, community,
or larger context.
APB-SU23. Develop and implement collaborative multidisciplinary
prevention strategies.
APB-SU24. Implement effective substance use disorder prevention
strategies with fidelity.
APB-SU25. Identify, evaluate, and select effective substance use disorders
prevention strategies.
Comments:
15
Rating
D: Evaluation. Social workers
Practice Behavior
PB 41. Critically analyze, monitor, and evaluate interventions.
Comments:
Rating
Competency 10d: Advanced Practice Behavior - Clinical Social Work (For Health and
Mental Health). Advanced practitioners in clinical social work
Practice Behavior
Rating
APB-C42. Contribute to the theoretical knowledge base of the social work
profession through practice-based research.
APB-C43. Use clinical evaluation of the process and/or outcomes to
develop best practice interventions for a range of bio-psycho-social
spiritual conditions.
Comments:
Competency 10d: Advanced Practice Behavior - Prevention of Substance Use (For
MH/Addictions). At the concentration level, advanced practitioners in PSUD are familiar
with the unique challenges in prevention evaluation (e.g., need for multiple years of follow
up to see the impact on substance use outcomes). Advanced practitioners are familiar with
prevention and substance use evaluation methodologies and with evaluation tools for
substance use disorders and prevention. They understand the potential effects of
intervention on multiple levels. Advanced practitioners in PSUD
Practice Behavior
APB-SU26. Apply research skills to the evaluation of prevention of
substance use disorders.
APB-SU27. Identify and use evaluation tools for substance use disorders
and prevention.
APB-SU28. Communicate and disseminate evaluation results appropriate
to the intended audience.
APB-SU29. Work collaboratively with evaluators/researchers to assess
intervention efficacy and effectiveness.
Comments:
16
Rating
FINAL OVERALL EVALUATION:
Please provide an overall rating of your competence using the same rating scale as for
each category (found on page 2). __________
Comments/elaboration:
Strengths:
Limitations:
Intern’s Signature _________________________________ Date _____________________
17