Learning Contract Sample Task/Activities Advanced Practice Behaviors Competency 1: Identify with Social Work Profession Continually employ and 1. I will communicate with my supervisor before and after group session model conscious use of self, to evaluate my role as a therapist and receive feedback and self-reflection, selfcorrection as needed throughout the semester. monitoring, and self2. I will compare and contrast how I interact with clients/patients correction in practice currently and how I interacted with clients/patients in the previous situations. semester. I will evaluate how I have grown and developed in a professional manner. I will discuss this with my supervisor by the end of January. 3. In weekly supervision I will discuss my reflections, questions and concerns about my own limitations and identify my strengths. Adhere to and model 1. Reflect on lessons learned about boundaries while at _____. Learn professional roles and how to utilize these lessons once graduated. boundaries. 2. Talk with supervisor about roles and boundaries within the school setting and within the client’s home. 3. I will explore my use of self-disclosure when interacting with clients in supervision by __________date. 4. I will follow the facility dress code, be punctual, respectful and uphold confidentiality at all times and discuss in supervision throughout the semester. 5. I will identify and discuss with supervisor the differences in my role when working with clients in group and individual settings. Advocate for client systems 1. Spend at least one hour learning how to complete DHS assistance in a manner that addresses forms to better assist a client in the future with this task. culturally influenced 2. Become educated on at least 4 available resources in the community barriers to services to effectively provide clients with referrals to agencies/organizations presented by practitioners, as needed. organizations and larger 3. I will identify any cultural barriers that may prevent clients from systems. receiving services (i.e. religion, language, and sexual orientation) and advocate for them to receive adequate services to meet their needs and discuss in supervision. 4. I will create different charts for patients to use who may experience barriers to communication. They can utilize these charts to converse with health care professionals so it can be ensured their needs are met and their concerns are known. This may be beneficial for patients who are hard of hearing, or whose English is not their first language. 5. I will produce a procedures manual to guide employee interaction with consumers. I will also spend time working directly with consumers to be able to address their needs. Competency 2: Apply Ethical Principles in Practice Demonstrate leadership in applying ethical reasoning for problem resolution. Systematically question statements of value and recognize the underlying ethics of policies, theories and models 1. I will present one case consultation during a team meeting describing an ethical dilemma and decision making model for problem resolution. 2. I will promote ethical practice by identifying one situation each month that dealt with ethics and discuss this with my supervisor, referencing the NASW code of ethics as appropriate. 3. Apply ethics when it comes to family issues with confidentiality and discuss with supervisor. 4. I will review the Advanced Care Planning materials for individual with chronic illness and practice these situations with my supervisor during supervisor meetings. 1. I will discuss in supervision a policy that affects our clients that is based within the agency or mental health community of Grand Rapids, brainstorming root causes of the policy and avenues for improvement. 2. Compare the policy about counseling in schools for Blue Cross/Blue Shield, Network 180, and the ____ agency and discuss with supervisor. 3. I will assist at least 2 clients in advocating for themselves as necessary to ensure that they are receiving the assistance and best care possible, discussing in supervision the approach I used with client to do so. 4. I will practice critical thinking regarding the “duty to warn” policy in Michigan and apply to a particular case, discussing in a clinical consultation with the appropriate therapist. 5. I will produce and distribute a Gentle Teaching manual for use by employees during training sessions. Competency 3: Apply Critical Thinking in Practice Differentially select and implement strategies for assessment and intervention utilizing evidence based practice and best practice methods Produces practice ready 1. Research curriculum for bully prevention that is age appropriate and make recommendation for the curriculum that best fits the need. 2. I will develop treatment plans using evidence based treatment modalities (CBT, DBT, Mindfulness, Motivational Interviewing) and discuss my progress in supervision. 3. Search and select evidence based models for treating clients/patients with __________ and introduce these models to case managers and nurses at ________. 4. I will administer the _________ standardized test to at least two students during the semester to determine if they meet eligibility for services. I will administer an anxiety screen to one student and score. 5. I will co-facilitate Seeking Safety Session I and discuss any concerns and observations with supervisor and counseling department staff. 1. Complete one grant application by the end of the semester for review presentations and documents that could include presentations, journal articles, grant applications, legislative brief/summary (ies) 2. 3. 4. 5. 6. 7. by my field instructor. Develop an 8 week, 1 hour curriculum and present it to the treatment team for implementation by the end of the semester. Develop a presentation for case manager nurses on evidence based practice models for treatment of ____________. I will edit three assessments and write ten progress notes by ______. These will be reviewed with my supervisor. Take part in and document a student’s IEP by _______________ date. I will assist my supervisor in continuing education presentations on chronic pain throughout the month of February. I will develop a Power Point presentation on the Medical Home Survivorship for cancer patients and present this information to my supervisor by the end of December. Competency 4: Incorporate Diversity into Practices Transform one’s behavior in response to a recognition of one’s biases based in difference and culture Modify and adapt mainstream knowledge and interventions to meet needs of diverse populations and that challenge oppression Apply strengths and empowerment perspectives as practice approaches with diverse groups at multiple levels. Examine one’s role as the life-long learner in the area of diversity and culture. 1. By November 1, I will write a reflection of one experience and discuss with my supervisor my awareness of personal values and how that impacted my interaction with the client. 2. I will identify two biases and consult with my supervisor/team in regards to how to place them aside in order to provide clients with the best care possible. 3. Identify ways students and families views are different my own in at least two supervision sessions during the semester. 1. I will learn about treatment modalities for older adults age 50 and older and discuss any treatment modifications with my supervisor. 2. I will learn about treatment for the LGBTQ population and use this knowledge to adapt treatment plans to their specific needs and strengths. 3. Attend motivational interviewing training and find ways to adapt/utilize for school/child setting. 4. Attend art therapy training on ____________date and apply it to practice with children and families. Discuss outcomes in supervision. 1. I will ask each client their strengths and document them in the initial assessment. I will bring these strengths into sessions to encourage and affirm the client’s abilities. This will be reflected in progress notes. 2. I will write all treatment plans to fit the stage of change my client is currently at and receive feedback from my supervisor upon review of these plans. 3. I will encourage our patients to take part in empowering activities such as support groups and the “Look Good, Feel Better” program during new patient meetings. I will attend a support group to be a part of the process. 1. I will use opportunities within the agency to engage diverse populations and record cultural interactions in a journal for seminar and case notes. 2. I will continue to stay updated on Patient Assistance Program available to cancer patients and search for other organizations currently unknown. I will update the spreadsheets utilized weekly. COMPETENCY 5: ADVOCATE FOR HUMAN RIGHTS AND SOCIAL JUSTICE Demonstrate necessary skills to change social institutions to be more humane and responsive. Identify weakness in various systems and develop and propose social policies that promote social justice. 1. I will review the agency policies/procedures regarding relapse and any repercussions from the program to the relapse to see if the policies adhere to the NASW standards and discuss with my supervisor. 1. Identify a policy that has inequities built into it and research how to improve such policies 2. Identify weaknesses in the team through use of data. Talk with the supervisor and coordinator to address these issues. 3. Research the Medicaid policies in the State of Michigan and find weaknesses with the current system as it pertains to spend downs and individuals who are not documented US residents. Based upon the research I will write a letter to the Dept. of Health explaining my concerns by April. COMPETENCY 6: ENGAGE IN INFORMED RESEARCH Design and implement various steps in the research process. Integrate qualitative and quantitative research in all aspects of advanced generalist practice. 1. I will design a research interview process to find a deeper meaning to how incarcerated mothers parent their children while in jail. It will be a voluntary interview and improved by my supervisor. 2. Design a cost-benefit analysis research surrounding the _____ program. 3. I will assist in researching the connection between trauma and substance use, producing articles to be used for a presentation in the spring. Co-present the topic with my supervisor. 4. Research activities to be utilized in the social skills group setting and implement the strategies within the group. 5. Research the impact of the change in temperature on chronic pain for clients. Explore findings with my supervisor and how this can be useful to programming. 6. I will conduct a review of the literature discussing symptoms and effective interventions when working with individuals with Asperger’s Syndrome to inform my practice. Findings/literature review will be presented to my supervisor/team meeting. 1. I will integrate qualitative research through the interview process and share my finding with my supervisor and the team to better inform practice and the development of the _______ program. 2. Review qualitative and quantitative research on medication assisted treatment programs (methadone) and present my findings/literature review to my supervisor/team. 3. Collect qualitative and quantitative research regarding high utilizers in order to determine effectiveness of ________program. 4. I will assist in conducting interviews with clients to gather information for the pilot Seeking Safety group for Network 180 to be used for evaluation of new practice techniques. 5. This intern will assist counseling staff with requirements of Seeking Safety Group by complying with all directives regarding group process and research documentation requirements. COMPETENCY 7: APPLY KNOWLEDGE OF HUMAN BEHAVIOR IN THE SOCIAL ENVIRONMENT Differentially apply theories and frameworks of human behavior and the environment, recognizing underlying assumptions, values, strengths, and weaknesses of these theories. 1. Use theories of human behavior to address the needs of high utilizing clients; utilize all information available in order to address their needs. 2. I will attend the 2 day Motivational Interviewing training on dates _________ to understand how clients approach counseling at different levels of readiness to change their behavior and how to tailor an intervention to each level. 3. Assess articles on evidenced based practices for working with individuals with prior felonies and their re-integration into the community after incarceration. Write a one page summary and interview two individuals with prior felony convictions on the challenges they have faced since returning to their communities. COMPETENCY 8: ENGAGE IN POLICY PRACTICE TO ADVANCE SOCIAL AND ECONOMIC WELL-BEING Analyze, evaluate, formulate, and advocate for policies that respond to emerging local, regional, and societal trends to advance well-being. Analyze specific policies and practices and their impact on diverse populations. 1. Identify a policy that negatively impacts the uninsured/Medicaid population I serve and write to local legislators about potential harm of such policies. 2. Research the new Health Care Reform Act and how it impacts individuals with co-occurring disorders and discuss my finding in supervision. 3. Work with team to evaluate policies surrounding integrated health. Address these issues when developing program presentation to the board association. 4. I will analyze a policy from the county CMH/coordinating agency which directly impacts my clients, highlighting strengths and barriers to clients within the framework of the policy. 5. I will analyze and evaluate current domestic violence policies in ____ County to determine ways in which to appropriately advocate for clients and discuss with my supervisor or one of the therapists. 1. Analyze policies in ______County that influences individual’s ability to access high quality healthcare. 2. I will write a summary of the key features expected to develop in health care reform by the end of February. I will show this to my supervisor and discuss these features. COMPETENCY 9: RESPOND TO CONTEXTS THAT SHAPE PRACTICE Analyze context and demonstrate the ability to initiate innovative and resourceful action with regard to emerging local, regional and societal trends and needs. 1. Review current trends in addiction and mental health treatment and discuss my finding with my supervisor. 2. I will engage in discussions about changing trends within the community mental health field and __________ county in team meetings as well as in supervision and seminar. 3. Research anti-bullying legislation and learn the local and regional responses to the new legislation. 4. I will consider the “person in environment” perspective when working with clients to implement appropriate therapeutic intervention to meet the needs of the clients. 5. Research the availability to secure permanent housing with little to no income, HUD, Grand Rapids Housing Commission and MSHDA laws. Summarize findings in one page summary. COMPETENCY 10: ENGAGE, ASSESS, INTERVENE, AND EVALUATE WITH INDIVIDUALS, FAMILIES, GROUPS, ORGANIZATIONS, AND COMMUNITIES Demonstrates increasing ability to independently assess clients, and develop collaborative plans based on assessment. Design and implement intervention or prevention approaches that effectively influence multiple system dimensions. Evaluate practice interventions across complex systems at multiple levels with diverse populations. 1. Complete a client assessment and treatment plan with a client and review with supervisor. 2. Maintain a caseload of __ clients and utilize assessment results in forming client goals. 3. During the semester I will continue to assess clients and specifically seek direction from my supervisor when using the DSM for clinical impressions. 1. I will create appropriate, strength based, and achievable goals for clients and receive guidance from my supervisor on way to improve goal development. 2. Integrate multiple systems into a treatment plan (housing, legal, health, behavioral health) to ensure the needs of the client are being met and discuss with my supervisor. 3. By the end of the semester I will conduct my own Advanced Care Planning meeting. I will ask the clients/patients to take a survey regarding their experience and discuss the process with my supervisor. 1. Conduct follow up evaluations on __ clients to evaluate program effectiveness. 2. Utilize data to determine what practice approaches work with high utilizing patients at all levels of care (emergency department, ambulatory clinic, primary care, mental health clinic). 3. I will evaluate client satisfaction of my services through gathering client feedback data from progress notes. 4. I will analyze and evaluate the actions of our supports coordinators work with diverse populations. I will seek to improve the efficiency of their practice, and to alleviate burdens they are experiencing.