Treatment Plan Rubric Date: Student/Trainee: Evaluator: Level of Clinical Training: Pre-clinical; coursework only 0-12 months 12-24 months Choice of Theory and Client Therapeutic Relationship Initial Assessment and Monitoring of Progress Goal Setting Crisis and Referral 2+ years 4: Outstanding Choice of theory appropriate; supported by evidence base Client configuration appropriate; supported by evidence base Choices appropriate for client diversity factors Detailed, theoryspecific strategies for therapeutic relationship: In initial phase In working phase Specific, meaningful adaptation to diversity factors Facilitates involvement of all appropriate members of system Comprehensive, theory-specific initial assessment Realistic, theoryspecific monitoring of progress in working phase Specific, meaningful adaptation to diversity Specific to case Appropriate choice of assessment instruments Theory specific technique for setting goals Specific, meaningful adaptation to diversity Identifies current and potential crisis and ethical issues, including abuse, substances, Rating Scale 4=Outstanding: Strong mastery of skills and thorough understanding of concepts 3=Mastered Basic Skills at Developmental Level: Understanding of concepts/skills evident 2=Developing: Minor conceptual and skill errors; in process of developing 1=Deficits: Significant remediation needed; deficits in knowledge/skills NA=Not Applicable: Unable to measure with given data (do not use to indicate deficit) 3: At Level Appropriate choice of theory Appropriate client configuration Choices not counterindicated for client diversity 2: Developing Choice of theory and client configuration not ideal for presenting problem or client diversity but also not entirely inappropriate Therapeutic Tasks Captures general Minor theoretical spirit of theory’s form of inconsistencies related to therapeutic relationship therapeutic relationship Monitors and/or general relationship Vague strategy for appropriately in working monitoring relationship phase in working phase At least one diversity Vague handling of element specifically diversity addressed Misses minor Involves key member in system members of system 1: Deficits Inappropriate choice of theory and/or configuration given problem, research, age, culture, ability, values, etc. Significant problems or theoretical inconsistencies addressing relationship Insufficient approach to monitoring relationship Misses significant diversity issue Misses key member of system Significant problems with initial assessment Significant problems with monitoring of progress Misses significant diversity issue Score Score NA Score NA Theory-specific initial assessment Theory-specific monitoring of progress At least one diversity element specifically addressed Minor problems or theoretical inconsistencies with initial assessment Minor problems with monitoring of progress Vague handling of diversity Theoretically appropriate approach to setting goals At least one diversity element specifically addressed Identifies major crisis and ethical issues, including abuse, substance use, medical General or vague approach to setting goals Vague handling of diversity Inappropriate approach to setting goals Misses significant diversity issue Score Minor or potential crises or issues missed Vague handling of diversity Significant crises or issues missed Misses significant diversity issue Score ©2012. Diane R. Gehart, Ph.D. All rights reserved. www.masteringcompetencies.com 1 of 2 Score NA NA NA Aftercare Plan Client Goals Intervention Client Perspective Overall Plan threats of harm Specific and appropriate referrals Specific, meaningful adaptation to diversity Theory-specific Client specific Practical and realistic Theory-specific and reveal understanding of key concepts Clear progression from early to late phases Address all problems identified in case conceptualization Client specific Goals go beyond samples in text Theory-specific Clearly related to goal Detailed and tailored to client Addresses all members of client system Detailed description of areas of agreement and disagreement Notable insight into how client views process Demonstrates subtle understanding of theory and applies appropriately Plan clearly in accordance with practice setting, legal and professional requirements Demonstrates clear understanding of risks, benefits of treatment issues, threats of harm. Appropriate referral At least one diversity element specifically addressed Appropriate Theory-specific Minor problems Unrealistic or inappropriately adapted for client Goals and Interventions Theory-specific Appropriate but not Progression from clearly theory-specific early to late phases Vague or not client Address most issues specific in case conceptualization Miss one or more Client specific issue that needs clinical attention Theory-specific Supports goal achievement Appropriate Identifies meaningful areas of agreement and disagreement Not clearly theoryspecific Not clearly related to stated goal Minor problems identifying areas of agreement and disagreement Little evidence of considering client perspective Overall Plan Consistent and Some problems with appropriate use of a understanding of single theory theories and techniques Plan generally in Goals/interventions accordance with practice often not consistent with setting, legal and theory professional Minor problems with requirements plan’s compliance with Appropriate practice, legal, and/or understanding of risks, professional benefits of treatment requirements Inappropriate for theory Unrealistic or inappropriately adapted for client Score Does not address one or more key clinical issue Goals too vague to be useful Goals inappropriate Score Not appropriate for theory Not appropriate for goal Inappropriate or poor fit for client Score Significant problems identifying areas of agreement and disagreement Little evidence of considering client perspective Score Inconsistent or incorrect use of theory Significant problems with plan’s compliance with practice, legal, and/or professional requirements Score Comments: ©2012. Diane R. Gehart, Ph.D. All rights reserved. www.mftcompetencies.org 2 of 2 NA NA NA NA NA