Revised 11/3/2009 Ad Hoc Committee of the Ohio Sexual Assault Task Force
Core competencies in domestic and sexual violence for helping professionals- Clinician Self Assessment Tool
Competency Area A: Competencies regarding ethical and legal considerations
Competency
Evaluation
Scale 0-5 Scoring Key:
0.
1.
2.
3.
4.
5.
I have never heard of and/or do not understand
this concept.
I have heard of this concept.
I have novice training on this concept (e.g. have
seen a presentation).
I have advanced training on this concept (e.g.
workshop, continuing ed class)
I have integrated this concept into my practice.
I could train others on this concept.
A. 01.01. I know understand the importance of a survivor’s right to self-determination.
0
1
2
3
4
5
A.02.01. I know state laws, rules and regulations regarding sexual violence, including mandatory reporting responsibilities.
0
1
2
3
4
5
A.02.02. I know state laws, rules and regulations regarding domestic violence, including mandatory reporting responsibilities.
0
1
2
3
4
5
A.03.01. I know the laws that apply to confidentiality regarding interviews and records.
0
1
2
3
4
5
A.03.02. I know the ethical principles that apply to confidentiality regarding interviews and records.
0
1
2
3
4
5
A. 04.01. I know appropriate methods of documentation that maximize confidentiality of clients.
0
1
2
3
4
5
A.04.02. I know appropriate methods of documentation that maximize safety of clients.
0
1
2
3
4
5
A.05.01. I know appropriate procedures that maximize safety of providers.
0
1
2
3
4
5
A.06.01. I am aware of warning signs of vicarious trauma in myself and colleagues.
0
1
2
3
4
5
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Page 1 of 13
Revised 11/3/2009 Ad Hoc Mental Health Committee of the Ohio Sexual Assault Task Force
Competency Area A: Competencies regarding ethical and legal considerations
Evaluation
A.06.02. I understand the importance of addressing vicarious trauma to ensure the continued delivery of high-quality services.
0
1
2
3
4
5
A.06.03. I know strategies for addressing vicarious trauma in myself and colleagues.
0
1
2
3
4
5
A.07.01 I am aware of cultural factors that influence the occurrence of sexual violence.
0
1
2
3
4
5
A.07.02. I am aware of cultural factors that influence the occurrence of domestic violence.
0
1
2
3
4
5
A.07.03. I am aware of cultural factors that influence patterns of responses to sexual violence at the client’s individual level.
0
1
2
3
4
5
A.07.04. I am aware of cultural factors that influence patterns of responses to domestic violence at the client’s individual level.
0
1
2
3
4
5
A.07.05. I am aware of cultural factors that influence patterns of responses to sexual violence at the organizational level.
0
1
2
3
4
5
A.07.06. I am aware of cultural factors that influence patterns of responses to domestic violence at the organizational level.
0
1
2
3
4
5
A.07.07. I am aware of cultural factors that influence patterns of responses to sexual violence at the community level.
0
1
2
3
4
5
A.07.08. I am aware of cultural factors that influence patterns of responses to domestic violence at the community level.
0
1
2
3
4
5
A.08.01. I know how to provide assessments that are culturally competent and maintain human rights.
0
1
2
3
4
5
A.08.02. I know how to provide interventions that are culturally competent and maintain human rights.
0
1
2
3
4
5
A.08.03. I know how to provide prevention programming that is culturally competent and maintain human rights.
0
1
2
3
4
5
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Page 2 of 13
Revised 11/3/2009 Ad Hoc Mental Health Committee of the Ohio Sexual Assault Task Force
Competency Area B: Competencies regarding identification and assessment
Competency
Evaluation
Scale 0-5 Scoring Key:
6.
I have never heard of and/or do not understand
this concept.
7. I have heard of this concept.
8. I have novice training on this concept (e.g. have
seen a presentation).
9. I have advanced training on this concept (e.g.
workshop, continuing ed class)
10. I have integrated this concept into my practice.
11. I could train others on this concept.
B.01.01. I am aware of the impact of sexual violence in all its forms throughout a lifetime.
0
1
2
3
4
5
B.01.02. I am aware of the impact of domestic violence in all its forms throughout a lifetime.
0
1
2
3
4
5
B.02.01. I am aware of co-morbidity of sexual violence and elder abuse.
0
1
2
3
4
5
B.02.02. I am aware of co-morbidity of domestic violence and elder abuse.
0
1
2
3
4
5
B.02.03. I am aware of co-morbidity of sexual violence and child abuse.
0
1
2
3
4
5
B.02.04. I am aware of co-morbidity of domestic violence and child abuse.
0
1
2
3
4
5
B.02.05. I am aware of co-morbidity of sexual violence and abuse against animals.
0
1
2
3
4
5
B.02.06. I am aware of co-morbidity of domestic violence and abuse against animals.
0
1
2
3
4
5
B.03.01. I am aware of factors that increase vulnerability to sexual violence (e.g. disability, age, isolation) while in no way blaming
victims/survivors for these vulnerabilities.
0
1
2
3
4
5
B.03.02. I am aware of factors that increase vulnerability to domestic violence (e.g. disability, age, isolation) while in no way
blaming victims/survivors for these vulnerabilities.
0
1
2
3
4
5
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Page 3 of 13
Revised 11/3/2009 Ad Hoc Mental Health Committee of the Ohio Sexual Assault Task Force
Competency Area B: Competencies regarding identification and assessment
Evaluation
B.04.01. I am aware of the importance of protective factors for survivors.
0
1
2
3
4
5
B.04.02. I am able to identify protective factors of survivors.
0
1
2
3
4
5
B.04.03. I am aware of how protective strategies can be misinterpreted as maladaptive by service providers, family and friends.
0
1
2
3
4
5
B.05.01. I understand societal factors that contribute to sexual violence including power, patriarchy, oppression and privilege.
0
1
2
3
4
5
B.05.02. I understand societal factors that contribute to domestic violence including power, patriarchy, oppression and privilege.
0
1
2
3
4
5
B.06.01. I know the physical health indicators of sexual violence victimization.
0
1
2
3
4
5
B.06.02. I know the emotional indicators of sexual violence victimization.
0
1
2
3
4
5
B.06.03. I know the sexual health indicators of sexual violence victimization.
0
1
2
3
4
5
B.06.04. I know the behavioral indicators of sexual violence victimization.
0
1
2
3
4
5
B.06.05. I know the physical indicators of domestic violence victimization.
0
1
2
3
4
5
B.06.06. I know the emotional indicators of domestic violence victimization.
0
1
2
3
4
5
B.06.07. I know the sexual health indicators of domestic violence victimization.
0
1
2
3
4
5
B.07.01. I know the environmental factors that increase vulnerability for sexual violence victimization.
0
1
2
3
4
5
B.07.02. I know the environmental factors that could indicate domestic violence victimization.
0
1
2
3
4
5
B.08.01. I understand the importance of routine, repeated screenings of all referrals and cases for the presence of sexual violence.
0
1
2
3
4
5
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Page 4 of 13
Revised 11/3/2009 Ad Hoc Mental Health Committee of the Ohio Sexual Assault Task Force
Competency Area B: Competencies regarding identification and assessment
Evaluation
B.08.02. I understand the importance of routine, repeated screenings of all referrals and cases for the presence of domestic violence.
0
1
2
3
4
5
B.08.03. I know developmentally appropriate questions to be used in repeated screenings in various settings.
0
1
2
3
4
5
B.09.01. I am aware of barriers to disclosing sexual violence and understand how these barriers impact disclosures.
0
1
2
3
4
5
B.09.02. I am aware of barriers to disclosing domestic violence and understand how these barriers impact disclosures.
0
1
2
3
4
5
B.10.01. I am aware of individual, cultural, familial, and societal strengths and resiliencies that facilitate disclosing and recovering
from sexual violence.
0
1
2
3
4
5
B.10.02. I am aware of individual, cultural, familial, and societal strengths and resiliencies that facilitate disclosing and recovering
from domestic violence.
0
1
2
3
4
5
B.11.01. I understand the significant physical and mental health impact of current, ongoing and prior sexual violence to survivors.
0
1
2
3
4
5
B.11.02 I understand the significant physical and mental health impact of current, ongoing and prior domestic violence to survivors.
0
1
2
3
4
5
B.11.03. I understand the significant physical and mental health impact of current, ongoing and prior sexual violence to families and
friends of survivors.
0
1
2
3
4
5
B.11.04. I understand the significant physical and mental health impact of current, ongoing and prior domestic violence to families
and friends of survivors.
0
1
2
3
4
5
B.12.01. I understand how personal reactions, biases and values regarding sexual violence can impact professional interactions.
0
1
2
3
4
5
B.12.02. I understand how personal reactions, biases and values regarding domestic violence can impact professional interactions.
0
1
2
3
4
5
B.13.01. I know how to assess for risk and danger to the client in specific sexual violence situations.
0
1
2
3
4
5
B.13.02. I know how to assess for risk and danger to practitioners in specific sexual violence situations.
0
1
2
3
4
5
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Page 5 of 13
Revised 11/3/2009 Ad Hoc Mental Health Committee of the Ohio Sexual Assault Task Force
Competency Area B: Competencies regarding identification and assessment
Evaluation
B.13.03. I know how to assess for risk and danger to clients in specific domestic violence situations.
0
1
2
3
4
5
B.13.04. I know how to assess for risk and danger to practitioners in specific domestic violence situations.
0
1
2
3
4
5
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Page 6 of 13
Revised 11/3/2009 Ad Hoc Mental Health Committee of the Ohio Sexual Assault Task Force
Competency Area C: Competencies regarding intervention
Competency
Evaluation
Scale 0-5 Scoring Key:
12. I have never heard of and/or do not understand
this concept.
13. I have heard of this concept.
14. I have novice training on this concept (e.g. have
seen a presentation).
15. I have advanced training on this concept (e.g.
workshop, continuing ed class)
16. I have integrated this concept into my practice.
17. I could train others on this concept.
C.01.01. I can communicate non-judgmentally and compassionately with survivors of sexual violence.
0
1
2
3
4
5
C.01.02. I can communicate non-judgmentally and compassionately with survivors of domestic violence.
0
1
2
3
4
5
C.01.03. I can communicate non-judgmentally and compassionately with families and friends of survivors of sexual violence.
0
1
2
3
4
5
C.01.04. I can communicate non-judgmentally and compassionately with families and friends of survivors of domestic violence.
0
1
2
3
4
5
C.02.01. I am aware of the importance of communicating to survivors of domestic and sexual violence that they are not alone and
that there are resources available to them.
0
1
2
3
4
5
C.03.01. I understand control tactics used by perpetrators.
0
1
2
3
4
5
C.04.01. I understand protective strategies used by survivors.
0
1
2
3
4
5
C.04.02. I understand how protective strategies used by survivors can be misinterpreted as maladaptive by service providers, their
family and friends.
0
1
2
3
4
5
C.05.01. I understand how some interventions (e.g., couple counseling, mediation, family counseling) can increase risk to survivors
of sexual violence.
0
1
2
3
4
5
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Page 7 of 13
Revised 11/3/2009 Ad Hoc Mental Health Committee of the Ohio Sexual Assault Task Force
Competency Area C: Competencies regarding intervention
Evaluation
C.05.02. I understand how some interventions (e.g., couple counseling, mediation, family counseling) can increase risk to survivors
of domestic violence.
0
1
2
3
4
5
C.06.01. I understand how to work with survivors of sexual violence without compromising their safety.
0
1
2
3
4
5
C.06.02. I understand how to work with survivors of domestic violence without compromising their safety.
0
1
2
3
4
5
C.07.01. I understand and use evidence-based best practices and interventions specific to the survivor population and investigate new
interventions that appear promising.
0
1
2
3
4
5
C.08.01. I understand critical elements of effective batterer intervention programs - programs that hold batterers accountable while
striving to change behavior - in order to be able to make appropriate referrals to batterer intervention services.
0
1
2
3
4
5
C.08.02. I understand critical elements of effective sex offender treatment programs in order to be able to make appropriate referrals.
0
1
2
3
4
5
C.09.01. I know how to work collaboratively with various disciplines and service systems on behalf of survivors of sexual violence.
0
1
2
3
4
5
C.09.02. I know how to work collaboratively with various disciplines and service systems on behalf of survivors of domestic
violence.
0
1
2
3
4
5
C.10.01. I know how to access supportive and preventive services for survivors of sexual violence, their families, and their friends.
0
1
2
3
4
5
C.10.02. I know how to access supportive and preventive services for survivors of domestic violence, their families, and their friends.
0
1
2
3
4
5
C.11.01. I can make appropriate linkages to local, state and national domestic and sexual violence referral resources, including
domestic violence shelters and programs, rape crisis services, and offender interventions.
0
1
2
3
4
5
C.11.02. I can make appropriate linkages to other community-based resources meeting the unique needs of survivors such as housing,
medical, and financial referrals.
0
1
2
3
4
5
C.11.03. I can make appropriate linkages to other community-based resources meeting the unique needs of survivors’ families,
friends, and other support networks.
0
1
2
3
4
5
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Page 8 of 13
Revised 11/3/2009 Ad Hoc Mental Health Committee of the Ohio Sexual Assault Task Force
Competency Area C: Competencies regarding intervention
Evaluation
C.12.01. I know how to help survivors think through safety needs for themselves.
0
1
2
3
4
5
C.12.02. I know how to help survivors think through safety needs of their family and other members of their household.
0
1
2
3
4
5
C.12.03. I know how to help survivors think through safety needs of their friends and other support networks.
0
1
2
3
4
5
C. 13.01. I am aware of cultural, familial, and societal barriers that influence service delivery and safety planning for survivors of
sexual violence.
0
1
2
3
4
5
0
1
2
3
4
5
C.13.02. I am aware of cultural, familial, and societal barriers that influence service delivery and safety planning for survivors of
domestic violence.
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Page 9 of 13
Revised 11/3/2009 Ad Hoc Mental Health Committee of the Ohio Sexual Assault Task Force
Competency Area D: Competencies regarding prevention and awareness
Evaluation
Competency
Scale 0-5 Scoring Key:
18. I have never heard of and/or do not understand
this concept.
19. I have heard of this concept.
20. I have novice training on this concept (e.g. have
seen a presentation).
21. I have advanced training on this concept (e.g.
workshop, continuing ed class)
22. I have integrated this concept into my practice.
23. I could train others on this concept.
D.01.01. I know how to integrate awareness of and facts about sexual violence and its prevention in all areas of practice.
0
1
2
3
4
5
D.01.02. I know how to integrate awareness of and facts about domestic violence and its prevention in all areas of practice.
0
1
2
3
4
5
D.02.01. I am aware of values and ethical principles regarding social justice and their role in pursuing social change.
0
1
2
3
4
5
D.03.01. I am aware of local, state and national prevention resources for sexual violence.
0
1
2
3
4
5
D.03.02 I am aware of local, state and national prevention resources for domestic violence.
0
1
2
3
4
5
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Page 10 of 13
Revised 11/3/2009 Ad Hoc Mental Health Committee of the Ohio Sexual Assault Task Force
SCORING SHEET
In the space below, list all competency areas that were scored at 2 or below:
Competency Area A: Competencies regarding ethical and legal considerations
Competency Area B: Competencies regarding identification and assessment
Competency Area C: Competencies regarding intervention
Competency Area D: Competencies regarding prevention and awareness
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Page 11 of 13
Revised 11/3/2009 Ad Hoc Mental Health Committee of the Ohio Sexual Assault Task Force
Development Plan
Individual Development Plan Template
Identify the top three areas
you would currently like to
address.
1.
2.
3.
Identify strategies for
increasing your knowledge
in these areas.
Identify community
partners:
Who needs to be involved
in this process?
What community agencies
can help?
Whose cooperation do
you need in order to
expand knowledge of
these areas?
What ways would be the
best to receive this
information? (online
training, literature, articles
etc.)
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Page 12 of 13
Revised 11/3/2009 Ad Hoc Mental Health Committee of the Ohio Sexual Assault Task Force
Action Plan
In what ways will
you use the
assessment?
Who will be
involved?
What activities
will be used?
When will it be
completed?
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Page 13 of 13