Please rate the student on each of the following competencies using the following scale:
| 5 | Demonstrates a high level of competency |
| 4 | Clearly demonstrates competency |
| 3 | Demonstrates minimal level of competency |
| 2 | Demonstrates inadequate level of competency |
| 1 | Fails to demonstrate even minimal competency |
Competency 1 – Demonstrate Ethical and Professional Behavior
5 = highly competent, 4 = clearly competent, 3 = minimally competent, 2 = inadequately competent, 1 = fail
| Score | Criteria |
| 4 | 1. Makes clinically appropriate decisions based on the NASW Code of Ethics, and other local, state, and federal legal statutes and regulations. |
| 4 | 2. Identifies and manages personal values to provide clinical service delivery, according to professional values and standards. |
| 4 | 3. Incorporates professional behavior when engaging clients, families, colleagues, and other professionals. |
| 4 | 4. Evaluates the ethical and appropriate use of technology to facilitate delivery of clinical social work services. |
| 4 | 5. Integrates principles of supervision and consultation to guide professional judgement and behavior. |
| 4 | 6. Demonstrates professional development by identifying the specialized skills and knowledge needed to practice clinical social work. |
Please provide over-all feedback on this competency:
Chelsey has demonstrated competency consistently.
Competency 2 – Engage Diversity and Difference in Practice
5 = highly competent, 4 = clearly competent, 3 = minimally competent, 2 = inadequately competent, 1 = fail
| Score | Criteria |
| 4 | 7. Demonstrates cultural awareness by recognizing and integrating diverse populations’ varying values, culture, norms, and beliefs throughout the therapeutic process. |
| 4 | 8. Demonstrates cultural humility by managing personal biases when partnering with clients. |
| 4 | 9. Communicates in a culturally responsive way recognizing various community structures, norms, and values. |
Please provide over-all feedback on this competency:
Due to the lack in diversity in our area she has met this competency to the best of her ability.
Competency 3 – Advance Human Rights and Social, Economic, and Environmental Justice
5 = highly competent, 4 = clearly competent, 3 = minimally competent, 2 = inadequately competent, 1 = fail
| Score | Criteria |
| 4 | 10. Examines the effects of oppression, discrimination, structural social inequality, and historical trauma on clients/constituents and their systems to guide intervention planning. |
| 4 | 11. Chooses social work clinical practices that promote human rights and social, economic, and environmental justice. |
Please provide over-all feedback on this competency:
No concerns noted in this competency.
Competency 4 – Engage In Practice-informed Research and Research-informed Practice
5 = highly competent, 4 = clearly competent, 3 = minimally competent, 2 = inadequately competent, 1 = fail
| Score | Criteria |
| 4 | 12. Critically evaluates evidence based and “best practice” treatment interventions. |
| 4 | 13. Develops clinical intervention plans based on the best available research and “best practices”. |
Please provide over-all feedback on this competency:
No concerns
Competency 5 – Engage in Policy Practice
5 = highly competent, 4 = clearly competent, 3 = minimally competent, 2 = inadequately competent, 1 = fail
| Score | Criteria |
| 4 | 14. Critically evaluates and creates awareness about agency and/or government policies and regulations that impact the well-being of clients. |
| 4 | 15. Applies critical thinking to analyze, formulate, and advocate for policies that support the needs of clients who present for clinical services. |
Please provide over-all feedback on this competency:
She was appropriate in asking about policies and applying them to her internship.
Competency 6 – Engage with Individuals, Families, Groups, Organizations, and Communities
5 = highly competent, 4 = clearly competent, 3 = minimally competent, 2 = inadequately competent, 1 = fail
| Score | Criteria | ||||
| Individuals | |||||
| 4 | 16. Uses empathy, reflection, and interpersonal skills to engage diverse clients in the therapeutic process. | ||||
| Families | |||||
| 4 | 17. Uses empathy, reflection, interpersonal skills, and knowledge of human behavior and the social environment and family systems to engage with families. | ||||
| Groups | |||||
| 4 | 18. Uses empathy, reflection, interpersonal skills, and knowledge of group dynamics to engage group members in the group process. | ||||
| 4 | 19. Engages with inter-professional teams and stakeholders associated with clients’ care. | ||||
| Organizations | |||||
| 4 | 20. Engages with organizations that provide services, support, advocacy, and resources to support to clients. | ||||
| Communities | |||||
| 4 | 21. Identifies and actively participates in opportunities to communicate with community leaders and members about community service gaps for clients. | ||||
Please provide over-all feedback on this competency:
She is able to engage with individuals appropriately.
Competency 7 – Assess Individuals, Families, Groups, Organizations, and Communities
5 = highly competent, 4 = clearly competent, 3 = minimally competent, 2 = inadequately competent, 1 = fail
| Score | Criteria | ||||
| Individuals | |||||
| 4 | 22. Conducts clinical assessments that provide information about the biopsychosocial-spiritual needs of clients. | ||||
| 4 | 23. Uses critical thinking to apply the strengths perspective and theories of human behavior and the social environment when analyzing and interpreting assessment information in a clinical setting. | ||||
| 4 | 24. Develops mutually agreed-upon evidence-based therapeutic interventions that consider culture, values, and safety. | ||||
| Families | |||||
| 4 | 25. Conducts family assessments to understand family roles, functioning, relationships, resources, and support needs. | ||||
| 4 | 26. Uses critical thinking to apply theories of family systems when analyzing and interpreting family functioning, support, and dynamics. | ||||
| Groups | |||||
| 4 | 27. Identifies the professional social work role in inter-professional and supervision group meetings and assesses how that role contributes to the group’s purpose. | ||||
| 4 | 28. Assesses the functioning and needs of professional and/or client focused groups, and considers the best intervention strategies, based on professional knowledge and ethics. | ||||
| Organizations | |||||
| 4 | 29. Assesses how the agency’s mission, structure, vision, connect to client outcomes. | ||||
| 4 | 30. Uses critical thinking to consider the strengths and limitations of therapeutic services provided to clients. | ||||
| Communities | |||||
| 4 | 31. Develops knowledge about community resources, resources, governance, political climate, and initiatives to support mental health. | ||||
| 4 | 32. Uses critical thinking to consider the strengths and limitations of the community and how those impact the functioning of clients. | ||||
Please provide over-all feedback on this competency:
No concerns on assessments.
Competency 8 – Intervene with Individuals, Families, Groups, Organizations, and Communities
5 = highly competent, 4 = clearly competent, 3 = minimally competent, 2 = inadequately competent, 1 = fail
| Score | Criteria | ||||
| Individuals | |||||
| 4 | 33. Implements therapeutic interventions based on the strengths perspective, biopsychosocial needs, and current theories appropriate for the setting and client needs. | ||||
| 4 | 34. Utilizes appropriate resources and services for clients. | ||||
| Families | |||||
| 4 | 35. Implements family interventions based on the strengths perspective, family culture, family systems theory, and evidence-based practice. | ||||
| 4 | 36. Utilizes appropriate resources, services, and interventions for families. | ||||
| Groups | |||||
| 4 | 37. Uses professional ethics, knowledge, and evidence-based interventions in groups. | ||||
| Organizations | |||||
| 4 | 38. Participates in opportunities to improve agency/organization service delivery that will support the needs of clients. | ||||
| Communities | |||||
| 4 | 39. Explores and actively participates in opportunities to advocate for community services and support mental health services. | ||||
Please provide over-all feedback on this competency:
She was able to meet the competency in the time of her internship.
Competency 9 – Evaluates with Individuals, Families, Groups, Organizations, and Communities
5 = highly competent, 4 = clearly competent, 3 = minimally competent, 2 = inadequately competent, 1 = fail
| Score | Criteria | ||||
| Individuals: | |||||
| 4 | 40. Evaluates the effectiveness of therapeutic intervention strategies for with individuals. | ||||
| 4 | 41. Utilizes evaluation data to inform new intervention strategies. | ||||
| Families | |||||
| 4 | 42. Evaluates the effectiveness of intervention strategies used to improve family functioning and support. | ||||
| 4 | 43. Utilizes evaluation data to inform new intervention strategies and resources. | ||||
| Groups | |||||
| 4 | 44. Evaluates the effectiveness of group related processes. | ||||
| 4 | 45. Utilizes evaluation data to inform future group processes. | ||||
| Organizations | |||||
| 4 | 46. Evaluates the effectiveness of social services and intervention strategies provided by agencies to support clients. | ||||
| 4 | 47. Utilizes evaluation data to inform advocacy initiatives to improve services. | ||||
| Communities | |||||
| 4 | 48. Evaluates the effectiveness of community services and resources for clients and their families. | ||||
| 4 | 49. Utilizes evaluation data to inform advocacy initiatives. | ||||
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