Wk4assignbakerk3.24.24MSW_Advanced_Practice_Learning_Agreement (Autosaved)

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Walden University *

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6520

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Sociology

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Apr 3, 2024

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MSW Advanced Year -Student Learning Agreement Walden University -- Barbara Solomon School of Social Work and Human Services --Social Work Program Used with SOCW 6520 and SOCW 6530 Agency Name: Suncoast Center Inc Agency Address: 4024 Central Ave St. Petersburg, FL 33712 Student Information Instructor/Supervisor Information Faculty Liaison Information Agency Info Name: Kesha Baker Walden Email: kesha.baker@waldenu.edu Phone: 727-520-4817 Name: Cindy Maston Email: cindymaston@suncoastcenter.org Phone: 727-327-7656 ext.5303 Name: Dr. Quarles Email: Valerie.quarles@mail.waldenu.edu Phone: (203)441-1476 Description: Suncoast Center Inc. Academic Term Spring 2024 Course Number SOCW 6520-10 Population Served: Mental Health Proposed Schedule: Monday – Thursday 4-7pm Saturday 8-4pm Describe what your regular tasks will be at the agency: My responsibilities will mostly include face-to-face appointments with clients, where I will provide motivational interviewing skills as well as a safety plan, bio assessments, treatment plans, and monitoring, as well as assistance in connecting to community resources. Revised January 2023-nmc

Importance of the Learning Agreement Purpose of the Learning Agreement : The learning agreement is designed to ensure students are mindful about the learning expectations in their field placement. It was developed to help students and supervisors/instructors plan a well-rounded experience that will help students meet the learning objectives. Learning Objectives: The Council on Social Work Education (CSWE) requires students gain competency in nine areas of social work practice. These areas of practice are defined as core competencies of the profession. Each core competency requires particular behaviors students should be able to engage and gain competency in. Students should provide examples of activities in the agency they can participate in to help them meet the learning objectives. Some examples of activities are provided. This is not an exhaustive list, so others can be added. Students must have an opportunity to complete tasks in all nine areas of competency. Connection to the Student Evaluation : Not only is the learning agreement a helpful tool to plan the learning goals for the term, but it connects directly to the evaluation points in the student evaluation. Field Instructors/supervisors will be asked to complete student evaluations. Each student is evaluated on the nine core competencies of social work. Having a solid learning agreement aligns the learning goals with the student’s evaluation, so no areas are missed. Instructions Negotiating the Agreement: The learning agreement should be completed by week 3 at the agency. This is a collaborative process, where the field instructor/supervisor and student meet to establish goals for the term. The student will then submit the agreement to the faculty liaison for feedback and comments. Once everyone is happy with the agreement, all parties sign the agreement. During the evaluation session, toward the end of the quarter, the student and instructor/supervisor should meet to discuss progress and challenges with the plan and develop ways to adjust the learning for the remainder of the placement and the next quarter. Form Layout: Each page/grid is devoted to one of the nine Social Work Core Competencies . Students must have experience in all nine competencies. Section Descriptions: Expected Behaviors – the expected behaviors are those that are identified based on the concentration area. These behaviors should be demonstrated by students during the term of the field placement/internship. Agency Activities -These are examples of particular activities that students can do at the agency to demonstrate the expected behaviors. Most of these are general to all settings. However, if they don’t quite match, feel free to add/change these to fit with the context of your agency. Check all activities that apply. Revised January 2023-nmc

Field Course Assignments- These are a few examples of field course assignments that help reinforce the Social Work Core Competencies. Students will be required to complete all field course assignments. How to Complete the Form: a- By week 2, students should complete all student designated sections on the learning agreement and discuss it with their supervisor/instructor. b- By week 3, students should upload the learning agreement to Blackboard for the faculty liaison to review. (Only upload agreements that have been approved by your supervisor/instructor). c- After the faculty liaison reviews and signs the agreement, the student and instructor should sign it. d- After the agreement has been signed, the student will upload it to Meditrek. Learning Agreement Social Work Core Competency 1 – Demonstrate Ethical and Professional Behavior Expected Behaviors – You will be evaluated on these at the end of the quarter Agency Activities to help you achieve the expected behaviors- Check ALL that apply AND add other activities specific to your agency. Field Course Assignments – Complete these in the course when assigned. a- Makes clinically appropriate decisions based on the NASW Code of Ethics, and other local, state, and federal legal statutes and regulations. b- Identifies and manages personal values to provide clinical service delivery, according to professional values and standards. c-Incorporates professional behavior when engaging clients, families, colleagues, and other professionals. d- Evaluate the ethical and appropriate use technology to facilitate delivery of clinical social work services e-Integrates principles of supervision and consultation to guide professional judgment and behavior. f-Demonstrates professional development by identifying the specialized skills and knowledge needed to practice clinical social work. Adhere to ethical standards outlined by the NASW and other social work organizations Discuss personal values in supervision when they conflict with the values of the profession and adjust practice as needed. Recognize personal triggers that could impede effectiveness with clients. Discuss those triggers with your supervisor. Discuss case scenarios with my supervisor and faculty liaison that require ethical reasoning. Seek guidance when you experience and ethical dilemma. Maintain professional boundaries with clients and others and discuss and potential boundary challenges in supervision. Use professional communication and SOCW 6520 (Field III) Discussion Posts/Assignments Roles of Intern Ethics Model review Use of supervision, consultation Synchronous Meeting: Discussion of Expectations in professional settings (face to face and virtual) Licensure requirements Safety Use of supervision Goal Development 6530 (Field IV) Discussion and Assignments: Process Recordings Review of ethical engagement Synchronous Meeting: Review of Ethical/Professional documentation Revised January 2023-nmc

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interaction with clients, colleagues, and others. Recognize your professional responsibility to the client, the profession, and the agency. Adhere to agency polices about technology and record keeping. Discuss with your supervisor any potential ethical challenges that may arise because of the use of technology. Add other activities here: For Student: After reviewing the Agency Activities and Field Course Assignments, describe how these expectations and activities will help you increase competence in ethical and professional behavior. For example, how will you use your strengths, improve knowledge, develop skills, and address any areas you need to improve as a professional (be specific)? I will prepare for future contacts, disputes, and difficulties by discussing my values conflicts and ethical issues with my field supervisor. I may prepare myself to act responsibly in all future interactions with clients by practicing respecting and defending their rights. I'll improve my ability to use these practices in the future by emulating professional behavior, clothes, and language. For Student: Write two goals that you want to achieve to help you develop as a professional social worker (these goals should address areas of growth and professional development). 1. Kesha will have honed her skills in written communication, as demonstrated by her well written completion of client service progress notes in the Avatar medical records filing system 2. Kesha will have honed her skills in verbal communication, as demonstrated by her interactions with clients and staff using activate listening. For Student: Write down any questions you have for your instructor/supervisor or faculty liaison: None at this time Instructor/Supervisor’s Feedback for Evaluation: (To be completed during evaluation). Social Work Core Competency 2 – Engage Diversity and Difference in Practice Revised January 2023-nmc

Expected Behaviors – You will be evaluated on these at the end of the quarter Agency Activities to help you achieve the expected behaviors- Check ALL that apply AND add other activities specific to your agency. Field Course Assignments – Complete these in the course when assigned. a-Demonstrates cultural awareness by recognizing and integrating diverse populations’ varying values, culture, norms, and beliefs throughout the therapeutic process. b-Demonstrates cultural humility by managing personal biases when partnering with clients. c- Communicates in a culturally responsive way recognizing various community structures, norms, and values. Practice with those who are different from you based on age, SES, color, culture, disability, ethnicity, gender, religion, sexual orientation, etc. Discuss in supervision and in class the strengths of engaging diversity and the challenges you have when engaging difference. Engage in self-refection about personal biases related to client population and discuss with supervisor and be able to demonstrate that you can have a personal view and a professional view in practice. Develop a diversity/cultural competency plan that allows you to learn about the cultural needs of client groups and be culturally responsive when communicating with clients. Add other activities here: SOCW 6520 (Field III) Discussion Posts/Assignments Cultural Sensitivity Assignment Synchronous Meeting: Discussion Diversity, Equity, Inclusion 6530 (Field IV) Discussion and Assignments: Culturally Sensitive Language Theoretical Orientation Synchronous Meeting: Discussion Self-reflection on professional development For Student: After reviewing the Agency Activities and Field Course Assignments, describe how these will help you engage diversity and difference in practice. For example, how will you use your strengths, improve knowledge, develop skills, and address any areas you need to improve as a professional (be specific)? Interacting with customers of all ages, colors, cultures, disabilities, ethnicities, genders, and sexual orientations will help me become more familiar with cultures and perspectives that differ from mine. For Student: Write two goals that you want to achieve to engage diversity and difference in practice (these goals should address areas of growth and professional development). 1. When working with clients, Kesha will show cultural sensitivity in communication while recognizing diversity. 2. Review and complete client's bio evaluation and insure that cultural differences are taken into account and maintains treatments that align with the client's values Revised January 2023-nmc

For Student: Write down any questions you have for your instructor/supervisor or faculty liaison: None at this time Instructor/Supervisor’s Feedback for Evaluation: (To be completed during the evaluation). Social Work Core Competency 3- Advance Human Rights and Social, Economic, and Environmental Justice Expected Behaviors – You will be evaluated on these at the end of the quarter Agency Activities to help you achieve the expected behaviors- Check ALL that apply AND add other activities specific to your agency. Field Course Assignments – Complete these in the course when assigned. a-Examines the effects of oppression, discrimination, structural social inequality, and historical trauma on clients/constituents and their systems to guide intervention planning. b- Chooses social work clinical practices that promote human rights and social, economic, and environmental justice. Identify barriers clients face when accessing services at my agency or at other agencies and discuss during supervision. Develop a plan to learn about the effects of oppression, discrimination, inequality, and trauma on clients. Use evidence-based practices that consider the unique challenges clients have when faced with oppression, discrimination, social inequality, and historical trauma. Discuss with supervisor about how social, economic, and environmental factors affect client outcomes. Work with instructor/supervisor to engage advocacy for needs and services for clients. Collaborate with a local or national organization that advocates for your population. Add other activities here: SOCW 6520 (Field III) Discussion Posts/Assignments Social Policy Assignment Career path and options for advocacy Synchronous Meeting: Policy Worksheet 6530 (Field IV) Discussion and Assignments: Policy Readings Revised January 2023-nmc

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For Student: After reviewing the Agency Activities and Field Course Assignments, describe how these will help you advance human rights and social, economic, and environmental justice. For example, how will you use your strengths, improve knowledge, develop skills, and address any areas you need to improve as a professional (be specific)? Working with social workers to identify barriers to service access and how they affect client outcomes will help me get a better understanding of existing social, economic, and environmental inequities. Working with my supervisor and/or a local advocacy organization to identify strategies to advocate for clients' needs and services will help me become a more effective advocate for this and other populations. For Student: Write two goals that you want to achieve to help you advance human rights and justice (these goals should address areas of growth and professional development). 1.Will work with clients to enable them to advocate for themselves by teaching them on their legal rights, social services, and other resources. 2. Will advocate for and support underrepresented communities and organizations. For Student: Write down any questions you have for your instructor/supervisor or faculty liaison: None at this time Instructor/Supervisor’s Feedback for Evaluation: (To be completed during the evaluation) Social Work Core Competency 4 – Engage in Practice-Informed Research and Research-Informed Practice Expected Behaviors – You will be evaluated on these at the end of the quarter Agency Activities to help you achieve the expected behaviors- Check ALL that apply AND add other activities specific to your agency. Field Course Assignments – Complete these in the course when assigned. a-. Critically evaluates evidence based and “best practice” treatment interventions b- Develops clinical intervention plans based on the best available research and “best practices”. Research the evidence-based treatment interventions associated with the context of your agency. Use critical thinking to evaluate the benefits and challenges of the evidence-based interventions used with clients. Discuss your ideas with your supervisor. SOCW 6520 (Field III) Discussion Posts/Assignments Learning Agreement goals Scope of Practice Safety Planning Synchronous Meeting: Use of self-discussion of skills/techniques in engagement, modeling in meeting Revised January 2023-nmc

Develop treatment plans for clients that are evidence-based. Add other activities here: Safety discussion 6530 (Field IV) Discussion and Assignments: Developing Professional language Process Recordings Synchronous Meeting: Review of engagement skills and techniques For Student: After reviewing the Agency Activities and Field Course Assignments, describe how these will help you engage in practice-informed research and research-informed practice. For example, how will you use your strengths, improve knowledge, develop skills, and address any areas you need to improve as a professional (be specific)? Exploring service delivery at the agency level and how it relates to social welfare policies will help me learn more about the linkages between policy and service provision. For Student: Write two goals that you want to achieve to help you improve use research in your practice justice (these goals should address areas of growth and professional development). 1. Will be able to develop intervention strategies based on the latest research and social work best practices. 2. Will precisely assess each client's needs and then work towards meeting those needs. For Student: Write down any questions you have for your instructor/supervisor or faculty liaison: None at this time Instructor/Supervisor’s Feedback for Evaluation: (To be completed during evaluation). Social Work Core Competency- 5- Engage in Policy Practice Revised January 2023-nmc

Expected Behaviors – You will be evaluated on these at the end of the quarter Agency Activities to help you achieve the expected behaviors- Check ALL that apply AND add other activities specific to your agency. Field Course Assignments – Complete these in the course when assigned. a- Critically evaluates and creates awareness about agency and/or government policies and regulations that impact the well-being of clients. b- Applies critical thinking to analyze, formulate, and advocate for policies that support the needs of clients who present for clinical services Consider policies that affect the lives of your clients and discuss those challenges with your supervisor. Use critical thinking to examine the negative impact of policies on clients and advocate when needed. Explore how social problems are connected to social policy. Explore how agency funding is connected to policy. Add other activities here: SOCW 6520 (Field III) Discussion Posts/Assignments Social Policy Assignment Synchronous Meeting: Review policy worksheet 6530 (Field IV) Discussion and Assignments: Process Recordings Case Presentation Synchronous Meeting: A gency Funding and Policy Implication Assignment For Student: After reviewing the Agency Activities and Field Course Assignments, describe how these will help you engage in policy practice. For example, how will you use your strengths, improve knowledge, develop skills, and address any areas you need to improve as a professional (be specific)? As an upcoming Social workers I will engage in policymaking by increasing awareness, fostering stakeholder interactions, forming coalitions, and advocating for policies that promote cultural diversity. I shall respect the distinctions among the clients I serve. For Student: Write two goals that you want to achieve to engage in policy practice (these goals should address areas of growth and professional development). 1. Will be committed to evaluating and disseminating information on agency and/or government policies and laws that affect the well-being of communities and clients. 2. Will actively consult with colleagues, clients, and community members to gain a more complete grasp of the policies that affect their quality of life. Revised January 2023-nmc

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For Student: Write down any questions you have for your instructor/supervisor or faculty liaison: None at this time Instructor/Supervisor’s Feedback for Evaluation: (To be completed during evaluation) Social Work Core Competency 6- Engage with Individuals, Families, Groups, Organizations, and Communities Expected Behaviors – You will be evaluated on these at the end of the quarter Agency Activities to help you achieve the expected behaviors – Check ALL that apply AND add other activities specific to your agency. Field Course Assignments – Complete these in the course when assigned. Individuals Uses empathy, reflection, and interpersonal skills to engage diverse clients in the therapeutic process. Families Uses empathy, reflection, interpersonal skills, and knowledge of human behavior and the social environment and family systems to engage with families. Groups a-Uses empathy, reflection, interpersonal skills, and knowledge of group dynamics to engage group members in the group process. b- Engages with inter-professional teams and stakeholders associated with clients' care. Organizations Engages with organizations that provide services, support, advocacy, and resources to support to Show care, empathy, and genuineness with clients to initiate therapeutic relationships. Use a strengths-based approach when engaging with individuals, groups, and families. Use active listening and other engagement skills. Consult with organizations to assist with client needs. ☐ Engage in professional communication in interprofessional team meetings from the social work perspective. Connect and work with community organizations that provide services related to the clients you serve. Add other engagement activities: SOCW 6520 (Field III) Discussion Posts/Assignments Cultural Sensitivity Worksheet Synchronous Meeting: Discussion on empathy and respectful engagement 6530 (Field IV) Discussion and Assignments: Process Recordings Case presentation (reflection and feedback) Advance Practice Skills checklist Theoretical Orientation Review Synchronous Meeting: Review of engagement skills and techniques Revised January 2023-nmc

clients. Communities Identifies and actively participates in opportunities to communicate with community leaders and members about community service gaps for clients. For Student: After reviewing the Agency Activities and Field Course Assignments, describe how you will engage with the following target systems in the context of your agency: Individuals employing a therapeutic approach when working with clients. Families: Organize meetings with clients family’s so they can to be heard, and implement family-based solutions. Groups: Demonstrating interpersonal skills in group settings Organizations: Work with other providers to organize community resources. Communities: Work with the clients the Pinellas county community to obtain resources For Student: Write two goals that you want to achieve to help you develop your engagement skills (these goals should address areas of growth and professional development). 1. Will engage a diverse clientele using empathy, insight, and interpersonal skills. 2. Will be able to pay attention to the customer and recognize their feelings. For Student: Write down any questions you have for your instructor/supervisor or faculty liaison: None at this time Instructor/Supervisor’s Feedback for Evaluation: (To be completed during the evaluation) Social Work Core Competency 7- Assess Individuals, Families, Groups, Organizations, and Communities Expected Behaviors – You will be evaluated on these at the end of the quarter Agency Activities to help you achieve the expected behaviors- Check ALL that apply AND Field Course Assignments – Complete these in the course when assigned. Revised January 2023-nmc

add other activities specific to your agency. Individuals a - Conducts clinical assessments that provide information about the biopsychosocial-spiritual needs of clients. b- 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. c- Develops mutually agreed-upon evidence- based therapeutic interventions that consider culture, values, and safety. Families a- Conducts family assessments to understand family roles, functioning, relationships, resources, and support needs. b- Uses critical thinking to apply theories of family systems when analyzing and interpreting family functioning, support, and dynamics. Groups a-Identifies the professional social work role in inter-professional and supervision group meetings and assesses how that role contributes to the group's purpose. b- Assesses the functioning and needs of professional and/or patient focused groups, and considers the best intervention strategies, based on professional knowledge and ethics. Organizations a-Assesses how the agency’s mission, structure, vision, connect to client outcomes. b- Uses critical thinking to consider the strengths and limitations of therapeutic services provided to clients. Utilize agency appropriate forms, tools, and processes to complete clinical assessments. Utilize developmentally, and strengths-based approaches to assessment. Assist clients in developing mutually agreed upon goals and interventions to enhance well- being. Assess family functioning, relationships and support needs in the context of the agency’s practice. Work with groups to assess needs and to inform group intervention goals and treatment strategies. Assess ways you can participate in inter- professional and supervision meetings from the social work perspective. Assess how other organizations assist with client needs and where there may be gaps in services. Assess the role the community plays in providing services for your clients (financial, legislative, representative, etc.) Discuss your findings with your supervisor. Add other assessment activities: SOCW 6520 (Field III) Discussion Posts/Assignments Use of self in engagement Assessment Summary Synchronous Meeting: Theoretical Orientation Skills review 6530 (Field IV) Discussion and Assignments: Process Recordings Risk Assessment Theoretical orientation review Synchronous Meeting: Utilization purpose of assessment . Revised January 2023-nmc

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Communities a- Develops knowledge about community resources, resources, governance, political climate, and initiatives to support mental health b- Uses critical thinking to consider the strengths and limitations of the community and how those impact the functioning of clients For Student: After reviewing the Agency Activities and Field Course Assignments, describe how you will assess the following target systems in the context of your agency: Individuals: initial assessment and individual therapy. Families: Discuss Family Issues Allow time during the visit to discuss any concerns or difficulties that the family may need to address. Groups: Attend group meetings, such peer lead groups for clients interested. Organizations: The consequence of client aims to help the client Communities: collect community resources that will benefit my clients. For Student: Write two goals that you want to achieve to help you develop your assessment skills (these goals should address areas of growth and professional development). 1. Will demonstrate the ability to employ critical thinking to assess the community's advantages and weaknesses, as well as how they affect clients' capacity to function. 2. Will actively seek to connect clients with a strong support network on whom they may rely during difficult times. For Student: Write down any questions you have for your instructor/supervisor or faculty liaison: None at this time Instructor/Supervisor’s Feedback for Evaluation: (To be completed during supervision) Social Work Core Competency 8- Intervene with Individuals, Families, Groups, Communities, and Organizations Expected Behaviors – You will be evaluated on Agency Activities to help you achieve the Field Course Assignments – Complete these in Revised January 2023-nmc

these at the end of the quarter expected behaviors- Check ALL that apply AND add other activities specific to your agency. the course when assigned. Individuals a-Implements therapeutic interventions based on the strengths perspective, biopsychosocial needs, and current theories appropriate for the setting and client needs. b- Utilizes appropriate resources and services for clients. c- Promotes effective transitions and endings that incorporate mutually agreed-upon goals. Families a-Implements family interventions based on the strengths perspective, family culture, family systems theory, and evidence-based practice. b- Utilizes appropriate resources, services, and interventions for families. Groups Uses professional ethics, knowledge, and evidence-based interventions in groups. Organizations Participates in opportunities to improve agency/organization service delivery that will support the needs of clients. Communities Explores and actively participates in opportunities Use agency-appropriate and developmentally- appropriate intervention strategies and techniques. Use relevant prevention strategies with individuals, families, and groups. Explore various evidence-based interventions and discuss those with your supervisor. Intervene with families using appropriate family theories. Explore and utilizes resources to provide holistic care. Talk with supervisor about planning for termination or transitions with clients. Consults with supervisor about ways to be involved in service delivery improvement at the agency. ☐ Consults with supervisor about opportunities to be involved in advocacy. Add other activities here: SOCW 6520 (Field III) Discussion Posts/Assignments Use of self in engagement Advance practice lens review Synchronous Meeting: Discussion of Theoretical Orientation 6530 (Field IV) Discussion and Assignments: Intervention efficacy (EBP) Intervention Planning Synchronous Meeting: Matching Intervention to client review Developing Treatment plan review Revised January 2023-nmc

to advocate for community services and support mental health services. For Student: After reviewing the Agency Activities and Field Course Assignments, describe how you will intervene with all of the following target systems in the context of your agency: Individuals: Provide positive support to clients Families: Provide assistance / Allow time during the visit to discuss any concerns and/or issues that the family may require. Groups: Attend therapy to discuss new patients and treatment strategies for existing patients. Organizations: Attending to assist members' highlighted issues and/or areas that may not have been addressed. Communities: Provide information on how to contact and/or refer clients to the agency. Offer individual and family help. For Student: Write two goals that you want to achieve to help you apply appropriate intervention strategies (these goals should address areas of growth and professional development). 1. Will assist in attempts to improve agency/organization service delivery in order to satisfy client demands while attempting to connect clients with outpatient or inpatient therapies. 2. Will be proactive in connecting clients with the organization's group or individual therapy services and completing external referrals as needed. For Student: Write down any questions you have for your instructor/supervisor or faculty liaison: None at this time Instructor/Supervisor’s Feedback for Evaluation: (To be completed during evaluation) Social Work Core Competency 9- Evaluate Practice with Individuals, Families, Groups, Organizations, and Communities Expected Behaviors – You will be evaluated on these at the end of the quarter Agency Activities to help you achieve the expected behaviors- Check ALL that apply AND add other activities specific to your agency. Field Course Assignments – Complete these in the course when assigned. Individuals Evaluates the effectiveness of therapeutic Considers the effectiveness of therapeutic SOCW 6520 (Field III) Discussion Posts/Assignments Revised January 2023-nmc

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intervention strategies for with individuals Utilizes evaluation data to inform new intervention strategies. Families Evaluates the effectiveness of intervention strategies used to improve family functioning and support. Utilizes evaluation data to inform new intervention strategies and resources. Groups Evaluates the effectiveness of group related processes. Utilizes evaluation data to inform future group processes. Organizations Evaluates the effectiveness of social services and intervention strategies provided by agencies to support clients. Utilizes evaluation data to inform advocacy initiatives to improve services. Communities Evaluates the effectiveness of community services and resources for clients and their families. Utilizes evaluation data to inform advocacy initiatives interventions and makes changes to treatment plans as needed. Consults with supervisor about treatment plan outcomes to consider potential alternatives. Evaluate the effectiveness of social services provided organizations and communities and advocate where needed. Meet with clients to assess the progress of their goals and make changes in treatment plans as necessary. Participate in data collection, needs assessments, and other research efforts to inform advocacy or awareness initiatives. Add other activities here: Self-evaluation Case presentation Learning Agreement Synchronous Meeting: Use of self- and self-care 6530 (Field IV) Discussion and Assignments: Process Recordings Review of ethical engagement Learning Agreement Synchronous Meeting: Termination (clients, colleagues, supervisor) Self-reflection and assessment For Student: After reviewing the Agency Activities and Field Course Assignments, describe how you will evaluate with all of the following target systems in the context of your agency: Individuals: follow up with each client to guarantee the success of the actions planned set for each individual. Monitor client progress and review every month. Families: follow up with the family to ensure the success of the action plans set and to monitor effectiveness. Groups: monitor the balances and responsibilities and track the effectiveness of the group and the interventions utilized. Revised January 2023-nmc

Organizations should keep track of where their teams are most effective. Communities: Monitor the progress and efficacy of community services. For Students: Write two goals that you want to achieve to help you understand how to evaluate clients and other systems (these goals should address areas of growth and professional development). 1. Will have been able to analyze the effectiveness of individual intervention techniques using data collection, case plan completion, assessments, and goal evaluations. 2. Will have demonstrated that evaluations are effective and useful to the people she serves when goals are reached. For Students: Write down any questions you have for your instructor/supervisor or faculty liaison: None at this time Instructor/Supervisor’s Feedback for Evaluation: (To be completed during evaluation) WORKSITE INTERNSHIPS ONLY For this section, please complete the following table List specific tasks/activities that meet SW competencies. SPECIFIC WORKSITE TASK/ACTIVITY Is this part of your job description? IDENTIFY WHICH COMPETENCY 1-9 TASK IS ADDRESSING Example: Admission intake process Yes No Intake Bio assessments x 6,7 Complete Case plans and level of care assessments x 3,5 Face to face visits with FACT team x 1.2 Revised January 2023-nmc

clients successfully complete at least one referral for a level of care assessment for a x 3,8 Participate in at least one evidence- based course that offers various engagement strategies for people with severe and persistent mental illness. x 4,6,8 Research techniques and methods used in cognitive behavioral therapy x 4,8 Complete evaluations and reviews of the treatment plan I don't usually collaborate with x 3.7,8,9 Internship Accountability Schedule Placement Allocation List specific days of the week you will be in working for each role. List specific hours you will be engaged in this role during the week. Employment Supervisor Name Field Instructor Name Employment hours Mon-Friday Mon - Thursday 7:30am-4pm Friday 10-5:30pm Beth Menchen Internship hours Mon-Saturday Mon- Thursday 4-7pm Friday 7-10 am Saturday 8am-4pm Cindy Matson Comments: Signature Page Revised January 2023-nmc

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The Field Office accepts e-signatures, so feel free to type in your full name and email as your official signature. Revised January 2023-nmc X Student's Signature X Printed Name X Date X Faculty Liaison's Signature X Printed Name X Date X Field Instructor's Signature X Printed Name X Date

Wk4assignbakerk3.24.24MSW_Advanced_Practice_Learning_Agreement (Autosaved)

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