6503-4

Process_Recording_Advanced_2019_77__96_.docx

Template

The first section is for introducing the client. Please include the following information: Agency Information Client information (confidentiality of course) Session Number Date Presenting Issue (reason for referral) Relevant Information Goal of Session 1. Client Goal 2. Your Goal
Dialogue Please group dialogue together.	Identify (for each section) 1. Theory 2. Practice Model 3. Techniques and 4. Skills	Analysis/assessment of dialogue What was going on? What were the patient's reactions to your feedback? How did the client respond verbally (quality of voice, tone, did the respond better to closed or open-ended questions?) How did the client respond non-verbally (how did you know they were listening? were they distracted? Did they welcome your feedback?)	Personal reactions and self-reflection to the interaction What were you thinking? How do you feel the session went? What could you have done better? What will you do differently/the same next time?

FIELD INSTRUCTOR OBSERVATION ASSESSMENT

This section is to be completed by your Field Instructor AFTER observing after observing your engagement with a client. Please ask for specific feedback on what was done well and areas of improvement.

On a scale of 1-5, rate the student on the following criteria. Please provide specific examples in the feedback section (the skills checklist can be used a reference for feedback.)

RELATIONSHIP BUILDNG: SW demonstrates ability in establishing relationship. Conveys positive regard, respect, warmth, non-judgmental attitude, empathy, authenticity and congruence.

Fails to Demonstrate minimal competency	Demonstrates inadequate level of competency	Demonstrates minimal competency	Cleary demonstrates competency	Demonstrates high level of competency
1	2	3	4	5

FEEDBACK:

CASE CONCEPTUALIZATION SW demonstrates the capacity to use theory to formulate a clear understanding of the client’s problem integrating cultural, historical, developmental and contextual elements to design an appropriate plan to work with the client.

Fails to Demonstrate minimal competency	Demonstrates inadequate level of competency	Demonstrates minimal competency	Cleary demonstrates competency	Demonstrates high level of competency
1	2	3	4	5

FEEDBACK:

TECHNIQUES Student’s approach or method facilitated positive client interaction

Fails to Demonstrate minimal competency	Demonstrates inadequate level of competency	Demonstrates minimal competency	Cleary demonstrates competency	Demonstrates high level of competency
1	2	3	4	5

FEEDBACK:

ACCURATE ATTENTION IN AFFECT, CONTENT AND MEANING : SW demonstrates the ability to maintain structure, focus, and direction of the interview, proceeding through defined stages, and ends the session effectively.

Fails to Demonstrate minimal competency	Demonstrates inadequate level of competency	Demonstrates minimal competency	Cleary demonstrates competency	Demonstrates high level of competency
1	2	3	4	5

FEEDBACK:

Process Recording- Cavanagh (Advanced Year) 2022