Social worker report

PROCESS RECORDING Submitted by: _________________________ Date: ___________________________ Case Name: _________________________ Location of Interview: ___________________________Date of Interview: ________________ Contact #: __________ Present: _______________________________________________________ Purpose of Contact and Goal of Session: ________________________________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ Basic Client Description: _____________________________________________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________

Verbatim Dialogue

Skill Utilized Student Feelings & Reactions

Observations & Analysis

Field Instructor’s Comments

Pre-engagement: _________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________

Verbatim Dialogue Skill Utilized Student Feelings & Reactions

Observations & Analysis Field Instructor’s Comments

Interview Assessment: (Reflect on the interview as a whole. Was there a clear beginning, middle and end? How effective were you in achieving the stated purpose?) __________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ Briefly present your impressions of the client situation: (In this section, provide a brief summary of your analytical thinking about the entire interview. Were the goals met?) __________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ Plans for future action: (Identify unfinished business and your thoughts about interventions you may wish to consider for future encounters. What have you and the client(s) decided to work toward? What are the short-term goals? What are the longer-term goals?) ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ Identify questions for the conference with your field instructor: ( What specific questions do you have for your field instructor, e.g., about how to keep the focus clear, what to do when a client displays anger, sadness, resistance, etc., what to do with silences.) ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________