Freud, MSW, LCSW Field Instructor Email sfreud@whereverbehavioralhealthclinic.org University Field Liaison select Rousseau, Jerry Semester Fall Spring Summer Weekly Schedule @ Agency:
Trang 1PERFORMANCE-BASED LEARNING PLAN / DIRECT PRACTICE – CLINICAL / 721 & 722)
Field Course (please check): 421 422 423
Student Name: Ima S Worker Student ID 000 - 00 - 0000
Agency Wherever Behavioral Health Outpatient Clinic
Agency Address 0000 S Wherever Street - Milwaukee, WI Agency Phone 000 - 000 - 0000
Agency Fax 111-111-1111 Agency Field Instructor S Freud, MSW, LCSW Field Instructor Email sfreud@whereverbehavioralhealthclinic.org
University Field Liaison (select) Rousseau, Jerry
Semester Fall Spring Summer
Weekly Schedule @ Agency:
PM
Field Semester at this Agency: 1st 2nd 3rd 4th
Student will begin this semester on 09 - 01 - 0000 and end this semester on 12 - 22 - 0000
(date) (date) (*Please consult with assigned Field Liaison if dates vary from those designated on UWM Semester Calendar)
Weekly supervision day and time: Monday / 10 AM - 11 AM
(The school requires scheduling a minimum of one-hour of individual supervision per week.)
Trang 2Final Evaluation Due Date
(421/422/423 at 256 completed hours; 721/722 at 260 completed hours; 821/822 at 320 completed hours) 12 - 22 -0000 (fill in date due)
INSTRUCTIONS
The Learning Plan identifies the learning objectives mutually agreed upon between the student and Field Instructor at the beginning of each semester This plan should serve as a map for the student’s learning experiences and expected
performance for the semester You should be as specific as possible when developing the learning plan, and amend the plan as necessary throughout the semester The plan should be developed in conjunction with the field education course objectives located on the field website www.hbsswfield.uwm.edu
The following table identifies the primary learning objective categories for the field education course More detailed
information related to each objective is located on the Field Department website located at the above-referenced weblink
On the table below identify your learning activities for the semester The evaluation criteria utilized for the evaluation of student performance at mid-term and end of the semester are consistent with the social work objectives for this course
Learning Objective Categories Agency responsibilities, duties and
expectations that address the Learning Objectives
Written Assignments (assignments
totaling 5 points submitted to Field Instructor for discussion in supervision and submitted to the Field Liaison; ½ of field assignments due to Field Liaison by
mid-term)
Select from the Assignment List
www.hbsswfield.uwm.edu
Students do not have to have assignments listed for every objective category 1) Professional Development Student will utilize supervision to
discuss any issues / questions encountered in communication with
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Learning Objective Categories Agency responsibilities, duties and
expectations that address the Learning Objectives
Written Assignments (assignments
totaling 5 points submitted to Field Instructor for discussion in supervision and submitted to the Field Liaison; ½ of field assignments due to Field Liaison by
mid-term)
other professionals
Student will learn and use the clinic's system (SOAP) of recording progress notes
Student will establish and adhere to deadlines & timeframes for field work
Student will come to supervision pre-pared to initiate discussion of issues encountered in the practicum and how they related to field course objectives
Student will be open to incorporating the supervisory feedback from the Field Instructor & staff
2) Social Work Values and
Ethics
Student will learn and adhere to NASW Code of Ethics as it applies to this clinical social work setting
Student will establish ethical boundar- ies re: confidentiality, interaction with clients & staff, and personal disclosure
Student will inform clients of treatment options and rights / limitations of confi-dentiality including HIPAA provisions
Student will initiate discussion with
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Field Instructor / staff regarding any ethical concerns
3) Diversity Student will develop awareness of
per-sonal reactions / biases to clients &
staff who are different from student
Student will initiate discussion with Field Instructor regarding how these personal reactions / biases are affecting the student's relationship development with clients and staff
Written Paper on the Use of Self-Awareness in Social Work Practice / (6 - 9 pages for 2 points)
4) Populations at Risk and
Social and Economic Justice Student will identify the issues of poverty, racism, sexism, & ageism that
make clients of this clinic vulnerable to AODA & mental health problems
Student will initiate discussion with Field Instructor on appropriate ways to address these issues with clients in treatment & discharge planning
5) Human Behavior and the
Social Environment
Student will review client's history from records and interviews in order to understand how the client's social environment may have affected their AODA & behavioral health issues
6) Social Work Practice Skills Student will learn how to develop
rapport / relationships with clients through the use of Empathic / Reflective Listening and Motivational
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Learning Objective Categories Agency responsibilities, duties and
expectations that address the Learning Objectives
Written Assignments (assignments
totaling 5 points submitted to Field Instructor for discussion in supervision and submitted to the Field Liaison; ½ of field assignments due to Field Liaison by
mid-term)
Inter- viewing
Student will learn how to identify the strengths and needs of the client during the Initial Intake and On-going Assessment
Student will learn how to incorporate the strengths and needs of the client
in the Treatment Plan
Student will observe individual & group therapy
Written Social Assessment Report / Social History (2 points)
Recording For Learning of an observed individual therapy session (1 point)
7) Social Welfare Policy and
Services
Student will learn the requirements that must be met for a client to receive behavioral health treatment under Title
19 / Medicaid
Student will learn the benefits and potential negative consequences to having a behavioral health disability
8) Research Student will review and discuss in
supervision one published article providing research results on the use
of Motivational Interviewing
Student will discuss in supervision how these research results can be
incorporated in the student's
Trang 6relationship development with a client
Date:
Student’s Signature:
Field Instructor’s Signature:
Field Liaison Signature (for major assignment):
Revised 11/14/08