School of Social Work 1600 Holloway Avenue San Francisco, CA 94132-4161 Tel: (415) 338-1005 Fax: (415) 338-0591 San Francisco State University School of Social Work Field Education Mid-Year Progress Report Second-Year MSW Students Form 808 The Mid-Year Progress Report addresses the student’s learning goals and is organized around the nine Council on Social Work Education’s Educational Policy and Accreditation Standards The completion of the Progress Report should be a collaborative effort between the field instructor and the student If there is a task supervisor, this staff member should also contribute to the process This report should assess the student’s competencies for the first semester at the internship If there is an area in which the field instructor has not yet had the opportunity to assess the student’s performance, please use the UA (Unable to Assess) category The student should conduct a self-assessment of progress made towards the goals listed in the Mid-Year Progress Report as well as those specified in the Learning Agreement completed earlier in the semester Based on an assessment of the learning experiences and progress made towards goals during the first semester, the student and field instructor should list any upcoming learning goals When the report has been completed, the student and the field instructor should together review and sign the form The student should then submit an original copy to the School of Social Work field liaison who will subsequently enter a grade for the internship Performance Expectations According to the Student's Academic Year Second-Year MSW students are expected to demonstrate increasing levels of sophistication, creativity, professionalism, and autonomy in their use of self and their understanding and utilization of the practice skills listed under each of the nine areas of competency They should also be focusing on areas of specialization STUDENT INFORMATION Student ID #: Student: First Name E-mail: Academic Year: ☐ BASW Last Name: Phone number: ☐ MSW First-Year ☐ MSW Second-Year AGENCY PLACEMENT Agency Name: Agency Address: Program Address (if different): Form 808: 2nd-Year MSW Mid-Year Progress Report Agency Phone Number: AGENCY FIELD INSTRUCTOR (FI) FI’s Name: First Name Last Name: FI’s E-mail: FI’s Phone Number: Agency Designated Alternative Contact Person (CP) or Task Supervisor (if applicable) CP’s Name: First Name Last Name CP’s E-mail: CP’s Phone Number: INTERNSHIP SCHEDULE End Date: Start Date: Days of the Week and Scheduled Hours: Weekly Supervision Days and Times: SIGNATURES Field Instructor Signature: Student Signature: School of Social Work Field Liaison Signature: Competency 1: Demonstrate Ethical and Professional Behavior 1: No Evidence of Skill Development 2: Beginning Level of Skill Development 3: Satisfactory Progress in Skill Development 4: Good Demonstration of Skill Development 5: Excellent Demonstration of Skill Development UA: Unable to Assess UA 1.a) Applies the standards of the NASW Code of Ethics or additional codes of ethics, relevant laws and regulations, and models for ethical decision-making in practice, research, and policy arenas and employs an ethical decision-making process in addressing issues and dilemmas that arise in the field 1.b) Effectively engages in productive problem-solving and appropriate conflict resolution and utilizes open communication 1.c) Demonstrates an ability to distinguish between personal and professional values in a practice context and exhibit an understanding of the ways in which personal experiences and affective reactions can influence professional judgment and behavior 1.d) Uses reflection and self-regulation to maintain professionalism in practice situations 1.e) Demonstrates professional demeanor in behavior and appearance, as well as oral, written, and electronic communication 1.f) Engages with those from professions other than social work when involved in inter-professional collaboration and effectively Form 808: 2nd-Year MSW Mid-Year Progress Report employs consultation 1.g) Demonstrates a commitment through action to advancing the field of social work through advocacy and ongoing learning 1.h) Exhibits knowledge of emerging forms of technology and the ethical use of technology in social work practice 1.i) Uses supervision and consultation to guide professional judgment and behavior Student’s self-assessment of progress: Based on the first semester’s learning experiences, the student’s upcoming goals: Field instructor’s comments: Competency 2: Engage Diversity and Difference in Practice 1: No Evidence of Skill Development 2: Beginning Level of Skill Development 3: Satisfactory Progress in Skill Development 4: Good Demonstration of Skill Development 5: Excellent Demonstration of Skill Development UA: Unable to Assess UA 2.a) Identifies ways in which diversity and difference characterize and shape the human experience at the micro, mezzo, and macro levels and are critical to the formation of identity 2.b) Identifies forms and mechanisms of oppression and discrimination, including social, economic, political, and cultural exclusions that may marginalize and alienate, or alternatively contribute to privilege and power 2.c) Identifies ways of addressing power and control factors that affect the experiences of diverse populations and modifies intervention methods based on these evaluations 2.d) Employs methods that reflect cultural humility and sensitivity in relationships with clients and communities 2.e) Presents as a learner and engages clients and constituencies as experts in relation to their own experiences 2.f) Applies self-awareness regarding one’s own identity, personal biases, fears, and values, and self-regulates to manage the influence of personal biases and values in working with a diversity of clients and constituencies Student’s self-assessment of progress: Based on the first semester’s learning experiences, the student’s upcoming goals: Field instructor’s comments: Form 808: 2nd-Year MSW Mid-Year Progress Report Competency 3: Advance Human Rights and Social, Economic, and Environmental Justice UA 1: No Evidence of Skill Development 2: Beginning Level of Skill Development 3: Satisfactory Progress in Skill Development 4: Good Demonstration of Skill Development 5: Excellent Demonstration of Skill Development UA: Unable to Assess 3.a) Articulates the ways in which every person, regardless of position in society, deserves fundamental human rights such as freedom, safety, privacy, an adequate standard of living, health care, and education 3.b) Employs an understanding of social, economic, and environmental justice and advocates for human rights at the individual and system levels 3.c) Engages in micro, mezzo, macro, and global practices that address human rights concerns 3.d) Advances social justice (through anti-oppressive clinical practice), economic justice (through poverty-aware practice), and environmental justice (by enhancing clients’ relationships with the natural world) Student’s self-assessment of progress: Based on the first semester’s learning experiences, the student’s upcoming goals: Field instructor’s comments: Competency 4: Engage in Practice-informed Research and Research-informed Practice 1: No Evidence of Skill Development 2: Beginning Level of Skill Development 3: Satisfactory Progress in Skill Development 4: Good Demonstration of Skill Development 5: Excellent Demonstration of Skill Development UA: Unable to Assess UA 4.a) Uses practice experience and theory to inform scientific inquiry and research 4.b) Applies critical thinking and engages in an analysis of research methods and findings with the understanding that evidence-informed practice derives from multidisciplinary sources and multiple ways of knowing 4.c) Uses and translates research findings to inform and improve practice, policy, and service delivery 4.d) Engages in research that is inclusive of the clients, communities, and organizations involved and that incorporates their participation in all aspects of the research process Student’s self-assessment of progress: Based on the first semester’s learning experiences, the student’s upcoming goals: Field instructor’s comments: Form 808: 2nd-Year MSW Mid-Year Progress Report Competency 5: Engage in Policy Practice 1: No Evidence of Skill Development 2: Beginning Level of Skill Development 3: Satisfactory Progress in Skill Development 4: Good Demonstration of Skill Development 5: Excellent Demonstration of Skill Development UA: Unable to Assess 5.a) 5.b) 5.c) 5.d) 5.e) UA Identifies social policy at the local, state, and federal levels that impacts well-being, service delivery, and access to social services Assesses how social welfare and economic policies impact the delivery of and access to social services Applies critical thinking to analyze, formulate, and advocate for policies relevant to the client population that advance human rights and social, economic, and environmental justice Creates alternative policy solutions and interventions to social issues that are culturally relevant, appropriate, and sensitive to the diverse populations affected by these policies Effectively engages action systems to achieve desired policy changes 5.f) Evaluates the impact of change efforts, activist agendas, and practice results Student’s self-assessment of progress: Based on the first semester’s learning experiences, the student’s upcoming goals: Field instructor’s comments: Competency 6: Engage with Individuals, Families, Groups, Organizations, and Communities UA 1: No Evidence of Skill Development 2: Beginning Level of Skill Development 3: Satisfactory Progress in Skill Development 4: Good Demonstration of Skill Development 5: Excellent Demonstration of Skill Development UA: Unable to Assess 6.a) Applies theory and knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies, including individuals, families, groups, organizations, and communities 6.b) Identifies ways in which personal experiences and affective reactions may impact the ability to effectively engage with a diversity of clients and constituencies 6.c) Uses empathy, reflection, and interpersonal skills to effectively engage with a diversity of clients and constituencies Student’s self-assessment of progress: Based on the first semester’s learning experiences, the student’s upcoming goals: Field instructor’s comments: Form 808: 2nd-Year MSW Mid-Year Progress Report Competency 7: Assess with Individuals, Families, Groups, Organizations, and Communities UA 1: No Evidence of Skill Development 2: Beginning Level of Skill Development 3: Satisfactory Progress in Skill Development 4: Good Demonstration of Skill Development 5: Excellent Demonstration of Skill Development UA: Unable to Assess 7.a) Applies knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies including individuals, families, groups, organizations, and communities 7.b) Collects and organizes data and employs critical thinking to interpret information from clients and constituencies in order to advance practice effectiveness 7.c) Develops mutually agreed-upon intervention goals and objectives based on a critical assessment of strengths, needs, and challenges within client and community systems 7.d) Selects appropriate intervention strategies based on the assessment, research knowledge, and the values and preferences of clients and constituencies 7.e) Critically analyzes differential diagnostic and assessment criteria including developmental and cultural considerations, as well as the impact of assessment methods, on client and community selfdetermination and empowerment 7.f) Engages with individuals, families, groups, and organizations in ways that reflect cultural humility in assessing and analyzing their strengths and needs 7.g) Exhibits an understanding of the ways in which personal experiences and affective reactions may affect assessment and decision-making Student’s self-assessment of progress: Based on the first semester’s learning experiences, the student’s upcoming goals: Field instructor’s comments: Competency 8: Intervene with Individuals, Families, Groups, Organizations, and Communities UA 1: No Evidence of Skill Development 2: Beginning Level of Skill Development 3: Satisfactory Progress in Skill Development 4: Good Demonstration of Skill Development 5: Excellent Demonstration of Skill Development UA: Unable to Assess 8.a) Critically chooses and implements interventions to achieve practice goals and enhance capacities of clients and constituencies 8.b) Applies knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in order to achieve practice goals and enhance the capacities of clients and constituencies 8.c) Plans with individuals, families, and groups to apply interventions through a variety of methods and strategies as Form 808: 2nd-Year MSW Mid-Year Progress Report appropriate to their contexts and needs for change 8.d) Collaborates with clients in addressing long-term developmental goals and addressing obstacles that may be presented by institutional settings and their operational policies 8.e) Creates innovative therapeutic modalities contributing to culturally affirmative and individualized development and advocacy 8.f) Uses inter-professional collaboration as appropriate to achieve beneficial practice outcomes 8.g) Employs interdisciplinary, inter-professional, and interorganizational collaboration in the process of negotiating, mediating, and advocating with and on behalf of a diversity of clients and constituencies 8.h) Facilitates growth and the realization of full potential among clients and communities 8.i) Facilitates effective transitions and endings that advance mutually agreed-upon goals Student’s self-assessment of progress: Based on the first semester’s learning experiences, the student’s upcoming goals: Field instructor’s comments: Competency 9: Evaluate Practice with Individuals, Families, Groups, Organizations, and Communities 1: No Evidence of Skill Development 2: Beginning Level of Skill Development 3: UA Satisfactory Progress in Skill Development 4: Good Demonstration of Skill Development 5: Excellent Demonstration of Skill Development UA: Unable to Assess 9.a) 9.b) 9.c) Selects and utilizes appropriate methods for the evaluation of outcomes Applies knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks Identifies evidence of change and development upon termination 9.d) Critically analyzes, monitors, and evaluates intervention and program processes and outcomes 9.e) Applies evaluation findings to improve practice effectiveness at the micro, mezzo, and macro levels Student’s self-assessment of progress: Based on the first semester’s learning experiences, the student’s upcoming goals: Field instructor’s comments: Form 808: 2nd-Year MSW Mid-Year Progress Report Form 808: 2nd-Year MSW Mid-Year Progress Report ... self-assessment of progress: Based on the first semester’s learning experiences, the student’s upcoming goals: Field instructor’s comments: Form 808: 2nd-Year MSW Mid-Year Progress Report Form 808: 2nd-Year... self-assessment of progress: Based on the first semester’s learning experiences, the student’s upcoming goals: Field instructor’s comments: Form 808: 2nd-Year MSW Mid-Year Progress Report Competency... self-assessment of progress: Based on the first semester’s learning experiences, the student’s upcoming goals: Field instructor’s comments: Form 808: 2nd-Year MSW Mid-Year Progress Report Competency