University of Wisconsin-Milwaukee The Helen Bader School of Social Welfare Field Program PERFORMANCE-BASED LEARNING PLAN / DIRECT PRACTICE – CLINICAL / 721 & 722) Field Course (please check): 421 422 423 721 722 821 Student Name: Ima S Worker 822 921 Student ID 000 - 00 - 0000 Agency Wherever Behavioral Health Outpatient Clinic Agency Address 0000 S Wherever Street - Milwaukee, WI Agency Fax 111-111-1111 Agency Phone 000 - 000 - 0000 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: Monday AM - PM Tuesday Wednesday Thursday Friday Saturday Sunday AM - 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.) Page of –Performance-Based Learning Plan Group supervision time (if applicable): Not Applicable Mid-Term Evaluation Due Date (421/422/423 at 125 completed hours; 721/722 at 130 completed hours; 821/822 at 160 completed hours) 10 - 01 -0000 (fill in date due) Final 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 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 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 Page of –Performance-Based Learning Plan Learning Objective Categories Agency responsibilities, duties and expectations that address the Learning Objectives Written Assignments (assignments totaling 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 prepared 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 boundaries re: confidentiality, interaction with clients & staff, and personal disclosure Student will inform clients of treatment options and rights / limitations of confidentiality including HIPAA provisions Student will initiate discussion with Page of –Performance-Based Learning Plan Learning Objective Categories 3) Diversity 4) Populations at Risk and Social and Economic Justice Agency responsibilities, duties and expectations that address the Learning Objectives Field Instructor / staff regarding any ethical concerns Student will develop awareness of personal 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 Student will identify the issues of poverty, racism, sexism, & ageism that make clients of this clinic vulnerable to AODA & mental health problems Written Assignments (assignments totaling 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) Written Paper on the Use of SelfAwareness in Social Work Practice / (6 - pages for points) 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 6) Social Work Practice Skills 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 Student will learn how to develop rapport / relationships with clients through the use of Empathic / Reflective Listening and Motivational Page of –Performance-Based Learning Plan Learning Objective Categories Agency responsibilities, duties and expectations that address the Learning Objectives Inter- viewing Student will learn how to identify the strengths and needs of the client during the Initial Intake and On-going Assessment Written Assignments (assignments totaling 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) Written Social Assessment Report / Social History (2 points) Student will learn how to incorporate the strengths and needs of the client in the Treatment Plan Student will observe individual & group therapy 7) Social Welfare Policy and Services 8) Research 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 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 Recording For Learning of an observed individual therapy session (1 point) Page of –Performance-Based Learning Plan Learning Objective Categories Agency responsibilities, duties and expectations that address the Learning Objectives relationship development with a client Date: Student’s Signature: Field Instructor’s Signature: Field Liaison Signature (for major assignment): Revised 11/14/08 Written Assignments (assignments totaling 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)