1 2 3 4 5 6 Prepares adequately for supervisory sessions. 1 2 3 4 5 6 Accepts responsibility for learning; initiates learning. 1 2 3 4 5 6 Willing to self-disclose and/or explore personal issues which affect counseling process. Aware of how his/her and supervisor’s cultural background and social 1 2 3 4 5 6 identities affect supervision. 1 2 3 4 5 6 Actively seeks out feedback/supervision and demonstrates openness and responsiveness without defensiveness. Willing to reflect on feedback and makes a concerted effort to implement feedback into their clinical work and collegial relationships in a professional way. Appropriately independent and self-reliant, while aware of situations in 1 2 3 4 5 6 which one should seek consultation or supervision. 1 2 3 4 5 6 Demonstrates effective interpersonal skills and the ability to manage difficult communication with fellow staff, supervisors, and clients well. Participates effectively with supervisors in evaluation of own performance. 1 2 3 4 5 6 Responds professionally in increasingly complex situations with a greater 1 2 3 4 5 6 degree of independence as they progress across levels of training. Average Score: Please comment on any item given a rating of or and identify plan for “1” “2” improvement: Individual Intervention Initial Assessment and Intervention 1 2 3 4 5 6 At the beginning of session, explains clearly the limits of confidentiality; effectively discusses recording/video consent and role as supervisee; defines the basic boundaries of the services to be provided. Accurately assesses presenting need of client and adapts session foci to 1 2 3 4 5 6 reflect stated and implicit needs. 1 2 3 4 5 6 relevant history and identifies factors contributing to client’s current difficulties (e.g., cultural, biological, development, substance use, trauma symptoms, suicidal/homicidal ideation, environmental) and does so in a systematic way to inform clinical decision making. Accurately assess the acuity, severity, and complexity of client concerns. 1 2 3 4 5 6 Makes appropriate case disposition plans. 1 2 3 4 5 6 Ability to formulate and apply diagnoses; to understand the strengths and 1 2 3 4 5 6 limitations of current diagnostic approaches. 1 2 3 4 5 6 Ability to formulate (atheoretically) and conceptualize (theoretically) based on the initial assessment. Arrives at a culturally sensitive and appropriate treatment plan for clients 1 2 3 4 5 6 based on the conceptualization and information gathered during the initial assessment.
Prepares adequately for supervisory sessions. 1 2 3 4 5 6 Accepts responsibility for learning; initiates learning. 1 2 3 4 5 6 Willing to self-disclose and/or explore personal issues which affect counseling process. 1 2 3 4 5 6 Aware of how his/her and supervisor’s cultural background and social identities affect supervision. 1 2 3 4 5 6 Actively seeks out feedback/supervision and demonstrates openness and responsiveness without defensiveness. Willing to reflect on feedback and makes a concerted effort to implement feedback into their clinical work and collegial relationships in a professional way. 1 2 3 4 5 6 Appropriately independent and self-reliant, while aware of situations in which one should seek consultation or supervision. 1 2 3 4 5 6 Demonstrates effective interpersonal skills and the ability to manage difficult communication with fellow staff, supervisors, and clients well. 1 2 3 4 5 6 Participates effectively with supervisors in evaluation of own performance. 1 2 3 4 5 6 Responds professionally in increasingly complex situations with a greater degree of independence as they progress across levels of training. 1 2 3 4 5 6 Average Score: Please comment on any item given a rating of “1” or “2” and identify plan for improvement: Individual Intervention Initial Assessment and Intervention At the beginning of session, explains clearly the limits of confidentiality; effectively discusses recording/video consent and role as supervisee; defines the basic boundaries of the services to be provided. 1 2 3 4 5 6 Accurately assesses presenting need of client and adapts session foci to reflect stated and implicit needs. 1 2 3 4 5 6 relevant history and identifies factors contributing to client’s current difficulties (e.g., cultural, biological, development, substance use, trauma symptoms, suicidal/homicidal ideation, environmental) and does so in a systematic way to inform clinical decision making. 1 2 3 4 5 6 Accurately assess the acuity, severity, and complexity of client concerns. 1 2 3 4 5 6 Makes appropriate case disposition plans. 1 2 3 4 5 6 Ability to formulate and apply diagnoses; to understand the strengths and limitations of current diagnostic approaches. 1 2 3 4 5 6 Ability to formulate (atheoretically) and conceptualize (theoretically) based on the initial assessment. 1 2 3 4 5 6 Arrives at a culturally sensitive and appropriate treatment plan for clients based on the conceptualization and information gathered during the initial assessment. 1 2 3 4 5 6
NAU%20CS%20Training%20Manual%202017.2018.docx