Agency - SDSU School of Social Work
Agency Letterhead
Weekly Clinical Supervision
Student:
Field Instructor:
Date:
|Topics discussed: |
|Duties & expectations |Comprehensive skills eval |Cases & Assessment |Information & referral |
|Professionalism |Process recording |High Risk issues |Evaluation issues |
|Judgment |Decision making |Progress notes |Termination |
|Communication skills |Problem solving |Goals & objectives |Diversity issues |
|School topics & deadlines |Initiative |Treatment planning |Mezzo practice issues |
|Attitude |Flexibility |Crisis intervention |Macro practice issues |
|Time management |Self awareness |Practice/intervention skills |Ethical issues |
|Learning plan |Accountability |Specific EBP techniques |Other: |
Comments:
Student Strengths:
Challenges:
Tasks to be completed by the next supervision session or date specified:
Student Signature: ________________________________
Field Instructor Signature: __________________________
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