General Practicum Evaluation

This is a generic evaluation form and checklist for graduate students taking a therapy practicum. It was developed by Lynn Clark and Elsie Dotson. These are the minimal behaviors expected of a practicum student. The specific practicum and practicum supervisor will require more.

1. Availability: The trainee has set aside sufficient time for case work in his or her schedule and makes an effort to be readily available for such clinic assignments.
2. Clinic Appointments: The case manager is present and on time for all clinic appointments, clears with the supervisor in advance of setting or changing appointment times.
3. Clinic Procedures: The case manager demonstrates familiarity and knowledge of clinic procedures and resources. This may include:
   • processing of case folders
   • signing up for clinic rooms for appointments
   • knowing about clinic reference resources
   • working on case materials in designated areas only
   • other
4. Case Preparation: The case manager is adequately prepared for each clinic appointment and for the staffings of the case. This may include:
   • reading of all assigned materials
   • independently finding relevant materials
   • engaging in prior thought and analysis for each staffing, including developing a projected plan for the next appointment to be discussed in the staffing
   • displaying the ability to conceptualize the case in terms of the problem, resources, intervention strategies and goals
5. Case Management: The case manager demonstrates a mastery of intervention skills, sensitivity and observes ethical guidelines in client interactions. This may include:
   • displaying both knowledge and skill in the intervention technique being used
   • adhering to the plan conceptualized for treatment
   • coping with the unexpected
   • demonstrating inventiveness when warranted
   • displaying poise in client contacts
   • understanding (empathizing) with the client
   • communicating effectively with the client
   • writing up case notes promptly after the session
   • dressing appropriately for client contacts
   • other
6. Observation of ethical guidelines: The case manager adheres to the ethical guidelines as ennuciated by the APA and the Psychological Clinic. This may include:
   • informing the client of the nature of this setting (training, setting, observations, taping, etc.)
   • discussing confidentiality and its limits
   • discussing the case only in appropriate settings and with appropriate persons
   • keeping case materials in designated areas only
   • keeping tapes secure and appropriately disposing of tapes when case is terminated
   • restricting the relationship with the client to a professional one
   • recognizing one's personal and skill limitations in the case
   • observing all relevant APA ethical guidelines
   • other
7. Supervision: The case manager actively and planfully seeks supervision, and appropriately adheres to the treatment strategy as worked out in the staffings. This may include:
   • seeking supervision
   • being willing to try the supervisor's suggestions
   • keeping case notes up-to-date and bringing case notes and cassette recordings to staffings
8. Other
   

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