ࡱ> [ ybjbj  :pa!\pa!\a ^* * 8e5.V4   4\!$"T4V4V4V4V4V4V4$6I9z4$|4$$z4  5&&&$F  T4&$T4&&r0T1  m\z%F1@4550e519I%9191H#>#,&#$#H#H#H#z4z4O&dH#H#H#e5$$$$9H#H#H#H#H#H#H#H#H#* > h: 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  FORMCHECKBOX  422  FORMCHECKBOX  423  FORMCHECKBOX  721  FORMCHECKBOX  722  FORMCHECKBOX  821  FORMCHECKBOX  822  FORMCHECKBOX  921  FORMCHECKBOX  Student Name:  FORMTEXT Ima S. Worker  Student ID  FORMTEXT 000 - 00 - 0000 Agency  FORMTEXT Wherever Behavioral Health Outpatient Clinic Agency Address  FORMTEXT 0000 S. Wherever Street - Milwaukee, WI  Agency Phone  FORMTEXT 000 - 000 - 0000  Agency Fax  FORMTEXT 111-111-1111 Agency Field Instructor  FORMTEXT S. Freud, MSW, LCSW Field Instructor Email  FORMTEXT sfreud@whereverbehavioralhealthclinic.org  University Field Liaison (select)  FORMDROPDOWN  Semester  FORMCHECKBOX  Fall  FORMCHECKBOX  Spring  FORMCHECKBOX  Summer Weekly Schedule @ Agency: MondayTuesdayWednesdayThursdayFridaySaturday Sunday FORMTEXT 9 AM - 5 PM FORMTEXT       FORMTEXT 9 AM - 5 PM FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Field Semester at this Agency:  FORMCHECKBOX  1st  FORMCHECKBOX  2nd  FORMCHECKBOX  3rd  FORMCHECKBOX  4th Student will begin this semester on  FORMTEXT 09 - 01 - 0000 and end this semester on  FORMTEXT 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:  FORMTEXT  Monday / 10 AM - 11 AM (The school requires scheduling a minimum of one-hour of individual supervision per week.) Group supervision time (if applicable):  FORMTEXT 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)  FORMTEXT 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)  FORMTEXT 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 students 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.  HYPERLINK "http://www.uwm.edu/SSW/NewFieldWork/Files/Field%20Education%20Objectives%20Fall%202006%20-%20draft%208-06%20-%201.doc" 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 CategoriesAgency responsibilities, duties and expectations that address the Learning ObjectivesWritten Assignments (assignments totaling 5 points submitted to Field Instructor for discussion in supervision and submitted to the Field Liaison; of field assignments due to Field Liaison by mid-term) Select from the Assignment List  HYPERLINK "http://www.uwm.edu/SSW/NewFieldWork/FieldAssignments/FA%20Direct%20Practice.htm" www.hbsswfield.uwm.edu Students do not have to have assignments listed for every objective category. Professional Development  FORMTEXT Student will utilize supervision to discuss any issues / questions encountered in communication with 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 pre- pared 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.  FORMTEXT      Social Work Values and Ethics  FORMTEXT Student will learn and adhere to NASW Code of Ethics as it applies to this clinical social work setting. Student will establish ethical boundar- ies re: confidentiality, interaction with clients & staff, and personal disclosure. Student will inform clients of treatment options and rights / limitations of confi- dentiality including HIPAA provisions. Student will initiate discussion with Field Instructor / staff regarding any ethical concerns.  FORMTEXT      Diversity  FORMTEXT Student will develop awareness of per- sonal 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.  FORMTEXT Written Paper on the Use of Self- Awareness in Social Work Practice / (6 - 9 pages for 2 points)Populations at Risk and Social and Economic Justice FORMTEXT Student will identify the issues of poverty, racism, sexism, & ageism that make clients of this clinic vulnerable to AODA & mental health problems. Student will initiate discussion with Field Instructor on appropriate ways to address these issues with clients in treatment & discharge planning.  FORMTEXT      Human Behavior and the Social Environment  FORMTEXT 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.  FORMTEXT      Social Work Practice Skills  FORMTEXT Student will learn how to develop rapport / relationships with clients through the use of Empathic / Reflective Listening and Motivational Inter- viewing. Student will learn how to identify the strengths and needs of the client during the Initial Intake and On-going Assessment. Student will learn how to incorporate the strengths and needs of the client in the Treatment Plan. Student will observe individual & group therapy.  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Student will learn the benefits and potential negative consequences to having a behavioral health disability. FORMTEXT      Research  FORMTEXT 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 relationship development with a client.  FORMTEXT   Date: Students Signature: Field Instructors Signature: Field Liaison Signature (for major assignment):. 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