ࡱ>  ٧bjbj ¶v CCC4wwwh w 6*.----|xNBVCҞ g\|xҞҞ--U9JJJҞX8-C-JҞJJ+ -@OY,?w*HV0 # h:r: :C  ҞҞJҞҞҞҞҞJҞҞҞ ҞҞҞҞ:ҞҞҞҞҞҞҞҞҞ :  Mississippi State University-Meridian Campus SOCIAL WORK STUDENT FIELD PRACTICUM MANUAL Mississippi State University-Meridian Social Work Program Division of Arts and Sciences Revised January 2013 Table of Contents  TOC \f \h \z  HYPERLINK \l "_Toc283971238" Social Work Program..... PAGEREF _Toc283971238 \h 3  HYPERLINK \l "_Toc283971239" Mission... PAGEREF _Toc283971239 \h 3 Eligibility for Field Practicum ..................................................................................................................5  HYPERLINK \l "_Toc283971244" Student Responsibilities. PAGEREF _Toc283971244 \h 5  HYPERLINK \l "_Toc283971248" Course Description. PAGEREF _Toc283971248 \h 6  HYPERLINK \l "_Toc283971247" Field Practicum Requirements... PAGEREF _Toc283971247 \h 6  HYPERLINK \l "_Toc283971245" Assignment of Students to Field Practicum Sites...... PAGEREF _Toc283971245 \h 9 Field Practicum Agencies........11 Field Practicum Faculty.......................12  HYPERLINK \l "_Toc283971241" Director of Field Education.12  HYPERLINK \l "_Toc283971242" Field Liaison....13  HYPERLINK \l "_Toc283971243" Field Instructors...13  HYPERLINK \l "_Toc283971246" Practicum Assessment Criteria and Standards PAGEREF _Toc283971246 \h 14  HYPERLINK \l "_Toc283971249" Field Practicum Time Line.. PAGEREF _Toc283971249 \h 16  HYPERLINK \l "_Toc283971250" Dismissal for Academic and Professional Reasons. PAGEREF _Toc283971250 \h 17  HYPERLINK \l "_Toc283971251" Equal Opportunity Policy.... PAGEREF _Toc283971251 \h 19  HYPERLINK \l "_Toc283971252" Mississippi State University Misconduct Policy. PAGEREF _Toc283971252 \h 19  HYPERLINK \l "_Toc283971253" Mississippi State University Sexual Harassment Policy. PAGEREF _Toc283971253 \h 19  HYPERLINK \l "_Toc283971254" Risks in Field Placement. PAGEREF _Toc283971254 \h 19  HYPERLINK \l "_Toc283971255" Social Work Licensure....20   HYPERLINK \l "_Toc283971256" Appendix. PAGEREF _Toc283971256 \h 22  HYPERLINK \l "_Toc283971257" Form A: Application for Field Practicum (Rsum).. PAGEREF _Toc283971257 \h 23 Form B: Agency Interview Choices 23 Form C: Choices for Agency Placement 24 Form D: Authorization for Background Check 25 Form E: Child Abuse/Neglect Central Registry Check 26 Form F: Authorization to Release Non-Public Information 27 Form G: Field Practicum Time Sheet 28  HYPERLINK \l "_Toc283971258" Instructions on Completing Time Sheets  PAGEREF _Toc283971258 \h 30 Form H: Original Contract 30 Form I: Learning Contract 31  HYPERLINK \l "_Toc283971259" Instructions for Learning Goals Preparation... PAGEREF _Toc283971259 \h 34 Form J: Evaluation of Field Practicum Student 38  HYPERLINK \l "_Toc283971260" Practicum Assessment Criteria and Standards  PAGEREF _Toc283971260 \h 46 Form K: Student Evaluation of the Field Practicum 49  HYPERLINK \l "_Toc283971261" Supervision and Consultation Assessment Criteria and Standards.  PAGEREF _Toc283971261 \h 53  HYPERLINK \l "_Toc283971262" Form L: Agreement of Understanding  PAGEREF _Toc283971262 \h 54 CSWE Educational Policy and Accreditation Standards 61  Mississippi State University does not discriminate on the basis of race, color, religion, national origin, sex, age disability, sexual orientation, group affiliation, or veteran status. Social Work Program TC "Social Work Program" \f C \l "1"  This manual provides an overview of the Field Practicum at Mississippi State University-Meridian Campus Social Work Program. Program rules, regulations, and procedures are included in this manual. Social Work majors are bound by the principles herein described. The accreditation of the Social Work Program at Mississippi State University- Meridian Campus was reaffirmed by the Council on Social Work Education until 2013. The profession of social work recognizes the Bachelor of Social Work (BSW) degree as the entry-level professional degree. The Program mission is inextricably related to the purpose and mission of the University and the College of Arts and Sciences. On these foundations the Program seeks to prepare BSW students to continue their formal education in social work or graduate disciplines. The Program further prepares students to connect class and practice setting by implementation of generalist practice work with individuals, families, groups, communities and organizations within a multicultural society. In order to achieve this mission, the students program of professional education consists of both classroom and field education the signature pedagogy of Social Work education. The function of classroom instruction is to provide the student with the opportunity to acquire the knowledge, skills, and values necessary for the development of evidence-based practice. The field practicum provides the student with the opportunity to link and apply a generalist practice knowledge content from the classroom to the delivery of social services in a practice situation. Students are admitted into the practicum following the completion of required liberal arts and social work courses. While the Program has responsibility for the overall function of the practicum, field instruction is a collaborative educational venture between those in the Program, the social service agencies, and the student body. Individualization, flexibility, and cooperation in developing relevant educational experiences are important conditions of this relationship. Mission of Social Work Program Mission  TC "Mission" \f C \l "1"  Our programs purpose and mission are inextricably related to the purpose and mission of the University, the College of Arts and Sciences, and the Meridian Campus. The mission statements of the University, College of Arts and Sciences, Meridian Campus Social Work Program, and the purpose of the Social Work profession reflect a strong commitment to students, community and service to society. With the liberal arts as their foundation, the mission of the Social Work Program Mississippi State University-Meridian is to prepare BSW graduates to engage in entrylevel generalist social work practice to competently and effectively work with individuals, families, groups, communities, and organizations within a multicultural society and to continue their formal education in social work or graduate discipline. It is the vision of the Program that students will diligently work toward the achievement of civil rights for all populations, including the impoverished, underserved, undereducated, disenfranchised, and biopsychosocially vulnerable. The Program further expects students to become trustworthy, dedicated leaders in social service delivery through professional expertise, evidence informed practices, and systematic advocacy. As such, it is our goal that upon completion of the program, students are prepared to: Engage in research-informed entry-level generalist social work practice with individuals, families, groups, communities and organizations within a diverse and multicultural society. (EPAS 2.1.1, EPAS 2.1.3, EPAS 2.1.6, EPAS 2.1.8, EPAS 2.1.10). Practice according to the principles, values, and ethics that guide the social work profession. (EPAS 2.1.2, EPAS 2.1.3). Influence social policies with the goal of alleviating poverty, oppression, and social injustice as well as advocating for human rights (EPAS 2.1.3, EPAS 2.1.4, EPAS 2.1.5, EPAS 2.1.6, and EPAS 2.1.8). Identify and affect the bio-psycho-social, spiritual, and cultural functioning of people (EPAS 2.1.7, EPAS 2.1.9). Provide communities with professional social work services in a manner that reflects a commitment to the historic mission of social work and empower communities to address issues of social and economic injustice. (EPAS 2.1.3, EPAS 2.1.4, EPAS 2.1.5, EPAS 2.1.6, and EPAS 2.1.8). Core Competencies Identify as a professional social worker and conduct oneself accordingly (EPAS 21.1). Apply social work ethical principles to guide professional practice (EPAS 2.1.2). Apply critical thinking to inform and communicate professional judgments (EPAS 2.1.3). Engage diversity and difference in practice (EPAS 2.1.4). Advance human rights and social and economic justice (EPAS 2.1.5). Engage in research-informed practice and practice-informed research (EPAS 2.1.6). Apply knowledge of human behavior and the social environment (EPAS 2.1.7). Engage in policy practice to advance social and economic justice to deliver effective social work services (EPAS 2.1.8). Respond to contexts that shape practice (EPAS 2.1.9). 10. Engage, assess, intervene, and evaluate with individuals, families, groups, organizations, and communities (EPAS 2.1.10). Adapted with permission of the Council on Social Work Education Eligibility for Field Practicum The criteria for remaining in the program and entering field practicum include: Maintain an overall minimum GPA of 2.0, with a minimum GPA of 3.0 or better in required social work courses. Adhere to all academic expectations of the University and the Social Work Program. 3. Adhere to the National Association of Social Workers Code of Ethics. Criteria for Admission into Field Practicumtc \l2 "Criteria for Admission into Field Practicum The student must maintain a minimum GPA of 3.0 in required social work courses. The integrated liberal arts perspective and social work curriculum, with exception of SW 4916 Filed Practicum I and SW 4926 Field Practicum/Seminar II which comprise the block practicum, must be completed before students apply for admission into field practicum. Students enrolled in SW 3533 Social Work with Communities and Organizations must complete a membership application to the National Association of Social Workers. The semester prior to practicum, students complete three field placement orientation classes. The purpose of these classes is to discuss field education and the field practicum process, to distribute the Social Work Program Field Practicum Manual, and to review field practicum information, forms, and the field syllabus. Prior to agency interviews students must complete Form D, Authorization for Background Check, and Form E, Child Abuse/Neglect Central Registry Check. Form F, Authorization to Release Non-Public Information is completed and retained in the students record. Students are required to complete Form A, Application for Field Practicum and Resume, and three preplacement interviews with approved field agencies (Form B and Form C) which ranks the students agency choice(s). In the preplacement interviews, the student and agency field instructor are encouraged to explore the placement fully before ranking the choice of agency placement. Students are required to complete Forms A, B, C, D, E, and F and turn them into the Director of Field Education. Information shared by the students pertaining to their learning needs, interests, wants, and personal considerations concerning the field practicum are discussed with the Director of Field Education in an established office interview. The decision concerning choice of agency placement is based on the shared student information and agency field instructor interviews. The Director of Field Education has the final approval of the field placement agency. Social work majors are required to complete a semester and a minimum of 450 hours in an agency setting. Field practicum allows the student opportunities to link and apply theories learned in the classroom in a structured and educationally-directed environment. At the close of the fall semester students are required to obtain liability insurance in the amount of $1,000,000.00 or more prior to their first day of placement. Applications for liability insurance may be made through the National Association of Social Workers. Field practicum is completed in a semester and/or twelve (12) hour block. In addition to the 450 hours spent in the agency setting, students are required to attend and actively participate in the field seminar that meets every other week. Students are required to complete registration and payment of tuition prior to entering the practicum agency and to provide evidence of malpractice insurance. Student Responsibilities TC "Student Responsibilities" \f C \l "1"  The student is encouraged to be as fully involved as possible in the field education process. Students are to meet with the advisor and the Director of Field Education to prepare for decision making and to identify learning needs and desires. In the pre-placement interviews, students are encouraged to exchange relevant information with the agency Field Instructor to ensure that both the student and the Field Instructor have essential information to decide whether a particular field placement is appropriate. Students are expected to assume the professional role appropriate to their level of development, including the following: 1. Adhering to the policies, procedures, and regulations of the social service agency; 2. Complying with the agencys practices with respect to the working hours, dress codes, and general professional behavior. Absences due to illness or personal emergency are made up if the minimum hours are not met; 3. Availing themselves of learning opportunities offered through in-service training, meetings, and conferences; 4. Securing permission from the Field Instructor for the use of any confidential information and case material for instructional purpose as well as disguising the material to ensure confidentiality. The University and all students shall comply with all applicable state, federal, and local laws regarding the confidentiality of patient information and medical records; and 5. Conducting themselves in ways consistent with the ethics of the profession, including the National Association Social Workers (NASW) Code of Ethics. The student is responsible for maintaining professional liability insurance coverage. Liability and malpractice insurance coverage is available through NASW. Automobile insurance is the students responsibility. Students are not required by the Program to transport clients or others in their private automobiles as part of field education responsibilities. Students should check with their automobile insurance carrier about any limits on coverage for using personal vehicles in field education. Field Practicum Requirements TC "Field Practicum Requirement" \f C \l "1"  Course Description TC "Course Description" \f C \l "1" : SW 4916-4926 Social Work Field Practicum/Seminar. (12 hours). The course provides students opportunities to apply generalist social work practice methods by completing a minimum of 450 supervised work hours in a variety of social work practical settings, working with individuals, families, groups, organizations, and communities. Necessary Knowledge, Values, and Skills: Social Workers serve as representatives of the profession, its mission, and its core values; they know the professional history and commit themselves to the professions enhancement and to their own professional conduct and growth (EPAS 2.1.1). 2. Social Workers apply social work ethical principles to guide professional practice and recognize and manage personal values in a way that allows professional values to guide practice by applying standards of the National Association of Social Workers Code of Ethics. (EPAS 2.1.2). 3. Social Workers apply critical thinking to inform and communicate professional judgments, augmented by creativity and curiosity, producing synthesis and communication of relevant information (EPAS 2.1.3). 4. Social Workers understand how diversity characterizes and shapes the human experience and is critical to the formation of identity; they understand that diversity includes the intersection of multiple factors, including age, class, color, culture, disability, ethnicity, gender, gender identity and expression, immigration status, political ideology, race, religion, sex, and sexual orientation; and they appreciate that, as a consequence of these factors, a persons life experience may include oppression, poverty, marginalization, and alienation as well as privilege, power, and acclaim (EPAS 2.1.4). 5. Social Workers understand each person, regardless of position in society, has basic human rights, such freedom, safety, privacy, an adequate standards of living, health care, and education; they recognize the global interconnections of oppression and are knowledgeable about theories of justice and strategies to promote human and civil rights; and they incorporate social justice practices in organizations, institutions, and society to ensure that these basic human rights are distributed equitably and without prejudice (EPAS 2.1.5). 6. Social Workers use practice-based wisdom to inform research, employ evidence-based interventions, evaluate their own practice, and use research evidence to improve practice, policy, and social service delivery; they comprehend quantitative and qualitative research and understand scientific and ethical approaches to building knowledge (EPAS 2.1.6). 7. Social Workers are knowledgeable about human behavior across the life course, the range of social systems in which people live, and the ways in which social systems promote or deter people in maintaining or achieving health and well-being; they apply theories and knowledge from the liberal arts to understand biological, social, cultural, psychological, and spiritual development (EPAS 2.1.7). 8. Social Workers understand that policy affects service delivery; they actively engage in policy practice to advance social economic well-being and to deliver effective social work services: analyze, formulate, and advocate for policies that advance social well-being; collaborate with colleagues and clients for effective policy action; and know the history and current structures of social policies and services. (EPAS 2.1.8). 9. Social Workers are informed, resourceful, and proactive in responding to evolving organizational, community, and societal contexts at all levels of practice; they recognize that the context of practice is dynamic and use knowledge and skill to respond proactively (EPAS 2.1.9). 10. Social Workers professional practice involves the dynamic and interactive processes of engagement, assessment, intervention, and evaluation at multiple levels. Social Workers have the knowledge and skills to practice with individuals, families, groups, organizations, and communities. Social Workers practice knowledge includes: identifying, analyzing, and implementing evidence-based interventions designed to achieve client goals; using research and technological advances; evaluating program outcomes and practice effectiveness; developing, analyzing, advocating, and providing leadership for policies and services; and promoting social and economic justice (EPAS 2.1.10). Adapted with the permission of council on Social Work Education Practice Behaviors: Identify as a professional social worker and conduct oneself accordingly; advocate for client access to the services of social work; practice personal reflection and self-correction to assure continual professional development; attend to professional roles and boundaries; demonstrate professional demeanor in behavior, appearance, and communication; engage in career-long learning; and use supervision and consultation. (EPAS 2.1.1) Apply social work ethical principles: to guide professional practice; recognize and manage personal values that allows professional values to guide practice; make ethical decisions by applying standards of the National Associational of Social Workers Code of Ethics and, as applicable, of the International Federation of Social Workers/ International Association of Schools of Social Work Ethics in Social Work, Statement of Principles; tolerate ambiguity in resolving ethical conflicts; and apply strategies of ethical reasoning to arrive at principled decisions. (EPAS 2.1.2) Apply critical thinking to inform and communicate professional judgments: distinguish, apprise, and integrate multiple sources of knowledge, including research-based knowledge and practice-based wisdom; analyze models of assessment, prevention, intervention, and evaluation; and demonstrate effective oral and written communication in working with individuals, families, groups, organizations, communities, and colleagues. (EPAS 2.1.3) Engage diversity and difference in practice: recognize the extent to which a cultures structures and values may oppress, marginalize, alienate, or may create or enhance privilege or power; gain sufficient self-awareness to eliminate the influence of personal biases and values in working with diverse groups; recognize and communicate their understanding of the importance of difference in shaping life experience; and view themselves as learners and engage those with whom they work as informants. (EPAS 2.1.4) Advance human rights and social and economic justice: understand the forms and mechanisms of oppression and discrimination; advocate for human rights and social and economic justice; and engage in practices that advance social and economic justice. (EPAS 2.1.5) 6. Engage in research-informed practice and practice-informed research: use practice experience to inform scientific inquiry and use research evidence to inform practice. (EPAS 2.1.6) 7. Apply knowledge of human behavior and the social environment: utilize conceptual frameworks to guide the processes of assessment, intervention, and evaluation; and critique and apply knowledge to understand person and environment. (EPAS 2.1.7) 8. Engage in policy practice to advance social and economic well-being and to deliver effective social work services: analyze, formulate, and advocate for policies that advance social well-being; and collaborate with colleagues and clients for effective policy action. (EPAS 2.1.8) 9. Respond to contexts that shape practice: continuously discover, apprise, and attend to changing locales, populations, scientific and technological developments, and emerging societal trends to provide relevant services; provide leadership in promoting sustainable changes in service delivery and practice to improve the quality of social services. (EPAS 2.1.9) 10. Engage, assess, intervene, and evaluate with individuals, families, groups, organizations, and communities; substantively and effectively prepare for action with individuals, families, groups, organizations, and communities; use empathy and other interpersonal skills; and develop a mutually agreed-on focus of work and desired outcomes; collect, organize, and interpret client data; assess client strengths and limitations; develop mutually agreed-on intervention goals and objectives; and select appropriate intervention strategies; initiate actions to achieve organizational goals; implement prevention interventions that enhance the client capacities; help clients resolve problems; negotiate, mediate, and advocate for the client; facilitate transitions and endings; and critically analyze, monitor, and evaluate interventions. (EPAS 2.1.10) Adapted with the permission of Council on Social Work Education Each student is required to complete the field practicum. No EXCEPTIONS are made based on prior work experience. Academic credit for life experience and previous work experience shall not be given, in whole or in part, in place of the field practicum or of the courses in the professional foundation areas. Although the program recognizes the importance of practice-based wisdom, it is the program's strong belief that a social worker must possess a conceptualization of practice that is theoretically grounded and must also possess the knowledge to evaluate one's own practice effectively. This knowledge results from the successful completion of the curriculum. A student employed in a social service agency is strongly encouraged to complete field practicum in another approved agency. The field practicum agency must be approved by the university and program. In the rare case that a student must remain employed in the agency at which the student is currently employed, there must be clearly written objectives, the field practicum hours (450) must be completed in a unit other than their work unit, and a social worker other than the current instructor must provide supervision. Both the Director of Field Education and Program Director must approve such field practicum arrangements. Holidays and Leave. The student(s first responsibility is to the client. The faculty understands the student is in the student role, not an employee role. Therefore, the student is not required to work during University holidays; however, the agency may request that the student work during University holidays. The student will work if the nature of the placement and the responsibility to the client system require it. It is the student(s responsibility to notify the Field Instructor of any absence. When possible, notification should be made in advance. If the absence is due to illness and the student is absent for three consecutive days, a physician(s excuse is necessary. Assignment of Students to Field Practicum Sites TC "Assignment of Students to Field Education Sites" \f C \l "1"  The field practicum is the signature pedagogy educational experience for the student. Therefore, placement is based on the educational needs of the student. The intent of field education is to connect the theoretical and conceptual contribution of the classroom with the practical world of the practice setting. The primary concern for the placement of a student is an environment which offers the best potential to promote the students professional development. Personal factors related to the location of placements are considered. During the semester prior to practicum, students complete four field placement orientation classes. The purpose of these classes is to discuss field education and the field practicum process, to distribute the Field Practicum Manual, and to review field education information forms and the field syllabus. Students complete (Form A) Application for Field Practicum/Resume, located in the Appendix of this manual; complete three pre-placement interviews with approved field agencies (Form B); and complete (Form C) which ranks the students agency choices. In the pre-placement interviews, the student and agency Field Instructor are encouraged to explore the placements fully before ranking the choices of agency placement. Students will submit the completed Forms A, B, and C to the Director of Field Education. Information shared by the student pertaining to their learning needs, interests, desires, and personal considerations concerning the field placement are discussed with the director in an office interview. The decision on agency placement is based on the shared student information and agency interviews. The Director of Field Education has the final approval of the field placement agency. 3. Students will submit the completed Forms D, E, and F to the Director of Field Education. Information shared by the student pertaining to their background screening, child abuse and neglect registries check, sex offender central registry check, and non-public information will be shared with the field agency at which the students complete their placement. 4. The Director of Field Education will write to the agency, including student field information, and will notify the students instructing them to contact the agency concerning their placement schedules. 5. Prior to the start of the placement, the Director of Field Education will provide the field manual, appropriate educational policy statement and accreditation standards, syllabus, and evaluation forms to the agency Field Instructor. 6. Changes in any students placement that are made after the field practicum begins must be approved by the Program Director. Field Practicum Agencies Agencies are selected according to the following specified criteria: A commitment to professional social work education, as demonstrated by: a. Willingness to provide students with assignments focused toward learning needs rather than toward the workload and schedule of the agency; Willingness to allow the student to participate in staff meetings, in-service training, inter-agency conferences, and other learning opportunities that arise; Willingness to provide a qualified staff member to serve as field instructor; and Commitment to release the agency employee who serves as the Field Instructor from his/her normal duties for the amount of time necessary to plan the students learning experiences, to supervise the students progress, and to attend meetings and seminars related to field education. A commitment to high quality service to the consumer in an atmosphere compatible with the ethics and values of the social work profession, as stated in the National Association of Social Workers (NASW) Code of Ethics. Agencies are selected and evaluated in the following manner: The Director of Field Education contacts the agency, meets with the appropriate agency representative, discusses criteria for selecting field settings, placing and monitoring students, and assesses the feasibility of the agency as a possible site for students to engage in a generalist practice opportunity with that agency. When a student is placed in an agency, the field director and/or field liaison gather information and monitor the field education course. Information includes the written assignments, use of supervision, and mid-term and final evaluations for the course. The student completes an evaluation form rating the Field Instructor, agency, Director of Field Education or Field Liaison at the completion of placement. This information allows for ongoing evaluation of the placement, agency and field instructor by the field director. Student evaluations collected over time provide an agency history. Attendance by students at orientation meetings and participation in training sessions provides additional information for evaluating student learning and field setting effectiveness. Students, the Director of Field Education, Field Liaison, and Field Instructor are expected to report concerns regarding the use of an agency for field supervision to the Director of Field Education. The Director of Field Education is responsible for appropriately addressing the concerns. Field Practicum Faculty TC "Field Practicum Faculty" \f C \l "1"  Director of Field Education TC "Coordinator of Field" \f C \l "1" : The Director of Field Education is a full-time faculty member appointed by the program director and is responsible for the overall administration and educational direction of field education. The role includes the following administrative duties: Recruitment, assessment and selecting field settings as field instruction sites; Establish and maintain a cooperative dialogue between the student, faculty, agencies, and field instructors. Maintain current contact information on approved field agencies and field instructors; Consult with administrative agency personnel on matters involving the provision of adequate field instruction, orientation, selection and training of Field Instructors, and maintenance of field instruction standards; Interpret the Programs philosophy of education, the organization and content of the educational curriculum, programs competencies and their characteristic practice behaviors, and field instructor standards to the social service agencies and Field Instructors; Share pertinent information about field education students with field agencies; 7. Place and monitor students to specific social service agencies following appropriate consultation with students, advisors, and Field Instructors; and 8. Plan and provide orientation, training, and other staff development experiences for field education settings and field instructors that focus on the practice behaviors that operationalize the programs competencies. The Supervision and Consultation duties of the Director of Field Education include the three functions of supervision (administrative, supportive, and educational) and the problem-solving process used in consultation. These duties include the following: Provide a clear and consistent understanding of the students field practicum responsibilities; Socialize the student into the profession; Provide a clear understanding of all assignments and activities and of their links to the students knowledge and skills development; Hold regular and structured seminars; Provide continuous supervision that encompasses all areas of the students concern; 6 Provide an objective appraisal of the students work; Guide standards of practice and professional conduct; 8 Support the students development of self-awareness by providing psychological and interpersonal resources; 9. Coordinate the students learning through interaction with the field instructor and/or field liaison; 10. Reinforce the professional identification of ethical standards and principles of the NASW Code of Ethics; 11. Reinforce the students identification with Social Work purpose, values, and ethics; and 12. Foster the integration of both empirical, evidence-based knowledge and practice-based wisdom. Field Liaison TC "Field Liaison" \f C \l "1" : Field Liaisons are adjunct faculty employed by the University. The liaison serves as a channel of communication between the Social Work program, the student, and the field placement agency. The role includes the following duties: Provide a clear and consistent understanding of the students field practicum responsibilities; Socialize the student into the profession; 3. Provide a clear understanding of all assignments and activities and of their links to the students knowledge and skills development; 4. Provide continuous supervision that encompasses all areas of the students concern; 5. Facilitate field teaching and student learning; 6. Oversee educational opportunities offered by the agency, monitor the students progress, and foster interchange between the program and agency; 7. Evaluate the Field Instructors efforts and the students achievements objectively; 8. Continually reinforce the students identification with Social Work purpose, values, and ethics; 9. Foster the integration of both empirical and evidence-based knowledge and practice-based wisdom; 10. Attend regularly scheduled Field Instructors trainings, participating as requested; and 11. Guides the standards of practice and professional knowledge. Field Instructors TC "Field Instructors" \f C \l "1" : Field Instructors should have a MSW from a CSWE-accredited program. Preferably licensed at the Masters or Certified Social Work level or a BSW from a CSWE-accredited program or Southern Association of Colleges and Schools accredited program, preferably licensed at the Bachelor level. However, if the field instructor is not a licensed social worker or does not hold a CSWE accredited baccalaureate or masters social work degree; the instructor must meet the following qualifications: 1. A minimum of two years social work experience after graduating with a Social Work degree; or 2. A minimum of five years social work experience after graduating with a bachelor degree in an area other than Social Work. Exceptions to the above criteria may be made for social service professionals with 5 years in a social work setting. In this case, the Director of Field Education works with the Field Instructor to provide resource information and assistance regarding Social Work practice. The faculty field liaison works with the student and the Field Instructor to monitor the quality of the match. In some instances, the approved Field Instructor may assign another agency social worker to supplement day-to-day supervision of the student. In these cases, the approved Field Instructor agrees to meet at least once every two weeks with the student in addition to the supervisory consultations provided by the other agency worker. 3. Motivation for teaching and recognized competence in practice from the social work perspective, 4. Willingness to participate in learning and growth experiences that refine existing skills and develop new ones. Field Instructors are expected to do the following: 1. Hold regular and planned supervisory conferences; 2. Maintain the standards of practice and professional conduct; 3. Socialize the student into the profession; 4. Provide continuous supervision that encompasses all areas of the students concern; 5. Provide an objective appraisal of the students work; 6. Enhance the students understanding of Social Work philosophy and agency policy; 7. Support the students development of self-awareness by providing psychological and interpersonal resources as well professional competence; 8. Enhance the students knowledge of the agencys and communitys resources; 9. Coordinate the students learning through appropriate case assignment, peer-group interaction, and priorities of activities to refine knowledge, values, and skills; 10. Provide supervision within the established guidelines of the NASW Code of Ethics; 11. Continually reinforce the students identification with Social Work purpose, values, and ethics; and 12. Foster the integration of both empirical, evidence-based knowledge and practiced- based wisdom. Practicum Assessment Criteria and Standards TC "Practicum Assessment Criteria and Standards" \f C \l "1"  Your instructor will use the following criteria and standards when marking your practicum work. You can use them when planning your learning goals and as a self-check on your own practicum performance. Level 4 (A): Quality and Consistent Growth The Student: Demonstrates consistent performance and contributes significantly to the practicum setting in relation to all ten competencies; Establishes effective professional relationships with the clients, co-workers, and the instructor; Works both independently and as part of a team and attend to professional roles and boundaries Is self-directed and able to apply critically thinking skills to analyze his or her own behavior recognizing and managing personal goals in a way that allows professional values to guide practice; Continuously discovers, apprise, and attend to changing locales, populations, scientific and technological developments, and emerging societal trends to provide relevant services; Provides leadership in promoting sustainable changes in service delivery and practice to improve the quality of social services; Uses problem-solving strategies that are effective, creative, and appropriate to the situation; Demonstrates a desire to go beyond available information at appraising and integrating multiple sources of knowledge; including research-based knowledge and practice-based wisdom; and Personalizes knowledge and skill issues and concepts acquired through practice and takes advantage of all learning opportunities, taking on challenges and responsibility for his or her learning, viewing those he/she works with as informants. Level 3 (B): Growth and Development The Student: Is reliable in performance and needs only limited supervision; Is able to work independently and achieves consistent growth and development in all the ten competency areas; Collaborates with the instructor and co-workers, sharing ideas, knowledge, and experiences; Is able to initiate and generate specific plans that further personal learning goals; Demonstrates consistent self-awareness, self-direction, initiative, and responsibility for his or her own learning; Has a solid understanding of professional values and attitudes and can effectively integrate these into practice; Quickly addresses issues that arise and takes optimal advantage of learning opportunities in both the practicum and course work, and Demonstrates a desire to go beyond available information at appraising and integrating multiple sources of knowledge; including research-based knowledge and practice-based wisdom; Level 2 (C): Basic Competency The Student: Can usually carry out responsibilities as identified in the ten competencies, with occasional supervision, direction, and assistance; Is generally reliable; Shows some initiative in all ten competency areas ; Is generally able to relate to the clients, co-workers, and instructor; Demonstrates some understanding of professional values that relate to each of the competency areas; Is able to set goals, although these goals are sometimes unrealistic, unreasonable, or unattainable; and Is able to identify problematic issues but shows only basic skills in addressing these issues due to a lack of willingness and/or ability to critically analyze and integrate knowledge. Level 1 (D): Failure to Meet Minimum Standards The Student: Is in constant need of supervision and direction from the instructor; Is unable to carry out the tasks and responsibilities as identified in the in the ten competencies; Lacks the ability to set realistic goals and, if goals are set, is unable to consistently follow through on meeting them; Has difficulty relating to the clients, co-workers, and instructor; Lacks understanding of professional values and attitudes as these apply to the ten competency areas; and Appears unwilling or unable to reflect critically or personally on many aspects of his/her practice. Field Practicum Time Line TC "Field Practicum Time Line" \f C \l "1"  Adhere to the following timeline when planning and completing your field placement. Students will complete steps 1-8 in the Fall semester prior to their field placement. Activity CompletedTime Line1. Application for Field, Form A End of Fall semester2. Agency Interview Choices, Form BEnd of Fall semester3. Three Agency Interviews, Form CEnd of Fall semester4. Agency assignment by Director of Field End of Fall semester5. Receipt of letter of agency intentEnd of Fall semesterAuthorization for Background Check, Child Abuse and Sex Offender Registries, Form DEnd of Fall semester7. Secure Child Abuse/Neglect Central Registry. Form EEnd of Fall semester8. Permission to Release Non-Public Information, Form FEnd of Fall semesterStudents will complete steps 8-15 in the Spring semester while enrolled in Field Practicum. These steps are described in detail in the SW 4916/4926 course syllabi. Activity Completed Time Line9. Complete time sheets, Form G1st week of practicum10. Complete Original Contract, Form H2nd week of practicum11. Initiate Learning Goals, Form I2nd week of practicum12. Attend Field Practicum seminarsDates indicated on course syllabus13. Initiate Mid-term Evaluation, Form JOn completion of 225 hours14. Initiate Final Evaluation, Form JOn completion of 450 hours15. Complete Students Evaluation, Form KOn completion of practicum Managing Difficulties in Field Practicum The student and Field Instructor are encouraged to discuss the problems at the earliest indication. The difficulty may be identified either by the student, the instructor, or the Field Liaison. If the difficulty is not resolved in a timely manner, the Director of Field Education is consulted. The field director will confer with the individuals involved and with the students advisor. All information relevant to the problem should be as thorough as possible and provided in writing. A decision will be made by the field director to resolve the difficulty. Recommended interventions should be clearly stated; actions to be taken by the student, the instructor, and the field director should be stated in measurable terms, and the time frame in which actions are to be taken should be given. Changes and results should be recorded in writing. The decision is sent in memo format to each individual involved as well as to other appropriate officials (i.e., Program Director). The student may also use the University Grievance Process. Others parties who have been involved in the process and remain dissatisfied with the final resolution may confer with the Program Director to express any continued grievance. Dismissal for Academic and Professional Reasons TC "Dismissal for Academic and Professional Reasons" \f C \l "1"  The faculty of the Social Work Program has the professional obligation to assure that its graduates are not only academically prepared but also emotionally and ethically prepared, exhibit behavior consistent with the values and ethics of the profession, and demonstrate emotional preparedness expected in the profession. A student may be dismissed from the program for failure to meet these standards. Specific examples of such violations may include but are not limited to the following: 1. Failure to meet or maintain the grade point average stipulated above. 2. Behavior judged by the program faculty to be in violation of the NASW Code of Ethics and the University Honor Code, including academic plagiarism, lying, or deception. 3. Unresolved personal issues and/or psychiatric disturbances that, in the professional judgment of the program faculty, may impair the effective and ethical quality of services to future clients. 4. Evidence of documented chemical abuse and/or dependency occurring during the course of study. 5. Failure to develop the appropriate interpersonal skills necessary for effective and ethical social work practice as evaluated and judged by the program faculty. 6. Commission of any misdemeanor or felony involving actual or threaten assault or injury to a person. 7. False, incomplete, deceptive, or misleading oral or written statements made during application to the program. Problems identified will be investigated by the Program Director. Faculty, staff and Field Instructors, or students may present alleged problem(s). Identified problem(s) must be presented to the student and director in writing. All information relevant to the student(s evaluation should be as thorough as possible, including the specification of the sources providing the information. In the course of investigating the alleged violations, outside evaluations, assessments, and/or opinions from University and/or external professionals may be required. If necessary, the program will secure the written permission of the student to seek relevant information. Failure to grant permission may result in dismissal from the program. The Program Director, the student, and the students advisor will evaluate the allegation(s) and, if possible, agree on a resolution of the difficulty. The resolution will be one of the following: (1) the student will be encouraged to continue in the program; (2) the specific problem will be identified, and the student will be advised concerning a recommendation and/or correction; or (3) the student will be dismissed. A written plan for correction indefinite and/or temporary withdrawal will be prepared. The written plan will include a statement of the specific problem, a plan of action, the period of time for correction of the behavior, the period of time which must expire before the student can apply for reinstatement, and/or the period of time of withdrawal before the student can reenter the program. The student, advisor, and program director must sign the plan. Students may appeal decisions made by the program director and/or faculty that affect the student(s ability to pursue or continue in the program through the normal channels and mechanisms specified by the University. The appeal process varies according to the type of offense. The descriptions related to each may be found in the Academic Operating Policy and Procedure at the following address: http://www.msstate.edu/dept/audit/1207.html. The role of the faculty advisor is to ensure that the student is aware of the process and procedure which will be followed. The advisor is expected to be present at the various stages of the evaluation and appeal process, providing relevant information as requested. The advisor is a source for the student to consult as to his/her rights and options. Policies and Procedures for Grievance Within University policy, students have rights that include due process of appeal. University policies relating to handling of academic misconduct, grade appeal, etc. are stated clearly in the University Policies and Procedures Manual and can be found at the following address: http://www.msstate.edu/dept/audit/1314.html. Students who feel that they have an academic grievance may appeal as follows: Students are encouraged to discuss the problem with the instructor first and seek a solution. If the problem is not satisfactorily resolved in conference with the instructor, the student may acquire a grade appeal form from any academic dean's office or from the Registrar's Office to complete. The completed document shall be taken to the Associate Dean of Arts and Sciences within 30 days after the beginning of the following regular semester (Fall, Spring). The Associate Dean of Arts and Sciences will rule on the grade appeal, if the problem is not satisfactorily resolved the student or the instructor may appeal this ruling to the MSU Meridian Campus Dean to whom the Dean of Arts and Sciences reports. If appealed, the Dean of Arts and Sciences shall immediately forward the appeal form with a letter of recommendation to the MSU Meridian Campus Dean. The MSU Meridian Campus Dean will then send copies of all materials to the Dean of Arts and Sciences and The SW Program Director. Both the Dean of Arts and Sciences and MSU Meridian Campus Dean review will occur within a reasonable time and in ordinary circumstances will take no longer than two weeks for each level. If not satisfactorily resolved, the student or the instructor may appeal this ruling to the Provost and Vice President for Academic Affairs. The Provost and Vice President for Academic Affairs may then refer the case to the Academic Review Board within two weeks. If not satisfactorily resolved, the student can request for a hearing to resolve the problem. Equal Opportunity Policy TC "Equal Opportunity Policy" \f C \l "1"  Mississippi State University is committed to equal opportunity in employment and education and does not discriminate on the basis of race, color, religion, national origin, sex, age, disability, sexual orientation, group affiliation, or veterans status. This is a violation of federal and state law and MSU policy and will not be tolerated. Discrimination based upon sexual orientation or group affiliation is a violation of MSU policy and will not be tolerated. The University complies with applicable nondiscrimination and affirmative action provisions of the Civil Rights Act of 1964, Executive Order 11246, the Educational Amendments of 1972, the Rehabilitation Act of 1973, the Vietnam Era Veterans Readjustment Assistance Act of 1974, the Age Discrimination in Employment Act of 1967, the Age Discrimination Act of 1975, the Immigration Reform and Control Act of 1986, and the Americans with Disabilities Act of 1990. Inquiries concerning this policy may be directed to Tommy Stevenson, Ph.D., Director, Office of Diversity and Equity Programs, 106 McArthur Hall (Barr Avenue), P. O. Box 6199, Mississippi State, MS 39762, Telephone: (662)-325-2493. E-mail: tstevenson@aaeo.msstate.edu. Mississippi State University Student Misconduct Policy TC "Mississippi State University Misconduct Policy" \f C \l "1"  The Social Work program follows the same general academic and disciplinary grievance procedures for all University students as described in the University Policies Relating to Students and Student Records at the following address: http:/www./mstate.edu/web/student_policies.html. Mississippi State University Sexual Harassment Policy TC "Mississippi State University Sexual Harassment Policy" \f C \l "1"  The sexual harassment policy statement is described in the University Policies Relating to Students and Student Records at the following address: http://msstate.edu/web/student_policies.html. Sexual harassment of any student should be promptly reported to a student advisor or faculty member. Risks in Field Practicum TC "Risks in Field Placement" \f C \l "1"  This section informs you, the student, about potential risks associated with field education courses SW 4916/4926. You have a right to be informed of risks associated with this aspect of your educational and professional preparation. Risks can be minimized with proper knowledge and preparation. It is your responsibility to discuss the policies and procedures of your agency with your Field Instructor. Limits in practice Student(s) are to be aware of the limits of their knowledge and skills and avoid situations outside their areas of competence. The Field Instructor should be consulted before action is taken when the student is unsure how to handle a case and whether or not intervention is appropriate. Liability insurance: Students must be covered by liability insurance during their field practicum. Coverage is available through membership in the National Association of Social Workers (NASW). Membership applications should be obtained from the Director of Field Education the semester prior to placement. Automobile liability insurance: If you use your personal vehicle during field placement you should consult an insurance agent for a clear understanding of your coverage. Proof of automobile liability insurance coverage must be provided to the agency. The faculty recommends that you not use your personal vehicle to transport clients. If clients are to be transported, an agency vehicle should be used. Home visits: A variety of social service settings require social workers to conduct home visits. Such visits could expose you to health and safety risks. Home visits must be made with full knowledge of your agency, and Field Instructor. Your Field Instructor should know the time of your departure and expected time of return. Make the home visit on a full tank of gas. You should have written information with you indicating whom to call and what steps to take in the event of an accident and/or a vehicle breakdown. The faculty recommends that students be accompanied on home visits. Do not conduct a home visit on your own if you feel uncomfortable or threatened in the situation. Return to the agency and report your experience to your Field Instructor. Beware of dogs or other household pets that might be a threat. Do not make a visit if you detect the presence of alcohol. Do not take irresponsible risks. Angry, hostile, or threatening clients: Discuss agency policies and the recommended course of action for clients who are angry or exhibit threatening behavior. Have these discussions during agency orientation with the Field Instructor. Whenever you feel uncomfortable with a client, inform your instructor. Ask your Field Instructor or other staff person to participate in interviews and/or accompany you when visiting clients who may pose danger to your health and safety. After-hours locations: Some agencies have activities that occur beyond regular eight-to-five office hours. Be aware of the location and neighborhood by noting street lighting, open spaces, and shrubs that might impair visibility. Your Field Instructor or someone else should accompany you when going to your car after dark. When possible, visit locations for evening meetings during the day time in advance of the meeting. Sexual misconduct: Avoid situations that could place you in a compromising position. Promptly report any sexual suggestions or overtures to your Field Instructor. Proper and prompt action on your part can often prevent false accusations of sexual improprieties. Agency-required testing: Health care agencies that provide social services may require drug screening and TB skin tests. Other agencies, particularly those who serve vulnerable populations such as children and the aged, require security clearances as well as pre-screening with a criminal background check and an MDHS Central Registry check. HIV/AIDS: The risk of exposure to the HIV virus is very low in most social work practice settings. Students should be knowledgeable about how the virus is transmitted. If your agency serves persons with HIV, insist on completing the same infectious disease control training that agency staff receive. Practice the infectious disease policies of the placement agency. Do not take irresponsible risks. Home address, home phone number, and cell phone number: Students are not to give clients their home address, home phone number, or cell phone number. A client needing to contact you must go through the social service agency you represent. The only telephone number a student should give the client is the agency telephone number. Proper use of cell phones: Telephone calls made on cell phones do not ensure confidentiality. Should you need to speak with a instructor concerning a client and need to share specific identifying information, do not use your cell phone. Stop at a pay telephone and call the instructor. The ringing of communication devices is intrusive and disruptive during classroom activities. If you carry a cell telephone or pager, please insure that it is turned off when you enter the classroom. There may be special circumstances in which it is imperative that you be contacted; please notify the instructor before class so arrangements may be made. The Work-related activities are not considered special circumstances. Social Media: Students are not to communicate with clients via email, Facebook, text messaging and/or twitter. A client needing to contact you must go through the social service agency you represent. The only means of communication a student should have with the client is through an official representative of the agency. Social Work Licensure TC "Social Work licensing" \f C \l "1"  Social work students are eligible to take the scheduled licensing examination during their last semester of course work if their course load does not exceed fifteen (15) semester hours. The Social Work Program offers an exam review workshop for social work students and graduates prior to the licensure examination. Applications for licensure may be obtained from the web page of the Mississippi Board of Examiners for Social Workers and Marriage & Family Therapists by contacting the office. A complete guide of licensing policies and procedures is available through Mississippi Board of Examiners for Social Workers and Marriage & Family Therapists P. O. Box 4508 Jackson, MS 39236-4508 Telephone: (601) 987-6806 www.swmft.gov.ms Appendix TC "Appendix" \f C \l "1"  Field Practicum Forms: Form A: Application for Field Practicum/Resume Form B: Agency Interview Choices Form C: Choices for Agency Placement Form D: Authorization for Background Check, Child Abuse and Sex Offender Registries Form E: Child Abuse/Neglect Central Registry Check Form F: Authorization to Release Non-Public Information Form G: Time Sheet and Instructions for Completing Time Sheets Form H: Original Contact Form I: Learning Contact and Instructions for Learning Goals Form J: Evaluation of Field Practicum Student and Practicum Assessment Criteria and Standards Form K: Student Evaluation of Field Practicum Experience and Supervision and Consultation Assessment Criteria and Standards Form L: Agreement of Understanding between Mississippi State University Social Work Program and Field Site Mississippi State University-Meridian Social Work Program Form A: Application for Field Practicum (Rsum)  TC "Form A: Application for Field Practicum (Rsum" \f C \l "1"  Name Address City, State, and Zip Code Telephone: (area code) number EDUCATION: Month and year Degree you will receive from your present university University or Colleges name Address Month and year Degree you will receive from your present university University or Colleges name Address Honors should be included EMPLOYMENT: Month and year List your present title Agency Name Address Responsibility: Mississippi State University-Meridian Social Work Program Form B: Agency Interview Choices Student name: Agencies of Choice: Agency name and address: Reason:    Field Instructor(s name:  Agency name and address: Reason:    Field Instructor(s name:  Agency name and address: Reason:    Field Instructor(s name: Mississippi State University-Meridian Social Work Program Form C: Choices for Agency Placement Student name:  Agencies of Choice: Agency name and address: Reason:     Field Instructor(s name:  Agency name and address: Reason:    Field Instructor(s name:  3. Agency name and address: Reason:    Field Instructor(s name: Mississippi State University-Meridian Social Work Program Form D: Authorization for Background Check, Child Abuse and Sex Offender Registries Date:  I, , authorize Mississippi State University, Meridian Campus Social Work Program to conduct a background screening with law enforcement, the Child Abuse Central Registry, the Sex Offender Registries, previous employers, and any other persons to determine my suitability in working with children and families. I understand that this authorization is a part of the admission process into the Social Work Program and into Field Practicum. I further understand that this information will only be used in regard to the above application processes. Student Signature: Date:  Witness: Date: Mississippi State University-Meridian Social Work Program Form E: Child Abuse/Neglect Central Registry Check To: Mississippi Department of Human Services Division of Family & Children Services Child Abuse Central Registry P.O. Box 352 Jackson, MS 39205 From: Rhonda G. Carr, Program Director Mississippi State University-Meridian Campus Social Work Program 1000 Hwy 19 North Meridian, MS 39307 601-484-0146 (Printed) Applicants Full Name (list maiden name & list any aliases)  Social Security Number: ___________________________________ Date of Birth: _____________ (Requesting Agency should verify by viewing the applicants Drivers License and Social Security Card) Physical Address: ________________________________________________________________ By signing this form, I give the above named agency permission to request and an MDHS Child Abuse/Neglect Central Registry background check. I understand that this information will be used only for employment purposes and will not be re-disseminated to other persons or used for other purposes. ____________________________________ _____________________________ Applicant Signature Date I have witnessed the applicants signature. The information is true and attested by my viewing of the applicants Social Security card and Drivers License. I understand that this information must be kept confidential within my agency. Signature of Witness: ____________________________ Date: ________ (The witness must be a representative of the requesting agency)  This section to be completed by MDHS Office % No identifying information found in the Central Registry % The following information was found in the Central Registry    Signature and Title: Date: Mississippi State University  Meridian Social Work Program Form F: Authorization to Release Non-Public Information The Family and Education Rights Act of 1974 prohibits the release of educational records (or personally identifiable information therein, except for public directory information) without the written consent of the student. In order that MSU-Meridian may comply with the law, please provide the information requested below and sign the request form. Name: Last First Middle Address:  Student ID #:  Street Address Apartment Number  City State ZIP Information to be released: Educational information relevant to the Social Work Program admission process and the Field Practicum process. Name and Title of person(s) to receive information:  Name Title   Name Title Students signature: Date: Mississippi State University-Meridian Social Work Program Form G: Field Practicum Time Sheet Student Name: Agency: Semester and Year: Field Instructor: Week of: Previous hours:  Activity Monday Tuesday Wednesday Thursday Friday Sat/Sunday I. Client Contact(s) A. Office Visit(s)       B. Home Visit(s)        C. Telephone Call(s)       D. Referral(s)        E. Recording(s)        F. Court        II. Professional Development A. Conferences        III. Activities A. Orientation        B. Agency & In-service       C. Observation(s)       D. Evaluation(s)       E. Research / Resources and Development       IV. Other (identity)       TOTAL(S)       Instructions on Completing Time Sheets TC "Instructions on Completing Time Sheets" \f C \l "1"  Students are responsible for keeping a weekly time sheet. Time sheets are to be turned in during biweekly field seminar. The hour column should be completed in no fewer than 15-minute intervals. Write "1" for one (1) hour, "15" for 15 minutes, "30" for 30 minutes, "45" for 45 minutes. Ex. 1 hour and 30 minutes should be recorded 1-30. The first time sheet completed will reflect 0 for previous hours worked. The total field hours worked during the first week of placement should be entered on the line by previous hours. Each week thereafter the hours worked the week before will be added to the hours worked the current week. The last time sheet completed for placement should reflect the total hours worked for the semester. Hours not included in the total field placement hours worked are field seminar hours, transportation time to and from field seminars, and transportation time to and from the agency. Overtime hours required by specific case assignments and special after-meetings are included in field placement hours and should be recorded on the time sheet. Activities Defined - The activities fall into three broad areas: Client contacts, professional development, and other. 1. Client contacts include office visits, home visits, and telephone conversation with or on behalf of a client; referrals; court appearances; and records (documentation). 2. Professional development includes one-on-one instructional conferences, in-service and staff development training, orientation, field practicum evaluations, observation, community resource development and research activities, professional reading, and professional conferences. Other includes any other activity not described above. Please specify the activity if listed under this category. Please keep a copy of your time sheet for your records, bring one copy to field seminar, and provide one copy to the Field Instructor. Mississippi State University-Meridian Social Work Program Form H: Original Contract Date: Student name:  Field practicum agency:  Field Instructor:  Student's placement title:  Beginning date: Ending date:  Hours per week: Student's responsibilities, duties, and activities:        Signatures:  Student: Date:  Field Instructor Date:  Director of Field Education and/or Field Liaison Date: Mississippi State University-Meridian Social Work Program Form I: Learning Contract Student:  Agency: Address: Field Instructor:  Agency Phone Number: Student(s Placement Title:  NOTE: Learning Goals are treated separately in this planning form even though all the goals are related and form a whole. See the attached instruction sheet for assistance in completing this form.  Agency Learning Goals: Tasks or Strategies (State 2-3 ways you plan to achieve each goal)  Personal Learning Goals: Tasks or Strategies (State 2-3 ways you plan to achieve each goal)  Professional Learning Goals: Tasks or Strategies (State 2-3 ways you plan to achieve each goal)  SIGNATURES:  Student Date  Field Instructor Date Director of Field Education Date Instructions for Learning Goals Preparation TC "Instructions for Learning Goals Preparation" \f C \l "1"  There are three parts to preparing for the Learning Goal conference: (1) Scheduling the conference (2) Preparing the Learning Contract form (3) Participating in the conference 1. Scheduling the Learning Goal Conference The conference usually takes place at the field practicum agency. Participants are the field practicum instructor, the student, and the faculty instructor. Allow one hour for the conference and confirm with the faculty instructor the date, time, and place. The student is responsible for setting up a date and time that is agreeable to all participants in the conference. If it is necessary to use time outside of regularly scheduled field practicum hours, the student will receive credit on time sheets for conference time. 2. Preparing the Learning Contract Form The intention of the form is to set up "learning and doing" objectives for the field practicum that are individualized for each student, are feasible in the agency, and are attainable within the field practicum. The student is responsible for the preparation, and the field practicum instructor is expected to be involved to the extent that is mutually agreeable. The student is expected to initiate working on the preparation with the field practicum instructor. The form should be typed in triplicate and submitted to the Director of Field Education three days before the conference time. The headings of sections labeled agency, personal, and professional are intended to offer a focus for broad coverage. Overlapping of goals under these headings is acceptable. The main idea of the divisions is to encourage the student to develop goals in each of these three broad areas, all considered being important to social work professional training. Please note that within each section, the student is expected to list goals and ways to achieve them. The goal is the individualized objective, and the way of meeting the goal is the task or strategy. Agency Learning Goals pertain to the unique nature of the field practicum agency that the student wishes to learn about and/or contribute to. Consideration should be given to the following areas when deciding on your learning goals: ( Services and programs the agency provides ( Agency history, philosophy, funding, and organizational structure ( Client population served ( Agency response(s) to social and economic justice ( Agency policies, procedures, and decision-making processes ( Planning and conducting of agency-based research Examples of goals and ways to achieve them: Agency Learning Goals: Tasks or Strategies 1. To understand the foster care placement 1. (a) Conduct home visits/shelter process from home study assessment visit to disposition leaving. (b) Read the agency manual (c) Discuss process with a social worker (d) Attend the foster care Review Board orientation 2. To become familiar with Safe Haven's 2. (a) Ask the Field Instructor agency-based research. (b) Determine its goals and purposes (c) Ascertain the staff view and use of research (d) Determine if the research addresses social and economic issues  Personal Learning Goals pertain to your own uniqueness as an individual and the changes you want to make within yourself and in your behavior that would help you in your role as a practicing social work student. These desired changes may involve building on your strengths and skills, working to minimize weaknesses, vulnerabilities, etc. and expanding sensitivities, self-awareness, etc. Consider the following when deciding on your learning goals: ( Differences between personal and professional tasks ( Personal barriers that may affect social work practice ( Understanding and awareness of individual diversity (culture, lifestyle, minority status, women's issues, etc.) in relation to wellness and human rights. ( Personal values that help or interfere with effective social work practice  Examples of goals and ways to achieve them: Personal Learning Goals: Tasks or Strategies: 1. To become more assertive 1. (a) Speak at least 2 times in the first group session, 4 times in the second, and 6 times in group sessions thereafter (b) Ask for feedback from co-leader of group (c) Report my progress in weekly instructional sessions 2. To increase my awareness and understanding 2. (a) Read 3 articles on Native of the Native American population served Americans. by my agency. (b) Discuss the issues raised in the articles and in my contact with clients with a Native American social worker in the agency  Professional Learning Goals pertain to theory, methods, and skills common to the work of a professional social worker that you can learn in your agency and that would be applicable in other social work agencies. Consider the following areas when deciding on your learning goals: ( General social work practice methods (establishing relationships, collecting data, making assessments, interventions, evaluation, and termination) ( Integrating and applying academic knowledge and theory to actual social work situations, values, and ethics ( Accountability to client systems (e.g., maintaining client confidentiality, keeping appointments, following through on plans, etc.) ( Teamwork with other agency staff in identification of client concerns/problems ( Communication and interviewing skills ( Problem-solving process ( Diversity (e.g., cultural, ethnic, racial, social and economic justice) ( Making referrals and community resources Examples of goals and ways to achieve them: Professional Learning Skills: Tasks or Strategies: 1. To develop skills in understanding group 1. (a) Observe the instructor's skill process and working with groups in parenting classes 2-3 sessions (b) Co-facilitate the group beginning in January and through May (c) Ask for feedback from the instructor after each session 2. To learn about national, state, and local 2. (a) Survey community services resources available for handicapped children (b) Obtain and familiarize self with printed materials. (c) Visit agencies that provide services  Participating in the Conference The conference allows parties to confirm, clarify, expand, or modify goals and ways to accomplish them. This is done through sharing, questioning, and feedback. The Learning Contract form is a working paper that is the basis for the conference. Some goal, task, and/or strategy revisions may be indicated as a result of the conference. The student, the Field Instructor, and the Director of Field Education are expected to offer input during the conference. The Director of Field Education may use the opportunity to learn more about the specifics of field practicum assignments. The director retains the finished form signed by student, Field Instructor, and Director of Field Education. Copies are provided to the student and the Field Instructor. The Learning Contract becomes part of the framework for training at the agency. The Learning Goals become the basis for future evaluation of the student. Final evaluation of the field practicum takes place just before completion of the required number of hours. Revision of the Learning Contract Form may be necessary following the Learning Goal conference. If revision is necessary, the student is expected to amend the form and return it to the Director of Field Education within three (3) days after the conference. The evaluation process between Field Instructor and student is ongoing through the practicum. Feedback opportunities are important for growth for the student and the Field Instructor. The more formal evaluations, mid-term and final, are to be initiated by the student. The student must submit the following forms to the Director of Field Education prior to any grade being given: 1. Original Contract 2. Field Learning Contract 3. Time Sheets 4. Weekly Logs 5. Mid-Term Evaluation of Student 6. Final Evaluation of Student 7. Student Evaluation of Field Practicum Mississippi State University-Meridian Social Work Program Form J: Evaluation of Field Practicum Student Instructor: The mid-term and final evaluations facilitate student and field instructor feedback regarding the students field experience for the Director of Field Education. This evaluation is the instructors mid-term and final assessment of the field student application of classroom learning in an agency setting. The evaluation of the student should be a shared process in that the instructor and the student discuss variations and similarities in the assessment. Student: Phone:  Agency: Phone:  Address:   Field Instructor: Phone:  % Mid- Term Beginning Date: Ending Date: % Final Beginning Date: Ending Date:  The standard by which a student is to be compared is that of a new, entry-level social worker. The 10 competencies specified in this evaluation form are those established by the national accrediting organization, the Council on Social Work Education. Comments may be made under any competency statement, if desired. Please indicate those areas in which you think the student is particularly strong and those areas in which the student needs improvement. The purpose of the evaluation is to give the student feedback about her or his performance. The field supervisors rating of these items will not directly be used to calculate the grade given to the student. The faculty liaison has the responsibility of assigning the grade for field education. The grade that is assigned is based on: the faculty liaisons overall evaluation of the students performance in field placement in conjunction with the field supervisors evaluation and other submitted materials, such as: placement log; seminar participation; and papers that integrate field with classroom instruction. Please use the following scale of 1-4 to assess the functioning level of the student for each practice behavior. 4The student has excelled in this area3The student is functioning above expectations for students in this area3The student has met the expectations for students in this area1The student has not met the expectations in this area but gives indications that she/he will do so in the near future0The student has not met the expectations in this area and does not give indications that she/he will do so in the near futuren/aNot applicable, as the student has not had the opportunity to demonstrate competencies in this area Competency # 1: Student identifies as a professional social worker and conducts himself/herself accordingly. Advocates well for client access to the services of social work01234n/aPractices personal reflection and self-correction to assure continual professional development01234n/aAttends to professional roles and boundaries01234n/aDemonstrates professional demeanor in appearance, behavior and communication01234n/aUses supervision and consultation effectively01234n/aEngage in career long learning 01234n/a Comments: Competency # 2: Student applies social work ethical principles to guide his or her professional practice. Makes ethical decisions by applying the NASW Code of Ethics01234n/aRecognizes and manages personal values in a way that allows professional values to guide practice (e.g., on issues such as abortion or gay rights)01234n/aTolerates uncertainty in resolving ethical conflicts01234n/aIs able to apply strategies of ethical reasoning to arrive at principled decisions01234n/a Comments: Competency # 3: Student applies critical thinking to inform and communicate professional judgments. Is skilled at distinguishing, appraising and integrating multiple sources of knowledge; including research-based knowledge and practice-based wisdom01234n/aIs skilled at analyzing models of assessment, prevention, intervention, and evaluation01234n/aDemonstrates effective oral communication in working with individuals, families, groups, organizations, communities, and colleagues01234n/aDemonstrates effective written communication in working with individuals, families, groups, organization, communities, and colleagues01234n/aComments: Competency # 4: Student engages diversity and difference in practice. Recognizes the extent to which a cultures structures and values may oppress, marginalize, and alienate, or may create or enhance privilege and power01234n/aHas sufficient self-awareness to eliminate the influence of personal biases and values in working with diverse groups01234n/aRecognizes and communicates her or his understanding of the importance of difference in shaping life01234n/aViews herself or himself as a learner and engages those with whom he or she works with as informants01234n/aComments: Competency # 5: Student advances human rights and social and economic justice. Understands the forms and mechanisms of oppression and discrimination01234n/aIs skilled at advocating for human rights and social and economic justice01234n/aIs skilled at engaging in practices that advance social and economic justice01234n/aComments: Competency # 6: Student engages in research-informed practice and practice- informed research. Is skilled at using practice experience to inform research01234n/aIs skilled at using research and evidence-based interventions to inform practice01234n/aComments: Competency # 7: Student applies knowledge of human behavior and the social environment. Is skilled at critiquing and applying knowledge of theories and knowledge about biological variables, social variables, cultural variables, psychological variables, and spiritual development to people to help understand their environment01234n/aIs skilled at utilizing conceptual frameworks to guide the processes of assessment, intervention, and evaluation01234n/aComments: Competency # 8: Student engages in policy practice to advance social and economic well-being and to deliver effective social work services. Is skilled at analyzing, formulating, and advocating for policies that advance social well-being01234n/aIs skilled at collaborating with colleagues and clients for effective policy action01234n/aComments: Competency # 9: Student responds to contexts that shape practice. Is skilled at continuously discovering, appraising, and attending to changing locales, populations, scientific and technological developments, and emerging societal trends in order to provide relevant services01234n/aIs skilled at providing leadership in promoting sustainable changes in service delivery and practice to improve the quality of social services01234n/aComments: Competency # 10: Student engages, assesses, intervenes, and evaluates with individuals, families, groups, organizations, and communities. Substantively and affectively preparing for action with individuals, families, groups, organizations, and communities01234n/aUsing empathy and other interpersonal skills01234n/aDeveloping a mutually agreed-on focus of work and desired outcomes.01234Collecting, organizing, and interpreting client data01234n/aAssessing client strengths and limitations01234n/aDeveloping mutually agreed-on intervention goals/objectives01234n/aSelecting appropriate intervention strategies01234n/aInitiating actions to achieve organizational goals01234n/aImplementing prevention interventions that enhance client capacities01234n/aHelping clients resolve problems01234n/aNegotiating, mediating, and advocating for clients01234n/aFacilitating transitions and endings01234n/aCritically analyzing, monitoring, and evaluating interventions01234n/aComments: MIDTERM Overall Evaluation  Please check one of the following at the midterm evaluation. At the final evaluation do NOT complete this section. % This student is excelling in field placement by performing above expectations for students. % This student is meeting the expectations of a field placement student. % This student is functioning somewhat below the expectations of a field placement student. There is a question if the student will be ready for entry-level social work practice at the end of the semester. % This student is functioning below the expectations of a field placement student. There is considerable concern that this student will not be ready for entry-level social work practice at the end of the semester. This student should perhaps be encouraged to pursue another major. FINAL Overall Evaluation  Please check one of the following at the final evaluation. At the midterm evaluation do NOT complete this section. % This student excelled in field placement by performing above expectations for students. If an appropriate position were open at this agency, for an entry-level social worker, this student would be considered among the top candidates for the position. % This student is meeting the expectations of a field placement student. This student is ready for entry-level social work practice. % This student is not yet ready for entry-level social work practice. % This student is not yet ready for entry-level social work practice. This student has demonstrated serious problems in performance and should perhaps be encouraged to pursue another major. Comments/Elaboration: SIGNATURES:  Agency Field Instructor: Date: The following should be completed by the Field Practicum student. My agency instructor and faculty instructor have discussed this evaluation with me, and I have received a copy. My agreement or disagreement follows: % I agree with the evaluation % I do not agree with the evaluation Field Placement Student: ______________________________ Date: ______________ % If the student disagrees with the evaluation, she/he should state that disagreement in writing and submit a copy to both the agency instructor and the faculty instructor. A meeting between the student, agency instructor, and faculty instructor should then be held to discuss the disagreement. Adapted with permission of Stephen Holloway, Ph. D., Dean Emeritus, Barry University, FL Field Practicum Assessment Criteria and Standards TC "Practicum Assessment Criteria and Standards" \f C \l "1"  Your instructor will use the following criteria and standards when marking your practicum work. You can use these criteria and standards when planning your learning goals and when performing a self-check on your own practicum performance. Level 4 (A): Quality and Consistent Growth The Student: Demonstrates consistent performance and contributes significantly to the practicum setting in relation to all ten competencies; Establishes effective professional relationships with the clients, co-workers, and the instructor; Works both independently and as part of a team and attend to professional roles and boundaries Is self-directed and able to apply critically thinking skills to analyze his or her own behavior recognizing and managing personal goals in a way that allows professional values to guide practice; Continuously discovers, apprise, and attend to changing locales, populations, scientific and technological developments, and emerging societal trends to provide relevant services; Provides leadership in promoting sustainable changes in service delivery and practice to improve the quality of social services; Uses problem-solving strategies that are effective, creative, and appropriate to the situation; Demonstrates a desire to go beyond available information at appraising and integrating multiple sources of knowledge; including research-based knowledge and practice-based wisdom; and Personalizes knowledge and skill issues and concepts acquired through practice and takes advantage of all learning opportunities, taking on challenges and responsibility for his or her learning, viewing those he/she works with as informants. Level 3 (B): Growth and Development The Student: Is reliable in performance and needs only limited supervision Is able to work independently and achieves consistent growth and development in all the practice areas Collaborates with the instructor and co-workers, sharing ideas, knowledge, and experiences Is able to initiate and generate specific plans that further personal learning goals Demonstrates consistent self-awareness, self-direction, initiative, and responsibility for his or her own learning Has a solid understanding of professional values and attitudes and can effectively integrate these values and attitudes into practice Quickly addresses issues that arise and takes optimal advantage of learning opportunities in both the practicum and course work Level 2 (C): Basic Competency The Student: Can usually carry out responsibilities as identified in the Practicum Evaluation Checklists, with occasional supervision, direction, and assistance Is generally reliable Shows some initiative in all practice areas Is generally able to relate to clients, co-workers, and instructor Demonstrates some understanding of professional values that relate to each of the practice areas Is able to set goals, but sometimes these goals are unrealistic, unreasonable, or unattainable Is able to identify problematic issues but shows only basic skills in addressing these issues due to a lack of willingness and/or ability to critically analyze and integrate knowledge Level 1 (D): Failure to Meet Minimum Standards The Student: Constantly needs supervision and direction from the instructor Is unable to carry out the tasks and responsibilities as identified in the Practicum Evaluation forms Lacks ability to set realistic goals and, if goals are set, does not consistently follow through on meeting the goals Has difficulty relating to clients, co-workers, and the instructor Lacks understanding of professional values and attitudes as these apply to practice areas identified in the Practicum Assessment Checklists Appears unwilling or unable to reflect critically or personally on many aspects of his/her practice REVISED 3/23/2013 Mississippi State University-Meridian Social Work Program Form K: Student Evaluation of the Field Practicum Instructor: This evaluation facilitates student feedback regarding the students field experience for the Director of Field Education. Specifically, the student evaluates the Agency Field Instructor and Director of Field education or Field Liaison. The evaluation by the student anonymous Student: Agency: Phone:  Address:    Field Instructor: Phone: % Final Beginning Date: Ending Date:  Based on your field experience, please read and rate the following statements using the guide below: 1 = I am not at all competent in my ability to do this 2 = I am somewhat competent in my ability to do this 3 = I am mostly competent in my ability to do this 4 = I am extremely competent in my ability to do this Content Mastery Area and Description2.1.1 Identify and act as a professional social worker:  I understand how to advocate for client access to social work services.1 2 3 4  I understand how to personally reflect and self correct to assure continual professional development.1 2 3 4  I understand how to attend to professional roles and boundaries.1 2 3 4  I understand how to demonstrate professional demeanor in behavior, appearance, and communication.1 2 3 4 I understand how to engage in career long learning.1 2 3 4 I understand how to use supervision and consultation.1 2 3 4  2.1.2 Apply social work ethical principles to guide professional practice I am able to recognize and manage personal values in a way that allows professional values to guide practice1 2 3 4 I understand how to make ethical decisions by applying NASW Code of Ethics standards.1 2 3 4 I am able to tolerate ambiguity in resolving ethical conflicts. 1 2 3 4 I am able to apply strategies of ethical reasoning to arrive at principled decisions1 2 3 4  2.1.3 Apply critical thinking to inform and communicate professional judgments I am able to distinguish, appraise, and integrate multiple sources of knowledge, including research based knowledge, and practice wisdom.1 2 3 4 I am able to analyze models of assessment, prevention, intervention, and evaluation.1 2 3 4 I am able to demonstrate effective oral and written communication in working at micro, macro and mezzo levels. 1 2 3 4  2.1.4 Engage diversity and difference in practice I am able to recognize the extent to which a culture's structures and values may oppress, marginalize, alienate, or create/enhance privilege and power.1 2 3 4 I am able to gain sufficient self awareness to eliminate the influence of personal biases and values in working with diverse groups.1 2 3 4 I am able to recognize and communicate understanding of the importance of difference in shaping life experiences.1 2 3 4 I am able to view myself as a learner and engage those with whom I work as informants.1 2 3 4  2.1.5 Advance human rights and social and economic justice I understand the forms and mechanisms of oppression and discrimination.1 2 3 4 I am able to advocate for human rights and social and economic justice.1 2 3 4 I am able to engage in practices that advance social and economic justice.1 2 3 4  2.1.6. Engage in research informed practice and practice informed research I am able to use practice experience to inform scientific inquiry.1 2 3 4 I am able to use research evidence to inform practice.1 2 3 4  2.1.7 Apply knowledge of human behavior and the social environment I am able to utilize conceptual frameworks to guide the processes of assessment, intervention, and evaluation.1 2 3 4 I am able to critique and apply knowledge to understand person and environment. 1 2 3 4  2.1.8 Engage in policy practice to advance social and economic well being and to deliver effective social work services I am able to analyze, formulate, and advocate for policies that advance social well being.1 2 3 4 I am able to collaborate with colleagues and clients for effective policy action.1 2 3 4  2.1.9 Respond to contexts that shape practice I know how to continuously discover, appraise, and attend to changing locales, populations, scientific and technological developments, and emerging societal trends to provide relevant services.1 2 3 4 I am able to provide leadership in promoting sustainable changes in service delivery and practice to improve the quality of social services.1 2 3 4  2.1.10(a) Engagement I am able to substantively and affectively prepare for action with individuals, families, groups, organizations, and communities.1 2 3 4 I am able to use empathy and other interpersonal skills.1 2 3 4 I am able to develop a mutually agreed on focus of work and desired outcomes.1 2 3 4  2.1.10(b) Assessment I am able to collect, organize, and interpret client data.1 2 3 4 I am able to assess client strengths and limitations.1 2 3 4 I am able to develop mutually agreed on intervention goals and objectives.1 2 3 4 I am able to select appropriate intervention strategies.1 2 3 4  2.1.10(c) Intervention I am able to initiate actions to achieve organizational goals. 1 2 3 4 I am able to implement prevention interventions that enhance client capacities. 1 2 3 4 I am able to help clients resolve problems. 1 2 3 4 I am able to negotiate, mediate, and advocate for clients. 1 2 3 4 I am able to facilitate transitions and endings.1 2 3 4  2.1.10(d) Evaluation I know how to critically analyze, monitor, and evaluate my interventions.1 2 3 4  Field Experience Implicit Curriculum Using the likert-type scale below, please assess the environment of the field experience. 1=strongly disagree 2=disagree 3=neutral 4=agree 5=strongly agree NA=Not applicable DK=Dont know/no basis to answer Implicit Curriculum Supervisor was respectful of me.1 2 3 4 5 NA DKSupervisor understands diversity.1 2 3 4 5 NA DKPracticum environment affirmation for diversity.1 2 3 4 5 NA DKPracticum environment models affirmation for difference. 1 2 3 4 5 NA DKPracticum environment models respect for difference.1 2 3 4 5 NA DKPracticum environment models respect for diversity. 1 2 3 4 5 NA DKPracticum environment affirms persons with diverse identities1 2 3 4 5 NA DKPracticum environment supports persons with diverse identities.1 2 3 4 5 NA DKInterview process with the field agencies is fair. 1 2 3 4 5 NA DKThe Program notifies students in a timely manner where they are doing their field. 1 2 3 4 5 NA DKPracticum environment informed me of policies and procedures on the agency. 1 2 3 4 5 NA DKSupervisor acted professionally. 1 2 3 4 5 NA DKSupervisor acted ethically .1 2 3 4 5 NA DKSupervisor modeled critical thinking while supervising me,.1 2 3 4 5 NA DKSupervisor modeled appreciation for being a social worker. 1 2 3 4 5 NA DKSupervisor was accessible by phone, in person meeting or email.1 2 3 4 5 NA DKSupervisor expected me to act professionally while at the agency, 1 2 3 4 5 NA DKSupervisor expected me to come to work prepared. 1 2 3 4 5 NA DKSupervisor modeled the strengths perspective while working with clients1 2 3 4 5 NA DKI had enough resources (pens, paper, etc) to assist me with my duties. 1 2 3 4 5 NA DKPracticum environment was safe, supporting, and professional 1 2 3 4 5 NA DK FINAL Overall Evaluation Please check one of the following at the final evaluation. % This agency field instructor and field director/field liaison maintained above average expectations for my learning experience. % This agency field instructor and field director/field liaison maintained average expectations for my learning experience. % This agency field instructor and field director/ field liaison maintained below average expectations for my learning experience. Comments/elaboration: SIGNATURES:  Field Placement Student: Date: Director of Field Education: ______________________________ Date: ______________ Adapted with the permission of Stephen Holloway, Ph. D., Dean Emeritus, Barry University, FL. Supervision and Consultation Assessment Criteria and Standards TC "Supervision and Consultation Assessment Criteria and Standards" \f C \l "1"  You are to use the following criteria and standards when evaluating your field practicum experience. Supervision: Field Instructor: % Held regular and planned supervisory conferences % Provided continuous supervision that encompassed all areas of my concern % Provided an objective appraisal of my work % Enhanced my understanding of Social Work philosophy and agency policy % Supported my development of self-awareness by providing psychological and interpersonal resources as well as professional competence % Enhanced my knowledge of the agency s and community s resources % Coordinated my learning through appropriate case assignment, peer-group interaction, and priorities of activities to refine knowledge, values, and skills % Provided supervision within the established guidelines of the NASW Code of Ethics % Continually reinforced my identification with Social Work purpose, values, and ethnics % Fostered integration of both empirical and practice-based knowledge Director of Field Education: % Provided a clear and consistent understanding of my field practicum responsibilities % Provided a clear understanding of all assignments and activities and of their link to my knowledge and skills development % Held regular and structured seminars % Provided continuous supervision that encompassed all areas of my concern % Provided an objective appraisal of my work % Supported my development of self-awareness by providing psychological and interpersonal resources % Coordinated my learning through interaction with agency instructor and/or field liaison % Reinforced professional identification of ethical standards and principles of the NASW Code of Ethics % Continually reinforced my identification with Social Work purpose, values, and ethnics % Fostered integration of both empirical and practice-based knowledge Field Liaison: % Provide a clear and consistent understanding of my field practicum responsibilities % Provided a clear understanding of all assignments, activities and their link to my knowledge and skills development % Provided continuous supervision that encompassed all areas of my concern % Facilitated field teaching and my learning % Supervised educational opportunities offered by the agency, monitored my progress, and fostered interchange between the program and the agency % Evaluated the Field Instructor s efforts and my achievements objectively % Continually reinforced my identification with Social Work purpose, values, and ethnics % Fostered integration of both empirical and practice-based knowledge REVISED 3/23/2013 Form L TC "Form L" \f C \l "1"  AGREEMENT OF UNDERSTANDING BETWEEN MISSISSIPPI STATE UNIVERSITY, FOR AND ON BEHALF OF ITS SOCIAL WORK PROGRAM AND ________________________________ This agreement of understanding is made between Mississippi State University, for and on behalf of its Social Work Program and will begin on_______________ will terminate on . Both parties to the agreement, prior to the date of termination may renew this agreement for an additional year. WHEREAS, Mississippi State University, for and on behalf its Social Work Program provides the course of study for the Bachelor of Social Work degree to students enrolled in undergraduate social work courses; and WHEREAS, Mississippi State University, for and on behalf of its Social Work Program desires said students to have field practicum experiences; and WHEREAS is agreeable to provide the necessary instructions and accommodations for said field practicum experience, it is agreed as follows: I. Mississippi State University, for and on behalf of its Social Work Program agrees to: 1. Provide a faculty member to provide consultation to the student and field instructor. 2. Nondiscriminatory practices against any employee or applicant for employment or registration in a course of study because of race, color, religion, sex, national origin, age, disability, or veterans status, sexual orientation or group affiliation. 3. Notify faculty members and students that each must abide by all existing rules and regulations of . 4. Initiate conferences with the field instructors for feedback on the students performance and objectives of the social work field practicum. 5. Provide training of field instructors by planning meetings specific to field instruction. 6. Provide copies of relevant course materials and/or student educational learning expectations. 7. Assume responsibility for submitting the student's final grade. 8. Inform the student of University and Program requirements to obtain professional liability insurance in the amount of $1,000,000.00 or more as a pre-requisite to engage in any client-related experiences in the facility. 9. Clear the use of any confidential information and case material for instructional purposes with the field instructor as well as disguising the material to insure confidentiality. The University and each student shall comply with all applicable state, federal, and local laws regarding the confidentiality of patient information and medical records. Advise students that certain Agencies/Organizations/Programs may require background checks, drug screenings, and/or certain immunizations before acceptance at the facility. Agreement of Understanding page 2 II. agrees to: 1. Provide adequate orientation of said agency to the student. 2. Relate to the Director of Field Education any agency changes in policies and procedures relative to the student's field practicum. 3. Provide weekly instructional conferences to the student and daily instructions to the student within the agency. 4. Attend field instructors meetings as often as possible. 5. Provide the student with resources necessary for fulfilling responsibilities within the agency (i.e., phone, desk, office supplies, etc.). 6. Inform the Director of Field Education immediately of any inappropriate conduct of the student. 7. Provide input for the student's learning contract. 8. Complete midterm and final evaluations of the student. Approved: Mississippi State University: Agency: _____________________________________ ________________________________ Provost and Executive Vice President Agency Representative _____________________________________ ________________________________ Date Date ________________________________________ MSU - Meridian Campus Dean & Assoc. V. Pres. _____________________________________ Date _____________________________________ Associate Dean, Arts and Sciences _____________________________________ Date ______________________________________ MSU Meridian Director of Social Work Program ______________________________________ Date Council on Social Work Education-Educational Policy and Accreditation Standards Educational Policy 2.1Core Competencies Competency-based education is an outcome performance approach to curriculum design. Competencies are measurable practice behaviors that are comprised of knowledge, values, and skills. The goal of the outcome approach is to demonstrate the integration and application of the competencies in practice with individuals, families, groups, organizations, and communities. The ten core competencies are listed below [EP 2.1.1EP 2.1.10(d)], followed by a description of characteristic knowledge, values, skills, and the resulting practice behaviors that may be used to operationalize the curriculum and assessment methods. Programs may add competencies consistent with their missions and goals. Educational Policy 2.1.1Identify as a professional social worker and conduct oneself accordingly. Social workers serve as representatives of the profession, its mission, and its core values. They know the professions history. Social workers commit themselves to the professions enhancement and to their own professional conduct and growth. Social workers advocate for client access to the services of social work; practice personal reflection and self-correction to assure continual professional development; attend to professional roles and boundaries; demonstrate professional demeanor in behavior, appearance, and communication; engage in career-long learning; and use supervision and consultation. 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h"*hv|CJOJQJ^JaJhv|CJOJQJ^JaJ h}hv|CJOJQJ^JaJ h KGhv|CJOJQJ^JaJhr^CJOJQJ^JaJ&lm@Bll$ ,p@ P !$^`gdv| ,p@ P !$!^!gdv|$ ,p@ P !$^`gdv|+$ ,p@ P !%]^`a$gdv| 1?Jhv>luvŷŷŷŷŨsbsbbsbsbs hZhv|CJOJQJ^JaJ&hZhv|5CJOJQJ\^JaJ#h|~hv|5CJOJQJ^JaJhNJ5CJOJQJ^JaJhv|5CJOJQJ^JaJhv|CJOJQJ^JaJ h}hv|CJOJQJ^JaJhjCJOJQJ^JaJhpCJOJQJ^JaJh> sCJOJQJ^JaJ&GLMvsOO$ ,p@ P !$^`gdv|$ ,p@ P !$P^`Pgdv| ,p@ P !$^gdv|$ ,p@ P !$ ^` gdv|$ ,p@ P !$!@^!`@gdv|v?@glwb  0rpC #gdv|$ ,p@ P !$ ^` gdv|$ ,p@ P !$P^P`gdv| ,p@ P !$gdv|$ ,p@ P !$ ^ `gdv| AB'(OPuvTUlmgdv|  0rpC #gdv|܈݈;\0F^_9?.FGtғӓ IJ 89vwxқӛErr hv|5CJOJQJ\^JaJ hr^hr^CJOJQJ^JaJ h7*xhv|CJOJQJ^JaJ&hZhv|6CJOJQJ]^JaJ#hphv|6CJOJQJ^JaJhv|CJOJQJ^JaJU&hZhv|5CJOJQJ\^JaJ hZhv|CJOJQJ^JaJ,Social workers have an obligation to conduct themselves ethically and to engage in ethical decision-making. Social workers are knowledgeable about the value base of the profession, its ethical standards, and relevant laws. Social workers recognize and manage personal values in a way that allows professional values to guide practice; make ethical decisions by applying standards of the National Association of Social Workers Code of Ethics2 and, as applicable, of the International Federation of Social Workers/International Association of Schools of Social Work Ethics in Social Work, Statement of Principles; tolerate ambiguity in resolving ethical conflicts; and apply strategies of ethical reasoning to arrive at principled decisions. National Association of Social Workers (approved 1996, revised 1999). Code of Ethics for Social Workers. Washington, DC: NASW. International Federation of Social Workers and International Association of Schools of Social Work. (2004). Ethics in Social Work, Statement of Principles. Retrieved January 2, 2008 from http://www.ifsw.org Educational Policy 2.1.3Apply critical thinking to inform and communicate professional judgments. Social workers are knowledgeable about the principles of logic, scientific inquiry, and reasoned discernment. They use critical thinking augmented by creativity and curiosity. Critical thinking also requires the synthesis and communication of relevant information. Social workers distinguish, appraise, and integrate multiple sources of knowledge, including research-based knowledge and practice-based wisdom; analyze models of assessment, prevention, intervention, and evaluation; and demonstrate effective oral and written communication in working with individuals, families, groups, organizations, communities, and colleagues. Educational Policy 2.1.4Engage diversity and difference in practice. Social workers understand how diversity characterizes and shapes the human experience and is critical to the formation of identity. The dimensions of diversity are understood as the intersectionality of multiple 5 factors including age, class, color, culture, disability, ethnicity, gender, gender identity and expression, immigration status, political ideology, race, religion, sex, and sexual orientation. Social workers appreciate that, as a consequence of difference, a persons life experiences may include oppression, poverty, marginalization, and alienation as well as privilege, power, and acclaim. Social workers recognize the extent to which a cultures structures and values may oppress, marginalize, alienate, or create or enhance privilege and power; gain sufficient self-awareness to eliminate the influence of personal biases and values in working with diverse groups; recognize and communicate their understanding of the importance of difference in shaping life experiences; and view themselves as learners and engage those with whom they work as informants. Educational Policy 2.1.5Advance human rights and social and economic justice. Each person, regardless of position in society, has basic human rights, such as freedom, safety, privacy, an adequate standard of living, health care, and education. Social workers recognize the global interconnections of oppression and are knowledgeable about theories of justice and strategies to promote human and civil rights. Social work incorporates social justice practices in organizations, institutions, and society to ensure that these basic human rights are distributed equitably and without prejudice. Social workers understand the forms and mechanisms of oppression and discrimination; advocate for human rights and social and economic justice; and engage in practices that advance social and economic justice. Educational Policy 2.1.6Engage in research-informed practice and practice-informed research. Social workers use practice experience to inform research, employ evidence-based interventions, evaluate their own practice, and use research findings to improve practice, policy, and social service delivery. Social workers comprehend quantitative and qualitative research and understand scientific and ethical approaches to building knowledge. Social workers use practice experience to inform scientific inquiry and use research evidence to inform practice. Educational Policy 2.1.7Apply knowledge of human behavior and the social environment. Social workers are knowledgeable about human behavior across the life course; the range of social systems in which people live; and the ways social systems promote or deter people in maintaining or achieving health and well-being. Social workers apply theories and knowledge from the liberal arts to understand biological, social, cultural, psychological, and spiritual development. Social workers utilize conceptual frameworks to guide the processes of assessment, intervention, and evaluation; and critique and apply knowledge to understand person and environment. Educational Policy 2.1.8Engage in policy practice to advance social and economic well-being and to deliver effective social work services. Social work practitioners understand that policy affects service delivery, and they actively engage in policy practice. Social workers know the history and current structures of social policies and services; the role of policy in service delivery; and the role of practice in policy development. Social workers analyze, formulate, and advocate for policies that advance social well-being; and collaborate with colleagues and clients for effective policy action. Educational Policy 2.1.9Respond to contexts that shape practice. Social workers are informed, resourceful, and proactive in responding to evolving organizational, community, and societal contexts at all levels of practice. Social workers recognize that the context of practice is dynamic, and use knowledge and skill to respond proactively. Social workers continuously discover, appraise, and attend to changing locales, populations, scientific and technological developments, and emerging societal trends to provide relevant services; and provide leadership in promoting sustainable changes in service delivery and practice to improve the quality of social services. Educational Policy 2.1.10(a)(d)Engage, assess, intervene, and evaluate with individuals, families, groups, organizations, and communities. Professional practice involves the dynamic and interactive processes of engagement, assessment, intervention, and evaluation at multiple levels. Social workers have the knowledge and skills to practice with individuals, families, groups, organizations, and communities. Practice knowledge includes identifying, analyzing, and implementing evidence-based interventions designed to achieve client goals; using research and technological advances; evaluating program outcomes and practice effectiveness; developing, analyzing, advocating, and providing leadership for policies and services; and promoting social and economic justice. Educational Policy 2.1.10(a)Engagement Social workers substantively and affectively prepare for action with individuals, families, groups, organizations, and communities; use empathy and other interpersonal skills; and develop a mutually agreed-on focus of work and desired outcomes. Educational Policy 2.1.10(b)Assessment Social workers collect, organize, and interpret client data; assess client strengths and limitations; develop mutually agreed-on intervention goals and objectives; and select appropriate intervention strategies. Educational Policy 2.1.10(c)Intervention Social workers initiate actions to achieve organizational goals; implement prevention interventions that enhance client capacities; help clients resolve problems; negotiate, mediate, and advocate for clients; and facilitate transitions and endings. Educational Policy 2.1.10(d)Evaluation Social workers critically analyze, monitor, and evaluate interventions.      PAGE 59  mEFÍčIJ-.uvwef gdv|fgJK wy rsFH֝ם gdv|EFG 89abcǠȠUVWbϣУ%&' )*789Hdepqʹʫʝʫʫʫ{w{h)xjh)xUhZhv|CJ^Jh#hv|CJOJQJ^Jhv|CJOJQJ^JaJhr^CJOJQJ^JaJ hr^hr^CJOJQJ^JaJ hZhv|CJOJQJ^JaJ&hZhv|5CJOJQJ\^JaJ hv|5CJOJQJ\^JaJ. bdDEȠVWϣУ  &'78ijgdv|ܥݥ  89IJƦǦ GHq§ħŧgdv|gdv|§çŧƧ̧ͧϧЧӧԧէקا٧hZhv|CJ^Jh? 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