Complete Record of Supervision

Description

Information provided in your record of supervision should include the topics covered, brief descriptions of cases or issues discussed, specific guidance or instruction provided by your field instructor and follow up items specific to the area described. Provide detailed, specific, and meaningful information to show what you are learning. Write your record of supervision as if you are taking detailed minutes of the meeting so that the reader can easily and fully understand what you discussed and learned from the meeting.

Use this template to create an agenda and bring it with you to your required formal supervision meetings at your practicum site.
Summarize the discussion or feedback received at the meeting for each item discussed.
Not all areas need to be discussed each time but you should cover at least one area from each section (head, hand, heart) each time.
The notes you provide should provide specific information showing areas discussed in the meeting and demonstrate your learning and the variety of issues being addressed.
THIS NEEDS TO BE AN ACCOUNT OF AN INTERACTION BETWEEN ME (SOCIAL WORKER) AND THE STUDENT, NOT AN INTERACTION BETWEEN ME AND THE SUPERVISOR

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Core Competency 4: Engage in Practice-Informed Research and Research-Informed Practice in Advanced Social Work Practice
Designs improvements for
practice, policy, and service
delivery based on research
findings
Students will write a discussion paper covering designs
improvements for practice,
policy, and service delivery based on research findings and present it
to their instructor
for review.
Head (knowledge / ideas)
Case Reviews
Provide summary of diagnostics, analysis, recommendations, successful interventions, next steps
Agenda/Discussion/Feedback
Answer:
FollowUp/NextSteps1
Answer:
Theories
Identify theories and models related to practice and how applied
Ap 14
Agenda/Discussion/Feedback
Answer:
FollowUp/NextSteps1
Answer:
Policy
Identify agency, community, state, federal policies reviewed or discussed
Agenda/Discussion/Feedback
Answer:
FollowUp/NextSteps1
Answer:
Hand (skills / practice)
Process Recording Reviews
Describe case and key feedback from supervisor upon review.
Agenda/Discussion/Feedback
Answer:
FollowUp/NextSteps1
Answer:
Heart (values, cognitive and affective processes)
Diversity / Cultural Issues
Describe any areas or issues identified and discussed related to practice.
Agenda/Discussion/Feedback
Answer:
FollowUp/NextSteps1
Answer:
Feedback from Supervisor (must complete)
Areas of growth or improvement identified (document at least 1)
Agenda/Discussion/Feedback [required]
Answer:
FollowUp/NextSteps1 [required]
Answer:
Strengths identified (document at least 1)
Agenda/Discussion/Feedback [required]
Answer:
FollowUp/NextSteps1 [required]
Answer:
Student Signature [required]
References

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