Human Services Field Experience I, II, and III

1、Human Services Field Experience I, II, and IIIInternship PacketTHE FOLLOWING PROCEDURES MUST BE FOLLOWED/COMPLTED BEFORE YOU CAN BE REGISTERED for the Human Services Supervised Field Experiences I, II, and III and for the mandatory professional seminars.Complete and submit with required signatures,

2、as indicated, the following documents:Co-Op Ed in Library 100- All Documents must be typed & approved by the faculty supervisor.A. Registration in CareerLink, uploaded & approved rsuma. Misc Section updated for each field experience.B. Copy of HS Internship Packet and job description (if not obtaine

3、d through Co-Op Ed) uploaded into CareerLink in the Co-Op Ed document sectionC. Learning Agreement/HS Contract (signed by student, site supervisor, faculty Supervisor, and Co-Op Ed Specialist) turned into Co-Op EdD. Submit completed and signed documents to the Co-Op Ed Specialist in LI 100.Human Ser

4、vices-All Documents must be typedA. HS Field Experience Internship Packet Upload into CareerLink Application for Internship Internship Goal Statement and EvaluationB. Email of the complete HS Field Experience Internship Packet to: Faculty Supervisor Agency Supervisor Yourself*Students must submit si

5、gned copy of the goal packet to the faculty supervisor at the end of the semester documenting midterm and final evaluations.C. Submit completed and signed documents to the Human Services Secretary in Apsaruke Hall, Room 107.RegistrationWhen all necessary and complete paperwork is turned in the Co-Op

6、 Ed Specialist, Mandy Brottem, will register you.QuestionsContact Mandy Brottem, Co-Op Ed Specialist, at 657-1717, or at LI 100. Students are responsible to make any required copies of their Co-Op Ed internship documents. Hours of participation documentation and Midterm/Final

7、 evaluations must be completed and submitted to your Seminar Instructor by the dates specified in the seminar class syllabus. THE DUE DATES ARE YOUR RESPONSIBILITY. Failure to submit these documents as requested will result in an “Incomplete” grade for this internship.APPLICATION FOR INTERNSHIPHS 49

8、6Professional Seminar: HS 387 HS 487 HS 489(Semester/Year)(Date m/d/yyyy)Student Name:I.D. #:Address:City:State:Zip Code:Phone Number:Email address:Internship Site name:Agency Supervisor:(Please Type)(Please Type)1. ALL DOCUMENTS LISTED ON THE PREVIOUS PAGE must be completed and submitted before you

9、 are eligible to be registered for HS 496.2. Credit hour requirements for internships are based on the formula that each credit hour has a minimum requirement of 45 hours of direct client/agency involvement.3. Each student intern must obtain a copy of the Human Services Internship Manual and be resp

10、onsible for the contents of the manual.4. There are prerequisites to this internship. Prior completion of all prerequisites is the responsibility of the student.5. Students must register for the appropriate seminar 387 with 496, 487 with 496, or 489 with 496. Seminar attendance is required.INTERNSHI

11、P GOALS STATEMENT AND EVALUATIONThe following INTERNSHIP GOALS, jointly agreed upon and will be achieved to the best of our ability during this academic semester. We realize that Goals may be amended with a copy of the Goals Statement provided to the Human Services Internship Supervisor AS SOON AS P

12、OSSIBLE. These Goals will be used when evaluating the student at mid-term, and again at the end of this Internship.AGENCY SUPERVISOR MUST RETAIN A COPY OF THIS GOALS STATEMENT.I. PARTICIPANT EMPOWERMENTThe student intern enhances the ability of the participant to lead a self-determining life by prov

13、iding the support and information necessary to build self-esteem, personal efficacy, and assertiveness; and to make decisionsA. Supports and assists the participants to develop alternative strategies, make informed choices, follow through on responsibilities, and take risks.B. Promotes participant l

14、eadership in the design of support services, consulting the person, and involving them in the support process.C. Provides opportunities for the participant to be a self-advocate by increasing awareness of self-advocacy methods and techniques, encouraging and assisting the participant to speak on his

15、 or her own behalf, and providing information on peer support and self-advocacy groups.D. Provides information about human, legal, civil rights, and other resources to facilitate self-advocacy and participant decisions about living, work, and social relationships.Learning Objectives:Meeting Expectat

16、ions (Midterm):Exceptionally Well Satisfactorily Unsatisfactorily Not Applicable for this ExperienceAccomplished Goal (Final):Exceptionally Well Satisfactorily Unsatisfactorily Not Applicable for this Experience Agency Supervisor Comments:Student Comments:II. COMMUNICATIONThe student intern should b

17、e knowledgeable about the range of effective communication strategies and skills necessary to establish a collaborative relationship with the participant.A. Uses effective, sensitive communication skills to build rapport and channels of communication, by recognizing and adapting the range of partici

18、pant communication styles.B. Has knowledge of and uses modes of communication that are appropriate to the communication needs of participants.C. Learns and uses terminology appropriately (ADL, LD, ADD, IPC), defining and explaining terms as necessary to ensure participant understanding.Learning Obje

19、ctives:Meeting Expectations (Midterm):Exceptionally Well Satisfactorily Unsatisfactorily Not Applicable for this ExperienceAccomplished Goal (Final):Exceptionally Well Satisfactorily Unsatisfactorily Not Applicable for this Experience Agency Supervisor Comments:Student Comments:III. ASSESSMENTThe st

20、udent intern should be competent in formal and informal assessment practices in order to understand the needs and interests of the participants.A. Initiates the assessment process by gathering information ( e.g., participants self assessment and history, prior records, test results, evaluation resul

21、ts, additional evaluations) and informing the participant about what to expect throughout the assessment process.B. Conducts or arranges for assessments to determine the needs, interests, and capabilities of the participants (incorporating the needs specified by the participant), using appropriate a

22、ssessment tools, reviewing the process for inconsistencies, and making corrections as necessary.C. Communicates findings and recommendations with the participant, following up on results and reevaluating the findings as necessaryLearning Objectives:Meeting Expectations (Midterm):Exceptionally Well S

23、atisfactorily Unsatisfactorily Not Applicable for this ExperienceAccomplished Goal (Final):Exceptionally Well Satisfactorily Unsatisfactorily Not Applicable for this Experience Agency Supervisor Comments:Student Comments:IV. COMMUNITY AND SERVICES NETWORKINGThe student intern worker should be knowle

24、dgeable about the formal and informal supportsavailable in their communities and skilled in assisting the participant to identify and gain access to suchsupportsA. Helps to identify the needs of the participant for community supports, working with the participants informal support system, and assist

25、ing with or initiating identified community connections.B. Researches, develops, and maintains information on community and other resources relevant to the needs of participants.C. Collaborates with other service providers ensuring participant access to needed community resources coordinating suppor

26、ts across agencies as needed by participants.Learning Objectives:Meeting Expectations (Midterm):Exceptionally Well Satisfactorily Unsatisfactorily Not Applicable for this ExperienceAccomplished Goal (Final):Exceptionally Well Satisfactorily Unsatisfactorily Not Applicable for this Experience Agency

27、Supervisor Comments:Student Comments:V. FACILITATION OF SERVICESThe student intern is knowledgeable about a range of participatory planning techniques and is skilled in implementing plans in a collaborative and expeditious manner.A. Maintains collaborative professional relationships with all support

28、 team members (including the participant), and following ethical standards of practice (e.g. confidentiality), and recognizing personal limitations.B. Assists and/or facilitates the development of an individualized plan direct on participant needs, preferences and interests.C. Assists and/or facilit

29、ates the implementation, of an individualized plan direct on participant needs, preferences and interests.D. Assists and/or facilitates the review of an individualized plan direct on participant needs, preferences and interests.E. Participates in outreach to potential participants.Learning Objective

30、s:Meeting Expectations (Midterm):Exceptionally Well Satisfactorily Unsatisfactorily Not Applicable for this ExperienceAccomplished Goal (Final):Exceptionally Well Satisfactorily Unsatisfactorily Not Applicable for this Experience Agency Supervisor Comments:Student Comments:VI. LIFE SKILLS DEVELOPMEN

31、TThe student intern has the ability to match specific supports and interventions to theunique needs of individual participants and recognizes the importance of friends, family and communityrelationships.A. Assists the participant to meet his or her physical (e.g. health, grooming, toileting, eating)

32、 and personal management (e.g., human development, human sexuality) needs, teaching skills, providing supports, and building on individual strengths and capacities.B. Assists the participant to meet household management (e.g. meal prep, nutrition, laundry, cleaning, decorating) and transportation ne

33、eds, teaching skills and facilitating supports in a manner that maximizes the participants skills and abilities.C. Arranges for and assists with needed equipment (e.g. adaptive equipment) and therapies (e.g. physical, occupational and communication).D. Supports the participant in the development of

34、friendships and other relationships and inclusive community participation.E. Assists the participant to manage care providers, assisting with recruitment and training as necessary.Learning Objectives:Meeting Expectations (Midterm):Exceptionally Well Satisfactorily Unsatisfactorily Not Applicable for

35、 this ExperienceAccomplished Goal (Final):Exceptionally Well Satisfactorily Unsatisfactorily Not Applicable for this Experience Agency Supervisor Comments:Student Comments:VII. EDUCATION, TRAINING AND SELF DEVELOPMENTThe student intern should be able to identify areas for self-improvement, pursue ne

36、cessary educational/training resources, and share knowledge with others.A. Completes required training/certification, continuing professional development, and keeping abreast ofrelevant resources and information.B. Enhances community and agency awareness of issues affecting participants, providing c

37、ounselingand training to participants and families, participating in staff and team meetings, and sharingknowledge and training with coworkers.Learning Objectives:Meeting Expectations (Midterm):Exceptionally Well Satisfactorily Unsatisfactorily Not Applicable for this ExperienceAccomplished Goal (Fi

38、nal):Exceptionally Well Satisfactorily Unsatisfactorily Not Applicable for this Experience Agency Supervisor Comments:Student Comments:VIII. ADVOCACYThe student intern should be knowledgeable about the legal, administrative and financial challenges facing participants and should be able to identify

39、effective advocacy strategies to overcome such constraints.A. Identifies the advocacy issues by gathering information and reviewing and analyzing all aspects of the problem.B. Has current knowledge of laws, services, and community resources to educate the participant and the community about human an

40、d legal rights and the role and duties of an advocate.C. Facilitates, assists, and/or represents the participant when his or her service needs are blocked and lobbies decision makers when appropriate to overcome barriers to services.Learning Objectives:Meeting Expectations (Midterm):Exceptionally We

41、ll Satisfactorily Unsatisfactorily Not Applicable for this ExperienceAccomplished Goal (Final):Exceptionally Well Satisfactorily Unsatisfactorily Not Applicable for this Experience Agency Supervisor Comments:Student Comments:IX. CAREER AND EDUCATIONAL SUPPORTThe student intern should be knowledgeabl

42、e about the career related concerns of theparticipant and should be able to mobilize the resources and support necessary to assist that participant to reach his or her goals.A. Explores with the participant his/her vocational interests and aptitudes, assists in preparing for job or school entry, and

43、, with the participant, reviews opportunities for continued career growth.B. Matches participants with appropriate job/training opportunities and markets his/her capabilities and services.C. Teaches employers and school personnel to support the participant, adapting the environment, and providing jo

44、b retention supportsLearning Objectives:Meeting Expectations (Midterm):Exceptionally Well Satisfactorily Unsatisfactorily Not Applicable for this ExperienceAccomplished Goal (Final):Exceptionally Well Satisfactorily Unsatisfactorily Not Applicable for this Experience Agency Supervisor Comments:Stude

45、nt Comments:X. CRISIS INTERVENTIONThe student intern should be knowledgeable about crisis prevention, intervention andresolution techniques and should be able to match such techniques to particular circumstances andindividuals.A. Identifies the crisis, defuses the situation, evaluates and determines

46、 an intervention strategy and contacts necessary supports.B. Continues to monitor crisis situations, discussing the incident with staff and participant(s), adjusting supports and the environment, and complying with regulations for reporting.Learning Objectives:Meeting Expectations (Midterm):Exceptio

47、nally Well Satisfactorily Unsatisfactorily Not Applicable for this ExperienceAccomplished Goal (Final):Exceptionally Well Satisfactorily Unsatisfactorily Not Applicable for this Experience Agency Supervisor Comments:Student Comments:XI. PROGRAM AND EMPLOYEE DEVELOPMENTThe student intern is familiar

48、with the mission and practices of the support organization and participates in the life of the organization.A. Contributes to program evaluations, and helps to set organizational priorities to ensure quality.B. Incorporates cultural sensitivity and gender equity into daily practices and interactions.C. Provides and accepts coworker support, partic