Loading...
Menu

PARfessionals' Peer Recovery Workforce Development Practicum Guide

PARfessionals’ Peer Navigator Workforce Development Program and Global Certified Peer Recovery Navigator Program

Practicum Guide

Revive & Shine, LLC

Contents

=.
p={color:#000;}. 3
=.
=.
=.
=.
=.
=.
=.

The mission of PARfessionals’ training is not only to provide quality education, but also to provide a platform for students to practice knowledge in the real world. With peer services becoming an evidenced-based practice in many health and wellness fields, it is not enough for a Peer Recovery Navigator to acquire knowledge and use lived experience to help clients. As more Peer Recovery Navigators are invited into treatment settings, it is important that PRP’s are prepared to work in a clinical setting and prepared to educate their colleagues and organizations on peer services, peer roles, and peer relationships. Peers must demonstrate an ability to implement the skills attained through training, but they must also be trained to advocate for themselves, for their clients and for their profession in organizations, communities and countries.

 

To earn the Global Certified Peer Recovery Navigator lifetime certification through PARfessionals, students must complete the Student Practicum portion of the course. The Student Practicum includes the Practicum Writing Assignments in the course workbook plus 150 hours of peer recovery related activities. Suggestions for learning activities are included in the course workbook, but students are encouraged to create their own activities to make the experience meaningful for their professional development and for the benefit of the clients and community they serve.

This guide provides an outline for a Peer Recovery Navigator supervised work experience consistent with the standards set forth by industry best practices for candidates seeking certification as a Global Certified Peer Recovery Navigator

Student Practicum overview

Practicum is a supervised work experience, either volunteer or paid, designed to provide hands-on real life practice. The practicum allows a student to gain experience while under the guidance of a seasoned professional. The best practicum experiences are those with an atmosphere of reciprocal learning and respect.

 

Practicum sites provide quality ethical training within the best practices of recovery oriented systems of care. The goal is for students to learn from their supervisors and practicum sites, and for sites to benefit from the services and lived experience of Peer Recovery Navigator.

 

Learning in practicum

The practicum guide is used in conjunction with the training provided by PARfessionals. It is a way for students to put knowledge into practice, be guided and evaluated by qualified supervisors, and determine readiness for certification. To successfully complete the practicum, students and supervisors must submit final evaluations and supervisors must sign off on the students’ readiness for unsupervised practice as per the competency evaluation.

There are two ways to fulfill the practicum requirement of certification. The first is for those who have substantial professional experience. The practicum experience requirement can be waived by applying and providing proof of experience. The second is to complete the 150 hours of practicum experience under supervision. A student is granted credit based on the evaluation criteria published in this guide, with the burden of evaluation resting in the hands of the on-site supervisor.

Choosing a supervisor

Students have the right to choose a qualified supervisor in their own community. Supervisors must have a Master’s Degree and a valid acceptable credential. Supervisors have the right to charge students a nominal fee for their services. The qualifications for a supervisor are based on educational and credentialing standards in the United States. International students with questions about the qualifications of their supervisor should direct them to Revive & Shine, LLC, for review.

In addition to the above qualifications, a supervisor can be a colleague, a mentor, a coworker, or someone with experience in recovery who is willing to verify activities were completed and fill out an evaluation of the student’s performance.

As a last resort, the Practicum Supervising Manager, Revive & Shine, LLC, can provide limited supervision on a case by case basis. This arrangement is meant for students who are either unable to find anyone to supervise them, or for students who would like additional guidance. Plans are flexible and based on a student’s needs.

While it is not required, it is HIGHLY RECOMMENDED for supervisors to take the PARfessionals FREE Peer Supervision Training Course available on Peer Leadership University. This course is designed to familiarize supervisors with the unique role of a Peer Recovery Navigator.

 

When considering who to choose for a supervisor, keep in mind that professional supervision is different from administrative supervision.

 

Professional supervision: A working alliance between two staff members where the primary intention of the interaction is to enhance the knowledge, skills and attitudes of at least one staff member.

 

A good supervisor:

*
p<>{color:#000;}. Provides clear parameters for the supervisory working alliance and demonstrates strengths based supervisory skills.

*
p<>{color:#000;}. Involves supervisee in the development and evaluation of goals; provides consistent evaluation.

*
p<>{color:#000;}. Provides and invites regular, ongoing feedback; and is accessible to the supervisee.

*
p<>{color:#000;}. Adheres to professional standards and offers reasonable, safe, supportive, and structured supervision.

*
p<>{color:#000;}. Uses a variety of interventions (didactic, group, interdisciplinary, peer, experiential learning).

*
p<>{color:#000;}. Attends to issues of role integrity, advocacy, and cultural concerns.

*
p<>{color:#000;}. Guides supervisee ethically in accordance with organizational and professional ethics; is knowledgeable of multiple codes of ethics as needed.

*
p<>{color:#000;}. Provides a system of accountability for the supervisor and the supervisee.

 

Again, supervisors have the right to charge students a reasonable fee for providing supervision. Supervisors are encouraged to take into consideration the financial circumstances of students and treat all students equitably and fairly.

 

Choosing a good site

Practicum sites can be as varied as a student’s interests and we encourage students to be creative. Practice working in environments that inspire, challenge, and allow practice under solid leadership. Students may also choose to do practicum activities at different locations. If the supervisor is willing to attest to hours and activities completed, students have complete flexibility in choosing a practicum site.

 

 

Practicum Learning Goals

At the beginning of the practicum, it is customary for the student to create learning goals with their supervisor. A form is included in the forms section. It should include a brief statement of the supervisee’s professional goals, strengths at the beginning of the practicum, and growth areas to target during practicum. Also included are the supervisee’s list of goals and learning activities that will help them achieve their goals as well as self-care strategies they will use during practicum. It is recommended that the learning goals are revisited at the final evaluation to determine whether goals were achieved. While this form is submitted to Revive & Shine, LLC, at the beginning of practicum, the student is not evaluated on goals. This is a tool for you to track your progress and to show evidence of progress within the practicum.

Final Self-Evaluation

At the end of the practicum, the supervisee will fill out an evaluation that describes how learning goals were met, self-rating of knowledge application in the Peer Recovery domains, how the practicum was beneficial, where the practicum may not have been helpful, a current assessment of strengths and growth areas. This evaluation will be compared with the evaluation filled out by their supervisor.

Final Evaluation by Supervisor

At the end of the practicum, the supervisor will fill out an evaluation that rates supervisee’s accomplishment of learning goals, the status of supervisee’s application of knowledge in the Peer Recovery domains, and overall work performance. This evaluation will be shared with the supervisee at the end of practicum and discussed. It also serves as the final evaluation submitted to Revive & Shine, LLC, for review of practicum completion. If the supervisee continues working at the site, this is a great platform for future evaluations.

 

By signing the final student evaluation and the Hours Log, supervisors are attesting that the student has successfully completed the practicum experience and is ready to work as a Peer Recovery Navigator. This is required for the student to pass the course, to obtain college credit for the course, and earn the lifetime certification.

 

Final Evaluation of Supervisor

It is also considered to best practice for the supervisee to evaluation the supervisor. Supervision is a dynamic process and those who provide supervision on a regular basis benefit from evaluation. A form is included for your use, but it is not necessary to submit this form with the final review materials.

Student Practicum Review Process

Review of the student practicum is conducted by Trudi A. Griffin, MS, LPC, NCC, of Revive & Shine, LLC. As stated previously, the practicum requirement of the Global Certified Peer Recovery Navigator certification can be achieved by either of the following:

#
p<>{color:#000;}. Practicum Equivalent Experience Waiver ($40.00 fee)

OR

#
p<>{color:#000;}. Completion of practicum reviewed by Revive & Shine, LLC ($40.00 fee)

*
p<>{color:#000;}. Review of Practicum Writing Assignments in Course Workbook Students must achieve “meets expectations” level or above for successful completion of the course.

*
p<>{color:#000;}. Average score 3 or better on final Core Competencies Evaluation submitted by on-site supervisor.

*
p<>{color:#000;}. Documentation of 150 hours of practicum experience validated by an on-site supervisor

*
p<>{color:#000;}. Reasonable achievement of Practicum Learning Goals as evidenced by student evaluation

 

table<>. <>. |<>.
h2<>{color:#7030A0;}. Summary of fees |<>.
p<>{color:#000;}.  

| <>. |<>. p<>{color:#000;}.  

Practicum equivalent experience review

*
p<>{color:#000;}. Submit forms and evidence of relevant work experience including CV/Resume for review

*
p<>{color:#000;}. Students with experience but no state or national licenses or certifications may be required to participate in an interview

*
p<>{color:#000;}. Practicum equivalent experience waivers can be submitted at the beginning of the course or any time thereafter.

*
p<>{color:#000;}. Invoiced at time materials are submitted.

 

|<>. p<>{color:#000;}.  

$40 | <>. |<>.
p<>{color:#000;}.  

Final Practicum review

Student has an on-site practicum supervisor.

*
**
h2<>{color:#2e74b5;}. Review and verification of supervisor credentials.

*
p<>{color:#000;}. Review of Practicum Writing Assignments in Course Workbook.

**
h2<>{color:#2e74b5;}. Review of Final Core Competencies Evaluation by on-site supervisor

**
h2<>{color:#2e74b5;}. Review documentation of hours.

**
h2<>{color:#2e74b5;}. Review of Practicum Learning Goals.

**
h2<>{color:#2e74b5;}. Issue certificate of completion.

*
p<>{color:#000;}. Invoiced at time materials are submitted.

 

|<>. p<>{color:#000;}.  

$40 |

Core Competencies Evaluation

Supervisors will be asked to evaluate students on the following criteria:

Knowledge

*
p<>{color:#222;background:#fff;}. Shows an understanding of behavioral health topics.

*
p<>{color:#222;background:#fff;}. Demonstrates an understanding of recovery and recovery-oriented care.

*
p<>{color:#222;background:#fff;}. Demonstrates an understanding of peer based relationships and services.

*
p<>{color:#222;background:#fff;}. Educates others on behavioral health and recovery topics.

*
p<>{color:#222;background:#fff;}. Educates clients and colleagues about peer based relationships and services.

*
p<>{color:#222;background:#fff;}. Educates others on peer provided services including how peer roles work in a recovery-oriented system of care as well as the benefits of peer services.

Peer-based working alliance

*
p<>{color:#222;background:#fff;}. Practices recovery behaviors as a model to others.

*
p<>{color:#222;background:#fff;}. Utilizes motivational interviewing skills.

*
p<>{color:#222;background:#fff;}. Demonstrates self-awareness and shares recovery experience in a manner meant to encourage and support clients.

*
p<>{color:#222;background:#fff;}. Uses active listening skills effectively.

*
p<>{color:#222;background:#fff;}. Demonstrates the values of peer based working alliance (equal power, client led, intentional disclosure and sharing of lived experience)

*
p<>{color:#222;background:#fff;}. Demonstrates effectiveness at maintaining mental, emotional and physical health through regular self-care activities.

Ethical Responsibility

*
p<>{color:#222;background:#fff;}. Demonstrates knowledge of ethical principles involved in providing peer recovery services.

*
p<>{color:#222;background:#fff;}. Communicates ethical responsibilities to clients such as confidentiality, duty to report abuse, and duty to warn.

*
p<>{color:#222;background:#fff;}. Recognizes and adheres to professional and personal boundaries.

*
p<>{color:#222;background:#fff;}. Recognizes and adheres to professional limitations by communicating with clients about the scope of peer recovery services and making referrals when appropriate.

*
p<>{color:#222;background:#fff;}. Consults with supervisor or administration for guidance.

*
p<>{color:#222;background:#fff;}. Keeps consistent and accurate record that are objective, professional, and complete.

Cultural Intelligence

*
p<>{color:#222;background:#fff;}. Demonstrates an awareness of cultural perceptions and cultural differences.

*
p<>{color:#222;background:#fff;}. Considers cultural influence on recovery.

*
p<>{color:#222;background:#fff;}. Shows consideration for how systems affect recovery.

*
p<>{color:#222;background:#fff;}. Practices cultural intelligence in relationships with others.

*
p<>{color:#222;background:#fff;}. Pursues cultural training.

Recovery/Wellness Planning

*
p<>{color:#222;background:#fff;}. Demonstrates working knowledge of current recovery models, including recognition of client’s stage of change and stage of recovery.

*
p<>{color:#222;background:#fff;}. Assists clients with goal setting, recovery planning, building recovery capital, and evaluating progress.

*
p<>{color:#222;background:#fff;}. Works with clients to develop tools for long-term recovery.

Advocacy

*
p<>{color:#222;background:#fff;}. Relates to clients as an advocate and promotes client empowerment.

*
p<>{color:#222;background:#fff;}. Demonstrates knowledge of recovery systems, explains advocacy to clients, and connected client with necessary resources.

*
p<>{color:#222;background:#fff;}. Demonstrates an ability to collaborate with other treatment providers and agencies on behalf of their clients as well as teach and support client self-advocacy.

Revive & Shine Supervision Plans

Supervision plans offered by Revive & Shine, LLC, are meant for students who are either unable to find anyone to supervise them, or for students who would like additional guidance. Plans are flexible and based on a student’s needs. While students are charged a fee for this service, payment plans are available, all to be outlined in an agreement with Revive & Shine, LLC, which will be created at the time of the request for supervision.

At various times, Revive & Shine, LLC, will offer online meetings which are open to anyone participating in practicum including on-site supervisors. Meeting topics may include orientation to practicum, topic-focused practicum sessions, and open practicum sessions, all of which count towards practicum hours. Individual sessions for students and/or supervisors can be arranged at any time by contacting Revive & Shine, LLC.

Consistent with the mission of PARfessionals, Revive & Shine will make every effort to be flexible, accessible, and affordable. Any supervision or consultation will be done online either via video apps (multiple formats available), chat, or email. Voice/phone will also be available. All forms and paperwork required for review can be submitted electronically, via fax or mail. We will make every effort to accommodate students requiring additional help or alternative arrangements.

All questions regarding the Student Practicum should be directed to Trudi Griffin at Revive & Shine, LLC, [email protected]

Practicum Equivalent Experience Forms

Practicum Equivalent Experience Application

 

The practicum requirement for the Global Certified Peer Recovery Navigator Workforce Development Program may be waived for students who have verifiable education or work experience.

 

Practicum Equivalent Experience Process

#
p<>{color:#000;}. Student submits Practicum Equivalent Experience Form with required documentation and fees to Revive & Shine, LLC. Request form from [email protected].

#
p<>{color:#000;}. Revive & Shine, LLC will conduct verification process and notify student of approval of waiver within 10-14 business days.

 

Instructions

Waiver is granted to applicants who can demonstrate through education and previous experience that competencies of the practicum have already been met.

 

Documents required are limited to the minimum amount necessary to validate experience.

 

For example, if an applicant holds a master’s degree in social work and unofficial transcripts show coursework related to the practicum experience core competencies (listed below), only evidence of meeting the degree requirements are required.

 

A degree, license, or certification is NOT the only way to waive the practicum requirement. Those with sufficient work experience and/or continuing education credits may also submit documentation for a waiver.

 

NOTE: If not already included in the application packet, supervisors or managers will be contacted and asked to fill out a Verification of Work Experience form. It is acceptable to submit multiple forms from multiple work places to meet the 6 months’ experience qualification or the core competencies.

 

Any questions about whether your work experiences qualify you for a practicum waiver, please inquire by emailing [email protected]

 

Partial waivers may also be granted. For example, if the only core competency requirement not met is Ethical Responsibility, student may be required to document 5 hours of ethics related activities. All partial waivers will include detailed information about requirements that need to be met and documentation required.

 

Upon submission of application materials, Revive & Shine, LLC, will send a Paypal invoice for the $40.00 fee. Once the fee is paid, the verification process will begin and students will receive a response within 7-10 business days of receiving payment.

 

Questions should be submitted to [email protected]

 

Request for Practicum Waiver

 

 

I, ________________________________, request a waiver of the practicum.

 

I have substantial experience relevant to the core competencies of the Global Certified Peer Recovery Navigator required by the practicum experience.

 

The attached documentation contains accurate information that can be verified.

 

 

Student Signature ___________________________________________

 

Date ______________

 

Email: _______________________________

 

Address: __________________________________________________________

 

City: _________________________ State: _______________ Zip: ____________

Country: _____________________

 

Phone Number: ________________________

 

Check the box for each category of documentation included in the application packet:

 

table<>. <>. |<>.
p<>{color:#000;}.  

|<>. p={color:#000;}. Type of Equivalent Experience |<>. p={color:#000;}. Documentation needed | <>. |<>. p={color:#000;}. ☐ |<>. p={color:#000;}. Degree(s) in behavioral health or related field.

 

|<>. p<>{color:#000;}.  

Documentation required: Unofficial transcripts

Information needed: Degree type

Area(s) of study

College/University

Date earned

 

| <>. |<>. p={color:#000;}. ☐ |<>. p={color:#000;}. Professional certifications in behavioral health

or a related field

 

|<>. p<>{color:#000;}.  

Documentation required: Copy of certification form

Information needed: Professional certification name

Issuing organization

Date Issued

ID or Member number

(if applicable)

Expiration date

 

| <>. |<>. p={color:#000;}. ☐ |<>. p={color:#000;}. License to practice in behavioral health

or a related field

 

 

|<>. p<>{color:#000;}.  

Documentation required: Copy of license certificate

Information needed: Type of license

Issuing licensing board

Date issued

Expiration date

 

| <>. |<>. p={color:#000;}. ☐ |<>. p={color:#000;}. Work experience in behavioral health or a related field

 

|<>. p<>{color:#000;}.  

Documentation required: CV/Resume AND Verification of Work Experience form

Information needed: Number of months/years experience (minimum 6 months)

Name of agency/organization

Description of major responsibilities

 

| <>. |<>. p={color:#000;}. ☐ |<>. p={color:#000;}. Participation in relevant continuing education

 

|<>. p<>{color:#000;}.  

Documentation required: Copies of CE certificates

Information needed: Date(s) of attendance

Title of course/seminar

Issuing organization

Number of CE hours

 

|

Student Practicum Process

#
p<>{color:#000;}. Student registers their practicum with Revive & Shine, LLC

##
p<>{color:#000;}. Submit Intent for Practicum form

#
p<>{color:#000;}. Student registers practicum site and supervisor with Revive & Shine, LLC

##
p<>{color:#000;}. Submit Supervision Agreement signed by student and supervisor

###
p<>{color:#000;}. Supervisor submits information to Revive & Shine, LLC, and agrees to the terms of supervision

Submit Assessments at the beginning of practicum

#
##
p<>{color:#000;}. Submit Core Competencies Evaluation signed by student and supervisor

##
p<>{color:#000;}. Submit Practicum Learning Goals signed by student and supervisor

#
p<>{color:#000;}. Participate in practicum activities and meetings

##
p<>{color:#000;}. Complete the practicum activities suggested in the practicum guide or create your own under the guidance of your supervisor

##
p<>{color:#000;}. Complete practicum writing assignments

##
p<>{color:#000;}. Attend supervision meetings with your supervisor OR attend online group or individual meetings with Revive & Shine, LLC, per your Practicum Plan

##
p<>{color:#000;}. Document hours and activities

#
p<>{color:#000;}. Final assessment

##
p<>{color:#000;}. Submit Self-evaluation Form to Revive & Shine, LLC

##
p<>{color:#000;}. Submit Supervisor’s Evaluation Form to Revive & Shine, LLC

##
p<>{color:#000;}. Submit Hours Log to Revive & Shine, LLC

#
p<>{color:#000;}. Evaluation and approval

##
p<>{color:#000;}. Revive & Shine will review all materials submitted based upon the assessment and evaluation criteria outlined below.

##
p<>{color:#000;}. Within 30 days, Revive & Shine will provide a certificate of successful practicum completion and recommendation for Global Certified Peer Recovery Navigator certification to PARfessionals, L3C, and the student. Official certification is issued by PARfessionals, L3C.

##
p<>{color:#000;}. If unapproved, the student will be provided with a list of steps that can be taken to become approved with an agreed upon timeline for completion.

Student Practicum Review

Review of Practicum Writing Assignments in Course Workbook

*
p<>{color:#000;}. Students must achieve “meets expectations” level or above for successful completion of the course. Grading rubric is the same as the Learning Journal activities and can be found in the course Syllabus.

Final Core Competencies Evaluation by on-site supervisor

*
p<>{color:#000;}. Average score 3 or better

Hours

*
p<>{color:#000;}. Documentation of 150 hours of practicum experience validated by an on-site supervisor with 10 of those hours being supervision.

Practicum Learning Goals

*
p<>{color:#000;}. Reasonable achievement of Practicum Learning Goals as evidenced by student evaluation.

All forms submitted and fees paid by the student.

Students who are not approved for the Global Certified Peer Recovery Navigator certification will be provided with a list of steps that can be taken to become approved with an agreed upon timeline for completion.

Student Practicum Forms

Intent for Practicum Form (submit to [email protected] at the beginning of practicum)

 

table<. <. |<.
h2<{color:#2e74b5;}. |<.
h2<{color:#2e74b5;}. Summary of fees |<.
p<{color:#000;}.  

| <. |<. p<{color:#000;}.  

☐ |<.
p<{color:#000;}.  

Practicum Equivalent Experience Waiver

*
p<{color:#000;}. Invoiced to student at time of submission of application.

 

|<. p<{color:#000;}.  

$40 | <. |<.
p<{color:#000;}.  

☐ |<.
p<{color:#000;}.  

Final Practicum review

*
p<{color:#000;}. Invoiced to student at time of submission of completed materials

 

|<. p<{color:#000;}.  

$40 | I, ________________________________, intend to participate in the practicum to meet the core competencies requirement of the Global Certified Peer Recovery Navigator certification.
p<>{color:#000;}.  

I understand the practicum requires 150 hours of documented peer recovery related activities. Within the 150 hours, I will receive a minimum of 10 hours of supervision.

 

I intend to complete _____ hours per week to complete my practicum in ______ weeks.

 

I agree with the following fee schedule:

 

Student Signature ___________________________________________

 

Date ______________ Email: _______________________________

 

Address: __________________________________________________________

 

City: _________________________ State: _______________ Zip: _____________

Country: _____________________ Phone Number: ________________________

 

Supervision Agreement

(submit to [email protected] at the beginning of practicum)

 

On-site Supervisor

 

Name __________________________________________

Title/Credentials __________________________________

Organization/Agency ______________________________

Location of practicum _____________________________

Phone __________________________________________

Email __________________________________________

The above named supervisor agrees to provide supervisee, _______________________________, with quality training in recovery-oriented systems of service delivery.

The supervisor agrees to be responsible for establishing learning goals with their supervisee, guiding supervisee in peer-based ethical service delivery, providing regularly scheduled supervision meetings, and a formal evaluation upon completion. Supervision meetings can be in individual or group settings. Supervisor also agrees to honestly review and attest to the completion of supervisee’s documented hours within the scope the practicum core competencies through written evaluation.

 

This practicum will begin on _________________ (Date).

Supervisor

 

_____________________________________________________

Name

 

_____________________________________________________

Signature Date

 

 

Supervisee

 

_____________________________________________________

Name

 

_____________________________________________________

Signature Date

Core Competencies Evaluation

(submit to [email protected] at the beginning of practicum)

 

Please rate your opinion of your performance in each domain on a scale of 1-5 using the following and compare with the ratings given by your supervisor:

Unsatisfactory Average Excellent

1 2 3 4 5

Knowledge

table<>. <>. |<>.
p<>{color:#222;background:#fff;}. Shows an understanding of behavioral health topics.

|<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Demonstrates an understanding of recovery and recovery-oriented care. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Demonstrates an understanding of peer based relationships and services. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Educates others on behavioral health and recovery topics. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Educates clients and colleagues about peer based relationships and services. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Educates others on peer provided services including how peer roles work in a recovery-oriented system of care as well as the benefits of peer services.
<>.
p<>{color:#222;background:#fff;}. 1 2 3 4 5

 

[* Comments: ____________________________________________________________________________________________________________________________________________________________ *]

Peer-based working alliance

table<>. <>. |<>.
p<>{color:#222;background:#fff;}. Practices recovery behaviors as a model to others.

|<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Utilizes motivational interviewing skills. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Demonstrates self-awareness and shares recovery experience in a manner meant to encourage and support clients. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Uses active listening skills effectively. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Demonstrates the values of peer based working alliance (equal power, client led, intentional disclosure and sharing of lived experience) |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Demonstrates effectiveness at maintaining mental, emotional and physical health through regular self-care activities.
<>.
p<>{color:#222;background:#fff;}. 1 2 3 4 5

 

[* Comments: ____________________________________________________________________________________________________________________________________________________________ *]

Ethical Responsibility

table<>. <>. |<>.
p<>{color:#222;background:#fff;}. Demonstrates knowledge of ethical principles involved in providing peer recovery services.

|<>. p<>{color:#000;background:#fff;}.

1 2 3 4 5 | <>. |<>.
p<>{color:#222;background:#fff;}. Communicates ethical responsibilities to clients such as confidentiality, duty to report abuse, and duty to warn.

|<>. p<>{color:#000;background:#fff;}.

1 2 3 4 5 | <>. |<>.
p<>{color:#222;background:#fff;}. Recognizes and adheres to professional and personal boundaries.

|<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Recognizes and adheres to professional limitations by communicating with clients about the scope of peer recovery services and making referrals when appropriate. |<>. p<>{color:#000;background:#fff;}.

1 2 3 4 5 | <>. |<>.
p<>{color:#222;background:#fff;}. Consults with supervisor or administration for guidance.

|<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Keeps consistent and accurate record that are objective, professional, and complete. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#000;background:#fff;}.   |<>. p<>{color:#000;background:#fff;}.   |

 

[* Comments: ____________________________________________________________________________________________________________________________________________________________ *]

 

Cultural Intelligence

table<>. <>. |<>.
p<>{color:#222;background:#fff;}. Demonstrates an awareness of cultural perceptions and cultural differences.

|<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Considers cultural influence on recovery. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Shows consideration for how systems affect recovery. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Practices cultural intelligence in relationships with others. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Pursues cultural training.
<>.
p<>{color:#222;background:#fff;}. 1 2 3 4 5

 

[* Comments: ____________________________________________________________________________________________________________________________________________________________ *]

 

 

 

Recovery/Wellness Planning

table<>. <>. |<>.
p<>{color:#222;background:#fff;}. Demonstrates working knowledge of current recovery models, including recognition of client’s stage of change and stage of recovery.

|<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Assists clients with goal setting, recovery planning, building recovery capital, and evaluating progress. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Works with clients to develop tools for long-term recovery.
<>.
p<>{color:#222;background:#fff;}. 1 2 3 4 5

 

[* Comments: ____________________________________________________________________________________________________________________________________________________________ *]

 

Advocacy

table<>. <>. |<>.
p<>{color:#222;background:#fff;}. Relates to clients as an advocate and promotes client empowerment.

|<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Demonstrates knowledge of recovery systems, explains advocacy to clients, and connected client with necessary resources. |<>. p<>{color:#000;background:#fff;}.

1 2 3 4 5 | <>. |<>.
p<>{color:#222;background:#fff;}. Demonstrates an ability to collaborate with other treatment providers and agencies on behalf of their clients as well as teach and support client self-advocacy.

|<>. p<>{color:#000;background:#fff;}.

1 2 3 4 5 |

[* Comments: ____________________________________________________________________________________________________________________________________________________________ *]

 

Supervisee

 

 

_____________________________________________________

Name

 

_____________________________________________________

Signature Date

Practicum Learning Goals

(submit to [email protected] at the beginning of practicum)

Supervisee: Date completed:

Practicum Site: Start Date of Practicum:

(attach additional pages if necessary)

Statement of long term professional goals:

Current strengths:

Current growth areas:

Goals for practicum (at least 3):

Learning activities that will be used to achieve practicum goals:

Planned self-care strategies:

 

Supervisor Supervisee

 

[* __________________________________ __________________________________ *]

Name Name

 

[* __________________________________ __________________________________ *]

Signature Date Signature Date

Student Self- Evaluation

(submit to [email protected] at the end of practicum)

Student Name: __________________________________________________________

Date of Evaluation: ____________

Supervisor: _________________________________________________________________

Practicum Site: ________________________________________________________

Were you able to meet your learning goals? Why or why not?

____________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________

Please rate your opinion of your performance in each domain on a scale of 1-5 using the following and compare with the ratings given by your supervisor and with the ratings you gave yourself at the beginning of practicum.

Unsatisfactory Average Excellent

1 2 3 4 5

Knowledge

table<>. <>. |<>.
p<>{color:#222;background:#fff;}. Shows an understanding of behavioral health topics.

|<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Demonstrates an understanding of recovery and recovery-oriented care. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Demonstrates an understanding of peer based relationships and services. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Educates others on behavioral health and recovery topics. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Educates clients and colleagues about peer based relationships and services. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Educates others on peer provided services including how peer roles work in a recovery-oriented system of care as well as the benefits of peer services.
<>.
p<>{color:#222;background:#fff;}. 1 2 3 4 5

 

[* Comments: ____________________________________________________________________________________________________________________________________________________________ *]

Peer-based working alliance

table<>. <>. |<>.
p<>{color:#222;background:#fff;}. Practices recovery behaviors as a model to others.

|<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Utilizes motivational interviewing skills. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Demonstrates self-awareness and shares recovery experience in a manner meant to encourage and support clients. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Uses active listening skills effectively. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Demonstrates the values of peer based working alliance (equal power, client led, intentional disclosure and sharing of lived experience) |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Demonstrates effectiveness at maintaining mental, emotional and physical health through regular self-care activities.
<>.
p<>{color:#222;background:#fff;}. 1 2 3 4 5

 

[* Comments: ____________________________________________________________________________________________________________________________________________________________ *]

Ethical Responsibility

table<>. <>. |<>.
p<>{color:#222;background:#fff;}. Demonstrates knowledge of ethical principles involved in providing peer recovery services.

|<>. p<>{color:#000;background:#fff;}.

1 2 3 4 5 | <>. |<>.
p<>{color:#222;background:#fff;}. Communicates ethical responsibilities to clients such as confidentiality, duty to report abuse, and duty to warn.

|<>. p<>{color:#000;background:#fff;}.

1 2 3 4 5 | <>. |<>.
p<>{color:#222;background:#fff;}. Recognizes and adheres to professional and personal boundaries.

|<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Recognizes and adheres to professional limitations by communicating with clients about the scope of peer recovery services and making referrals when appropriate. |<>. p<>{color:#000;background:#fff;}.

1 2 3 4 5 | <>. |<>.
p<>{color:#222;background:#fff;}. Consults with supervisor or administration for guidance.

|<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Keeps consistent and accurate record that are objective, professional, and complete. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#000;background:#fff;}.   |<>. p<>{color:#000;background:#fff;}.   |

 

[* Comments: ____________________________________________________________________________________________________________________________________________________________ *]

 

 

 

Cultural Intelligence

table<>. <>. |<>.
p<>{color:#222;background:#fff;}. Demonstrates an awareness of cultural perceptions and cultural differences.

|<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Considers cultural influence on recovery. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Shows consideration for how systems affect recovery. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Practices cultural intelligence in relationships with others. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Pursues cultural training.
<>.
p<>{color:#222;background:#fff;}. 1 2 3 4 5

 

[* Comments: ____________________________________________________________________________________________________________________________________________________________ *]

 

Recovery/Wellness Planning

table<>. <>. |<>.
p<>{color:#222;background:#fff;}. Demonstrates working knowledge of current recovery models, including recognition of client’s stage of change and stage of recovery.

|<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Assists clients with goal setting, recovery planning, building recovery capital, and evaluating progress. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Works with clients to develop tools for long-term recovery.
<>.
p<>{color:#222;background:#fff;}. 1 2 3 4 5

 

[* Comments: ____________________________________________________________________________________________________________________________________________________________ *]

 

Advocacy

table<>. <>. |<>.
p<>{color:#222;background:#fff;}. Relates to clients as an advocate and promotes client empowerment.

|<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Demonstrates knowledge of recovery systems, explains advocacy to clients, and connected client with necessary resources. |<>. p<>{color:#000;background:#fff;}.

1 2 3 4 5 | <>. |<>.
p<>{color:#222;background:#fff;}. Demonstrates an ability to collaborate with other treatment providers and agencies on behalf of their clients as well as teach and support client self-advocacy.

|<>. p<>{color:#000;background:#fff;}.

1 2 3 4 5 |

[* Comments: ____________________________________________________________________________________________________________________________________________________________ *]

 

What have you learned about yourself and your skills during practicum?

____________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________

What are your strengths following practicum?

____________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________

What areas do you feel you need to continue to improve?

____________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________

How do you plan to continue improving?

____________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________

 

In what ways was practicum beneficial?

____________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________

 

In what ways was practicum not helpful?

____________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________

 

[* Supervisee’s Signature: _______________________________ Date: _______________ *]

Supervisor Evaluation of Supervisee

(submit to [email protected] at the end of practicum)

The primary supervisor completes this form at the end of the practicum experience. If there is more than one supervisor, whoever had the most contact with the supervisee should fill out the form. The evaluation should be discussed with the supervisee.

Supervisee Name: __________________________________________________________

Date of Evaluation: ____________

Supervisor: _________________________________________________________________

Supervisor Title and Credentials: ________________________________________________

Practicum Site: ________________________________________________________

Please rate the supervisee’s performance in each domain on a scale of 1-5 using the following:

Unsatisfactory Average Excellent

1 2 3 4 5

Professionalism

table<>. <>. |<>.
p<>{color:#000;}. Arrived on time and used time effectively.

|<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#000;}. Demonstrated professionalism in manner and dress consistent with site policies. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Conducted work professionally and ethically.
<>.
p<>{color:#222;background:#fff;}. 1 2 3 4 5

 

[* Comments: ____________________________________________________________________________________________________________________________________________________________ *]

Interactions with Co-Workers

table<>. <>. |<>.
p<>{color:#000;}. Comfort level when interacting with other staff members.

|<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#000;}. Demonstrates clear and effective communication with staff. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#000;background:#fff;}. Able to convey information and express opinions.
<>.
p<>{color:#222;background:#fff;}. 1 2 3 4 5

[* Comments: ____________________________________________________________________________________________________________________________________________________________ *]

Knowledge

table<>. <>. |<>.
p<>{color:#222;background:#fff;}. Shows an understanding of behavioral health topics.

|<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Demonstrates an understanding of recovery and recovery-oriented care. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Demonstrates an understanding of peer based relationships and services. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Educates others on behavioral health and recovery topics. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Educates clients and colleagues about peer based relationships and services. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Educates others on peer provided services including how peer roles work in a recovery-oriented system of care as well as the benefits of peer services.
<>.
p<>{color:#222;background:#fff;}. 1 2 3 4 5

 

[* Comments: ____________________________________________________________________________________________________________________________________________________________ *]

Peer-based working alliance

table<>. <>. |<>.
p<>{color:#222;background:#fff;}. Practices recovery behaviors as a model to others.

|<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Utilizes motivational interviewing skills. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Demonstrates self-awareness and shares recovery experience in a manner meant to encourage and support clients. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Uses active listening skills effectively. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Demonstrates the values of peer based working alliance (equal power, client led, intentional disclosure and sharing of lived experience) |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Demonstrates effectiveness at maintaining mental, emotional and physical health through regular self-care activities.
<>.
p<>{color:#222;background:#fff;}. 1 2 3 4 5

 

[* Comments: ____________________________________________________________________________________________________________________________________________________________ *]

Ethical Responsibility

table<>. <>. |<>.
p<>{color:#222;background:#fff;}. Demonstrates knowledge of ethical principles involved in providing peer recovery services.

|<>. p<>{color:#000;background:#fff;}.

1 2 3 4 5 | <>. |<>.
p<>{color:#222;background:#fff;}. Communicates ethical responsibilities to clients such as confidentiality, duty to report abuse, and duty to warn.

|<>. p<>{color:#000;background:#fff;}.

1 2 3 4 5 | <>. |<>.
p<>{color:#222;background:#fff;}. Recognizes and adheres to professional and personal boundaries.

|<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Recognizes and adheres to professional limitations by communicating with clients about the scope of peer recovery services and making referrals when appropriate. |<>. p<>{color:#000;background:#fff;}.

1 2 3 4 5 | <>. |<>.
p<>{color:#222;background:#fff;}. Consults with supervisor or administration for guidance.

|<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Keeps consistent and accurate record that are objective, professional, and complete. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#000;background:#fff;}.   |<>. p<>{color:#000;background:#fff;}.   |

 

[* Comments: ____________________________________________________________________________________________________________________________________________________________ *]

 

Cultural Intelligence

table<>. <>. |<>.
p<>{color:#222;background:#fff;}. Demonstrates an awareness of cultural perceptions and cultural differences.

|<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Considers cultural influence on recovery. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Shows consideration for how systems affect recovery. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Practices cultural intelligence in relationships with others. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Pursues cultural training.
<>.
p<>{color:#222;background:#fff;}. 1 2 3 4 5

 

[* Comments: ____________________________________________________________________________________________________________________________________________________________ *]

 

Recovery/Wellness Planning

table<>. <>. |<>.
p<>{color:#222;background:#fff;}. Demonstrates working knowledge of current recovery models, including recognition of client’s stage of change and stage of recovery.

|<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Assists clients with goal setting, recovery planning, building recovery capital, and evaluating progress. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Works with clients to develop tools for long-term recovery.
<>.
p<>{color:#222;background:#fff;}. 1 2 3 4 5

 

[* Comments: ____________________________________________________________________________________________________________________________________________________________ *]

 

 

Advocacy

table<>. <>. |<>.
p<>{color:#222;background:#fff;}. Relates to clients as an advocate and promotes client empowerment.

|<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Demonstrates knowledge of recovery systems, explains advocacy to clients, and connected client with necessary resources. |<>. p<>{color:#000;background:#fff;}.

1 2 3 4 5 | <>. |<>.
p<>{color:#222;background:#fff;}. Demonstrates an ability to collaborate with other treatment providers and agencies on behalf of their clients as well as teach and support client self-advocacy.

|<>. p<>{color:#000;background:#fff;}.

1 2 3 4 5 |

[* Comments: ____________________________________________________________________________________________________________________________________________________________ *]

Response to Supervision

table<>. <>. |<>.
p<>{color:#222;background:#fff;}. Receptive to feedback and suggestions made by supervisor and applied suggestions.

|<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Sought supervision when needed outside regular scheduled supervision. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Knowledgeable of own strengths and applied them to their work. |<>. p<>{color:#222;background:#fff;}. 1 2 3 4 5 | <>. |<>. p<>{color:#222;background:#fff;}. Knowledgeable of own weaknesses and receptive to constructive feedback.
<>.
p<>{color:#222;background:#fff;}. 1 2 3 4 5

Comments:

____________________________________________________________________________________________________________________________________________________________

 

What are this supervisee’s strengths?

____________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________

What areas do you feel the supervisee needs to continue to improve?

____________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________

 

Additional comments: ____________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________

By signing this form, I attest that _______________________ has satisfactorily demonstrated the core competencies and skills necessary to practice as a Peer Recovery Navigator in a treatment setting.

[* Supervisor’s Signature: ________________________________ Date: _______________ *]

[* Supervisee’s Signature: _______________________________ Date: _______________ *]

Hours Log

(submit to [email protected] at the end of practicum)

table<>. <>. |<>.
p={color:#000;}. Date |<>.
p={color:#000;}. Number of Hours |<>.
p={color:#000;}. Type of Service

(DS, IS, ISup, GSup) |<>.
p={color:#000;}.  

|<>. p={color:#000;}. Notes |<>. p={color:#000;}. Core Competency Area | <>. |<>. p={color:#000;}. 11/16/16 |<>. p={color:#000;}. 3 |<>. p={color:#000;}. DS |<>. p={color:#000;}.   |<>. p={color:#000;}. Recovery planning |<>. p={color:#000;}. RWP | <>. |<>. p={color:#000;}. 11/18/16 |<>. p={color:#000;}. 1 |<>. p={color:#000;}. Isup |<>. p={color:#000;}.   |<>. p={color:#000;}. boundaries |<>. p={color:#000;}. ER | <>. |<>. p={color:#000;}. 11/19/16 |<>. p={color:#000;}. 5 |<>. p={color:#000;}. IS |<>. p={color:#000;}.   |<>. p={color:#000;}. Training, case consult |<>. p={color:#000;}. KN | <>. |<>. p={color:#000;}. 11/20/16 |<>. p={color:#000;}. 6 |<>. p={color:#000;}. DS |<>. p={color:#000;}.   |<>. p={color:#000;}. Advocacy |<>. p={color:#000;}. ADV | <>. |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   | <>. |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   | <>. |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   | <>. |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   | <>. |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   | <>. |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   | <>. |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   | <>. |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   | <>. |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   | <>. |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |<>. p={color:#000;}.   |

Core Competency Area Abbreviations

KN (knowledge), PWA (Peer based working alliance), ER (ethical responsibility), CI (cultural intelligence), RWP (recovery/wellness planning, ADV (advocacy)

Totals

table<>. <>. |<>.
p<>{color:#000;}. Direct Service (DS) |<>.
p={color:#000;}.  

| <>. |<>. p<>{color:#000;}. Indirect Service (IS) |<>. p={color:#000;}.   | <>. |<>. p>{color:#000;}. Total Service Hours |<>. p={color:#000;}.   | <>. |<>. p<>{color:#000;}. Individual Supervision (ISup) |<>. p={color:#000;}.   | <>. |<>. p<>{color:#000;}. Group Supervision (GSup) |<>. p={color:#000;}.   | <>. |<>. p>{color:#000;}. Total Supervision Hours |<>. p={color:#000;}.   |

I verify that the above recorded service hours are accurate and true.

Supervisor Supervisee

 

[* __________________________________ __________________________________ *]

Signature Date Signature Date

Supervisee Evaluation of Supervisor

This form is optional and not required by Revive & Shine, LLC.

Name _____________________________ Site ___________________________________

Site Supervisor __________________________________

Date Practicum Began ___________________

Date Form Completed

Rate your supervision and site experiences on a scale of 1-5 using the following:

Unsatisfactory Average Excellent

1 2 3 4 5

1) Communication of the practicum site policies and procedures

2) Amount of on-site supervision

3) Quality and usefulness of on-site supervision

4) Rate all applicable experiences that you had at your site

Client interviewing

Training, case consultations

Individual recovery planning

Group facilitation

Advocacy

Providing education to clients

Coordination and collaboration with other treatment providers

Other _________________________________

4) Relevance of practicum experience to your career goals

5) Overall evaluation of the site

What are the strengths of this practicum site?

Do you have suggestions for improvement this practicum site?

What comments do you have about your supervisor?

Would you recommend this practicum site to others?

Additional comments:

[* Supervisee’s Signature: _______________________________ Date: _______________ *]

About Revive & Shine, LLC

Revive & Shine, LLC, is contracted by PARfessionals, L3C, to evaluate students seeking college credit for the Global Certified Peer Recovery Navigator certification and administer the student practicum component of the course and certification.

The owner of Revive & Shine, LLC, Trudi A. Griffin, is a Licensed Professional Counselor. A passion for creating quality, research based education has driven Ms. Griffin as Lead Researcher and Curriculum Developer for the Global Certified Peer Recovery Navigator program. She has researched and written a variety of materials and courses for PARfessionals since 2013.

Prior to committing to the education of Peer Recovery Navigators full time, she provided trauma-informed counseling for individuals and families recovering from substance abuse, mental health issues, and co-occurring disorders in Green Bay, Wisconsin.

Ms. Griffin is a graduate of Marquette University (Milwaukee, Wisconsin), and holds a Master’s of Science in Clinical Mental Health Counseling: Addictions and Mental Health. As a clinic manager and counselor at The Bridge Health Clinics & Research Centers in Milwaukee, Wisconsin, she provided trauma-informed counseling to individuals utilizing evidence-based therapies including CBT, DBT, REBT, and Seeking Safety, and facilitated substance abuse groups utilizing SMART Recovery, CBT, REBT, Seeking Safety, Motivational Interviewing, and 12 Step interventions. She also counseled survivors of sexual assault and conducted groups for survivors in recovery.

In Eddy County, New Mexico, Ms. Griffin served as an Adolescent Intensive Outpatient Therapist and provided counseling to adolescent drug court participants and their families, using Moral Reconation Therapy. While there, she also coordinated a new adolescent intensive outpatient substance abuse program based upon The Matrix for Teens and Young Adults, which included groups, individual, and family therapy.

39 [*|*] Page

 


PARfessionals' Peer Recovery Workforce Development Practicum Guide

  • ISBN: 9781370705146
  • Author: The SJM Group
  • Published: 2017-02-06 04:06:25
  • Words: 6040
PARfessionals' Peer Recovery Workforce Development Practicum Guide PARfessionals' Peer Recovery Workforce Development Practicum Guide