ࡱ> SUR @ ,9bjbj)) (@KzKz h h h h < d$ $#######$N%R'r $E $R$ ## Fh  C"h$0$(((,>j,$,,, $ $ h  h Alabama A&M University Communicative Sciences and Disorders TREATMENT SESSION EVALUATION Supervised Clinical Practicum (CSD 321, 406, and 516) Clinician  FORMTEXT       Client s Initials  FORMTEXT       Date  FORMTEXT       Supervisor  FORMTEXT       Objectives:  FORMCHECKBOX  Objectives evident in treatment session  FORMCHECKBOX  Procedures congruent with written objectives  FORMCHECKBOX  Maximizes responses  FORMCHECKBOX  Target stimuli are appropriate for clients abilities and stated objectives  FORMCHECKBOX  Clinician modifies procedures when indicated  Structure:  FORMCHECKBOX  Transition from activity to activity is smooth  FORMCHECKBOX  Effectively manipulates materials to enhance clients attention and participation  FORMCHECKBOX  Instructions are clear and enable client to understand  FORMCHECKBOX  Activities and materials are appropriate to client and objectives  Cueing/Modeling Strategies:  FORMCHECKBOX  Appropriate elicitation techniques are used  FORMCHECKBOX  Cueing strategy is effective  FORMCHECKBOX  Clients errors are correctly discriminated  FORMCHECKBOX  Cueing is increased or decreased as needed  FORMCHECKBOX  Target behavior is modeled correctly  Feedback/Correction Techniques:  FORMCHECKBOX  Consistent, concrete, concise feedback provided  FORMCHECKBOX  Client is encouraged to self-evaluate  FORMCHECKBOX  Appropriate correction techniques  FORMCHECKBOX  Target responses are effectively reinforced  Behavior Management:  FORMCHECKBOX  Environment is arranged to facilitate optimal behavior  FORMCHECKBOX  Desired behavior is effectively reinforced  FORMCHECKBOX  Employs effective reinforcement system  FORMCHECKBOX  Appropriate behavior is established and maintained during the session  FORMCHECKBOX  Undesired behavior is recognized and minimized Professionalism:  FORMCHECKBOX  Shows respect to the client  FORMCHECKBOX  Displays appropriate demeanor, dress and language x 4 8 : N P R \ ^ `    " , . 0 2 4 P خОخЎخ~خsh O5CJOJQJjlh O5>*U\jh O5>*U\jth O5>*U\#jh O5>*U\mHnHujh O5>*U\h O5>*\jh O5>*U\ h O>*h O h OCJh O5CJOJQJ*.x 2 4 L N P B & e f V$If^V`gd Ot$If^`tgd O $Ifgd O  j& &gd Ogd O$a$gd O,9P R n p r B D ` b d & ' 5 6 7 e f h t u ̟}̟̟l!jh OCJOJQJU!jh OCJOJQJU!j<h OCJOJQJUh O5CJOJQJ!jh OCJOJQJU!jTh OCJOJQJUh OCJOJQJ!jh OCJOJQJUh OCJOJQJjh OCJOJQJU$f g h s t   c |tkkZZkIV$If^V`gd Ot$If^`tgd O $Ifgd O$a$gd Okd$$$IflF <'8 8 8 t0    4 la    ) * + c d r s t $%&CDESTU}l!jh OCJOJQJU!jh OCJOJQJU!jh OCJOJQJU!jh OCJOJQJU!jh OCJOJQJUh OCJOJQJh O5CJOJQJh OCJOJQJjh OCJOJQJU!j*h OCJOJQJU$c Db]LLt$If^`tgd Ogd Okd$$IflF <'8 8 8 t0    4 la $Ifgd OV$If^V`gd ODQLgd Okd\ $$IflF <'8 8 8 t0    4 laV$If^V`gd O $Ifgd Ot$If^`tgd O*+,]^lmn   !"0ְְְ̻̟̎}lְbְh OCJOJQJ!jJ h OCJOJQJU!j h OCJOJQJU!jb h OCJOJQJU!j h OCJOJQJUh O5CJOJQJ!jh OCJOJQJUh OCJOJQJh OCJOJQJjh OCJOJQJU!jth OCJOJQJU&]  Qkd $$IflF <'8 8 8 t0    4 laV$If^V`gd Ot$If^`tgd O $Ifgd O   !j9zV$If^V`gd Ot$If^`tgd O $Ifgd Ogd O 012jkyz{89:HIJyz|̻̪֟̎֟}֟֟l!j&h OCJOJQJU!j h OCJOJQJU!j h OCJOJQJUh O5CJOJQJ!j8 h OCJOJQJU!j h OCJOJQJUh OCJOJQJh OCJOJQJjh OCJOJQJU!jP h OCJOJQJU#z{|6000|wnn]]]]nt$If^`tgd O $Ifgd Ogd Okd$$IflF <'8 8 8 t0    4 la 000 0"06080T0V0X000000011.1012111111111ʹʨ֝ʌ{֝֝kXk$jph O5CJOJQJUjh O5CJOJQJU!jjh OCJOJQJU!jh OCJOJQJUh O5CJOJQJ!jh OCJOJQJU!jh OCJOJQJUh OCJOJQJUh OCJOJQJjh OCJOJQJU!jh OCJOJQJU  FORMCHECKBOX  Punctual  FORMCHECKBOX  Adheres to Code of Ethics  FORMCHECKBOX  When appropriate, tone of session is positive  FORMCHECKBOX  Establishes a  safe environment for client to express feeling  Other:  FORMTEXT        Sessi011111111b]gd Okd$$IflF <'8 8 8 t0    4 la $Ifgd OV$If^V`gd O111128"8$8&8:8<8>8H8J888888888888999 9"9*9,9ŸřŪtŸŪc_h#!jh OCJOJQJU!jxh OCJOJQJU&jh OCJOJQJUmHnHu!jhh OCJOJQJUjh OCJOJQJUh O>*CJOJQJUh OCJOJQJh O5CJOJQJjh O5CJOJQJU)jh O5CJOJQJUmHnHu1111$8L8\8 $Ifgd O$a$gd O\kd$$Ifl<'' t04 laon time observed  FORMTEXT      minutesActual length of session 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