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Counselor_________________________________________________

Observer__________________________________________________

Name of the group___________________________________________  Date___________________

SKILLS DEMONSTRATED

RATING SCALE

1         2          3          4          5       n/a    yes     no

Client-Centered Techniques

Reflective listening – uses feeling statements

Paraphrasing – restates the clients message

Rephrasing – restates what the client said

Empathy – trying to see from the clients perspective

Acceptance – unconditional regard, respect.  Avoids agreement or disagreement

Transparency – self-awareness, state what you feel

OTHER:

Group Structure

Opening – strong start. Set tone. Introductory statement of material to be covered during the class.

Room preparation – chairs in a circle or group members seated in a manner that encourages participation, engagement.

Curriculum – approved, evidenced based material presented. Handouts and other materials ready before group starts.

OTHER:

Teaching Methods Used

Reading

Group discussion

Using client case as examples for the group

Game

Role playing

Process

Using the white board

OTHER:

OTHER:

OTHER:

Motivational Interviewing Skills

Ask permission to give feedback

State what you see in the clients’ behavior

State your concerns about the behavior

Assume that the client is aware and working on it

Ask client to clarify what they heard you say

Clarify misunderstandings and confirm a mutual understanding

OTHER:

Comments / Observations / Suggestions: ____________________________________________________________________

1/1/09 Version

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