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Observer__________________________________________________Date___________________

Type of interaction: ________________________________________ (assessment, treatment planning/review, 1x1 session, conflict resolution, transfer of care planning, other.)

SKILLS DEMONSTRATEDRATING SCALE

ENGAGEMENT SKILLS1   2   3  4  5   n/a   yes  no

Convey warmth, respect and genuineness in a culturally appropriate manner

Demonstrate active listening, reflective listening, affirming, summarizing

Counseling style matches the tone of the interaction

Counseling style matches the client’s stage of change

WORKING THROUGH SKILLS1   2   3  4  5   n/a   yes  no

Clinical and treatment plan present, reviewed, updated

Worked collaboratively to identify goals and formulate plans/goals

Maintained clinical focus regarding progress towards goals

Recognize and address ambivalence and resistence appropriately

Ability to re-frame and redirect negative behaviors

Model and teach effective decision making and problem solving skills

MOTIVATIONAL INTERVIEWING SKILLS1   2   3  4  5   n/a   yes  no

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

CLOSING SKILLS1   2   3  4  5   n/a   yes  no

Ability to summarize and review interaction

Highlight cient strengths

Progress note completed

Questions for review of session

What counseling methods did you use and feel most comfortable with?

What was your biggest challenge in this session?

What did you do well?

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