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UVU MFT Practicum Handbook 2019-2020 PRACTICUM HANDBOOK Spring 2020

Transcript of American School of Professional Psychol - Welcome … › mft › docs ›...

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UVU MFT Practicum Handbook

2019-2020

PRACTICUM HANDBOOK

Spring 2020

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Table of Contents

Practicum Experience Overview .......................................................................................................3

Therapy Hour Requirements .............................................................................................................4

Supervision Hour Requirements .......................................................................................................5

UVU Practicum & Utah MFT Licensure Alignment .........................................................................6

Clinical Training Site & Supervisor Requirements ..........................................................................7

Clinical Training Site: Frequently Asked Questions ........................................................................12

Practicum Class Expectations ...........................................................................................................14

Practicum Outcomes & Evaluation ...................................................................................................15

Professional Behavior Expectations .................................................................................................18

Forms & Documents:

Petition for New Clinical Training Site ............................................................................................20

Memorandum of Understanding .......................................................................................................22

UVU MFT Roles & Responsibilities in Training .............................................................................24

MFT Clinical Training Site - Hour Tracking Record .......................................................................27

Monthly Summary of Clinical Hours ...............................................................................................28

MFT Trainee Competency Evaluation ..............................................................................................29

Terms used in UVU Policies governing clinical programs:

Director of Clinical Program: Individual with overall responsibility for both the didactive and clinical

components of a specific clinical program.

• Referenced as MFT Program Director within this handbook

Director of Clinical Education: Individual specifically responsible for providing support and oversight of

preceptors and trainees in the clinical component of the program. This individual might also be known as the

Field Education Director. In some clinical programs, the Director of Clinical Program may also fulfill this role.

Preceptor: An experienced clinical practitioner who supervises, trains, and mentors trainees in clinical settings.

Preceptors must be credentialled and state licensed to practice his/her specialization. Full-time clinical program

faculty may also serve as preceptors.

• Referenced as Clinical Site Supervisor within this handbook

Trainee: A student engaged in either the didactic component or clinical component of a clinical program

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Practicum Experience Overview

This document describes the training requirements for the Master of Arts in Marriage & Family

Therapy (MFT) degree program. It includes a description of required hours, procedures for

enrolling in practicum courses, descriptions of roles and responsibilities of students, supervisors

and faculty, and a description of relevant terms.

The practicum courses and hours are aligned with education requirements for Marriage & Family

Therapist (MFT) licensure in Utah.* Students are cautioned to regularly review all licensure

requirements of the jurisdiction in which they wish to pursue licensure.

*Utah Valley University does not guarantee third-party certification/licensure. Outside agencies control the requirements for

taking and passing certification/licensing exams and are subject to change without notice to Utah Valley University.

The Purpose of Practicum

It involves supervision of live sessions when possible, and discussion of supervised out-of-class field

training experiences. This training is designed to provide students with the opportunity to apply

theoretical knowledge; to implement, develop and assess the efficacy of family counseling techniques

based on this knowledge; and to develop the professional and personal attitudes important to the identity

of a marriage and family therapist.

Students are supervised by experienced clinicians and AAMFT-approved supervisors, who teach

relevant skills, provide supervision of ongoing work, and serve as role models of professional identity

and behavior.

The primary emphasis of training is the acquisition and refinement of core counseling skills, including

initial interviewing, empathic listening, rapport-building, case formulation, treatment planning,

establishing and maintaining appropriate conditions for counseling, evaluation of the counseling process

and progress, and management of transference and counter-transference phenomena.

Practicum Prerequisite:

Before a student may meet with a client and earn any hours toward graduation, students must be enrolled

in Practicum I. To be eligible to begin Practicum I, students must pass the Pre-Practicum course. Based

on faculty recommendation and a final decision by the Program Director, students who do not pass Pre-

Practicum will either be assigned an incomplete grade and complete remedial work while enrolled in

Practicum I, or be asked to retake Pre-Practicum.

At the end of each practicum course, MFT faculty review student skill progress and hour accrual.

Enrollment in every practicum course is contingent upon approval from the faculty, who will either

recommend enrollment or develop a remediation plan.

MFT faculty assign student enrollment to practicum sections.

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Therapy Hour Requirements

DOPL requirement (R156-60b-302a. Qualifications for Licensure - Education Requirements)

Supervised Clinical Practicum: (minimum 600 hours, at least 500 direct contact hours of

which 250 hours are with couples or families present and 100 hours of face to face

supervision)

COAMFTE v.12 foundational practice component (KE IV-C)

Includes a minimum of 500 clinical contact hours with individuals, couples, families and other

systems physically present... The 500 hours must occur over a minimum of 12 months of

clinical practice.

UVU MFT Program graduation requirement

Graduation from the UVU MFT program requires 600 total hours, including 500 DIRECT

therapy hours (250 must be relational therapy hours) acquired over at least twelve months (at

approximately 10-15 hours per week) under appropriate program-approved supervision.

• Direct hours include only therapy sessions during which the student is the primary

therapist.

• Relational hours include only therapy sessions during which multiple family members are

physically present.

Direct Therapy Hours in the UVU MFT Program:

• Clinical Hours may be counted when a student is primarily responsible for a therapy

session.

o When a student engages in co-therapy, the student must be fully engaged in the

planning, delivery and debrief of each therapy session. Co-therapy is not

shadowing a primary therapist, nor does it involve two therapists with

uncoordinated approaches to therapy providing therapy in the same session.

o Clinical Hours do not include time when a student is writing case notes, talking

with referral sources, or making reminder calls to clients.

o Clinical Hours are typically counted as a 50-minute hour.

• Clinical Hours may only be completed when the student and client are in the same

physical space. Clinical Hours may not be completed using any form of teletherapy.

o When a student provides therapy at a residential treatment center, a therapy

session provided to multiple co-residing clients at the same time may count as a

relational hour (e.g., group therapy with residents who live together).

o Therapy sessions provided with family members on the phone may not be counted

as a relational hour. Those sessions may count as an individual therapy hour as

long as the resident is in the same physical space as the student therapist.

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Supervision Hour Requirements

DOPL requirement (see R156-60b-302a. Qualifications for Licensure - Education Requirements)

(G) a clinical practicum of not fewer than 600 hours which includes not fewer than 100 hours

of face to face supervision and not fewer than 500 direct contact hours of face to face

supervised clinical practice of which not less than 250 hours shall be with couples or

families who are physically present in the therapy room.

DOPL requirement (see R156-60b. Marriage and Family Therapist Licensing Act Rule)

(4) "Face to face supervision" as described in Subsection R156-60b-302a(1)(b)(ii)(G) includes

both individual and group supervision.

(5) "Group supervision" means supervision between the supervisor and no more than three

supervisees, unless preapproved by the Board.

(6) "Individual supervision" means supervision between the supervisor and one or two

supervisees.

(7) "Practicum", as used in R156-60b-302a(1)(b)(ii)(G) means a clinical program of training

at an accredited school under general supervision in a setting other than a student's private practice.

COAMFTE v.12 foundational practice component (KE IV-C)

Students must receive at least 100 hours of supervision, and must receive supervision from

an AAMFT Approved Supervisor or Supervisor Candidate for at least one hour each week

in which they are seeing clients. Additional supervision may be provided by AAMFT

Approved Supervisors, Supervisor Equivalents, or State Approved Supervisors. Supervision can

be individual (one supervisor with one or two supervisees) or group (one supervisor and eight or

fewer students) and must include a minimum of 50 hours of supervision utilizing observable

data.

UVU MFT Program graduation requirement

Graduation from the UVU MFT program requires 600 total hours, including 500 DIRECT

therapy hours (250 must be relational therapy hours) acquired over at least twelve months (at

approximately 10-15 hours per week) under appropriate program-approved supervision.

• 100 Supervision hours are earned only during face to face supervision with your

supervisor.

• Students must receive at least 1 hour of supervision from an AAMFT-approved

supervisor during each week that the student meets with clients.

Supervision Hours utilizing observable data:

• Observable data refers to live supervision (behind the mirror, co-therapy, reflecting

team), and video/audio supervision (a recording created, transported, shared and deleted

in HIPAA-compliant ways).

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UVU Practicum & Utah MFT Licensure Alignment

Program requirements align with the Department of Professional Licensing (DOPL) requirements for

licensure as an Associate Marriage and Family Therapist. See the Marriage and Family Therapist

Licensing Act Rule, a section of which is copied below. (dopl.utah.gov/laws/R156-60b.pdf)

R156-60b-302a. Qualifications for Licensure - Education Requirements.

(1) Pursuant to Subsection 58-60-305(1)(d), an applicant applying for licensure as

a marriage and family therapist shall:

(a) produce certified transcripts evidencing completion of a master's or

doctorate degree in marriage and family therapy from a program accredited by the

Commission on Accreditation for Marriage and Family Therapy at the time the

applicant obtained the education; or

(b)(i) produce certified transcripts evidencing completion of a master's degree

in marriage and family therapy from a program accredited by a professional

accrediting body approved by the Council for Higher Education Accreditation of

the American Council on Education at the time the applicant obtained the

education.

(ii) A program under Subsection (1)(b)(i) shall include the following:

(A) six semester hours/nine quarter hours of course work in theoretical

foundations of marital and family therapy;

(B) nine semester hours/12 quarter hours of course work in assessment and

treatment in marriage and family therapy, including Diagnostic Statistical

Manual (DSM);

(C) six semester hours/nine quarter hours of course work in human development

and family studies which include ethnic minority issues, and gender issues

including sexuality, sexual functioning, and sexual identity;

(D) three semester hours/four and one-half quarter hours in professional ethics;

(E) three semester hours/four and one-half quarter hours in research methodology

and data analysis;

(F) three semester hours/four and one-half quarter hours in electives in

marriage and family therapy; and

(G) a clinical practicum of not fewer than 600 hours which includes not fewer

than 100 hours of face to face supervision and not fewer than 500 direct contact

hours of face to face supervised clinical practice of which not less than 250

hours shall be with couples or families who are physically present in the

therapy room.

LICENSURE NOTE: ABOUT YOUR PAPERWORK AND STATE LICENSURE

Students are responsible for keeping copies of their records (syllabi, hours on site and evaluations).

KEEP EVERYTHING.

Every jurisdiction is different. If you anticipate moving to another state, be sure to check their licensure

requirements well in advance. Take a moment now to download or request the licensure applications

from that jurisdiction. Get your papers in order. Start a portfolio with your training experience, including

your hours, a copy of your training agreement, Clinical Training Site information and contact

information. This can save you hours of hunting and tracking down people in the future.

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Clinical Training Site & Supervisor Requirements

The UVU MFT Program has relationships with several Clinical Training Sites. New sites may be

approved for students who identify a site that potentially meets the training requirements described

below. In this case, a student must prepare a Petition for New Clinical Training Site, and work with the

site to provide a description of the Clinical Training Site and training experience, preferably supported

by the Clinical Training Site’s own published program literature. Once these materials are provided, the

Director of Clinical Education will explore the possibility of approving the site. It is advised that you

begin the Clinical Training Site approval process as early as possible.

To be approved as a Clinical Site Supervisor:

Clinical Site Supervisors must be mental health professionals who have a minimum two years of

experience as fully licensed professionals in Marriage & Family Therapy, Clinical Social Work,

Professional Counseling or Clinical Psychology. Ideally, Clinical Site Supervisors are either Utah-

Approved Supervisors or AAMFT-Approved Supervisors/Candidates.

To be approved as a Clinical Training Site for UVU MFT students, the site needs to demonstrate:

• The Clinical Training Site is chartered or licensed by the appropriate state authority, if

applicable, and that has been in operation for at least two (2) full years.

• The Clinical Training Site has adequate facilities and equipment for the intern to carry out

designated responsibilities.

• A clearly articulated philosophy of and commitment to training which includes ideas about how

to introduce “novice” clinicians to a new area of skills and attitudes, how to assess students’

progress, and how to address possible training problems.

• The Clinical Training Site and those designated as supervisors comply with professional ethics

standards and practice guidelines published by the American Association for Marriage and

Family Therapy (AAMFT). The Clinical Training Site and the supervisor practice and permit

only those empirically based interventions that follow the current practice guidelines of AAMFT.

• Students will provide regularly scheduled individual and family counseling as a primary activity

at the Clinical Training Site.

o The agency has a sufficient number and variety of clients to assure students will have

some breadth as well as depth of experience in counseling. The nature of clients and

services offered must be appropriate for students whose primary goal is developing

family therapy skills.

▪ The student will not be required to find their own clients

▪ Students may not engage in private practice.

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o The student will not only shadow a senior therapist

▪ Shadowing and co-therapy with a senior therapist are excellent training tools,

which the program supports. However, students may only count clinical hours

when the student is primarily responsible for the therapy session. Therefore, the

student must be able to be directly involved in providing therapy to clients once

the Clinical Training Site determines the student is ready for that transition.

• The student will be able to provide therapy to clients who are physically present.

o The student will not provide tele-therapy

• A qualified supervisor is available for supervision and training of the student(s).

o Supervisors have previous experience in supervising students providing family

counseling and the agency has some prior experience in training mental health students

o The Clinical Site Supervisor is available to the student for questions and to support the

student in the situation of a client crisis

• The student will receive weekly supervision.

o The Clinical Site Supervisor will regularly review and sign off on treatment plans and

case notes

o The Clinical Site Supervisor will train the student to manage appropriate billing processes

o The Clinical Site Supervisor will verify student hours weekly

• The Clinical Training Site maintains HIPAA compliant standards.

o The site has established policies for maintaining the confidentiality of client PHI

o The site has established policies for case-note completion, management and storage

o The site will provide the student with an appropriately confidential place within which

the student can provide therapy

• The Clinical Training Site will allow the student to record and share client data with the MFT

program faculty.

o The site must permit audio or videotaping of some of the student’s clinical experiences

for the purpose of sharing in the MFT practicum with the client’s informed consent and

confidentiality being strictly maintained.

o The site can work with the program to create a process for HIPAA compliant recording,

transport and deletion of client data.

Nondiscrimination at Clinical Training Sites

The UVU MFT Program has a policy of non-discrimination against students with regard to race, age,

ethnic background, sexual orientation, genetic marker, or any other characteristic protected by state,

local or federal law. The UVU MFT program is committed to fostering the training of members of

groups currently under-represented in the profession of counseling. The UVU MFT program expects

students to provide direct therapy services to diverse, marginalized and under-served communities.

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Clinical Training sites approved by UVU’s MFT program are expected to conduct their selection and

training of students in a non-discriminatory manner. Clinical Training Sites are expected to select

applicants without regard to race, sex, age, ethnic background, sexual orientation, genetic marker, or any

other characteristic protected by state, local or federal law unless they have compelling legal or

therapeutic reasons for limiting the applicant pool. Clinical Training Sites that have a selection policy

that disallows students based on any of the above criteria must notify the MFT degree program and

clarify the legal (bona fide occupational qualifications) or therapeutic rationale for such policies. The

MFT degree program will approve such Clinical Training Sites only if, after consultation, it is

determined that an adequate legal or therapeutic rationale exists for the selection policies.

Clinical Training Sites must have published policies prohibiting discrimination on the basis of race, age,

ethnicity, socioeconomic status, disability, gender, health status, religion, national origin, sexual

orientation, gender identity or relationship status.

Restrictions on Clinical Training Sites and Agencies

Training may not be done in the student's place of employment, unless the student moves into a therapist

in training role and it is approved by the Director of Clinical Education.

Occasionally, the interpretation of what constitutes "place of employment" is unclear. For example, a

large corporation may own several smaller corporations which operate at different sites, managed by

different supervisors, serving different populations. A student may request the opportunity to train at a

subsidiary of the parent organization in which the student works. Students are required to consult with

the MFT degree program and will be required to submit a formal proposal for review, signed by both the

potential Clinical Site Supervisor and employment supervisor. The rationale for avoiding training at the

student’s place of employment is outlined as follows:

1. Dual Relationships: The Clinical Site Supervisor periodically evaluates the student's

progress in training and submits reports to the MFT degree program. These reports must be

objective, fair, and candid. Therefore, someone who is a co-worker, work supervisor, or

employer should not evaluate the student. The MFT Director of Clinical Education will evaluate

the student's training request to assure that no dual relationship exists. If you have any questions

about a dual relationship, discuss the situation with your practicum advisor immediately.

2. Multiple Identities: A student should enter a Clinical Training Site with a single identity:

a professional-in-training. Students attempting to train in their place of employment continue to

be identified as an employee. This identity can place competing demands on a student and thus

compromise the training that a student receives.

3. Financial Relationships: Students enter a Clinical Training Site placement as a student,

not as an employee, private practitioner, or independent contractor. Ideally, financial matters do

not impinge upon training/education. The educative and training mission should not be

compromised by financial considerations, such as compensation based on "productivity" or

"collections.”

4. Geographical Relationships: Occasionally, health organizations, like other corporations,

merge with or acquire other companies that are at some geographical distance from one another.

In these circumstances, the corporations continue to operate independently of one another and

are united "in name only.” Under these circumstances, a student may train at the separate

corporation, so long as the other criteria regarding separation of training and employment

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supervision are met.

5. Power in Relationships: Students enter training programs to be the recipients of

educational professional training experiences. This arrangement places the student in a role in

which the student depends upon the supervisor and the agency for a successful training

experience. Students may not hire their supervisors, nor pay the agency for their training

experience. Such arrangements remove the professional-in-training from the student role and

elevate the student to the status of business partner in the training process.

Apply to the Clinical Training Sites Directly

Once approved to begin practicum, you should contact potential Clinical Training Sites directly. You

can mail your application materials directly to prospective sites. You need to prepare a cover letter,

resume, references, and other specific materials requested by some training Clinical Training Sites.

(Individuals providing reference letters should be given several weeks notice.) In most instances,

students should plan on applying to three or more Clinical Training Sites. Be sure to check if the

Clinical Training Site has a particular start date. For example, if you are applying for January placement,

do not apply to sites that do not accept January starts.

Clinical Training Sites notify students who will not receive further consideration within a reasonable

time so students can make other arrangements. Clinical Training Sites vary in how and when applicants

are interviewed. Each Clinical Training Site has its own time schedule regarding the date that offers are

made and in what manner acceptances of offers by applicants are required. For the fall, many Clinical

Training Sites will make their selections in early March or April. For the winter and summer, selection

dates are typically more variable.

Notwithstanding that students are drawn to practice areas that interest them, the MFT degree program

emphasizes that the expectation for this training experience is skill building -- the setting where the

student is invited to train may not be the student’s first choice with respect to their ultimate career goals

– but the learning objectives for the training experiences focus on developing skills in relationship

building and case conceptualization, which will occur in any therapy setting.

Training Agreement Contract

Once the Clinical Training Site is confirmed, the student and supervisor must complete and return a

Memorandum of Understanding form, ALONG WITH YOUR SUPERVISOR’S RESUME, to the

Director of Clinical Education. This is the agreement between the student and supervisor that defines the

expectations in terms of Clinical Training Site work schedule, number of hours, schedule for supervision

and training requirements. This Memorandum of Understanding must be completed by the student with

his or her supervisor no later than two weeks prior to starting the practicum. Utah Valley University

needs the original document. Keep a copy of this form for your files. This is a binding contract. Once

this is signed, you are responsible to complete the agreement.

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Student Evaluations

Students will be evaluated by their Clinical Site Supervisor each semester during the course of their

training. Students will also evaluate their Clinical Training Site and Clinical Site Supervisor.

The evaluations will be completed online and submitted to the Director of Clinical Education

electronically. It is best if the student and Clinical Site Supervisor have an opportunity to review the

evaluations together prior to submission.

Evaluation of the student’s experience at the Clinical Training Site(s) is completed by the Clinical Site

Supervisor(s); however, the final grade is the responsibility of the University practicum instructor. In the

event the Clinical Site Supervisor submits a negative evaluation, the Director of Clinical Education will

consult with the Clinical Site Supervisor and bring this documentation to the MFT Program Director for

discussion. The student may be contacted to present his/her perspective of their clinical performance. If

the negative evaluation by either a Clinical Site Supervisor or practicum instructor is a serious concern,

the MFT Program Director will consult with the Director of Clinical Education and practicum instructor

to determine whether or not the student will be able to continue the experience, whether or not a failing

grade will be recorded, whether or not additional hours will be required, or whether or not there is

another appropriate course of action.

If unethical or unprofessional behavior is documented, a student’s program of study may be terminated.

Consent/Confidentiality

The program will loan the student a device for recording therapy sessions with clients. Recording should

only occur after written permission by the client is documented in the client’s file.

The program is primarily interested in providing feedback to you as a therapist in the session.

Therefore, it makes sense to ensure that the recording adequately shows you (it may not be necessary to

record client faces).

The recording of the therapy session should be protected by multiple locks, electronic and physical. The

recording device should be kept secure when transported from one location to another and when kept at

home or school. Stolen or lost devices should be reported to the program immediately so that data can

be deleted remotely by the university. Students are expected to replace stolen, broken and lost devices.

Students should never record a therapy session on any device other than the one provided by the

program.

Recordings of therapy sessions should be shared only during supervision with the Clinical Site

Supervisor and during practicum courses. Once a recording has been shared, it should be deleted from

the device.

Students are required to adequately disguise/remove identifying client information when turning in

written reports (case notes, treatment plans, and session transcripts) to practicum instructors or when

discussing cases during practicum group supervision.

At all times, students are expected to maintain data standards of recording, transport and deletion as

outlined by HIPAA, HITECH, and the AAMFT Code of Ethics.

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Clinical Training Site: Frequently Asked Questions

FAQs

Q: I work full time. How can I complete a practicum that needs 10 - 15 hours a week of my time? I

just cannot give up my employment.

A: Very careful planning - including consideration of financial aid available, adjustments to work

schedules, and the length of time you have allowed to complete the degree program. Many students

are changing careers, and some choose to begin transitioning to human services related jobs or a

combination of part-time or temporary positions in the counseling field while they are in the

master’s program.

Students must understand that the practicum requirement is necessary for graduation. If they cannot

find enough flexibility in employment to earn practicum hours, they may be unable to complete the

program.

Q: Can I do my practicum at my employment location?

A: No, not usually. Otherwise, multiple relationship issues arise. In larger organizations, if you can

show administrative separation between your employment supervisor and your Clinical Site

Supervisor, you may be able to use them as a Clinical Training Site. However, you must show an

organization chart that shows your training and employment supervisors report to different

individuals, and document, via proposal, signed by both supervisors that the experience is in

accordance with the guidelines identified herein. In some locations, you may not perform practicum

duties at your work location due to federal fair-labor laws: they cannot expect you to provide

services for free if you provide those, or very similar services, as an employee.

Q: Do we have any night/weekend training locations?

A: The specific hours you arrange to work at your Clinical Training Site are between you and your

Clinical Site Supervisor. Most Clinical Training Sites require your presence sometime during the day

to attend staff meetings, client staffing meetings, and student trainings. Clinical Training Sites that

offer only night/weekend therapy hours are rare. Most graduate students work a combination of full

or part-time work along with the training experience. It is a good idea when you first start graduate

school to discuss your eventual training requirements with your current employer to allow time to

consider adjustments to your employment schedule.

Q: What are Clinical Training Sites looking for in the students they accept?

A: In general, they are looking for students with an attitude of openness to new experience and

supervision, a curiosity about the field and about people, and a desire to apply and improve

counseling skills. To this end, you may expect interview questions about why you chose the

counseling field, what you personally have to offer to clients, and what your strengths are.

Interviewers may ask what was most important to you in the marriage and family therapy program.

They may ask if you have a particular theory of counseling. Supervisors look for students who show

some evidence of a willingness to explore their own motivation as well as a willingness to work with

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others. Some placements want their students to have some background experience in human

services delivery. To this end, it is always beneficial for students to obtain some volunteer

experience working with others.

Q: How can I be sure I get a Clinical Training Site?

A: Much in the same way you seek employment. Apply to a variety of Clinical Training Sites – at a

minimum three sites. We do not make placements; you must prepare and present yourself to the

various agencies and organizations. The Clinical Training Sites select students who they feel they

can work with. The key elements include:

• A well-written resume, that clearly articulates your objectives, clearly provides an employment

history, and provides a summary of your skills/qualifications and how they are useful to you in

working with people in mental health settings. Include your coursework to date. Include your

volunteer work and professional or interest organizations to which you belong.

• A well-written cover letter – SPECIFIC to the Clinical Training Site to which you are applying.

Briefly identify yourself, your reasons for wanting to work for them, and what you feel you have to

offer them. (Give them a reason to look at your resume and call you for an interview.)

• Have references available at your interview (names and phone numbers). Some Clinical Training

Sites require you to have written references as part of your application. Plan this in advance, by

getting your references before you apply to Clinical Training Sites.

• Return phone calls. Schedule interviews as soon as possible and honor those appointments.

Follow up after your interviews.

• Be prepared for your interviews. Dress professionally. Ask questions about their expectations

and answer their questions honestly. Be flexible in your expectations about hours and days and show

a willingness to adjust your personal schedule to be able to meet theirs.

Also, remember, this is a training experience. Your responsibility is to learn to apply core therapy

skills. No one expects you to be an expert. You are expected to learn about establishing therapeutic

relationships with people, maintaining empathy, and applying theoretical knowledge while you learn

about your own capabilities and limitations.

At this point, you do not need to be working with a specific population – it is more important to have

the opportunity to practice basic skills, rather than to obtain a training experience that works with

one particular population in which you are interested.

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Practicum Class Expectations

Each practicum class marks a point of student evaluation. Only students who are recommended by

faculty to continue from one practicum course to the next may continue in the practicum sequence.

Students who are not recommended for Practicum I will meet with the Student Development

Committee to discuss a plan for remediation.

• Students are expected to attend weekly supervision with an approved Clinical Site Supervisor

and to attend all hours of their weekly practicum classes.

• Students are expected to earn a minimum of 125 face-to-face therapy hours, at least 65 of

which must be relational, during each practicum course.

• Students may only accrue hours at Clinical Training Sites approved by the UVU MFT Director

of Clinical Education.

• Students are expected to obtain a signature from their Clinical Site Supervisor for clinical

hours each week. Students are expected to submit hours signed by the approved Clinical Site

Supervisor to the Director of Clinical Education at the end of each month.

• Students are expected to follow all processes for maintaining client confidentiality and for

protecting client health information, including adherence to HIPAA standards and laws.

• Students are expected to follow the standard of care recommended by their Clinical Site

Supervisor when treating clients

• Students are expected to make their Clinical Site Supervisor aware of the full breadth and

depth of all cases, which includes every client the student is treating at a Clinical Training Site.

• Students are expected to follow Clinical Training Site emergency procedures when they have

any reasonable belief that the client is in danger. Any situation where clients or the public are

in danger must be immediately reported to the Clinical Site Supervisor, practicum supervisor,

and/or MFT Administrative team.

• Students are expected to bring any non-emergency ethical issues and questions regarding cases

to the attention of their Clinical Site Supervisor and practicum instructor in the next scheduled

meeting with each.

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Practicum Outcomes & Evaluation

Any student earning hours toward graduation must be enrolled in a Practicum course. This course meets

on campus with no more than eight other practicum students and a practicum faculty supervisor. Each

UVU practicum faculty supervisor holds either Utah-approved or AAMFT approved supervisor status.

Each Practicum class is a 3-credit class. In addition to staffing cases, these courses are designed to take

material from required textbooks and integrate it into your practice and training. The specific material

and content of seminar meetings will vary depending upon the students’ and practicum supervisor’s

interest areas. All assignments and paperwork should be submitted in a timely manner.

Practicum courses are graded Pass/Fail. Receipt of a B grade or better is required to earn credit in a

practicum class; a B- is a failing grade.

The Program Goal associated with all Practicum courses is:

Clinical Skill

To accomplish this program goal, students must demonstrate competence

in the application MFT skills throughout the accrual of required clinical hours.

Practicum I-IV Course Description

Develops student competence in MFT assessment and intervention. Includes practice with diverse,

international, multicultural, marginalized, and/or underserved communities. Guides competence in

working with sexual and gender minorities and their families as well as anti-racist practices. Guides self-

awareness and self-reflection. Requires completion of case documentation, and effective use of

supervision and feedback.

Course Learning Outcomes

1. Apply effective MFT interventions with sensitivity to client contextual variables

2. Demonstrate timely case documentation

3. Implement supervision and feedback

4. Assess self-awareness and self-reflection

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To accomplish Course Learning Outcomes, it is expected that Practicum Students will:

1) Develop the self of the therapist through self-reflection and self-awareness

2) Refine a personal theory of change and change processes

3) Improve assessment, diagnosis and case formulation skills

4) Demonstrate respect for the uniqueness and inherent worth of all individuals

5) Formulate an approach to therapy that reflects an understanding of major theoretical models

and the process of change

6) Deliver evidence-based practice in clinical work

7) Increase competence in treating a variety of commonly presenting problems including

addiction, suicide, trauma, abuse, intra-familial violence, and therapy for individuals, couples,

and families managing acute chronic medical conditions

8) Discuss ethical and agency issues as they pertain to specific cases at a Training Site(s)

9) Provide and receive supportive and constructive feedback from peers and supervisor(s)

10) Demonstrate clear understanding of the use of supervision

Evaluation of Student Learning Outcomes

Practicum faculty and Clinical Site Supervisors are required to use the Marriage and Family Therapy

(MFT) Core Competencies to evaluate student clinical progress each semester.

Practicum courses also prepare students for the AMFTRB licensing exam. AMFTRB exam domains are

also used to evaluate student competence in clinical skill.

See the final section of this handbook for the MFT Practicum Student Core Competency Evaluation

Marriage and Family Therapy Core Competencies© The MFT core competencies (2004) were developed by AAMFT and interested stakeholders.

These competencies were developed for educators, trainers, regulators, researchers,

policymakers, and the public to improve the quality of services delivered by MFTs. The core

competencies represent the minimum expectation of competence demonstrated by an

independently licensed MFT. The UVU MFT program has identified competencies specific to

practicum courses and outcomes:

• 2.3.3 Apply effective and systemic interviewing techniques and strategies.

• 5.3.7 Practice within defined scope of practice and competence.

• 4.3.2 Deliver interventions in a way that is sensitive to special needs of clients (e.g., gender,

age, socioeconomic status, culture/race/ethnicity, sexual orientation, disability, personal

history, larger systems issues of the client).

• 1.5.2 Complete case documentation in a timely manner and in accordance with relevant laws

and policies.

• 2.5.1 Utilize consultation and supervision effectively.

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AMFTRB Exam Domains

The Association of MFT Regulatory Boards (amftrb.org) is a group of people who represent every

state’s licensing board. They oversee the national MFT licensing exam. The exam has six content

area domains. In Practicum courses, we emphasize and evaluate Domain 3 – Designing and

Conducting Treatment, and Domain 4 – Evaluating Ongoing Process and Terminating Treatment.

• 03.01 Evaluate and maintain quality of continuing therapeutic alliance.

• 03.02 Establish therapeutic contract(s).

• 03.03 Formulate short- and long-term goals by interpreting assessment information, in

collaboration with client as appropriate.

• 03.04 Develop a treatment plan reflecting a contextual understanding of presenting issues

• 03.17 Assist client(s) in developing decision making, coping, and problem-solving skills.

• 03.18 Assist client(s) in developing effective verbal and non-verbal communication skills in their

relational context(s).

• 03.21 Affect client behavior and/or perceptions through techniques (including but not limited to

metaphor, re-framing, rewriting narratives, mindfulness, and paradox).

• 03.22 Facilitate attempts of client(s) to develop new, alternate ways of resolving problems.

• 03.23 Integrate cultural knowledge of client(s) to facilitate effective treatment strategies.

• 04.03 Modify treatment plan in collaboration with client and collateral systems as indicated.

• 04.04 Plan for termination of treatment in collaboration with client and collateral systems.

• 04.05 Develop a plan in collaboration with client to maintain therapeutic gains after treatment

has ended.

** Students will be evaluated by their supervisors and students will evaluate themselves on

these competencies at the end of each practicum class.

Core Competency Evaluation forms should be submitted to the MFT Director of Clinical

Education. These forms will be included in the student’s academic file.

Under Fulfillment of Hours and Practicum Release

Students are expected to complete direct client hours in a way that demonstrates a development of

experience and skills over four semesters. If a student is not gaining experience and direct client

hours in a developmentally appropriate manner to achieve 500 hours by the end of the fourth

semester course, a Student Development Committee* (SDC) meeting will be required before the

student can move to the next practicum.

Additionally, if a student is released from a Clinical Training Site for any reason, an SDC meeting

will be scheduled to create a plan of action for that student.

*For additional information about policies pertaining to the Student Development Committee, please

refer to the MFT Graduate Handbook.

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Professional Behavior Expectations

Utah Valley University has a commitment to developing practitioners who demonstrate high levels

of professionalism and clinical skill. The MFT program is rigorous and demanding, and we require

that students continually apply themselves to all aspects of their professional preparation over an

extended period of time.

Students are required to complete academic requirements and conduct themselves in an ethical and

appropriate manner at the Clinical Training Site. Students are expected to be familiar with and abide

by the AAMFT Code of Ethics.

Any behavior that violates Professional Behavior Expectations will be reviewed carefully by the

MFT Program Director and Director of Clinical Education and may be referred to the Student

Development Committee.

The following are examples of inappropriate and unethical behaviors:

1. Failure to follow defined training guidelines.

2. Failure to appear for any scheduled event at a Clinical Training Site, such as a therapy session,

supervision, etc., without confirming the absence ahead of time with the Clinical Site Supervisor.

3. Taking vacation time without obtaining approval from the Clinical Site Supervisor.

4. Taping an interaction with a client without the expressed and written permission of the Clinical

Site Supervisor and client.

5. Removal or private use of any materials from the Clinical Training Site without approval of the

Clinical Site Supervisor.

6. Playing tapes of client sessions or presenting client material to another party without the

expressed permission of the Clinical Site Supervisor and the client.

7. Paperwork and case documentation not completed in a timely manner as required by the MFT

Program and/or the Clinical Training Site.

8. Withdrawing from or leaving the training experience (quitting) without the permission of the

Director of Clinical Education.

9. Accepting one Clinical Training Site, and then turning it down to accept another Clinical

Training Site.

10. Acting in a manner inconsistent with the AAMFT Ethical Code.

11. Demonstration of lewd or immoral conduct by a student in connection with the delivery of

services to clients or interactions with staff, faculty, or other students.

12. Demonstration of rude, demanding, or threatening behavior toward another member of the

training community or Utah Valley University community (student, faculty, staff, or

administration).

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13. Offering to provide or providing services that are beyond the scope of the student's training

experience or emotional functioning.

14. Conviction of a crime that has a direct bearing on the student’s ability to practice competently.

15. Continued practice by a student who has become unfit to practice under supervision due to:

a) Inappropriate behavior in counseling and academic settings; or

b) Addiction to, abuse of, or dependency on alcohol or other drugs which endanger the public by

impairing the practitioner's ability to practice safely.

Any questions about these training guidelines may be directed to your practicum supervisor and/or

the Director of Clinical Education.

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Petition for New Clinical Training Site

Please provide the potential Clinical Training Site with a copy of our Practicum Handbook for their review. A University interview with the

Clinical Training Site will be conducted as soon as possible upon receipt of this form. If the Clinical Training Site is determined to be

acceptable, a Memorandum of Understanding will be prepared for the Clinical Training Site Administrator and the MFT degree program.

Please return this form to the MFT Director of Clinical Education

IDENTIFYING DATA - STUDENT

Student: Date:

Address: City: State: ZIP:

Telephone:

UVU

E-mail:

IDENTIFYING DATA - CLINICAL TRAINING SITE

Site Name:

Program

Website:

Address: City: State: ZIP:

Contact Name: Telephone:

Supervisor: Lic, Cert: Telephone:

NOTE: Prospective Clinical Training Sites and Supervisors must be in compliance with the professional ethics

standards and practice guidelines of the American Association of Marriage and Family Therapists (AAMFT).

The Clinical Training Site and supervisor must practice and permit only those empirically based interventions

that follow the current practice guidelines of the AAMFT.

DESCRIPTION OF SITE: (include treatment population, kinds of services offered, non-profit, county or state operated facility, years in

operation.)

DESCRIPTION OF STAFF: (Number of personnel, licensed, degrees, specialty areas)

ASSOCIATION WITH UNIVERSITY/COLLEGE TRAINING PROGRAMS: (Describe or list other educational institutions with

which this Clinical Training Site has affiliations.)

CLINICAL TRAINING SITE SCHEDULE:

Expected Start Date: Expected Completion Date:

Number of Days Per Week: Number of Hours Per Week:

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DESCRIPTION OF CLINICAL ACTIVITIES: (Indicate direct, non-direct activities, supervision and training activities expected and

estimated number of hours.) Note: you must have 500 direct hours total, 250 hours direct experience with more than one family member

present, and minimally one hour of individual supervision per week.

Describe Activity

(individual, couple, family, intake, psyched, report writing,

research, program development, etc.)

Type of Hours

(direct/indirect/supervision/training)

Average Weekly Time

Are you able to videotape at this Clinical Training Site? [ ] Yes [ ] No

DESCRIPTION OF SUPERVISOR’S CREDENTIALS: (licensed marriage and family therapist, Utah-Approved Supervisor, AAMFT)

DESCRIPTION OF SUPERVISION SCHEDULE: (Your Clinical Site Supervisor must agree to minimally one hour per week of

individual supervision.)

NOTE: Prohibition of use of workplace and for training experience

The MFT degree program does not allow use of the student’s workplace as a Clinical Training Site. If the student is employed by the

potential training agency, student must petition the MFT degree program for permission to use the worksite, and must demonstrate in

writing the administrative separation of work and training site (training supervisor and employment supervisor report to different

supervisors), as well as separation of employment and training client populations. Both the potential training supervisor and employment

supervisor must sign off on the student’s written request.

NOTE: Nondiscrimination at Clinical Training Sites

The UVU MFT Program has a policy of non-discrimination against students with regard to race, age, ethnic background, sexual

orientation, genetic marker, or any other characteristic protected by state, local or federal law. The UVU MFT program is committed to

fostering the training of members of groups currently under-represented in the profession of counseling. The UVU MFT program expects

students to provide direct therapy services to diverse, marginalized and under-served communities.

Clinical Training Sites approved by UVU’s MFT program are expected to conduct their selection and training of students in a non-

discriminatory manner. Clinical Training Sites are expected to select applicants without regard to race, sex, age, ethnic background, sexual

orientation, genetic marker, or any other characteristic protected by state, local or federal law unless they have compelling legal or

therapeutic reasons for limiting the applicant pool. Clinical Training Sites that have a selection policy that disallows students based on any

of the above criteria must notify the MFT degree program and clarify the legal (bona fide occupational qualifications) or therapeutic

rationale for such policies. The MFT degree program will approve such Clinical Training Sites only if, after consultation, it is determined

that an adequate legal or therapeutic rationale exists for the selection policies.

Return this completed form to:

UVU MFT Director of Clinical Education

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MEMORANDUM of UNDERSTANDING

Trainee Name: _______________________________________ Student ID#: _________________________

Agency Name: _____________________________ Address: _______________________________________

Agency Contact Person: __________________________________ Phone #: ________________________

Agency Contact Person Email Address: _________________________________________________________

Clinical Site Supervisor Name (Print)___________________________________________________________

Email Address: __________________________________________ Phone #:________________________

License Type: ________________ License #: __________________ Date of Expiration:________________

It is hereby formally agreed that the graduate student specified above will obtain clinical experience

and supervision at the above-referenced agency.

MFT Clinical Experience/Practicum Requirements:

• 600 total hours of supervised clinical experience. Minimum 500 hours of direct clinical

practice (including 250 hours with couples or families present in the therapy room) and 100

hours of face-to-face supervision required.

The MFT graduate student/Trainee is expected to participate in staff meetings and in-service training.

The specific type of experience will be based upon the needs and structure of the agency and upon any

relevant guidelines established by law and/or the Utah Division of Occupational and Professional

Licensing (DOPL).

The Clinical Site Supervisor agrees that he/she/they:

1. Has and will maintain a current license in good standing and will notify the trainee and Director

of Clinical Education at Utah Valley University of any disciplinary action taken against the

supervisor’s license, including suspension or probation.

2. Shall notify each client in writing prior to performing any professional services that the trainee is

unlicensed and under your clinical supervision.

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3. Shall take reasonable steps to ensure that the trainee properly assesses and treats each client via

clinical interviewing and appropriate psychological treatment interventions.

4. Shall monitor the quality of counseling performed by the trainee by means of direct observation,

video recording, and review of case notes and report writing.

5. Shall provide required face to face supervision during student supervised clinical practice.

Supervision shall meet Utah DOPL administrative code R156-60b-302a-(1) (vii).

6. Have reviewed the Roles and Responsibilities in Training document and shall fulfill all roles

expected of a Clinical Site Supervisor.

7. Shall provide at least one week’s written notice to both the Utah Valley University Director of

Clinical Education and the graduate student of the supervisor’s intent not to certify any

additional hours of experience for the trainee. Without such notice, the supervisor shall sign for

hours of experience obtained in good faith and for which required supervision was provided.

8. Shall adhere (as a representative of the affiliated agency) to the Utah Valley University Clinical

Training policies, including remediation policies and procedures for trainees and/or site issues

which cannot be resolved on an informal basis.

9. Shall not be responsible for the student’s malpractice insurance coverage. Instead, Utah Valley

University shall be responsible for such coverage in the amount of $2 million/$4 million

(occurrence policy), and Utah Valley University shall provide the student’s Clinical Site

Supervisor with proof of insurance coverage for the duration of the student’s practicum

experience.

I agree to all of the above terms and conditions for graduate student placement and supervision:

Date: _____________ Signature of Clinical Site Supervisor: __________________________________

Date: _____________ Signature of Trainee:________________________________________________

Date: _____________ Signature of Director of Clinical Education: _____________________________

Additional Contact information:

Trainee Phone #: ______________________________ Email Address: ________________________

Director of Clinical Education Phone #: ___________________ Email Address: _________________

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UVU MFT Roles & Responsibilities in Training

COAMFTE v.12 foundational practice component (KE IV-C)

Programs have agreements with practice sites that outline the institutions’, the practice sites’

and the students’ responsibilities, and published procedures in place for managing any

difficulties with sites, supervisors, or students.

The training experiences unite student, Clinical Site Supervisor, practicum instructor and the MFT

program in a working relationship in which all parties are responsible to each other. Prior to signing

the Memorandum of Understanding, this document should be discussed by the Trainee and Clinical

Site Supervisor.

Clinical Site Supervisor Those involved in training marriage and family therapy students shall:

1. Maintain their MFT license and status as a Utah-approved or AAMFT-Approved supervisor.

2. Conduct themselves in an ethical and professional manner in all training activities. Utah law, the

AAMFT Codes of Ethics and Standards of Practice shall govern their behavior at all times. The

Clinical Site Supervisor practices and permits only those empirically based interventions that

follow the current practice guidelines of AAMFT.

3. Provide student(s) with an appropriate orientation to the policies and procedures of the

externship site.

4. Communicate clear expectations to student(s).

5. Set up regular, pre-set, uninterrupted times for supervision.

6. Make arrangements to be available for student consultation in the case of a clinical emergency.

7. Provide adequate clinical opportunities for the students to meet training requirements.

8. Not allow students to provide more than 15 hours of direct client contact per week, unless a

written exception is provided by the Director of Clinical Training to provide up to 20 hours per

week.

9. Sign accurate hour logs of student hours during weekly supervision

10. Evaluate student(s) in a timely manner.

11. Give clear and frequent feedback to student(s) regarding their progress in training.

12. Inform the Director of Clinical Education as early as possible of any difficulties with the student

at the Clinical Training Site.

13. Inform the Director of Clinical Education of any changes in the training experience (e.g.,

supervisor change; change in treatment populations, termination of relationship with student).

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14. Maintain an up-to-date resume and supervisor certificate with the MFT degree program.

The Marriage and Family Therapy Program The UVU MFT Program shall:

1. Secure and maintain a Memorandum of Understanding with every approved Clinical Training

Site.

2. Develop relationships with new training sites and monitor the quality of training in existing sites.

3. Maintain working relationships with Clinical Training Sites.

4. Conduct regular visits to Clinical Training Sites.

5. Facilitate communication with agency personnel, supervisors, and students to resolve difficulties

with a Clinical Training Site, Clinical Site Supervisor or student.

6. Document insurance coverage for students while they are a student in training at a site.

7. Evaluate student readiness for practicum.

8. Consult with student and Clinical Site Supervisor regarding student progress.

9. Maintain up-to-date records of student progress in hours and competencies.

10. Monitor student progress for continued enrollment throughout practicum courses.

11. Schedule exit interview with student and Clinical Site Supervisor.

12. Uphold policies and practices that align the program with COAMFTE standards.

Trainee MFT Student providing therapy at an approved Clinical Training Site:

1. Conduct themselves in an ethical and professional manner in all training activities. Utah law, the

AAMFT Codes of Ethics and Standards of Practice shall govern their behavior at all times at the

Clinical Training Site as well as at school. The student must practice only those empirically

based interventions that follow the current practice guidelines of AAMFT.

2. Integrate themselves into Clinical Training Site and develop respectful working relationships

with staff and clients. Avoid any behavior inconsistent with the identity of a Marriage and

Family Therapist.

3. Appear for all events for which they have been contracted. They should clear vacation times

with their Clinical Training Site and Clinical Site supervisors.

4. Cultivate an attitude of openness to self-examination, supervision, and new learning.

5. Deliver empirically based interventions consistent with a systemic approach to therapy.

6. Immediately inform their Clinical Site Supervisor and the practicum supervisor of any clinical

difficulties encountered.

7. Communicate with the Director of Clinical Education about difficulties with the Clinical

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Training Site or Clinical Site Supervisor.

8. Make effective use of supervision by preparing for weekly supervision sessions with Clinical

Site Supervisor.

9. Record, transport and delete all client data/Patient Health Information in a HIPAA compliant

manner, as directed by the program and Clinical Training Site.

10. Remember that they represent Utah Valley University and are under contract as a practicum

student. (If you choose to leave your Clinical Training Site without permission by the site and

Utah Valley University, you may be held liable for breach of contract.)

11. Immediately notify the Director of Clinical Education of any change of status with your Clinical

Training Site.

12. At the end of each practicum class, provide a link to the MFT Competency Evaluation to your

Clinical Site Supervisor and complete your evaluation of the Clinical Training Site. Meet with

your Clinical Site Supervisor to review both evaluations.

Additional Practicum Student Responsibilities

1. During your practicum experiences you are required to record your direct therapy hours on the

MFT Hour-Tracking Record. After your Clinical Site Supervisor has signed your monthly record

sheet, provide a copy of this document to the Director of Clinical Education. Maintain all

original logs in a file until the end of your clinical experience. You will be asked to provide

original hour records during the Capstone course.

2. You are required to attend weekly practicum class with your practicum faculty supervisor.

3. Maintain Professional Behavior Expectations described within the Practicum Handbook.

4. If at any time you have concerns (e.g., negative feedback, ethical or legal concerns, personal

issues that impact your performance, etc.) regarding your practicum experience, you must notify

your practicum supervisor immediately.

5. Always bring relevant material from client sessions to supervision. Students are expected to be

responsive to direction and guidance from their supervisors, and to implement supervision

guidance into their work with clients.

6. Transport and manage client data/Protected Health Information in a manner that is HIPAA

compliant, as directed by the program.

7. At the end of your practicum experience you are required to schedule an exit interview with

yourself, your Clinical Site Supervisor and the Director of Clinical Education. One week prior to

this interview, submit your final hour summary and final evaluation of your Clinical Training

Site to the Director of Clinical Education. The exit interview may be held in person or by phone

conference. The exit interview will be held only after the Director of Clinical Education receives

the above documentation. Final grades for your Capstone or final practicum course (depending

upon student enrollment) will be submitted only after completion of the exit interview and

documentation of completion of all required therapy and supervision hours.

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MFT Clinical Training Site - Hour Tracking Record

Trainee/Practicum Student Name: ____________________________ For the Week of: ___________, 2020

Activities Mon Tues Wed Thurs Fri Sat/Sun Weekly

Total

Direct Client Hours

Individual Therapy

(individuals/groups)

2.

Couple or Family

Therapy

3.

Totals Direct 1.

MFT practice with

diverse, marginalized,

and/or underserved

communities (indicate

the number of hours

each day). *

8.

Supervision Hours

Direct Data (video, live) 5.

Case Report

(individual or group)

6.

Total Supervision 4.

AAMFT Supervision

(check box to indicate

which day you had 1

hour of AAMFT Sup at

your training site)

7.

*These hours should be already counted in the rows above and included in the total. This just a way to

look at the number of hours that you practiced with diverse, marginalized and/or underserved communities.

By signing below, I attest that these hours are accurate to the best of my knowledge, and I realize that I may be

asked to provide further documentation (e.g., contact logs) to support this data.

________________________________ _____________________________

Practicum Student’s Signature Clinical Site Supervisor’s Signature

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Trainee Name: _______________________________________

Clinical Training Hours earned during the Month of: __________________________

At the Clinical Training Site: _____________________________________________

Submitted to Director of Clinical Education on (date): _________________________

Monthly Summary of Clinical Hours based on weekly Hour Tracking Records

Week Total

Direct

Therapy

Hours

Individ-

ual

Therapy

Hours

Relation-

al

Therapy

Hours

Total

Super-

vision

Hours

Direct

Data

Super-

vision

Case

Report

Super-

vision

Check box

for 1 hour

of AAMFT

Supervision

Direct

hours

with

diverse

clients

Ex: 1/06 1. 2. 3. 4. 5. 6. 7. 8.

Totals

for

Month:

Cumul-

ative

Totals:

By signing below, I attest that these hours are accurate to the best of my knowledge, and I realize that I may be

asked to provide further documentation (e.g., contact logs) to support this data.

________________________________ _____________________________

Practicum Student’s Signature Clinical Site Supervisor’s Signature

Make enough copies of this log to cover the duration of your clinical training.

Be sure to keep a copy of all completed and signed logs for your records.

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MFT Trainee Competency Evaluation

Trainee/Student’s Name: Date:

As the Clinical Site Supervisor, please use the following five-point scale to rate your trainee’s

developing clinical competence. Please take an opportunity to discuss these ratings together.

5 4 3 2 1

Developmentally,

the Trainee is

exceeding

expectations of

competence in

this area.

Developmentally,

the Trainee is

right on target

with expectations

of competence in

this area.

Developmentally,

the Trainee is

approaching

expectations of

competence in this

area.

Developmentally,

the Trainee is

below

expectations of

competence in

this area.

Developmentally,

the Trainee is

seriously

deficient

in this area of

competence.

Explanation of how the program

interprets these areas:

Trainee will soon be

on target. They are

improving. I have

no serious concerns.

Trainee is not

meeting

expectations and

not improving. I

have concerns.

Trainee is a serious

concern. I would

like to talk with the

Director of Clinical

Education. *

Number Sub

domain AAMFT Core Competence Sup Eval

1.5.2 Professional Complete case documentation in a timely manner and in accordance

with relevant laws and policies.

2.3.3 Executive Apply effective and systemic interviewing techniques and strategies.

2.5.1 Professional Utilize consultation and supervision effectively.

4.3.2 Executive

Deliver interventions in a way that is sensitive to special needs of

clients (e.g., gender, age, socioeconomic status, culture/race/ethnicity,

sexual orientation, disability, personal history, larger systems issues of

the client).

5.3.7 Executive Practice within defined scope of practice and competence.

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AMFTRB Exam

Domain 3 Designing and Conducting Treatment

03.01 Evaluate and maintain quality of continuing therapeutic alliance.

03.02 Establish therapeutic contract(s).

03.03 Formulate short- and long-term goals by interpreting assessment

information, in collaboration with client as appropriate.

03.04 Develop a treatment plan reflecting a contextual understanding of

presenting issues

03.17 Assist client(s) in developing decision making, coping, and

problem-solving skills.

03.18 Assist client(s) in developing effective verbal and non-verbal

communication skills in their relational context(s).

03.21

Affect client behavior and/or perceptions through techniques

(including but not limited to metaphor, re-framing, rewriting

narratives, mindfulness, and paradox).

03.22 Facilitate attempts of client(s) to develop new, alternate ways of

resolving problems.

03.23 Integrate cultural knowledge of client(s) to facilitate effective

treatment strategies.

AMFTRB Exam

Domain 4 Evaluating Ongoing Process and Terminating Treatment

04.03 Modify treatment plan in collaboration with client and collateral

systems as indicated.

04.04 Plan for termination of treatment in collaboration with client and

collateral systems.

04.05 Develop a plan in collaboration with client to maintain

therapeutic gains after treatment has ended.

______________

Clinical Site Supervisor Signature Date

*If you need the UVU MFT Director of Clinical Education to follow-up regarding this evaluation, please include

your email address: ______________________________________________