Treatment Observation Summary

Date of Observation:                                                                                                                      

Clinician:                                                                                                                                           

Supervisor:                                                                                                                                       

Client Initials:                                                                                                                                   

Rating Scale:  Ratings are relevant to this session only

X=Not Applicable

1=Skill not evident, requires constant supervisory modeling/intervention

2=Skill is emerging, requires frequent supervisor instruction/modeling

3=Demonstrated skill that needs refinement/consistency, requires supervisory monitoring

4=Well developed, consistent skill, requires supervisory guidance/collaboration

5=Primarily independent, requires supervisory consultation

 

Keep in mind that numeric ratings will change for each session, just because something is rated one number during this session does not mean that it will be that same number during a different session. 

Preparation (as evidenced in the lesson plan):

             Clear rationale for behavioral objectives/activities

             Appropriate written formulation of objectives (“do” statement, condition, criterion)

             Data from previous session used to determine behavioral goals

Eliciting target behaviors:

             Clear pre-instruction given for each target behavior

             Communication style adapted to needs of the client (vocabulary, language level, nonverbal communication)

_____ Target behaviors are modeled accurately

             Appropriate type of reinforcement

             Appropriate schedule of reinforcement

             Client behavior managed consistently in a firm yet nonthreatening manner

             Ability to judge responses accurately

             Target-specific feedback provided consistently           

             Consistent, accurate data collection

Session Management:

______ Brief summary of performance given after each activity.

             Therapy techniques appropriate for client’s age/developmental level and disorder

             Creative and appropriate therapy materials

_____  Skill in revising goals as necessary (scaffolding)

_____  Appropriate amount of target productions elicited/efficient session

             Client behavior managed consistently in a firm yet nonthreatening manner

             Appropriate home assignments given with written instruction and demonstration

_____ Client and/or significant other education provided at a level commensurate with learning ability

_____ Resources provided to client and/or significant other

Interaction Skills:

Nonverbal Behaviors

             The clinician maintains appropriate eye contact with the client

             The clinician was alert and responded with animated facial expression

             The clinician refrained from nonverbally reinforcing off task or irrelevant remarks

             The clinician demonstrated relaxed body posture, appropriate proxemics

             The clinician used a variety of vocal inflection patterns and appropriate rate

             The clinician’s voice was sufficiently loud to be heard by the client

             The clinician demonstrated active listening and an engaging demeanor

Verbal Behaviors:

             Most of the clinician’s questions were open ended

             The clinician did not monopolize the available talk time in the session

             The clinician used purposeful silences to encourage client response or elaboration

             The clinician answered directly when the client asked for information and/or an opinion

 
Appreciation:

 

 

 

Coaching:

 

 

 

 

Evaluation of your performance overall:

 

 

 

 

Printable Clinical Observation Template