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: