Scsu Mft Internship Evaluation (Supervisor Form)
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2SCSU MFT INTERNSHIP EVALUATION (Supervisor Form)
Name of Student: _______________________________
Term (circle one): Fall Spring Summer
Internship Site: _________________________________
Semester as intern (circle one): 1 2
Please evaluate the internship performance of the intern by checking the response category that
best describes your perception of his/her abilities or behavior.
Item
Excellent
Very
Average
Below
Unacceptable
Not
Observed
Good
Average
/Applicable
Demonstrates ability to think
systemically
Knowledge of the marriage and family
therapy theories
Practices according to the AAMFT
Code of Ethical Conduct
Practices according to the MN state
laws pertaining to the practice of MFT
Understands professional limits
Ability to translate assessment results
into empirically-based decisions and
evaluate the outcomes of services
Knows theory and literature related
to client’s problems and selects
appropriate treatment interventions
Readiness for employment
Demonstrates awareness of
transference and counter-
transference
Ability to create a treatment plan
Maintains accurate records in a timely
manner
Demonstrates the sensitivity and skills
to create, implement, and evaluate
effective strategies among individuals
with diverse characteristics (e.g.,
ethnic, cultural, SES)
Establishes effective therapeutic
relationships
Helps clients identify strengths
Can assess based on DSM-IV or 5
criteria
Can assess the level of risk of harm
that a client's behaviors pose
Ability to evaluate the effectiveness of
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