Motivational Interviewing Assessment: Supervisory Tools For Enhancing Proficiency Page 3

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Motivational Interviewing Assessment: Supervisory Tools for Enhancing Proficiency
2. Competence: Skill Level
When rating Skill Level, the starting point for rating
each item should be “4.” That is, supervisors should
The clinician’s competence or Skill Level refers to the
begin by assuming that a clinician will behave
clinician’s demonstration of:
adequately or at an average level. Supervisors assigning
scale scores above or below a “4,” should have examples
or notations in mind to support their scores. To help
expertise and competence
supervisors with this task, the Guide provides Skill
appropriate timing of intervention
Level Rating Guidelines that describe how a specific
clarity of language
strategy is of higher or lower quality than an “adequate”
responding to where the client appears to be
rating of 4.
All supervisors use the following definitions to make
A useful method for recording Skill Level ratings while
their final Skill Level ratings for each item:
listening to a session is to combine them with the hash
mark system. When a strategy occurs with adequate
skill, the supervisor records a simple hash mark without
a notation about quality (/). The absence of a notation
always connotes adequate skill
RATING OF:
level. If a strategy occurs with
more or less than adequate skill,
The variable was not observed (i.e., rated
9 = Not at all .....
the supervisor records a hash
“1” for Frequency and Extensiveness).
mark with a superscripted
The clinician handled this in an
number that corresponds to the
1 = Very poor …..
unacceptable, even unprofessional
specific Skill Level rating. For
manner.
example, a strategy
implemented with poor skill
The clinician handled this poorly (e.g.,
2
would look like /
. A strategy
showing clear lack of expertise,
implemented with very good
2 = Poor ............
understanding, competence, or
6
skill would look like /
. The
commitment, inappropriate timing,
supervisors also may include a
unclear language).
few narrative examples of
higher or lower quality
The clinician handled this in an
strategies on the worksheet. In
acceptable, but less than ‘average’
3 = Acceptable ..
this manner, the supervisors can
manner.
organize the data efficiently and
The clinician handled this in a manner
more easily cull and average the
characteristic of an ‘average’, ‘good
4 = Adequate ....
varying Skill Level ratings to
enough’ clinician.
determine and justify the final
competency ratings for each
The clinician handled this in a manner
5 = Good ...........
item. These narratives also are
slightly better than ‘average.’
very useful in supervision to
The clinician demonstrated skill and
provide specific examples.
6 = Very good ....
expertise in handling this issue.
Although there may be
The clinician demonstrated a high level
significant overlap between the
7 = Excellent ......
of excellence and mastery in this area.
Skill Level and its effectiveness
(implied by the client’s verbal
response), Skill Level is not the
same as effectiveness in that it
does not require the client’s
positive response. A clinician
may score highly on Skill Level
for a particular item regardless
of the client’s response. Of
equal importance, Skill Level

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