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1. For Mental Health Practitioners in their probationary period (one duty year).
Evaluation Process
1. Mental Health Practitioners will complete the standards rubric based on their own perception of their job
performance.
2. Supervisors will complete the standards rubric based on their own observations and the input of others
who work with the Mental Health Practitioners.
3. The Supervisor and Mental Health Practitioner will meet to discuss the performance evaluation and any
differences noted on the rubric.
4. The Supervisor will submit his/her final rubric and summary evaluation to the Human Resource
Department, and the evaluation will be placed in the Mental Health Practitioners Personnel File.
Supervisors may develop an Improvement Plan or take disciplinary action according to the labor agreement
with the School and Community Services Professional bargaining unit. Supervisors are encouraged to
contact the Human Resources Department for assistance in these matters.
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October 2002
Fails to support teachers in creating Supports teachers in creating a Supports teachers in creating an
N/A a positive classroom community positive classroom community exceptional classroom community
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Notes
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DOMAIN 1: THE CLASSROOM ENVIRONMENT (Continued)
SKILL AREA PERFORMANCE LEVEL
Managing
Classroom Below Standard Meets Standard Exceeds Standard
Procedures
Some needed equipment or Prepares materials and equipment Materials are exceptionally well
N/A materials are missing or poorly as needed prepared
planned
Fails to learn and/or follow safety Knows and follows safety Helps develop safety procedures
N/A procedures procedures for site/program
Notes
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DOMAIN 1: THE CLASSROOM ENVIRONMENT (Continued)
Fails to effectively monitor student Effectively monitors student Supports teacher in establishing
N/A behavior and minimize disruptions behaviors and works to minimize highly effective and proactive
disruptions classroom management
Notes
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DOMAIN 2: ELEMENTS OF EFFECTIVE SKILLS, TRAINING AND PRACTICES
Limited or no use of student work Uses student work to assess the Uses student work to thoroughly
N/A to assess the effectiveness of effectiveness of instruction assess the effectiveness of
lessons instruction
Does not effectively assist students Assists students to effectively use Assists students to access and
N/A to use technology in learning technology in learning present information using a variety
of technologies
Fails to follow therapy plan and/or Follows therapy plan and seeks Contributes to developing therapy
N/A seek clarification and directions as clarification and direction as plan
needed needed
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Notes
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DOMAIN 2: ELEMENTS OF EFFECTIVE SKILLS, TRAINING AND PRACTICES (Continued)
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Notes
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DOMAIN 2: ELEMENTS OF EFFECTIVE SKILLS, TRAINING AND PRACTICES (Continued)
Directions are confusing and/or Directions are clear, appropriate, Directions are clear to students and
N/A unclear and are modified as needed anticipate misunderstanding
Accommodations for English Accommodates English Language Multiple and highly effective
N/A Language Learners are inadequate Learners while encouraging accommodations are made for
or ineffective students to communicate in English Language Learners
English
Fails to give constructive and Gives instructional feedback to Gives exceptionally helpful
N/A timely feedback to students students that is constructive and feedback to students
timely
Notes
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DOMAIN 2: ELEMENTS OF EFFECTIVE SKILLS, TRAINING AND PRACTICES (Continued)
Activities and assignments are Assists students in activities, Activities and assignments result in
N/A often busy work assignments and materials that student initiation of new ways to
capitalize on their interests, understand the content
abilities and experiences
Notes
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DOMAIN 2: ELEMENTS OF EFFECTIVE SKILLS, TRAINING AND PRACTICES (Continued)
No clear goals or measures of Collects data to show better Trains others in methods to collect
N/A outcome of individual counseling student self knowledge and outcome data for individual
interpersonal skills as a result of counseling
individual counseling
Notes
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DOMAIN 2: ELEMENTS OF EFFECTIVE SKILLS, TRAINING AND PRACTICES (Continued)
Groups are disorganized, not goal Targeted skills are acquired Trains others to conduct effective
N/A oriented through group process with the groups which lead to generalization
goal that skills are generalized to
other settings
Notes
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DOMAIN 3: PROFESSIONAL RESPONSIBILITIES
Does not follow requirements for Follows requirements for 3rd party
N/A 3rd party billing documentation and billing documentation and
timelines timelines
Fails to gather and record data Gathers and records data regarding
N/A regarding student achievement and student achievement and behavior
behavior
Fails to accept and follow direction Accepts and follows direction from
N/A from teacher(s) and supervisor(s) teacher(s) and supervisor(s)
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Notes
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DOMAIN 3: PROFESSIONAL RESPONSIBILITIES (Continued)
SKILL AREA PERFORMANCE LEVEL
Informing
Families as
Below Standard Meets Standard Exceeds Standard
Required by Job
Description
Communications with parents are Communications with parents are Provides appropriate feedback to
N/A not timely, appropriate, accurate timely, appropriate and accurate parents with great sensitivity
Rarely engages families in the Engages families in the program Encourages students to engage their
N/A program families in the program
Makes minimal efforts to identify Identifies resources that provide Assists families in accessing
N/A resources to help students and student and family support resources
families
Notes
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DOMAIN 3: PROFESSIONAL RESPONSIBILITIES (Continued)
SKILL AREA PERFORMANCE LEVEL
Commitment to
Professional Below Standard Meets Standard Exceeds Standard
Growth
Ignores or minimizes feedback Accepts feedback from colleagues Actively seeks feedback from
N/A from colleagues and supervisors and supervisors colleagues and supervisors
Does not attend or fails to Attends and participates in a Actively attends and participates
N/A participate in a Professional Professional Learning Community regularly in a Professional
Learning Community Learning Community
Client feedback is only solicited if Uses parent and student feedback A variety of client feedback surveys
N/A required, and results are ignored or surveys for professional growth are sought and effectively used
minimized
Notes
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DOMAIN 3: PROFESSIONAL RESPONSIBILITIES (Continued)
SKILL AREA PERFORMANCE LEVEL
Collaboration
Below Standard Meets Standard Exceeds Standard
with Staff
Ineffective communication with Effectively communicates with and Effectively communicates with
N/A staff supports the staff and staff and identifies resources for
administration solving staff problems
May be critical or rigid, ineffective Demonstrates effective problem Is proactive and highly valued as a
N/A in problem solving solving skills resource to help solve problems
Impedes the process of team or Works effectively as a member of a Takes leadership on teams or
N/A departmental meetings team or department committees
Rarely collaborates with specialists Effectively collaborates with staff Seeks specific help from
N/A specialists
Tends to be isolated or avoids Assists other MHPs when Contributes to the profession by
N/A professional discussions appropriate mentoring, publishing, etc.
Notes
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Standards of Effective Practice for Mental Health Practitioners
SUMMARY EVALUATION
Please rate the overall performance of ___________________________________________________________
Mental Health Practitioner
School Year Program
Evaluation
_______________________________________________
_______________________________________________
_______________________________________________
This performance appraisal has been discussed with me, and I have received a copy of it.
(Mental Health Practitioner may submit a letter for inclusion in their personnel file pertaining to this appraisal)
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