Breadcrumb Home Other Checklists Social Worker Form Information Info Name * Last 4 digits of SSN * Contact Phone * Email * Proficiency Scale 1 = No Experience 2 = Need Training 3 = Able to perform with supervision 4 = Able to perform independently Knowledge of Assessment Process Psychosocial assessment (social history, living situation, career, hobbies, support systems, decision making, communication difficulties, flexibility, prolonged mental illness/emotional problems, lack of community/caregiver support, family discord) * Communication Abilities Develop and maintain communication with people on complex matters, issues, and ideas, and/or in complex situations * Personal and People Development Develop oneself and contribute to the development of others * Quality Improvement & Service Contribute to the improvement of services & maintain quality in own work and encourage others to do so * Health Protection & Well Being Implement aspects of a protection plan and review its effectiveness * High risk intervention/patient vulnerability or safety risk * Monitor and maintain health, safety, and security of self and others * Provide crisis intervention * Care Planning Assess complex health and well-being needs and develop, monitor, and review care plans to meet those needs * Knowledge and Information Resources Organize knowledge and information resources and provide information to meet needs * Demonstrates respect for patient/family confidentiality * Documentation Skills (accurate, timely, complete and legible) * Counseling for long range planning and decision making * Equality and Diversity Promote equality and value diversity * Experience in all or any of the following Medical Social Work * School Social Work * Clinical Social Work * Social Work - Admin/management * Social Work - Case manager * International Social Work * Social Work - Children & Families * Social Work in Acute Psychiatric Hospital * Forensic Social Work * Employment/Occupational Social Work * Social Work - Community Organizer * Age Specific Competencies Infant (Birth - 1 year) * Preschooler (ages 2-5 years) * Childhood (ages 6-12 years) * Adolescents (ages 13-21 years) * Young Adults (ages 22-39 years) * Adults (ages 40-64 years) * Older Adults (ages 65-79 years) * Elderly (ages 80+ years) *
