STUDENT WORKPLACE SUPERVISOR REPORT
CHCDIS007
Facilitate the empowerment of people with a disability
WORK PLACEMENT TASK: PROJECT
What do I need in order to complete this assessment?
When do I do this task?
what do I need to do if I get something wrong?
Instructions:
You must obtain permission from your supervisor to work with each client. Use the permission form at the end of this task. You will be supervised at all times during your work with these clients.
Your supervisor will sign each of your interview templates to support that each is a true and accurate account of what occurred.
CHCDIS007 – Permission Form Client 1 |
Client approval Dear My name is and I am studying the CHC43115 Certificate IV in Disability As part of my study I am required to interview a client with a disability to develop a strategy and empower each client I am asking for your permission to interview you for this project. The interview will consist of no more than 6 questions about the following:
I will be supervised at all times during this task. I would welcome your participation in this project. Please sign below to show your agreement. Name: Signature: Date: |
Supervisor’s approval – Client 1 I, <supervisor’s name> approve <student’s name> to undertake this project with <client’s name>. Approval is dependent on the following conditions: The student must be supervised at all times when working with the client. The client or their family may request that this project be stopped at any point. In this case, other arrangements will be made in consultation with the student, the student’s assessor and myself. Supervisor’s name: Signature: Date: |
CHCDIS007 – Permission Form Client 2 |
Client approval Dear My name is and I am studying the CHC43115 Certificate IV in Disability As part of my study I am required to work with a client with a disability to review and monitor person-centred responses. and I am studying the CHC43115 Certificate IV in Disability As part of my study I am required to interview a client with a disability to develop a strategy and empower each client I am asking for your permission to interview you for this project. The interview will consist of no more than 6 questions about the following:
I will be supervised at all times during this task. I would welcome your participation in this project. Please sign below to show your agreement. Name: Signature: Date: |
Supervisor’s approval – Client 2 I, <supervisor’s name> approve <student’s name> to undertake this project with <client’s name>. Approval is dependent on the following conditions: The student must be supervised at all times when working with the client. The client or their family may request that this project be stopped at any point. In this case, other arrangements will be made in consultation with the student, the student’s assessor and myself. Supervisor’s name: Signature: Date: |
PART A: CLIENT INTERVIEW
Client 1 |
What are your needs and goals? |
What current options or services are being used to help you reach these needs and goals? |
Are the current options effective? Why or why not? |
What are your communication preferences? |
What challenges have you faced in terms of exercising your rights? |
How are you supported to make your own decisions? |
Now answer the following question about your interview technique: |
What communication strategies did you use when interviewing the client? Remember to include verbal and non-verbal communication in your answer. |
SUPERVISOR SIGN OFF |
|
I confirm that this is an accurate and true account of the student’s client interview. |
|
Supervisor name: |
|
Supervisor signature: |
Date: |
Client 2 |
What are your needs and goals? |
What current options or services are being used to help you reach these needs and goals? |
Are the current options effective? Why or why not? |
What are your communication preferences? |
What challenges have you faced in terms of exercising your rights? |
How are you supported to make your own decisions? |
Now answer the following question about your interview technique: |
What communication strategies did you use when interviewing the client? Remember to include verbal and non-verbal communication in your answer. |
SUPERVISOR SIGN OFF |
|
I confirm that this is an accurate and true account of the student’s client interview. |
|
Supervisor name: |
|
Supervisor signature: |
Date: |
What do I need to hand in for this task? |
Have I completed this? |
Notes from Client 1 interview |
|
Notes from Client 2 interview |
|
Permission form for Client 1 |
|
Permission form for Client 2 |
PART B: STRATEGY
Use the following template to guide you in developing your plan for each client.
Client 1 |
Suitable options/services |
Communication strategy |
Decision making (who will be responsible for decision making?) |
Relationships and key people |
Client 1 |
How will the client access services? |
Strategies for maintaining positive relationships |
Client 1 |
Does the client require advocacy services? (Provide detail.) |
Client 2 |
Suitable options/services |
Communication strategy |
Client 2 |
Decision making (who will be responsible for decision making?) |
Relationships and key people |
Client 2 |
How will the client access services? |
Strategies for maintaining positive relationships |
Client 2 |
Does the client require advocacy services? (Provide detail.) |
What do I need to hand in for this task? |
Have I completed this? |
Developed strategy outline |
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