Day Treatment Skills Checklist and Supervisory Feedback

• Skills Checklist & Supervisory Feedback

• Client / Site

• Conducted on

  Date

• Prepared by

Organization/Professionalism

• Staff arrives on-time and prepared?

  Yes

  No

  N/A

• Staff begins promptly/avoids wasted time?

  Yes

  No

  N/A

• Staff maintains professional demeanor?

  Yes

  No

  N/A

• Trackers, activities, and materials ready before session?

  Yes

  No

  N/A

Correctly implement interventions

• Captured child's attention before demand/directive is placed?

  Yes

  No

  N/A

• Appropriately uses sensory supports to bring client to optimal level of arousal?

  Yes

  No

  N/A

• Correctly uses sensory social routines?

  Yes

  No

  N/A

• Notices when client losses interest/disengages in activity and provides adjustments accordingly?

  Yes

  No

  N/A

• Provides positive reinforcement to desired behaviors?

  Yes

  No

  N/A

• Allows for processing time between prompts?

  Yes

  No

  N/A

• Awareness and acknowledgment of non-verbal communication?

  Yes

  No

  N/A

• Implements the 4-part framework when appropriate?

  Yes

  No

  N/A

• Adjust/teaches various forms of communication?

  Yes

  No

  N/A

Direct Instruction

• Exaggerates expression, shows genuine interests/excitement, and appropriate level of enthusiasm?

  Yes

  No

  N/A

• Face-to-face, down on their level, and matching their tone of voice?

  Yes

  No

  N/A

• Aware of client at all times?

  Yes

  No

  N/A

• Obtains at least 10 trials during session for all goals?

  Yes

  No

  N/A

• Appropriate ratio of easy (mastered) vs. difficult (acquisition) tasks? 80/20 rule?

  Yes

  No

  N/A

• Appropriate limit placement?

  Yes

  No

  N/A

Behavior Management

• Utilizes positive behavior supports (choices, positive verbal and physical feedback, "first, then" statements, etc.)?

  Yes

  No

  N/A

• Implements antecedent strategies appropriately when unwanted behaviors are not occurring?

  Yes

  No

  N/A

• Seeks support when/if needed?

  Yes

  No

  N/A

• Provides positive reinforcement for an appropriate behavior following behavior intervention?

  Yes

  No

  N/A

• Maintains composure during procedures?

  Yes

  No

  N/A

Ethics

• Staff displayed integrity?

  Yes

  No

  N/A

• Staff responded positively to feedback?

  Yes

  No

  N/A

• Staff documented work and maintained confidentiality?

  Yes

  No

  N/A

• Avoided harmful reinforcers?

  Yes

  No

  N/A

Review

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  Date

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