Rubric 6 v 4 Compsite Modeling Strategy
Roleplay #
Your Name
Your Role
Your Partner
Technique Criteria 2 Score Possible Place in record
Rationale Description Up to 2 2
Application to problem Up to 2 2
Permission Up to 4 4
Assess and Goals Assess Up to 4 4
Goals Up to 2 2
Hierarchy Up to 2 2
Choose Model Up to 4 4
Instructions Up to 4 4
Practice Role Reversal Up to 2 2
Role Play Up to 2 2
Client Assessment Up to 4 4
Feedback Up to 4 4
Sandwiching Up to 4 4
Homework Importance Up to 2 2
W's Up to 4 4
Shape Up to 4 4
SM Up to 6 6
Followup Up to 2 2
Non Verbals Eye contact, etc Up to 2 2
Tone Rate, volume, normal Up to 2 2
General Warm, friendly, interest Up to 2 2
Therapist Technique timing Use 0-4 4
Nonverbal comfort Use 0-4 4
Nonverbal rapport Use 0-4 4
Contingent Response Use 0-4 4
Verbal Rapport Use 0-4 4
Overall Quality Skills smoothly integrated? Use 0-8 8
Total 0 84
Percent 0
Response Content
Strategy Rationale Assess Intervene Home
Section Goals Work
Activity -- -- -- -- Blank if
“No”
Self Y= Yes
Managem
ent
Anteceden Y= Yes
t Control
Self Talk Y= Yes
Modeling Y= Yes
Response 1= low, 5
Effectiven = hig
ess