A competency assessment was developed to assess students' skills at the culmination of courses relating to mental health, including a Psychosocial Level I Fieldwork course. The intention of the assessment, titled the Psychosocial Occupational Therapy Competency Assessment (POT-CA), was to engage students in a practical skill demonstration and use of clinical reasoning in relation to brief case studies. Key skills assessed included: administration of the ACLS-5, establishing and maintaining therapeutic rapport, defining OT in client centered language, and use of clinical reasoning to identify additional assessment, intervention, and discharge recommendations. The purpose of this article is to present the tool and results from its preliminary use in a Level I psychosocial fieldwork course, in order to share a creative approach for assessing the development of clinical skills competence for mental health practice. United States ABSTRACT A competency assessment was developed to assess students' skills at the culmination of courses relating to mental health, including a Psychosocial Level I Fieldwork course. The intention of the assessment, titled the Psychosocial Occupational Therapy Competency Assessment (POT-CA), was to engage students in a practical skill demonstration and use of clinical reasoning in relation to brief case studies. Key skills assessed included: administration of the ACLS-5, establishing and maintaining therapeutic rapport, defining OT in client centered language, and use of clinical reasoning to identify additional assessment, intervention, and discharge recommendations. The purpose of this article is to present the tool and results from its preliminary use in a Level I psychosocial fieldwork course, in order to share a creative approach for assessing the development of clinical skills competence for mental health practice.
BACKGROUNDFieldwork is considered to be a vital aspect of professional education which facilitates the development of occupational therapy practitioners through the process of establishing their professional identities and gaining the requisite knowledge, skills and attitudes needed to practice (American Occupational Therapy Association [AOTA], 2009). Fieldwork is also considered a primary method for students to develop and demonstrate competencies by providing them the opportunity to apply classroom knowledge and theory in real settings (