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Suicide risk assessment is a critical component of mental health practice for which the stakes are high and the outcomes uncertain. This research examines the consistency with which clinicians make determinations of suicide risk and factors influencing clinical confidence. Seventy-one social workers interviewed two standardized patients performing in scenarios depicting suicidal ideation, judged whether the patient required hospitalization, and completed standardized suicide risk assessment measures. Self-ratings and qualitative interviews explored participants’ confidence in their judgment of risk. Participants had highly divergent views regarding whether or not the risk of suicide was sufficiently high to require hospitalization. However, regardless of the ultimate decision reached, participants were equally confident when recommending either clinical course of action. The variation in risk assessment appraisals in this study, despite at times high rates of confidence in risk appraisals, speaks ...

Few studies have examined social work students’ reflections on and experiences working with lesbian, gay, bisexual, queer, and questioning persons and addressing the intersection of race/ethnicity and sexuality within practice. This study explored current master’s of social work student (n = 11) and recent graduate (n = 7) reflections on conducting an objective structured clinical practice interaction with an African Canadian youth coming out as a lesbian. Narrative thematic analyses of reflective dialogues highlighted a variation of competence in gay affirmative practice across attitudes (managing personal reactions), knowledge (addressing diversity; terminology and information), and skills (readiness; challenging heterosexism). Curriculum development and agency-based training is recommended to address gaps in knowledge and competence regarding gay affirmative approaches.

Field education is arguably the most significant component of the social work curriculum in preparing competent, effective, and ethical clinical social workers. Students and alumni characterize it as such, and national accrediting bodies, both in the United States and internationally, recognize its crucial impact on the quality of social work services delivered to the public. In addition, there is likely more scholarship and research conducted on field education than on any other component of the curriculum. And yet, field educators anecdotally describe a crisis in their ability to implement the best pedagogical practices for students. This paper will discuss the developing evidence-base highlighting best practices for field education, the changing context of field education, and analyze current challenges and potential responses.

Professional judgment in complex clinical situations such as the assessment of suicide risk encompasses a multifaceted cognitive understanding of the substantive issues, technical expertise, and emotional awareness. This experimental design study investigated the degree to which the previous work-related experiences of clinicians and their preexisting emotional state influence professional judgment regarding acute risk in patients presenting with suicidal ideation. Experienced social workers and social work students conducted suicide risk assessments on 2 standardized patients performing in scenarios constructed to depict individuals presenting with suicidal ideation. This study revealed significant variations in clinical judgments of practitioners assessing suicide risk. While scores on standardized risk assessment measures were the strongest predictor of judgments regarding the need for hospitalization to ensure the safety of the patient, other influences included clinician age and levels of posttraumatic stress symptoms. Mental health clinicians and organizations that employ them should be aware of possible individual influences on professional judgments related to suicide risk.

Epistemic injustice occurs when therapists implicitly and explicitly impose professional and institutional power onto clients. When clients have a diagnosis of schizophrenia, this very fact further complicates and highlights the power disparity within the helping relationship. Inspired by the work of critical philosopher Miranda Fricker on epistemic injustice, and using critical theories of language and knowledge, this article analyzes audiotaped session transcripts between a client with a history of psychosis and a social worker in an outpatient mental health agency. Findings illustrate two main discursive interactional patterns in everyday clinical social work encounters: (1) how the therapist's utterances claim disciplinary power and construct the client's testimony in alignment with an institutional agenda, while pre-empting the client's lived experience; and (2) how the client, though actively resisting, is managed to perform the identity of being a mentally ill person. The authors close with suggestions of how to avoid these mishaps and work toward epistemic justice in mental health practice.

Although neglect is a common form of child maltreatment, it can be difficult to detect within a clinical interview between a social work clinician and client for the purpose of assessment and intervention, leading to a failure to act and secure a child's safety. This Canadian study utilized the objective structured clinical exam (OSCE) to assess social work clinicians' ability to recognize and respond to a case of suspected child neglect. Twenty-three participants (social work students, recent graduates of a Masters in Social Work programme, and experienced social workers) conducted a 15-minute interview with a standardized client followed by a structured reflective dialogue focusing on case conceptualization and emotional awareness. Qualitative analysis of the reflective dialogues revealed participants' difficulty in detecting child neglect as opposed to focusing on a client's negative self-beliefs or mental health issues. Implications for social work education and practice are suggested.

The digital age has revolutionized how individuals interact. The number of computer users has increased exponentially, along with expanding local and global networks and opportunities for learning,...

Simulation-based training is often used to prepare health practitioners and is increasingly employed to train child welfare workers. This scoping review systematically searched the published and grey literature for studies that evaluated training for child welfare practitioners and used simulation methods that included standardized actors. Three studies met inclusion criteria, all documenting improvement in participants' use of specific skills. Other outcomes were mixed, possibly reflecting the heterogeneity of samples, study methods, measures, training of actors, theoretical frameworks, and content areas. Though results were mostly positive, the small number of studies indicates a substantial need for further research.

Pre-practicum student reflections were studied using an Objective Standard Clinical Examination adapted for social work. One hundred and nine students conducted simulated interviews and immediately wrote answers to reflective questions. Reflections were studied using descriptive qualitative methodology. Three patterns emerged: students rely primarily on their personal and/or professional experience rather than theoretical knowledge; they are easily emotionally dysregulated by intense client emotions; and they benefit from active learning to prepare for practicum. Implications for social work education include greater emphasis on simulated interview practice, explicit attention to assisting students in regulating their affective responses, and actively gauging student readiness for practicum.

Cyber counseling is a new and growing medium for offering mental health services to children and youth. However, there is a lack of identification of the core competencies required to provide effective online counseling. A school of social work, in partnership with a national service agency providing online counseling to children and youth, developed and offered a 13-week course to participating MSW social work students and agency staff. The development of online counseling competencies was assessed through individual interviews with participants and a content analysis of online posts. Participants scored well in areas of assessment and intervention. Challenges were identified in relationship building within an online environment. This research was funded by Bell Canada.

With the ascendancy of the cyber world, client demand for online counselling has increased and is expected to continue to increase dramatically in the coming years. The purpose of this article is to describe an innovative pilot practicum project in which social work graduate interns offered cyber counselling within a university to undergraduate students. In this paper, we describe the key elements of this project, including those that are unique and those that follow typical practicum processes, along with the challenges identified. Implications for practice and social work education are offered.

Government plans to reform social work in England, led by the Social Work Reform Board, have resulted in far-reaching changes to social work education. These include establishment of The College of Social Work and adoption of its Performance Capability Framework, and transfer of regulation to the Health Care Professions Council whose Standards of Proficiency competences gate-keep the threshold to practice. A critical scrutiny of the literature on competence and capability used by the architects of change provides a lens with which to explore findings from a content analysis of the new standards. Comparisons are made with the 2008 Educational Policy and Accreditation Standards (EPAS) competences approved by the American Council on Social Work Education. Fault lines are identified that might seriously jeopardise the future of social work education in England and ways forward are explored to address these. First, given the importance of making what's important assessable, the choice is presented between opting for ‘wicked competences’ or investing in the design of complex assessment models and their operation. Second, the priority of building robust partnerships to contain different stakeholder objectives is underlined. Both are essential to prevent fault lines developing into a perfect storm.

The aim of this paper is to develop a better understanding of the concept of meta-competence as it applies in social work. Eighteen social work students took part in a five-scenario Objective Structured Clinical Examination adapted for social work consisting of a 15-minute interview followed by a 15-minute reflective dialogue following structured questions designed to elicit dimensions of meta-competence. Ninety reflections were transcribed and analyzed revealing variation in students' ability to conceptualize practice, to intentionally use self, and to learn from reviewing their practice. Also, each meta-competence was found to be grounded in a similar structure, that of a continuum with reflections ranging from in-depth, rich, textured discussions to those that are more superficial, scant, and concrete. Variation in students' ability to conceptualize practice and use diversity concepts was found, related to students' emotional reactions. Some students described becoming emotionally ‘dysregulated’ and th...

Reliable and valid methods to evaluate student competence are needed in social work education, and practice examinations with standardized clients may hold promise for social work. The authors conducted a critical appraisal of standardized client simulations used in social work education to assess their effectiveness for teaching and for evaluating social work students' competence. Following a comprehensive search, 18 studies, including 515 social work students, were examined. The authors extracted data from these studies and study methods and assessed the results. This review found that studies vary in methodological quality; however, using standardized client simulations is well-received by students. Consistent implementation methods and reliable, valid assessment measures are needed to advance this evaluation method for social work.

This paper describes the development and successful pilot of rotational placements by the social work faculty of a large Canadian university. Modifications required for the pilot are discussed, particularly related to recruiting settings, enlisting field instructors and students, developing new field materials, training field instructors in the model and developing an evaluation tool used by field instructors and students. The strengths, limitations and lessons learned from the experience are discussed as well as the potential usefulness of rotational placements as an approach to addressing resource challenges in field education.

Introduction The assessment of children at risk of abuse and neglect is a critical societal function performed by child protection workers in situations of acute stress and conflict. Despite efforts to improve the reliability of risk assessments through standardized measures, available tools continue to rely on subjective judgment. The goal of this study was to assess the stress responses of child protection workers and their assessments of risk in high conflict situations. Methods Ninety-six child protection workers participated in 2 simulated scenarios, 1 non-confrontational and 1 confrontational. In each scenario, participants conducted a 15-minute interview with a mother played by a specially trained actor. Following the interview, the workers completed 2 risk assessment measures used in the field at the time of the study. Anxiety was measured by the State-Trait Anxiety Inventory at baseline and immediately following the completion of each interview. Physiological stress as measured by salivary cortisol was obtained at baseline as well as 20 and 30 minutes after the start of each interview. Results Participants demonstrated significant stress responses during the 1st scenario, regardless of whether the interview was confrontational or not. During the second scenario, the participants did not exhibit significant cortisol responses, however the confrontational interview elicited greater subjective anxiety than the non-confrontational scenario. In the first scenario, in which the workers demonstrated greater stress responses, risk assessment scores were higher on one risk assessment tool for the confrontational scenario than for the non-confrontational scenario. Conclusion The results suggest that stress responses in child protection workers appear to be influenced by the novelty of a situation and by a parent's demeanor during interviews. Some forms of risk assessment tools appear to be more strongly associated than other with the workers’ subjective and physiological stress responses. This merits further research to determine which aspects of risk assessment tools are susceptible to the emotional elements of intake interviews.

Objectives: To evaluate an objective structured clinical examination (OSCE) adapted for social work in a lab course and examine the degree to which it predicts competence in the practicum. Method: 125 Masters students participated in a one-scenario OSCE and wrote responses to standardized reflection questions. OSCE performance and reflections were rated on previously standardized scales, competence in field was evaluated using the online practice-based evaluation. Results: A wide range of scores on OSCE scales indicate that differences in student competencies were captured. Correlational analyses revealed an association between OSCE scales and field final evaluations. Nevertheless, a number of students who performed poorly on the OSCE did well in the practicum. Conclusions: The OSCE method of evaluation warrants cautious optimism and requires further replication and adaptation for social work educational outcomes assessment.

Although a growing literature examines competencies in clinical practice, competencies of students in macro social work practice have received comparatively little attention. A grounded-theory methodology was used to elicit field instructor views of student competencies in community, organization, and policy contexts. Competencies described by field instructors encompassed 2 broad dimensions: meta competencies and procedural competencies. Meta competencies included characteristics such as self-awareness, compassion, motivation, and commitment to social justice. Procedural competencies included project management and presentation skills, and the ability to articulate and implement steps to attain goals. These identified competencies provide a basis for development of a tool to assess student performance of competencies in macro practice.

Today’s generation of youth and adults relies on communication technologies for entertainment, information, and social connections and more and more, for personal help and advice. With cyber technology having permeated the ways in which individuals seek support for a wide range of issues, the purpose of this paper is to report on a study that examined practitioners’ experiences and views of whether and how online communication has entered their face-to-face practice and of the implication for the therapeutic work. Using qualitative methodology, 15 social work practitioners participated in focus groups and interviews exploring their perspectives about the impact of cyber technology on their traditional face-to-face social work practice. The prevailing finding was that cyber communication has dramatically changed the nature of professional relationships. This key finding was supported by four major inter-related themes arising from the data: (1) client driven practice; (2) Pandora’s box; (3) ethical grey zone; and (4) permeable boundaries. Implications for practice are provided.

This article outlines the development of an evaluation tool for measuring student competency in macrolevel social work practice. Researchers followed a multistage process that incorporated the wisd...

This is the final published version of an article originally published by Whiting and Birch in the Journal of Practice Teaching & Learning. Reproduced with written permission of the publisher. Further reproduction prohibited without permission.

The concepts of reflection and reflective practice, introduced by Schon, have been widely adopted in social work education where students are expected to demonstrate reflection in practice as a learning outcome. This brief paper reports on the development and testing of a tool for assessment of students' reflections on their practice following their performance in an objective structured clinical examination (OSCE) adapted for social work. Phase One involved an iterative process of conceptualizing and defining dimensions of reflection; identifying practice scenarios with specific issues to be played by ‘standardized clients’; creating a set of questions for use by the rater in a reflective dialogue with the student; and creating a five-point rating scale. In Phase Two the scale was tested in a study with a five-scenario OSCE with 11 current MSW students, seven recent graduates and five experienced social workers. The study demonstrated promising reliability in the OSCE approach and scales and indicated co...

Objective: This paper describes the development of a practice-based evaluation (PBE) tool that allows instructors to represent their student’s clinical performance in a way that is sufficiently authentic to resonate with both instructors and students, is psychometrically sound, and is feasible in the context of real practice. Method: A new online evaluation tool was designed to address several of the problems associated with previous methods of evaluation, and was tested on 190 field instructor—student pairs. Results: Results demonstrated feasibility of the tool, high acceptability from students and faculty, high internal consistency, and clearly reduced ceiling effect, when compared with a traditional competency-based evaluation (CBE) tool. It did, however, continue to result in a strong skew toward positive evaluation and did not increase the identification of students at risk. Conclusions: The online PBE tool demonstrates promise in redressing some of the evaluation issues posed by the previous CBE model of evaluation.

This study explores the experiences and perceptions of clinicians from a range of professions to articulate general principles for clinical supervision in mental health. Seventy-seven volunteer clinicians participated in 14 focus groups in 2008–2009. They discussed their perceptions about clinical supervision, facilitators, and barriers. Discussions were digitally recorded and transcribed verbatim, and qualitative analytic methods were used to identify themes and exceptions. The study found frontline clinicians identified interacting factors they associated with quality clinical supervision. Themes related to the structure, content, and process of supervision and contained common elements across professions and those that were specific to nursing. Considerable agreement exists regarding principles for interprofessional supervision in mental health; that it is available on a regular and crisis-responsive basis, and that supervisors are expert in clinical interventions for specific populations and have the ...

In its EPAS, CSWE (2008) identifies field education as the signature pedagogy (Shulman, 2005b) of social work education. This article analyzes the field education– signature pedagogy fit. It finds congruence in selected organizational arrangements that are pervasive and routine, and disparities with respect to expectations about public student performance, peer accountability, the view of adaptive anxiety, and accountable talk. This article asserts that practicum effectiveness could be enhanced by a broader application of Shulman's criteria through a greater emphasis on group structures for learning/teaching in the field.

Research has identified high levels of trauma exposure and PTSD in professionals responsible for assessing children at risk for abuse. An important question arising is the influence of stress and trauma on professional judgment. This study examined the association between critical incident exposure, PTSD and workers' judgments of child risk. Ninety-six child protection workers participated in 2 simulated clinical interviews and subsequently completed standardized risk assessment measures. Workers reported high levels of exposure to critical events in the workplace and high levels of traumatic stress symptoms. Number of prior critical events encountered was negatively associated with assessment of risk. Level of traumatic stress symptoms was negatively associated with risk on one, but not other measures of risk. It is concluded that standardized measures for assessing a child's risk of abuse may be influenced by previous exposure to critical workplace events and levels of traumatic stress in workers.

Objective: Child welfare agencies have moved toward standardized risk assessment measures to improve the reliability with which child’s risk of abuse is predicted. Nevertheless, these tools require a degree of subjective judgment. Research to date has not substantially investigated the influence of specific context and worker characteristics on professional judgment in the use of risk assessment measures. Method: This research utilized standardized patients performing in scenarios to depict typical child welfare cases. Ninety-six workers interviewed two ‘‘families,’’ completed risk assessment measures, and then participated in interviews regarding their subjective views of their decision making and performance. Results: There was considerable variability in risk appraisals. Confidence in risk assessment performance was related to age, acute level of stress, and the worker’s perceived ability to engage family members. Confidence in risk assessment was further related to case variables. Confidence was not related to level of risk assessed. Conclusion: The variation in risk assessment appraisals in this study, despite at times high rates of worker confidence in their appraisals, speaks to the need for ongoing consultation and increased decision support strategies even among highly skilled and trained workers.

An exploratory study using qualitative methodology was undertaken with recent MSW graduates (N=12) from 2 graduate social work programs to identify and describe the students' emotional reactions to experiences in field education. Significant and interrelated themes emerged including the subjective and unique definitions of emotionally charged events; the considerable effect of the student–field instructor relationship and the organizational environment, whereby both act as major risk and major protective factors; and participants seeking help from sources in their family and social networks and not necessarily from those in formal social work education roles. Implications for field education are provided.

Based on a larger process-outcome study on cross-cultural clinical practice, this report focuses on the client-practitioner engagement process during the first session in cross-cultural therapy. Nine cases with complete pre- and post-treatment measures, process measures, and verbatim session transcripts were selected. The cases represent a wide variety of client-practitioner ethno-cultural differences. The outcome of these cases was determined by a combination of objective and subjective measures. Client-practitioner interaction processes were subject to complex coding and process analysis, following a narrative research strategy, to discover patterns associated with positive cross-cultural engagement. Results showed that positive engagement is associated with effectively communicated cognitive understanding of the client’s needs and concerns, emotional attunement, and appropriate handling of specific cultural experiences.

This study contributes to the emerging knowledge base of child welfare supervision. An exploratory study examined the beliefs, practices, and experiences of 51 child welfare supervisors in Ontario, Canada. Eight focus groups were held with supervisors from a range of settings cross the province. The study identified a number of interwoven factors at the organizational, supervisory, and practice level that affect the nature of supervision offered. Implications are drawn for child welfare practice, models of supervision which integrate administrative, clinical and educational features, organizational culture, and training new supervisors.

The purpose of this study was to explore field instructors' experiences and insights in working with lesbian and gay MSW students. In-depth 1-to 1.5-hour interviews were conducted with 8 field instructors selected using purposive sampling. Data were analyzed using narrative thematic analysis and a constant comparative method. One set of themes emerged across all informants; a second set emerged exclusively from lesbian-and gay-identified informants. Dynamic interactions among the student, the field instructor–student relationship, and the agency context suggest the importance of moving beyond individual-level conceptualizations to address sexual orientation-related barriers and opportunities in field education.

In-depth interviews were conducted with lesbian and gay recent MSW graduates (n = 6) and experienced field instructors (n = 8) to explore sexual orientation–related challenges in social work field education. Data were analyzed using techniques from grounded theory and NVivo qualitative software. Self-disclosure emerged as a central theme in the establishment of a positive learning environment for lesbian and gay students in field education, including the benefits of student self-disclosure to learning, the responsibility of the field instructor, and the role of the agency context. Schools of social work may benefit from training and sensitizing field instructors to develop competence in providing educational experiences for LGBT students.

This article examines the historical development, rationale, and implementation of selected field education accreditation standards. Those reviewed include the number of required field hours, the role of the field liaison, and employer-based placements. Archival data and field education literature from the Council on Social Work Education demonstrate a lack of empirical evidence to support the contribution of these standards to student outcomes. Programs are encouraged to develop new field models, test, and empirically evaluate student achievement of educational outcomes. The critical examination of the status of field education can lead to greater effectiveness, an unfreezing of the status quo, and better experiences for students.

This paper reports on an analysis of qualitative data accrued across four research studies that addressed the experiences of field instructors in evaluating students and providing corrective feedback when necessary. Findings suggest that while tools for field evaluation are increasingly attempting to provide standardized, objective, and “impartial” measures of performance, these evaluations nevertheless occur within a professional and relational context that may undermine their value. As social workers, field instructors are guided by the professional values of respecting diversity, focusing on strengths and empowerment, advocating for vulnerable individuals, and valuing relationships as avenues for growth and change. By placing field instructors in a gatekeeping role, the university requires them to advocate for particular normative standards of professional behavior and to record a negative evaluation for a student who fails to achieve or adhere to these normative standards. Such activities can...

Recent studies on group supervision in social work and psychology have begun to build a systematic knowledge base on the benefits and challenges of group supervision from the perspective of students. Missing from the empirical data are supervisor perspectives on group supervision. In an attempt to address this gap, this qualitative exploratory study reports on the experiences of five field instructors who offered group supervision to 20 social work students. Although primarily focused on field instructors' perceptions, students' perspectives are also included especially when the two groups either strikingly paralleled or differed from one another. The study findings identified a number of related factors that affect the creation of a productive learning environment including: (1) extragroup factors such as students' previous histories with each other, and varying times for beginning the practicum, (2) managing difficult group member behaviours such as “the non-reflective students,” “the consultan...

Emotionally focused therapy (EFT) is a well-developed, empirically tested practice model for couple therapy that integrates systems, experiential, and attachment theories. Feminist family therapy theory has provided a critique of biased assumptions about gender at play in traditional family therapy practice and the historical absence of discussions of power in family therapy theory. This article presents an integrated feminist/EFT practice model for use in couple therapy, using a case from practice to illustrate key concepts. Broadly, the integrated model addresses gender roles and individual emotional experience using a systemic framework for understanding couple interaction. The model provides practitioners with a sophisticated, comprehensive, and relevant practice approach for working with the issues and challenges emerging for contemporary heterosexual couples.

While the move to anchored scales has been an improvement in the standardization of field performance evaluation, these tools have not been found to consistently discriminate among student performances or identify students experiencing clinical difficulties. This article presents two efforts to redress this problem. The use of a new practice-based scale incorporating field instructors' language and conceptual dimensions of practice did not improve the discrimination of student performance. An alternative evaluation system that involved matching students to a standardized set of more holistic, realistic vignettes did improve field instructors' discrimination of student performances and facilitated the identification of students experiencing clinical difficulties. Implications for field evaluation methodologies are discussed.

A review of recent literature on field education revealed an extensive body of knowledge consisting of theoretical, educational, and empirical work. This paper reviews 40 studies on field education undertaken in the past five years. A number of relevant themes emerged from this review related to the context of field education, processes of field instruction, assessment of student learning and competence, training field instructors, and international practicum. Despite methodological limitations, these studies are building towards evidence-based field education practices.

In social work, supervision is valued as a crucial activity for professional learning and development. Over time, an extensive body of literature has developed that is largely theoretical and practice-oriented. The development of an empirical body of knowledge for supervision has been slow with most approaches supported solely by anecdotal accounts. An extensive review of the empirical studies on supervision conducted in the past decade was undertaken. Two separate streams of inquiry were found; one focused on supervision of professional staff and one focused on field education of students. This body of research is reviewed in two companion papers. Recent studies of supervision of staff are largely descriptive and exploratory yielding limited knowledge for evidence-based supervision. Organizational and professional issues related to the dearth of studies are discussed.

This article relates the evolution of field-related accreditation standards since the 1982 Council on Social Work Education (CSWE) Curriculum Policy Statement to the changes that have occurred in agencies, students, and educational institutions. It demonstrates how CSWE modifications helped solve some problems while creating new ones. The authors argue that radical approaches to field education must be explored in order to overcome the roadblocks to high-quality field experiences. The discussion includes a report of a meeting attended by 33 directors of field education who met to engage in such a problem-solving process. A plea for continuing such dialogue and action is urged.

The article discusses misunderstandings and misattunements that occur in the beginning phase of cross-cultural psychotherapy. Sources of micro ruptures are outlined, including client maladaptive patterns, therapist misunderstandings, cross-cultural misunderstandings due to cultural variations, and asymmetrical power relations involving the impact of prior experiences or current therapy practices. Multiple clinical vignettes illustrate the rupture/repair process, drawing on Safran and Muran’s (2000) list of direct and indirect techniques.

Empirical research has not adequately examined whether social workers and clients discuss sociocultural issues when addressing mental health problems, nor the quality of the interaction when such discussion occurs. This exploratory mixed-method study examined the interactional process associated with discussion of sociocultural issues in the first three counseling sessions with four white social worker/client of color dyads. Findings showed that productive cross-cultural interactions were associated neither with specific sociocultural content nor client-worker composition, but rather with the social worker's perception and skill. Analysis differentiated one worker/client dialogue from the others, highlighting the importance of training practitioners to apply social work knowledge and skills in a synthesized manner.

Group supervision is recommended in the literature as an efficient method for field education, especially in the context of reduced agency resources for field instruction. This qualitative interview study explored the experiences of 18 MSW students who received group supervision as the primary method of field instruction. The competence of the field instructor to manage group supervision emerged as the crucial element leading to the perception of a successful experience. This article presents the characteristics and behaviors that students reported as affecting their learning and the implications for group supervision.