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Clinical exam

Provider
Association of Social Work Boards (ASWB); administered on computer at Pearson test centers
Format
Computer-based multiple-choice examination (three- and four-option questions) in two 61-question sections, each with a two-hour time limit; scored and pretest questions are mixed together; results reported as pass/fail
Exam questions
122 multiple-choice questions: 110 scored and 12 unscored pretest questions
Time limit
4 hours (two sections, each with a two-hour time limit)
Passing score
Pass/fail; the number of correct answers required varies by exam form and generally ranges from 66 to 78 of the 110 scored questions
Exam fee
US$260 exam registration fee
Examination outline
  • I. VALUES AND ETHICS (36%) (36%)
    • IA. ETHICAL PRINCIPLES AND RESPONSIBILITIES — Legal and ethical issues regarding confidentiality, including limitations of confidentiality (e.g., HIPAA, PHI, privacy)
    • IA. ETHICAL PRINCIPLES AND RESPONSIBILITIES — Legal and ethical issues related to the practice of social work, including responsibility to clients/client systems, colleagues, the profession, and society
    • IA. ETHICAL PRINCIPLES AND RESPONSIBILITIES — Identifying and resolving ethical dilemmas
    • IA. ETHICAL PRINCIPLES AND RESPONSIBILITIES — Principles and processes of obtaining informed consent
    • IA. ETHICAL PRINCIPLES AND RESPONSIBILITIES — Professional values and principles (e.g., competence, social justice, integrity, dignity and worth of the person)
    • IA. ETHICAL PRINCIPLES AND RESPONSIBILITIES — Burnout, secondary trauma, and compassion fatigue
    • IA. ETHICAL PRINCIPLES AND RESPONSIBILITIES — Social worker self-care principles
    • IA. ETHICAL PRINCIPLES AND RESPONSIBILITIES — Importance of professional development activities to improve practice and maintain current professional knowledge (e.g., in-service training, licensing requirements, reviews of literature, workshops, on-going supervision, consultation)
    • IB. ETHICAL SERVICE DELIVERY — Protecting and enhancing client/client system self-determination (e.g., medication, medical treatment, counseling, placement, right to refuse services)
    • IB. ETHICAL SERVICE DELIVERY — Professional boundaries in the social worker-client/client system relationship (e.g., power differences, influence, privilege, conflicts of interest, self-disclosure, dual relationships)
    • IB. ETHICAL SERVICE DELIVERY — Legal and ethical issues regarding mandatory reporting (e.g., abuse, threat of harm, impaired professionals, duty to warn)
    • IB. ETHICAL SERVICE DELIVERY — Legal and ethical issues regarding documentation (e.g., maintaining client records)
    • IB. ETHICAL SERVICE DELIVERY — Responsible billing practices (e.g., managed care, insurance reimbursement, incident to billing)
    • IB. ETHICAL SERVICE DELIVERY — Legal and ethical issues related to death and dying
    • IB. ETHICAL SERVICE DELIVERY — Ethical issues in supervision and management
    • IB. ETHICAL SERVICE DELIVERY — Impact of governmental policies on service delivery (e.g., local, state, federal legislation and policy)
    • IB. ETHICAL SERVICE DELIVERY — Legal and ethical issues regarding termination
    • IB. ETHICAL SERVICE DELIVERY — Ethical issues related to electronic practice
    • IB. ETHICAL SERVICE DELIVERY — Research ethics (e.g., institutional review boards, use of human subjects, informed consent)
    • IC. DIVERSITY AND SOCIAL JUSTICE — Anti-oppressive and anti-racist approaches
    • IC. DIVERSITY AND SOCIAL JUSTICE — Social, racial, environmental, and economic justice principles
    • IC. DIVERSITY AND SOCIAL JUSTICE — Impact of culture, race, ethnicity, sexual orientation, gender, and intersectionality on behaviors, attitudes, and identity formation
    • IC. DIVERSITY AND SOCIAL JUSTICE — Accessibility including language, physical, and cultural access (e.g., translation and interpretation, neurodiversity, American Sign Language)
    • IC. DIVERSITY AND SOCIAL JUSTICE — Power differential and racial privilege (e.g., internalized racial and ethnic inferiority and superiority)
    • IC. DIVERSITY AND SOCIAL JUSTICE — Privilege and bias and their impact on client/client systems (e.g., implicit bias, microaggressions)
    • IC. DIVERSITY AND SOCIAL JUSTICE — Cultural impacts of exploitation across marginalized communities (e.g., financial, immigration status, trafficking, Missing and Murdered Indigenous Women)
    • IC. DIVERSITY AND SOCIAL JUSTICE — Social justice, truth and reconciliation, and restorative practices related to clients/client systems from historically oppressed and marginalized communities
    • IC. DIVERSITY AND SOCIAL JUSTICE — Impact of globalization, immigration, and refugee or immigration status on clients/client systems and service delivery
  • II. ASSESSMENT AND PLANNING (32% — the heading in the Clinical content outline prints no percentage; page 6 of the guidebook states the Clinical examination will have 32 percent of the questions testing Assessment and Planning) (32%)
    • IIA. ASSESSMENT CONCEPTS — Indicators and impact of trauma, stressors, violence, and crises on individuals, families, groups, organizations, and communities (e.g., intergenerational, historical, and complex)
    • IIA. ASSESSMENT CONCEPTS — Family dynamics and functioning and the effects on individuals, families, groups, organizations, and communities
    • IIA. ASSESSMENT CONCEPTS — Dynamics of interpersonal relationships and relationship development (e.g., family, couples, groups, polyamory)
    • IIA. ASSESSMENT CONCEPTS — Indicators, dynamics, and impact of physical, sexual, and psychological abuse and neglect on individuals, families, groups, organizations, and communities
    • IIA. ASSESSMENT CONCEPTS — Indicators of mental and emotional illness throughout the lifespan
    • IIA. ASSESSMENT CONCEPTS — Co-occurring disorders and conditions
    • IIA. ASSESSMENT CONCEPTS — Biopsychosocial assessment model and related components and factors
    • IIA. ASSESSMENT CONCEPTS — Indicators and impact of addiction and substance use and abuse on individuals, families, groups, organizations, and communities
    • IIA. ASSESSMENT CONCEPTS — Impact of poverty on individuals, families, groups, organizations, and communities (e.g., social determinants of health)
    • IIA. ASSESSMENT CONCEPTS — Factors influencing self- and body-image (e.g., culture, race, religion/spirituality, age, ability, trauma, gender, sexuality, size)
    • IIA. ASSESSMENT CONCEPTS — Defense mechanisms and their effects on behavior and relationships
    • IIA. ASSESSMENT CONCEPTS — Characteristics of perpetrators of abuse, neglect, and exploitation
    • IIA. ASSESSMENT CONCEPTS — Impact of out-of-home placement (e.g., hospitalization, foster care, residential care, criminal justice system) on clients/client systems
    • IIA. ASSESSMENT CONCEPTS — Impact of caregiving on families
    • IIA. ASSESSMENT CONCEPTS — Indicators, dynamics, and impact of exploitation across the lifespan (e.g., financial, immigration status, trafficking)
    • IIA. ASSESSMENT CONCEPTS — Typical and atypical physical, cognitive, emotional, and sexual development throughout the lifespan
    • IIA. ASSESSMENT CONCEPTS — Effects of physical and mental ability throughout the lifespan
    • IIA. ASSESSMENT CONCEPTS — Impact of aging on the individual and family systems
    • IIA. ASSESSMENT CONCEPTS — Racial, ethnic, cultural, and spiritual/faith development throughout the lifespan
    • IIA. ASSESSMENT CONCEPTS — Factors of out-of-home displacement (e.g., homelessness, immigration, and refugee status) on clients/client systems
    • IIA. ASSESSMENT CONCEPTS — The influence and impact of technology, including social media, on client/client-systems (personal and professional)
    • IIA. ASSESSMENT CONCEPTS — Impact of urbanization, globalization, environmental hazards, and climate change on individuals, families, groups, organizations, and communities
    • IIA. ASSESSMENT CONCEPTS — Client/client system competence, self-determination, and self-monitoring techniques (e.g., financial decisions, treatment decisions, emancipation, age of consent, permanency planning)
    • IIB. ASSESSMENT METHODS AND TECHNIQUES — Methods of assessing risk of harm to self and others
    • IIB. ASSESSMENT METHODS AND TECHNIQUES — Principles and techniques of interviewing (e.g., supporting, clarifying, confronting, validating, feedback, reflecting, language differences, use of interpreters)
    • IIB. ASSESSMENT METHODS AND TECHNIQUES — Methods of involving clients/client systems in problem identification, problem solving, and intervention planning
    • IIB. ASSESSMENT METHODS AND TECHNIQUES — Indicators of and methods of assessing motivation, barriers, and readiness for change
    • IIB. ASSESSMENT METHODS AND TECHNIQUES — Methods for assessing resilience and coping abilities
    • IIB. ASSESSMENT METHODS AND TECHNIQUES — Methods, techniques, and instruments for assessing client/client system strengths, resources, needs, and challenges
    • IIB. ASSESSMENT METHODS AND TECHNIQUES — Methods for obtaining sensitive and/or confidential information (e.g., substance use, sexual abuse)
    • IIB. ASSESSMENT METHODS AND TECHNIQUES — Methods of assessing clients’/client systems’ communication skills
    • IIB. ASSESSMENT METHODS AND TECHNIQUES — Use of the Diagnostic and Statistical Manual of Mental Disorders in assessment and common indicators of mental health and brain-related conditions
    • IIB. ASSESSMENT METHODS AND TECHNIQUES — Components and function of the mental status examination
    • IIB. ASSESSMENT METHODS AND TECHNIQUES — Methods of incorporating information from records and evaluations (e.g., employment, medical, psychological, school)
    • IIC. ASSESSMENT PRACTICES — Assessing the availability of and determining appropriate community resources
    • IIC. ASSESSMENT PRACTICES — Factors and processes used in goal planning, treatment planning, triage, and service plans
    • IIC. ASSESSMENT PRACTICES — Criteria used in the selection of intervention/treatment modalities (e.g., client/client system abilities, developmental level, culture, life stage)
    • IIC. ASSESSMENT PRACTICES — Cultural considerations in the creation of an intervention plan
    • IIC. ASSESSMENT PRACTICES — Use and side effects of common prescription, over-the-counter, and alternative medications
    • IIC. ASSESSMENT PRACTICES — Indicators of client/client system readiness for termination
  • III. INTERVENTION AND PRACTICE (32%) (32%)
    • IIIA. PRACTICE CONCEPTS — Strengths-based and empowerment strategies and interventions
    • IIIA. PRACTICE CONCEPTS — Principles and techniques for building and maintaining a helping relationship (e.g., acceptance, empathy, rapport)
    • IIIA. PRACTICE CONCEPTS — Interdisciplinary and intra-disciplinary team collaboration (e.g., co-therapy, care conference, IEP)
    • IIIA. PRACTICE CONCEPTS — The social worker’s role in the problem-solving process
    • IIIA. PRACTICE CONCEPTS — End of life practice (e.g., continuity of care, hospice, palliative care, stages of death and dying)
    • IIIA. PRACTICE CONCEPTS — Parenting capacities and skill building
    • IIIA. PRACTICE CONCEPTS — Policies, procedures, regulations, and legislation and their impact on social work practice and service delivery
    • IIIA. PRACTICE CONCEPTS — Developing formal documents (e.g., grants, proposals, reports, evaluations)
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Methods and approaches for providing trauma-informed care for various types of trauma (e.g., complex, vicarious)
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Verbal and nonverbal communication (e.g., body language, congruence, feedback)
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Principles of active listening and observation
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Limit and boundary setting techniques
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Crisis intervention and treatment approaches
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Emotional regulation techniques
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Evidence-based practices (e.g., cognitive behavioral therapy, dialectical behavior therapy, mindfulness based stress reduction, motivational interviewing, eye movement desensitization and reprocessing)
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Methods of teaching coping and other self-care skills to clients
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Stress management techniques
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Practice with clients experiencing loss, separation, and grief
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Methods for engaging and motivating voluntary and involuntary clients/client systems
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Harm reduction techniques
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Approaches to and methods of advocacy for needed services and resources
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Psychoeducation methods
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Contracting and goal-setting techniques (e.g., partializing, measurable objectives)
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Problem-solving models and approaches
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Techniques and methods for addiction intervention
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Case management techniques (e.g., case recording, documentation, case presentation)
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Conflict resolution methods
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Anger management techniques
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Family therapy models, interventions, and approaches
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Discharge, aftercare, wrap-around services, and follow-up
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Group work techniques and approaches (e.g., developing and managing group processes and cohesion)
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Establishing service networks or community resources
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Assertiveness training techniques
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Role modeling techniques
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Couples interventions and treatment approaches
    • IIIB. INTERVENTION METHODS AND TECHNIQUES — Role play techniques
    • IIIC. PRACTICE EVALUATION AND RESEARCH — Techniques for evaluating progress and effectiveness of intervention, treatment, and service plans
    • IIIC. PRACTICE EVALUATION AND RESEARCH — Methods of establishing program objectives and outcomes
    • IIIC. PRACTICE EVALUATION AND RESEARCH — Program evaluation and related impact on services
    • IIIC. PRACTICE EVALUATION AND RESEARCH — Methods of evaluating agency programs (e.g., needs assessment, formative/summative assessment, cost-effectiveness, cost-benefit analysis, outcomes assessment)
    • IIIC. PRACTICE EVALUATION AND RESEARCH — Basic and applied research design and methods, data collection and analysis methods, and methods to assess reliability and validity in social work research (e.g., objective, subjective, qualitative, quantitative)
    • IIIC. PRACTICE EVALUATION AND RESEARCH — Quality assurance (e.g., program reviews and audits by external sources)
    • IIID. SUPERVISION AND ADMINISTRATION — Supervisee’s role in supervision (e.g., identifying learning needs, self-assessment, prioritizing)
    • IIID. SUPERVISION AND ADMINISTRATION — Supervision and consultation models and techniques (e.g., individual, peer, group, case recording)
    • IIID. SUPERVISION AND ADMINISTRATION — Transference and countertransference within supervisory relationships
    • IIID. SUPERVISION AND ADMINISTRATION — Methods for creating, implementing, and evaluating policies and procedures that minimize risk for individuals, families, groups, organizations, and communities
    • IIID. SUPERVISION AND ADMINISTRATION — Organizational development, structure, and functioning (e.g., policies, procedures)
    • IIID. SUPERVISION AND ADMINISTRATION — Fiscal management and resource allocation techniques
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