SOP_NUMBER: 107.07-att-4
TITLE: Problem Solving Skills in Action (PSSIA) Facilitator Competency Evaluation Form
REFERENCE_CODE: VB01-0010
DIVISION: Office of Reentry Services
TOPIC_AREA: 107 Policy-Counseling/Risk Reduction
EFFECTIVE_DATE: 2022-05-02
WORD_COUNT: 728
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/183778
URL: https://gps.press/sop-data/107.07-att-4/

SUMMARY:
This form is used to evaluate the competency and performance of facilitators who teach the Problem Solving Skills in Action (PSSIA) program to incarcerated individuals. The evaluation assesses facilitators across four key areas: class control and preparation, facilitator/group process, delivery and participant skill response, and paperwork/documentation compliance. The form uses a point-based scoring system (0-100) and is retained for one year by the Office of Reentry Services.

KEY_TOPICS: Problem Solving Skills in Action, PSSIA, facilitator evaluation, competency assessment, reentry services, risk reduction, program facilitation, classroom management, skill instruction, inmate education, pro-social behavior, behavioral intervention, group facilitation, SCRIBE documentation

ATTACHMENTS:
  1. Peer Evaluator Application_Agreement to QA
     URL: https://gps.press/sop-data/107.07-att-1/
  4. Problem Solving Skills in Action (PSSIA) Facilitator Competency Evaluation Form
     URL: https://gps.press/sop-data/107.07-att-4/

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FULL TEXT:
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SOP 107.07
Attachment 4

5/2/22
Page 1 of 2
# **The Georgia Department of Corrections** **Office of Reentry Services** **Problem Solving Skills in Action (PSSIA) Facilitator** **Competency Evaluation Form**

|Site:|Col2|Evaluation Date:|Col4|Col5|Col6|Col7|
|---|---|---|---|---|---|---|
|**Facilitator:**|**Facilitator:**|**Initial Enrollment:**|**Initial Enrollment:**|**Initial Enrollment:**|**Initial Enrollment:**|**Initial Enrollment:**|
|**Date group started:**|**Date group started:**|**Current Enrollment:**|**Current Enrollment:**|**Current Enrollment:**|**Current Enrollment:**|**Current Enrollment:**|
|**Class Time:**|**Class Time:**|**Attendance:**|**Attendance:**|**Attendance:**|**Attendance:**|**Attendance:**|
|**Session:**|**Session:**|**Gender:**|**Gender:**|**Gender:**|**Gender:**|**Gender:**|
|**Evaluator:**|**Evaluator:**|**Evaluator:**|**Evaluator:**|**Evaluator:**|**Evaluator:**|**Evaluator:**|
|**                                                    SCORE:   ___ /100**|**                                                    SCORE:   ___ /100**|**                                                    SCORE:   ___ /100**|**                                                    SCORE:   ___ /100**|**                                                    SCORE:   ___ /100**|**                                                    SCORE:   ___ /100**|**                                                    SCORE:   ___ /100**|
|**A **|**Class Control / Preparation**|**Class Control / Preparation**|**Yes**|**No**|**NA**|**Pts**|
|1|Did the facilitator keep the class on task and redirect the group as needed?|Did the facilitator keep the class on task and redirect the group as needed?||||3|
|2|Did the facilitator have rules and sanctions regarding missing group meetings, tardiness and classroom<br>behavior?|Did the facilitator have rules and sanctions regarding missing group meetings, tardiness and classroom<br>behavior?||||3|
|3|Is the classroom set up in a circular formation?|Is the classroom set up in a circular formation?||||3|
|4|Did the facilitator have ability to deal with difficult participants (e.g. hostile, angry, disrespectful, non-<br>participating members in a professional manner)?|Did the facilitator have ability to deal with difficult participants (e.g. hostile, angry, disrespectful, non-<br>participating members in a professional manner)?||||3|
|5|Were group rules written and posted in the room?|Were group rules written and posted in the room?||||3|
|6|Did the facilitator always model pro-social behavior?|Did the facilitator always model pro-social behavior?||||3|
|7|Did the facilitator greet the offenders as they entered the room?|Did the facilitator greet the offenders as they entered the room?||||3|
|8|Did class start and end on time?|Did class start and end on time?||||5|
|** SUBTOTAL:   /26 **|** SUBTOTAL:   /26 **|** SUBTOTAL:   /26 **|** SUBTOTAL:   /26 **|** SUBTOTAL:   /26 **|** SUBTOTAL:   /26 **||
|**Comments:**|**Comments:**|**Comments:**|**Comments:**|**Comments:**|**Comments:**||


|B|Facilitator/Group Process|Yes|No|NA|Pts|
|---|---|---|---|---|---|
|9|Did the facilitator review key points from the previous lesson?||||3|
|10|Did all of the participants have assigned homework?||||4|
|11|Did the facilitator adhere to the lesson plan for the day?||||4|
|12|Did the facilitator model the skill step correctly to the class prior to allowing them to role play skill step?||||3|
|13|Did each of the participants model the new skill as the main actor?||||3|
|14|Were the participants corrected if they did not model the skill correctly?||||3|
|15|Did the facilitator use clear examples, illustrations, explained definitions relative to the offender’s<br>experiences?||||3|
|**SUBTOTAL:   /23**|**SUBTOTAL:   /23**|**SUBTOTAL:   /23**|**SUBTOTAL:   /23**|**SUBTOTAL:   /23**||
|**Comments:**<br> <br> <br> <br>|**Comments:**<br> <br> <br> <br>|**Comments:**<br> <br> <br> <br>|**Comments:**<br> <br> <br> <br>|**Comments:**<br> <br> <br> <br>||


|C|Delivery and Response to Participant's Use of Skills|Yes|No|NA|Pts|
|---|---|---|---|---|---|
|16|Did the facilitator ensure that the group understood the skill/concepts being taught?||||3|
|17|Was the facilitator able to motivate participants to learn and practice new skill?||||3|
|18|Did the participants have group discussions?||||4|



Retention Schedule: Upon completion, this competency evaluation form should be kept on file, for review by Office of Reentry
Services, for one (1) year.


SOP 107.07
Attachment 4

5/2/22
Page 2 of 2

|19|Did the facilitator allow participants to work in their workbooks when needed during lesson?|Col3|Col4|Col5|4|
|---|---|---|---|---|---|
|20|Did all the participants have a workbook to work on?||||3|
|21|Did the facilitator keep the participant safe from ridicule from other participants?||||3|
|22|Did the facilitator answer participant questions?||||3|
|23|Did the facilitator use positive reinforcement?||||3|
|24|Did the facilitator engage all participants in discussion of workbooks?||||4|
|**SUBTOTAL:    /30**|**SUBTOTAL:    /30**|**SUBTOTAL:    /30**|**SUBTOTAL:    /30**|**SUBTOTAL:    /30**||
|**Comments**: <br> <br> <br> <br> <br> <br> <br> <br> <br> <br>|**Comments**: <br> <br> <br> <br> <br> <br> <br> <br> <br> <br>|**Comments**: <br> <br> <br> <br> <br> <br> <br> <br> <br> <br>|**Comments**: <br> <br> <br> <br> <br> <br> <br> <br> <br> <br>|**Comments**: <br> <br> <br> <br> <br> <br> <br> <br> <br> <br>||


|D|Paperwork Review|Yes|No|NA|Pts|
|---|---|---|---|---|---|
|24|Did the facilitator use the correct supplements/handouts for modeling and classroom assignments?||||4|
|25|Does the facilitator have a copy of the Breakfast Club Movie?||||4|
|26|Is the facilitator correctly using the Class Sign in Sheet?||||2|
|27|Were participants given a pre-test prior to the beginning of class and a post test at the termination of class?||||2|
|28|Are the Pre- and Post-tests are being scored onsite and entered into SCRIBE?||||2|
|29|Are participant feedback forms being utilized when the participant is terminated from class?||||2|
|30|Are Program Data forms correctly completed and submitted timely for entry into SCRIBE?||||2|
|31|Did all participants have an assessed need for DETOUR?||||3|
|**SUBTOTAL:    /21**|**SUBTOTAL:    /21**|**SUBTOTAL:    /21**|**SUBTOTAL:    /21**|**SUBTOTAL:    /21**||
|**Overall Score: ___/100 **|**Overall Score: ___/100 **|**Overall Score: ___/100 **|**Overall Score: ___/100 **|**Overall Score: ___/100 **|<br>|
|**Comments**<br> <br>|**Comments**<br> <br>|**Comments**<br> <br>|**Comments**<br> <br>|**Comments**<br> <br>||



Retention Schedule: Upon completion, this competency evaluation form should be kept on file, for review by Office of Reentry
Services, for one (1) year.