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  5. Observation Rating Form
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Coach Name:
   
 
 
Officer Name:
   
 
 
Date of observation
MonthDayYear
  
 
 
Time of day
AM PM
 
 
Gender of offender
Male Female
 
 
First two letters of offender's last name:
   
 
 
Type of case
New/Intake Ongoing
 
 
 
Observation was conducted:
In Person Over the Phone
 
 
 
Where was the observation conducted?
 
 
 
For each of the following skills, circle the number that best characterizes the extent to which the officer uses the skill, using the following scale:

0 - Unsatisfactory. The officer did not use the skill, despite opportunity to do so.

1 - Needs Improvement. The officer used the skill when appropriate, but only incorporated major components less than 50% of the time.

2 - Satisfactory. The officer used the skill sufficiently, but incorporated major components only 50-75% of the time.

3 - Proficient. The officer demonstrated proficient and consistent use of the skill, incorporating all major components at least 75% of the time, effectively leading to offender change or cooperation.

N/A - Not Applicable. There was no opportunity for the officer to use the skill.
 
 
RISK ASSESSMENT AND MANAGEMENT SKILLS
0 1 2 3 N/A
1. Demonstrates commitment to enforcing risk when situations indicate risk management is a priority (dynamic risk factors increase).
2. Effectively assesses and links current life problems to managing criminogenic needs.
3. Identifies people/situations that may disrupt the offender’s compliance and evaluates how well these triggers are being avoided.
4. Identifies and directly addresses stabilizing influences in the offender’s life.
5. Assigns an appropriate number of requirements (conditions)/expectations for the offender based on risk and needs.
 
ENGAGEMENT SKILLS
0 1 2 3 N/A
6. Encourages the offender to be involved in direction of next step in case plan.
7. Expresses confidence and verbally reinforces that the offender can change to achieve and maintain a crime-free life.
8. Pays attention to the degree of “buy in” from the offender, applying programs or controls based on the level of motivation displayed.
9. Uses affirmations during session.
10. Establishes and/or delivers rewards for compliance and accomplishments.
 
PROBLEM SOLVING SKILLS
0 1 2 3 N/A
11. Uses an action planning approach, including target behaviors, for the session.
12. Uses decisional balance to help the offender examine costs and benefits of actions including criminal and non-criminal options.
13. Helps the offender understand the actions, thoughts, and feelings that lead to negative outcomes or criminal behavior.
14. Leads conversation to realistic non-offending strategies that can be used to attain goals typically achieved through crime behaviors.
 
WORKING RELATIONSHIP SKILLS
0 1 2 3 N/A
15. Responds appropriately to offender ambivalence or rolls with resistance.
16. Expresses empathy for the offender’s situation.
17. PO demonstrates a firm but fair supervision style when working with the offender.
18. Agreement between the PO and offender regarding the goals they are working towards.
19. Demonstrates an understanding of risk and need factors to work on with the offender.
20. Respectfully encourages the offender to speak within the session.
 
 
Notes:
   
 
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