Supervision for Clinical Effectiveness


Current research tells us two important things about supervision: 1, Supervision can improve clinical outcomes. But 2, it usually doesn't. In this advanced supervision course, learn an assortment of specific clinical supervision activities designed to help therapists improve their outcomes with clients. 

6 hours CE - Meets BBS renewal requirement for supervisors

Supervisors of California BBS Associates (and MFT trainees) must complete 15 hours of initial training in supervision, and 6 hours of additional training in each license renewal period. This course is designed to meet the renewal requirement.

Course Description

Despite its key role in the development of new mental health professionals, clinical supervision has not traditionally been based in science. It has shown little impact on therapeutic outcomes with clients. However, newer research offers supervisors useful and specific ways to work with supervisees to produce improved client outcomes. This course summarizes that research and teaches specific supervision activities that can improve supervisees’ outcomes with clients. Supervisors will learn about deliberate practice and routine outcome monitoring, and view demonstrations of specific supervision activities. Additional topics include the “impact chain” of supervision (that is, all of the steps needed for supervision to impact client outcomes), and legal and ethical considerations.

On-demand video format. Total running time 6 hours, 7 minutes.

About the Instructor

Benjamin E. Caldwell, PsyD is a California Licensed Marriage and Family Therapist and Adjunct Faculty for California State University Northridge. He is the author of Basics of California Law for LMFTs, LPCCs, and LCSWs, and lead author of AAMFT’s Best Practices in the Online Practice of Couple and Family Therapy. He has published and presented around the country on issues related to ethics, technology, supervision, and professional development.

Learning Objectives

By completion of this course, participants will be able to:

  1. List at least four steps on the “impact chain” necessary for supervision to affect supervisees’ client outcomes
  2. Describe at least three key elements of deliberate practice for psychotherapists
  3. Apply at least two supervision activities consistent with deliberate practice in individual or triadic supervision
  4. Apply at least two supervision activities consistent with deliberate practice in group supervision
  5. Define routine outcome monitoring as it relates to clinical supervision
  6. Describe how the use of routine outcome monitoring supports supervisors’ fulfillment of legal and ethical obligations


  1. Supervision and client outcomes
    1. Should one lead to the other?
    2. The impact chain
    3. Current research
  2. Deliberate practice
    1. Key concepts
    2. Supporting research
  3. Exercises
    1. For individual and triadic supervision
    2. For group supervision
    3. For supervisee homework
  4. Evaluating impacts
    1. Routine outcome monitoring
    2. Acting on data
  5. Legal and ethical considerations


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Course History

Course published September 29, 2023

Completion Requirements / Obtaining Your Certificate

To complete the course, you must watch all video segments in order, pass a completion quiz with a score of 80% or higher, and complete a satisfaction survey. Once you have completed all components, your certificate will be available automatically through your Dashboard.

Continuing Education

Ben Caldwell Labs d/b/a High Pass Education is approved by the California Association of Marriage and Family Therapists to sponsor continuing education for California LMFTs, LPCCs, and LCSWs. Ben Caldwell Labs d/b/a High Pass Education maintains responsibility for this program/course and its content. CAMFT CEPA provider #137848. This course meets the qualifications for 6 hours of continuing education credit for LMFTs, LCSWs, and/or LPCCs as required by the California Board of Behavioral Sciences.