Table 2. Supervising Addiction Counselors in Group CBT: Process Issues.

Challenges	Solutions
Counselors may be unaccustomed to	• Socialize counselors to the structure and process of supervision.
intensive clinical supervision.	• Make supervision sessions structured and focused on acquisition of practical skills.
	◦ Role playing
	◦ Concrete suggestions for successful group management
	• Model expected behaviors in supervision.
• Counselors may be hesitant to	• Keep ratio of positive reinforcement to constructive criticism high.
discuss their own clinical	• Encourage peer feedback.
performance.	• Highlight areas of counselor expertise.
	• Model openness to feedback by soliciting counselor opinions about supervision.
• Counselors may feel overwhelmed	• Provide consistent, individualized positive feedback on counselor growth.
or burned out by responsibilities.	• Provide tangible acknowledgment of appreciation.
	• Allow opportunities to “vent” frustrations about larger systems issues.
	• Discuss clinician self-care strategies.