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Towards evidence-based clinical supervision: the development and evaluation of four CBT guidelines

  • Derek Milne (a1) and Chris Dunkerley (a1)

Clinical supervision is central to evidence-based practice (EBP) and continuing professional development (CPD), but the evidence base has made little impact on supervision, a major form of CPD. We unite the two by developing four evidence-based guidelines for cognitive behavioural therapy (CBT) supervision. The guidelines were designed to address the supervision cycle (i.e. collaborative goal-setting; methods of facilitating learning; evaluation and feedback) within the context of the supervision alliance. Guideline development followed the National Institute for Clinical Excellence approach, including a representative stakeholder working group (with local service users and supervisees), a national group of supervisors and supervisor trainers, plus an expert reference group. A total of 106 such participants completed an ad-hoc guideline evaluation tool, designed to provide a multi-dimensional reaction evaluation of the guidelines. The guidelines were all rated favourably, satisfying the key initial criteria of accuracy and acceptability, and were judged to represent a CBT approach to supervision. It is concluded that the use of the guidelines might help CBT supervisors to better meet demands for CPD (including specialization in supervision) and EBP.

Corresponding author
*Author for correspondence: Dr D. Milne, Doctorate in Clinical Psychology, Ridley Building, Newcastle University, Newcastle NE1 7RU, UK. (email:
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Towards evidence-based clinical supervision: the development and evaluation of four CBT guidelines

  • Derek Milne (a1) and Chris Dunkerley (a1)
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