Collaboration with Dr. Derek Milne

I have been working with a British psychologist, Derek Milne, examining the effects of implementing an evidence-based supervision model in a series of pilot studies. I was trained in the enhanced supervision model by having audiotapes of my weekly supervision rated on a process evaluation scale (SAGE) developed with Dr. Milne and receiving weekly feedback on improving the process of supervision.

My current research interests include improving clinical supervision and training using an evidence-based supervision model. Although theoretically positioned at the heart of clinical training, empirical research on clinical supervision continues to be sadly neglected. Current accounts of supervision rely heavily on a psychotherapy-based model.

The goal of our initial pilot study was to determine whether enhanced supervision could lead to improved training outcomes for students and clients. Using a longitudinal N=1 multiple baseline design, we compared supervision enhanced by consultation and feedback, a formal rating scale (SAGE) and use of evidence-based guidelines to standard CBT supervision.

Current work involves the development and validation of a shorter measure designed to reliably observe and measure key supervisory behaviors.

Peer Reviewed Articles on Clinical Supervision

Reiser, R.P., & Milne, D.L. (2017). A CBT formulation of supervisees’ narratives about unethical and harmful supervision. The Clinical Supervisor, 36:1, 102– 115.

 Reiser, R.P., & Milne, D.L. (2016). A survey of CBT supervision in the UK: Methods, satisfaction and training, as viewed by a selected sample of CBT supervision leaders. The Cognitive Behavior Therapist. Advance online publication.

Milne, D.L., & Reiser, R.P. (2016). Supporting our supervisors: Sending out an SOS. The Cognitive Behaviour Therapist. Advance online publication.

Reiser, R.P. (2014) Supervising cognitive behavioral therapy. In C.E. Watkins, & D.L. Milne (Eds.). International handbook of clinical supervision. Chichester: Wiley.

Reiser, R.P., & Milne, D.L. (2014). A systematic review of outcomes in clinical supervision: Applying the fidelity framework. Training and Education in Professional Psychology. 5(3), 149-157. DOI: 10.1037/tep0000031.

Reiser, R.P., & Milne, D.L., (2013).  CBT supervision in a university-based training clinic: A case study in bridging the gap between rigor and relevance. Journal of Cognitive Psychotherapy, 27(1), 30-41.  DOI: 10.1891/0889-8391.27.1.30.

 Milne, D.L., Reiser, R.P., & Cliffe, T. (2013). An N=1 evaluation of enhanced CBT supervision. Behavioural and Cognitive Psychotherapy, 41(2), 210-220. DOI: 10.1017/S1352465812000434.

Reiser, R.P., & Milne, D.L., (2012).  Supervising cognitive-behavioral psychotherapy: pressing needs, impressing possibilities.  Journal of Contemporary Psychotherapy, 42, 161-171. DOI: 10.1007/s10879-011-9200-6.

Milne, D.L., Reiser, R.P.  (2012). A rationale for evidence-based clinical supervision. Journal of Contemporary Psychotherapy, 42, 139-149.  DOI: 10.1007/s10879-011-9200-6.

Milne, D.L., Reiser, R.P. (2012). Observing competence in CBT supervision: A systematic review of the available instruments. The Cognitive Behaviour Therapist, 4, 89-100.

Milne, D.L., Reiser, R.P., & Cliffe, T. (2012). An N=1 evaluation of enhanced CBT supervision. Behavioural and Cognitive Psychotherapy. 1-12. doi: 10.1017/S1352465812000434.

Milne, D.L., Reiser, R.P., Cliffe, T., Breese, L, Boon, A., Raine, R, & Scarratt, P. (2011). A qualitative comparison of cognitive-behavioural and evidence-based clinical supervisionThe Cognitive Behaviour Therapist, 4, 152-166.

Milne, D.L., Reiser, R.P., Cliffe, T. & Raine, R. (2011). SAGE: preliminary evaluation of an instrument for observing competence in CBT supervisionThe Cognitive Behaviour Therapist. 4, 123–138.

Recruiting Clinical Supervisors for Study

If you are interested in participating in our ongoing IRB approved research on SAGE, an instrument designed to reliably observe supervisory behavior and learning outcomes within the supervision session, please contact me at using the header "SAGE Study". We are currently seeking clinical site partners to participate in our current study on the reliability and validity of a shorter 14 item version of SAGE.

The materials below may be provided courtesy of Dr. Milne