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It is surprising and even ironic that clinical supervision is frequently conducted in
the absence of systematic monitoring of patient progress. The use of a
monitoring system that provides feedback to trainees and focuses attention on
potential treatment failures is described. Potential advantages of such a practice
include continued session attendance, enhanced outcome, and its ability to
complement the goals considered essential to clinical supervision.
Recommendations include routine use of patient tracking with supervision that
focuses on the “failing” patient. Supervision may thus become a routine and
integral part of treatment to prevent failure and enhance the quality of clinical

Over the past several years, there has been an increased focus on
integrating not only multiculturalism in the counseling profession, but also
advocacy and social justice. Although the professional literature addresses
the importance of cultural competence in supervision, there is a paucity of
information about social justice advocacy in relation to the process of
counseling supervision. In this article, the authors share a rationale for
integrating a social justice advocacy orientation in supervision, discuss the
connection between diversity and social justice advocacy counseling
competence, address challenges faced by supervisors, and suggest
specific strategies for use in supervision to prepare counselors to be social
justice counseling advocates.