Date of Award

Summer 2021

Document Type


Degree Name

Doctor of Philosophy (PhD)


Counseling & Human Services


Counselor Education and Supervision

Committee Director

Gülşah Kemer

Committee Member

Müge Akpınar-Elçi

Committee Member

Eddie Hill

Committee Member

Alan Schwitzer


Integrated Behavioral Health (IBH) is an integrated care approach where primary care and mental health providers work together to address the medical and behavioral health needs of the patients, or clients (Unützer et al., 2012). An increasing number of clinical mental health counselors are providing services in IBH settings and experiencing challenges with navigating unique aspects of their work in these complex systems. Clinical supervision in these settings appears as a critical resource for mental health counselor trainees (supervisees). However, we have very limited knowledge on clinical supervision provided to supervisees at IBH settings. An exploration of site supervisors’ supervision practices in these settings appears to be crucial to inform clinical mental health practices as well as counselor training programs. Therefore, in the current study, I aim at understanding site supervisors’ perspectives of counseling supervision in IBH settings through using a mixed-method approach, Q methodology (Watts & Stenner, 2005). Results of Q methodology procedures yielded a 2-factor solution, where Factor 1 focused on administrative supervision of IBH settings while factor 2 focused on process-oriented clinical supervision. Implications and recommendations for future studies are discussed.


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