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For several years I have been a supervisor at a psychotherapy clinic where many of the staff are recent graduates of social work schools and others have little or no advanced psychoanalytic training and are generally inexperienced in treating children. The clinic has a whole range of patients—neurotics, borderlines and those with chronic mental illness—and, as is often found in treatment facilities of this kind, the most inexperienced staff has case loads made up of some of the most difficult and volatile patients. Added to this problematical situation are external economic pressures placed on the clinic. Medicaid rates have not been increased for years. Managed care companies have placed unrealistic limits on the length of calendar time allowed for treatment and have reduced the rates paid for ongoing care. The clinic administration, in an effort to survive, has responded to its untenable position with an unrealistic solution of cutting the treatment hour to 30 minutes. The staff continues to have an enormous need for supervision while the clinic is hard pressed to pay for this nonrevenue-generating service. Supervisors, in view of all that needs to be