20 CSR 2233-2.021
Registered Supervisors and Supervisory Responsibilities
PURPOSE: This rule specifies the documentation needed to qualify
as a supervisor.
(1) A supervisor may not have more than a combined total of
ten (10) supervisees including S-MFTs, PLMFTs, and/or licensure
supervision candidates from other mental health disciplines
at the same time. In order to provide supervision for a provi
sional licensed marital and family therapist (PLMFT) or super
vised-marital and family therapist (S-MFT), a supervisor shall
document the following to the state committee:
(A) A graduate degree with a major in marital and family
therapy or mental health discipline from a regionally accred
ited institution acceptable to the United States Department of
Education; and
(B) Five (5) years clinical experience in providing marital and
family therapy as defined in section 337.700(7), RSMo. For the
purpose of this regulation, clinical experience shall not include
practicum or internships associated with the graduate degree
required in 20 CSR 2233-2.021(1)(A); and
(C) For supervision occurring in Missouri, the supervisor shall
document to the state committee that the supervisor has the
following:
1. Licensed for two (2) years, in Missouri or another state,
and a current license in Missouri as a marital and family
therapist, professional counselor, psychologist, clinical social
worker, or psychiatrist. For the purpose of this regulation an
inactive, provisional, expired, temporary, disciplined, or retired
license shall not meet this requirement; and
2. Designation as an approved supervisor by the American
Association for Marriage and Family Therapy; or
3. A minimum of two hundred (200) hours of clinical
supervision of individuals seeking licensure as a professional
counselor pursuant to sections 337.500 to 337.540, RSMo,
psychologist pursuant to sections 337.010 to 337.090, RSMo,
clinical social worker pursuant to sections 337.600 to 337.689,
RSMo, or graduate practicum or internship student enrolled in
master’s, specialist, or doctoral degree program in compliance
with section 337.510.1(1), RSMo, (professional counselor), section
337.021.1, RSMo, (psychologist), section 337.615.1, RSMo, (social
worker), or section 337.715.1(1), RSMo, (marital and family
therapist).
A. A minimum of one hundred (100) hours of the
two hundred (200) hours of supervised experience shall be
supervising individuals within the context of systems theory
and marital and family therapy.
B. One (1) graduate semester hour in marital and family
supervision or fifteen (15) continuing education hours in a
comparably organized and integrated series of workshops and
supervised studies of marital and family therapy supervision.
C. A minimum of twenty (20) hours of supervision-of-su
pervision and/or in the process of receiving supervision-of-su
pervision. For the purpose of this regulation, the major em
phasis of supervision-of-supervision shall be the development
of the licensee’s supervisory skills from a systemic perspective
and shall include theories of supervision, supervision practice,
and professional ethics.
(2) An individual with a state-issued professional license that
has been subject to discipline may be denied from providing
supervision for a PLMFT or S-MFT.
(3) The supervisor and/or applicant for supervision have the
burden of demonstrating that the supervisor has the required
education and experience outlined within this rule.
AUTHORITY: section 337.700, RSMo 2016, and sections 337.715
and 337.727, RSMo Supp. 2025.* This rule originally filed as 4 CSR
233-2.021. Original rule filed Dec. 31, 1997, effective July 30, 1998.
Amended: Filed May 22, 2001, effective Nov. 30, 2001. Moved to
20 CSR 2233-2.021, effective Aug. 28, 2006. Amended: Filed Nov.
15, 2007, effective May 30, 2008. Rescinded and readopted: Filed
Nov. 15, 2011, effective May 30, 2012. Amended: Filed Sept. 5, 2019,
effective March 30, 2020. Amended: Filed Jan. 7, 2026, effective
July 30, 2026.
*Original authority: 337.700, RSMo 1995, amended 2007, 2008, 2010; 337.715, RSMo
1995, amended 2004, 2007, 2009, 2010, 2013, 2020; and 337.727, RSMo 1995, amended
2009, 2010, 2018.