A lack of training around religious and spiritual issues in formalized mental health professional programs has placed the responsibility to ensure clinicians are prepared to work with clients in this area on clinical supervisors. This study measured supervisors' perceived competence to address issues of spirituality in supervision as well as frequency and type of religious/spiritual conversations in supervision. Additionally, this study evaluated the relationship between perceived competence and frequency of conversations around religious/spiritual issues. Finally, in the service of measurement-based supervision, the constructs delineated in the Spiritual Competency Scale (SCS) were evaluated next to the factors in the SACRED model as a way of providing supervisors a model and measurement to enhance supervision competence. Threehundred and four participants completed a survey assessing perceived competence and types of spiritual discussions held in supervision. A total of 46% of supervisors scored below the cutoff for perceived competence as measured by the SCS. There was no significant difference between student and supervisor scores on the SCS and the average score across groups fell below the cutoff for competence. Additionally, a large positive correlation existed between scores on the Spiritual Issues in Supervision Scale (SISS) and the SCS for both groups. Finally, the SCS could effectively be used as a competency-based measure for supervisors utilizing the SACRED model of supervision to help foster student's spiritual competence. The results of this study hold implications for the importance of training, supervision, and course work devoted to religious and spiritual concerns. grateful for the village of people who have offered their support, expertise, and guidance. I would like to acknowledge two people who served as the catalysts for this entire doctoral process, Dr. Julia Wernz and Dr. Jonathan Leggett. You showed me the healing power of holistic, integrated, collaborative care. Thank you for challenging me to grow as a clinician, specifically in the areas of religious/spiritual integration, this dissertation would not have been possible without your wisdom. I would also like to thank my dissertation chair, Dr. Christine Schimmel for her guidance and support. Your passion for teaching and mentoring has been apparent from our first meeting. I cannot express enough how grateful I am for your organization, guidance, availability, and unwavering support. Most of all, I would like to thank you for your collaborative, strengths focused approach. I will strive to implement all of these wonderful characteristics into my own supervisory style. Finally, I would like to thank the many faculty and staff that have made my time at West