This chapter outlines the key principles of clinical supervision for structured clinical management (SCM), illustrated by data from experiences of SCM supervisors, supervisees, and team managers from two contributing National Health Service (NHS) trusts in the United Kingdom. SCM is an evidence-based approach that enables generalist mental health practitioners to work effectively with people diagnosed with borderline personality disorder (BPD). It is important that supervision structures are considered an essential part of the implementation of the SCM approach, and that experienced supervisors with adequate understanding of the model are identified at an early stage. It will describe how supervisory arrangements have been implemented and give an overview of how SCM can be delivered and supervised according to the skill mix and resources of services.