# COMAR Title 10 — Maryland Department of Health

## Subtitle 27 — Board of Nursing

### Chapter 12 — Nurse Psychotherapists in Independent Practice — Clinical Nurse Specialists

#### Regulation .05 Scope of Practice.

*COMAR 10.27.12.05*

The PMH/APRN may perform independently, autonomously, and in a variety of settings, the following functions:

A. Establish a mental health diagnosis;

B. Evaluate and manage psychobiological intervention;

C. Provide individual therapy;

D. Provide group therapy;

E. Provide family therapy;

F. Provide any therapy which purpose is to:

  (1) Effect change in the client in an attempt to alleviate emotional disturbances,

  (2) Reverse or change maladaptive behavior, and

  (3) Facilitate personality growth and development;

G. Provide consultation to health care providers and others to:

  (1) Influence the plans of care for clients,

  (2) Enhance the abilities of others to provide behavioral, psychiatric, and mental health care, and

  (3) Effect change in systems;

H. Provide behavioral rehabilitation care; and

I. Utilize advanced practice skills to independently provide:

  (1) Case management including psychiatric rehabilitation and home care, and

  (2) Health teaching, health promotion, health prevention, and aid to the client in developing healthy patterns of living.