<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.42.03.06" title_num="10" subtitle_num="42" chapter_num="03" heading="Standards of Practice.">
  <paragraph num="A.">
    <text>Professional Competence. The licensee shall:</text>
    <paragraph num="(1)">
      <text>Limit practice to the areas in which the licensee has gained proficiency through education, training, and experience;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Acquire specialized education and training in order to provide the client with services that are culturally informed;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Use interventions and assessment techniques only when the licensee knows that the circumstances justify those interventions and techniques;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Monitor the effectiveness of a licensee’s interventions;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Maintain and enhance professional competence by meeting the requirements of continuing education as set forth in COMAR 10.42.06;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Engage in ongoing consultation with other professionals with relevant knowledge, experience, and training, when developing competence in a new service or technique;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Document and maintain appropriate and accurate records of professional service, supervision, and research work;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Represent accurately the licensee’s professional qualifications; and</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Seek competent professional assistance to determine whether to suspend, terminate, or limit the scope of professional or scientific activities when the licensee becomes aware that the licensee’s competence is impaired.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A licensee may not:</text>
    <paragraph num="(1)">
      <text>Undertake or continue a professional relationship with a client when the competence or objectivity of the licensee is or could reasonably be expected to be impaired due to:</text>
      <paragraph num="(a)">
        <text>Mental, emotional, physiological, pharmacological, substance abuse, or personal problems; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The licensee’s present or previous familial, social, sexual, emotional, financial, supervisory, political, administrative, legal, or other relationship with the client or a person associated with or related to the client; or</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Engage in other relationships that could limit the licensee’s objectivity or create a conflict of interest or the appearance of a conflict of interest.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Research. A licensee shall:</text>
    <paragraph num="(1)">
      <text>Comply with all requirements under Health General Article, §§13-2001—13-2004, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Obtain informed consent from a client for participation in research that clearly defines for the client:</text>
      <paragraph num="(a)">
        <text>Why the client is being asked to participate;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>What modalities will be employed;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>What standardized instruments will need to be completed;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The timeline for the consent;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Any potential benefits; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Any potential adverse reactions;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Inform the client of the client’s right to discontinue participation in the research;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Provide the client with treatment options and referral sources in the event of an adverse reaction;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Respect the dignity and protect the welfare of the research subject, and comply with all relevant statutes, regulations, and institutional and administrative rules concerning treatment of the research participant;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Ensure the ethical treatment of the research participant by collaborators, supervisees, and employees;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Make clear, either as a researcher or a writer, the:</text>
      <paragraph num="(a)">
        <text>Nature of the participation;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Costs; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Licensee’s obligations to the research participants; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>Report research findings accurately, presenting only the licensee’s work or making appropriate citations when needed.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>The licensee engaging in physical, nonsexual contact with a client as an accepted component of a professionally recognized, nontraditional treatment modality shall document in the client’s record:</text>
    <paragraph num="(1)">
      <text>An assessment of the client;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A written rationale for the use of the treatment modality for the client; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A copy of the informed consent signed and dated by the client and the licensee, which addresses:</text>
      <paragraph num="(a)">
        <text>The risks and benefits of the treatment modality;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The objective or objectives and intended outcome or outcomes of the proposed treatment;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Available alternative interventions; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>A description of the physical contact which may be reasonably anticipated by the client in the course of the proposed treatment.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>