<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.58.03.05" title_num="10" subtitle_num="58" chapter_num="03" heading="The Counseling Relationship.">
  <paragraph num="A.">
    <text>Client Welfare and Rights.</text>
    <paragraph num="(1)">
      <text>A counselor shall:</text>
      <paragraph num="(a)">
        <text>Inform clients of the purposes, goals, techniques, procedures, limitations, potential risks, and benefits of services to be performed;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Explain to clients the implications of diagnosis, the intended use of tests and reports, fees, and billing arrangements;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Document attempts to inform other professional persons concurrently providing mental health services to a client;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Assist clients in making appropriate arrangements for the continuation of treatment due to interruptions including but not limited to vacations and extended illness; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Make appropriate referrals.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A counselor may not:</text>
      <paragraph num="(a)">
        <text>Place or participate in placing clients in positions that may result in damaging the interests and the welfare of clients, employees, employers, or the public;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Condone or engage in discrimination based on age, color, culture, disability, ethnic group, gender, race, religion, sexual orientation, marital status, or socioeconomic status;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Abandon or neglect clients in counseling; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Foster dependent counseling relationships.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Dual Relationships.</text>
    <paragraph num="(1)">
      <text>A counselor shall:</text>
      <paragraph num="(a)">
        <text>Avoid dual relationships with clients; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Take appropriate measures, including but not limited to, informed consent, consultation, supervision, and documentation to ensure that judgment is not impaired and no exploitation occurs if a dual relationship cannot be avoided.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A counselor may not:</text>
      <paragraph num="(a)">
        <text>Exploit trust and dependency in relationships with supervisees, employees, research participants, students, or volunteers; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Accept as clients superiors or subordinates with whom a counselor has administrative, supervisory, or evaluative relationships.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Multiple Clients.</text>
    <paragraph num="(1)">
      <text>A counselor shall clarify the unit of treatment in a counselor's written records as:</text>
      <paragraph num="(a)">
        <text>Individual;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Couple;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Family;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Group; or</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Any combination of §C(1)(a)—(d) of this regulation.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A counselor shall identify in the written records individuals present in sessions, but not a part of the unit of treatment.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A counselor shall communicate limitations on confidentiality to all clients.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Termination and Referral.</text>
    <paragraph num="(1)">
      <text>Termination may occur if:</text>
      <paragraph num="(a)">
        <text>Services are no longer requested by a client;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Counseling no longer serves a client's needs or interests;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A counselor is unable to competently and ethically perform duties;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>A client does not pay the fees charged; or</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Agency or institution limits do not allow further counseling services.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A counselor may terminate a counseling relationship only after:</text>
      <paragraph num="(a)">
        <text>Securing a client's agreement; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>If a client does not agree to termination, offering an appropriate referral.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>