<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".09" citation="COMAR 10.58.03.09" title_num="10" subtitle_num="58" chapter_num="03" heading="Sexual Misconduct.">
  <paragraph num="A.">
    <text>A counselor may not engage in sexual misconduct with a client or supervisee. Sexual misconduct includes but is not limited to:</text>
    <paragraph num="(1)">
      <text>Inappropriate sexual language;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Sexual exploitation;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Sexual harassment;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Sexual behavior; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Therapeutic deception.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Concurrent Sexual Relationships. A counselor may not engage in either consensual or forced sexual behavior with:</text>
    <paragraph num="(1)">
      <text>A client;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A student or supervisee over whom the counselor exercises professional authority, or with whom the counselor maintains evaluative responsibility, supervision, or education, while the professional relationship continues to exist; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>An individual with whom the client has a close personal relationship, including but not limited to a relative or significant individual in the client's life, if there is a risk of exploitation or potential harm to the client.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Relationship with Former Clients.</text>
    <paragraph num="(1)">
      <text>Except as set forth in §C(3) of this regulation, a counselor may not engage in sexual behavior with a former client.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A counselor may not terminate professional services or a professional relationship with a client in order to enter into a nonprofessional, social, or sexual relationship with a client or an individual with whom a client has a close personal relationship.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A counselor may enter into a relationship with an individual with whom a counselor's prior professional contact was brief, peripheral, consultative, or indirect, and did not constitute a therapeutic relationship.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Prior Sexual Relationships. A counselor may not provide professional services to an individual with whom a counselor has previously engaged in sexual behavior.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Sexual Harassment.</text>
    <paragraph num="(1)">
      <text>A counselor may not sexually harass a:</text>
      <paragraph num="(a)">
        <text>Client;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Student;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Supervisee; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Supervisor.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>If sexually harassed by a client, a counselor shall:</text>
      <paragraph num="(a)">
        <text>Seek professional consultation with another licensed health care professional;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Redefine the professional plan of action in writing in a client's record, documenting all action taken in a client's treatment plan; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Terminate the relationship with the client and assist in a referral to another health care provider.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Therapeutic Deception. A counselor may not:</text>
    <paragraph num="(1)">
      <text>Engage in sexual activity with a client or an individual in a close personal relationship with a client, on the pretense of therapeutic intent or benefit;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Represent to a client or individual in close personal contact with a client that sexual contact or activity by or with a counselor is consistent with or part of a client's therapy; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Suggest, recommend, or encourage a client to engage in a sexually provocative act, including but not limited to:</text>
      <paragraph num="(a)">
        <text>Sexual contact with a counselor;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Genital stimulation by or of a client or counselor;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Undressing, by or of a counselor in the presence of a client, or of a client in the presence of a counselor; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Discussion or disclosure of a sexually provocative or erotic nature, not necessitated by treatment or treatment protocol.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>