<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".10" citation="COMAR 10.58.03.10" title_num="10" subtitle_num="58" chapter_num="03" heading="Physical Contact.">
  <paragraph num="A.">
    <text>A counselor engaging in nontraditional treatment modalities using physical contact with a client shall document in a client's record:</text>
    <paragraph num="(1)">
      <text>An assessment of a client;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A written rationale for the use of the physical contact treatment modality for a client; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A copy of the informed consent, signed and dated by the client and the counselor which addresses:</text>
      <paragraph num="(a)">
        <text>The risks and benefits of the physical contact 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 a client in the course of the proposed treatment.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A counselor may not engage in a treatment modality involving physical contact if the risk of psychological harm to a client, as a result of the physical contact, has been assessed by a counselor to outweigh the possible benefits of the treatment, independent of a client's wishes.</text>
  </paragraph>
</regulation>