<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.58.07.05" title_num="10" subtitle_num="58" chapter_num="07" heading="Licensed Clinical Alcohol and Drug Counselors.">
  <paragraph num="A.">
    <text>Scope of Practice. The scope of practice of a licensed clinical alcohol and drug counselor includes the following activities:</text>
    <paragraph num="(1)">
      <text>Clinical evaluation, including screening, assessment, and diagnosis for mental health disorders;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Treatment planning for mental health and substance use disorders, including initial, ongoing, continuity of care, discharge, and planning for relapse prevention;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Referral;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Service coordination and case management;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Counseling, therapy, and trauma-informed care with individuals, couples, families, and groups;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Client, family, and community education;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Documentation;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Professional and ethical responsibilities; and</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Supervisory responsibilities for all categories of licensed and certified alcohol and drug counselors or trainees.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Licensure. To qualify for licensure as a clinical alcohol and drug counselor, the applicant shall have:</text>
    <paragraph num="(1)">
      <text>Completed one of the following from an accredited educational institution:</text>
      <paragraph num="(a)">
        <text>A master’s degree in a health and human services counseling field with:</text>
        <paragraph num="(i)">
          <text>A minimum of 60 graduate semester credit hours; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>90 quarter credit hours;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>A doctoral degree in a health and human services counseling field with:</text>
        <paragraph num="(i)">
          <text>A minimum of 90 graduate semester credit hours; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>135 graduate quarter credit hours; or</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>A master’s degree and have completed a program of studies determined by the Board to be substantially equivalent in subject matter with a minimum of 60 credit hours in counseling, including the required alcohol and drug course work for the license, as specified in §B(2) and (4) of this regulation;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Completed a minimum of 39 semester credit hours or 65 quarter credit hours in alcohol and drug counselor training from an accredited educational institution with at least 3 semester credit hours or 5 quarter credit hours of course work in each of the following course content areas:</text>
      <paragraph num="(a)">
        <text>Pharmacology;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Group counseling;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Individual counseling;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Addictions treatment delivery;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Ethics that include alcohol and drug counseling issues;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Human development;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Abnormal psychology;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Theories of counseling;</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Treatment of co-occurring disorders;</text>
      </paragraph>
      <paragraph num="(j)">
        <text>Topics in substance-related and addictive disorders; and</text>
      </paragraph>
      <paragraph num="(k)">
        <text>Family counseling;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Completed one of the following:</text>
      <paragraph num="(a)">
        <text>An internship in alcohol and drug counseling that totals 6 semester credit hours or 10 quarter credit hours; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A minimum of 1,000 hours of alcohol and drug counseling work completed as a licensed graduate alcohol and drug counselor, a certified associate counselor-alcohol and drug, a certified supervised counselor-alcohol and drug, or an alcohol and drug trainee under and verified by an approved alcohol and drug counselor supervisor;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Completed a minimum of 3 graduate semester credit hours or 5 quarter credit hours in each of the following content areas:</text>
      <paragraph num="(a)">
        <text>Diagnosis and psychopathology; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Psychotherapy and treatment of mental and emotional disorders;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Completed a minimum of 2 years and 2,000 hours of supervised clinical experience in alcohol and drug counseling:</text>
      <paragraph num="(a)">
        <text>Obtained  after the awarding of a master’s or doctoral degree;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>As a supervisee, as defined under Regulation .02B of this chapter, under an approved alcohol and drug counselor supervisor; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Of which a minimum of 1,500 hours shall be direct clinical counseling services, including 100 hours of clinical supervision, of which:</text>
        <paragraph num="(i)">
          <text>A minimum of 50 hours shall be individual face-to-face clinical supervision; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A maximum of 50 hours may be face-to-face group clinical supervision;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>Achieved a passing score on:</text>
      <paragraph num="(a)">
        <text>A national alcohol and drug counselor examination approved by the Board; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An examination of:</text>
        <paragraph num="(i)">
          <text>Health Occupations Article, Title 17, Annotated Code of Maryland; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>COMAR 10.58;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>Met all of the requirements set forth under Regulation .03 of this chapter; and</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Complied with:</text>
      <paragraph num="(a)">
        <text>Health Occupations Article, Title 17, Annotated Code of Maryland; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The code of ethics as set forth in COMAR 10.58.03.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Renewal.</text>
    <paragraph num="(1)">
      <text>To renew clinical alcohol and drug counselor licensure, the applicant, before the current license expiration, shall:</text>
      <paragraph num="(a)">
        <text>Complete a Board-approved renewal application;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Pay all applicable fees set forth in COMAR 10.58.02; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Attest to completion of continuing education activities as specified in COMAR 10.58.05.05 and .06.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A licensed clinical alcohol and drug counselor shall comply with the renewal requirements as provided in Health Occupations Article, §17–504, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>An individual who fails to renew licensure is not authorized to and may not practice clinical alcohol and drug counseling.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Reinstatement. The Board may reinstate the license of a licensed clinical alcohol and drug counselor as set forth under Regulation .04H of this chapter.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Inactive Status. A licensed clinical alcohol and drug counselor may request inactive status as set forth under Regulation .04I of this chapter.</text>
  </paragraph>
</regulation>