<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".08" citation="COMAR 10.58.07.08" title_num="10" subtitle_num="58" chapter_num="07" heading="Certified Supervised Counselor-Alcohol and Drug.">
  <paragraph num="A.">
    <text>Scope of Practice. The scope of practice for a certified supervised counselor-alcohol and drug consists of the following activities, performed in accordance with §B of this regulation:</text>
    <paragraph num="(1)">
      <text>Participating in the development of diagnostic impressions for SUDs and CODs, as:</text>
      <paragraph num="(a)">
        <text>Confirmed by an approved alcohol and drug counselor supervisor; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Documented by signature and credentials;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Biopsychosocial evaluation, as permitted by the Board-approved supervisor;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Screening, Brief Intervention, and Referral to Treatment (SBIRT);</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Treatment planning for SUDs and CODs, including initial, ongoing, continuity of care, discharge, and planning for relapse prevention, as confirmed by:</text>
      <paragraph num="(a)">
        <text>An approved alcohol and drug counselor supervisor; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Documentation by signature and credentials;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Referral;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Participating in service coordination, case coordination, and case management for SUDs and CODs;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Counseling of individuals and groups for SUDs;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Client, family, and community education for SUDs;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Documentation; and</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Complying with the professional and ethical responsibilities set forth in COMAR 10.58.03.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A certified supervised counselor-alcohol and drug:</text>
    <paragraph num="(1)">
      <text>Shall practice under the close supervision of an approved alcohol and drug counselor supervisor;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Shall provide alcohol and drug counseling as an employee of an agency or facility that is certified or licensed by the State; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>May not:</text>
      <paragraph num="(a)">
        <text>Provide supervision; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Practice independently.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>To qualify for certification as a supervised counselor-alcohol and drug, an applicant shall have:</text>
    <paragraph num="(1)">
      <text>At a minimum:</text>
      <paragraph num="(a)">
        <text>An associate’s degree from an accredited educational institution in a health and human services counseling field; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An associate’s degree and have completed a program of studies determined by the Board to be substantially equivalent in subject matter with a minimum of 30 credit hours in counseling, including the required alcohol and drug course work for the level of certification sought, as specified in §C of this regulation;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Completed a minimum of 24 semester credit hours or 37 quarter credit hours in alcohol and drug counselor training from an accredited educational institution including:</text>
      <paragraph num="(a)">
        <text>3 semester credit hours or 5 quarter credit hours of course work in each of the following course content areas:</text>
        <paragraph num="(i)">
          <text>Pharmacology;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Addictions treatment delivery; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Ethics that includes alcohol and drug counseling issues; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Any three of the following 3 semester credit hours or 5 quarter credit hours of course work in each of the following course content areas:</text>
        <paragraph num="(i)">
          <text>Human development;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Theories of counseling;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Treatment of co-occurring disorders;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Family counseling;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Individual counseling;</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Group counseling;</text>
        </paragraph>
        <paragraph num="(vii)">
          <text>Abnormal psychology; and</text>
        </paragraph>
        <paragraph num="(viii)">
          <text>Topics in substance-related and addictive disorders;</text>
        </paragraph>
      </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 an alcohol and drug trainee under and verified by an approved alcohol and drug counselor supervisor;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Achieved a passing score on:</text>
      <paragraph num="(a)">
        <text>A national alcohol and drug counselor examination as 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>This subtitle;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Met all of the requirements set forth under Regulation .03 of this chapter; and</text>
    </paragraph>
    <paragraph num="(6)">
      <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="D.">
    <text>Certified supervised counselors-alcohol and drug shall have available for inspection a professional disclosure statement, as described in Health Occupations Article, §17-507, Annotated Code of Maryland, that:</text>
    <paragraph num="(1)">
      <text>Clearly states that the counseling services are provided under supervision; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Provides the name, title, and credentials of the supervisor of record, including the supervisor’s address and contact information.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Reexamination. An applicant who fails an examination for certification:</text>
    <paragraph num="(1)">
      <text>May retake the exam if:</text>
      <paragraph num="(a)">
        <text>It is within the time frame set by the applicable testing authority; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A waiver is approved by the Board to extend the testing deadline upon proof of exceptional circumstances; or</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Shall be required to:</text>
      <paragraph num="(a)">
        <text>Submit a new application; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Pay the nonrefundable fee set forth in COMAR 10.58.02.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>The Board shall act upon applications as set forth under Regulation .03B of this chapter.</text>
  </paragraph>
  <paragraph num="G.">
    <text>Renewal. The Board may renew the certificate of a certified supervised counselor-alcohol and drug as set forth under Regulation .07G in this chapter.</text>
  </paragraph>
  <paragraph num="H.">
    <text>Reinstatement. The Board may reinstate the certificate of a certified supervised counselor-alcohol and drug as set forth under Regulation .07H in this chapter.</text>
  </paragraph>
  <paragraph num="I.">
    <text>Inactive Status. A certified supervised counselor-alcohol and drug may request inactive status as set forth under Regulation .07I of this chapter.</text>
  </paragraph>
</regulation>