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<regulation prefix="Regulation" num=".09" citation="COMAR 10.58.07.09" title_num="10" subtitle_num="58" chapter_num="07" heading="Alcohol and Drug Trainees.">
  <paragraph num="A.">
    <text>Scope of Practice. The scope of practice of an alcohol and drug trainee shall be limited to the following activities under an approved alcohol and drug counselor supervisor:</text>
    <paragraph num="(1)">
      <text>Biopsychosocial evaluation, including screening, assessment, and diagnostic impressions for SUDs and CODs;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Treatment planning for SUDs and CODs, 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 in the areas of SUDs and CODs;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Counseling, therapy, and trauma informed care with individuals, couples, families and groups in the areas of SUDs and CODs;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Client, family, group, and community education;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Documentation; and</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Compliance with professional and ethical responsibilities.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A trainee may not perform supervision.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Qualifications. To qualify as an alcohol and drug trainee, an applicant shall meet one of the following requirements:</text>
    <paragraph num="(1)">
      <text>Hold an associate’s degree or higher from an accredited educational institution:</text>
      <paragraph num="(a)">
        <text>In a health and human services counseling field; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Hold an associate’s degree and a completed program of studies determined by the Board to be substantially equivalent in subject matter, which includes 1 semester credit hour or 2 quarter credit hours in the ethics of alcohol and drug counseling; or</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Have completed 15 semester credit hours or 25 quarter credit hours from among the topic areas specified in Regulation .05B of this chapter including:</text>
      <paragraph num="(a)">
        <text>15 continuing education units (CEUs) in the ethics of alcohol and drug counseling; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>1 semester credit hour or 2 quarter credit hours in the ethics of alcohol and drug counseling from an accredited educational institution.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>An alcohol and drug trainee shall:</text>
    <paragraph num="(1)">
      <text>Practice under the supervision of a Board-approved alcohol and drug supervisor as specified under §§E—H of this regulation; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Have available for inspection a professional disclosure statement, as described in Health Occupations Article, §17-507, Annotated Code of Maryland, that:</text>
      <paragraph num="(a)">
        <text>Clearly states that the counseling services are provided under supervision; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Provides the name, title, and credentials of the supervisor of record, including the supervisor’s address and contact information.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>A trainee holding a master’s degree shall:</text>
    <paragraph num="(1)">
      <text>Practice under the clinical supervision of an approved alcohol and drug counselor supervisor as defined under Regulation .02B of this chapter;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>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>Provide documentation satisfactory to the Board every 2 years of progress towards the fulfillment of the experiential and course of study requirements under Health Occupations Article, §17-302, Annotated Code of Maryland.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>A trainee holding a bachelor’s degree shall:</text>
    <paragraph num="(1)">
      <text>Practice under the moderate supervision of an approved alcohol and drug counselor supervisor;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>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>Provide documentation satisfactory to the Board every 2 years of progress towards the fulfillment of the experiential and course of study requirements under Health Occupations Article, §17-403 or 17-404, Annotated Code of Maryland.</text>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>A trainee holding an associate’s degree shall:</text>
    <paragraph num="(1)">
      <text>Practice under the close supervision of an approved alcohol and drug counselor supervisor;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>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>Provide documentation satisfactory to the Board every 2 years of progress towards the fulfillment of the experiential and course of study requirements under Health Occupations Article, §17-403 or 17-404, Annotated Code of Maryland.</text>
    </paragraph>
  </paragraph>
  <paragraph num="H.">
    <text>A trainee holding a high school diploma shall meet all guidelines set forth under §G of this regulation.</text>
  </paragraph>
  <paragraph num="I.">
    <text>Application Process.</text>
    <paragraph num="(1)">
      <text>To qualify for alcohol and drug trainee status, an applicant shall:</text>
      <paragraph num="(a)">
        <text>Complete and return the Board-approved application that includes:</text>
        <paragraph num="(i)">
          <text>Information and supporting documentation regarding the applicant’s current educational level at the start of the trainee period; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>An attestation specifying the certification or licensure level being sought at the end of the trainee period;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Meet all of the requirements set forth under Regulation .03 of this chapter;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Provide the name and credentials of the applicant’s prospective supervisor before beginning practice; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Comply with:</text>
        <paragraph num="(i)">
          <text>Health Occupations Article, Title 17, Annotated Code of Maryland; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The code of ethics as set forth in COMAR 10.58.03.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The trainee shall notify the Board in writing within 30 days of any changes in employment and supervision.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>An individual licensed as a clinical mental healthcare provider under the Health Occupations Article, Title 17, Annotated Code of Maryland, may not apply as a trainee.</text>
    </paragraph>
  </paragraph>
  <paragraph num="J.">
    <text>Trainee Practice of Alcohol and Drug Counseling.</text>
    <paragraph num="(1)">
      <text>An individual may practice alcohol and drug counseling as a trainee for a maximum of 6 years.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>After fulfilling the experiential and course of study requirements under Regulations .04, .05, .07, or .08 of this chapter, the alcohol and drug trainee may be eligible to apply for:</text>
      <paragraph num="(a)">
        <text>Licensed clinical alcohol and drug counselor (LCADC);</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Licensed graduate alcohol and drug counselor (LGADC);</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Certified associate counselor-alcohol and drug (CAC—AD); or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Certified supervised counselor-alcohol and drug (CSC—AD).</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="K.">
    <text>Renewal.</text>
    <paragraph num="(1)">
      <text>The Board shall issue a letter to the individual authorizing the individual to practice alcohol and drug counseling as a trainee for 2 years, renewable in 2-year increments up to a total of 6 years.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>In each 2-year renewal application, before the expiration of the current trainee period, the trainee shall:</text>
      <paragraph num="(a)">
        <text>Document progress made during the current 2-year period towards the stated educational and supervised clinical experience required for the licensure or certification sought at the end of the trainee period, including:</text>
        <paragraph num="(i)">
          <text>A verification from the approved alcohol and drug supervisor documenting the number of hours of supervised clinical experience obtained during the 2-year period; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A copy of an official transcript from an educational institution approved by the Board documenting progress made in completing the required education;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Submit a completed Board-approved trainee renewal application;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Pay the required renewal fee set forth in COMAR 10.58.02; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Provide documentation, satisfactory to the Board, every 2 years of the applicant’s progress towards fulfilling the experiential and course of study requirements under Health Occupations Article, §17-403 or 17-404, Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>The Board may deny renewal if the applicant fails to document sufficient progress as determined by the Board.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>A trainee who fails to renew their trainee status is not authorized to practice alcohol and drug counseling.</text>
    </paragraph>
  </paragraph>
</regulation>