<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 16.17.01.03" title_num="16" subtitle_num="17" chapter_num="01" heading="Program Requirements.">
  <paragraph num="A.">
    <text>General Services. Each bureau shall:</text>
    <paragraph num="(1)">
      <text>Provide all core services and, in accordance with particular community needs, other services;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Serve a specific catchment area, in which the bureau shall be located and which may be realigned with approval from the Department;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Provide services at convenient hours in a manner which is accessible to the community;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Promote community awareness of the bureau's services; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Make use of existing public and private services in their communities by making referrals to those services which are available and appropriate.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Core Services.</text>
    <paragraph num="(1)">
      <text>Formal Counseling.</text>
      <paragraph num="(a)">
        <text>Individual, family, and group counseling shall be considered formal counseling if counseling sessions are provided on a regularly scheduled basis for more than three sessions.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Case files for each formal counseling case shall contain:</text>
        <paragraph num="(i)">
          <text>Intake material;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Progress and session notes;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Service plan; and</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Termination summary.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>Service plans shall be developed for each formal counseling case before the fourth counseling session and shall contain:</text>
        <paragraph num="(i)">
          <text>A problem statement;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Mutually agreed upon treatment goals;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Strategies used by the counselor to meet treatment goals;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Interactions with other parties when necessary to meet treatment goals; and</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Quarterly updates.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Information and Referral Services.</text>
      <paragraph num="(a)">
        <text>Information and referral services shall be provided to the general public or individual clients of the bureau.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The bureau shall maintain a list of available community services. The list shall include the name of the referral service, its address, and its telephone number.</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The bureau shall document its provision of information and referral services.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Crisis Intervention.</text>
      <paragraph num="(a)">
        <text>Crisis intervention, including intervention relating to youth suicide prevention, shall be provided to any youth and family in the community. These services are of an emergency nature and shall be provided when the situation demands an immediate response or action by the bureau.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The type and number of crisis intervention incidents shall be documented.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Substance Abuse Assessment and Referral.</text>
      <paragraph num="(a)">
        <text>Substance abuse assessment and referral services shall be provided by bureau staff who have received substance abuse assessment and referral training from the Office of Education and Training for Addictions Services of the Maryland Department of Health or from any other entity that the Secretary of the Department determines to be qualified to provide substance abuse assessment and referral training.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The bureau shall document the number of substance abuse assessments and referrals the bureau provides.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Informal Counseling.</text>
      <paragraph num="(a)">
        <text>Individual, family, and group counseling shall be considered informal counseling if the counseling is provided on an irregular basis for three or fewer sessions.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The bureau shall document informal counseling occurrences.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Noncore Services. To the extent that a bureau provides services in addition to core services, the bureau shall identify these services, provide them through the use of appropriately trained staff or volunteers, and document the type and number of the services provided.</text>
  </paragraph>
</regulation>