10.58.07.03

.03 Licensed Clinical Alcohol and Drug Counselors.

A. Scope of Practice. The scope of practice of a licensed clinical alcohol and drug counselor includes the following activities:

(1) Clinical evaluation, including screening, assessment, and diagnosis for mental health disorders;

(2) Treatment planning for mental health disorders, including initial, ongoing, continuity of care, discharge, and planning for relapse prevention;

(3) Referral;

(4) Service coordination and case management;

(5) Counseling, therapy, and trauma-informed care with individuals, couples, families, and groups;

(6) Client, family, and community education;

(7) Documentation;

(8) Professional and ethical responsibilities; and

(9) Supervisory responsibilities for all categories of licensed and certified alcohol and drug counselors or trainees.

B. Licensure. To qualify for licensure as a clinical alcohol and drug counselor, the applicant shall:

(1) Submit a completed Board-approved application and include documentation of post-graduate experience;

(2) Pay all applicable fees set forth in COMAR 10.58.02;

(3) Complete one of the following from a regionally accredited educational institution:

(a) A masterís degree in a health and human services counseling field approved by the Board or in a program of studies determined by the Board to be substantially equivalent with:

(i) A minimum of 60 graduate semester credit hours; or

(ii) 90 quarter credit hours; or

(b) A doctoral degree in a health and human services counseling field approved by the Board or in a program of studies determined by the Board to be substantially equivalent with:

(i) A minimum of 90 graduate semester credit hours; or

(ii) 135 graduate quarter credit hours.

(4) Complete a minimum of 39 semester credit hours or 65 quarter credit hours in alcohol and drug counselor training from a regionally accredited educational institution with at least one 3 semester credit hour or 5 quarter credit hour course in:

(a) Medical aspects of chemical dependency;

(b) Group counseling;

(c) Individual counseling;

(d) Addictions treatment delivery;

(e) Ethics that includes alcohol and drug counseling issues;

(f) Human development;

(g) Abnormal psychology;

(h) Theories of counseling;

(i) Treatment of co-occurring disorders;

(j) Topics in substance-related and addictive disorders; and

(k) Family counseling;

(5) Complete one of the following:

(a) An internship in alcohol and drug counseling that totals 6 semester credit hours or 10 quarter credit hours; or

(b) A minimum of 1,000 hours of alcohol and drug counseling work completed under and verified by a Board-approved alcohol and drug counselor supervisor;

(6) Complete a minimum of 3 graduate semester credit hours or 5 quarter hours in each of the following content areas:

(a) Personality development;

(b) Diagnosis and psychopathology; and

(c) Psychotherapy and treatment of mental and emotional disorders;

(7) Complete not less than 2 years with a minimum of 2,000 hours of supervised experience in alcohol and drug counseling obtained under the supervision of an approved licensed clinical alcohol and drug counselor supervisor acquired after the awarding of a masterís or doctoral degree, of which 1,500 hours shall be face-to-face client contact hours, including 100 hours face-to-face clinical supervision hours, of which:

(a) At least 50 hours shall be individual face-to-face clinical supervision; and

(b) A maximum of 50 hours may be face-to-face group clinical supervision;

(8) Achieve a passing score on:

(a) A national alcohol and drug counselor examination approved by the Board; and

(b) An examination of:

(i) Health Occupations Article, Title 17, Annotated Code of Maryland; and

(ii) COMAR 10.58;

(9) Submit to a criminal background check;

(10) Be of good moral character; and

(11) Comply with:

(a) Health Occupations Article, Title 17, Annotated Code of Maryland; and

(b) The code of ethics as set forth in COMAR 10.58.03.

C. Licensed alcohol and drug counselors shall conspicuously display:

(1) Their license or certificate in accordance with Health Occupations Article, §17-506, Annotated Code of Maryland; and

(2) A professional disclosure statement, as described in Health Occupations Article, §17-507, Annotated Code of Maryland, that:

(a) Except for licensees, clearly states that the counseling services are provided under supervision; and

(b) Provides the name, title, and credentials of the supervisor of record, including the supervisorís address and contact information.

D. The Board shall act upon applications within a 6 month period as follows:

(1) Within 90 days after receipt of an application, the Board shall determine whether the application is complete;

(2) If the Board determines that the application is not complete, the Board or the Boardís designee shall send a notice of deficiency to the applicant;

(3) Upon receipt of a notice, the applicant shall correct the deficiency within 90 days, or other period specified in the notice; and

(4) If the applicant fails to correct the deficiency within the required period, the application may lapse and the applicant shall be required to submit a new application and pay the required non-refundable fee set forth in COMAR 10.58.02.

E. Renewal.

(1) To renew clinical alcohol and drug counselor licensure, the applicant shall:

(a) Complete a Board-approved renewal application;

(b) Pay all applicable fees set forth in COMAR 10.58.02; and

(c) Attest to completion of continuing education activities as specified in COMAR 10.58.05.05 and .06.

(2) An individual who fails to renew licensure is not authorized to and may not practice clinical alcohol and drug counseling.

F. Reinstatement.

(1) Within 5 calendar years after the certificate renewal date, the Board may reinstate the license of a licensed clinical alcohol and drug counselor otherwise entitled to reinstatement under Health Occupations Article, §17-505(b), Annotated Code of Maryland, whose certificate was not renewed for any reason, if the certificate holder:

(a) Completes within that 5-year period the minimum of 20 CEUs required for each year; and

(b) Pays the reinstatement fee set by the Board in COMAR 10.58.02.

(2) CEUs which are acquired in order to reinstate under COMAR 10.58.05.05 and.06 may be credited only once and may not be credited for any future renewals.

(3) For any licensed clinical alcohol and drug counselor whose license has expired more than 5 calendar years before the request for reinstatement, a new application for certification shall be completed and the current licensure requirements shall be met.

(4) An individual who fails to reinstate licensure is not authorized to and may not practice clinical alcohol and drug counseling.

G. Inactive Status.

(1) In accordance with Health Occupations Article, §17-505, Annotated Code of Maryland, a request to transfer a certificate or license to inactive status shall be granted upon receipt of the:

(a) Completed Board-approved application; and

(b) Payment of all applicable fees set forth in COMAR 10.58.02.

(2) An individual may apply for inactive status only if the individualís license is still active at the time application for inactive status is made.

(3) An individual on inactive status is not authorized to practice clinical alcohol and drug counseling.

(4) An individual on inactive status seeking to be reinstated to active status shall be required, as a condition of reinstatement, to submit proof of having completed 20 CEUís for each year of inactive status, at least 40 of which shall have been obtained within the 2-year period immediately preceding the application for reinstatement.