10.58.07.04

.04 Licensed Graduate Alcohol and Drug Counselors.

A. Scope of Practice. The scope of practice for a licensed graduate alcohol and drug counselor includes the following activities to be performed under the clinical supervision of a Board-approved alcohol and drug counselor supervisor:

(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; and

(8) Professional and ethical responsibilities.

B. Licensure. To qualify for licensure as a graduate alcohol and drug counselor, an 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 48 graduate semester credit hours; or

(ii) 72 graduate 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 including:

(a) A 3 semester credit hour or 5 quarter credit hour course taken at a regionally accredited educational institution in each of the following:

(i) Medical aspects of chemical dependency;

(ii) Addictions treatment delivery;

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

(iv) Abnormal psychology;

(v) Group counseling; and

(vi) Individual counseling; and

(b) Any three of the following 3 semester credit hour or 5 quarter credit hour courses taken at a regionally accredited educational institution:

(i) Family counseling;

(ii) Theories of counseling;

(iii) Human development;

(iv) Topics in substance-related and addictive disorders; or

(v) Treatment of co-occurring disorders;

(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) Achieve a passing score on:

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

(b) An examination of:

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

(ii) COMAR 10.58;

(8) Submit to a criminal background check;

(9) Be of good moral character; and

(10) 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 graduate alcohol and drug counselors shall conspicuously display their license or certificate and a professional disclosure statement as set forth in Regulation .03C of this chapter.

D. The Board shall act upon applications within a 6 month period as set forth under Regulation .03D of this chapter.

E. A licensed graduate alcohol and drug counselor shall practice alcohol and drug counseling under the supervision of a Board-approved alcohol and drug counselor supervisor who is:

(1) A licensed clinical alcohol and drug counselor;

(2) A licensed clinical professional counselor;

(3) A licensed clinical marriage and family therapist;

(4) A licensed clinical professional art therapist; or

(5) An approved clinical alcohol and drug supervisor as defined in COMAR 10.58.13.02.

F. A licensed graduate alcohol and drug counselor may not:

(1) Practice independently; or

(2) Provide supervision.

G. Expiration and Renewal.

(1) The graduate alcohol and drug counselor license expires 2 years after the date issued.

(2) The graduate alcohol and drug counselor shall comply with the renewal requirements as provided in Health Occupations Article, §17-504, Annotated Code of Maryland, and COMAR 10.58.05.03—.06.

(3) If the graduate alcohol and drug counselor licensee is unable to accumulate the required clinical hours for licensure as a clinical alcohol and drug counselor in 2 years, the graduate alcohol and drug counselor may apply for a 2-year renewal of a license as a graduate alcohol and drug counselor, up to a maximum of 6 years.

(4) If a licensed graduate alcohol and drug counselor licensee notifies the Board in writing, the Board may consider a license extension beyond the 6-year maximum as set forth in §G(3) of this regulation.

(5) To renew licensure as a graduate alcohol and drug counselor, 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.

H. Reinstatement. The Board may reinstate the license of a licensed graduate alcohol and drug counselor as set forth under Regulation .03F of this chapter.

I. Inactive Status. The guidelines for inactive status are set forth under Regulation .03G of this chapter.