10.58.07.06

.06 Certified Associate Counselor — Alcohol and Drug.

A. Scope of Practice. The scope of practice of a certified associate counselor — alcohol and drug consists of the following activities, performed in accordance with §B of this regulation:

(1) Biopsychosocial evaluation, including participating in the development of diagnostic impressions for SUDs or Screening, Brief Intervention, and Referral to Treatment (SBIRT);

(2) Treatment planning for SUDs and CODs, including initial, ongoing, continuity of care, discharge, and planning for relapse prevention;

(3) Referral;

(4) Service coordination and case management for SUDs and CODs;

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

(6) Client, family, and community education;

(7) Documentation; and

(8) Complying with:

(a) Professional and ethical responsibilities; and

(b) Supervisory responsibilities for a certified associate counselor — alcohol and drug, certified supervised counselor — alcohol and drug, or a trainee seeking certification, provided that the certified associate counselor — alcohol and drug has been approved as a supervisor by the Board.

B. As required by Health Occupations Article, §17-403(a)(4), Annotated Code of Maryland, a certified associate counselor — alcohol and drug shall:

(1) Practice under the moderate supervision of a Board-approved alcohol and drug counselor supervisor who is:

(a) A licensed clinical alcohol and drug counselor;

(b) A certified professional counselor — alcohol and drug; or

(c) Another health care provider:

(i) Licensed or certified under the Health Occupations Article, Title 17, Annotated Code of Maryland; and

(ii) Approved by the Board; and

(2) Provide alcohol and drug counseling as an employee of an agency or facility that is certified or licensed by the State.

C. To qualify for certification as a certified associate counselor — alcohol and drug (CAC—AD) an applicant shall:

(1) Complete a Board-approved application;

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

(3) Hold a bachelor’s degree from a regionally accredited educational institution in a:

(a) Health and human services counseling field; or

(b) Program of studies determined by the Board to be substantially equivalent;

(4) Complete a minimum of 33 semester credit hours or 50 quarter credit hours in alcohol and drug counselor training from a regionally accredited 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) Group counseling;

(iv) Individual counseling;

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

(vi) Abnormal psychology; 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; and

(v) Treatment of co-occurring disorders; and

(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 not less than 1 year with 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;

(7) Achieve a passing score on:

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

(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.

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

E. A certified associate counselor — alcohol and drug:

(1) May provide alcohol and drug counseling:

(a) As an employee of an agency or facility that is certified or licensed by the State; and

(b) Under the moderate supervision of a Board-approved supervisor as specified in Health Occupations Article, §17–404, Annotated Code of Maryland; and

(c) Supervision with approval by the Board; and

(2) May not practice independently.

F. Renewal.

(1) To renew certified associate counselor — alcohol and drug certification, 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) The Board may not renew the certification of any certified associate counselor — alcohol and drug who fails to complete all requirements for renewal before the expiration date of the current certification.

(3) An individual who fails to renew certification is not authorized to and may not practice alcohol and drug counseling.

G. Reinstatement. The Board may reinstate the certificate of a certified associate counselor — alcohol and drug set forth under Regulation .03F of this chapter.

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