10.58.07.08

.08 Alcohol and Drug Trainees.

A. Scope of Practice. The scope of practice of an alcohol and drug trainee shall be limited to the following activities:

(1) Biopsychosocial evaluation, including screening, assessment, and diagnostic impressions for SUDs and CODs;

(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 in the areas of SUDs and CODs;

(5) Counseling, therapy, and trauma informed care with individuals, couples, families and groups in the areas of SUDs and CODs;

(6) Client, family, and community education;

(7) Documentation; and

(8) Compliance with professional and ethical responsibilities.

B. A trainee may not perform supervision.

C. A trainee holding a master’s degree shall:

(1) Practice under the clinical supervision of an approved licensed clinical alcohol and drug counselor supervisor;

(2) Hold approved trainee status with the Board; and

(3) 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.

D. A trainee holding a bachelor’s degree shall:

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

(2) Hold approved trainee status with the Board; and

(3) Provide documentation satisfactory to the Board every 2 years of progress towards the fulfillment of the experiential or course of study requirements under Health Occupations Article, §17-403 or 17-404, Annotated Code of Maryland.

E. A trainee holding an associate’s degree shall:

(1) Practice under the close supervision of a Board-approved alcohol and drug counselor supervisor;

(2) Hold approved trainee status with the Board;

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

(4) 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.

F. A trainee holding a high school diploma shall meet all guidelines set forth under §E of this regulation.

G. Application Process.

(1) In order to practice as an alcohol and drug trainee, an individual shall:

(a) Complete and return the Board-approved application that includes:

(i) Information and supporting documentation regarding the applicant’s current educational level at the start of the trainee period; and

(ii) An attestation specifying the certification or licensure level being sought at the end of the trainee period;

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

(c) Provide the name and credentials of the applicant's prospective supervisor before beginning practice.

(2) 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 to a total of 6 years.

(3) In each 2-year renewal application, the trainee shall:

(a) Document progress made during the current 2-year period towards the stated education or supervised experience required for the licensure or certification sought at the end of the trainee period, including:

(i) A verification from the approved supervisor documenting the number of hours of supervised experience obtained during the 2-year period; and

(ii) A copy of an official transcript from an educational institution approved by the Board documenting progress made in completing the required education; and

(b) Pay the required renewal fee set forth in COMAR 10.58.02.

(4) The Board may deny renewal if the applicant fails to document sufficient progress as determined by the Board.

(5) A trainee who fails to renew their trainee status is not authorized to practice alcohol and drug counseling.

(6) The trainee shall notify the Board in writing of any changes in employment and supervision.

(7) 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.

H. Trainee Practice of Alcohol and Drug Counseling.

(1) An individual may practice alcohol and drug counseling as a trainee for a maximum of 6 years.

(2) After fulfilling the experiential and course of study requirements under Regulations .03, .04, .06, or .07 of this chapter, the alcohol and drug trainee, may be eligible to apply for:

(a) Licensed clinical alcohol and drug counselor (LCADC);

(b) Licensed graduate alcohol and drug counselor (LGADC);

(c) Certified associate counselor — alcohol and drug (CAC—AD); or

(d) Certified supervised counselor — alcohol and drug (CSC—AD);

I. Qualifications. To qualify as an alcohol and drug trainee an applicant shall meet one of the following requirements:

(1) Hold an associate’s degree or higher in a:

(a) Health and human services counseling field from a regionally accredited educational institution, which includes 1 semester credit hour or 2 quarter credit hours in the ethics of alcohol and drug counseling; or

(b) Program of studies determined by the Board to be substantially equivalent, which includes 1 semester credit hour or 2 quarter credit hours in the ethics of alcohol and drug counseling; or

(2) Have completed 15 semester credits or 25 quarter credits from among the topic areas specified in Regulation .03B of this chapter including:

(a) 15 continuing education units (CEU’s) in the ethics of alcohol and drug counseling; or

(b) 1 semester credit hour or 2 quarter credit hours in the ethics of alcohol and drug counseling from an accredited educational institution.

J. An alcohol and drug trainee shall practice under the supervision of a Board-approved alcohol and drug supervisor.

K. Renewal.

(1) Individuals applying for renewal of trainee status after the effective date of this regulation shall:

(a) Complete a trainee renewal application on a Board-approved form;

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

(c) Provide documentation, satisfactory to the Board, of the applicant’s progress during the current 2 year period towards fulfilling the experiential and course of study requirements under Health Occupations Article, §§17-302, 17-309, 17-403, or 17-404, Annotated Code of Maryland.

(2) Trainees currently in the process of completing the trainee requirements before the effective date of this regulation may continue to complete the requirements as previously agreed to with their supervisor, provided they fulfill the experiential or course of study requirements under Health Occupations Article, §§17-302, 17-309, 17-403, or 17-404, Annotated Code of Maryland.