Chapter 4758-6 Scope of Practice

4758-6-01 Scope of practice for chemical dependency counselor assistants (CDCA).

(A) An individual holding a valid chemical dependency counselor assistant certificate may do both of the following in addition to practicing chemical dependency counseling:

(1) Perform treatment planning, assessment, crisis intervention, individual and group counseling, case management, and education services as they relate to abuse of or dependency on alcohol and other drugs;

(2) Refer individuals with nonchemical dependency conditions to appropriate sources of help.

(B) An individual holding a valid chemical dependency counselor assistant certificate may practice chemical dependency counseling and perform the tasks specified in paragraph (A) of this rule only while under the supervision of any of the following:

(1) An independent chemical dependency counselor-clinical supervisor, independent chemical dependency counselor or chemical dependency counselor III licensed under this chapter;

(2) An individual authorized under Chapter 4731. of the Revised Code to practice medicine and surgery or osteopathic medicine and surgery;

(3) A psychologist licensed under Chapter 4732. of the Revised Code;

(4) A registered nurse licensed under Chapter 4723. of the Revised Code if such supervision is consistent with the scope of practice of the registered nurse, or an individual authorized to practice as a certified nurse practitioner or clinical nurse specialist under Chapter 4723. of the Revised Code.

(5) A professional clinical counselor, independent social worker, or independent marriage and family therapist licensed under Chapter 4757. of the Revised Code if such supervision is consistent with the scope of practice of the professional clinical counselor, independent social worker, or independent marriage and family therapist.

(C) Perform tasks identified and listed in paragraph (KK) of rule 3793:2-1-08 of the Administrative Code as they relate to abuse of or dependency on alcohol and other drugs. These tasks may only be performed while under the supervision of one of those individuals designated in paragraph (K) of rule 3793:2-1-05 of the Administrative Code.

(D) A chemical dependency counselor assistant may not practice as an individual practitioner.

Effective: 3/22/2015
Five Year Review (FYR) Dates: 11/15/2015
Promulgated Under: 119.03
Statutory Authority: 4758.20
Rule Amplifies: 4758.59
Prior Effective Dates: 6/13/04, 8/17/08, 11/15/10, 05/06/2013

4758-6-02 [Rescinded] Scope of practice for certified chemical dependency counselors I (CCDC I).

Effective: 11/15/2010
R.C. 119.032 review dates: 08/10/2010
Promulgated Under: 119.03
Statutory Authority: 4758.20
Rule Amplifies: 4758.58
Prior Effective Dates: 06/13/2004, 08/17/2008

4758-6-03 Scope of practice for licensed chemical dependency counselors II (LCDC II).

(A) In addition to practicing chemical dependency counseling, an individual holding a valid chemical dependency counselor II license may do all of the following:

(1) Perform treatment planning, assessment, crisis intervention, individual and group counseling, case management and education services as they relate to abuse of and dependency on alcohol and other drugs;

(2) Provide treatment services identified and listed in rule 3793:2-1-08 of the Administrative Code as they relate to abuse of and dependency on alcohol and other drugs.

(3) Refer individuals with nonchemical dependency conditions to appropriate sources of help.

(B) A chemical dependency counselor II may not practice as an individual practitioner.

Effective: 8/1/2015
Five Year Review (FYR) Dates: 05/14/2015 and 06/13/2019
Promulgated Under: 119.03
Statutory Authority: 4758.20
Rule Amplifies: 4758.57
Prior Effective Dates: 6/13/04, 8/17/08, 5/6/13

4758-6-04 Scope of practice for licensed chemical dependency counselors III (LCDC III).

(A) In addition to practicing chemical dependency counseling, an individual holding a valid chemical dependency counselor III license may do all of the following:

(1) Diagnose chemical dependency conditions under the supervision of any of the following:

(a) An independent chemical dependency counselor - clinical supervisor licensed under Chapter 4758. of the Revised Code;

(b) An individual authorized under Chapter 4731. of the Revised Code to practice medicine and surgery or osteopathic medicine and surgery;

(c) A psychologist licensed under Chapter 4732. of the Revised Code;

(d) A registered nurse licensed under Chapter 4723. of the Revised Code if such supervision is consistent with the scope of practice of the registered nurse or an individual authorized to practice as a certified nurse practitioner or clinical nurse specialist under Chapter 4723. of the Revised Code.

(e) A professional clinical counselor, independent social worker, or independent marriage and family therapist licensed under Chapter 4757. of the Revised Code if such supervision is consistent with the scope of practice of the professional clinical counselor, independent social worker, or independent marriage and family therapist.

(2) Treat chemical dependency conditions;

(3) Perform treatment planning, assessment, crisis intervention, individual and group counseling, case management, and education services as they relate to abuse of and dependency on alcohol and other drugs;

(4) Provide treatment services identified and listed in paragraph (OO) of rule 3793:2-1-08 of the Administrative Code as they relate to abuse of and dependency on alcohol and other drugs.

(5) Provide clinical supervision of chemical dependency counseling under the supervision of any of the following:

(a) An independent chemical dependency counselor-clinical supervisor licensed under Chapter 4758. of the Revised Code;

(b) An individual authorized under Chapter 4731. of the Revised Code to practice medicine and surgery or osteopathic medicine and surgery;

(c) A psychologist licensed under Chapter 4732. of the Revised Code;

(d) A registered nurse licensed under Chapter 4723. of the Revised Code if such supervision is consistent with the scope of practice of the registered nurse or an individual authorized to practice as a certified nurse practitioner or clinical nurse specialist under Chapter 4723. of the Revised Code.

(e) A professional clinical counselor, or independent social worker, or independent marriage and family therapist licensed under Chapter 4757. of the Revised Code if such supervision is consistent with the scope of practice of the professional clinical counselor, or independent social worker, or independent marriage and family therapist.

(6) Supervise treatment services identified and listed in paragraph (OO) of rule 3793:2-1-08 of the Administrative Code under the supervision of one of the individuals in paragraph (K) of rule 3793:2-1-05 of the Administrative Code as they relate to abuse of and dependency on alcohol and other drugs.

(7) Refer individuals with nonchemical dependency conditions to appropriate sources of help.

(B) A chemical dependency counselor III may not practice as an individual practitioner.

Effective: 3/22/2015
Five Year Review (FYR) Dates: 11/15/2015
Promulgated Under: 119.03
Statutory Authority: 4758.20
Rule Amplifies: 4758.56, 4758.561
Prior Effective Dates: 6/13/04, 8/17/08, 11/15/10, 05/06/2013

4758-6-05 Scope of practice for licensed independent chemical dependency counselors (LICDC).

In addition to practicing chemical dependency counseling, an individual holding a valid independent chemical dependency counselor license may do all of the following:

(A) Diagnose and treat chemical dependency conditions;

(B) Perform treatment planning, assessment, crisis intervention, individual and group counseling, case management and education services as they relate to abuse of and dependency on alcohol and other drugs;

(C) Provide treatment services identified and listed in paragraph (OO) of rule 3793:2-1-08 of the Administrative Code as they relate to abuse of and dependency on alcohol and other drugs.

(D) Provide clinical supervision of chemical dependency counseling under the supervision of any of the following:

(1) An independent chemical dependency counselor-clinical supervisor licensed under Chapter 4758. of the Revised Code;

(2) An individual authorized under Chapter 4731. of the Revised Code to practice medicine and surgery or osteopathic medicine and surgery;

(3) A psychologist licensed under Chapter 4732. of the Revised Code;

(4) A registered nurse licensed under Chapter 4723. of the Revised Code if such supervision is consistent with the scope of practice of the registered nurse or an individual authorized to practice as a certified nurse practitioner or clinical nurse specialist under Chapter 4723. of the Revised Code.

(5) A professional clinical counselor, or independent social worker, or independent marriage and family therapist licensed under Chapter 4757. of the Revised Code if such supervision is consistent with the scope of practice of the professional clinical counselor, or independent social worker, or independent marriage and family therapist.

(E) Supervise treatment services identified and listed in paragraph (PP) of rule 3793:2-1-08 of the Administrative Code under the supervision of one of the individuals in paragraph (K) of rule 3793:2-1-05 of the Administrative Code as they relate to abuse of and dependency on alcohol and other drugs.

(F) Refer individuals with nonchemical dependency conditions to appropriate sources of help.

Effective: 3/22/2015
Five Year Review (FYR) Dates: 11/15/2015
Promulgated Under: 119.03
Statutory Authority: 4758.20
Rule Amplifies: 4758.55
Prior Effective Dates: 6/13/04, 8/17/08, 11/15/10, 05/06/2013

4758-6-06 Scope of practice for licensed independent chemical dependency counselors-clinical supervisors (LICDC-CS).

In addition to practicing chemical dependency counseling, an individual holding a valid independent chemical dependency counselor license may do all of the following:

(A) Diagnose and treat chemical dependency conditions;

(B) Perform treatment planning, assessment, crisis intervention, individual and group counseling, case management and education services as they relate to abuse of and dependency on alcohol and other drugs;

(C) Provide treatment services identified and listed in paragraph (PP) of rule 3793:2-1-08 of the Administrative Code as they relate to abuse of and dependency on alcohol and other drugs.

(D) Provide clinical supervision of chemical dependency counseling and diagnosing and treating chemical dependency conditions;

(E) Supervise treatment services identified and listed in paragraph (PP) of rule 3793:2-1-08 as they relate to abuse of and dependency on alcohol and other drugs.

(F) Refer individuals with nonchemical dependency conditions to appropriate sources of help.

Effective: 05/06/2013
R.C. 119.032 review dates: 05/06/2018
Promulgated Under: 119.03
Statutory Authority: 4758.20
Rule Amplifies: 4758.54

4758-6-07 Scope of practice for registered applicants (RA).

An individual who holds a valid registered applicant certificate issued under Chapter 4758. of the Revised Code may engage in the practice of alcohol and other drug prevention services under the supervision of any of the following:

(A) A prevention specialist II or prevention specialist I certified under Chapter 4758. of the Revised Code;

(B) An independent chemical dependency counselor-clinical supervisor, an independent chemical dependency counselor, or a chemical dependency counselor III licensed under Chapter 4758. of the Revised Code;

(C) An individual authorized under Chapter 4731. of the Revised Code to practice medicine and surgery or osteopathic medicine and surgery;

(D) A psychologist licensed under Chapter 4732. of the Revised Code;

(E) A registered nurse licensed under Chapter 4723. of the Revised Code or an individual authorized to practice as a certified nurse practitioner or clinical nurse specialist under Chapter 4723. of the Revised Code;

(F) A professional clinical counselor, a professional counselor, an independent social worker, a social worker, an independent marriage and family therapist, or marriage and family therapist licensed under Chapter 4757. of the Revised Code;

(G) A school counselor licensed by the department of education pursuant to section 3319.22 of the Revised Code;

(H) A health education specialist certified by the national commission for health education credentialing.

Effective: 3/22/2015
Five Year Review (FYR) Dates: 05/06/2018
Promulgated Under: 119.03
Statutory Authority: 4758.20
Rule Amplifies: 4758.61
Prior Effective Dates: 8/17/08, 05/06/2013

4758-6-08 Scope of practice for Ohio certified prevention specialist assistant (OCPSA).

An individual who holds a valid prevention specialist assistant certificate issued under Chapter 4758. of the Revised Code may engage in the practice of alcohol and other drug prevention services under the supervision of any of the following:

(A) A prevention specialist II or prevention specialist I certified under Chapter 4758. of the Revised Code;

(B) An independent chemical dependency counselor-clinical supervisor, an independent chemical dependency counselor, or a chemical dependency counselor III licensed under Chapter 4758. of the Revised Code;

(C) An individual authorized under Chapter 4731. of the Revised Code to practice medicine and surgery or osteopathic medicine and surgery;

(D) A psychologist licensed under Chapter 4732. of the Revised Code;

(E) A registered nurse licensed under Chapter 4723. of the Revised Code or an individual authorized to practice as a certified nurse practitioner or clinical nurse specialist under Chapter 4723. of the Revised Code;

(F) A professional clinical counselor, a professional counselor, an independent social worker, a social worker, an independent marriage and family therapist, or marriage and family therapist licensed under Chapter 4757. of the Revised Code;

(G) A school counselor licensed by the department of education pursuant to section 3319.22 of the Revised Code;

(H) A health education specialist certified by the national commission for health education credentialing.

Effective: 3/22/2015
Five Year Review (FYR) Dates: 05/06/2018
Promulgated Under: 119.03
Statutory Authority: 4758.20
Rule Amplifies: 4758.61
Prior Effective Dates: 05/06/2013

4758-6-09 Scope of practice for Ohio certified prevention specialists I (OCPS I).

An individual who holds a valid prevention specialist I certificate issued under Chapter 4758. of the Revised Code may engage in the practice of prevention services.

Effective: 3/22/2015
Five Year Review (FYR) Dates: 05/06/2018
Promulgated Under: 119.03
Statutory Authority: 4758.20
Rule Amplifies: 4758.60
Prior Effective Dates: 6/13/04, 05/06/2013

4758-6-10 Scope of practice for Ohio certified prevention specialists II (OCPS II).

An individual who holds a valid prevention specialist II certificate issued under Chapter 4758. of the Revised Code may engage in the practice of prevention services.

Effective: 3/22/2015
Five Year Review (FYR) Dates: 05/06/2018
Promulgated Under: 119.03
Statutory Authority: 4758.20
Rule Amplifies: 4758.60
Prior Effective Dates: 6/13/04, 05/06/2013

4758-6-11 Scope of practice for chemical dependency counselors II (LCDC II) with gambling disorder endorsement.

(A) An individual who holds a chemical dependency counselor II license and a gambling disorder endorsement may do all of the following in addition to those services outlined in rule 4758-6-03 of the Administrative Code:

(1) Treat gambling disorder conditions;

(2) Perform treatment planning, assessment, crisis intervention, individual and group counseling, case management, and educational services insofar as those functions relate to gambling disorder; and

(3) Refer individuals with other conditions to appropriate sources of help.

(B) An individual holding a chemical dependency II license shall not practice as an individual practitioner.

Effective: 3/22/2015
Five Year Review (FYR) Dates: 03/22/2020
Promulgated Under: 119.03
Statutory Authority: 4758.20
Rule Amplifies: 4758.64

4758-6-12 Scope of practice for chemical dependency counselors III (LCDC III) with gambling disorder endorsement.

(A) An individual who holds a chemical dependency counselor III license and a gambling disorder endorsement may do all of the following in addition to those services outlined in rule 4758-6-04 of the Administrative Code:

(1) Treat gambling disorder conditions;

(2) Diagnose gambling disorder conditions under supervision;

(3) Perform treatment planning, assessment, crisis intervention, individual and group counseling, case management, and educational services insofar as those functions relate to gambling disorder;

(4) Supervise gambling disorder counseling under the supervision of any of the following:

(a) An independent chemical dependency counselor or independent chemical dependency counselor-clinical supervisor licensed under Chapter 4758. of the Revised Code;

(b) An individual authorized to practice medicine and surgery or osteopathic medicine and surgery under Chapter 4731. of the Revised Code;

(c) A psychologist licensed under Chapter 4732. of the Revised Code;

(d) An individual authorized to practice as a certified nurse practitioner, clinical nurse specialist or a registered nurse licensed under Chapter 4723. of the Revised Code;

(e) A professional clinical counselor, independent social worker, or independent marriage and family therapist licensed under Chapter 4757. of the Revised Code.

(5) Refer individuals with other conditions to appropriate sources of help.

(B) An individual holding a chemical dependency counselor III license shall not practice as an individual practitioner.

Effective: 3/22/2015
Five Year Review (FYR) Dates: 03/22/2020
Promulgated Under: 119.03
Statutory Authority: 4758.20
Rule Amplifies: 4758.63

4758-6-13 Scope of practice for independent chemical dependency counselors (LICDC) with gambling disorder endorsement.

(A) An individual who holds an independent chemical dependency counselor license and a gambling disorder endorsement may do all of the following in addition to those services outlined in rule 4758-6-05 of the Administrative Code:

(1) Diagnose and treat gambling disorder conditions;

(2) Perform treatment planning, assessment, crisis intervention, individual and group counseling, case management, and educational services insofar as those functions relate to gambling disorder;

(3) Supervise gambling disorder counseling under the supervision of any of the following:

(a) An independent chemical dependency counselor-clinical supervisor licensed under Chapter 4758. of the Revised Code;

(b) An individual authorized to practice medicine and surgery or osteopathic medicine and surgery under Chapter 4731. of the Revised Code;

(c) A psychologist licensed under Chapter 4732. of the Revised Code;

(d) An individual authorized to practice as a certified nurse practitioner, clinical nurse specialist or a registered nurse licensed under Chapter 4723. of the Revised Code;

(e) A professional clinical counselor, independent social worker, or independent marriage and family therapist licensed under Chapter 4757. of the Revised Code.

(4) Refer individuals with other conditions to appropriate sources of help.

Effective: 3/22/2015
Five Year Review (FYR) Dates: 03/22/2020
Promulgated Under: 119.03
Statutory Authority: 4758.20
Rule Amplifies: 4758.62

4758-6-14 Scope of practice for independent chemical dependency counselors-clinical supervisor (LICDC-CS) with gambling disorder endorsement.

(A) An individual who holds an independent chemical dependency counselor-clinical supervisor license and a gambling disorder endorsement may do all of the following in addition to those services outlined in rule 4758-6-06 of the Administrative Code:

(1) Diagnose and treat gambling disorder conditions;

(2) Perform treatment planning, assessment, crisis intervention, individual and group counseling, case management, and educational services insofar as those functions relate to gambling disorder;

(3) Supervise gambling disorder counseling; and

(B) Refer individuals with other conditions to appropriate sources of help.

Effective: 3/22/2015
Five Year Review (FYR) Dates: 03/22/2020
Promulgated Under: 119.03
Statutory Authority: 4758.20
Rule Amplifies: 4758.62