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This website publishes administrative rules on their effective dates, as designated by the adopting state agencies, colleges, and universities.

Chapter 4758-6 | Scope of Practice

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

Last updated March 22, 2024 at 11:52 AM

Supplemental Information

Authorized By: 4758.20
Amplifies: 4758.59
Five Year Review Date: 4/1/2029
Prior Effective Dates: 3/22/2015
Rule 4758-6-03 | Scope of practice for licensed chemical dependency counselors II (LCDC II).
 

(A) In addition to practicing substance use disorder 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, group and family counseling, case management and education services as they relate to substance use disorders;

(2) Provide treatment services identified and listed in rule 5122-29 of the Administrative Code as they relate to substance use disorders.

(3) Refer individuals with without substance use disorder conditions to appropriate sources of help.

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

(C) A chemical dependency counselor II may not provide clinical supervision.

(D) A chemical dependency counselor II scope of practice does not include diagnosis.

(E) An individual holding a valid chemical dependency counselor II license may practice substance use disorder counseling and perfrom 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 supervisior, 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 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.

Last updated July 5, 2023 at 2:58 PM

Supplemental Information

Authorized By: 4758.20
Amplifies: 4758.57
Five Year Review Date: 7/3/2028
Prior Effective Dates: 8/17/2008
Rule 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 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.

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

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

Last updated March 22, 2024 at 11:52 AM

Supplemental Information

Authorized By: 4758.20
Amplifies: 4758.56, 4758.561
Five Year Review Date: 4/1/2029
Rule 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 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.

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

Last updated March 22, 2024 at 11:52 AM

Supplemental Information

Authorized By: 4758.20
Amplifies: 4758.55
Five Year Review Date: 4/1/2029
Prior Effective Dates: 6/13/2004
Rule 4758-6-06 | Scope of practice for licensed independent chemical dependency counselors-clinical supervisors (LICDC-CS).
 

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

(A) Diagnose and treat substance use disorder conditions;

(B) Perform treatment planning, assessment, crisis intervention, individual, group and family counseling, case management and education services as they relate to substance use disorder;

(C) Provide treatment services identified and listed in Chapter 5122-29 of the Administrative Code as they relate to substance use disorder;

(D) Provide clinical supervision of substance use disorder counseling and diagnosing and treating substance use disorder conditions;

(E) Supervise treatment services identified and listed in Chapter 5122-29 of the Administrative Code as they relate to substance use disorder;

(F) Refer individuals with without substance use disorder conditions to appropriate sources of help.

Last updated July 5, 2023 at 2:58 PM

Supplemental Information

Authorized By: 4758.20
Amplifies: 4758.54
Five Year Review Date: 7/3/2028
Prior Effective Dates: 5/6/2013
Rule 4758-6-07 | Scope of practice for registered applicants (RA).
 

(A) An individual holding a valid registered applicant certificate may engage in the following prevention activities only while under supervision of an OCPS, OCPC or other persons with credentials as listed in paragraph (B) of this rule:

(1) Perform the following strategies identified by the center for substance abuse prevention:

(a) Information dissemination,

(b) Prevention education,

(c) Alternatives,

(d) Problem identification and referral,

(e) Community based processes and

(f) Environmental strategies.

(2) Perform the following prevention activities, identified by the international certification and reciprocity consortium:

(a) Planning and evaluation,

(b) Education and service delivery,

(c) Communication,

(d) Community organization,

(e) Public policy and environmental change, and

(f) Professional growth and responsibility.

,

(B) An individual holding a valid registered applicant certificate may engage in the activities specified in paragraph (A) of this rule only while under the supervision of any of the following:

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

(5) An independent social worker, and a social worker, licensed under Chapter 4757. of the Revised Code;

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

(C) A registered applicant may not practice as an independent practitioner.

Supplemental Information

Authorized By: 4758.20
Amplifies: 4758.61
Five Year Review Date: 12/21/2023
Prior Effective Dates: 3/24/2017
Rule 4758-6-08 | Scope of practice for Ohio certified prevention specialist assistant (OCPSA).
 

(A) An individual holding a valid prevention specialist assistant certificate issued under Chapter 4758. of the Revised Code may engage in the following prevention activities only while under supervision of an OCPS, OCPC or other persons with credentials as listed in paragraph (B) of this rule:

(1) Perform the following strategies identified by the center for substance abuse prevention:

(a) Information dissemination,

(b) Prevention education,

(c) Alternatives,

(d) Problem identification and referral,

(e) Community based processes and

(f) Environmental strategies.

(2) Perform the following prevention activities, identified by the international certification and reciprocity consortium:

(a) Planning and evaluation,

(b) Education and service delivery,

(c) Communication,

(d) Community organization,

(e) Public policy and environmental change, and

(f) Professional growth and responsibility.

(B) An individual holding a valid prevention specialist assistant certificate may engage in the activities specified in paragraph (A) of this rule only while under the supervision of any of the following:

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

(5) A professional clinical counselor, an independent social worker, a social worker, licensed under Chapter 4757. of the Revised Code;

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

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

(C) A prevention specialist assistant may not practice as an independent practitioner.

Supplemental Information

Authorized By: 4758.20
Amplifies: 4758.61
Five Year Review Date: 12/21/2023
Prior Effective Dates: 3/24/2017
Rule 4758-6-09 | Scope of practice for Ohio certified prevention specialists (OCPS).
 

(A) An individual holding a valid prevention specialist certificate issued under Chapter 4758. of the Revised Code may engage in the following prevention activities:

(1) Perform the following strategies identified by the center for substance abuse prevention:

(a) Information dissemination,

(b) Prevention education,

(c) Alternatives,

(d) Problem identification and referral,

(e) Community based processes and

(f) Environmental strategies.

(2) Perform the following prevention activities, identified by the international certification and reciprocity consortium:

(a) Education and service delivery,

(b) Communication, and

(c) Professional growth and responsibility.

(3) Supervise staff and volunteers including:

(a) Prevention program volunteers,

(b) Registered applicants,

(c) Ohio certified prevention specialist assistants, and

(d) Ohio certified prevention specialists.

(B) An individual holding a valid certified prevention specialist certificate may engage in the following prevention activities only while under supervision of an OCPC or other persons with credentials as listed in paragraph (C) of this rule:

(1) Perform the following prevention activities, identified by the international certification and reciprocity consortium:

(a) Planning and evaluation,

(b) Community organization and

(c) Public policy and environmental change.

(2) Manage prevention programs.

(C) An individual holding a valid prevention specialist certificate may engage in the activities specified in paragraph (B) of this rule only while under the supervision of any of the following credentials with a scope of practice that would include performing activities listed in paragraph (B) of this rule.

(1) A prevention consultant certified under Chapter 4758. of the Revised Code;

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

(3) An independent social worker, licensed under Chapter 4757. of the Revised Code;

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

(D) A prevention specialist may not practice as an independent practitioner.

Supplemental Information

Authorized By: 4758.20
Amplifies: 4758.60
Five Year Review Date: 11/2/2018
Prior Effective Dates: 3/24/2017
Rule 4758-6-10 | Scope of practice for Ohio certified prevention consultant (OCPC).
 

(A) An individual holding a valid prevention consultant certificate issued under Chapter 4758. of the Revised Code may engage in the following prevention activities:

(1) Manage, supervise and perform the following strategies identified by the center for substance abuse prevention:

(a) Information dissemination,

(b) Prevention education,

(c) Alternatives,

(d) Problem identification and referral,

(e) Community based processes and

(f) Environmental strategies.

(2) Manage, supervise and perform the following prevention activities, identified by the international certification and reciprocity consortium:

(a) Planning and evaluation,

(b) Education and service delivery,

(c) Communication,

(d) Community organization,

(e) Public policy and environmental change and

(f) Professional growth and responsibility.

(3) Conduct program, organizational and community assessment, development and evaluation activities.

(4) Provide specialized consultation and technical assistance of program, organizational and community assessment, planning, evaluation, prevention intervention and referral activities.

(5) Facilitate the assessment, development, implementation and evaluation of prevention policy and environmental strategies.

(B) A prevention consultant may supervise:

(1) Prevention program volunteers,

(2) Registered applicants,

(3) Ohio certified prevention specialist assistants,

(4) Ohio prevention specialist professionals, and

(5) Ohio prevention consultant professionals.

(C) A prevention consultant may manage prevention departments and programs.

(D) A prevention consultant may practice as an independent practitioner.

Supplemental Information

Authorized By: 4758.20
Amplifies: 4758.60
Five Year Review Date: 12/21/2023
Prior Effective Dates: 5/6/2013, 3/22/2015
Rule 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.

Last updated March 22, 2024 at 11:52 AM

Supplemental Information

Authorized By: 4758.20
Amplifies: 4758.64
Five Year Review Date: 4/1/2029
Rule 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.

Last updated March 22, 2024 at 11:52 AM

Supplemental Information

Authorized By: 4758.20
Amplifies: 4758.63
Five Year Review Date: 4/1/2029
Rule 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.

Last updated March 22, 2024 at 11:52 AM

Supplemental Information

Authorized By: 4758.20
Amplifies: 4758.62
Five Year Review Date: 4/1/2029
Rule 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.

Last updated March 22, 2024 at 11:52 AM

Supplemental Information

Authorized By: 4758.20
Amplifies: 4758.62
Five Year Review Date: 4/1/2029
Rule 4758-6-15 | Clinical supervision of chemical dependency counselor assistants.
 

Individuals who hold an active chemical dependency counselor assistant credential shall comply with the following clinical supervision requirements.

(A) Individuals shall have sixty days from the start of each new employment or new supervisory relationship to establish a supervision contract.

(1) The contract shall be maintained in the individuals supervision record.

(2) The contract shall clearly define goals, context, methods, frequency and responsibilities as they relate to clinical supervision.

(3) The contract shall be revisable with the mutual consent of the supervisor and supervisee.

(B) Individuals shall receive one hour of face to face clinical supervision for every forty hours worked where substance use disorder treatment services are delivered or within the scope of practice of a chemical dependency counselor assistant.

(1) Clinical supervision shall include direct observation at intervals determined in the supervision contract.

(2) Clinical supervision shall include review of individual's clinical documentation, and scope of practice at intervals determined in the supervision contract.

(3) Clinical supervision shall include a discussion of the application of the professional codes of ethics.

(C) Clinical supervision shall be formally documented by the clinical supervisor and maintained in the individuals supervision record.

Documentation shall include the date, length, content and method of supervision.

(D) The board may, at its discretion, require the individual or clinical supervisor to provide a copy of the clinical supervision contract or supervision record for auditing purposes.

Last updated March 22, 2024 at 11:52 AM

Supplemental Information

Authorized By: 4758.20
Amplifies: 4758.59
Five Year Review Date: 4/1/2029