Administrative Rules of Montana
Department 24 - LABOR AND INDUSTRY
Chapter 24.219 - BOARD OF BEHAVIORAL HEALTH
Subchapter 24.219.23 - Unprofessional Conduct
Rule 24.219.2301 - UNPROFESSIONAL CONDUCT AND CODE OF ETHICS - LCSW, LMSW, LBSW, LCPC, LMFT, LAC, CBHPSS, AND LCSW, LMSW, LBSW, LCPC, LMFT, AND LAC CANDIDATES
Universal Citation: MT Admin Rules 24.219.2301
Current through Register Vol. 18, September 20, 2024
(1) In addition to the provisions of 37-1-316, MCA, the following are unprofessional conduct.
(2) A licensee shall not:
(a) fail to respond to
board inquiry or furnish information requested by the board, department
investigators, or board representatives;
(b) commit any of the following boundary
violations:
(i) provide services to a person
with whom the licensee has had sexual contact at any time;
(ii) engage in or solicit sexual relations
with a client or commit an act of sexual misconduct or a sexual offense if such
act, offense, or solicitation is substantially related to the qualifications,
functions, or duties of the licensee;
(iii) engage in sexual contact with a former
client, within two years following termination of professional services. After
two years, the licensee who engages in such activity following termination of
professional services must demonstrate that there has been no exploitation, in
light of all relevant factors, including:
(A)
the amount of time that has passed since professional services
terminated;
(B) the nature and
duration of the professional services;
(C) the circumstances of termination;
(D) the client's personal history;
(E) the client's current mental
status;
(F) the likelihood of
adverse impact on the client; and
(G) any statements or actions made by the
licensee during the defined professional relationship suggesting or inviting
the possibility of a post-termination sexual or romantic relationship with the
client;
(iv) solicit or
engage in a sexual or intimate relationship with a client, a supervisee,
client's family member, a client's household member, or other persons with whom
a client has had a significant relationship;
(v) soliciting or engaging in sexual
relations with the client of another licensee employed in the same program
providing services;
(vi) condone or
engage in sexual or other harassment;
(vii) engage in a dual relationship with a
client or former client if the dual relationship has the potential to
compromise the client's well-being, impair the licensee's objectivity and
professional judgment, or creates or increases the risk of exploitation of the
client. If a dual relationship arises as a result of unforeseeable and
unavoidable circumstances, the licensee shall promptly take appropriate
professional precautions. Appropriate professional precautions must ensure that
the client's well-being is not compromised and that no exploitation occurs and
should include consultation, supervision, documentation, or obtaining written
informed consent of the client;
(viii) terminate a professional relationship
for the purpose of beginning a personal or business relationship with a client;
(ix) participate in bartering,
unless bartering is considered to be essential for the provision of services,
negotiated without coercion, and entered into at the client's initiative and
with the client's informed consent. Licensees who accept goods or services from
clients as payment for professional services assume the full burden of
demonstrating that this arrangement will not be detrimental to the client or
the professional relationship;
(x)
accept gifts or gratuities of significant monetary value or borrow money from a
client or former client within two years after termination of services, except
when this is a culturally accepted practice;
(xi) interfere with or encourage termination
of any legitimate personal relationship of a client, or interfere with a
therapeutic relationship of another professional;
(c) intentionally, recklessly, or carelessly
cause physical or emotional harm to a client;
(d) divide a fee or accept or give anything
of value for receiving or making a referral;
(e) exploit, as defined in ARM
24.219.301, in any manner
professional relationships;
(f)
engage in conduct in the profession or occupation found to be a violation of
the Montana Human Rights Act, Title 49, MCA;
(g) falsify, misrepresent, or fail to
maintain supervision records as required by ARM
24.219.422;
(h) fail to appropriately supervise a
licensure candidate, CBHPSS, or individual requiring supervision to perform a
sexual offender evaluation under
37-1-139, MCA;
(i) recommend a client seek or discontinue
prescribed medication, or fail to provide a supportive environment for a client
who is receiving prescribed medication;
(j) engage in the practice when the
licensee's license is inactive, has expired, is terminated, or has been
suspended;
(k) violate federal or
state law regulating the possession, distribution, or use of a controlled
substance, as defined by Title 50, chapter 32, MCA;
(l) be convicted of driving while under the
influence of alcohol or drugs (DUI), or criminal possession of dangerous drugs
at any time after issuance of a license, and within the two years preceding an
application for licensure;
(m)
perform or supervise psychological assessments if not qualified to do so;
(n) perform or supervise parenting
plan evaluations without specialized training, education, and experience in the
areas of assessment of children and adults, child and family development, child
and family psychopathology, and the impact of divorce on families; or
(o) practice independently as an LMSW or
LBSW.
(3) All licensees shall:
(a) provide clients with accurate and
complete information regarding the extent and nature of the services available
to them, including the purpose and nature of any evaluation, treatment, or
other procedures, and of the client's right to freedom of choice regarding
services provided;
(b) terminate
services and professional relationships with clients when such services and
relationships are no longer required or where a conflict of interest exists;
(c) make every effort to keep
scheduled appointments;
(d) notify
clients promptly and seek the transfer, referral, or continuation of services
pursuant to the client's needs and preferences if termination or interruption
of services is anticipated;
(e)
attempt to make appropriate referrals pursuant to the client's needs;
(f) obtain informed written
consent of the client or the client's legal guardian prior to the client's
involvement in any research project of the licensee that might identify the
client or place them at risk;
(g)
obtain informed written consent of the client or the client's legal guardian
prior to taping, recording, or permitting third-party observation of the
client's activities that might identify the client or place them at
risk;
(h) except where required by
law or court order, safeguard information provided by clients, and make
reasonable efforts to limit access to client information in an agency setting
to those staff whose duties require access;
(i) disclose to and obtain written
acknowledgement from the client or prospective client as to the fee to be
charged for professional services, and/or the basis upon which the fee will be
calculated;
(j) make and maintain
records of services provided to a client. At a minimum, the records shall
contain:
(i) documentation verifying the
identity of the client;
(ii)
documentation of the assessment and/or diagnosis;
(iii) documentation of each session;
(iv) documentation of a plan,
documentation of any revision of the assessment or diagnosis or of a plan;
(v) documentation of discharge
summary;
(vi) any fees charged and
other billing information; and
(vii) copies of all client authorization for
release of information and any other legal forms pertaining to the client.
These records shall be maintained by the licensee or agency employing the
licensee under secure conditions and for time periods in compliance with
applicable federal or state law, but in no case for fewer than seven years
after the last date of service.
(4) In addition to (2) and (3), CBHPSS are subject to the following standards.
(a)
CBHPSS shall:
(i) conduct themselves in a way
that fosters their own recovery and take personal responsibility to seek
support and manage their wellness;
(ii) as mandatory reporters, report abuse to
appropriate authorities and supervisors;
(iii) disclose any pre-existing
relationships, sexual or otherwise, to supervisor(s) prior to providing
services to that individual; and
(iv) report risk of imminent harm to self or
others to the proper authorities and to their supervisor. When reporting, the
minimum amount of information necessary will be given to maintain
confidentiality.
(b)
CBHPSS shall not:
(i) engage or offer advice
on the matters of diagnosis, treatment, or medications to the client;
or
(ii) engage in or promote
behaviors or activities that would jeopardize the CBHPSS's recovery or the
recovery of those they serve.
AUTH: 37-1-131, 37-1-136, 37-1-139, 37-1-319, [HB 137 (2023) Section 3], MCA; IMP: 37-1-131, 37-1-136, 37-1-139, 37-1-316, 37-1-319, [HB 137 (2023) Section 3], MCA
Disclaimer: These regulations may not be the most recent version. Montana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.