|(a) A licensee must provide marriage and family therapy
professional services only in the context of a professional relationship.
(b) A licensee must make known in writing to a prospective
client the important aspects of the professional relationship, including
the licensee's status as an LMFT or LMFT Associate, any probationary
status or other restrictions placed on the licensee by the board,
office procedures, after-hours coverage, fees, and arrangements for
payment (which might affect the client's decision to enter into the
(c) A licensee must obtain an appropriate consent for
treatment before providing professional services. A licensee must
make reasonable efforts to determine whether the conservatorship,
guardianship, or parental rights of the client have been modified
by a court. Before the commencement of therapy services to a minor
client who is named in a custody agreement or court order, a licensee
must obtain and review a current copy of the custody agreement or
court order in a suit affecting the parent-child relationship. A licensee
must maintain these documents in the client's record. When federal
or state statutes provide an exemption to secure consent of a parent
or guardian before providing services to a minor, a licensee must
follow the protocol set forth in such federal or state statutes.
(d) A licensee must make known in writing to a prospective
client the confidential nature of the client's disclosures and the
clinical record, including the legal limitations of the confidentiality
of the mental health record and information.
(e) No commission or rebate or any other form of remuneration
may be given or received by a licensee for the referral of clients
for professional services. A licensee employed or under contract with
a chemical dependency facility or a mental health facility must comply
with the requirements in Texas Health and Safety Code, §164.006
(relating to Soliciting and Contracting with Certain Referral Sources).
Compliance with Texas Health and Safety Code, Chapter 164 (relating
to Treatment Facilities Marketing and Admission Practices) is not
considered a violation of state law regarding illegal remuneration.
(f) A licensee may not exploit the licensee's position
of trust with a client or former client.
(g) A licensee may not engage in activities that seek
to meet the licensee's personal needs instead of the needs of the
(h) A licensee may not provide marriage and family
therapy services to family members, personal friends, educational
associates, business associates, or others whose welfare might be
jeopardized by such a dual relationship.
(i) A licensee must set and maintain professional boundaries
with clients and former clients.
(j) A licensee may disclose confidential information
to medical or law enforcement personnel if the licensee determines
there is a probability of imminent physical injury by the client to
the client or others or there is a probability of immediate mental
or emotional injury to the client.
(k) In group therapy settings, the licensee must take
reasonable precautions to protect individuals from physical or emotional
trauma resulting from interaction within the group.
(l) A licensee must make a reasonable effort to avoid
non-therapeutic relationships with clients or former clients. A non-therapeutic
relationship is an activity begun by either the licensee or the client
for the purposes of establishing a non-therapeutic relationship. A
licensee must ensure the welfare of the client if a non-therapeutic
(m) A licensee may not bill clients or third parties
for services not actually rendered or as agreed to in writing.
(n) A licensee must end a professional relationship
when it is reasonably clear the client is not benefiting from it.
Upon ending a professional relationship, if the client still requires
mental health services, the licensee must make reasonable efforts
to provide a written referral to clients for appropriate services
and to facilitate the transfer to appropriate care.
(o) A licensee who engages in technology-assisted services
must provide the client with the licensee's license number and information
on how to contact the board by telephone, electronic communication,
or mail. The licensee must comply with all other provisions of this
(p) A licensee may not offer services that are beyond
the licensee's professional competency, and the services provided
must be within accepted professional standards of practice and appropriate
to the needs of the client.
(q) A licensee must base all services on an assessment,
evaluation, or diagnosis of the client.
(r) A licensee must evaluate a client's progress on
a continuing basis to guide service delivery and must make use of
supervision and consultation as indicated by the client's needs.
(s) A licensee may not promote or encourage the illegal
use of alcohol or drugs by a client.
(t) A licensee may not knowingly offer or provide professional
services to an individual concurrently receiving professional services
from another mental health services provider except with that provider's
knowledge. If a licensee learns of such concurrent professional services,
the licensee must take immediate and reasonable action to inform the
other mental health services provider.
(u) A licensee may not aid or abet the unlicensed practice
of marriage and family therapy services by a person required to be
licensed under the Act. A licensee must report to the board knowledge
of any unlicensed practice.
(v) A licensee may not enter into a non-professional
relationship with a client's family member or any person having a
personal or professional relationship with a client, if the licensee
knows or reasonably should have known such a relationship could be
detrimental to the client.
|Source Note: The provisions of this §801.44 adopted to be effective April 20, 1994, 19 TexReg 2386; amended to be effective April 11, 2001, 26 TexReg 2713; amended to be effective July 2, 2006, 31 TexReg 5111; amended to be effective May 18, 2008, 33 TexReg 3758; amended to be effective March 31, 2013, 38 TexReg 1982; amended to be effective November 23, 2014, 39 TexReg 9011; amended to be effective March 26, 2017, 42 TexReg 1253; amended to be effective March 7, 2019, 44 TexReg 1131