(a) Direct supervision is oversight and direction of a counselor intern by a CCS, or either the CTI coordinator or the intern's supervising QCC at a CTI, which complies with the provisions in this section. Nothing in this section or subchapter shall be construed to authorize the provision of chemical dependency treatment without a license, where a license is required under Texas Health and Safety Code, Chapter 464 and Chapter 448 of this title.
(b) The CCS, or the CTI coordinator and the intern's supervising QCC at a CTI, shall assume responsibility for the actions of the intern within the scope of the intern's clinical training.
(c) If the intern has less than 2,000 hours of supervised work experience, the supervisor must be on site when the intern is providing services. If the intern has at least 2,000 hours of documented supervised work experience, the supervisor may be on site or immediately accessible by telephone.
(d) During an intern's first 1,000 hours of supervised work experience (Level I), the CCS, or the CTI coordinator or intern's supervising QCC at a CTI, shall:
  (1) be on duty at the program site where the intern is working;
  (2) observe and document the intern performing assigned activities at least once every two weeks (or at least once every 80 hours of the CI's work schedule);
  (3) provide and document one hour of face-to-face individual or group supervision each week; and
  (4) sign off on all clinical assessments, treatment plans, and discharge summaries completed by the intern.
(e) During an intern's second 1,000 hours of supervised work experience (Level II), the CCS, or the CTI coordinator or intern's supervising QCC at a CTI, shall:
  (1) be on duty at the program site where the intern is working;
  (2) observe and document the intern performing assigned activities at least once every month (or at least once every 160 hours of the CI's work schedule);
  (3) provide and document one hour of face-to-face individual or group supervision each week; and
  (4) sign off on all clinical assessments, treatment plans, and discharge summaries completed by the intern.
(f) An individual who has successfully completed the licensing examination may be supervised in accordance with Level III standards set forth in subsection (g) of this section, but is still required to complete 4,000 hours of supervised work experience before achieving graduate status in the absence of a waiver under §140.408 of this title (relating to Requirements for LCDC Licensure).
(g) During an intern's last 2,000 hours of required supervised work experience (Level III), the CCS, or the CTI coordinator or intern's supervising QCC at a CTI, shall:
  (1) be available by phone while the intern is working;
  (2) observe and document the intern performing assigned activities as determined necessary by the CTI coordinator or CCS;
  (3) provide and document one hour of face-to-face individual or group supervision each week; and
  (4) sign off on all clinical assessments, treatment plans, and discharge summaries completed by the intern.
(h) After an intern achieves graduate status, the CCS, or the CTI coordinator or intern's supervising QCC at a CTI, shall:
  (1) be available by phone while the graduate intern is working;
  (2) provide and document one hour of face-to-face individual or group supervision each week; and
  (3) sign off on all clinical assessments, treatment plans, and discharge summaries completed by the graduate intern.
(i) A supervisor must provide, at a minimum, an average of two hours of supervision-related activity per week per intern.

Source Note: The provisions of this §140.422 adopted to be effective September 9, 2008, 33 TexReg 7520; amended to be effective August 9, 2012, 37 TexReg 5788