SOVEREIGN CATHOLIC INDIGENOUS AND PRIVATE STATE OF XARAGUA
OFFICE OF THE RECTOR-PRESIDENT
UNIVERSITY OF XARAGUA
XARAHEALTH
BUREAU OF CLINICAL COUNSELLING, ADDICTION SERVICES, MENTAL-HEALTH INTERVENTION, AND PSYCHOSOCIAL ADMINISTRATION
SUPREME CONSOLIDATED STATE INSTRUMENT ON CLINICAL COUNSELLING, ADDICTION INTERVENTION, MENTAL-HEALTH SUPPORT, PSYCHOSOCIAL SERVICES, CRISIS STABILIZATION, COMMUNITY REHABILITATION, PROFESSIONAL FORMATION, REGISTRATION, SUPERVISION, AND REFERRAL
Date of Consolidation: June 26, 2025
Official Classification: Clinical-Counselling Administration Statute — Addiction-Intervention Regulation — Mental-Health Support Framework — Psychosocial Services Code — Crisis-Stabilization Instrument — Community-Rehabilitation Regulation — Professional Formation and Registration Act — Internal Health Administration Instrument
Issuing Authority: Office of the Rector-President
Competent Administrative Authority: XaraHealth
Academic Authority: University of Xaragua
Responsible Bureau: Bureau of Clinical Counselling, Addiction Services, Mental-Health Intervention, and Psychosocial Administration
Participating Authorities: competent health institutions, educational authorities, social-service bodies, territorial administrations, Catholic health and social-service institutions, registered community organizations, and other duly authorized organs of Xaragua
Internal Governing Law: Constitution of Xaragua, health regulations, educational regulations, Indigenous customary law, applicable rectoral instruments, professional-conduct regulations, data-protection requirements, and duly promulgated administrative acts
External Interpretive References: United Nations Declaration on the Rights of Indigenous Peoples; applicable international human-rights instruments; recognized principles of mental-health administration, addiction intervention, psychosocial practice, professional supervision, informed consent, confidentiality, safeguarding, crisis management, and clinical referral
Status: Permanent — Administratively Binding — Directly Applicable Within the Internal Institutional Order of Xaragua — Subject to Professional Competence, Available Resources, Authorized Programs, and Specific Implementing Instruments
PREAMBLE
The Sovereign Catholic Indigenous and Private State of Xaragua hereby establishes a consolidated institutional framework governing clinical counselling, addiction intervention, mental-health support, psychosocial services, crisis stabilization, community rehabilitation, professional formation, registration, supervision, documentation, safeguarding, and referral.
The present Instrument establishes a clinical-intervention system adapted to the institutional capacity of Xaragua. It authorizes the formation and registration of counsellors, addiction interventionists, mental-health intervention counsellors, psychosocial counsellors, crisis-stabilization personnel, youth intervention counsellors, gerontological support counsellors, family-support personnel, and community-rehabilitation practitioners.
The system established herein does not constitute a school of psychology, a medical faculty, a psychiatric training authority, or a psychotherapy-licensing body. No program established under this Instrument shall confer the title of psychologist, psychiatrist, physician, psychotherapist, nurse, social worker, or any other externally regulated professional designation unless the complete external academic and professional requirements applicable to that title have been independently satisfied.
Clinical status under this Instrument refers to the structured, supervised, documented, and professionally accountable character of the intervention. It does not expand the practitioner’s competence beyond the authorized field identified in the applicable certificate, registration, employment instrument, or clinical protocol.
XaraHealth shall organize its services according to defined professional boundaries, documented assessment, individualized intervention planning, informed participation, confidentiality, case supervision, risk classification, continuity of service, institutional referral, and cooperation with duly qualified external professionals and facilities.
The intellectual orientation of the system may incorporate Indigenous knowledge, Catholic social and moral principles, anticolonial analysis, trauma-informed intervention, community psychology, addiction studies, psychosocial theory, and selected works of recognized authors. Such references shall inform education and institutional interpretation without replacing technical training, supervised practice, applicable clinical protocols, or the competence of qualified health professionals.
TITLE I — GENERAL PROVISIONS
Article 1 — Purpose
This Instrument establishes the administrative, clinical, educational, professional, documentary, disciplinary, and referral framework applicable to counselling and intervention services authorized, financed, registered, supervised, delivered, or coordinated through XaraHealth.
Article 2 — Institutional Objectives
The clinical-intervention system shall pursue:
a. accessible addiction counselling;
b. early mental-health intervention;
c. psychosocial assessment and support;
d. crisis detection and stabilization;
e. suicide-risk identification and immediate referral;
f. family and community support;
g. youth intervention;
h. gerontological accompaniment;
i. grief and loss support;
j. housing, employment, education, and social-resource navigation;
k. community rehabilitation and social reintegration;
l. relapse prevention;
m. continuity of care;
n. professional supervision;
o. protection of confidential information;
p. referral to qualified medical, psychological, psychiatric, nursing, social-work, emergency, and hospital services when required.
Article 3 — Clinical Character
For the purposes of this Instrument, clinical counselling and clinical intervention constitute structured professional activities involving:
a. collection of relevant information;
b. identification of the presenting problem;
c. assessment of immediate psychosocial needs;
d. risk screening;
e. establishment of an intervention plan;
f. application of an authorized counselling or stabilization method;
g. documentation of services;
h. periodic review;
i. professional supervision;
j. termination, transfer, or referral according to the person’s needs.
The use of the term “clinical” shall indicate professional structure and accountability. It shall not independently authorize medical diagnosis, psychological diagnosis, psychiatric diagnosis, prescription, psychotherapy, involuntary treatment, or any restricted act assigned to another profession.
Article 4 — Scope of Authorized Practice
Services governed by this Instrument may include:
a. addiction counselling;
b. motivational intervention;
c. relapse-prevention planning;
d. harm-reduction education;
e. recovery planning;
f. mental-health support counselling;
g. psychosocial assessment;
h. crisis de-escalation;
i. emotional stabilization;
j. grief support;
k. family-support intervention;
l. youth intervention;
m. elder-support counselling;
n. community rehabilitation;
o. social-resource navigation;
p. case coordination;
q. psychoeducation;
r. referral and continuity-of-care administration.
Article 5 — Reserved Professional Activities
Unless independently authorized through the applicable professional system, a person registered under this Instrument shall not:
a. represent themselves as a psychologist, psychiatrist, physician, psychotherapist, nurse, or social worker;
b. issue a medical, psychiatric, or psychological diagnosis;
c. prescribe, discontinue, or modify medication;
d. perform a medical procedure;
e. conduct a restricted psychological assessment;
f. issue a forensic psychological opinion;
g. order involuntary confinement;
h. claim authority to replace emergency, hospital, medical, psychiatric, or psychological services;
i. use a title not expressly conferred by the competent authority.
Article 6 — Institutional Referral
Where the person’s condition exceeds the practitioner’s authorized competence, the practitioner shall initiate referral or transfer to the appropriate qualified service.
Referral may concern:
a. medical evaluation;
b. psychiatric assessment;
c. psychological assessment;
d. psychotherapy;
e. nursing care;
f. emergency intervention;
g. hospital treatment;
h. detoxification requiring medical supervision;
i. child-protection intervention;
j. protection from violence or exploitation;
k. legal assistance;
l. specialized social services.
Referral shall not terminate psychosocial support where continued counselling remains appropriate and compatible with the treatment or protection plan.
TITLE II — INSTITUTIONAL AUTHORITIES
Article 7 — XaraHealth
XaraHealth constitutes the central health-administration authority responsible for the organization, authorization, coordination, registration, inspection, and institutional development of the services governed by this Instrument.
XaraHealth shall:
a. establish service standards;
b. authorize programs;
c. maintain professional registers;
d. approve clinical protocols;
e. organize referral agreements;
f. monitor institutional performance;
g. protect clinical records;
h. coordinate external health providers;
i. receive administrative complaints;
j. order corrective measures;
k. publish institutional guidance;
l. report to the Office of the Rector-President.
Article 8 — Bureau of Clinical Counselling, Addiction Services, Mental-Health Intervention, and Psychosocial Administration
The Bureau of Clinical Counselling, Addiction Services, Mental-Health Intervention, and Psychosocial Administration is hereby established as the specialized administrative component of XaraHealth responsible for:
a. addiction-intervention policy;
b. mental-health counselling standards;
c. psychosocial-service administration;
d. crisis-stabilization protocols;
e. community-rehabilitation programs;
f. professional formation requirements;
g. supervised-practice administration;
h. practitioner registration;
i. clinical documentation standards;
j. case-review procedures;
k. service-quality control;
l. referral coordination.
The Bureau shall exercise no ecclesiastical, sacramental, theological, or spiritual-governance jurisdiction.
Article 9 — University of Xaragua
The University of Xaragua may provide academic programs, certificates, continuing education, supervised field instruction, research, case analysis, institutional documentation, and professional-development activities within the authorized fields.
The University may form:
a. addiction counsellors;
b. mental-health intervention counsellors;
c. psychosocial counsellors;
d. crisis-intervention personnel;
e. youth intervention counsellors;
f. gerontological support counsellors;
g. family-support counsellors;
h. community-rehabilitation personnel;
i. case-coordination personnel.
The University shall not represent these programs as degrees in psychology, psychiatry, medicine, psychotherapy, nursing, or regulated social work.
Article 10 — Clinical Advisory Council
A Clinical Counselling and Psychosocial Intervention Advisory Council may be constituted to assist XaraHealth in the development of programs, standards, supervision systems, referral procedures, and quality-control mechanisms.
The Council may include:
a. an addiction-services specialist;
b. a mental-health professional;
c. a psychosocial-intervention specialist;
d. a qualified social-services practitioner;
e. a physician or nurse where available;
f. a youth-services representative;
g. a gerontological-services representative;
h. an Indigenous knowledge representative;
i. a Catholic health or social-service representative;
j. an academic representative of the University of Xaragua.
Participation in the Council shall not authorize a member to practise outside their existing professional competence.
TITLE III — PROFESSIONAL CATEGORIES
Article 11 — Authorized Designations
The following internal professional designations may be issued according to the holder’s completed formation and verified competence:
a. XaraHealth Addiction Counsellor;
b. Clinical Addiction Intervention Counsellor;
c. Mental-Health Intervention Counsellor;
d. Psychosocial Counsellor;
e. Crisis-Stabilization Interventionist;
f. Youth and Family Intervention Counsellor;
g. Gerontological Support Counsellor;
h. Community-Rehabilitation Counsellor;
i. Recovery and Reintegration Counsellor;
j. Psychosocial Case Coordinator.
Article 12 — Protection of Designations
No person shall use an XaraHealth professional designation without:
a. completion of the applicable educational requirements;
b. verification of identity;
c. successful assessment of competence;
d. completion of the required supervised practice;
e. registration with the competent authority;
f. acceptance of the professional code;
g. maintenance of current registration.
Article 13 — External Qualifications
A person holding an external diploma, licence, certificate, or professional designation may participate in XaraHealth programs after verification of:
a. the issuing institution;
b. the nature and level of the qualification;
c. the holder’s professional status;
d. the authorized scope of practice;
e. relevant disciplinary restrictions;
f. language and territorial requirements;
g. compatibility with the assigned function.
Recognition for an internal XaraHealth function shall not modify the external legal status of the original qualification.
TITLE IV — FORMATION AND SUPERVISED PRACTICE
Article 14 — Certificate in Clinical Counselling and Psychosocial Intervention
The University of Xaragua may establish a Certificate in Clinical Counselling and Psychosocial Intervention comprising theoretical instruction, practical training, supervised placement, case documentation, ethical assessment, and final evaluation.
The curriculum may include:
a. foundations of counselling;
b. addiction and substance-use intervention;
c. mental-health literacy;
d. psychosocial assessment;
e. trauma-informed practice;
f. crisis intervention and de-escalation;
g. suicide-risk screening and emergency referral;
h. motivational interviewing;
i. relapse prevention;
j. family systems and community resources;
k. youth intervention;
l. gerontological support;
m. grief and loss;
n. professional boundaries;
o. confidentiality and record administration;
p. safeguarding;
q. Indigenous and intercultural intervention;
r. Catholic institutional and social-service contexts;
s. case coordination;
t. supervised clinical practice.
Article 15 — Specialized Certificates
Specialized certificates may be established in:
a. addiction counselling;
b. mental-health intervention;
c. psychosocial counselling;
d. crisis stabilization;
e. youth and family intervention;
f. gerontological support;
g. community rehabilitation;
h. recovery and reintegration;
i. psychosocial case coordination.
Article 16 — Supervised Practice
No practitioner shall receive full registration without completing supervised practice proportionate to the designated field.
Supervised practice shall include:
a. direct observation;
b. case review;
c. written documentation;
d. evaluation of professional boundaries;
e. assessment of referral decisions;
f. confidentiality controls;
g. review of crisis-management competence;
h. final confirmation by an authorized supervisor.
Article 17 — Supervisors
A supervisor shall possess documented competence appropriate to the field being supervised.
Supervision of matters involving medical, psychiatric, psychological, psychotherapeutic, nursing, or regulated social-work functions shall be performed by a person independently qualified in the relevant profession.
Article 18 — Continuing Formation
Registered practitioners shall complete periodic continuing formation in accordance with the requirements established by XaraHealth.
Continuing formation may include:
a. updated addiction practices;
b. mental-health crisis response;
c. suicide prevention;
d. safeguarding;
e. trauma-informed intervention;
f. record protection;
g. professional ethics;
h. referral procedures;
i. culturally adapted practice;
j. changes in applicable institutional protocols.
TITLE V — TEMPORARY CLINICAL-INTERVENTION REGISTRATION
Article 19 — Temporary Registration
XaraHealth may issue a temporary clinical-intervention registration where:
a. the applicant has completed the required preliminary education;
b. the applicant is enrolled in an approved formation program;
c. a qualified supervisor has accepted responsibility for supervision;
d. the authorized field is expressly limited;
e. the duration is specified;
f. the practitioner’s activities are documented and reviewed.
Article 20 — Authorized Activities
A temporarily registered practitioner may provide only the counselling, support, education, stabilization, resource-navigation, and referral services expressly identified in the registration instrument.
Article 21 — Duration
Temporary registration shall be issued for a period not exceeding three months and may be renewed according to documented educational progress, satisfactory supervision, compliance with reporting requirements, and continued institutional need.
The cumulative duration shall not exceed twelve months unless an exceptional extension is authorized by XaraHealth through a reasoned administrative decision.
Article 22 — Supervision
Each temporarily registered practitioner shall be assigned:
a. a clinical supervisor;
b. an academic officer;
c. an identified service location;
d. an authorized field of activity;
e. a reporting schedule;
f. an escalation and referral protocol.
Article 23 — Suspension
Temporary registration may be immediately suspended where the holder:
a. exceeds the authorized scope;
b. uses a prohibited professional title;
c. fails to report;
d. breaches confidentiality;
e. disregards a referral requirement;
f. falsifies a record;
g. abandons supervision;
h. creates an immediate risk to a service recipient.
TITLE VI — CLINICAL SERVICE STANDARDS
Article 24 — Intake
Every clinical-intervention service shall establish an intake procedure recording:
a. the person’s identity where available;
b. reason for consultation;
c. immediate needs;
d. relevant medical or psychosocial information voluntarily disclosed;
e. risk indicators;
f. current services and medications where relevant;
g. emergency contact information where appropriate;
h. consent to the proposed service;
i. initial referral requirements.
Article 25 — Intervention Plan
Where continuing services are provided, the practitioner shall establish an intervention plan identifying:
a. the presenting problem;
b. agreed objectives;
c. authorized methods;
d. frequency of contact;
e. responsibilities of the practitioner;
f. responsibilities of the participant;
g. referral requirements;
h. review date;
i. closure or transfer conditions.
Article 26 — Addiction Services
Addiction services may include:
a. substance-use screening;
b. motivational interviewing;
c. harm-reduction education;
d. recovery planning;
e. relapse-prevention planning;
f. identification of triggers;
g. family support;
h. community-resource coordination;
i. reintegration support;
j. referral for medical detoxification, psychiatric services, psychotherapy, residential treatment, or emergency care.
No non-medical addiction counsellor shall supervise a medically dangerous withdrawal process without qualified medical participation.
Article 27 — Mental-Health Intervention
Mental-health intervention may include:
a. supportive counselling;
b. emotional stabilization;
c. problem identification;
d. coping-skills development;
e. psychoeducation;
f. recovery planning;
g. social-functioning support;
h. crisis detection;
i. suicide-risk screening;
j. referral and service coordination.
Mental-health intervention under this Article does not constitute psychiatric diagnosis, psychological assessment, or psychotherapy.
Article 28 — Psychosocial Services
Psychosocial services may address:
a. housing instability;
b. family conflict;
c. unemployment;
d. educational interruption;
e. social isolation;
f. migration and displacement;
g. grief and bereavement;
h. access to health and social services;
i. community reintegration;
j. administrative navigation;
k. continuity of support following institutional discharge.
Article 29 — Crisis Stabilization
Crisis-stabilization personnel may:
a. establish immediate contact;
b. reduce environmental stimulation;
c. apply recognized de-escalation methods;
d. identify immediate danger;
e. mobilize emergency resources;
f. maintain supportive presence;
g. contact designated professionals or facilities;
h. document the intervention;
i. facilitate transfer.
Crisis stabilization shall not be interpreted as authorization for involuntary detention, medical restraint, forced medication, or any restricted emergency procedure.
Article 30 — Youth Intervention
Youth services shall be organized according to safeguarding requirements, age-appropriate communication, family circumstances, educational continuity, risk assessment, confidentiality rules applicable to minors, and referral obligations.
Services may include:
a. school-support counselling;
b. family mediation;
c. substance-use prevention;
d. psychosocial stabilization;
e. social-skills development;
f. community participation;
g. grief support;
h. referral to specialized child, medical, psychological, educational, or protection services.
Article 31 — Gerontological Support
Gerontological services may include:
a. supportive counselling;
b. social-isolation prevention;
c. grief support;
d. family coordination;
e. service navigation;
f. daily-functioning support;
g. protection from exploitation;
h. cognitive-change observation and referral;
i. coordination with medical and social-service providers;
j. preservation of personal history and community participation.
Article 32 — Spiritual and Religious Support
A service recipient may request spiritual or religious support from a competent Catholic, Indigenous, or other recognized religious representative.
Such support shall remain institutionally distinct from clinical assessment, clinical counselling, professional supervision, diagnosis, medication, and treatment.
No religious officer shall acquire clinical authority solely by reason of religious office. No clinical practitioner shall exercise sacramental or ecclesiastical authority solely by reason of clinical registration.
TITLE VII — INTELLECTUAL AND EDUCATIONAL REFERENCES
Article 33 — Status of Intellectual References
The University of Xaragua may maintain an interdisciplinary corpus of intellectual, historical, anticolonial, Indigenous, Catholic, psychological, sociological, philosophical, and pedagogical references relevant to the formation of counsellors and intervention personnel.
Inclusion in the corpus shall signify academic or institutional relevance. It shall not constitute:
a. attribution of medical authority to an author;
b. recognition of the author as a psychologist or physician where no such qualification existed;
c. replacement of clinical standards;
d. exclusive control of the curriculum by a single author;
e. automatic validation of every proposition contained in the referenced work;
f. authorization to perform restricted professional activities.
Article 34 — Frantz Fanon
The works of Frantz Fanon may be studied as major references concerning colonial domination, racialization, social alienation, institutional violence, cultural dislocation, psychological consequences of oppression, and the relationship between political structures and human subjectivity.
Relevant works may include:
a. Black Skin, White Masks;
b. The Wretched of the Earth;
c. A Dying Colonialism;
d. Toward the African Revolution.
Fanon’s work shall inform the analysis of colonial and postcolonial conditions without constituting the exclusive clinical model of XaraHealth.
Article 35 — Victor Manuel Gómez Rodríguez, Known as Samael Aun Weor
The works of Victor Manuel Gómez Rodríguez, known as Samael Aun Weor, may be retained within the intellectual and historical corpus of the University of Xaragua as references concerning self-observation, personal discipline, consciousness, education, conduct, internal conflict, and the author’s psycho-spiritual conception of human development.
Relevant works may include:
a. Revolutionary Psychology;
b. Fundamental Education;
c. other authenticated texts selected for comparative study by the University.
These works may be examined in courses concerning intellectual history, models of consciousness, spiritual anthropology, self-observation, educational philosophy, and comparative approaches to personal formation.
Their inclusion shall not:
a. constitute a psychology licence;
b. constitute a psychotherapy method;
c. confer clinical authority upon the author;
d. require doctrinal allegiance by practitioners;
e. replace addiction science, mental-health training, supervision, safeguarding, referral, or professional accountability;
f. authorize diagnosis, psychotherapy, psychiatric treatment, or medical intervention.
Article 36 — Catholic and Indigenous References
Catholic social teaching, theological anthropology, pastoral-care traditions, Indigenous knowledge, oral history, community practices, and culturally grounded conceptions of health may be studied where relevant to:
a. dignity;
b. family and community responsibility;
c. grief;
d. social solidarity;
e. recovery;
f. meaning;
g. reconciliation;
h. cultural continuity;
i. service delivery within Catholic or Indigenous institutions.
Such references shall complement the professional requirements established by this Instrument.
Article 37 — Academic Independence
The University shall determine the pedagogical use, comparative context, level of study, and evaluation methods applicable to each author or text.
No single author shall possess exclusive, absolute, irrevocable, or medically determinative status within the clinical-intervention system.
TITLE VIII — PROFESSIONAL CONDUCT AND SAFEGUARDING
Article 38 — Fundamental Duties
Every registered practitioner shall:
a. act within the authorized scope;
b. protect the dignity and safety of service recipients;
c. obtain informed participation;
d. preserve confidentiality;
e. maintain accurate records;
f. avoid exploitation;
g. disclose relevant conflicts of interest;
h. maintain professional boundaries;
i. participate in supervision;
j. initiate referral when required;
k. cooperate with authorized quality-control procedures.
Article 39 — Prohibited Conduct
The following conduct is prohibited:
a. misrepresentation of qualifications;
b. use of an unauthorized professional title;
c. sexual or financial exploitation;
d. coercive doctrinal recruitment;
e. falsification of clinical records;
f. disclosure of protected information without authorization or applicable justification;
g. practising while materially impaired;
h. discouraging necessary emergency or professional care;
i. performing activities outside the authorized competence;
j. abandonment of a person in an active crisis without appropriate transfer;
k. retaliation against a person who submits a complaint.
Article 40 — Confidentiality
Clinical and psychosocial information shall be classified according to applicable privacy, health-information, safeguarding, and institutional-security requirements.
Disclosure may occur only:
a. with valid authorization;
b. for continuity of care;
c. for professional supervision under confidentiality;
d. where necessary to address an immediate and serious risk;
e. where required by an applicable safeguarding procedure;
f. pursuant to a competent legal or administrative process recognized by Xaragua.
Article 41 — Records
Each authorized service shall maintain records sufficient to establish:
a. the nature of the service;
b. the practitioner responsible;
c. the dates of intervention;
d. the intervention plan;
e. significant risk findings;
f. referrals;
g. supervision;
h. closure, transfer, or interruption of services.
TITLE IX — REGISTRATION, INSPECTION, AND DISCIPLINE
Article 42 — Central Register
XaraHealth shall maintain a Central Register of Clinical Counsellors and Psychosocial Intervention Personnel.
The Register shall identify:
a. legal name;
b. authorized designation;
c. field of practice;
d. registration status;
e. supervisor where applicable;
f. date of issuance;
g. expiration or renewal date;
h. restrictions or suspensions that must be publicly disclosed.
Protected personal and clinical information shall not be entered into the public component of the Register.
Article 43 — Inspection
XaraHealth may inspect authorized programs concerning:
a. practitioner registration;
b. supervision;
c. service protocols;
d. record administration;
e. confidentiality;
f. safeguarding;
g. referral procedures;
h. complaints;
i. use of institutional funds;
j. compliance with corrective measures.
Article 44 — Administrative Measures
Where non-compliance is established, the competent authority may issue:
a. an advisory notice;
b. a corrective directive;
c. additional-supervision requirements;
d. practice restrictions;
e. mandatory formation;
f. temporary suspension;
g. registration revocation;
h. program closure;
i. contractual termination;
j. referral to another competent authority.
Article 45 — Proportionality and Documentation
Administrative measures shall correspond to the seriousness, duration, recurrence, risk, professional responsibility, corrective conduct, and consequences of the violation.
Every final disciplinary determination shall be documented through a reasoned administrative decision.
TITLE X — EXTERNAL COORDINATION
Article 46 — External Health Systems
XaraHealth may coordinate with public, private, Catholic, Indigenous, academic, humanitarian, medical, psychological, psychiatric, nursing, social-service, addiction-treatment, and emergency institutions operating outside its direct administration.
Coordination may concern:
a. referral;
b. teleconsultation;
c. professional supervision;
d. continuing education;
e. emergency transfer;
f. diagnostic services;
g. hospital care;
h. medication management;
i. specialized treatment;
j. rehabilitation;
k. institutional research;
l. technical assistance.
Article 47 — Recognition of External Competence
XaraHealth shall recognize the operational necessity of duly qualified external professionals and facilities where a required service exceeds its internal capacity.
Use of an external service shall not dissolve the institutional identity of XaraHealth or prevent continued counselling, case coordination, recovery support, and psychosocial follow-up within the practitioner’s authorized competence.
Article 48 — No Automatic Representation or Partnership
Reference to, referral toward, or use of an external institution shall not constitute an agency relationship, commercial partnership, accreditation agreement, endorsement, or transfer of governmental competence unless established through a written instrument signed by the competent parties.
TITLE XI — IMPLEMENTATION
Article 49 — Existing Practitioners
Persons previously registered or presented under former intervention structures shall undergo administrative reclassification according to:
a. verified education;
b. documented experience;
c. actual field of practice;
d. supervised competence;
e. current institutional function;
f. compliance with the professional boundaries established herein.
No prior doctrinal, spiritual, pastoral, or educational designation shall automatically confer clinical registration.
Article 50 — Institutional Succession
The Bureau of Clinical Counselling, Addiction Services, Mental-Health Intervention, and Psychosocial Administration succeeds to the relevant non-ecclesiastical clinical, educational, registration, supervision, and psychosocial functions previously assigned to the Bureau of Doctrinal Health and Spiritual Sciences.
The former Bureau of Doctrinal Health and Spiritual Sciences shall cease to exercise authority over clinical counselling, addiction services, mental-health intervention, psychosocial programs, professional registration, clinical supervision, and practitioner discipline.
Article 51 — Transitional Review of Programs
All existing certificates, permits, curricula, registers, service descriptions, public statements, and institutional titles shall be reviewed and administratively classified under the present Instrument.
The review shall determine:
a. whether the activity is clinical, educational, pastoral, social, or administrative;
b. the competent authority;
c. the authorized professional designation;
d. the applicable limitations;
e. the required supervision;
f. the status of existing participants;
g. the necessary replacement instrument.
Article 52 — No Automatic Service Entitlement
The establishment of a clinical field, professional category, educational program, referral mechanism, or institutional authority shall not create an immediate unconditional entitlement to a specific practitioner, treatment, placement, insurance benefit, medication, hospital service, or financial allocation.
Implementation shall depend upon available personnel, verified competence, approved programs, contractual access, financial capacity, territorial conditions, and applicable administrative instruments.
Article 53 — Subsidiary Regulations
XaraHealth may issue subsidiary regulations concerning:
a. curricula;
b. supervised-practice hours;
c. examinations;
d. professional titles;
e. registration;
f. clinical records;
g. tele-counselling;
h. crisis protocols;
i. safeguarding;
j. complaint procedures;
k. continuing formation;
l. external referral;
m. quality assurance.
Article 54 — Institutional Interpretation
Interpretation and implementation shall remain within the respective competences of the Office of the Rector-President, XaraHealth, the Bureau of Clinical Counselling, Addiction Services, Mental-Health Intervention, and Psychosocial Administration, the University of Xaragua, and other duly authorized authorities.
Article 55 — Entry into Force
This Supreme Consolidated State Instrument shall enter into force immediately upon promulgation and shall govern all clinical-counselling, addiction-intervention, mental-health-support, psychosocial, crisis-stabilization, community-rehabilitation, formation, registration, supervision, and referral activities authorized or administered within the internal institutional order of Xaragua.
PROMULGATION
Promulgated under the direct and non-delegable authority of the Rector-President of the Sovereign Catholic Indigenous and Private State of Xaragua.
OFFICE OF THE RECTOR-PRESIDENT
SOVEREIGN CATHOLIC INDIGENOUS AND PRIVATE STATE OF XARAGUA
Pascal Viau
Rector-President
Supreme Constitutional Authority