Gross malpractice means malpractice where the failure to exercise the requisite degree of care, diligence or skill consists of: 1. Practicing psychology, psychotherapy or behavioral health promotion and prevention with a patient while the psychologist or behavioral health and wellness practitioner is under the influence of an alcoholic beverage as defined in NRS 202.015 or any controlled substance; 2. Gross negligence; 3. Willful disregard of established methods and procedures in the practice of psychology or behavioral health promotion and prevention, as applicable; or 4. Willful and consistent use of methods and procedures considered by psychologists or behavioral health and wellness practitioners, as applicable, in the community to be inappropriate or unnecessary in the cases where used.
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