Foire Aux Questions
Ontario Regulation 193/23 - Registration
The new regulation (O. Reg. 193/23) replaces O. Reg. 74/15 and includes the requirements for registration with the College as a Behaviour Analyst. The new regulation reflects changes that were approved by Council in December 2022 and approved by the Ontario government in July 2023.
On July 20, 2023, the Ontario Government approved the regulations made under theÌę, for the profession of Applied Behaviour Analysis (ABA). TheÌꎥłŠłÙÌęwas proclaimed effectiveÌęJuly 1, 2024, when the College changed its name to the â91ÊÓÆ”â. Beginning on July 1, 2024, only ABA practitioners who are registered with the 91ÊÓÆ” will be allowed to use the title âBehaviour Analystâ in Ontario.
On June 3, 2021, the enabling legislation to authorize the College of Psychologists of Ontario to regulate the profession of Applied Behaviour Analysis (ABA), ÌęÌęreceived Royal Assent. Included inÌęÌęof this Bill is the legislative authority for the College to regulate the profession of applied behaviour analysis (ABA). On July 1, 2024 this legislation was proclaimed by the Ontario government and repealed theÌęPsychology Act, 1991Ìęand replaced it with theÌęPsychology and Applied Behaviour Analysis Act, 2021.
The new Act establishes the regulation of two separate and distinct professions, psychology and ABA within one College. The College of Psychologists of Ontario was renamed the 91ÊÓÆ” to reflect its expanded role as the regulator of both professions. The legislation maintains the regulatory framework for current registrants, Psychologists and Psychological Associates, but additionally:
- Defines the scope of practice for ABA: âThe practice of applied behaviour analysis is the assessment of covert and overt behaviour and its functions through direct observation and measurement, and the design, implementation, delivery and evaluation of interventions derived from the principles of behaviour in order to produce meaningful improvementsâ;
- Restricts the use of the title âBehaviour Analystâ to registrants of the new College registered as Behaviour Analysts;
- Expands the âRepresentations of Qualificationsâ restriction to include holding oneself out as qualified to practice as a Behaviour Analyst or in a specialty of applied behaviour analysis; and
- Updates the size and composition of the current Collegeâs Council to enable fair representation for both professions.
91ÊÓÆ” Applied Behaviour Analysis Regulation
łąâanalyse comportementale appliquĂ©e (ACA) est lâapplication de la science de lâapprentissage pour comprendre et amĂ©liorer un comportement qui est significatif pour la personne et son entourage. łąâACA porte sur les effets que lâenvironnement peut avoir sur lâapprentissage. Le terme «ÌęcomportementÌę» dĂ©signe tout ce quâune personne dit ou fait, y compris les aptitudes quâil faut avoir et les actions quâil faut faire pour parler, jouer et vivre. Le comportement peut aussi ĂȘtre privĂ© (p. ex., les pensĂ©es et le ressenti).
łąâACA peut aider Ă augmenter des aptitudes utiles ou fonctionnelles (p. ex., la communication) ou Ă rĂ©duire des comportements nuisibles ou qui empĂȘchent lâapprentissage (p. ex., lâautomutilation).
łąâintervention Ă lâaide de lâACA utilise des procĂ©dĂ©s fondĂ©s sur des donnĂ©es probantes, tels que le renforcement positif, pour rĂ©pondre aux inquiĂ©tudes et aux besoins dâun client, rĂ©duire les comportements nuisibles et augmenter les comportements dĂ©sirables. Les analystes du comportement exercent dans toute une variĂ©tĂ© de milieux et auprĂšs dâun grand nombre de populations clientes diffĂ©rentes.
Ressources :
- łąâ (ONTABA) a créé un (en anglais) pour dĂ©crire ce quâest lâACA et ce quâelle nâest pas. Le site Web de lâONTABA renferme ce graphique et plus dâinformations.
- Le site Web du (BACB) prĂ©sente dâautres informations au sujet de la profession dâanalyste du comportement et des populations clientes quâelle sert.
En 2017, le ministre de la SantĂ© et des Soins de longue durĂ©e a demandĂ© au Conseil consultatif de rĂ©glementation des professions de la santĂ© de lui faire des recommandations sur les points suivantsÌę:
- Les activitĂ©s ou les aspects associĂ©s Ă la thĂ©rapie par lâACA qui posent un risque de prĂ©judice important ou inhĂ©rent (le cas Ă©chĂ©ant), et si le risque de prĂ©judice de cette thĂ©rapie varie selon la population cliente (p. ex., les enfants et les adultes); et
- Si lâACA pose un risque, quelle sĂ©rie dâoptions peut-on considĂ©rer pour surveiller cette thĂ©rapie?
Dans son rapport intitulĂ© , prĂ©sentĂ© au ministre de la SantĂ© et des Soins de longue durĂ©e en janvier 2018, le CCRPS tire la conclusion suivanteÌę:
«ÌęEn se fondant les donnĂ©es probantes examinĂ©es, le CCRPS constate quâil existe un risque de prĂ©judice pour les clients associĂ© Ă la plupart des interventions en ACA, et par consĂ©quent, un travail de surveillance est recommandĂ©. Plusieurs solutions de surveillance en matiĂšre de rĂ©glementation des fournisseurs ont Ă©tĂ© examinĂ©es, lâaccent Ă©tant surtout mis sur les superviseurs cliniques.Ìę»
Pour ce qui est de la surveillance, voici ce que recommande le CCRPSÌę:
«ÌęDans sa recommandation, le CCRPS indique que le traitement par ACA pose de façon inhĂ©rente un risque de prĂ©judice important auprĂšs de nombreux groupes de clients. Par consĂ©quent, le CCRPS recommande que les fournisseurs dâACA qui exercent un rĂŽle de supervision clinique (dĂ©signĂ©s tout au long de ce rapport comme les « superviseurs cliniques ») soient rĂ©glementĂ©s dans le cadre dâun ordre de rĂ©glementation des professionnels de la santĂ© dĂ©jĂ Ă©tabli, rĂ©gi par la Loi de 1991 sur les professions de la santĂ© rĂ©glementĂ©es (LPSR). Dâautres fournisseurs dâACA relĂšveraient de superviseurs cliniques rĂ©glementĂ©s.Ìę»
Pour protĂ©ger le public contre le risque de prĂ©judice, les analystes du comportement qui supervisent ou fournissent des interventions en ACA devront respecter des normes clairement dĂ©finies. Ces normes comprendront lâobligation dâavoir les connaissances, les compĂ©tences et le jugement nĂ©cessaires pour satisfaire aux exigences de la pratique et ĂȘtre autorisĂ© Ă employer le titre rĂ©servĂ© dâ«Ìęanalyste du comportementÌę».
Toute personne qui exerce une profession de la santĂ© rĂ©glementĂ©e, quâelle appartienne Ă la profession de psychologue, dâassociĂ© en psychologie, de mĂ©decin, dâinfirmiĂšre, de dentiste, dâergothĂ©rapeute ou Ă une autre profession de la santĂ© rĂ©glementĂ©e, et maintenant Ă la profession dâanalyste du comportement, doit ĂȘtre inscrite Ă un ordre de rĂ©glementation et ĂȘtre responsable devant cet ordre. Un ordre de rĂ©glementation nâest ni une universitĂ©, ni un collĂšge communautaire, ni une Ă©cole. Il a plutĂŽt pour mandat de protĂ©ger lâintĂ©rĂȘt du public en veillant Ă ce que les clients reçoivent des services Ă©thiques et professionnels donnĂ©s par des fournisseurs qualifiĂ©s et compĂ©tents.
łąâOntario compte 26 ordres de rĂ©glementation des professions de la santĂ©, y compris lâOrdre des psychologues de lâOntario. Pour obtenir plus dâinformations et savoir comment et pourquoi les professions de la santĂ© sont rĂ©glementĂ©es dans notre province, visitez le de lâorganisme Ontario Health Regulators.
La Loi stipule que les professionnels rĂ©glementĂ©s sont tenus de fournir des services professionnels, compĂ©tents et Ă©thiques. Ils sont responsables devant le public de leur comportement et de leurs activitĂ©s professionnels par le biais de lâorganisme de rĂ©glementation auquel ils appartiennent. Lorsque les analystes du comportement seront rĂ©glementĂ©s, ils devront satisfaire Ă des normes rigoureuses dâentrĂ©e dans la profession, se conformer Ă des normes, des lignes directrices et des principes Ă©thiques prescrits, Ìęet participer Ă des activitĂ©s dâassurance de la qualitĂ© afin de continuellement mettre Ă jour et amĂ©liorer leurs connaissances et leurs compĂ©tences. Les processus de plainte et de discipline tiennent les professionnels responsables quand un client ou un autre membre du public allĂšgue que les normes ont Ă©tĂ© enfreintes.
Par contre, lâOrdre nâa aucun pouvoir sur les fournisseurs de services non rĂ©glementĂ©s. Il nâexiste aucun organisme de rĂ©glementation dotĂ© du pouvoir dâĂ©tablir les normes minimales dâĂ©ducation, de formation et de compĂ©tence ou de surveiller les normes de conduite professionnelle et Ă©thique des fournisseurs non rĂ©glementĂ©s. Aucun organisme de rĂ©glementation nâexiste pour protĂ©ger votre intĂ©rĂȘt et tenir les fournisseurs non rĂ©glementĂ©s responsables des services que vous recevez.
Le 3 juin 2021, la loi habilitante autorisant lâOrdre des psychologues de lâOntario Ă rĂ©glementer la profession dâanalyse comportementale appliquĂ©e (ACA), le , a reçu la sanction royale. łąâ confĂšre Ă lâOrdre le pouvoir de rĂ©glementer la profession dâanalyste du comportement. La Loi sera proclamĂ©e par le gouvernement Ă un jour non encore fixĂ©,Ìę rĂ©voquera la Loi de 1991 sur la psychologie et la remplacera par la Loi de 2021 sur la psychologie et lâanalyse comportementale appliquĂ©e.
La nouvelle Loi prĂ©voit que la rĂ©glementation de deux professions sĂ©parĂ©es et distinctes, celle de psychologie et celle dâanalyse comportementale appliquĂ©e, sera rĂ©gie par un seul ordre de rĂ©glementation. łąâOrdre des psychologues de lâOntario actuel rĂ©glementera les deux professions et son nom sera remplacĂ© par celui dâOrdre des psychologues et des analystes du comportement de lâOntario pour reflĂ©ter son rĂŽle Ă©largi. La Loi maintient le cadre de rĂ©glementation des membres actuels de lâOrdre, câest-Ă -dire les psychologues et les associĂ©s en psychologie, mais ajoute ce qui suitÌę:
- Elle dĂ©finit le champ dâexercice de lâACA en ces termesÌę: «Ìęłąâexercice de lâanalyse comportementale appliquĂ©e consiste, dâune part, dans lâĂ©valuation du comportement cachĂ© et manifeste et de ses fonctions au moyen dâobservations directes et de mesures et, dâautre part, dans la conception, la mise en Ćuvre, la prestation et lâĂ©valuation dâinterventions dĂ©rivĂ©es des principes du comportement afin de produire des amĂ©liorations significativesÌę»;
- Ălargit la restriction concernant la «ÌędĂ©claration de compĂ©tenceÌę» pour y inclure que nulle autre personne quâun membre de lâOrdre ne doit se prĂ©senter comme une personne ayant qualitĂ© pour exercer en Ontario la profession dâanalyste du comportement ou une spĂ©cialitĂ© de lâanalyse comportementale appliquĂ©e;
- Restreint lâemploi du titre dâanalyste du comportement aux membres inscrits au nouvel Ordre Ă titre dâanalystes du comportement;
- Met Ă jour la grandeur et la composition du conseil de lâOrdre actuel afin que les deux professions puissent ĂȘtre reprĂ©sentĂ©es Ă©quitablement.
En 2017, Ă la demande du ministĂšre de la SantĂ© et des Soins de longue durĂ©e dâalors, le Conseil consultatif de rĂ©glementation des professions de la santĂ© (CCRPS) a effectuĂ© une Ă©tude sur lâACA, le risque de prĂ©judice quâelle pose et la nĂ©cessitĂ© de la rĂ©glementer. En rĂ©ponse Ă une demande dâinformation, lâOrdre a envoyĂ© une lettre Ă©nonçant, en partie, que si la dĂ©cision est prise de rĂ©glementer lâACA en Ontario, le conseil de lâOrdre des psychologues est prĂȘt Ă intĂ©grer la rĂ©glementation de lâACA dans sa structure de gouvernance.
Le 19 septembre 2019, lâOrdre a reçu une lettre de Todd Smith, ministre des Services Ă lâenfance et des Services sociaux et communautaires, et de Christine Elliott, ministre de la SantĂ©, lâinvitant Ă confirmer que la rĂ©glementation de lâACA dans le cadre de sa structure de gouvernance lâintĂ©resse. Les deux ministres prĂ©cisent dans cette lettre que le renforcement de la surveillance des cliniciens du comportement protĂšgera les Ontariennes et les Ontariens vulnĂ©rables contre le risque de prĂ©judice et Ă©tablira les attentes qui seront Ă©noncĂ©es dans les normes professionnelles et les exigences en matiĂšre dâĂ©tudes auxquelles devront satisfaire les fournisseurs dâACA de lâOntario. La rĂ©glementation aidera Ă©galement les familles Ă trouver des fournisseurs qualifiĂ©s et, au besoin, Ă porter plainte contre des fournisseurs. Les deux ministres ont ajoutĂ© quâils aimeraient commencer par rĂ©glementer les personnes qui assumeront un rĂŽle de supervision, et quâils entrevoient Ă©largir cette dĂ©marche pour inclure, avec le temps, la rĂ©glementation des cliniciens de premiĂšre ligne.
Le 27 septembre 2019, le conseil de lâOrdre des psychologues a adoptĂ© une motion confirmant quâil offrait de rĂ©glementer lâACA Ă lâintĂ©rieur de sa structure de gouvernance.
On July 1, 2024, the College of Psychologists became the 91ÊÓÆ”, to reflect its expanded role.
Le champ dâexercice des analystes du comportement ou les activitĂ©s quâils font lorsquâils fournissent des services Ă des clients ne sont pas des actes autorisĂ©s ou des activitĂ©s restreintes. Ils relĂšvent, par consĂ©quent, du domaine public. Si une personne nâest pas inscrite Ă lâOrdre, elle doit connaĂźtre les restrictions prĂ©vues par laÌęLoiÌęconcernant la façon dont elle se reprĂ©sente quand elle fournit des services dâanalyse du comportement.
Lorsque laÌęLoi de 2021 sur la psychologie et lâanalyse comportementale appliquĂ©eÌę(la Loi) sera proclamĂ©e, le titre dâ«Ìęanalyste du comportementÌę» sera rĂ©servĂ© uniquement aux personnes inscrites Ă lâOrdre Ă titre dâanalystes du comportement. Ces personnes pourront indiquer tout certificat quâelles possĂšdent, tel que le certificat BCBA ou BCBA-D, afin dâaider le public Ă comprendre leurs qualifications de fournisseurs de services de santĂ© rĂ©glementĂ©s inscrits Ă lâOrdre. Les personnes qui ne sont pas membres de lâOrdre et qui emploient le titre dâ«Ìęanalyste du comportementÌę» ou prĂ©tendent avoir un certificat ou une dĂ©signation montrant quâelles ont les qualifications voulues pour exercer Ă titre dâanalystes du comportement commettront une infraction Ă la Loi.
On July 20, 2023, the Ontario Government approved the regulations made under the , for the profession of Applied Behaviour Analysis (ABA). The Act was proclaimed effective July 1, 2024, when the College changed its name to the â91ÊÓÆ”â. Effective this date, only ABA practitioners who are registered with the 91ÊÓÆ” are allowed to use the title âBehaviour Analystâ in Ontario.
Non. Les analystes du comportement ne pourront accomplir aucun des actes autorisĂ©s dĂ©crits dans la Loi. Un acte autorisĂ© peut ĂȘtre accompli seulement par les membres des professions de la santĂ© autorisĂ©s Ă le faire par la (LPSR) et par la loi qui rĂ©git leur profession. La liste des 14 actes autorisĂ©s se trouve Ă lâarticle 27 de la LPSR. Cette interdiction sâapplique actuellement aux personnes qui pratiquent lâanalyse comportementale appliquĂ©e ou toute autre forme de thĂ©rapie comportementale et restera en place aprĂšs la proclamation de la nouvelle Loi.
Si une personne inscrite Ă lâOrdre Ă titre dâanalyste du comportement est Ă©galement inscrite Ă un autre ordre de rĂ©glementation, et si son inscription Ă cet autre ordre lui permet dâaccomplir un ou plusieurs actes autorisĂ©s, elle peut continuer dâaccomplir lâacte ou les actes autorisĂ©s par la Loi ou par la loi rĂ©gissant sa profession pendant quâelle exerce cette autre profession.
Registrants who have been issued a certificate of registration authorizing autonomous practice as a Behaviour Analyst by the 91ÊÓÆ” are considered autonomous/independent practitioners of applied behaviour analysis (ABA). Therefore, autonomous practice Behaviour Analysts do not require supervision from a Psychologist/Psychological Associate or another regulated professional to practice ABA.
łąâOrdre tient un tableau consultable de tous ses membres actuels. LeÌętableau renfermera des informations sur les analystes du comportement inscrits. Vous pouvez aussi vous adresser Ă lâOrdre par tĂ©lĂ©phone au 416-961-8817 ou par courriel Ă cpbao@cpbao.ca.
Oui. łąâOrdre mĂšnera une enquĂȘte si vous avez des prĂ©occupations au sujet de services qui vous ont Ă©tĂ© fournis sous la supervision dâun analyste du comportement. Sachez toutefois que lâenquĂȘte portera sur le membre de lâOrdre et non pas sur la personne supervisĂ©e. Le membre de lâOrdre qui supervise est responsable des services dâanalyse comportementale fournis sous supervision.
łąâOrdre fera Ă©galement enquĂȘte sur lâemploi incorrect des titres de «ÌędocteurÌę», dâ«Ìęanalyste du comportementÌę» et de toute variante de ces titres rĂ©servĂ©s. łąâOrdre mĂšnera Ă©galement enquĂȘte sur les personnes qui ne sont pas inscrites Ă lâOrdre et qui se reprĂ©sentent comme Ă©tant qualifiĂ©es pour exercer Ă titre dâanalystes du comportement.
Comment devenir membre de lâOrdre - psychologie
Seuls les membres de lâOrdre inscrits pour exercer la psychologie sont autorisĂ©s Ă employer le titre de « psychologue » ; ou dâ« associĂ© en psychologie » ; dâemployer les termes « psychologie » ou ; « psychologique » dans la description des services quâils offrent ou fournissent; ou de se prĂ©senter comme des psychologues ou des associĂ©s en psychologie. Les psychologues et les associĂ©s en psychologie sâidentifient Ă©galement en ajoutant la dĂ©signation C. Psych. ou C. Psycho. Assoc. Ă la suite de leur nom.
Pour avoir le droit dâexercer la psychologie en qualitĂ© de professionnel inscrit, il faut avoir terminĂ© avec succĂšs des Ă©tudes universitaires de deuxiĂšme ou de troisiĂšme cycle en psychologie, avoir travaillĂ© sous supervision professionnelle et avoir rĂ©ussi aux examens. Les membres de lâOrdre doivent exercer la profession conformĂ©ment aux lois, aux rĂšglements, aux normes de conduite, aux lignes directrices professionnelles et aux codes de dĂ©ontologie applicables.
Les psychologues et les associés en psychologie ont reçu une formation pour évaluer, traiter et prévenir les troubles comportementaux et mentaux. Ils diagnostiquent les troubles et les désordres neuropsychiques, psychotiques, névrotiques et de la personnalité. Ils utilisent toute une variété de méthodes pour maintenir et améliorer le fonctionnement physique, intellectuel, affectif, social et interpersonnel de leurs clients.
Les psychologues et les associĂ©s en psychologie choisissent habituellement de travailler dans un domaine particulier comme la psychologie clinique, la psychologie de counseling, la neuropsychologie clinique, la psychologie scolaire, la psychologie correctionnelle ou judiciaire, la psychologie de la santĂ©, la psychologie en rĂ©adaptation ou la psychologie industrielle/organisationnelle. Les psychologues et les associĂ©s en psychologie qui travaillent dans ces domaines traitent toute une variĂ©tĂ© de populations clientes telles que les enfants, les adolescents, les adultes, les familles, les couples ou les organismes. Ils travaillent dans une variĂ©tĂ© de milieux, entre autres des Ă©coles, des hĂŽpitaux, des industries, des organismes de services sociaux, des Ă©tablissements de rĂ©adaptation et des Ă©tablissements correctionnels. Un grand nombre dâentre eux exercent Ă©galement dans leur propre cabinet.
Les psychologues et les associĂ©s en psychologie qui sont titulaires dâun certificat dâinscription les autorisant Ă exercer de maniĂšre autonome peuvent fournir des services sans supervision dans leur domaine de compĂ©tence, et peuvent demander des honoraires pour ces services. Dans la plupart des cas, le certificat dâinscription des membres de lâOrdre nâest pas assorti de conditions ou de restrictions, mais ce nâest pas toujours le cas : les membres dont le certificat est assorti de conditions ou de restrictions doivent exercer conformĂ©ment Ă ces conditions et restrictions.
łąâOrdre tient un registre de tous ses membres actuels. Pour obtenir des renseignements sur un membre de lâOrdre, vous pouvez consulter le registre public en ligne ou en faire la demande auprĂšs de lâOrdre par tĂ©lĂ©phone au 416-961-8817 ou par courriel Ă cpbao@cpbao.ca.
Les clients ont parfois besoin de faire signer des formulaires par leur psychologue ou leur associĂ© en psychologie traitant pour que leur compagnie dâassurance leur rembourse le coĂ»t des services psychologiques ou pour avoir droit Ă certains avantages ou services offerts par un assureur ou un organisme gouvernemental. Normalement, les psychologues et les associĂ©s en psychologie sont autorisĂ©s Ă remplir et Ă signer ces formulaires. Si vous avez des questions Ă ce sujet, ou si vous avez de la difficultĂ© Ă faire accepter ces formulaires, demandez conseil Ă lâOrdre.
La différence entre les psychologues et les associés en psychologie réside dans leur formation. Ils ont tous fait un baccalauréat, et ont tous fait des études de deuxiÚme ou de troisiÚme cycle en psychologie.
Les associĂ©s en psychologie ont obtenu une maĂźtrise en psychologie (p. ex. MA., MSc., MPs, MEd), puis ont travaillĂ© pendant quatre ans dans le champ dâexercice de la psychologie. Les psychologues ont obtenu un doctorat en psychologie (PhD, PsyD, EdD, DPsy) et ont normalement fait un internat dâun an dans le cadre de leurs Ă©tudes.
Les psychologues et les associĂ©s en psychologie ont ensuite acquis au moins une annĂ©e dâexpĂ©rience de travail sous supervision approuvĂ©e par lâOrdre et ont rĂ©ussi aux trois examens exigĂ©s par lâOrdre.
Applications for registration are received and reviewed on an on-going basis throughout the year. Once the College has received your completed application form, the application fee, and all supporting documentation, your application is ready for review. The review process is usually completed in four to six weeks (up to 30 business days).
AussitĂŽt que lâOrdre reçoit le formulaire de demande dâinscription, les frais dâinscription et tous les documents justificatifs, votre demande est considĂ©rĂ©e comme Ă©tant & #171; prĂȘte Ă Ă©tudier » et lâĂ©tude de votre dossier commence. Lorsque votre demande est « prĂȘte Ă Ă©tudier », il faut deÌęquatre Ă Ìęsix semaines pour la traiter. Quand lâĂ©tude de votre demande est terminĂ©e, lâOrdre vous envoie une lettre par la poste confirmant le rĂ©sultat.
Si le registrateur nâa pas la certitude que vous remplissez les exigences en matiĂšre dâĂ©tudes ou de bonnes mĆurs, ou sâil doute que vous ayez la formation voulue pour travailler dans le(s) domaine(s) dâexercice que vous proposez, votre demande est renvoyĂ©e au comitĂ© dâinscription pour une Ă©tude plus poussĂ©e. Dans ce cas, une lettre vous est envoyĂ©e pour vous informer du renvoi de votre dossier au comitĂ© dâinscription, et vous avez un dĂ©lai dâau moins 30 jours pour soumettre tout renseignement supplĂ©mentaire qui aidera le comitĂ© dâinscription dans son Ă©tude. Au cours de lâannĂ©e, le comitĂ© dâinscription se rĂ©unit environ toutes les six semaines. łąâĂ©tude de votre dossier par ce comitĂ© se fait lors de sa rĂ©union suivant le dĂ©lai dâavis de 30 jours.
Applicants are encouraged to submit their completed application form and supporting documentation as soon as possible. You can track the status of your application using the Checklist feature in the navigation panel of your application. This checklist will tell you which documents have been received and which are outstanding.
Lorsque lâOrdre reçoit des documents justificatifs avant la demande dâinscription, il verse ces documents justificatifs dans un dossier portant votre nom. Lorsque quâil reçoit la demande dâinscription, il la verse dans le dossier qui renferme dĂ©jĂ les documents justificatifs.
Les candidats ont 24 mois, Ă compter de la date de rĂ©ception de leur demande dâinscription, pour prĂ©senter les documents justificatifs nĂ©cessaires Ă la dĂ©livrance de leur certificat dâinscription. Toute demande dâinscription qui nâa pas donnĂ© lieu Ă la dĂ©livrance dâun certificat dâinscription ou Ă une confirmation dâadmissibilitĂ© expire automatiquement 24 mois aprĂšs la date Ă laquelle elle a Ă©tĂ© reçue par lâOrdre. La demande dâinscription et tous les documents justificatifs sont alors dĂ©truits. Les frais dâinscription ne sont pas remboursables.
Dans le cas des candidats qui ont terminĂ© les Ă©tudes exigĂ©es pour obtenir un grade mais qui nâont pas encore obtenu leur grade comme tel, lâOrdre accepte le relevĂ© de note prĂ©-collation des grades afin dâĂ©tudier leur demande dâinscription. Le relevĂ© de notes doit toutefois ĂȘtre accompagnĂ© dâune lettre signĂ©e par le sĂ©nat ou le registraire de lâuniversitĂ© ou par un mandataire appropriĂ© du dĂ©partement de psychologie, comme le directeur de la formation clinique, et cette lettre doit confirmer la date Ă laquelle le candidat a terminĂ© avec succĂšs toutes les exigences en matiĂšre dâĂ©tudes. La letter doit ĂȘtre soumise a l’Ordre directement Ă partir de l’UniversitĂ© ; l’Ordre n’acceptera pas une copie d’etudiante de la letter.
The College will accept electronic versions of supporting documents sent directly to the College by the issuing authority. Applicants can request e-versions of their supporting documents to be sent directly to the College via email to cpbao@cpbao.ca.
If e-mail is not possible, please have the organization mail the document to:
The 91ÊÓÆ”
110 Eglinton Ave West, Suite 500
Toronto, ON
M4R 1A3
Non. łąâOrdre accepte seulement les relevĂ©s de notes qui lui sont envoyĂ©s directement par une universitĂ©. Les candidats ont la responsabilitĂ© de communiquer avec leur universitĂ© et de lui demander dâenvoyer une copie de leur relevĂ© de notes officiel Ă lâOrdre.
Applicants must have their university submit an official copy of their transcript(s) directly to the College. Applicants should request that an electronic version of their transcript be emailed to the College at cpbao@cpbao.ca.
If e-mail is not possible, please have the university mail the document to:
The 91ÊÓÆ”
110 Eglinton Ave West, Suite 500
Toronto, ON
M4R 1A3
La date du dĂ©but du travail supervisĂ© approuvĂ©e par lâOrdre est la date Ă laquelle votre superviseur principal et votre superviseur supplĂ©ant confirment tous les deux quâils ont commencĂ© Ă superviser votre travail, ou la date Ă laquelle lâOrdre a reçu le dernier document justificatif faisant partie de votre demande dâinscription, la date la plus tardive Ă©tant retenue.
Les candidats qui ont terminĂ© leur formation, mais qui nâont pas encore obtenu un emploi ni trouvĂ© de superviseurs en Ontario, peuvent choisir de prĂ©senter une demande dâĂ©valuation de lâadmissibilitĂ©. Au cours de cette Ă©valuation, lâOrdre examinera vos titres de compĂ©tence universitaires. De nombreux candidats choisissent de soumettre leur demande avant dâavoir obtenu un emploi ou une supervision, car cela leur permet de se prĂ©senter Ă lâExamen sur la jurisprudence et lâĂ©thique (EJE) et Ă lâExamen de la pratique professionnelle en psychologie (EPPP), une fois dĂ©clarĂ©s admissibles par lâOrdre.
Vous pouvez soumettre une demande dâĂ©valuation de lâadmissibilitĂ© dĂšs maintenant en amorçant une demande Ă lâadresse suivante : . łąâOrdre comprend que vous ne serez pas en mesure de complĂ©ter la section intitulĂ©e « Pratique supervisĂ©e autorisĂ©e » ni les formulaires de convention de supervision principale et de remplacement.
łąâOrdre procĂ©dera Ă lâĂ©valuation de vos titres universitaires. Si votre demande est jugĂ©e acceptable, le registraire attendra que vous ayez trouvĂ© un milieu de travail appropriĂ© et dĂ©signĂ© deux superviseurs avant de vous dĂ©livrer le certificat de pratique supervisĂ©e.
Yes.Ìę Supervised practice is intended to prepare you to practice psychology in Ontario.Ìę It must be completed here under the CollegeâsÌęStandards of Professional ConductÌęand Ontario legislation.Ìę The Collegeâs mandate is to protect the public of Ontario.Ìę Psychological services provided in another province or state follow the rules of the regulatory board for psychology in that province or state only.
Les candidats ont la responsabilitĂ© de trouver eux-mĂȘmes un emploi acceptable ainsi quâun superviseur principal et un superviseur supplĂ©ant. En gĂ©nĂ©ral, lorsque vous trouvez un emploi, votre employeur a au moins un membre de lâOrdre qui travaille sur place ou qui peut conseiller Ă lâorganisme une personne capable de superviser votre travail. łąâOrdre a un tableau public en ligne, Ă Ìęwww.cpbao.ca, qui peut vous aider dans votre recherche de superviseurs. łąâOntario Psychological Association,Ìę, a aussi une liste des membres de lâOrdre qui sont disponibles pour faire de la supervision.
łąâOrdre accepte seulement les paiements effectuĂ©s par carte de crĂ©dit.
Pour obtenir un certificat dâinscription dĂ©livrĂ© par lâOrdre, un candidat doit ĂȘtre autorisĂ© Ă travailler au Canada. ConformĂ©ment au RĂšgl. de lâOnt. 193/23 pris en vertu de la Loi sur la psychologie et lâanalyse comportementale appliquĂ©e, un candidat doit ĂȘtre citoyen canadien, rĂ©sident permanent ou autorisĂ© Ă exercer la profession en vertu de la Loi sur lâimmigration et la protection des rĂ©fugiĂ©s (Canada). Les candidats qui ne sont pas citoyens ni rĂ©sidents permanents du Canada, mais qui dĂ©tiennent un permis de travail valide, peuvent Ă©galement satisfaire Ă cette exigence.
Cette exigence sâapplique Ă toutes les catĂ©gories dâinscription, y compris aux candidats dont lâintention est uniquement de fournir des services de tĂ©lĂ©santĂ©.
Pour obtenir plus dâinformation sur les permis de travail au Canada, y compris sur la façon de prĂ©senter une demande, visitez :
Les exigences et le processus pour obtenir un permis de travail au Canada sont distincts des exigences de lâOrdre.
You may receive a copy of all information and each document that the College has that is relevant to your application.Ìę Please note that the College does not return original documents however, you may ask for a copy of the documents in your registration file.
To obtain a copy of your registration file you must makea written request to the College either in-person, by mail, or by e-mail. There is a charge of 20Âą per page for this. Upon receiving the written request, registration staff will determine the number of pages in the record and advise you of the cost before proceeding.
No, applicants and registrants are not required to reside in Ontario. However, Section 3.3. of the Registration Regulation, specifies that, in order to be issued with a certificate of registration the applicant must be a Canadian citizen, a permanent resident of Canada or authorized under the Immigration and Refugee Protection Act (Canada) to engage in the practice of the profession. Applicants who are not citizens or permanent residents of Canada may meet the requirement by holding a valid work permit, for example. For information respecting authorization to work in Canada go toÌę.
Comme indiquĂ© dans les Lignes directrices sur lâinscription : Psychologue associĂ©(e) en pratique supervisĂ©e :
« Ăvaluation de lâadmissibilitĂ© »
Les candidats qui ont terminĂ© leur formation mais qui nâont pas encore trouvĂ© dâemploi ni de superviseurs en Ontario, ou qui nâont pas encore complĂ©tĂ© leurs quatre annĂ©es dâexpĂ©rience professionnelle supervisĂ©e aprĂšs la maĂźtrise, peuvent demander une Ă©valuation de lâadmissibilitĂ©. Durant cette Ă©valuation, lâOrdre examinera les titres de compĂ©tence universitaires du candidat. Plusieurs personnes choisissent de soumettre une demande avant dâavoir trouvĂ© un emploi et un superviseur, car cela leur permet de se prĂ©senter Ă lâExamen sur la jurisprudence et lâĂ©thique (EJE) et Ă lâExamen de la pratique professionnelle en psychologie (EPPP), une fois jugĂ©es admissibles par lâOrdre. Cette rĂ©vision de la demande permet Ă©galement de dĂ©terminer si une formation supplĂ©mentaire est requise dans le cadre du processus dâinscription.
Vous pouvez soumettre une demande dâĂ©valuation de lâadmissibilitĂ© dĂšs maintenant en amorçant une demande Ă lâadresse suivante : . Pour le moment, vous ne pourrez pas remplir la section du formulaire intitulĂ©e « Pratique supervisĂ©e autorisĂ©e », ni les formulaires de convention de supervision principale et de remplacement. Seuls vos titres de compĂ©tence universitaires seront Ă©valuĂ©s jusquâĂ ce que vous ayez complĂ©tĂ© lâexpĂ©rience professionnelle exigĂ©e aprĂšs la maĂźtrise.
Activities that could be included towards the supervised post-masterâs work experience requirement include supervised provision of psychological services in the activities of assessment/evaluation, intervention/consultation, research, teaching, report writing/report preparation, and supervision.
Pour inclure les familles dans votre DĂ©claration de compĂ©tence, vous devez effectuer lâĂ©valuation des familles et intervenir auprĂšs dâelles pendant votre pĂ©riode dâexercice sous supervision. Dans ces cas, les familles sont votre groupe client primaire. Si vous ne fournissez pas de service directement aux familles, il nâest pas appropriĂ© dâindiquer les familles dans votre DĂ©claration de compĂ©tence mĂȘme si vous voyez les parents ou les familles dans le contexte de votre travail avec les enfants ou les adolescents qui font partie des familles. łąâOrdre reconnaĂźt que lorsque les enfants et les adolescents sont votre groupe client dĂ©clarĂ©, vous devez souvent rencontrer les parents ou les familles. Il est important de faire la distinction entre les familles comme groupe client particulier avec qui vous travaillez, et la participation des familles dans le contexte du travail que vous faites avec les enfants et les adolescents qui font partie des familles.
Should you have any questions or concerns about a Registration Committee decision, you may contact the College directly to speak with a Registration Assistant, or you may e-mail the College at registration@cpbao.ca
If you disagree with a decision of the Registration Committee you have the right to appeal the decision to the Health Professions Appeal and Review Board (HPARB).
You must write directly to HPARB within 30 days of receiving the Registration Committeeâs decision letter.
HPARB may be contacted at the address below:
Health Professions Appeal and Review Board
151 Bloor Street West, 9th Floor
Toronto, ON, M5S 1S4
Telephone: 416-327-8512
Toll Free: 1-866-282-2179
TTY/TDD: 416-326-7TTY or 416-326-7889 1-877-301-0TTY or 1-877-301-0889
Fax: 416-327-8524
·Ą-łŸČčŸ±±ô:Ìęhparb@ontario.ca
°Â±đČúČőŸ±łÙ±đ:Ìę
Personnes formĂ©es Ă l'Ă©tranger ou aux Ătats-Unis
Oui, vous pouvez commencer le processus dâinscription avant dâarriver au Canada. Les lignes directrices sur lâinscription expliquent les Ă©tapes du processus dâinscription que vous pouvez franchir avant de dĂ©mĂ©nager au Canada.
Registration Guidelines: Registration Process – Psychologist
Registration Guidelines: Registration Process – Psychological Associate
Si vous avez obtenu votre grade Ă lâextĂ©rieur du Canada ou des Ătats-Unis, vous devez le faire Ă©valuer pour savoir sâil est comparable au mĂȘme grade dĂ©cernĂ© par une universitĂ© canadienne. Cette Ă©valuation doit ĂȘtre effectuĂ©e par World Education Services (WES) () ou par Comparative Education Service (CES) ().
łąâĂ©valuation doit montrer que le grade le plus Ă©levĂ© que vous avez obtenu en psychologie est une maĂźtrise ou un doctorat. MĂȘme si le rapport de WES ou de CES indique Ă lâOrdre que vos attestations dâĂ©tudes sont comparables Ă la maĂźtrise ou au doctorat dĂ©cernĂ© par une universitĂ© canadienne, lâOrdre se rĂ©serve le droit de prendre la dĂ©cision finale Ă lâĂ©gard du grade que vous avez obtenu et dĂ©terminera, conformĂ©ment aux lignes directrices, si le contenu de votre grade est principalement de nature psychologique.
Educated Outside of Canada/USA / Evaluation of Academic Credentials
Si votre relevĂ© de notes et vos documents officiels de lâuniversitĂ© sont Ă©tablis dans une langue autre que le français ou lâanglais, vous devez prendre les mesures nĂ©cessaires pour les faire traduire par un traducteur officiel. Il incombe aux candidats dâassumer le coĂ»t de la traduction de leurs documents.
Si une universitĂ© Ă lâextĂ©rieur du Canada ou des Ătats-Unis ne peut pas envoyer un relevĂ© de notes directement Ă lâOrdre, lâOrdre peut accepter une copie certifiĂ©e conforme du relevĂ© de notes que lâuniversitĂ© a remis au candidat.
Non. Vous pouvez faire une demande pour exercer sous supervision en prĂ©sentant la demande dâinscription, les documents justificatifs requis et les frais dâinscription, mais ne remplissez pas la section « Exercice sous supervision autorisĂ© » du formulaire de demande ni les formulaires de consentement du superviseur principal et du superviseur supplĂ©ant. łąâOrdre examinera vos attestations dâĂ©tudes mais attendra que vous ayez trouvĂ© un emploi acceptable et des superviseurs pour Ă©tudier votre demande dâinscription.
En attendant, si vos attestations dâĂ©tudes sont approuvĂ©es, vous pouvez passerÌęlâExamen de Pratique Professionnelle en PsychologieÌę(EPPP) et lâexamenÌęJurisprudence and Ethics ExaminationÌę(JEE).
Non. Vous pouvez acquĂ©rir lâexpĂ©rience de travail post-maĂźtrise Ă lâextĂ©rieur de lâOntario ou du Canada.
The steps in the registration process are outlined in detail in the Registration Guidelines, however, a flowchart illustrating the steps in the registration process for applicants whose degrees are from outside of Canada and USA is also available in the âApplicantsâ section of the Collegeâs website. There is a flow chart for psychological associate applicants and a flow chart for psychologist applicants. You can find the flowcharts here:
Les candidats ont la responsabilitĂ© de trouver eux-mĂȘmes un emploi acceptable ainsi quâun superviseur principal et un superviseur supplĂ©ant. En gĂ©nĂ©ral, lorsque vous trouvez un emploi, votre employeur a au moins un membre de lâOrdre qui travaille sur place ou qui peut conseiller Ă lâorganisme une personne capable de superviser votre travail. łąâOrdre a un tableau public en ligne, Ă Ìęwww.cpbao.ca, qui peut vous aider dans votre recherche de superviseurs. łąâOntario Psychological Association,Ìę, a aussi une liste des membres de lâOrdre qui sont disponibles pour faire de la supervision.
Pour obtenir un certificat dâinscription dĂ©livrĂ© par lâOrdre, un candidat doit ĂȘtre autorisĂ© Ă travailler au Canada. ConformĂ©ment au RĂšgl. de lâOnt. 193/23 pris en vertu de la Loi sur la psychologie et lâanalyse comportementale appliquĂ©e, un candidat doit ĂȘtre citoyen canadien, rĂ©sident permanent ou autorisĂ© Ă exercer la profession en vertu de la Loi sur lâimmigration et la protection des rĂ©fugiĂ©s (Canada). Les candidats qui ne sont pas citoyens ni rĂ©sidents permanents du Canada, mais qui dĂ©tiennent un permis de travail valide, peuvent Ă©galement satisfaire Ă cette exigence.
Cette exigence sâapplique Ă toutes les catĂ©gories dâinscription, y compris aux candidats dont lâintention est uniquement de fournir des services de tĂ©lĂ©santĂ©.
Pour obtenir plus dâinformation sur les permis de travail au Canada, y compris sur la façon de prĂ©senter une demande, visitez :
Les exigences et le processus pour obtenir un permis de travail au Canada sont distincts des exigences de lâOrdre.
You may receive a copy of all information and each document that the College has that is relevant to your application.Ìę Please note that the College does not return original documents however, you may ask for a copy of the documents in your registration file.
To obtain a copy of your registration file you must makea written request to the College either in-person, by mail, or by e-mail. There is a charge of 20Âą per page for this. Upon receiving the written request, registration staff will determine the number of pages in the record and advise you of the cost before proceeding.
Comme indiquĂ© dans les Lignes directrices sur lâinscription : Psychologue associĂ©(e) en pratique supervisĂ©e :
« Ăvaluation de lâadmissibilitĂ© »
Les candidats qui ont terminĂ© leur formation mais qui nâont pas encore trouvĂ© dâemploi ni de superviseurs en Ontario, ou qui nâont pas encore complĂ©tĂ© leurs quatre annĂ©es dâexpĂ©rience professionnelle supervisĂ©e aprĂšs la maĂźtrise, peuvent demander une Ă©valuation de lâadmissibilitĂ©. Durant cette Ă©valuation, lâOrdre examinera les titres de compĂ©tence universitaires du candidat. Plusieurs personnes choisissent de soumettre une demande avant dâavoir trouvĂ© un emploi et un superviseur, car cela leur permet de se prĂ©senter Ă lâExamen sur la jurisprudence et lâĂ©thique (EJE) et Ă lâExamen de la pratique professionnelle en psychologie (EPPP), une fois jugĂ©es admissibles par lâOrdre. Cette rĂ©vision de la demande permet Ă©galement de dĂ©terminer si une formation supplĂ©mentaire est requise dans le cadre du processus dâinscription.
Vous pouvez soumettre une demande dâĂ©valuation de lâadmissibilitĂ© dĂšs maintenant en amorçant une demande Ă lâadresse suivante : . Pour le moment, vous ne pourrez pas remplir la section du formulaire intitulĂ©e « Pratique supervisĂ©e autorisĂ©e », ni les formulaires de convention de supervision principale et de remplacement. Seuls vos titres de compĂ©tence universitaires seront Ă©valuĂ©s jusquâĂ ce que vous ayez complĂ©tĂ© lâexpĂ©rience professionnelle exigĂ©e aprĂšs la maĂźtrise.
Examens d'inscription
Lorsque votre demande dâinscription Ă lâOrdre est approuvĂ©e, lâOrdre vous donne tous les dĂ©tails nĂ©cessaires pour vous inscrire Ă lâexamen EPPP et Ă lâexamen de jurisprudence et dâĂ©thique. Vous nâavez pas besoin dâĂȘtre titulaire dâun certificat vous autorisant Ă exercer sous supervision pour passer ces deux examens, mais votre demande dâinscription doit avoir Ă©tĂ© approuvĂ©e par lâOrdre.
łąâexamen EPPP est un examen informatisĂ© Ă choix multiples que lâon peut passer tout au long de lâannĂ©e Ă divers centres dĂ©signĂ©s dâexamens informatisĂ©s partout au Canada et aux Ătats-Unis.
łąâexamen de jurisprudence et dâĂ©thique est un examen Ă©crit Ă choix multiples administrĂ© Ă plusieurs endroits en Ontario deux fois par annĂ©e, au printemps et Ă lâautomne. Les dates du prochain examen sont affichĂ©es sur le site Web de lâOrdre Ă Ìęwww.cpbao.ca.
Les membres qui exercent sous supervision doivent, pour rester en rĂšgle, passer lâexamen EPPP et lâexamen de jurisprudence et dâĂ©thique dans lâannĂ©e suivant lâobtention du certificat les autorisant Ă exercer sous supervision.
Vous pouvez passer lâexamen EPPP et lâexamen de jurisprudence et dâĂ©thique dans lâordre que vous prĂ©fĂ©rez.
łąâexamen oral reprĂ©sente la derniĂšre Ă©tape du processus dâinscription Ă lâOrdre. Pour ĂȘtre invitĂ© Ă passer un examen oral, vous devez avoir rĂ©ussi Ă lâexamen EPPP et Ă lâexamen de jurisprudence et dâĂ©thique et avoir satisfait Ă toutes les autres exigences Ă©tablies, y compris celle de la pĂ©riode dâexercice sous supervision autorisĂ©.
Non. Le personnel de lâOrdre nâest pas autorisĂ© Ă donner les rĂ©sultats des examens par tĂ©lĂ©phone, or par tĂ©lĂ©copieur. Les rĂ©sultats des examens sont envoyĂ©s aux candidats par courriel. Si vous vous demandez pourquoi vous nâavez pas encore reçu vos rĂ©sultats dâexamen, communiquez avec lâOrdre.
Lorsque votre demande dâinscription Ă lâOrdre est approuvĂ©e, lâOrdre vous donne tous les dĂ©tails nĂ©cessaires pour vous inscrire Ă ces deux examens.
łąâOrdre ne recommande aucune mĂ©thode particuliĂšre pour vous prĂ©parer Ă lâexamen EPPP. Certaines personnes trouvent utile le matĂ©riel commercial de prĂ©paration Ă des examens publiĂ© par certaines compagnies, mais lâOrdre ne cautionne pas ce matĂ©riel. Pour savoir comment vous prĂ©parer Ă lâexamen EPPP, y compris un examen informatisĂ©, allez sur le site Web de lâAssociation of State and Provincial Psychology Boards (ASPPB) Ă ÌęÌę.
Applicants who took the EPPP as part of the registration/licensure requirements in another jurisdiction, and who received a scaled score of at least 500 or a percentage score of at least 70% are not required to re-take this examination.
Please arrange to have your EPPP results forwarded directly to the 91ÊÓÆ” by contacting the Association of State and Provincial Psychology Boards (ASPPB) at the following link:Ìę
The College recommends that candidates review the preparatory information outlined in the document titledÌęPreparing to take the Jurisprudence and Ethics Examination.Ìę
As well as the list of relevant Legislation and Standards
Additionally, detailed information about the JEE including (but not limited to) anÌęExamination BlueprintÌęof the content of the examination, pass point and scoring, number of attempts permitted, and exam accommodations is outlined in theÌęExaminations section of the Registration Guidelines: Supervised Practice:
Psychological Associates’ Exams
TheÌęSupervision Resource Manual also includes some information on how candidates can prepare to take the JEE.
Vous pouvez vous attendre Ă recevoir le rĂ©sultat de votre examen de jurisprudence et dâĂ©thique (EJE) environ 6 semaines aprĂšs avoir passĂ© lâexamen.
Le personnel de lâOrdre nâest pas autorisĂ© Ă donner les rĂ©sultats de lâexamen par tĂ©lĂ©phone, ou par tĂ©lĂ©copieur.
Les résultats des examens sont envoyés aux candidats par courriel.
The College does not provide feedback regarding a candidateâs performance within specific areas of the blueprint of the JEE or make recommendations for remediation.Ìę Only the total score that the candidate achieved is provided, along with the cut-score, mean, and standard deviation.
The JEE is a professional licensing exam. Professional licensing exams are used to evaluate knowledge, skills, and abilities (i.e. competence) required to practise a profession at an entry-level, in the interest of the protection of the public. These types of examinations are not designed or intended to provide feedback to candidates. In this case, the JEE is used to evaluate knowledge of jurisprudence, ethics, and standards related to the practice of psychology in Ontario.
The reliability of the results of any exam is strongly related to the number of items (questions) on the exam. Similarly, the reliability of any information provided to candidates related to scales within the exam is related to the number of items within that scale. Given the JEE Examination Blueprint (as outlined in the Registration Guidelines), some categories may have as few as four to seven items. When there is a small number of items in a scale the reliability and also validity of any report based on these scales would be questionable as feedback to the candidate.
TheÌęRegistration Guidelines: Supervised Practice (psychologist)ÌęandÌęÌęRegistration Guidelines: Supervised Practice (psychological associate), describe the oral examination, and theÌęSupervision Resource ManualÌęprovides information on how candidates should prepare for the oral examination.
Candidates who have special requirements arising from documented impairments or disabilities may request accommodations in taking any of the Collegeâs required examinations.
The CollegeâsÌęExamination Accommodation PolicyÌęis found in the Registration Guidelines, and the forms required for requesting an accommodation are found in the application for registration.
If you have a question about requesting an examination accommodation you may contactÌęexams@cpbao.ca for assistance.
The forms required for requesting an examination accommodation are found in either the application for supervised practice or the application for interim autonomous practice.
How to Apply
If you have a question about completing the examination accommodation forms you may contactÌęexams@cpbao.ca for assistance.
You may submit your request for an examination accommodation at the same time that you apply for registration with the College or you may submit your request later if necessary.
In all cases, the Collegeâs examination accommodation request form, and documentation, either from your regulated health care professional or the university from which you graduated, must be submitted to the CollegeÌęat least 60 calendar daysÌęin advance of an examination administration in order to allow sufficient time for your request to be reviewed and for accommodations to be arranged.
Exam candidates requesting accommodation will be advised of the Collegeâs decision within ten (10) business days of the submission date, unless more information is needed to effectively evaluate the accommodation request.
A candidate who has applied and has been granted examination accommodation for a permanent or long-term disability will not be required to re-apply for accommodation for subsequent attempts but must confirm to the College that accommodations are still required.
If the request was related to a temporary condition (e.g. recent injury or pregnancy-related conditions) or if five years have passed since the initial accommodation request, the College may request updated information confirming the continued need for accommodation.
When re-applying to take the JEE, the Collegeâs JEE Registration Form will require you to indicate whether you need accommodations, and if so to indicate whether you have already submitted the necessary accommodation request form.
When re-applying to take the EPPP, the ASPPBâs candidate request form will require you to indicate whether you need accommodations.
If the accommodation that you require has changed in any way from what was previously granted, you may be required to re-apply. Please contactÌęexams@cpbao.caÌęfor assistance.
Comment devenir membre de lâOrdre - l'analyse comportementale appliquĂ©e (ACP)
The Supervisor’s Agreement and Confirmation of Private Practice Arrangements Form required for all Entry Level Route (Supervised Practice) Behaviour Analyst applicants can be found in the Reference Library under «ÌęBecome a MemberÌę». Applicants may upload the completed form to their application.
The major milestones between the two registration routes are otherwise largely the same: graduate-level education (master’s or higher), at least 1500 supervised hours, an entry-to-practice examination, and completion of the College’s Jurisprudence and Ethics Course and Assessment in Applied Behaviour Analysis (JECAABA). The main factor is timing. For this reason, Transitional Route 1 will be the fastest registration route for many applicants, primarily because the required supervised fieldwork can be accrued as soon as the graduate coursework begins. In contrast, Entry Level Route applicants must wait until they have submitted a complete application to the College before they can begin accruing supervised practice hours. However, it is important to understand that Transitional Route 1 will close at 11:59pm on June 30, 2026. After this deadline, only the Entry Level Route and a new Labour Mobility Route will be available. Please note that the Labour Mobility Route is intended for Behaviour Analysts who are registered/licensed or certified for autonomous practice outside of Ontario. To assist you in making your decision, the Regulation Resource Task Force of the Ontario Association for Behaviour Analysis (ONTABA) has published several resources , including a BCBA and 91ÊÓÆ” Comparison Chart and Student FAQ.
Les personnes qui dĂ©sirent utiliser le titre dâ«Ìęanalyste du comportementÌę» ou une variante, une abrĂ©viation ou un Ă©quivalent dans une autre langue de ce titre devront ĂȘtre inscrites Ă lâOrdre. Cette exigence sâapplique aux superviseurs cliniques qui orientent et supervisent les activitĂ©s dâACA telles que lâĂ©valuation du comportement, la conception dâun plan dâintervention, la mise en Ćuvre des plans dâintervention et la surveillance et lâĂ©valuation des plans. Ă compter du 1er juillet 2024, seules les personnes inscrites Ă lâOrdre seront autorisĂ©es Ă employer le titre rĂ©servĂ© dâ«Ìęanalyste du comportementÌę».
Les fournisseurs de services qui font des interventions dâACA directement Ă des clients ou des aidants et qui relĂšvent dâun superviseur clinique en analyse comportementale ne seront pas rĂ©glementĂ©s.
Les parcours transitoires temporaires menant Ă lâinscription Ă lâOrdre prendront fin le 30Ìęjuin 2026 Ă 23ÌęhÌę59.
Nous encourageons les personnes qui suivent actuellement la formation pour obtenir le certificat BCBA ou BCBA-D du Behavior Analyst Certification Board Ă terminer leur formation et Ă faire une demande dâinscription Ă lâOrdre en suivant le parcours transitoire #1. Les parcours transitoires prendront fin le 30Ìęjuin 2026 Ă 23ÌęhÌę59.
The College will accept electronic versions of supporting documents sent directly to the College by the issuing authority. Applicants can request e-versions of their supporting documents to be sent directly to the College via email to cpbao@cpbao.ca.
If e-mail is not possible, please have the organization mail the document to:
The 91ÊÓÆ”
110 Eglinton Ave West, Suite 500
Toronto, ON
M4R 1A3
Chaque titulaire dâun certificat BCBA doit dĂ©cider de maintenir, ou non, sa certification. Seules les personnes inscrites Ă lâOrdre Ă titre dâanalystes du comportement pourront employer le titre de BCBA en Ontario. La certification BACB est nĂ©cessaire pour sâinscrire dans la plupart des Ă©tats amĂ©ricains oĂč lâanalyse comportementale appliquĂ©e est rĂ©glementĂ©e, si bien que cette certification offre aussi la possibilitĂ© de travailler aux Ătats-Unis.
Le Behavior Analyst Certification Board a rĂ©cemment quâĂ compter du 1erÌęjuillet 2026, les rĂ©sidents de lâOntario ne pourront plus faire de demande pour obtenir la certification BCBA ou passer lâexamen.ÌęLes personnes ayant la certification BCBA et BCBA-D pourront cependant maintenir leur certification aprĂšs le 1erÌęjuillet 2026.
Behaviour Analyst Transitional Route 2 applicants can download the Attestation A/B, Attestation C, and Peer Assessment Forms from the «ÌęDownload DocumentsÌę» section in the application portal or from the «ÌęBecome a MemberÌę» section of the Reference Library.
Yes, the Peer Assessment may be conducted in-person or virtually. Any confidential documentation must be shared via a secure platform, and either anonymized or with the consent of the client.
Yes, provided that you submit an application form and fee by 11:59pm on June 30, 2026, the deadline for the closure of the transitional routes. Once a complete application (i.e. application form, fee, and all supporting documentation) has been received and approved, you will be given access to the Jurisprudence and Ethics Course and Assessment in Applied Behaviour Analysis (JECAABA) (Transitional Routes 1 & 2), and the Ontario Examination for Professional Practice in Applied Behaviour Analysis (OEPPABA) (Transitional Route 2 only). Applicants who do not submit an application form and fee by the deadline will not qualify for registration via a transitional route, and therefore, must apply via the Entry Level Route.
Pour obtenir un certificat dâinscription dĂ©livrĂ© par lâOrdre, un candidat doit ĂȘtre autorisĂ© Ă travailler au Canada. ConformĂ©ment au RĂšgl. de lâOnt. 193/23 pris en vertu de la Loi sur la psychologie et lâanalyse comportementale appliquĂ©e, un candidat doit ĂȘtre citoyen canadien, rĂ©sident permanent ou autorisĂ© Ă exercer la profession en vertu de la Loi sur lâimmigration et la protection des rĂ©fugiĂ©s (Canada). Les candidats qui ne sont pas citoyens ni rĂ©sidents permanents du Canada, mais qui dĂ©tiennent un permis de travail valide, peuvent Ă©galement satisfaire Ă cette exigence.
Cette exigence sâapplique Ă toutes les catĂ©gories dâinscription, y compris aux candidats dont lâintention est uniquement de fournir des services de tĂ©lĂ©santĂ©.
Pour obtenir plus dâinformation sur les permis de travail au Canada, y compris sur la façon de prĂ©senter une demande, visitez :
Les exigences et le processus pour obtenir un permis de travail au Canada sont distincts des exigences de lâOrdre.
Behaviour Analyst applicants must have the relevant organization submit the following supporting documents directly to the College: transcript(s), BACBÂź verification letter, and letters of good standing from other regulatory Colleges/Boards (if applicable).
E-mail is preferred: cpbao@cpbao.ca. If e-mail is not possible, please have the organization mail the document to:
The 91ÊÓÆ”
110 Eglinton Ave West, Suite 500
Toronto, ON
M4R 1A3
Regarding the Vulnerable Sector Check, applicants may e-mail or upload it to their application form. Please contact the College if your region does not issue Vulnerable Sector Checks for registration purposes.
Registration for the Entry Level Route (Supervised Practice) for Behaviour Analyst applicants opened on November 14, 2024.
Prospective applicants are encouraged to:
- Carefully review theÌęRegistration GuidelinesÌęfor this route.
- Begin ordering the necessary supporting documentation for their application, including:
- Vulnerable Sector Check (please visit theÌęVulnerable Sector Screening PolicyÌęfor more information)
- Official Academic Transcript(s)
- Confirmation of registration from other regulatory authorities (if applicable)
We look forward to welcoming new registrants to the College for Supervised Practice. For further inquiries not addressed by the Registration Guidelines or the CollegeâsÌęFAQs page, please email us atÌęaba@cpbao.ca.
Seuls les analystes du comportement ayant un certificat dâinscription de lâOrdre autorisant lâexercice autonome peuvent fournir de la supervision clinique Ă des analystes du comportement exerçant sous supervision.
No, applicants and registrants are not required to reside in Ontario. However, Section 3.3. of the Registration Regulation, specifies that, in order to be issued with a certificate of registration the applicant must be a Canadian citizen, a permanent resident of Canada or authorized under the Immigration and Refugee Protection Act (Canada) to engage in the practice of the profession. Applicants who are not citizens or permanent residents of Canada may meet the requirement by holding a valid work permit, for example. For information respecting authorization to work in Canada go toÌę.
The College will not give credit for supervised fieldwork hours completed prior to the commencement of your supervised practice period. The College will approve the start date for supervised practice based upon the date that your supervisor confirms that their supervision of your work began,
or
the date that the last supporting document for your application was received, whichever date isÌęlater.
łąâajout de la profession dâanalyste du comportement Ă lâOrdre aura peu ou pas dâeffet pour la plupart des membres actuels. łąâOrdre rĂ©glementera les deux professions sĂ©parĂ©ment, de sorte que les interactions des psychologues et des associĂ©s en psychologie avec lâOrdre concernant leur pratique ou les attentes de lâOrdre ne devraient pas changer.
Les analystes du comportement auront leurs propres normes dâexercice, leur propre programme dâassurance de la qualitĂ© et des exigences dâinscription Ă©tablies spĂ©cifiquement pour eux. Le RĂšglement sur la faute professionnelle et le RĂšglement sur lâassurance de la qualitĂ© seront rĂ©visĂ©s afin de sâappliquer Ă la fois Ă lâexercice de lâanalyse comportementale appliquĂ©e et Ă lâexercice de la psychologie. Le conseil et les comitĂ©s de lâOrdre seront Ă©largis et se composeront de psychologues, dâassociĂ©s en psychologie, dâanalystes du comportement et de membres du public nommĂ©s par le gouvernement. Les dĂ©cisions prises par les comitĂ©s statutaires de lâOrdre seront fonction de lâexpertise des membres de chacune des deux professions et des membres du public qui siĂšgent Ă ces comitĂ©s.
Certains membres de lâOrdre voudront sâinscrire Ă lâOrdre Ă titre dâanalystes du comportement afin de pouvoir employer le titre rĂ©servĂ© dâ«Ìęanalyste du comportementÌę». Ces membres seront alors titulaires de deux certificats dâinscriptionÌę: un certificat qui les autorisera Ă exercer la psychologie et un autre qui les autorisera Ă exercer lâanalyse comportementale appliquĂ©e. Les membres titulaires de deux certificats dâinscription devront satisfaire aux exigences dâinscription et aux attentes Ă©tablies par lâOrdre pour chacune des deux professions.
Les actes autorisĂ©s sont des activitĂ©s ou des interventions en santĂ© considĂ©rĂ©es comme pouvant causer des prĂ©judices si elles sont accomplies par des personnes non qualifiĂ©es. On pense, par exemple, Ă lâadministration dâune substance par injection, Ă lâimmobilisation plĂątrĂ©e de fractures, Ă la prescription de lunettes, Ă lâexĂ©cution dâune intervention chirurgicale, Ă la gestion de la naissance dâun enfant et Ă lâapplication dâune forme dâĂ©nergie. La liste complĂšte des 14 actes autorisĂ©s se trouve Ă lâarticleÌę27, paragrapheÌę2, de la (LPSR).
Ătant donnĂ© le risque de prĂ©judice quâils posent, les actes autorisĂ©s peuvent ĂȘtre accomplis seulement par des professionnels de la santĂ© rĂ©glementĂ©s qui sont autorisĂ©s par la loi Ă le faire. La loi ne permet pas Ă toutes les professions de la santĂ© dâexĂ©cuter des actes autorisĂ©s. Chaque profession de la santĂ© est assujettie Ă une loi prĂ©cisant, le cas Ă©chĂ©ant, les actes autorisĂ©s que ses membres ont le droit dâaccomplir, par exemple, la , la , la ou la , pour nâen nommer que quelques-unes.
Les associĂ©s en psychologie et les psychologues peuvent fournir seulement les services pour lesquels ils ont acquis la compĂ©tence requise (câest-Ă -dire connaissances, compĂ©tences et jugement clinique). Les services dâACA peuvent faire partie du champ dâexercice de ces professionnels et peuvent ĂȘtre considĂ©rĂ©s comme des «Ìęinterventions psychologiquesÌę» Ă©tant donnĂ© que les compĂ©tences liĂ©es au comportement se recoupent. Bien que le champ dâexercice de lâACA et celui de la psychologie se recoupent considĂ©rablement, ce sont deux professions distinctes. Les associĂ©s en psychologie et les psychologues doivent se prĂ©senter au public par leur titre en psychologie et ne peuvent pas employer le titre dâ«Ìęanalystes du comportementÌę» sâils ne sont pas inscrits dans les deux professions.
Veuillez examiner le tableau plus bas pour obtenir plus dâinformations.
| ŽĄłŠłÙŸ±±čŸ±łÙĂ©Čő | Je suis psychologue/ associĂ©(e) en psychologie | Je suis analyste du comportement | ||
| Je peux superviser les services dâACA fournis par des fournisseurs non inscrits | Oui | Oui | ||
| Je peux superviser les personnes inscrites en ACA qui exercent sous supervision [1] | Ăa dĂ©pend[2] | Oui | ||
| Je peux dire que je suis «Ìęanalyste du comportementÌę» | Non | Oui | ||
| Je peux superviser des psychologues ou des associĂ©s en psychologie en exercice autonome offrant des services dâACA[3] | Oui | Oui | ||
| Je peux superviser des analystes du comportement en exercice autonome offrant des services dâACA [4] | Oui | Oui | ||
| Je peux accomplir lâacte autorisĂ© de communiquer un diagnostic | Oui | Non | ||
| Je peux accomplir lâacte autorisĂ© de la psychothĂ©rapie | Oui | Non |
[1]Ìęłąâexercice sous supervision est la pĂ©riode de formation exigĂ©e par lâOrdre pour devenir membre inscrit en exercice autonome.
[2]ÌęLes psychologues et les associĂ©s en psychologie peuvent superviser les analystes du comportement exerçant sous supervision mais ne peuvent pas ĂȘtre leur superviseur primaire; le superviseur primaire doit ĂȘtre un analyste du comportement.
[3]ÌęLes psychologues en exercice autonome peuvent demander dâĂȘtre supervisĂ©s pour ajouter des interventions psychologiques particuliĂšres Ă leur pratique, y compris des services dâACA.
[4]ÌęLes analystes du comportement qui exercent de façon autonome peuvent demander dâĂȘtre supervisĂ©s par des membres de lâOrdre en psychologie ou en ACA, par exemple lorsquâils desservent de nouvelles populations ou sâils emploient de nouvelles techniques dâACA
De nombreux professionnels inscrits Ă dâautres ordres de rĂ©glementation, comme les infirmiĂšres et infirmiers, les travailleurs sociaux, les ergothĂ©rapeutes, les orthophonistes et les Ă©ducateurs, utilisent des techniques comportementales dans leur travail. Comme nous lâavons dĂ©jĂ mentionnĂ©, ces activitĂ©s relĂšvent du domaine public et ne sont pas des activitĂ©s restreintes. Par ailleurs, les professionnels dĂ©sireux de se reprĂ©senter comme des «Ìęanalystes du comportementÌę» ou comme des personnes qualifiĂ©es pour pratiquer lâanalyse comportementale appliquĂ©e seront tenus de sâinscrire, en plus, Ă lâOrdre des psychologues et des analystes du comportement de lâOntario.
Tous les professionnels de la santĂ© sont tenus dâavoir une assurance de la responsabilitĂ© professionnelle. Tous les membres de lâOrdre, y compris les analystes du comportement, doivent dĂ©tenir ou ĂȘtre autrement couverts par une assurance responsabilitĂ© professionnelle dâau moins 2 000 000 $ sans franchise, et ce, dans tous les milieux oĂč ils exercent. łąâassurance doit ĂȘtre en vigueur au moment de lâinscription et ĂȘtre confirmĂ©e chaque annĂ©e auprĂšs de lâOrdre lors du processus de renouvellement annuel.
Les analystes du comportement qui sont employĂ©s par un organisme peuvent ĂȘtre couverts par lâassurance de la responsabilitĂ© professionnelle de leur employeur, Ă condition que cette assurance satisfasse aux exigences minimales Ă©tablies par lâOrdre. Il est toutefois important de savoir que lâassurance de lâemployeur couvre uniquement les services fournis dans le cadre du travail effectuĂ© pour cet employeur. Les analystes du comportement qui ont emploi et qui fournissent Ă©galement des services Ă des clients en dehors de leur travail pour leur employeur ont lâobligation de souscrire, en plus, une assurance de la responsabilitĂ© professionnelle pour eux-mĂȘmes.
Vous pouvez souscrire une assurance de la responsabilitĂ© professionnelle auprĂšs dâassociations, de sociĂ©tĂ©s dâassurances et dâautres organismes. La couverture dâassurance doit ĂȘtre conforme aux rĂšglements administratifs de lâOrdre.

DĂ©finition de la supervisionÌę:
(âŠ) une relation dâĂ©ducation et dâĂ©valuation qui est continue et hiĂ©rarchique, dans laquelle la personne supervisĂ©e est tenue de se conformer aux directives du superviseur et le superviseur est responsable des actions de la personne supervisĂ©e.
En ACA, la supervision est un service professionnel rĂ©glementĂ©. Le superviseur en ACA entretient un lien hiĂ©rarchique avec les personnes quâil supervise, dans laquelle chaque personne supervisĂ©e doit suivre les directives du superviseur.
Les modĂšles de soins en ACA peuvent parfois prĂ©voir une collaboration entre de multiples co-Ă©quipiers pour rĂ©pondre aux besoins dâun client.
łąâOrdre nâautorise pas de supervision de «ÌędeuxiĂšme niveauÌę». Cela signifie que, bien que les personnes supervisĂ©es par un analyste du comportement puissent assumer divers rĂŽles et responsabilitĂ©s parmi eux, y compris de la surveillance ou de la supervision, lâanalyste du comportement demeure directement responsable de toutes les personnes supervisĂ©es.
Il est utile de percevoir lâanalyste du comportement comme la seule personne responsable de tous les services fournis Ă un client. Plusieurs personnes peuvent participer Ă la fourniture de ces services en assumant diffĂ©rents rĂŽles et diffĂ©rentes responsabilitĂ©s. łąâanalyste du comportement est responsable de toutes les personnes qui fournissent des services Ă des clients. Le tableau plus haut prĂ©sente les responsabilitĂ©s de supervision de lâanalyste du comportement selon diffĂ©rents modĂšles de soins.
La Loi de 1991 sur les professions de la santĂ© rĂ©glementĂ©es (LPSR) stipule que le titre de «ÌędocteurÌę» est un titre rĂ©servĂ© en Ontario. Ă lâexception des chiropraticiens, des optomĂ©tristes, des mĂ©decins, des psychologues et des dentistes, «Ìęnul ne doit employer le titre de «ÌędocteurÌę», une variante ou une abrĂ©viation, ou un Ă©quivalent dans une autre langue, lorsquâil donne ou propose de donner, en Ontario, des soins mĂ©dicaux Ă des particuliers.Ìę» (par.Ìę33Ìę(1), LPSR).
Les analystes du comportement inscrits ne seront pas autorisĂ©s Ă employer le titre de «ÌędocteurÌę», une variante ou une abrĂ©viation de ce titre lorsquâils fourniront ou proposeront de fournir des services dâanalyse comportementale appliquĂ©e.
Non. łąâautorĂ©glementation se caractĂ©rise par la capacitĂ© dâun professionnel de rĂ©flĂ©chir par lui-mĂȘme et de prendre des dĂ©cisions Ă©thiques dans lâintĂ©rĂȘt de ses clients. Cette connaissance de soi est importante pour exercer dans les limites de ses compĂ©tences, ce qui demande des connaissances, des compĂ©tences et un bon jugement. łąâinscription Ă titre dâanalyste du comportement ne signifie pas quâun professionnel peut exercer dans le champ dâexercice de lâanalyse comportementale appliquĂ©e auprĂšs de nâimporte quel client, dans nâimporte quelle situation et pour nâimporte quelle raison. Chacun doit savoir ce quâil sait, mais plus important encore, chacun doit savoir ce quâil ne sait pas. Toutes les personnes inscrites Ă lâOrdre doivent ĂȘtre conscientes des limites de leurs compĂ©tences professionnelles, faire preuve de discipline et prendre les mesures nĂ©cessaires pour exercer en sĂ©curitĂ©, comme lâindiquent les Normes de conduite professionnelle (2017), selon lesquellesÌę:
5.1 Exercer dans les limites du champ de compétence
Le membre peut fournir seulement les services qui relĂšvent de son champ de compĂ©tence autorisĂ©, seulement aux populations clientes Ă qui il est autorisĂ© Ă fournir ces services, et seulement sâil a les compĂ©tences requises pour fournir ces services.
Tout membre dĂ©sireux de fournir des services qui dĂ©passent les limites de ses compĂ©tences mais se situe dans son champ de compĂ©tence autorisĂ© et sâadresse aux populations clientes quâil est autorisĂ© Ă desservir, doit fournir ces services seulement sous la direction professionnelle dâun membre de lâOrdre autorisĂ© Ă fournir les services en question et ayant les compĂ©tences requises pour le faire.
Pour obtenir plus dâinformations, visitez le Portail de lâanalyse comportementale appliquĂ©e sur le site de lâOrdre des psychologues de lâOntario, visualisez la nouvelle vidĂ©o de la session dâinformation sur la rĂ©glementation de lâACA, consultez la page FAQ pour obtenir des rĂ©ponses aux questions frĂ©quentes ou communiquez avec lâOrdre Ă aba@cpbao.ca.
Yes, the Psychology and Applied Behaviour Analysis Act (2021) requires Transitional Route 1 applicants to hold active BCBAÂź or BCBA-DÂź certification at the time that their certificate of registration authorizing autonomous practice as a Behaviour Analyst is issued by the College (i.e. from July 1, 2024 onwards). After an applicant receives their certificate from the College, they may decide to maintain their BCBAÂź or BCBA-DÂź certification or not. Registration will be the minimum requirement for practicing as a Behaviour Analyst, BACBÂź certification will be above and beyond registration.
Vulnerable Sector Checks
Les personnes dĂ©sireuses de sâinscrire Ă lâOrdre Ă titre dâanalystes du comportement devront se soumettre Ă une vĂ©rification de lâaptitude Ă travailler auprĂšs de personnes vulnĂ©rables. Les demandeurs qui vivent dans les rĂ©gions qui ne font pas de telles vĂ©rifications aux fins de lâinscription devront fournir une vĂ©rification du casier judiciaire et dâaffaires judiciaires de niveauÌę2. Ces demandeurs devront Ă©galement signer un engagement et une entente avec lâOrdre.
La vĂ©rification de lâaptitude Ă travailler auprĂšs de personnes vulnĂ©rables est le type de vĂ©rification policiĂšre standard auquel doivent se soumettre les individus travaillant avec des personnes vulnĂ©rables.Ìę Ce type de vĂ©rification permet de recueillir des informations commises par les demandeurs, y compris les condamnations, les mandats non exĂ©cutĂ©s, les ordonnances judiciaires, les accusations et les suspensions du casier judiciaire (rĂ©habilitations) en raison dâinfractions sexuelles.
Tous les demandeurs dâinscription Ă lâOrdre Ă titre dâanalystes du comportement doivent inclure, dans leur dossier de demande dâinscription, les rĂ©sultats dâune vĂ©rification de lâaptitude Ă travailler auprĂšs de personnes vulnĂ©rables. łąâanalyse comportementale appliquĂ©e est souvent utilisĂ©e pour traiter lâautisme et dâautres dĂ©ficiences dĂ©veloppementales, et les analystes du comportement travaillent Ă©troitement avec des enfants et dâautres personnes vulnĂ©rables dont ils ont le soin et sur lesquels ils exercent une autoritĂ©. La vĂ©rification de lâaptitude Ă travailler auprĂšs de personnes vulnĂ©rables offre une protection supplĂ©mentaire au public parce quâelle permet dâobtenir dâun organisme extĂ©rieur des renseignements sur la moralitĂ© des demandeurs.
Tous les candidats doivent tĂ©lĂ©verser les rĂ©sultats originaux de la vĂ©rification du secteur vulnĂ©rable au CollĂšge par lâentremise du portail de candidature. Les candidats devraient conserver une copie numĂ©risĂ©e pour leurs dossiers. Si la vĂ©rification du secteur vulnĂ©rable est protĂ©gĂ©e par un mot de passe, veuillez envoyer le mot de passe Ă cpbao@cpbao.ca. Si vos rĂ©sultats originaux ont Ă©tĂ© dĂ©livrĂ©s sous forme de copie papier par la police, veuillez les soumettre au CollĂšge dans une lettre :
The 91ÊÓÆ”
110 Eglinton Ave West, Suite 500
Toronto, ON, M4R 1A3
Pour plus d’informations, veuillez consulter cette page.
Seules les vĂ©rifications de lâaptitude Ă travailler auprĂšs de personnes vulnĂ©rables qui ont Ă©tĂ© effectuĂ©es dans les six (6) mois prĂ©cĂ©dant la date Ă laquelle lâOrdre les reçoit seront acceptĂ©es.
Pour obtenir une vĂ©rification de lâaptitude Ă travailler auprĂšs de personnes vulnĂ©rables, veuillez communiquer avec votre service policier local pour obtenir plus de renseignements. Vous avez la responsabilitĂ© dâobtenir le type exact de vĂ©rification et dâassumer tous les frais sây rattachant. Les dĂ©lais de traitement varient dâun service policier Ă lâautre et lâobtention des rĂ©sultats peut prendre un certain temps. Nous vous recommandons de vous donner suffisamment de temps pour faire une demande de vĂ©rification de lâaptitude Ă travailler auprĂšs de personnes vulnĂ©rables, mais pas plus de six mois avant la date de votre demande dâinscription.
Tous les demandeurs dâinscription doivent utiliser le portail dâinscription de lâOrdre pour tĂ©lĂ©verser les rĂ©sultats originaux de la vĂ©rification de lâaptitude Ă travailler auprĂšs de personnes vulnĂ©rables. Les demandeurs devraient conserver une copie scannĂ©e des rĂ©sultats de la vĂ©rification dans leurs dossiers. Si le service policier vous a fourni les rĂ©sultats originaux sur papier, veuillez les fournir Ă lâOrdre avec une lettre dâaccompagnement.
Si vous vivez actuellement Ă lâextĂ©rieur du Canada et quâil vous est impossible dâobtenir une vĂ©rification de lâaptitude Ă travailler auprĂšs de personnes vulnĂ©rables, veuillez communiquer avec lâOrdre Ă aba@cpbao.ca.
Préoccupations et plaintes - général
Complaints and reports are different ways of letting the College know about your concerns. There are several key differences between a complaint and a report:
| Investigation | ÌęComplaint / Reporter Involvement |
ÌęTimelines | ÌęReview | |
| Complaint | The ICRC must investigate every complaint it receives.* | The complainant:
|
150 days. The College can extend this timeline | The complainant and member may ask the Health Professions Review Board (HPARB) to review the ICRC’s decision. |
| Report | Not every report is investigated. The Registrar decides what to do with each report on a case-by-case basis | A report:
|
There is no set time for investigating a report. | HPARB cannot review the ICRC decision. |
Anyone who has a concern about a psychologist, psychological associate, or behaviour analyst can file a complaint or submit a report. This includes a client, a family member, or friend of the client, an employer, an insurer, a colleague, or a general member of the public.
Clients do not have to make a complaint or report. However, some people, in some situations, do have to make a Mandatory Report. For more information, pleaseÌęclick here.
You do not have to be involved in the Collegeâs investigation. The College will still conduct a full investigation of your complaint and give you a copy of the decision.
Yes. Please see additional information about the Collegeâs facilitated resolution process.
The College has a strict duty of confidentiality. It will not share your information with anyone outside of the ICRC investigation. However, on some occasions, the information may become public:
Referral to the Discipline Committee: Discipline hearings are public. However, the Discipline Committee can ban the publication of information that could identify you.
HPARB review: The College must give its investigation record to HPARB. HPARB also holds public hearings. HPARB is independent of the College and has its own processes. You may contactÌęÌę directly should you have any questions.
Complainants may find it helpful to have a lawyer, but it is not necessary. Most complainants proceed without a lawyer.
Members often do use lawyers when responding to complaints or reports. This is because the process may have a significant impact on the memberâs practice and career.
The role of the College is to protect the public from harm. The College does so by setting and upholdingÌęÌęandÌęStandards for its members. These rules and Standards address many different concerns, including:
- Boundaries and sexual abuse;
- Appropriateness of services;
- Supervision;
- Fees and billing;
- Confidentiality and disclosure of information.
The Collegeâs standards and rules cover most of the concerns brought to the Collegeâs attention. Please contact theÌęCollege if you are not sure whether your concerns are covered.Ìę
No. College staff can tell you whether the conduct you describe is covered by the Collegeâs standards and rules. However, the staff could not tell you whether the member broke those rules. The ICRC will be able to decide whether it has concerns after an investigation.
No. The College cannot get involved in fee arrangements or make financial awards.
No. The College only has jurisdiction over individual members.
Oui. L’ordre enquĂȘtera si vous avez des prĂ©occupations concernant des services fournis sous la supervision dâun psychologue, dâun associĂ© psychologique ou dâun analyste du comportement inscrit Ă l’ordre. Les services psychologiques ou dâanalyse du comportement fournis sous supervision relĂšvent de la responsabilitĂ© du membre superviseur. Toutefois, lâenquĂȘte portera sur le membre du CollĂšge, et non sur la personne supervisĂ©e.
L’Ordre enquĂȘte Ă©galement sur lâusage abusif des titres « Docteur », « psychologue », « associĂ© psychologique » et « analyste du comportement ». Il enquĂȘte aussi sur les personnes non inscrites qui laissent entendre quâelles peuvent fournir des services psychologiques.
The College will try to direct you to another body that may be able to address your concerns.
Non, l’Ordre ne peut pas traiter les plaintes anonymes. L’Ordre communique votre nom et les prĂ©occupations que vous avez soulevĂ©es au membre dans le cadre de son enquĂȘte.
Si vous souhaitez fournir des renseignements Ă l’Ordre sans dĂ©poser de plainte, vous pouvez dĂ©poser un rapport anonyme. Toutefois, selon les informations fournies, la capacitĂ© de lÌę»ordre Ă mener une enquĂȘte pourrait ĂȘtre limitĂ©e.
Veuillez consulter la FAQ pour en savoir plus sur la différence entre les plaintes et les signalements.
No, there is no time limit for filing a complaint. However, the College recommends that you raise your concerns as soon as possible. The earlier a complaint or report is received, the fewer problems may arise with the investigation. For example, it is more likely that relevant documents will still exist and witnesses can be located.
Mandatory reports have specific timelines attached. Please see the FAQs about mandatory reports.
Non. Tous les renseignements fournis Ă lâOrdre doivent ĂȘtre remis au comitĂ© des demandes de renseignements, des plaintes et des rapports.
łąâOrdre est autorisĂ© Ă prendre des mesures qui ont pour but de protĂ©ger le public et qui portent sur la conduite Ă©thique, la compĂ©tence ou la capacitĂ© future dâun de ses membres. łąâOrdre ne peut toutefois pas intervenir dans un litige dâordre financier concernant des honoraires, ou exiger quâun membre change dâopinion ou quâil modifie un rapport.
PrĂ©occupations et plaintes â deposer une plainte ou un rapport
You can submit aÌę orÌęÌęto the College through electronic forms. You may also submit a complaint or report in writing or other recorded format, including film and audio. These can be sent directly to the College byÌęemail, fax, or regular mail.
You should provide as many details about your concerns as possible. Supporting documents such as emails, reports or bills are also helpful. You may also provide the names of relevant witnesses.
You may search for a member on the CollegeâsÌę. Please contact the College staff if you have trouble identifying the member.
You can request to withdraw your complaint. The Registrar or the ICRC will review your complaint and request. If your concerns are serious, the Registrar or ICRC may still decide to continue with the investigation.
PrĂ©occupations et plaintes â les enquĂȘtes
Toutes les plaintes dĂ©posĂ©es contre les membres de lâOrdre sont Ă©tudiĂ©es par le comitĂ© des demandes de renseignements, des plaintes et des rapports, mais elles ne font pas toutes lâobjet dâune enquĂȘte. Si un sous-comitĂ© de ce comitĂ© considĂšre quâune plainte est frivole, vexatoire, faite de mauvaise foi, sans objet ou quâelle constitue un usage abusif de la procĂ©dure, le sous-comitĂ© remet au plaignant et au membre de lâOrdre un avis de son intention de prendre aucune mesure Ă lâĂ©gard de la plainte, et il les invite Ă soumettre des observations. AprĂšs avoir Ă©tudiĂ© toutes les observations qui lui ont Ă©tĂ© soumises, le sous-comitĂ© dĂ©cide de faire enquĂȘte sur les allĂ©gations ou de ne prendre aucune autre mesure.
Your complaint will be assigned to a Case Manager, who will manage the complaint file. The Case Manager will be your contact person at the College and is available to answer your questions.
The College will send your complaint to the member. The member will have a chance to review the complaint and respond. In most cases, the College will request that the member provide the clinical record. At the same time, the College will acknowledge your complaint in writing.
The Case Manager will also conduct further investigation. This can include interviewing witnesses and getting other documents.
When the investigation is complete, the complaint file will go to a panel of the ICRC.
Let the case manager know which information you want to access. The College may be able to get that information by way of summons.
Ă lâheure actuelle, il faut environ 180 jours (six mois) pour traiter une plainte, depuis le moment oĂč lâOrdre la reçoit jusquâau moment oĂč une dĂ©cision est rendue au membre de lâOrdre et au plaignant. La loi permet Ă©galement Ă lâOrdre de prolonger ce dĂ©lai, en avisant le plaignant et le membre.
Toutes les dĂ©cisions concernant les plaintes sont prises par un sous-comitĂ© du comitĂ© des demandes de renseignements, des plaintes et des rapports. Chaque sous-comitĂ© est formĂ© de deux membres de la profession bĂ©nĂ©voles et dâun membre du public nommĂ© au conseil de lâOrdre le lieutenant-gouverneur en conseil. Certaines dĂ©cisions sont rendues par le comitĂ© de discipline et le comitĂ© dâaptitude professionnelle, qui sont formĂ©s de membres de la profession et de membres du public, conformĂ©ment au Code des professions de la santĂ©, Ă lâAnnexe 2 deÌę.
The ICRC is a screening committee. It cannot make findings of fact or credibility. The role of the ICRC is to decide how to best protect the public from possible harm.
For every complaint, the ICRC considers the possible risks of the memberâs conduct to the public. The ICRC considers both impact and recurrence risks. If the risks are low, the ICRC may decide not to take any action. If the risks are moderate or high, the ICRC is likely to take some kind of action.
The ICRC has developed a table to help with its consideration of risks. This table is availableÌęhere.
The ICRC meets in person every month from September to May. The ICRC attempts to meet twice over the summer months.
The ICRC also meets by teleconference throughout the year.
The College will send you a formal acknowledgment of your complaint within 14 days of receiving your complaint.
The Case Manager assigned to your complaint will be in touch with you directly if they need additional information.
If the College is unable to meet the 150-day timeline, the College will let you know. The College will then set new timelines.
The College will send you a copy of the ICRCâs decision once it is finalized.
A panel of the ICRC might not come to a final decision when they consider a complaint. The panel may have some questions for one of the parties or may want more information. They will then need to meet again to reach a decision.
The panel also needs some time to write the decision. College staff is not able to communicate any information about an unfinished decision.
No. The ICRC does not meet with either the complainant or the member. The ICRC reviews information contained in paper or electronic records.
PrĂ©occupations et plaintes â les dĂ©cisions de l'ICRC
No. Only the Discipline Committee can make a finding of professional misconduct after a hearing.
The ICRC can decide whether to refer allegations to the Discipline Committee. If it does not make a referral, the ICRC can still express concern about conduct and take some action.
The action the ICRC takes will depend on the risks associated with the memberâs conduct. Please see more information about the ICRC Risk Assessment Framework.
The ICRC may take a range of actions after an investigation:
-
No further action: A panel may take no further action if it believes there is no risk to the public.
-
Advice: A panel may give advice if it identifies low risks. Advice is meant to help the member avoid future risks.
-
Undertakings:ÌęA panel may ask for an undertaking from the member if it identifies moderate risks. An undertaking is remedial and is agreed to by the member. An undertaking can range from a minor change in practice to limitations on the memberâs certificate of registration.
-
Caution: A panel may caution a member if it identifies moderate risks. The member must come to the College to receive the caution in person. Cautions are remedial and may include a discussion between the panel and the member. Cautions are not open to the public.
-
Specified Continuing Education or Remediation Program (SCERP):ÌęA panel can order a SCERP if it identifies moderate risks. A SCERP is remedial and can include a specific course of study.
-
Referral to the Discipline Committee:ÌęIf the ICRC identifies high risks, it will refer the matter to the Discipline Committee for a full hearing.
- Referral to a Health Inquiry or Fitness to Practice Committee:ÌęSometimes the ICRC identifies health issues that could affect the memberâs ability to practice. In these cases, the panel will refer the matter to a Health Inquiry panel of the ICRC. A Health Inquiry panel can order treatment and monitoring.Ìę If treatment and monitoring are not enough to ensure safe practice, the ICRC may refer the matter to the Fitness to Practice Committee.
In the last 5 years (January 2015 to March 2020), ICRC outcomes in relation to 416 cases were as follows:
| Outcome | Number* | Percentage* |
| Withdrawal/closed | 10 | 2% |
| Take No Further Action – F&VÌęâ | 55 | 13% |
| Take No Further Action | 157 | 38% |
| Advice | 85 | 20% |
| Written Caution ⥠| 37 | 9% |
| Caution | 17 | 4% |
| Undertakings | 41 | 10% |
| SCERP | 17 | 4% |
| Refer to Discipline Committee | 18 | 4% |
| Total | 437 | 105% |
*The Percentages add up to more than 100% due to multiple outcomes in some cases, i.e. caution and undertaking. The 437 outcomes here relate to 41 cases.
â ÌęFrivolous, vexations, made in bad faith, moot, or an abuse of process. See the FAQs above.
âĄÌęAs of September 8, 2017, the ICRC no longer issues written cautions.
Les renseignements sur les plaintes sont accessibles au public seulement si les allĂ©gations formulĂ©es contre un membre de lâOrdre ont Ă©tĂ© renvoyĂ©es au comitĂ© de discipline par le comitĂ© des demandes de renseignements, des plaintes et des rapports, et seulement si le comitĂ© de discipline conclut quâil y a eu faute professionnelle ou incompĂ©tence. Ces renseignements sont publiĂ©s sur le site Web de lâOrdre et sont accessibles en utilisant la fonction «Ìę». Les renseignements sur les plaintes prĂ©cĂ©dentes, autres que les plaintes considĂ©rĂ©es comme frivoles, vexatoires, faites de mauvaise foi, sans objet ou constituant un usage abusif de la procĂ©dure, sont mis Ă la disposition du comitĂ© des demandes de renseignements, des plaintes et des rapports lorsque celui-ci Ă©tudie une plainte subsĂ©quente portĂ©e contre un membre de lâOrdre.
Tout membre de lâOrdre et tout plaignant peut demander que la dĂ©cision soit examinĂ©e par laÌę, un organisme indĂ©pendant qui rend compte de ses activitĂ©s auÌę, sauf si la dĂ©cision rendue consiste Ă renvoyer lâaffaire au comitĂ© de discipline ou au comitĂ© dâaptitude professionnelle. AprĂšs avoir fait lâexamen de la dĂ©cision, la Commission peut prendre une ou plusieurs des mesures suivantes :
-
Confirmer lâensemble ou une partie de la dĂ©cision.
-
Recommander au comitĂ© des demandes de renseignements, des plaintes et des rapports de prendre les mesures quâelle considĂšre appropriĂ©es.
-
Enjoindre au comitĂ© des demandes de renseignements, des plaintes et des rapports de prendre toute mesure que le comitĂ© ou un sous-comitĂ© est autorisĂ© Ă prendre vertu de la Loi de 1991 sur les professions de la santĂ© rĂ©glementĂ©es et du Code des professions de la santĂ©, sauf demander que le registrateur effectue une enquĂȘte sur la plainte.
Pour interjeter appel des dĂ©cisions du comitĂ© de discipline, il faut faire une demande dâappel auprĂšs de laÌę.
No. Section 36(3) of theÌęRegulated Health Professions Act, 1991Ìędoes not allow information from a College proceeding to be used in civil court.
PrĂ©occupations et plaintes â rapport obligatoire
The sets out mandatory reporting requirements for:
a) healthcare providers;
b) facility operators; and
c) employers.
a) Healthcare Providers
The Mandatory Reporting requirements for healthcare providers includes incidents or suspected cases of sexual abuse, child protection or abuse or neglect of elders.
Specifically, states:
(1) A member shall file a report in accordance with section 85.3 if the member has reasonable grounds, obtained in the course of practising the profession, to believe that,
(a) another member of the same or a different College has sexually abused a patient; or
(b) a registrant of the Health and Supportive Care Providers Oversight Authority has sexually abused a patient who receives health care or supportive care services from the registrant. 2021, c. 27, Sched. 2, s. 70 (2).
The , Section 125 sets out mandatory reporting requirements to a Childrenâs Aid Society when it is suspected that a child under the age of 16 years is in need of protection. Additionally, someone who is concerned that a 16-or 17-year-old may be in need of protection may, but is not required to make a report.
The has helpful resources, including the .
The ÌęSection 24 and the Section 75 set out mandatory reporting requirements if it suspected that there is abuse or neglect in a retirement or Long-Term Care facility. The , and the for more information.
The states that disclosure of personal health information may be required upon urgent demand.
b) Facility Operators
The Mandatory Reporting requirements for facility operators includes incident or suspected cases of sexual abuse, incompetence or incapacity. Specifically states:
Reporting by facilities
85.2 (1) A person who operates a facility where one or more members practise shall file a report in accordance with section 85.3 if the person has reasonable grounds to believe that a member who practises at the facility is incompetent, incapacitated, or has sexually abused a patient.
Additionally, the section 2(1) states: Every facility that treats a person for a gunshot wound shall disclose to the local police service or the local Ontario Provincial Police detachment the fact that a person is being treated for a gunshot wound, the personâs name, if known, and the name and location of the facility.
c) Employers
The Mandatory Reporting requirements for employers includes incidents of termination, revocation, suspension, imposition or dissolution of a partnership or association with a registrant for reasons of professional misconduct, incompetence or incapacity. Specifically the HPPC states:
Reporting by employers, etc.
85.5 (1) A person who terminates the employment or revokes, suspends or imposes restrictions on the privileges of a member or who dissolves a partnership, a health profession corporation or association with a member for reasons of professional misconduct, incompetence or incapacity shall file with the Registrar within thirty days after the termination, revocation, suspension, imposition or dissolution a written report setting out the reasons.
(2) Where a member resigns, or voluntarily relinquishes or restricts his or her privileges or practice, and the circumstances set out in paragraph 1 or 2 apply, a person referred to in subsection (3) shall act in accordance with those paragraphs:
1. Where a person referred to in subsection (3) has reasonable grounds to believe that the resignation, relinquishment or restriction, as the case may be, is related to the memberâs professional misconduct, incompetence or incapacity, the person shall file with the Registrar within 30 days after the resignation, relinquishment or restriction a written report setting out the grounds upon which the personâs belief is based.
2. Where the resignation, relinquishment or restriction, as the case may be, takes place during the course of, or as a result of, an investigation conducted by or on behalf of a person referred to in subsection (3) into allegations related to professional misconduct, incompetence or incapacity on the part of the member, the person referred to in subsection (3) shall file with the Registrar within 30 days after the resignation, relinquishment or restriction a written report setting out the nature of the allegations being investigated. 2014, c. 14, Sched. 2, s. 12.
If you identify an immediate risk of harm, such as for child or elder abuse, you should file the report immediately.
The requirements for the timing of mandatory reporting is set out in . If there is no immediate risk, generally you must file a report within 30 days of becoming aware of the situation.
Section 85.3 (2) states:
Timing of report
(2) The report must be filed within 30 days after the obligation to report arises unless the person who is required to file the report has reasonable grounds to believe that the member will continue to sexually abuse the patient or will sexually abuse other patients, or that the incompetence or the incapacity of the member is likely to expose a patient to harm or injury and there is urgent need for intervention, in which case the report must be filed forthwith. 2007, c. 10, Sched. M, s. 62 (1).
85.5 (1) A person who terminates the employment or revokes, suspends or imposes restrictions on the privileges of a member or who dissolves a partnership, a health profession corporation or association with a member for reasons of professional misconduct, incompetence or incapacity shall file with the Registrar within thirty days after the termination, revocation, suspension, imposition or dissolution a written report setting out the reasons. 1993, c. 37, s. 23; 2000, c. 42, Sched., s. 36.
A report must be filed in writing. Please use the Collegeâs form available on the Collegeâs website. You may also write to the College directly through fax, mail or email.
You must report child abuse directly to a
Elder abuse must be reported to the Registrar of the .
Outside of the situations described above (sexual abuse, child abuse, elder abuse), there is no requirement to report concerns that a client may pose a danger to themselves or others. That said, there may be situations that would warrant a provider to disclose confidential information if an individual may be at risk.
The sets out a registrantâs obligations for maintaining the confidentiality and privacy of personal health information. The legislation provides an exception to the duty of confidentiality where a registrant finds it necessary to notify someone of a serious risk to a personâs safety. PHIPA does not oblige registrants to disclose confidential information, but it permits one to do so âfor the purpose of eliminating or reducing a significant risk of serious bodily harmâ. Therefore, PHIPA reinforces a registrantâs need to use their knowledge of the client/patient and their professional judgement to determine the best, most appropriate, action to take.
PHIPA states:
40 (1) A health information custodian may disclose personal health information about an individual if the custodian believes on reasonable grounds that the disclosure is necessary for the purpose of eliminating or reducing a significant risk of serious bodily harm to a person or group of persons. 2004, c. 3, Sched. A, s. 40 (1).
If you are a registrant considering whether to breach confidentiality, you should first determine if there is «Ìęsignificant risk of serious bodily harm to a person or group of personsÌę». You should also determine whether there is someone in a position to âeliminate or reduce a significant risk of serious bodily harmâ. Registrants may elect to discuss with the client whether someone such as a family member or the Police should be called. The College recommends seeking legal advice before breaching client confidentiality.
Reflection Questions:
âą What is the nature of the harm that may result, does it meet the threshold to be considered âserious bodily harmâ?
âą Is the risk posed significant?
âą Is there a person or person(s) that may be able to reduce or eliminate the risk?
âą What is the basis for the risk determination, do I have âreasonable groundsâ?
âą Would disclosing confidential information have the potential to place the client at more a risk?
âą Has the appropriate risk assessment tool been used?
âą Have I consulted with the College and/or sought legal advice?
While providing psychotherapy or any professional service to another regulated health professional you may be required to make a mandatory report for incidents or suspected cases of sexual abuse in accordance with . Your report should also contain your opinion, if you are able to form one, as to whether this registrant is likely to sexually abuse patients in the future.
If you have competence or capacity-related concerns about a colleague or a client who is a regulated professional and there is a significant risk of serious bodily harm to a person or groups of persons, registrants have ethical obligations to breach confidentiality and make a report to the professionalâs College as per
This expectation is also outlined for psychologists in which states:
II.43 Act to stop or offset the consequences of seriously harmful activities being carried out by another psychologist or member of another discipline, when there is objective information about the activities and the harm. This may include reporting to the appropriate regulatory body, authority, or committee for action, depending on the psychologistâs judgment about the person(s) or body(ies) best suited to stop or offset the harm, and would be consistent with the privacy and confidentiality rights and limitations of the individuals and groups involved. (See Standards I.45 and IV.17.)
and for Registered Behaviour Analysts in the , which states:
2.04 Disclosing Confidential Information Behavior analysts only share confidential information about clients, stakeholders, supervisees, trainees, or research participants: (1) when informed consent is obtained; (2) when attempting to protect the client or others from harm; (3) when attempting to resolve contractual issues; (4) when attempting to prevent a crime that is reasonably likely to cause physical, mental, or financial harm to another; or (5) when compelled to do so by law or court order. When behavior analysts are authorized to discuss confidential information with a third party, they only share information critical to the purpose of the communication.
All registrants are required to self-report certain information to the College as set out in sections 85.6.1 through 85.6.4 of the , being Schedule 2 to the Regulated Health Professions Act, 1991.
Registrants , as soon as reasonably practicable:
1. Finding of guilt or conviction for any offence (Section 85.6.1 of the Code and section 4(1) of O.Reg. 193/23)
2. Charge for an offence (Section 85.6.4 of the Code)
3. Finding of professional negligence or malpractice in relation to any profession (Section 85.6.2 of the Code and section 4(4) of O.Reg. 193/23)
4. Finding of professional misconduct or incompetence by another body that governs a profession inside or outside of Ontario (Section 85.6.3 of the Code and section 4(2) of O.Reg. 193/23)
5. Finding of incapacity in relation to any health profession (section 4(2) of O.Reg. 193/23)
6. A proceeding for professional misconduct, incompetency or incapacity in relation to any health profession (Section 4(3) of O.Reg. 193/23)
7. A proceeding in any jurisdiction in which the member is alleged to have committed professional negligence or malpractice that is in relation to the practice of a health profession (section 4(5) of O.Reg. 193/23)
Details of the above such as bail conditions or restrictions must also be reported through the online .
Registrants must also report in their annual renewal form if they are a member of any other body that governs a profession, in any jurisdiction, e.g., nursing, law, psychotherapy, etc.
The mandatory reporting form will prompt you for the information necessary with respect to each report. If you have any additional questions about your report, please contact the College at 416-961-8817/1-800-489-8388; orÌęinvhear@cpbao.ca
Ăvaluation Par Les Pairs
Once you are notified of your selection by 91ÊÓÆ”, you will submit preliminary information to assist in the appointment of a suitable Assessor, and advise us of your Peer Nominated Reviewer, should you wish to include one.
91ÊÓÆ” will notify you once your Assessor has been appointed so that coordination of the meeting date can begin.
To facilitate an efficient and effective review, Reviewees must be responsive to their Assessors requests to schedule a meeting date and share their review materials in advance. If the review will be conducted virtually, materials will need to be shared electronically through a secure platform.
When preparing for your review, you will need to provide your Assessor with:
- Practice Files: An anonymized file list and the files which are randomly selected by your Assessor from the list must be shared. Your Assessor will select at least 2 current practice files to review and discuss. Selected files may be anonymized, but must make clear that all required elements of the files, per the Standards, are included.
- QA Records from your current and last-completed QA cycles. Your assessor will review your most recently completed Self-Assessment Guide (SAG), as well as a Continuing Professional Development (CPD) tracking sheet, which shows your participation in activities during your current two-year cycle.
- Virtual WalkthroughÌęof your primary practice setting. If the review is conducted virtually, provide photos or video of your practice space to facilitate discussion about client accessibility, safety and privacy. If you are working in a non-private setting and are unable to provide a photo/video, you should be prepared to describe your setting.
Toutes les personnes inscrites dĂ©tenant un certificat dâexercice autonome ou universitaire peuvent faire lâobjet dâune Ă©valuation.
Il existe plusieurs façons dont vous pouvez ĂȘtre sĂ©lectionnĂ©(e) pour participer Ă une EPP. Le comitĂ© AQ peut sĂ©lectionner des personnes inscrites au moyen dâun Ă©chantillonnage alĂ©atoire ou stratifiĂ© fondĂ© sur ses propres critĂšres. De plus, les personnes inscrites qui ne satisfont pas aux exigences relatives Ă leur auto-Ă©valuation et Ă leur dĂ©claration dâachĂšvement de lâAQ, ou pour lesquelles des prĂ©occupations ont Ă©tĂ© relevĂ©es dans le cadre dâune vĂ©rification ou dâune Ă©valuation antĂ©rieure, peuvent ĂȘtre sĂ©lectionnĂ©es.
Une autre personne inscrite, approuvĂ©e et formĂ©e, sera nommĂ©e par lâOrdre Ă titre dâĂ©valuateur afin de mener lâĂ©valuation. Des efforts seront dĂ©ployĂ©s afin dâapparier les Ă©valuateurs ainsi que les personnes Ă©valuĂ©es selon leur ou leurs domaines dâexercice, leur ou leurs groupes de clientĂšle et leur ou leurs milieux de pratique, selon le cas.
La personne Ă©valuĂ©e pourra indiquer si elle estime quâil existe une raison pour laquelle un Ă©valuateur nommĂ© par lâOrdre ne devrait pas mener son Ă©valuation.
De plus, la personne Ă©valuĂ©e peut choisir de faire appel Ă un pair dĂ©signĂ© afin de lâappuyer dans le processus dâĂ©valuation. Cette personne doit Ă©galement ĂȘtre inscrite auprĂšs de lâOrdre et peut ĂȘtre un collĂšgue ou une personne associĂ©e, mais elle ne doit avoir aucun lien ni aucune relation pouvant entraĂźner un conflit dâintĂ©rĂȘts.
Tous les Ă©valuateurs, ainsi que les pairs dĂ©signĂ©s, doivent signer un document dâengagement et dâattestation.
La plupart des Ă©valuations se dĂ©roulent virtuellement, par vidĂ©oconfĂ©rence sĂ©curisĂ©e, Ă partir du principal lieu dâexercice de la personne Ă©valuĂ©e. Il peut y avoir des situations oĂč lâĂ©valuation doit avoir lieu en personne.
Les Ă©valuations devraient ĂȘtre terminĂ©es dans un dĂ©lai de trois Ă quatre mois suivant leur lancement.
Les entrevues durent gĂ©nĂ©ralement de trois Ă quatre heures, Ă un moment convenant mutuellement Ă lâĂ©valuateur, Ă la personne Ă©valuĂ©e et au pair dĂ©signĂ© (sâil y a lieu).
łąâĂ©valuateur et le pair dĂ©signĂ© observeront ensemble le lieu dâexercice de la personne inscrite, mĂšneront une entrevue structurĂ©e avec celle-ci et examineront certains de ses dossiers cliniques.
łąâĂ©valuatrice ou lâĂ©valuateur soumettra un rapport au comitĂ© AQ ainsi quâĂ la personne Ă©valuĂ©e. La personne Ă©valuĂ©e peut choisir de soumettre des observations Ă©crites au comitĂ© dans les 14Ìęjours suivant la rĂ©ception du rapport.
Le comité examinera le rapport ainsi que toute observation soumise par la personne évaluée afin de déterminer si des mesures supplémentaires sont nécessaires.
Dans la plupart des cas, il est conclu que les personnes inscrites satisfont aux normes professionnelles sans quâaucune prĂ©occupation ne soit relevĂ©e, et le processus dâEPP prend fin.
Ă lâoccasion, des possibilitĂ©s dâamĂ©lioration peuvent ĂȘtre relevĂ©es, et le comitĂ© peutÌę:
- entĂ©riner les recommandations de lâĂ©valuateur;
- ordonner la mise en Ćuvre de ses propres recommandations; ou
- prendre des mesures supplémentaires afin de répondre aux préoccupations.
If you have any questions regarding the PAR please donât hesitate to contact the
Quality Assurance Coordinator at qualityassurance@cpbao.ca
Professional Practice
If you are licensed in another Canadian jurisdiction, you may be eligible to provide services under the . All other practitioners must obtain a Certificate of Registration from 91ÊÓÆ” to provide services to a client who is physically located in Ontario.
Temporary registration for limited telepsychology practice is available to individuals licensed to provide psychological services in other jurisdictions. Learn more or apply for this type of registration.
It depends. The name on the invoice should reflect the service provided and the intended recipient. For example, if the service involves imparting parenting skills to adults, the parentsâ names should appear on the invoice. If the service is providing parents with a progress update or information to support a childâs therapy, the childâs name should appear on the invoice, as the service is intended to support the child.
All documents, including invoices or receipts, must be factual and accurate. (). If appropriate, additional information may be added on the invoice to clarify details about the service.
Registrants should not involve themselves with insurance coverage matters, including per-person limits. These should be addressed between the client(s) and their insurers.
Reflection questions:
- Who is the recipient of services?
- What is the purpose of the intervention, and who is it targeted towards?
- Could the name on the invoice appear to be false or misleading?
Originally published in Volume: 1 Issue: 3 of HeadLines
This scenario presents some potential challenges.
Consent may be more complicated than might initially meet the eye. The clients in such a situation could decide to enter the relationship because of a perceived expectation by the therapist that they will agree and not want to disappoint the therapist by declining the invitation. For this reason, if this were to occur, such an opportunity would have to be presented in an entirely neutral manner.
To be fully informed consent, each client would have to be made aware of all the potential benefits and risks. These benefits would obviously include mutual support. On the downside, entering a relationship in which the client could be taking on further emotional (and perhaps other) demands should be presented as a risk to their own therapeutic relationship with the therapist and consequently to their therapeutic progress.
Confidentiality could also become a challenge when clients are introduced and encouraged to communicate. While each client would know that the other was seeing the same therapist, the therapist would have to be vigilant not to share any information about the other client without authorization. This would become difficult if they wished to talk about the other client or about interventions being used with them and it could become difficult to avoid inadvertently providing information, even in refusing to actively answer certain questions that could be posed. Even if information about one client was never disclosed to the other, the therapist would have to be vigilant about avoiding the collection of information about one from the other without consent. Even with full consent, collection of such information could pose challenges to professional objectivity, if information arose about any conflict arising between these individuals or any adverse information about them. This would become a dual relationship in the same way as working with clients who are relatives or friends of one another would, and itâs best to avoid dual relationships.
There are no specific prohibitions against introducing clients, but these are some of the challenges in managing such an intervention, without the safeguards of therapist mediated interaction between clients, as might occur in a therapist mediated mutual support group.
Originally published in Volume: 1 Issue: 4 of HeadLines
This question often arises when a member has been treating or assessing a client where the primary focus of clinical attention has not involved an assessment of the factors bearing upon the opinion being sought. ÌęThis may occur, for example, when a member has conducted a psychoeducational assessment, or treatment for an anxiety disorder, and the member is later asked to provide information to be used in a parental rights matter. Another example is when a member has provided psychotherapy to address a clientâs emotional disorder and is then asked to provide a letter regarding the individualâs readiness to return to work after an injury.
In providing professional opinions, a member must consider the following requirement inÌęsection 10.3 of theÌęStandards:
10.3 Rendering Opinions
A member must render only thoseÌęprofessional opinions that are based on current, reliable, adequate, and appropriate information.Ìę
In the first example above, a member should only provide information that they can reasonably expect to be used to determine custody or access arrangements if they have conducted an appropriate assessment for the purpose of determining child custody and/or access. Likewise, in the second example, a member should only opine on a personâs suitability to return to work after appropriate consideration of the personâs rehabilitation needs and the task requirements of the workplace.
Members must ensure that they work only within their authorized areas of practice and provide only those services in which they have the adequate knowledge, skill, and experience, within those authorized areas.
Even when a member is authorized and qualified to provide an opinion unrelated to the service they have been providing, and have conducted an adequate assessment, problems may arise if they assume a dual role. Usually, such requests for information are related to the rights and entitlements of the client. They also have an impact on others, such as family members, colleagues, or employers. ÌęA clinician who has not conducted an appropriate, objective assessment of the matter at hand can face challenges with respect to whether they have exercised sufficient neutrality. There may also be a perceived Ìęconflict of interest if it appears that a continued professional relationship could be endangered by offering an opinion that is seen to be unfavourable to the clientâs interests.
Originally published in Volume: 1 Issue: 4 of HeadLines
Section 4.1.1 of the Standards of Professional Conduct, 2017ÌęÌęrequires that:
8) the supervising member must ensure that billing and receipts for services are in the name of the supervising member, psychology professional corporation or employer and clearly identify the name of the supervising member and the name, relevant degrees and professional designations of the supervised psychological service provider
There is no explicit requirement under thisÌęStandard for there to beÌęa signature, however, the following Standards are also applicable to these situations:
4.1.2 Supervision of Supervised Practice Members;Ìęand
4.1.3 Supervision of Non-Members
In addition to the responsibilities outlined in 4.1.1:
a) the supervising member must co-sign all psychological reports and formal correspondence related to psychological services provided by non-member supervisees;
Invoices (and receipts) would be considered by most to be âformal correspondenceâ and should be co-signed by supervisors.
Within the past few years, the College has received an increasing number of complaints about the transparency of such documents and what some third-party payers have alleged to be misleading practices by members. Increasing vigilance by third-party payers has, unfortunately, led to denial of insurance benefits for some clients. ÌęIt has also led to an increased level of scrutiny of College members by claims adjusters. Supervisors should demonstrate that they carefully oversee the administration of their services by personally applying their own signatures to invoices issued in their names.
First, it is good to know that you are helping them to address these issues, as a colleague. It does not appear that you have a duty to report this situation.
There are two situations in which you may have a mandatory reporting obligation, but this does not sound like it is one of them. The two situations are set out in and of the Health Professions Procedural Code, being Schedule 2 of the Regulated Health Professions Act, 1991. The first applies to operators of facilities in which a health professional provides services:
ÌęReporting by facilities
85.2 (1) A person who operates a facility where one or more members practise shall file a report in accordance with section 85.3 if the person has reasonable grounds to believe that a member who practises at the facility is incompetent, incapacitated, or has sexually abused a patient.Ìę
ÌęFrom your description of the situation, it doesnât sound like you operate a facility in which this colleague practices, therefore this section would not apply.
The second relevant section of the Code applies to reporting by employers, etc.
Reporting by employers, etc.
85.5 (1) A person who terminates the employment or revokes, suspends or imposes restrictions on the privileges of a member or who dissolves a partnership, a health profession corporation or association with a member for reasons of professional misconduct, incompetence or incapacity shall file with the Registrar within thirty days after the termination, revocation, suspension, imposition or dissolution a written report setting out the reasons.
ÌęSame
(2) Where a member resigns, or voluntarily relinquishes or restricts his or her privileges or practice, and the circumstances set out in paragraph 1 or 2 apply, a person referred to in subsection (3) shall act in accordance with those paragraphs:
- Where a person referred to in subsection (3) has reasonable grounds to believe that the resignation, relinquishment or restriction, as the case may be, is related to the memberâs professional misconduct, incompetence or incapacity, the person shall file with the Registrar within 30 days after the resignation, relinquishment or restriction a written report setting out the grounds upon which the personâs belief is based.
Ìę
- Where the resignation, relinquishment or restriction, as the case may be, takes place during the course of, or as a result of, an investigation conducted by or on behalf of a person referred to in subsection (3) into allegations related to professional misconduct, incompetence or incapacity on the part of the member, the person referred to in subsection (3) shall file with the Registrar within 30 days after the resignation, relinquishment or restriction a written report setting out the nature of the allegations being investigated. 2014, c. 14, Sched. 2, s. 12.
ÌęApplication
(3) This section applies to every person, other than a patient, who employs or offers privileges to a member or associates in partnership or otherwise with a member for the purpose of offering health services.Ìę 1993, c. 37, s. 23.
Once again it does not appear that you would have a reporting obligation unless you are the colleagueâs employer and due to concerns of incapacity you terminated their employment or revoked, suspended or imposed restrictions on their privileges to practice or you dissolved a partnership, a health profession corporation or association with them.
Hopefully, with your collegial support, this individual will be able to mitigate the risks to themself and their clients and find relief from their distress. If it appears advisable for your colleague to obtain professional services, then you should consider referring them to an appropriate mental health professional, to avoid becoming involved in a dual relationship.
The answer to this question requires interpretation of legislation and College staff are not qualified or authorized to provide legal advice. Members who are considering refusal of a specific request for information may wish to obtain independent legal advice, given that release of confidential information, or the refusal to do so, can be a high-stakes decision for all concerned. The following information may be of assistance in obtaining legal consultation.
The sets out the applicable rules to be considered when addressing a request for personal health
information.
Personal Health Information is defined, in section 4.(1)(a) of the Act, as information that ârelates to the physical or mental health of the individual, including information that consists of the health history of the individualâs family. . .â
Section 1 (b) of PHIPA states that one of the purposes of the Act is âto provide individuals with a right of access to personal health information about themselves, subject to limited and specific exceptions set out in this Actâ. The Act also provides that information an individual is entitled to access can be provided to another party, with the consent of the individual or of the individualâs authorized substitute decision-maker.
Whenever faced with a decision about whether to provide access to information contained in a client record, it is a good idea to review the list of exceptions to the requirement to do so. These exceptions are set out in in Section 52(e) of the Act where one is not required to allow access to information if,
(e) granting the access could reasonably be expected to,
i. result in a risk of serious harm to the treatment or recovery of the individual or a risk of serious bodily harm to the individual or another person,
ii. lead to the identification of a person who was required by law to provide information in the record to the custodian, or
iii. lead to the identification of a person who provided information in the record to the custodian explicitly or implicitly in confidence if the custodian considers it
appropriate in the circumstances that the identity of the person be kept confidential;
The Act, section 52(2) goes on to say that a health information custodian may provide only parts of a personâs record âthat can reasonably be severed from the part of
the record to which the individual does not have a right of accessâ. When a decision is made to sever part of a file before releasing the record, section 54 of the Act provides
specific guidance about how to do this.
The Information and Privacy Commissioner of Ontario recently considered a complaint about an agencyâs refusal to grant one family member access to the entirety of a familyâs therapy records. In , the Commissioner found that the Personal Health Information (PHI) of each family therapy participant is theirs alone and not PHI of the other therapy participants. They went on to say that family therapy records may contain âcommunalâ or âsharedâ information that can form part of each participantâs PHI. Communal or shared information was described as information about family health history, overall family relationships or dynamics, as well as general themes that arose in the course of family therapy.
The Commissioner ultimately decided that the complainantâs right of access under PHIPA was limited to only to PHI that can reasonably be severed from the records. The Decision explains that the Act is intended to enable individuals to access information about their family health history allowing them to make informed decisions about their own health care but that anything beyond shared or communal information, may have been collected with an expectation that it would remain confidential.
The Decision further explained that this best respects the confidentiality of that information; fosters trust between family therapy participants and custodians; promotes participant autonomy over access to their own personal health information; and promotes candid discussion and unguarded participation in family therapy sessions.
The Decision indicated that the right of access to information is limited by section 52(3), of the Act, which provides that an individual will only have a right of access to an entire record if the record is âdedicated primarilyâ to their personal health information. The following examples of factors to consider in determining whether a record is âdedicated primarilyâ to the personal health information of a requester are provided:
- the quantity of personal health information of the requester in the record;
- whether there is personal health information of individuals other than the requester in the record;
- the purpose of the personal health information in the record;
- the reason for creation of the record;
- whether the personal health information of the requester is central to the purpose for which the record exists; and
- whether the record would exist âbut forâ the personal health information of the requester in it.
The following âbest practicesâ are suggested within the Decision:
- At the outset of therapy, establish ground rules for what can be discussed, what information will be recorded, and who will have access to the records;
- Document this understanding in the health record;
- Identify documents (including chart notes) that relate to one participant and those that relate to all participants; and
- When considering requests to access family or group therapy records, refer to documented informed consent and other records to identify participantsâ
expectations, and categorize records as communal or relating to one or more participants before granting access to any records.
The answer to this question depends upon who has been identified as the Health Information Custodian. Under the, it is possible that either a health care practitioner or a person who operates a group practice of health care practitioners can act as the Health Information Custodian (HIC). While either is possible, only one must be established at the onset of services. Generally, this will be the particular individual or entity they authorize to collect their Personal Health Information.
If, in this scenario, the operator of a group practice is not the HIC, then, the following Standard is applicable:
4.1 Responsibility of Supervisors of Psychological Service Providers
If members are supervising psychological services provided by a member holding a certificate for supervised practice or any other unregulated or regulated service provider who is not an autonomous practice member of the College, the clients are considered to be clients of the supervisorâŠ
It then follows that the records are considered to be the records of the supervising member. This is supported by the following additional Standard:
9.1.2 Members Responsible for Supervising Supervised Practice Members and Non- Members
Members supervising Supervised Practice members and non-members are responsible for the security, accessibility, maintenance, and retention of records.Ìę
If the organization is not the HIC, at the end of the engagement, in most case it is the supervising member who is the HIC and the records must remain with them for the required retention period.
In order to answer this question, it is important to consider what is meant by âconsultingâ as it can be understood to mean different things in different contexts.Ìę Consultation is defined in the Standards of Professional Conduct, 2017 as:
the provision of information, within a relationship of professionals of relatively equal status, generally based upon a limited amount of information that offers a point of view that is not binding with respect to the subsequent professional behaviour of the recipient of the information.
If this describes the nature of the relationship with the agency, then the organization is generally considered to be the client. In the case of an organizational client, the member providing consultation is required to maintain records in accordance with the following Standard:
9.3 Organizational Client Records
1. Members must keep a record related to the services provided to each organizational client.
2. The record must include the following:
a) the name and contact information of the organizational client;
b) the name(s) and title(s) of the person(s) who can release confidential information about the
organizational client;
c)the date and nature of each material service provided to the organizational client;
d) a copy of all agreements and correspondence with the organizational client; and
e) a copy of each report that is prepared for the organizational client.
The ânature of each material service provided to the organizational clientâ in c) above, should likely include sufficient information to address queries about the quality of the particular consultation, should that information ever be needed.
An organizational client record must be retained for at least ten years following the organizational clientâs last contact. If the organizational client has been receiving service for more than ten years, information contained in a record that is more than ten years old may be destroyed, if the information is not relevant to services currently being provided.
It is the responsibility of the individual providing services to ensure that proper client consent is obtain for the service being providing. A person acting as a consultant to a service provider would not likely be in a position to seek consent from the person receiving services from the consultee. The consultant may, in fact, never come into contact with the person receiving services from the consultee. In some cases they may not even know their name.
If a member is identified as a âconsultantâ but they are personally providing the psychological assessment, diagnosis, opinion or intervention, as opposed to âconsultingâ to or supervising another service provider, this would likely beÌę considered a direct service. In this case, all of the Standards relevant to direct service provision, including those pertaining to consent and record-keeping, would be applicable.
In circumstances where it is unclear whether one is providing direct service or consultation, it may be useful to ask: Is this a service I would provide autonomously to an individual or family in a clinical practice, or is it providing advice to another autonomous service provider who is simply looking for the input with respect to clinical decisions they must make themselves?
This is a situation that requires some definitional framing, before looking at the issue of feedback.
TheÌęStandards of Professional Conduct, 2017Ìędefine a âclientâ as:
Ìęan entity receiving psychological services, regardless of who has arranged or paid for those services. A client can be a person, couple, family or other group of individuals with respect to whom the services are provided. A person who is a âclientâ is synonymous with a âpatientâ with respect to the administration of theÌę.Ìę
This means that the person who has been assessed is, from the perspective of the College, the client. Members are expected to be proactive in ensuring that clients are aware of their rights, including the right to access information about themselves, in accordance with the followingÌęStandard:
3.2 Clarification of Confidentiality and Professional Responsibility to Individual Clients and to Organizations
In situations in which more than one party has an interest in the psychological services rendered to a client or clients, members must, to the extent possible, clarify to all parties, prior to rendering the services, the dimensions of confidentiality and professional responsibility that must pertain in the rendering of services.Ìę The provision of psychological services on behalf of an organizational client does not diminish the obligations and professional responsibilities to individual clients.
Practical Application:ÌęThe need for clarification may arise, for example, in the provision of an assessment of a claimant in an insurance matter, where the insurer has retained the assessor.ÌęRegardless of the wishes of the insurer, members are under all of the obligations that pertain to a client within these Standards and the relevant privacy legislation.ÌęÌęÌęThis includes providing access to the individual or their authorized representative to their personal information and any reports or records which members have in their possessionÌęunless prohibited by law or they are otherwise permitted to refuse access.ÌęÌę
The requirement to provide feedback, upon request by the client, is addressed in Ontario Regulation 801/93 Professional Misconduct:
The following are acts of Professional Misconduct:
âŠ
13. Failing to provide a truthful, understandable and appropriate explanation of the nature of an assessment, intervention, or other service following a clientâs request for an explanation.
âŠ
21. Failing, without reasonable cause, to provide a report or certificate relating to a service performed by the member, within a reasonable time, to the client or his or her authorized representative after a client or his or her authorized representative has requested such a report or certificate.
Similarly, Ìęmembers are required to make information, including assessment results, available to all clients and authorized representatives, under the followingÌęStandard:
8.2 Access by Client or Clientâs Authorized Representative
Members are responsible for ensuring that access to an individualsâ personal or personal health information is provided to the individual and/or their authorized representative unless prohibited by law or the member is otherwise permitted to refuse access.
While it may at first seem possible to find a technical âoutâ to providing feedback to someone who has not actually requested it, theÌę)Ìęspecifies that consent to disclose information must be obtained from the person who has been assessed (or an authorized Substitute Decision Maker),Ìę and only if they have knowledge of the purposes of the disclosure. The consent must also be related to the information to be disclosed. In other words, there is a positive responsibility on the part of the Health Information Custodian to ensure that the client has been provided with an opportunity to make a free and informed decision about the disclosure of the information that would be disclosed.
The College has not identified âparentsâ as a specific population to whom one needs particular authorization to consult to or otherwise work. The answer to your question then is:ÌęÌęIt depends upon the specific focus of the consultation.
If the parenting work involves psychoeducation, that is, providing parents with information about child development and advice about how they can address childhood difficulties, then it would make sense that a practitioner has been deemed to have the requisite knowledge, training, and experience required to understand the developmental factors at play with children/adolescents being âparentedâ. In this situation, authorization to work with children and adolescents would be expected.
If the focus of the work is to help parents improve their relationship with their child, then specialized knowledge, skill, and experience in the area of family dynamics is important. For this reason, authorization to work with families would be necessary.
Similarly, if the focus of the work is helping the parents work together as a couple, then authorization to work with couples, would be appropriate. Likewise, if the work involves assisting an individual parent who for personal reasons experiences challenges in interacting with a child and this requires them to receive individual therapy to address their own difficulties, authorization to work with individuals within that parentâs own age group would be required.Ìę Since you are authorized to work with adults, assuming that the parents are adults, then this would not be problematic.
Basically, one size canât fit all, and the system of authorized populations allows for flexibility because of all of the possibilities with this kind of work.
Although there are no specific requirements identified with respect to formal notetaking in a consultation relationship, there are specific requirements with respect to services to Organizational Clients. TheÌęStandards of Professional Conduct, 2017Ìędefine an Organizational Client as: Ìęan organization, such asÌęa business, community or government that receives services that are directed primarily at the organization, rather than to the individuals associated with that organization.
If the social worker is thought of as operatingÌęa business,Ìęit is the business (as opposed to the social workerâs clients) to whom you are providing consultation. This would mean the records are Organizational Client Records. TheÌęStandards of Professional Conduct, 2017Ìęset out the following requirements for Organizational Client records as follows:
9.3 Organizational Client Records
- Members must keep a record related to the services provided to each organizational client.
- The record must include the following:
- the name and contact information of the organizational client;
- the name(s) and title(s) of the person(s) who can release confidential information about the organizational client;
- the date and nature of each material service provided to the organizational client;
- a copy of all agreements and correspondence with the organizational client; and
- a copy of each report that is prepared for the organizational client.
Although the ânature of each material service providedâ is not described, it can be reasonably understood that this means information about the issues discussed and advice given should be recorded. This would apply to any consultation, including those involving members of other professions.
The Standards of Professional Conduct, 2017Ìę require that supervising members must be authorized to autonomously provide services to the specific populations before supervising others in that work. Furthermore, the Standards also requires that
Supervising members must assess the knowledge, skills and competence of their supervisee and provide supervision as appropriate to the superviseeâs knowledge, skills, and competence, based on this assessment;
Unless a supervisor has sufficient information about a client and the clientâs difficulties, they would not be able to provide adequate supervision appropriate to the superviseeâs knowledge, skills and competence.
It is the responsibility of a supervisor to be sufficiently familiar with the clientâs demographics and needs before permitting their supervisee to commit to provide services. ÌęThe adequacy of the supervision could be in question if a supervisor reviews and signs off on reports without having been involved in a direct or supervised intake process, or does not actively supervise the work leading up to any final reports.
Even though the Standards do not require supervisors to meet and interact with clients receiving services under their supervision, a supervisor should only permit a supervisee to work with a client after they have satisfied themselves that the client is within their authorized areas of practice and belongs to a population with whom they are authorized to work.
This is a difficult situation. If you agreed to such a request, please contact the Quality Assurance team at the College. Depending on the circumstances, they will do their best to assist in finding a creative solution.
The College has the authority to obtain a file in the absence of client consent. This is set out in legislation and is non-negotiable. In obtaining consent to collect personal health information, which must be done before collecting the information, it is important to avoid giving the false impression that the client has any control over whether the College exercises itâs legislated duty to obtain information in procedures designed to protect the public interest, in this case, to ensure that members are practicing competently and ethically.
While it is understandable that clients want to have control over who has access to what is often their most private information, careful framing of the issueÌęmay help avoid at least some difficulties of this nature. It may be best to let clients know that in order to provide the services they are seeking, you must Ìęmaintain a file in accordance with the Collegeâs requirements (available on the Collegeâs website) and that, while you will protect their confidentiality where client consent is required before disclosing their personal health information, there are some situations in which legislation mandates disclosure, even in the absence of consent. This is the case when review of information is required in order to protect clients and others from harm. In other words, the question is: do you agree to engage in services with the knowledge that I must keep a clinical record and that in rare circumstances the law allows access to the file without consent?
It may also help to advise that this applies to any service by a regulated health professional in Ontario who is practicing ethically and lawfully. Additionally, the College and all of itâs agents and staff have a strict duty of confidentiality and that in Quality Assurance matters, where the College Assessor and Reviewer may have access to the identity of a client whose file is under review, the Committee members will not be provided with identifying information.
Weâve heard about this incorrect position from enough people to assume that, at some time in the past, it must have been promulgated widely. While the legislation permits one to refuse access to personal health information in some limited circumstances, including raw data from psychological tests, it does not prohibit one from allowing access to it. In many cases, it is expected that raw data will be provided, even with non-members.
A list of exceptions to the right of access to personal health information can be found in section 52 of the Personal Health Information Protection Act (PHIPA), 2004. Most of the exceptions relate to the expectation of serious risk associated with the disclosure.
Members who have insufficient cause to withhold raw data may have concerns about the risk of releasing the information to those who are not sufficiently trained to interpret it. In such cases, members are advised to attach a statement to the raw data indicating that raw data from standardized tests can lead to incorrect conclusions, and that this information should only be interpreted by those who are regulated psychological service providers with adequate training and experience in the interpretation of test results.
Detailed further information about the release of raw data can be found on the Collegeâs Professional Practice FAQ pages.
It is a clientâs right to decide who their personal health information may be shared with, subject to some exceptions set out in the Personal Health Information Protection Act (PHIPA), 2004. The Office of the Information and Privacy Commissioner of Ontario has published some helpful information about the , a colloquial term describing how one may rely on implied consent and the , the colloquial language used to describe how a client may Ìęlimit what can be shared where one could ordinarily have relied upon implied consent.Ìę All members who have not yet reviewed these documents, should familiarize themselves with these concepts and rules.
While there may be an argument that a member is not technically violating PHIPA if they provide information based upon implied consent, it isnât really in the spirit of the legislation to do so, particularly if one believes a client who understood their rights, might capably choose to limit disclosure of their personal health information.
If there is reason to believe that a client would not want their personal health information shared, even if they have not sought to have the information âplaced in a lock boxâ, one should consider the impact of sharing the information on the therapeutic alliance or on the clientâs trust of other health care professionals, if the client believes their privacy has not been respected.
This question has been answered by the Office of the Information and Privacy Commissioner of OntarioÌę and can be found in the , on page 31 of the document.
The answer reads as follows:
Yes. PHIPA permits the disclosure of personal health information without consent, if permitted or required by another law. For example, this means that PHIPA does not interfere with the Workplace Safety and Insurance Act (Act), where that Act requires a hospital or health facility, which provides health careto a worker claiming benefits under the insurance plan, to give the WSIB such information relating to the worker as the WSIB may require. This requirement also applies to a health care practitioner who provides health care to a worker or is consulted with respect to a workerâs health care. When requested to do so by an injured worker or the employer, the Act requires a health care practitioner treating the worker to give the WSIB, the worker and the employer prescribed information concerning the workerâs functional abilities.
This can be the case with respect to such factors as age, language, Ìęrace, culture, or gender diversity and is a Ìęlegitimate concern. In the absence of appropriate norms, one would need to use clinical judgment to interpret the clientâs response to items Ìęand, in accordance with the following Standards:
A member must render only those professional opinions that are based on current, reliable, adequate, and appropriate information.
A member must identify limits to the certainty with which diagnoses, opinions, or predictions can be made about individuals or groups.
An American Psychological AssociationÌęÌęabout assessing people who are transgender provides one example of how to conduct an assessment whereÌę no appropriate norms have been identified. In the absence of specific guidance concerning an identified group, registrants are advised to document their approach to interpreting test responses. This can be helpful in the event that assessment results are challenged and, of at least as much importance, the exercise of writing out a rationale can help make the activity as objective as possible.
Most of the queries we have received related to this problem have been asked in the context of an individual who is transgender, where a client may be capable of making their own decisions may not be in a position to effect a legal name change, due to age or an institutional or family situation. Ideally, such issues should be discussed as part of the informed consent process, as early as possible and preferably before beginning the assessment. If the client agrees to have both their legal and preferred names in the report, that would avoid any confusion to readers of the report with respect to who the report is about. If the client does not provide permission to note both names and there is a need to include the clientâs non-preferred name, or to indicate that the name used in the report is not the same as the clientâs legal name, this will require careful navigation, in order to protect the clientâs dignity and to avoid making a potential misrepresentation. ÌęIn such a case, it would be prudent to obtain independent Ìęlegal advice before proceeding.
When addressing issues related to a trans personâs identify, the ÌęOntario Human Rights CommissionÌęprovides the following Ìęguidance:
2.Ìę
3.Ìę
ThisÌęÌęprovides some guidance for how to determine when treating two ârelatedâ individuals could become problematic.
In summary, the decision about whether or not to take on individual clients who are related either through family, friendship or are involved with each other in any other way will depend on a critical evaluation of the circumstances, nature of that relationship and the potential for cross involvement at any time.
We recognize that âword of mouthâ is often how clients find their therapists, so it is likely that many members have clients who know each other. Each situation will likely present different risks and degrees of risk. When separately treating individuals who are friends with each other, there is a possibility that one client may want to discuss the other client for a variety of possible reasons. This could be problematic if the information they want to share is related to the issues you are treating the other person for and that information Ìęmay be relevant to Ìęyour formulation of the other case, regardless of whether or not it is verifiable information. In other words, this could be seen as a problem with respect to protection of both confidentiality and objectivity. Working with clients who you know to be friends with each other should be avoided whenever possible due to the complications that can arise. and increase the possibility that you may contravene the following Standards of Professional Conduct:
8.1 Collection, Use and Disclosure
Members are responsible for ensuring that consent is obtained with respect to the collection, use and disclosure of personal information and personal health information in a manner required by legislation applicable to the relevant service.
10.5 Freedom from Bias
Members must provide professional opinions that are clear, fair and unbiased and must make best efforts to avoid the appearance of bias.
13.1 Compromised Objectivity, Competence or Effectiveness Due to Relational Factors
Members must not undertake or continue to provide psychological services with an individual client when their objectivity, competence or effectiveness is, or could reasonably be expected to be, impaired. This could be due to the members present or previous familial, social, sexual, emotional, financial, supervisory, political, administrative, or legal relationship with the client or a relevant person associated with the client.Ìę This prohibition does not apply if the services are delivered to an organizational client and the nature of the professional relationship is neither therapeutic nor vulnerable to exploitation.
ThisÌęÌęprovides an example of the difficulties which could arise when treating two ârelatedâ individuals could become problematic.
A decision about whether to take on individual clients who are related either through family, friendship or are involved with each other in any other way will depend on a critical evaluation of the circumstances, nature of that relationship and the potential for cross involvement at any time. While treating individuals who are associated with each other is not strictly prohibited, if the community is large enough, it would be betterÌę to find another practitioner who would not be in such a potentially challenging situation.
As you likely know, dual relationships are not strictly prohibited but should be avoided, unless the client is unable to find another competent and available service provider.
Before agreeing to provide the service, you may wish to think about whether your previous professional relationship could lead to any concerns that thisÌę assessment was anything less than highly objective. While you are likely toÌę work hard to remain objective, this can be difficult if you do hope for a particular outcome for a client you have supported through their struggles. Even if you can be perfectly objective, if your findings were to be challenged,Ìę it could be alleged that you werenât, due toÌę your previous alliance with the client.
It would also be important to consider whether there is any possibility that the client may seek intervention from youÌę in the future, and whether your role as an assessor might prevent them from doing so. This could be the caseÌę if they were unhappy with the outcome of theÌę assessment and this prevented them from returning to therapy with you, causing them to have to âstart all over againâÌę with another therapist.
AlthoughÌę multiple relationships areÌę not strictly prohibited, the College has observed that members trying to be helpful by having multiple different service relationships with the same clients have inadvertently entered into challenging situations.
While the College Standards set out the minimum length of time for record retention, there are no rules against keeping information indefinitely. It is not advisable though, to keep information which is not likely to be useful any longer than one needs to, due to the risks associated with unauthorized access to any record.
Itâs our understanding that many members Ìędo keep a log of the files they have destroyed, with information such as you have outlined in your question. It is important to know that the information in such a record is considered Personal Health Information Ìęand that these lists themselves are subject to the same privacy legislation and Standards as the records themselves were, because they identity individuals who have received health care. If you do decide to keep such a record you might also consider including the date of destruction
The first thing to do in this situation is make a decision about whether the client has the capacity to give direction concerning the release of their personal health information. As you likely know, capacity is not directly tied to IQ scores and must be made solely on the âunderstand and appreciateâ test which is explained in section 21 of Ìę. Itâs important to note Ìęthat the threshold for capacity is lower with low-risk decisions. The understand and appreciate test was constructed for a wide range of situations covering Ìęall of the health professions and for a wide range of situations with more complex information and higher risk decisions to be made, like invasive surgeries.
If the client is not capable of making the decision regarding parental access to the assessment results, it might be better not to give the client the false impression that they have control here and then ignore their wishes if they are deemed incapable and parents are eligible to act as substitute decision makers. ÌęEven in situations like this, it is still important to involve an incapable person in the process to the extent possible.
If Ìęthe client Ìęhas an understanding of what the relevant information is and means, and also has an understanding of the consequences of sharing or not sharing the information, or in other words is found to be capable, Ìęthen based upon your own clinical judgment, it could be very helpful to engage the three of them in discussion, with the clientâs Ìęcapable consent, of course.
If the client is not capable, the clientÌę would have the right to appeal the decision by the Consent and Capacity Review Board.
Having a discussion with the parents about how to deal with the results, Ìęwithout disclosing the results, would also require the consent of the client and this would require a determination of whether the client has the capacity to grant consent to that. This is a different decision, with perhaps a lower threshold for capacity, than the decision to share the actual results. If the client Ìęis capable of granting consent to a discussion of that nature, it could possibly help identify a helpful path forward.
This is a difficult situation. If you agreed to such a request, please contact the Quality Assurance team at the College. Depending on the circumstances, they will do their best Ìęto assist in finding a creative solution.
The College has the authority to obtain a file in the absence of Ìęclient consent. This is set out in legislation and is non-negotiable. In obtaining consent to collect personal health information, which must be done before collecting the information, it is important to avoid giving the false impression that the client has any control over whether the College exercises itâs legislated duty Ìęto obtain information in procedures designed to protect the public interest, in this case, to ensure that members are practicing competently and ethically.
While it is understandable that clients want to have control over who has access to what is often their most private Ìęinformation, careful framing of the issue Ìęmay be helpÌę avoid at least some difficulties of this nature. It may be best to let clients know that in order to provide the services they are seeking, you must Ìęmaintain a file in accordance with the Collegeâs requirements (available on the Collegeâs website) and that, while you will protect their confidentiality where client consent is required before disclosing their personal health information, there are some situations, legislation mandates disclosure, even in the absence of consent. This is the case when review of information is required Ìęin order to protect clients and others from harm. In other words, the question is: do you agree to engage in services with the knowledge that I must keep a clinical record and that in rare circumstances Ìęthe law allows access to the file without consent. It may also help to advise that this Ìęapplies to any service by a regulated health professional in Ontario who is practicing ethically and lawfully.
You may also like to know that the College and all of itâs agents and staff have a strict duty of confidentiality and that in Quality Assurance matters, where the College Assessor and Reviewer may have access to the clientâs identity, the College staff and Committee members reviewing the results of a Quality Assurance procedure are not given any identifying information about the clients whose files have been reviewed. The focus of the procedure is the registrant and whether the review indicated that the registrant is practicing competently and ethically.
As regulated health professionals Behaviour Analysts are now regulated by theÌęÌęwhich require practitioners to assess clientsâ ability to consent to treatment.
TheÌęActÌęstates that:
A person is capable with respect to a treatment, admission to a care facility or a personal assistance service if the person is able to understand the information that is relevant to making a decision about the treatment, admission or personal assistance service, as the case may be, and able to appreciate the reasonably foreseeable consequences of a decision or lack of decision.
There are no published procedures that we are aware of for performing such an assessment. The same test applies to all health care providers in Ontario and each practitioner who intends to provide the service must conduct the assessment themselves.
While there is no formal procedure set in legislation, here are some general guidelines registrants may wish to consider when determining whether a client is capable of making a treatment decision:
1.ÌęÌęÌęÌęÌęÌęÌęÌęÌęÌę Review the relevant legislation:Ìę.
2.ÌęÌęÌęÌęÌęÌęÌęÌęÌęÌę Provide the information that is relevant to making an informed decision regarding treatment, including the:
âąÌę Ìę Nature of the patientâs condition
âąÌę Ìę Nature and purpose of the patientâs treatment
âąÌę Ìę Risks and benefits of the proposed treatment
âąÌę Ìę Risks and benefits of alternative treatments including the option of no ÌęÌęÌęÌętreatment at all
3.ÌęÌęÌęÌęÌęÌęÌęÌęÌęÌę Determine whether the patient understands the information
âąÌę Ìę ÌęAsk the patient to explain what they have been told, in their own words
4.ÌęÌęÌęÌęÌęÌęÌęÌęÌęÌę Determine whether the patient appreciates the situation and its consequences
âąÌę Ìę Ask the patient to describe the condition, proposed treatment and the likely outcome
If the patient passes the âunderstand and appreciateâ test, they may make the decision to either accept or refuse treatment themselves. If the client does not pass the test, the health professional will need to obtain the consent of the appropriate substitute decision maker before anything other than emergency treatment, as set out in theÌęAct, subject to any other circumstances described in theÌęActÌęas exceptions.
In deciding whether one is authorized and competent to provide a service, the nature of the clientâs presenting difficulties will generally determine whether the member has the appropriate and required authorization. In this case, the initial presenting problems did not include the difficulties associated with the traumatic brain injury. It may, however, be difficult to intervene effectively without the knowledge and experience necessary to understand the complexities of central nervous system dysfunction.
As long as the focus of your intervention is the challenges associated with a personality disorder, you may be able to continue to work within your established clinical relationship with the client, if you obtain consultation from a member authorized in clinical neuropsychology, who can help to tailor the interventions to take into account the clientâs new challenges. If the task becomes one of helping the client address these new challenges as well, then it may be appropriate to consider a referral for someone authorized in both clinical psychology and clinical neuropsychology.
Following the successful completion of an Oral Examination, and after you are issued a Certificate of Registration authorizing Autonomous Practice, you will no longer require supervision in your authorized areas of practice and client populations. Although formal supervision is no longer required, consultation and other forms of peer support can be of great value throughout your professional career.
Under Supervised Practice, your supervisor was responsible for your adherence to the Legislation, Regulations, Standards and Ethical Guidelines applicable to your practice. If you have been issued a Certificate of Registration authorizing Autonomous Practice you are now fully accountable for the discharge of your own professional and ethical responsibilities.
While the applicability of various statutory and ethical obligations can be straightforward when taking on new clients, taking on the management of professional responsibilities with clients who were initially seen under supervision often leads to questions about such matters as informed consent, fees and billing, and clinical records.
Continuing to Work with Clients you had Previously been Supervised withÌę
If you will be continuing to work with individuals who you worked with during your period of Supervised Practice, it is important consider the changes your new Autonomous Practice registration entails. Itâs important to:
- Ensure that clients who wish to continue working with you as an autonomous practitioner, know that you will now be solely responsible now for their care, that your supervisor no longer considers them to be their clients and that you are no longer under supervision;
- Engage in an independent informed consent process with clients, outlining your new, autonomous professional responsibilities and confirm agreement with respect to what services you will be providing, and on the fees you will be charging;
- Clarify that the personal health information collected during your period of Supervised Practice must remain with the person or organization who was the Health Information Custodian during your supervision;
- If you are to be considered the Health Information Custodian going forward, you may obtain a copy of records made to date only with the clientâs consent; information about who is the Health Information Custodian can be found here: Who âOwnsâ the Clinical Record? In a group practice comprised of members authorized for autonomous practice, who can access, contribute to, and hold copies of the clinical record?
As required by Standard 4 of theÌęStandards of Professional Conduct, 2017, members supervising anyone who is not a member of the College and any member with a Certificate of Registration Authorizing ÌęSupervised Practice must co-sign all psychological reports and formal correspondence related to psychological services prepared by their supervisee.
The term âformalâ has not been officially defined so members must use their professional judgment based upon the particular circumstances of each situation.
In generally, formal documents would likely include printed or electronic communications which ordinarily require the person responsible for the information to provide their endorsement of the information in the form of a signature. This might include letters, reports, official memos, and emails about a client which would reasonably be expected to provide information about a client to anyone outside of the organization in which the supervision is occurring.
When in doubt about whether to co-sign a document, it may help to consider that a supervisorâs signature is meant to provide an assurance to readers of the information it has been endorsed by the professional responsible the service.Ìę Even if not strictly required to co-sign a document, supervising members may do so if they wish to inform readers that they endorse the contents.
It is appropriate for private practitioners, including contractors, to be compensated based on time spent and the complexity of services provided. If providing additionalÌęincentives to treatment providers could be reasonably expected to lead to decisions about service planning that are motivated by factors beyond client needs this could be problematic. For example, this could be problematic if compensation rather than client needs lead to practicing the profession while in a conflict of interest and/or providing services which are not likely to benefit the client; both of which are considered acts ofÌę. ÌęMembers are advised to support their staff and contractors in ensuring that client need is the primary consideration in service planning.
The certificate is valid for one year and must be renewed annually on the date of authorization. Registrants will be emailed a renewal package approximately 6 weeks prior to this date.
TheÌęPsychology Act, 1991Ìęlimits the provision of psychological services in Ontario to members of the College of Psychologists of Ontario.ÌęÌęIn the absence of legislative amendments, the College is not able to authorize anyone other than members of the College to provide telepsychology services to clients located in Ontario.
Under normal circumstances, the College views such activities by non-members as «Ìęunauthorized practiceÌę» and considers whether there is a need for appropriate action. The College has carefully considered the extreme circumstances in which we find ourselves.ÌęÌęWe recognize this must be taken into account with regard to duly registered/licensed practitioners from other jurisdictions who must provide telepsychology services into Ontario for their existing clients during the current emergency situation.
Therefore, in response to the urgent COVID-19 situation, the College will not initiate an «Ìęunauthorized practiceÌę» action against an out of province practitioner provided the practitioner is:
- registered/licensed in good standing in another jurisdiction at the time the services are provided;
- practices only within their areas of competence and in accordance with any terms, limits and conditions on their license/certificate of registration; and
- only provides the services to:
â existing clients temporarily in Ontario due to the COVID-19 situation when it is clinically ill-advised to temporarily stop services and/or to transfer the service to a member of the College of Psychologists of Ontario;
â Ìęclients who are temporarily located in Ontario due to the COVID-19 situation and are entitled to receive those services as a benefit of their registration with a University or College or other benefit program outside of Ontario, where the services will be provided by an out of province practitioner on behalf of the University or College counselling service or other benefit program; or
â clients who are temporarily located in Ontario due to the COVID-19 situation, when it is reasonably expected that the clients will require continuing services with the same practitioner upon the clientâs return to the jurisdiction in which the clinician is registered.
Out of province practitioners are asked to confirm their understanding and acceptance of the requirements listed above by notifying the College of their intention to provide telepsychology service to existing clients in Ontario. Practitioners should email the College (cpo@cpo.on.ca) providing their name, the jurisdiction in which they are registered/licensed, and their registration/license number.ÌęÌęWhile the College will endeavour to acknowledge receipt of this information, practitioners need not wait for confirmation before initiating service.
It depends on the jurisdiction. You should receive permission from the regulatory authority in the jurisdiction where the client is located before providing services.
Some exceptions enable Ontario registrants to service clients in other jurisdictions with their Ontario licence. Details are outlined in the following resources:
If there is uncertainty regarding jurisdiction, for example, in military or diplomatic situations, you may wish to seek independent legal advice before providing services.
If youâve received permission from another jurisdiction to provide services, you should be aware of the standards, regulations and legislation specific to that jurisdiction. You should also confirm that your professional liability insurance covers the services you intend to provide.
Your clientâs best interests should always be a priority. This includes considering whether in-person or virtual services are most appropriate.
Yes, you can continue to see your clients virtually if you are travelling or working abroad and if your client(s) are in Ontario.
Percentage-based or fixed-fee arrangements may be an acceptable financial arrangement for a shared practice (e.g. for administrative overhead or supervision services) as long as:
- Fees are based on the time spent and complexity of services provided (Standard 15.1 (b)) and
- Financial arrangements are fair and not influenced by differences in authority within the practice. Registrants should not use their professional knowledge, title, or position to gain an improper advantage or benefit, or to exploit any person. (Standard 12. 6 â Avoidance of Exploitation)
- Clientsâ needs are the primary consideration for service planning.
Additionally, under , registrants cannot:
- Receive or offer a rebate, fee or any other benefit in exchange for client referrals (Section 1.26)
- Provide a service unlikely to benefit the client (Section 1.9)
Reflection questions:
- Do the fees collected constitute a referral rebate or benefit to the provider?
- Are the fees based on time spent and complexity of services provided?
- Do the fees charged or received between registrants constitute exploitation?
Yes, registrants may charge a fee for providing access to, or copies of, an individual’s personal health information. The fee must be for reasonable cost recovery. , provides guidance on determining what is a reasonable cost recovery, considering the time required to review records and the complexity of the information. For example, more complex records require more time to review, which may result in a higher fee. Simple records require a quick review and, therefore, typically result in a lower fee.
Please refer to the for more detailed guidance when determining fees.
Reflection questions:
- Have I considered the nature, time and complexity required for review in my fees?
- Would my fees be considered âreasonableâ considering PHIPA Decision 133?
No. Registrants cannot withhold reports for non-payment of fees (Standard 15.2). Registrants must provide a report or certificate within a reasonable timeframe when requested by the client or their authorized representative ()
If youâre concerned that the client may not pay for a service, you can implement a prepayment plan. You may also use collection agencies and other legal means to obtain payment.
Registrants can request prepayment for a service if the funds can be returned if not used. Prepayments for a group session/series are common. Registrants should document that the client has agreed to prepay for the service and when the service is provided. Accepting a retainer for unlimited, on-demand service is not acceptable. (Standard 15.2)
Reflection questions:
- Am I able to identify the amount used and return the funds if required?
- Has the client consented to prepayment of services?
- Is the prepayment for a fixed number of sessions versus an unlimited or on-demand therapy arrangement?
Interest may be charged on an overdue account, provided appropriate consent has been obtained. Interest charged should not be excessive or used in a way that exploits the client. 91ÊÓÆ” doesnât provide a specific amount or interest rate. The sets legal limits on the interest rate to help guide what is appropriate.
Reflection questions:
- Am I charging an interest rate that could be considered excessive?
- Have I researched what a normal interest rate is for the charge?
- Have I obtained legal advice, and would the charge be defensible?
Ontario Harmonized Sales Tax (HST) requirements are outlined by the (CRA).
Many healthcare services are HST-exempt, including psychology services. This means that registrants providing psychotherapy, assessment, or treatment of mental health conditions do not charge HST. In contrast, ABA services are generally subject to HST requirements, except for services designed to assist individuals with autism. .
Some services that fall outside a health treatment plan, such as teaching, administration, consultation, or research, are not HST-exempt. . You are encouraged to consult a financial professional to determine whether HST applies to the services you provide.
Clients must be informed of any fee increases before services are provided, as part of the informed consent process. This allows clients to consider the increased fees when deciding whether to proceed with a service. Providing adequate notice is also important, as a fee increase may affect the clientâs ability to continue services and could require termination of services and a referral. (Standard 15.1)
You should use your professional judgment when deciding whether to offer virtual care. Youâre expected to consider both the risks and benefits, as well as the needs of each client. For example, consider:
- Whether the client may be more comfortable and likely to engage virtually;
- potential loss of visual cues and other sensory inputs;
- increased risk of privacy breaches;
- accessibility/boundary issues.
Virtual care should only be used when clinically appropriate, with the clientâs best interests as your top priority (Standards 17.1, 12.7). If in-person service is clinically needed and you do not wish to provide it to an existing client, you should support a referral to an appropriate provider.
If you offer only services virtually, consider which populations and conditions can be appropriately addressed without in-person contact.
Reflection questions:
- Is virtual care the most appropriate option for this client?
- Is the client able to engage effectively in virtual care?
- Can the client access a private space to receive virtual care?
- Are there other ethical considerations that may be relevant for the client?
Registrants should regularly assess the clientâs progress to determine if virtual care continues to be appropriate and beneficial for the client.
When providing virtual care, follow Standard 17: Use of Technology by ensuring:
- You are competent in the technology used and understand its risks
- You obtain informed consent from the client, including communicating how the technology is used and any associated risks
- The virtual platform protects client privacy
The Canadian Psychological Associationâs and the American Psychological Associationâs may also be helpful resources to consider.
Yes. Youâre free to responsibly use technology, including AI, as a support tool for service delivery. Even with the use of AI, you continue to be fully accountable for the services you provide, and therefore, the use of technology should be actively monitored, and all notes or reports should be reviewed.
As part of the informed consent process, clients should be aware and understand how technology is being used to assist the registrant and the risks to privacy and of technological error.
Registrants should use their professional judgement to determine the appropriateness of AI use for their context. Standard 17: Use of Technology provides additional guidance regarding the responsible use of technology.
Reflection questions:
- Have I assessed the potential risks and mitigated these before employing the use of AI?
- Am I competent in the use of AI?
- Am I reviewing AI-generated data for accuracy?
- Have I included information about the risks of AI use in my consent process?
No. Youâre free to decide whom to provide services to and are not obligated to accept every new client referral. There are many reasons why you may not be able to accept a client, including scope/competence, caseload, waitlist length, or proper âfit.â
When deciding whether to discontinue services, the clientâs needs and best interests should always come first. That said, there may be valid reasons you canât continue, such as retirement, closing your practice, if you can no longer remain objective (Standard 12.1) or if the service is no longer likely to benefit the client ().
However, even when there is a valid reason, you cannot discontinue services unless at least one of the following applies:
- the client requests the discontinuation,
- the client withdraws from the service,
- reasonable efforts are made to arrange alternative services,
- the client is given a reasonable opportunity to arrange alternative services, or
- continuing to provide the services would place you at serious personal risk.
()
You should give clients reasonable notice before discontinuing services and referral options for alternate services (Standard 2.3). Sources for referrals could include:
Psychological services
- Transfers to known referral sources
- Referral to other psychologists/psychological associates searchable through the
- Referral to the Ontario Psychological Associationâs electronic ââ
- Referral to the Ontario Association of Mental Health Professionals
Applied behavioural analysis services:
- Transfers to known referral sources
- referral to other RBAs searchable through
- Referral to Autism Ontarioâs
- Referral to
- Referral to the (⌫±·°ŐŽĄ”țŽĄâ)
Reflection questions:
- Is discontinuing services in the clientâs best interests?
- Have I given enough notice based on the length or nature of each specific case/treatment?
- Have I made a reasonable effort to arrange for alternate services or provide the client with referral options?
If the client doesnât respond to repeated attempts to contact them, you may consider this a withdrawal from services. In this scenario, you should document your outreach attempts and send a final notice advising them that if they donât respond, you will consider them to have withdrawn from services.
If a client asks to discontinue services, services end immediately. This is similar to a client withdrawing consent for services.
In cases where services end due to a fee increase, and the client is unable or unwilling to pay the new fee, you and the client may determine together the best approach to âwind downâ services. Ideally, services would continue until a transfer to another provider is secured.
See above for more information on expectations and resources for referrals when discontinuing services.
Reflection questions:
- Have I documented the attempts made to contact the client?
- Have I notified the client that I am considering them to have withdrawn from service?
- Have I worked with the client to determine whether a referral is needed?
No. If you are retired, inactive or no longer a registrant (resigned), you cannot provide any psychological or applied behaviour analysis services of any kind. This includes direct client care, whether independently or under the supervision of another registrant. It also includes, but is not limited to, activities that require application of graduate-level education, training and experience relevant to the profession, such as:
- Consultation
- Program development and evaluation
- Supervision
- Research
- Education and training
- Scholarly activities
- Administration
However, you may still provide information about services you provided while you previously held a Certificate of Registration Authorizing Autonomous Practice.
For example, you may be able to:
- hold yourself out as an expert at a trial involving a former client if they are not providing any new services,
- provide a summary report of past services you delivered while holding an autonomous practice certificate for a third party (without adding any new information/conclusions),
- do administrative work for your practice that does not require application of graduate-level education, training and experience relevant to the profession,
- Respond to access to information requests from former clients.
If you decide to move to a retired certificate and you are the Health Information Custodian (HIC), you must arrange for the secure storage and maintenance of client records in the event of your incapacity or death, and inform 91ÊÓÆ” of these arrangements before you stop providing services. If possible, your designate should be another 91ÊÓÆ” registrant or another health professional (Standard 9.6).
You are not required to maintain liability insurance when holding a retired certificate. However, you should understand how your insurance coverage works, as many plans are âclaims-basedâ. This means that registrants must be insured at the time that a complaint is filed, which may be after you stopped providing services.
You may wish to consult with a legal professional before ending your coverage to help you assess the likelihood that a complaint may be filed, as the risk generally decreases over time.
Reflection Questions:
- Have I appointed a designate for your health records and notified 91ÊÓÆ”?
- Do I have the appropriate liability coverage for my situation?
Originally published in Volume 2 Issue 1ÌęofÌęHeadLines.
The answer to this question depends upon various decisions made by the organization, including who is the Health Information Custodian (HIC), a term which is used and defined in theÌę, 2004Ìę. For the purposes of answering this question, either a health care practitioner or a person who operates a group practice of health care practitionersÌęmayÌębe a HIC. There may only be one HIC and it should be the person who will have ultimate responsibility for the collection, use, disclosure, security, and retention of the information. .
The HIC must ensure that their identity is made clear to all concerned, including the client. ÌęA client must provide informed consent for a specified individual or organization to collect information about them.
A Health Information Custodian may have an âagentâ. This is defined inÌęPHIPAÌęas a person that, with the authorization of the custodian, acts for or on behalf of the custodian. The HIC may, for example, appoint the service provider working in the HICâs organization to be their agent.
Copies of information may be shared with those with a need to have the information in their possession but may only be provided to anyone other than the HIC or agent with client consent. The number of copies of the same information is directly correlated to the risk of loss or unauthorized access to the information. The fewer number of copies there are of a document, the lower the risk of loss or unauthorized disclosure.
There is no prohibition against storing information in more than one file/location.ÌęStandard 9.1 of the Standards of Professional Conduct, 2017Ìęrequires thatÌęa member must make best efforts to ensure that the memberâs records are complete and accessible; this applies whether the record is kept in a single file or in several files and whether the record is housed in one location or at several locations. It is suggested that when records are not maintained in one file or location that a note is placed in each location indicating the location(s) of any other information.
Originally published in Volume 2 Issue 1ÌęofÌęHeadLines.
In the practices of most members, the answer to this question can be found in theÌęÌę(HCCA)Ìęand theÌęÌę(PHIPA).
One must first establish whether the child has the capacity to make their own independent decisions in these situations. TheÌęHCCAÌęand theÌęPHIPAÌędo not specify chronological ages of consent but instead set out the test for determining whether any individual, including a child, is capable of making their own health care decisions. The determination of capacity must be made by the Health Care Provider or the Health Information Custodian, as the case may be. The analogous tests for capacity to be applied are set out in section 4 of theÌęHCCAÌęand section 21 ofÌęPHIPA, respectively.
If the child is not believed to be capable, a substitute decision-maker for the purpose of theÌęHCCAÌęis generally deemed to play the same role with respect toÌęPHIPA.
Section 20 of theÌęHCCAÌęand Section 26 ofÌęPHIPAÌęprovide specific advice with respect to the hierarchy of potential decision-makers when a child is not believed to be capable of making their own decisions. It also sets out the mechanisms for deciding what must happen when a person with the right to make decisions is not available or willing to assume decision-making responsibility.Ìę The legislation also addresses what to do if there is conflict between two individuals having equal ranking in the hierarchy.
Generally, a parent can give or refuse consent on behalf of an incapable child unless this authority has been lawfully granted to a childrenâs aid society or other person. If both parents do not have the same rights under an Agreement or Order, a parent with custodial rights prevails over a parent who has only a right of access. In situations where the statute does not spell out clearly which parent is entitled to make the decision, statutory interpretation is necessary. Given the high stakes for all individuals involved, the most prudent course of action is to obtain independent legal advice.
The CollegeâsÌęAugust 2005ÌęBulletinÌęprovides additional guidance with respect to this issue.
The provision of psychological services is regulated locally within most North American provinces, states and territories, for the purpose of protecting those located within the province, state, or territory.
In most jurisdictions, including Ontario, services are deemed to be delivered in the location of the client. Each jurisdiction has its own statutes and regulations and has the authority to take action with respect to unauthorized practice. For this reason, permission must be sought from the College or Board in the same province, state or territory as the person who will be receiving services is physically located.
The 91ÊÓÆ” does not have the authority to grant permission to provide psychological services anywhere other than in Ontario. College members may provide services in other jurisdictions wherever they are permitted to by the psychology regulatory body in that jurisdiction, so long as they do so in accordance with the Standards of Professional Conduct.
Ontario statute requires that one must be a member of the College of Psychologists of Ontario, or supervised by a member of the College, to provide psychological services to a person located in Ontario.
The states:
Restricted titles
8 (1) No person other than a member shall use the title âpsychologistâ or âpsychological associateâ, a variation or abbreviation or an equivalent in another language.Ìę
Representations of qualification, etc.
(2) No person other than a member shall hold himself or herself out as a person who is qualified to practise in Ontario as a psychologist or psychological associate or in a specialty of psychology.Ìę
Idem
(3) A person who is not a member contravenes subsection (2) if he or she uses the word âpsychologyâ or âpsychologicalâ, an abbreviation or an equivalent in another language in any title or designation or in any description of services offered or provided.Ìę
Exception for university faculty
(4) Subsections (1) and (3) do not apply to a person in the course of his or her employment by a university.Ìę
Temporary, limited membership is available to individuals licensed to provide psychological services in other jurisdictions allowing them to provide services for a period of up to 12 months, if:
- The client is located temporarily in Ontario for a period of up to 12 months
- It would be clinically ill advised or impractical to transfer psychological services to a practitioner already registered with the College
- The practitioner is eligible to work in Canada and be registered/licensed with a psychology regulatory body which:
- is in one of the Canadian provinces or territories;
- has entered into a written reciprocity agreement with the College;
- has requirements substantially equivalent to those of the College for a certificate of registration for a psychologist or psychological associate authorizing autonomous practice; or
- holds a current certificate of Professional Qualification (CPQ) awarded by the Association of State and Provincial Psychology Boards (ASPPB).
To learn more and to apply for this form of membership please click here.
In order to provide psychological services to an individual located in Ontario, or hold out as qualified to do so, the Psychology Act, 1991 requires that one must be a member of the 91ÊÓÆ”, or be working under the supervision of a member of the College. There may be circumstances in which there is a need to include, by way of videoconferencing or teleconferencing, an individual located in Ontario in a session conducted with your clients in your own home jurisdiction. So long as the involvement of the person in Ontario is limited to their role as a resource in treating or assessing the clients in your own local jurisdiction, and not for the purpose of treating or assessing the individuals located in Ontario, they may be included. In such a case, they may be considered a collateral resource for the benefit of the clients receiving your service in your own jurisdiction.
A: There is no mandatory reporting requirement for IPV outside of the requirements in the when it is suspected that a child is at risk and in need of protection. That said, there may be situations that would warrant a provider to disclose confidential information if an individual may be at risk. See FAQ: Must I report suspected harm to self or others? for more information on how to determine whether to breach confidentiality in cases of suspected harm.
The Office of the Information and Privacy Commissioner of Ontario (IPC) has developed a to assist professionals to make informed decisions about privacy, confidentiality, and public safety, particularly around assessing and reducing IPV risk.
If you determine there is no significant risk of serious bodily harm, you should then consider risk of recurrence by assessing the presenting risk factors and/or using the appropriate . Your findings that inform decision-making on next steps should be documented.
Standard 9.2 – Individual Client Records states:
Registrants must keep a record regarding the services they provide to each client. Each record must contain…
d. Relevant information about every material service activity that is carried out by the registrant or under the responsibility of the registrant, including, but not limited to: assessment procedures; assessment findings; diagnoses; goals or plans of service; reviews of progress with respect to goals and/or of the continued relevance of the plan of service; activities related to crises or critical incidents; and interventions carried out or advice given;
… and
l. Any other documents that provide information relevant and material to service that is not included elsewhere in file, and which is relevant to the opinions, recommendations and decision making with respect to client service.
If a client presents with indicators that suggest they may have a diagnosable disorder, you should consider whether the assessment should be conducted by a Clinical Psychologist. Beginning to work with a client who may need to be transferred could be disruptive.
Registrants who practice Counselling Psychology have the ability to formulate and communicate a differential diagnosis to develop an appropriate counselling intervention and to identify clients who must be referred.
Reflection Questions:
- Are the presenting issues related to âfostering and improving human functioning by helping individuals solve problems, make decisions and cope with stresses of everyday lifeâ?
- Does the intake assessment of the client indicate there are other potential disorders or presenting challenges regarding «Ìęthe application of knowledge about human behaviour to the assessment, diagnosis and/or treatment of individuals with disorders of behaviour, emotions and thoughtâ?
- If the client is presenting anxiety or depression, are the conditions relatively mild and related to the stresses of everyday life?
- How long has the client been experiencing the presenting challenges?
- How severe or debilitating are these issues?
- Is it in the clientâs best interests for me to treat their presenting issues, or would it be less disruptive to refer them now?
- Have I treated this case presentation in the past?
- Do I have the necessary knowledge, skills and training to provide the services being requested?
- Are there challenges that might arise that could fall outside of my competence or require specialization that I do not possess?
The âDefinition of Practice Areasâ is included in the Registration Guidelines.
Clinical Psychology is defined as: «Ìęthe application of knowledge about human behaviour to the assessment, diagnosis and/or treatment of individuals with disorders of behaviour, emotions and thoughtâ.
Counselling Psychology is defined as: fostering and improving human functioning by helping individuals solve problems, make decisions and cope with stresses of everyday life. It addresses difficulties that may cause distress to an otherwise well-functioning or psychologically healthy individual, including challenges related to work/career/education, family and social relationships, mental health, and physical health. Some common examples are bereavement, unemployment, marital separation, or bankruptcy, etc.
âParentsâ are not identified as a specific client group. The required competency will depend on the specific services being provided to parents, for example:
- To provide psychoeducation to parents about child development and advice on addressing childhood difficulties, you must be authorized to work with children to understand the developmental factors at play with children/adolescents.
- To help parents improve their relationship with their child, you must be authorized to work with families and have the specialized knowledge, skill, and experience in family dynamics.
- If the service is intended to help the parents work together as a couple, you must be authorized to work with couples.
- If the work involves assisting a parent who experiences challenges in interacting with a child and requires them to receive individual therapy to address their own difficulties, you must be authorized to work with clients within that parentâs age group.
Reflection Questions:
- Does the focus of the intervention relate to a client group I am authorized to provide services to?
- Am I competent to provide the service for its intended target/purpose (ie. to support parents with child development concerns, the parent-child relationship, couple dynamics, or to provide individual therapy)?
The answer to this question depends upon the reason for involving family members in the treatment of an individual.
Individual therapists appropriately may involve a clientâs family member(s) for the purpose of facilitating support for intervention with the individual. For example, a personâs family member(s) might be asked to become involved in making changes in the clientâs environment to facilitate change or to be trained to provide reinforcement for desirable behaviours as part of a behavioural intervention program. A family member could also be asked to attend sessions with a person who, for some reason, may not be able to successfully participate in individual therapy without support. In such a scenario, the family member(s) attending would not be the object of the intervention themselves but would instead be there to help the client obtain optimal benefit from the individual therapy.
If the purpose of involving family members is to facilitate any changes in the family dynamics or the way in which family members interact with one another, this would be viewed as an family intervention. For example, this would be the case when it is the therapistâs intention to address an individualâs symptoms or behaviours of concern by addressing the patterns of interaction between family members which precipitate or maintain the difficulties. In order to provide such intervention to families, one must have specialized knowledge and training and the specific authorization of the College.
Registrants are expected to use their professional judgment to determine whether a client falls within the population(s) they are authorized to serve. When trying to determine if a client at a border age falls within your client group, you should consider whether the personâs abilities, life circumstances and challenges are consistent with population group norms you are authorized to work with.
To determine whether you are authorized and competent to provide a service, the reason for the initiation of services should determine whether you have the required competency.
If the service is unrelated to a client service, you may provide general services without a specific authorization or client group, such as:
- act as an administrator of an organization that serves various populations;
- conduct a research study; or
- teach an undergraduate course.
See Standard 5.1 â Authorized Areas and Client Groups for more information and examples.
Reflection Questions:
- Have I conducted a comprehensive intake assessment to ensure I understand the clientâs challenges and complete case presentation?
- Are the clientâs presenting issues consistent with issues within my authorized client groups and authorized area(s) of practice?
- Do I have the necessary knowledge, skills and training to provide the services being requested?
- Have I treated this case presentation in the past?
- Are there challenges that could arise that would fall outside my competence or require specialization that I do not possess?
- Would it be in the clientâs best interests to refer them to someone with specific skills or training in this area?
- Should I consult with other colleagues to seek further clarification?
91ÊÓÆ” doesnât specify hard borders between age ranges for the different population groups. The approximate ranges for each population group are the following:
- Children up to ages 12 or 13;
- Adolescents up to age 19;
- Adults to 65 or 70;
- Seniors 70 and above.
Normes de Conduite Professionnelle 2017
Pour les employeurs, les assureurs et les tiers payeurs
Renseignements pour les tiers payeurs
Pour exercer la psychologie en Ontario, il faut ĂȘtre titulaire dâun certificat dâinscription de lâOrdre des psychologues et des analystes du comportement de lâOntario (91ÊÓÆ”), qui rĂ©glemente la profession de psychologue et ĂȘtre inscrit en tatnt que psychologue ou associĂ© psychologique.
Financement de la thérapie pour les victims d'abus sexuels
You must submit enough information for the Client Relations Committee to confirm your eligibility. This includes detailed information on the dates you were a client of the registrant and a description of the alleged abuse.
You will be asked to provide details of your chosen therapist or counsellor to 91ÊÓÆ” staff. Once approved, 91ÊÓÆ” will pay your therapist or counsellor directly.
You may be eligible for funding if itâs alleged that you were sexually abused by a registrant while you were their client or while you were a client of someone supervised by a registrant. In some rare situations, funding may also be available if the Client Relations Committee has sufficient information to determine whether the eligibility criteria have been met. If you believe you may be eligible for funding, we encourage you to contact the Client Relations team at clientrelations@cpbao.ca to discuss your situation.
The maximum amount of funding available per person is equal to the amount the Ontario Health Insurance Plan (OHIP) would pay for 200 half-hour sessions of individual out-patient psychotherapy with a psychiatrist on the day the person becomes eligible.
The current maximum amount is $20, 470. If OHIP or a private insurance plan provides partial coverage, 91ÊÓÆ” will only pay the portion not covered.
Yes. Funding must be paid directly to the therapist or counsellor and used only for therapy or counselling. It canât be applied for any other purpose, such as missed appointments, travel, accommodation, or other incidental costs.
Funding is available for up to five years from:
(a) the date the Client Relations Committee approves your application; or
(b) the date your eligible therapy began, if you started therapy for sexual abuse before your application was approved.
No. You may choose any therapist or counsellor, as long as they
(a) do not have a family relationship with you; and
(b) have never, in any jurisdiction, been found guilty of professional misconduct of a sexual nature or been found civilly or criminally liable for a similar act.
No. The Client Relations Committee only reviews documents.
The Client Relations Committee requires sufficient information to be satisfied that the criteria for eligibility have been met. The College recognizes however, that the information provided is very personal and sensitive. To this end, the Client Relations Committee will access only the minimum amount of information required to adequately undertake its review. An applicantâs surname will not be shared with the Committee and will be known only by College staff presenting the application to the Committee and processing the payments.
Yes. Decisions about your funding eligibility are not public and are not shared with registrants or other College Committees. The application details are reviewed only by a panel of the Client Relations Committee.