Transitional Council of the College of Registered Psychotherapists and Registered Mental Health Therapists of Ontario

www.collegeofpsychotherapists.on.ca

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‘Grandparenting’ Psychotherapistsin Ontario

Presentation

to

SPCR/ CASCSWONT/ WLSConference

Joyce Rowlands, RegistrarTransitional CouncilCollege of Registered Psychotherapists of Ontario

May 24, 2013

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Overview of Presentation

• Brief Hx of Psychotherapy Act 2007

• Legislative Framework

• Deferral of RMHT title

• (Draft) Registration Requirements

• Grandparenting

• Questions

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Transitional Council appointed ‘09 Challenge: 2 titles 3 regulations required

Professional Misconduct (done)

Quality Assurance (done)

Registration Regulation (in process)

‘Pre-registration’ fall 2013 Goal: proclamation by Apr 1, 2014

Psychotherapy Act, 2007

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Key Provisions: Scope of practice

Restricted titles• Reg. Psychotherapist (RP)

• Reg. Mental Health Therapist (RMHT)

Controlled act of Psychotherapy

‘Holding out’ clause

Legislative Framework (Psychotherapy Act + RHPA)

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The practice of psychotherapy is the assessment and treatment of cognitive, emotional or behavioural disturbances by psychotherapeutic means, delivered through a therapeutic relationship, based primarily on verbal or non-verbal communication.

Not exclusive to College of Psychotherapists

…nor to regulated professionals Unregulated practitioners may provide services

that fall within the scope

Psychotherapy – Scope of Practice

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“…to treat, by means of psychotherapy technique …an individual’s serious disorder that may seriously impair his or her judgment, insight, behaviour, communication or social functioning.”

Controlled Act of Psychotherapy (Subset of Scope of Practice)

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Exemption in Regulated Health Professions Act (RHPA) for counselling

“Communication made in the course of counselling about emotional, social, educational and spiritual matters”

… is exempt from regulation

Exemption for Counselling

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Prohibits anyone who is not a member of the College* from holding him/herself out as qualified to practise psychotherapy

* or one of the other authorized Colleges

‘Holding Out’ Clause

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MOHLTC disagreed with RMHT category as proposed, i.e. those whose work overlaps scope of practice; and who may be doing the controlled act, e.g. addiction

counsellors

Outcome: deferral of RMHT title

Deferral of Reg. Mental Health Therapist

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Physicians Nurses Social workers (by exemption) Psychologists Occupational therapists

… along with their professional designation or the name of their regulatory College

Other Regulated Professions may use“Psychotherapist” title (but not Reg. Psychotherapist)

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If your work primarily involves the practice of psychotherapy, you should consider becoming a member

…unless you’re a member of another college

If your work involves the controlled act of psychotherapy, you must become a member

…unless you’re a member of another college, or

MOHLTC creates an exemption

What does all this mean?

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must take care not to work with clients who have serious disorders…

may not use any protected title, variation or abbreviation

may not ‘hold themselves out’ as qualified to practice psychotherapy in Ontario

Unregulated Practitioners …

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Revised draft Registration Regulation…

includes 1 main category of members (RP)

also, Qualifying, Temporary & Inactive categories

Registration Requirements

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Summary of Proposed Registration RequirementsDRAFT for Discussion Purposes ONLY (Subject to Change)

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Summary of Proposed Registration RequirementsDRAFT for Discussion Purposes ONLY (Subject to Change)

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Revised April 29, 2013

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Education/ Training:

Coherent education/ training program requiring undergrad degree for admission; or

Master’s degree; or

Substantially equivalent program; or

Equivalent program in Indigenous healing

Registration Requirements (RP)

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450 hrs direct client contact 100 hrs clinical supervision Jurisprudence e-learning module Registration exam

* For independent practice: 1000 client hrs &150 hrs clinical supervision

… other registration requirements

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Applicant must:

Be enrolled to take registration exam, having completed recognized education program, or

be completing full registration requirements, after substantially completing education & training program

Recent graduates may register in Qualifying category and then apply for ‘grandparenting’

Qualifying Member Category

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Registered members

Must practise under supervision

May perform controlled act

May use title: RP (Qualifying)

5 year time limit

Qualifying Member Category (cont’d)

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Questions and Comments?

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Alternate route for experienced practitioners

Available for 2 yrs

Registration exam (no); JRP Module (yes)

“Portfolio evidence” of education, clinical experience, other professional activities (weighted point system)

Grandparenting

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Must be current in the practice of the profession

750 “currency” hrs required with 3 yrs prior to application

500 currency hrs must be in Canada Currency hours include:

Direct client work Preparation and record-keeping Teaching, research, supervision, consulting, managing,

etc.

Currency Requirement for ‘Grandparenting’

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Minimum requirements:

100 hrs education/ training related to scope of practice

800 direct client contact hrs

40 hrs supervision (min. 20 hrs clinical supervision)

30 hrs educ’n/ training in “safe & effective use of self”

Other professional activities (possible bonus points)

Grandparenting cont’d…

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Scoring of Portfolio Evidence for ‘Grandparenting’ (cont’d…)

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Min. points required in each category

Overall minimum score of 65 is required

Min. pts in each category will not meet overall minimum

Portfolio Scoring System:

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Min. 100 hrs educ’n & training 10 points

Max. possible pts. for educ’n & training is 25

Min. & max. points in each category

Min. overall score required is 65

5 possible bonus points for “other professional activities”

Scoring example:

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Min. 40 hrs supervision required, including at least 20 hrs clinical supervision

Clinical supervision can be individual, dyadic or group

Groups can be 12 or greater (some flexibility)

Min. 40 hrs 10 points (max. possible pts. in this category is 25)

Supervision

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Pre-registration Oct. 2013 Online application Certain disclosures req’d

Detailed info re portfolio evidence Random sample asked to submit supporting

documentation Letter of verification

Statutory declaration

Application process for ‘Grandparenting’

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Questions and Comments?

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