‘Grandparenting’ Psychotherapists in Ontario Presentation to SPCR/ CASCSWONT/ WLS Conference

1. Transitional Council of the College of Registered Psychotherapists and Registered Mental Health Therapists of Ontario www.collegeofpsychotherapists.on.ca

2. ‘Grandparenting’ Psychotherapistsin Ontario Presentation toSPCR/ CASCSWONT/ WLSConference Joyce Rowlands, Registrar Transitional Council College of Registered Psychotherapists of Ontario May 24, 2013 2

3. Overview of Presentation • Brief Hx of Psychotherapy Act 2007 • Legislative Framework • Deferral of RMHT title • (Draft) Registration Requirements • Grandparenting • Questions 3

4. 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 4 4

5. Legislative Framework(Psychotherapy Act + RHPA) Key Provisions: • Scope of practice • Restricted titles • Reg. Psychotherapist (RP) • Reg. Mental Health Therapist (RMHT) • Controlled act of Psychotherapy • ‘Holding out’ clause 5

6. Psychotherapy – Scope of Practice 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 6

7. Controlled Act of Psychotherapy(Subset of Scope of Practice) “…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.” 7

8. Exemption for Counselling 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 8

9. 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 9 9

10. 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 10 10

11. 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) 11 11

12. What does all this mean? • 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 12

13. Unregulated Practitioners … • 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 13

14. Registration Requirements Revised draft Registration Regulation… • includes 1 main category of members (RP) • also, Qualifying, Temporary & Inactive categories 14

15. Summary of Proposed Registration RequirementsDRAFT for Discussion Purposes ONLY (Subject to Change) 15

16. Summary of Proposed Registration RequirementsDRAFT for Discussion Purposes ONLY (Subject to Change) Revised April 29, 2013 16

17. Registration Requirements(RP) 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 17

18. 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 18 18

19. Qualifying Member Category 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’ 19

20. Qualifying Member Category (cont’d) • Registered members • Must practise under supervision • May perform controlled act • May use title: RP (Qualifying) • 5 year time limit 20

21. Questions and Comments? 21 21

22. Grandparenting • 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) 22

23. 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’ 23 23

24. 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… 24 24

25. 25 25

26. 26 Scoring of Portfolio Evidence for ‘Grandparenting’(cont’d…) 26

27. 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: 27 27

28. Min. 100 hrs educ’n & training c 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: 28 28

29. 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 c10 points (max. possible pts. in this category is 25) Supervision 29 29

30. 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’ 30 30

31. Questions and Comments? 31