CRPO often asks the public, members and stakeholders for their feedback on proposed policies, processes, standards and by-laws. This process of gathering input is called a consultation and helps to support CRPO’s work to protect the public interest.

Open Consultations

Draft Regulation Categories of Prescribed Therapies Involving the Practice of Psychotherapy

Pour la version français, cliquez ici.

Context

On December 30, 2017, the government of Ontario proclaimed into force the controlled act of psychotherapy with a two-year transition period to allow the mental health sector a period of time in which individuals may become registered with one of the appropriate colleges or restrict their services so that they do not perform the controlled act.

In conjunction with the proclamation, the Minister of Health and Long-Term Care directed the College of Registered Psychotherapists of Ontario (CRPO) to provide more clarity on the meaning of the controlled act of psychotherapy and what practices would not be considered to be part of the controlled act.

Introduction

In developing this regulation, CRPO is working under authority drawn from section 11 of the Psychotherapy Act: the “Council may make regulations prescribing therapies involving the practice of psychotherapy, governing the use of prescribed therapies and prohibiting the use of therapies other than the prescribed therapies in the course of the practice of psychotherapy.”

By law, the language of the regulation must be aligned with this authorizing statute and so uses the term “prescribe” in the legal sense (“to state”) rather than in the clinical sense (“to order.”)

This regulation applies to all psychotherapy performed by RPs, both in the provision of the controlled act as it is embedded in psychotherapy and the broader scope of practice.

This regulation does not apply to Indigenous Healers or those treating by spiritual means. Such practitioners can operate under exceptions or exemptions available through the Regulated Health Professions Act. Specifically practitioners who are:

  • individuals treating a person by prayer or spiritual means in accordance with the tenets of the religion of the person giving the treatment;
  • Indigenous persons providing traditional healing to other Indigenous persons or members of an Indigenous community.

Registered Psychotherapists (RPs) will be competent to use a treatment approach or modality that is part of one or more of the categories, or to use them in an integrative approach. The five categories in the regulation draw on the history and recent developments in the field of psychotherapy. CRPO’s position is that all RPs will be able to find the origins of their practice in one of these broad categories.

Practitioners who are not able to trace their modality back to one of the prescribed categories are likely not working within the scope of psychotherapy and so would not need to be registered with CRPO or one of the other colleges whose members are authorized to provide the controlled act. Those who do see their modality reflected may need to seek registration or restrict their practice to refrain from performing the controlled act of psychotherapy before the end of the transition period on December 31, 2019. The CRPO is developing a policy on Activities that are Not Part of the Controlled Act of Psychotherapy and a Self-Assessment Tool for Unregulated Practitioners to assist individuals in determining if they are working within the scope of psychotherapy and if they are providing the controlled act.

Consultation to date

The proposed regulation on which you are being asked to comment has already been circulated as part of a broad stakeholder consultation undertaken by CRPO to seek input on a suite of documents and resources (including the regulation) which aim to provide further clarity on the controlled act of psychotherapy (see below under “Closed Consultations”).

This 60-day circulation is being done as required by section 95 of the Procedural Code that comprises Schedule 2 of the Regulated Health Professions Act.

Draft Regulation: Categories of Prescribed Therapies Involving the Practice of Psychotherapy

Ontario Regulation

  1. The following are the categories of prescribed therapies involving the practise of psychotherapy:
  • Cognitive and Behavioural therapies
  • Experiential and Humanistic therapies
  • Psychodynamic therapies
  • Somatic therapies
  • Systemic and Collaborative therapies

Feedback must be received by June 15, 2018.

There are various ways you can provide feedback to the CRPO:

Survey linkhttps://www.surveymonkey.com/r/5HBZVDD

Email: info@crpo.ca (be sure to include ‘Regulation Consultation’ in the subject line)

Fax: 416-639-2168

Mail:    CRPO
375 University Ave., Suite 803
Toronto ON
M5G 2J5

Draft Policy for "Cooling Off" Period

At its meeting on March 29, 2018 CRPO Council authorized the 60-day circulation of the draft Sexual Contact with Former Clients Within a Five-year “Cooling Off” Period Policy.

This policy is being recommended for implementation in anticipation of the relevant section of Bill 87, Protecting Patients Act, 2017, being proclaimed into force. This is the section that will allow the CRPO to set out in regulation the time period for defining a “cooling off” period during which an individual would continue to fall under the definition of “client” for the purpose of the sexual abuse provisions of the Regulated Health Professions Act (RHPA).

This is an interim measure that is being proposed while we wait to be able to pass a regulation, since it is unknown how long the regulation making process will take.

Please review the draft policy here and provide feedback by June 9, 2018.

There are various ways you can provide feedback to CRPO:
Survey: https://www.surveymonkey.com/r/QMT87RM
Email: info@crpo.ca (be sure to include “Cooling Off Policy” in the subject line)
Fax: 416.639.2168
Mail: 375 University Ave, Suite 803
Toronto ON
M5G 2J5

Feedback must be received by June 9, 2018, and will be presented to Council at the June 28, 2018 meeting.

By-law Review

At the February Council meeting, College staff and Executive Committee recommended amendments to CRPO’s By-laws, which fall into two categories: (1) technical, administrative changes and (2) fee changes.

1) Technical, administrative changes
These proposed amendments are intended as ‘housekeeping’ items, removing out-of-date content and correcting non-controversial issues.

2) Fee changes
These proposed amendments are intended to incorporate reasonable fee changes, which are in alignment with other regulatory bodies with similar membership size, to best position the College to carry out its regulatory mandate over the longer term.

Council discussed the proposed amendments and approved their circulation for 60-day public consultation in accordance with CRPO’s By-laws: “Circulation of certain by-laws (2) A by-law shall not be made under clause (1) (l.2), (l.3), (s), (t), (v), (w) or (y) unless the proposed by-law is circulated to every member at least 60 days before it is approved by the Council.  1998, c. 18, Sched. G, s. 22 (5).”

To provide your feedback, please review the proposed amendments and then complete our short survey. The survey should take no more than 10 minutes to complete and will be open until May 14, 2018.

Closed Consultations 2018

Controlled Act Task Group Draft Consultation Documents

On December 30, 2017, the government of Ontario proclaimed into force the controlled act of psychotherapy. In conjunction with the proclamation, the Minister of Health and Long-Term Care directed the College of Registered Psychotherapists of Ontario (CRPO) to provide more clarity on the meaning of the controlled act of psychotherapy and what practices would not be considered to be part of the controlled act as provided by Registered Psychotherapists.

Specifically, CRPO was compelled to develop:

  • a regulation prescribing therapies involving the practice of psychotherapy, governing the use of prescribed therapies and prohibiting the use of therapies other than the prescribed therapies in the course of the practice of psychotherapy; and
  • policies and other supporting resources that clearly articulate the activities that Council does not consider to be part of the controlled act of psychotherapy. 
The deadline set by the Minister for the completion of this work was July 1, 2018.
In response to the Minister’s direction, CRPO has developed the following draft documents that are being shared for review and comment:
A.  Psychotherapy with a Registered Psychotherapist
B.  Draft Regulation: Categories of Prescribed Therapies Involving the Practice of Psychotherapy
C.  Draft Policy: Activities that are Not Part of the Controlled Act of Psychotherapy
D.  Companion Document for Registered Psychotherapists  
E.  Self-Assessment Tool for Unregulated Practitioners
F.  Registered Psychotherapists: Information for Ontarians
In developing these documents, CRPO undertook  a thorough review of: the extensive work of College staff and the Registration Committee in assessing some 7,000 applications for registration; HPRAC’s report  The Therapeutic Relationship as the Cornerstone of the Controlled Act of Psychotherapy (including the literature, jurisdictional and jurisprudence reviews); and relevant published and grey literature.
CRPO is fully committed to engaging with stakeholders and welcomes feedback from any individual or organization who wishes to comment on the draft documents. The public survey is now closed, but further consultation on all of the documents, including the mandatory formal circulation of the proposed regulation for the 60 days required by statute, will happen before the final deadline for submitting the proposed regulation to the Minister.

Draft Guideline: Disclosing Information to Prevent Harm

CRPO invited stakeholder comment on a Draft Guideline: Disclosing Information to Prevent Harm.

Received Submissions

Closed Consultations 2016

Transparency By-laws (Phase II)

CRPO invited stakeholder comment on this second phase of proposed by-law provisions designed to enhance transparency of College processes.

Criminal Record Checks

CRPO invited stakeholder comment regarding a possible implementation of a requirement that a completed criminal record check be submitted to the College by applicants and/or Members.

Professional Practice Standards

CRPO invited stakeholder comment on a new Professional Practice Standard: Affirming Sexual Orientation and Gender Identity, and a proposed change to Standard 3.1: Confidentiality.