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The CRPO path, by Canada Therapy & Wellness

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The laws and standards, on one page

Which Ontario law governs what, the controlled act, CRPO's six standards and the Code of Ethics.

Study aid, not legal advice.Last verified against the official sources linked below on .

Which law, for what

LawWhat it governsA key duty
RHPA, 1991, and its Code (Schedule 2)The controlled acts; how colleges register, investigate and disciplineReport a regulated professional's sexual abuse of a patient (Code s. 85.1)
Psychotherapy Act, 2007CRPO, the scope of practice, the authorized act, the protected titlesProtects "psychotherapist", "registered psychotherapist" and "registered mental health therapist" (s. 8 (1))
O. Reg. 317/12Professional misconduct for RPsReport another RP's unsafe practice to CRPO (s. 1, para. 39)
PHIPA, 2004Personal health information: collection, use, disclosure, access, correctionConsent or legal authority for every disclosure; access within 30 days (s. 54 (2))
HCCA, 1996Consent to treatment, capacity, substitute decision-makersCapacity is for this decision, now, at any age (s. 4)
CYFSA, 2017Child protectionReasonable grounds to suspect, under 16: report to a children's aid society yourself, immediately (s. 125)
FLTCA, 2021; RHA, 2010Long-term care homes; retirement homesAnyone reports suspected harm to a resident, immediately (s. 28; s. 75)
Children's Law Reform ActParents' decisions for a childEither parent may act, except a separated parent the child does not live with, until a separation agreement or order (s. 20 (3), (4))

The controlled act: all five, or it is not the act

  1. Treating
  2. by means of psychotherapy technique
  3. delivered through a therapeutic relationship
  4. a serious disorder of thought, cognition, mood, emotional regulation, perception or memory
  5. that may seriously impair judgement, insight, behaviour, communication or social functioning

CRPO's six standards

  1. Professional Conduct: College, titles, reporting, controlled acts, conflicts, dual relationships, abuse, referrals
  2. Competence: consultation, supervision, referral
  3. Client-Therapist Relationship: confidentiality, consent, electronic practice, unnecessary treatment, complaints, identity
  4. Clinical Supervision: providing it, practising with it
  5. Record-keeping and Documentation: records, reports, documents, storage
  6. Business Practices: fees, advertising, ending services, closing a practice

The Code of Ethics: seven principles

  • Autonomy and Dignity of All Persons: privacy, rights, diversity, boundaries.
  • Excellence in Professional Practice: clients' best interests, competently.
  • Integrity: inform openly, challenge biases, consult.
  • Justice: fairness, against oppression and discrimination.
  • Responsible Citizenship: mindful of your role; consult on conflicts of interest.
  • Responsible Research: only with benefit, safety and informed consent.
  • Support for Colleagues: respect, supervise responsibly, collaborate.

The standards are not statutes, but contravening one is professional misconduct (O. Reg. 317/12, para. 1).