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College of Registered Psychotherapists of Ontario Annual Report 2017 - 2018

The College of Registered Psychotherapists of Ontario (CRPO) regulates Registered Psychotherapists in the public interest by governing its members in accordance with the Psychotherapy Act, 2007.

Mission

To develop standards and procedures to regulate psychotherapists in the public interest, striving to ensure competent and ethical practice within a professional accountability framework.

Vision

Leadership in professional self-regulation, dedicated to the principles of excellence, fairness, openness, responsiveness and respect for diversity.

Values

  • Leadership
  • Excellence
  • Accountability
  • Equity
  • Integrity
  • Teamwork
  • Respect
  • Openness

Staff List

CRPO staff as of March 31, 2018 includes:

Deborah Adams, Registrar

Shanzeh Ameen, Registration Assistant

Alexandra Brennan, Registration Assistant

Owen Cattigan, Membership Services Assistant

Jo Anne Falkenburger, Director, Operations & Human Resources

Amy Fournier, Executive Coordinator

Sarah Fraser, Acting Manager, Registration

Shauna Grey, Manager, Communications

Tav Kanwar, Acting Manager, Registration

Andrew Laughton, Registration Assistant

Lene Marttinen, Manager, Quality Assurance

Mark Pioro, Director, Professional Conduct & Deputy Registrar

Kristina Reyes, Registration Assistant

Kelly Roberts, Coordinator, Operations & Human Resources

Nicole Schram, Registration Assistant

Jessica Shrum, Registration/Quality Assurance Assistant

Jenna Smith, Case Coordinator & Investigator

Naela Syed, Registration Assistant

Arielle Tyrrell, Administrative Coordinator

Message from the President

CRPO President Andrew Benedetto, RP

The fiscal year beginning April 1, 2017 was a year of many accomplishments. The need to address significant policy issues became evident, in addition to fulfilling the mandated activities of CRPO in its third year of operation since proclamation.

I want to recognize Council members for their significant commitment of time and energy in working on statutory and standing committees, as well as task groups. The thoughtful and valued perspectives of Council members demonstrate their level of engagement, ensuring that while the mandate of public protection motivates every decision, members of CRPO can achieve excellence in the diversity of modalities in which they have the knowledge, skill, judgment and competence to practise.

CRPO was pleased to offer its perspective as the one regulatory college purpose-designed for the regulation of psychotherapy professionals when invited by the Health Professions Review and Advisory Committee (HPRAC) for its consultation on the controlled act of psychotherapy. While most provisions of the Psychotherapy Act, 2007 were proclaimed April 1, 2015, the provision regarding the controlled act of psychotherapy had yet to be proclaimed. With a ten-year sunset clause of December 31, 2017 for this provision, the Minister of Health sought assistance from HPRAC. The Minister asked HPRAC how the public had responded to a clarification document developed by five of the six regulatory colleges with access to the controlled act of psychotherapy, as well as any other recommendations that could prove useful.

Subsequent to HPRAC’s report, and with the proclamation of the controlled act on the horizon, CRPO began the work of developing a regulation and supporting resources, with the intent to bring clarity to the provision of psychotherapy for members of the public, regulated psychotherapists and unregulated practitioners. CRPO began this work in earnest and, with considerable research and stakeholder consultation, delivered its work to the Minister by the July 1, 2018 deadline. CRPO was well positioned to draw on the last three years of Registration Committee panel deliberations regarding whether activities constituted the practice of psychotherapy. The consolidated knowledge gained from this initiative will prove a unique contribution to our understanding of the practice of psychotherapy in the province.

The controlled act of psychotherapy was proclaimed on December 30, 2017 and included a two-year transition period to allow for practitioners to determine if they would be required to register with a regulatory college. CRPO has and will continue to work actively with stakeholders to share its learning regarding what practices are in the scope of practice of psychotherapy and the controlled act of psychotherapy.

The Registrar and staff are to be commended for managing the move to CRPO’s new office in September 2017 at 375 University Avenue in Toronto. Since the inception of the transitional Council in 2009, CRPO was hosted by Health Force Ontario at 163 Queen Street East, which provided considerable support for the development of this College.

While CRPO has been collecting fees from its members since proclamation, the College is now fully financially supported by membership fees to deliver on its legislated mandate.

In addition to these highlights, I encourage readers to view the accomplishments of all CRPO committees and task groups in this annual report.

Message from the Registrar

CRPO Registrar, Deborah Adams

I had the good fortune of hearing Harry Cayton speak at a conference the same week that I sat down to write this message. Mr. Cayton has been the Chief Executive of the Professional Standards Authority (PSA), the statutory body which oversees the regulation and registration of health and care professions in the United Kingdom. He has spoken and written a great deal about “right touch” regulation. The PSA defines this term as follows:

Right-touch regulation means understanding the problem before jumping to the solution. It makes sure that the level of regulation is proportionate to the level of risk to the public.

Source: PSA

There are eight elements of the right touch model:

  • Identify the problem before the solution
  • Quantify and qualify the risks
  • Get as close to the problem as possible
  • Focus on the outcome
  • Use regulation only when necessary
  • Keep it simple
  • Check for unintended consequences
  • Review and respond to change

In listening to Mr. Cayton speak about these elements, I reflected on the approach we have been taking at CRPO as we accumulate knowledge and experience as a regulatory body. As President Andrew Benedetto noted in his message, this has been a year of many accomplishments. One of the things that we achieved was starting to use our experience to move firmly toward an approach and degree of regulation that is the right touch.

In our operations, our application of “lessons learned” in all our statutory functions, and our work to clarify the controlled act of psychotherapy, CRPO is embracing this right touch approach. This approach helps ensure that Ontarians have access to safe and effective care provided by a profession that now numbers more than 6,000 qualified, competent and accountable Registered Psychotherapists.

I am pleased, along with our capable staff and committed Council, to be able to offer this annual report, which reviews the work we have done and the lessons we have learned over the course of the last year.

Reflections on Lessons Learned

This past fiscal year has provided learning opportunities for the staff, committees and Council of CRPO.

April 1, 2017 was the day after the grandparenting application process closed; in the 90 days leading up to it, more than 2,400 applications were sent in to CRPO. Many lessons were gleaned from processing the enormous volume of applications. Staff worked diligently through the year to review applications, and the number of panels of the Registration Committee was doubled in order to review those applications requiring additional consideration. With the close of grandparenting, attention was increasingly paid to the growing number of applicants applying for registration through the regular route to entry.

As CRPO’s membership has grown, so, too, have the volume of complaints and reports coming in from the public. In the spirit of right touch regulation, CRPO has responded by using those complaints opportunities for the College to provide more effective practice supports to members as they work to care for clients across diverse settings.

For example, through the Practice Advisory Service and in a number of complaints, CRPO noted a significant volume of queries and concerns regarding child custody issues. This was taken to the Quality Assurance Committee, who saw a need among members for greater education about informed consent. The Committee took the opportunity to reframe the challenges members were having and produce an Informed Consent Workbook (produced in the current 2018 – 2019 fiscal year). Moreover, the work of the Inquiries, Complaints and Reports Committee (ICRC) includes changes and updates to professional practice standards, which serve as a significant foundation for the provision of psychotherapy by CRPO members to the public.

CRPO also heard from both members and the public about a variety of access to care issues. The regulatory approach we embrace involves protecting the public while addressing the needs and demands of the public for RP services. Hence the energy put into processing grandparenting applications throughout this fiscal year has been about approving highly-qualified practitioners in volumes that can contribute to addressing the mental health needs of Ontarians.

While the volume of applications resulted in lengthier than normal decision timelines, the thorough review process and in-depth understanding of the breadth of psychotherapy practices in this province helps the College ensure the entry-to-practice requirements are relevant and effective. Continual learning and course correction have meant that, for example, relatively few appeals have been filed with the Health Professions Appeal and Review Board (HPARB) and, over the course of the year, the vast majority (nine out of ten) decisions were upheld.

The efforts of the Controlled Act Task Group, which was convened in January 2018 to begin the work of developing a regulation to prescribe therapies involving the practice of psychotherapy, has been deeply informed by the work done by the Registration Committee and staff. The expertise and experience of the Registration Committee has proven to be foundational to developing what CRPO believes will be an effective regulation and impactful supporting resources that will contribute significantly to the regulation of RPs and the overall understanding of the controlled act of psychotherapy.

At CRPO, we consistently consider how to ensure that we are both efficient and effective. This often means eliminating unnecessary steps in administrative processes, or providing clarity about those processes. Over the course of this year, that included revising the renewal process significantly so that members could complete their online renewal with greater speed and ease. Internally, the ICRC and staff have been regularly reviewing complaints resolution timelines with a view to making sure that the process was fair to members, respectful to complainants and as expedient as possible.

On a more humble note, some of our learnings from this year came to us the hard way. We are imposing new regulatory requirements on a long-established profession, which brings with it unique challenges. Although we believed we had gotten the requirements for clinical supervision right, members let us know that they would have appreciated more communication and engagement on this matter. While a member survey that received close to 2,000 responses ultimately demonstrated that the criteria established for clinical supervisors were largely seen by members and other regulated professionals as being appropriate, our lesson learned here is about timely, meaningful member engagement.

In the next fiscal year (2018-2019), we will be turning this particular lesson into concrete action by hosting a series of member town halls in fall 2018. These will allow us to gather further information from members about the reality of practice and to use it to inform formal strategic planning that will be taking place over the next year. We are confident that this will ensure that Council is heading into this important next phase for the College and profession armed with the information that will be needed for an effective plan.

CRPO Dashboard 2017 - 2018

CRPO Membership

Membership in CRPO in 2017 - 2018 grew rapidly over the 2016 - 2017 year, increasing the number of qualified RPs by over half. Since 2015 (the year the Psychotherapy Act, 2007, was proclaimed), membership in CRPO has doubled, from 3,000 members at the end of 2015 - 2016 to 6,044 at the end of 2016 - 2017.
Membership demographics indicate that 72% of members are between the ages of 35 and 64. In terms of gender identity, there are four times as many woman-identified members as man-identified in CRPO's membership; CRPO is bringing a third option for gender identity online in 2018.
The chart on the left indicates the first year in which CRPO members first began to practice psychotherapy. Close to half of CRPO members (43%) began practice in the past 10 years; in the past five years, a fifth (20%) of CRPO's membership began practicing. A full 89% of CRPO members first began practicing psychotherapy in Canada after completing their education & training; however, as the chart on the right shows, 5% of CRPO members first began practicing outside of Canada.
The vast majority of care provided by CRPO members is in English; 8% of RPs provide care in French, and 4% of them also provide care in other languages, including Spanish, Persian, Cantonese and Punjabi.
Note that some of the applications sent to panel were received within the previous fiscal year. Staff direct applications to a panel of the Registration Committee when uncertainties arise about the qualifications of the applicant.
CRPO offers a practice advisory service that members can connect with to discuss matters relating to professional practice, ethics and standards. In mid-2017, the model of the of the service was adjusted to support growing demand for practice advice. Six advisors, who are members of the profession, are available to respond to members’ practice-related questions. Experienced members of staff also support the advisory service by responding to member inquiries and sharing resources with the advisors.

2017 - 2018 Committee Reports

CRPO has several statutory and non-statutory committees whose work allows CRPO to fulfill its regulatory mandate. CRPO Council provides an overall direction (and, as of the 2018-2019 fiscal year, strategic planning) and entrusts committees to do much of the work.

STATUTORY COMMITTEES

Executive Committee

The Executive Committee is responsible for providing strategic direction, financial oversight and engaging in policy development and research. In addition, the Executive Committee makes recommendations on policy issues to Council. In certain circumstances, it may act on behalf of Council and will respond to issues that arise between Council meetings as required. During the 2017-18 fiscal year, the Executive Committee met in-person on six occasions and held seven meetings via teleconference.

Members:

Andrew Benedetto, RP (President), Malcolm MacFarlane, RP (Vice-President), Carol Cowan-Levine, RP, Mary Kardos Burton, Sheldon Kawarsky

Policy/Committee work:

  • Development of needs assessment survey to determine ongoing Council member training and education.
  • Professional Practice Working Group formed. Task group consists of the chairs of Registration; Quality Assurance; Inquiries, Complaints and Reports; and Client Relations committees, to address cross-committee practice issues that have arisen since proclamation.
  • Approval and implementation of Registrar’s performance review process.
  • Recommended to Council the approval of the Suitability to Practice policy.
  • Recommended to Council the approval of by-law revisions pertaining to posting criminal charges and drug convictions on the public register.
  • Development and implementation of policy on Council Question Period and Observer Guidelines.
  • Approved website improvements.
  • Approval of holding town halls to engage with membership.
  • Directed staff to implement a process for separate, unique and specially trained discipline panel when the file involves allegations of sexual abuse.
  • Approved the Indigenous Registration Task Group mapping tool.
  • Approval of 2017-2018 budget.
  • Approval of committee chair role description.
  • Bill 87 by-law changes approved.
  • Approval of Client Relations foundational definition document.
  • Outreach planning.

Client Relations Committee

The Client Relations Committee (CRC) is responsible for the development, ongoing evaluation and maintenance of the Client Relations Program. The program includes the following requirements as set out in the Regulated Health Professions Act, 1991 (RHPA) (section 84) for preventing and dealing with the sexual abuse of clients by members:

a) Educational requirements for registrants;

b) Guidelines for the conduct of registrants with their clients;

c) Training for College staff; and

d) Providing information to the public.

Members

Carol Cowan-Levine, RP (Chair), Shelley Briscoe-Dimock, RP, Mary Kardos Burton, Barbara Locke Billingsley, Susan (Sue) Lymburner, RP (non-council Committee member), Steven Stijacic

Policy/Committee Work

During the 2017-2018 fiscal year, the CRC had one teleconference and five in-person meetings. The Client Relations Committee engaged in considerable research, deliberation and policy development in anticipation of Bill 87, the Protecting Patients Act, 2017. This important legislation and CRPO’s work to realize actionable policy recognizes the need for the profession to support clients who have experienced sexual abuse by a Registered Psychotherapist. Work that took place during the meetings included:

  • Periodic review of statistics on sexual abuse complaints received by the College.
  • Research and data collection from other regulatory bodies regarding preventing and dealing with sexual abuse of clients.
  • Staff and committee training regarding boundary violations by health care professionals.
  • Adjusted language of the Jurisprudence (JRP) Manual to reinforce the College’s zero tolerance policy of sexual abuse of clients by members.
  • Updated sexual abuse section on College website to improve understanding.
  • Established funding forms for clients alleging sexual abuse and their primary support partner.
  • Developed content addressing issues of sexual abuse and an update on the CRC’s activities in the June Communiqué.
  • Client Relations Position Statement on Terminology Related to Sexual Abuse by Members presented and passed by Council in November 2017.
  • Sexual Contact with Former Clients Within a Five-Year Cooling Off Period and Beyond the Cooling Off Period policy presented to Council in March 2018.

CRPO also administers a fund for therapy for persons who, while clients, were sexually abused by members. During the 2017-2018 fiscal year, the fund was not used.

Challenges and Opportunities

The Client Relations Committee plans to implement changes from Bill 87, the Protecting Patients Act, 2017.

The Committee determined that the primary partner of an individual alleging sexual abuse by an RP is eligible to apply for funding. The Committee looks forward to advancing a comprehensive and innovative Client Relations program.

Discipline Committee

The Discipline Committee is responsible for holding discipline hearings in accordance with the Regulated Health Professions Act, 1991. The Committee also sets policies and procedures for the discipline process. Matters arrive before the Discipline Committee as the result of a referral from the Inquiries, Complaints and Reports Committee, with specific allegations that a member has engaged in professional misconduct.

If a panel makes a finding that a member has committed misconduct, it can order one or more of the following penalties:

  • direct the revocation of the member’s Certificate of Registration; direct the suspension of the member’s Certificate of Registration for a specified period of time;
  • direct the imposition of specified terms, conditions and limitations on the member’s Certificate of Registration for a specified or indefinite period of time;
  • require the member to appear before the panel to be reprimanded;
  • require the member to pay a fine, up to $35,000, to the Minister of Finance; and
  • require the member to pay all or part of the College’s costs and expenses regarding the matter.

Members

Shikha Kasal (Chair), Heidi Ahonen, RP (non-council Committee member). All Council members serve on the Discipline Committee. Hearing panels are composed of three to five Committee members.

Policy/Committee work

The Committee did not hold any plenary (policy-making) meetings this year but conducted one hearing in January 2018. At the end of the fiscal year, there was one outstanding referral from ICRC awaiting the scheduling of a hearing.

When a hearing is concluded, the panel develops their Decision and Reasons. Committee panels released Decisions and Reasons in relation to two hearings that had been conducted in the previous year. These documents are available on the Discipline page of CRPO’s website once they have been approved by panel members.

Fitness to Practise Committee

The Fitness to Practise Committee is responsible for holding hearings related to possible incapacity of members in accordance with the Regulated Health Professions Act, 1991. The Committee also sets policies and procedures for the fitness to practise process.

Members

Barbara Locke Billingsley (Chair). All Council members serve on the Fitness to Practise Committee. Hearing panels are composed of at least three Committee members.

Policy/Committee Work

During the 2017-18 fiscal year, the Fitness to Practise Committee did not hold any meetings and no matters were referred to the Committee that would require a hearing. Committee members will receive the necessary training if there is a need to conduct a hearing.

Inquiries, Complaints and Reports Committee

The Inquiries, Complaints and Reports Committee (ICRC) screens and investigates complaints and other concerns about members and determines the appropriate action. The Committee also makes recommendations regarding practice standards and guidelines for members.

Members

Kevin VanDerZwet Stafford, RP (Chair), Shelley Briscoe-Dimock, RP, Carol Cowan-Levine, RP, Kathleen (Kali) Hewitt-Blackie, RP (non-council Committee member), Mary Kardos Burton, Sheldon Kawarsky (as of December 2017), Kenneth Lomp, RP, Keith Marlowe, RP (until June 2017), Paula (Pat) Rayman, RP, Len Rudner, Steven Stijicac

Formal Complaints and Reports

Note: The five Registrar's investigations are formal investigations resulting from an information source other than a formal complaint. The appeals requested are with the Health Professions Appeal and Review Board.
The total number of outcomes reflects the fact that each decision may contain more than one outcome. SCERP stands for Specified Continuing Education or Remediation Plan.

Policy/Committee Work

New Guideline

Creating a draft guideline entitled Disclosing Information to Prevent Harm. The guideline was created in response to a large number of practice inquiries from members seeking more direction. The College held a stakeholder consultation to review the draft guideline in December of 2017.

References for Gender-Affirming Surgery

Discussing at length members’ ability to make referrals for clients requesting OHIP funding for gender-affirming surgery. In February of 2018, members were consulted about competence required to work with transgender and gender nonconforming clients, and qualifications needed to provide secondary referral letters for clients seeking gender affirmation surgery.

Bill 87: Protecting Patients Act, 2017

ICRC received training on Bill 87, the Protecting Patients Act, 2017, which became law in May 2017. Some relevant changes include:

  • Stronger penalties for sexual abuse of clients;
  • Withdrawal of a complaint by the Registrar at the request of a complainant when the withdrawal is in the interest of the public;
  • The ability for the ICRC to impose an interim order to protect the public following receipt of a complaint or appointment of an investigator (previously this ability was only available after a referral to the Discipline Committee).

Other Topics Explored

  • Evaluating the benefits and shortcomings of Alternative Dispute Resolution (ADR).
  • Obtaining informed consent when providing psychotherapy to minors.
  • Reviewing remedial resources such as ethics courses for members.

Challenges and Opportunities

The College saw an increase of approximately 70% of matters initiated compared with the previous year. This upsurge can be attributed to growing membership and an increase in public awareness. The ICRC continues to review and reflect on its processes to manage the growing workload.

The ICRC spent a considerable amount of time reviewing the factors impacting timelines for complaint resolution. The mean time for processing a formal complaint based on decisions released in the 2017-2018 fiscal year was 210 days (median 204) which is down from 239 days in 2015-2016 (median 251 days). The steady increase in matters before the ICRC is an ongoing issue for the College.

CRPO continues to receive a large number of complaints about members working with families involved in custody/access disputes. These complaints are highly contentious and often involve lengthy court documents. The ICRC is reviewing ways to help members and the public understand the RP’s role in these difficult circumstances.

Quality Assurance Committee

The mandate of the Quality Assurance Committee is to promote members’ continuing competence and encourage competency improvement. The Committee does this by designing and delivering the Quality Assurance Program, which consists of both self-assessments as well as peer and practice assessments, and developing member resources, such as guidelines and professional practice tools. The Program is educational and responsive, and, though it is mandatory and requires the participation of all members, every effort is made to work in collaboration with members toward the ultimate goal of improved public protection.

Members

Mary Kardos Burton (Chair) (as of January 2018), Pat Rayman, RP (Chair) (until December 2017), Andrew Benedetto, RP, Glorie Taponeswa Chimbganda, RP (as of January 2018), Carol Cowan Levine, RP (until November 2017), Sheldon Kawarsky, Kenneth Lomp, RP (as of January 2018), Malcolm MacFarlane, RP, Keith Marlowe, RP (until November 2017), Len Rudner

Committee/Policy Work

  • Changed the Professional Development submission deadline to November 30 with the aim of improving services available to members throughout the year.
  • Expanded member resources by developing guidelines, a workbook, member tools and informational videos.
  • Enhanced feedback gathering. Feedback is used to refine the tools, processes and overall experience with the QA Program. Feedback is also a key accountability measure.
  • Refined policy to clarify expectations with respect to completion of the Professional Development tools.
  • Established a strategy to engage new members in QA Program; in doing so, clarified requirements for new members.
  • Built capacity by training staff and developing committee and staff resources.

Challenges and Opportunities

The Quality Assurance (QA) Program is becoming more proactive in identifying and addressing learning needs within the membership. For example, when changes in legislation occur, the QA Program can be leveraged to support members with integrating those changes into practice. Similarly, the Quality Assurance Committee is gathering information about these impacts and exploring how the QA Program can be used to provide useful, timely information to current and prospective members, and assure that supervisory relationships are meeting requirements and standards.

Delivery of the Peer and Practice Review can be a costly, time consuming endeavour for both members and the College; thus the QA Committee is considering right-touch regulation approaches that can be employed effectively in the QA Program. For example, evaluating very specific aspects of practice where need for improvement is commonplace, such as advertising practices. Or, identifying aspects of practice that present a higher degree of risk to the public, and assessing a member’s practice in light of the specific risks.

As a result of member participation in Peer and Practice Reviews, CRPO is able to anonymize and collate results to conduct an analysis of trends. This, along with information from other sources, is used to identify learning needs among the membership and prioritize resource development. In the past, electronic practice was identified as a learning need, and CRPO responded by developing an electronic practice guideline, which is expected to become available in winter 2018/19. Current trends have identified learning needs with respect to members’ assessment of risk to clients and safety planning.

Professional Development Component

The number of members eligible to complete ongoing professional development requirements was 2,850; 63% of them (1,799) did so successfully and on time. In a review of PD tools, 98% of those randomly selected were found to be adequately completed.

Peer and Practice Review Component and Panel Cases

All those randomly selected for PD tool review are eligible for random selection to participate in Peer and Practice Review (PPR). 37 out of 52 members completed step 1 of a PPR, a process whereby a peer assessor engages an RP in the process of identifying areas of strength and areas that may benefit from enhancement. Peer assessors are fellow members of CRPO who have been trained to conduct PPRs. They, and CRPO, are committed to collaborating with and supporting all RPs to meet their professional obligations.

Registration Committee

The Registration Committee is responsible for developing policies for entry into the College and transfers between registration categories. Registration Committee members also form panels to review applications for registration that have been referred by the Registrar.

Members

Andrew Benedetto, RP (Chair up to November 2017), Malcolm MacFarlane, RP (Chair after November 2017), Heidi Ahonen, RP (non-council Committee member), Glorie Taponeswa Chimbganda, RP (as of January 2018), Gary Cockman, Carol Cowan-Levine, RP, Tamar Kakiashvili, RP (non-council Committee member), Shikha Kasal, Sheldon Kawarsky, Barbara Locke Billingsley

Panel Work

When there are doubts about whether an applicant meets registration requirements, that application is referred to a panel of the Registration Committee to determine:

  • whether to approve the application without any restrictions;
  • approve with terms, conditions and limitations; or
  • refuse registration.

Beginning in January 2018, the Registration Committee took steps to address the high number of files awaiting deliberation by panel. A system was implemented which called for two panel meetings to take place each month, as opposed to one. This allowed the Committee to review a far greater number of applications. The process has been highly successful, and has allowed staff to make great strides in processing the high volume of grandparenting applications the College received prior to the close of the grandparenting route.

In the 2017-18 fiscal year, 260 applications were reviewed by the Registration Committee over the course of 20 panel meetings.

Should an applicant be refused registration, they can appeal to the Health Professions Appeal and Review Board (HPARB). There were ten appeals heard by HPARB in the fiscal year, in which nine of the decisions of the Registration Committee were upheld and one was returned back to the Committee for reconsideration with a recommendation that the applicant be registered. The one application returned to the Committee was subsequently registered following reconsideration.

Policy/Committee Work

The Committee held four plenary meetings during this fiscal year, which included the following policy considerations:

Review and recognition

The Committee granted recognition to two education programs: the Centre for Training in Psychotherapy Diploma and the Toronto School of Theology Master of Pastoral Studies, Spiritual Care and Psychotherapy Certificate. In order to streamline the application process, the Committee also approved a Preparation Guide for programs to use when completing their Review and Recognition applications.

Police record checks

The Committee considered implementing a criminal record check requirement, but ultimately agreed not to pursue its implementation due to legislative uncertainty around the Criminal Record Check Reforms Act. However, it was agreed that the Committee would take the issue up again in one year.

Clinical supervisor requirements

The Committee approved for circulation a survey developed to gather information about the College’s updated requirements to serve as a clinical supervisor as of April 1, 2018. It also reviewed a new Clinical Supervisor Attestation Form, which was developed by staff to allow supervisors to verify that their credentials meet updated requirements.

Changes to the Private Career Colleges Act

The Committee deliberated on issues related to CRPO’s recognition process and how it will fit with the Ministry of Advanced Education and Skills Development’s new registration process for psychotherapy training programs. The College’s recognition process is now essentially mandatory for training programs to document relevance of their curriculum to psychotherapy competencies.

NON-STATUTORY COMMITTEES

Indigenous Registration Task Group

Committee Members

Aimee Bailey, Peter Beaucage, Andrew Benedetto, RP, Carol Cowan-Levine, RP, Megan Cahoon, Betty Carr-Braint, Banakonda Kennedy Kish, Roxane Manitowabi, Len Rudner, Sandra Wong

Policy/Committee Work

The Indigenous Registration Task Group works to articulate an Indigenous pathway to registration with CRPO. Two days of meetings were held in September 2017 to begin the process of developing a tool to map competencies used by Indigenous providers providing care to Indigenous communities. The IRTG used the Four Principles of Good Practice framework to begin to approach the work in a manner that embraces Indigenous methodology and ways of knowing. The work continues in 2018-2019.

Examination Committee

Committee Members

Kenneth Lomp, RP (Chair, as of November 2017), Malcolm MacFarlane, RP (Chair, up to November 2017), Andrew Benedetto, RP, Gary Cockman, Sheldon Kawarsky, Barbara Locke Billingsley, Steven Stijacic, Kevin VanDerZwet Stafford, RP

Panel Work

The Examination Committee considers appeals regarding failure of the registration examination where there are alleged grounds of unfairness. The Committee may also grant time extensions to individuals who, due to extenuating circumstances, are unable to write the registration examination within the time period set in the Registration Regulation.

Registration Examination

The third administration of the Canadian Professional Standard for Counselling and Psychotherapy (CPSCP): Entry to Practice Competency Assessment (commonly known as the registration examination) took place on April 27, 2017. There were 150 Qualifying members deemed eligible by CRPO to write the exam; of those candidates who wrote the exam, 80% were successful.

The fourth administration of the registration examination took place on October 26, 2017. There were 150 Qualifying members deemed eligible by CRPO to write the exam; of those candidates who wrote the exam, 83% were successful.

Policy/Committee Work

During the 2017-18 fiscal year, the Examination Committee held two plenary meetings. Work that took place during the meetings included:

  • Approval of the Committee’s terms of reference.
  • Approval of a set of steps to be included as part of educational upgrading; participation in modified Peer and Practice Review (PPR) assessment, followed by submission of learning plan based on areas flagged for development in the PPR.
  • Introduction of a decision tree (competency deficiency flowchart) that could guide deliberations on remediation options for candidates with one attempt remaining at the competency-based registration examination.
  • Development of additional exam preparation resources and remediation options will be further discussed in the coming year.

Nominations and Elections Committee

The Nominations and Elections Committee is responsible for addressing election-related disputes, identifying candidates and encouraging them to run for election to Council, and assisting the Registrar in supervising and administering elections if requested.

Members

Pat Rayman, RP (Chair) (as of June 2017), Keith Marlowe, RP (Chair until June 2017), Len Rudner, Malcolm MacFarlane, RP, Glorie Taponeswa Chimbganda, RP (until May 2017), Shikha Kasal

The Committee met once in the 2017-18 fiscal year to address vacancies in Districts 2, 3, 4 and 6. Members were acclaimed in District 3 – East (Shelley Briscoe-Dimock) and District 6 – Central West (Glorie Taponeswa Chimbganda). An election was held in June in which Malcolm MacFarlane and Kenneth Lomp were elected in District 2 – North and District 4 – Central East, respectively.

CRPO Financial Statements

Copyright 2018 College of Registered Psychotherapists of Ontario

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