{"id":13289,"date":"2023-01-30T17:15:00","date_gmt":"2023-01-30T21:15:00","guid":{"rendered":"https:\/\/cpbao.ca\/?p=13289"},"modified":"2023-01-30T18:14:04","modified_gmt":"2023-01-30T22:14:04","slug":"information-from-the-practice-advice-service-january2023","status":"publish","type":"post","link":"https:\/\/cpbao.ca\/fr\/information-from-the-practice-advice-service-january2023\/","title":{"rendered":"Information from the Practice Advice Service"},"content":{"rendered":"\n
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The Practice Advice Service provides information to College members and members of the public regarding relevant Legislation, Regulations, Standards of Professional Conduct, 2017<\/em>, and other Guidelines. Answers are provided by College staff in response to specific inquiries and may not be applicable or generalized to all circumstances. Information is provided to support College members in exercising their professional judgment and is not an appropriate substitute for advice from a qualified legal professional.<\/p>\n<\/div>\n\n\n\n

QUERIES<\/strong><\/h3>\n\n\n\n

During the second quarter of this year (September 1, 2022 \u2013  December 31, 2022), the College\u2019s Practice Advice Service addressed 448 queries. The five most common topics queried during this period, in descending order, were:<\/p>\n\n\n\n

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  1. Mobility and Practice in Other Jurisdictions; mostly relating to member practice outside of Ontario;<\/li>\n\n\n\n
  2. Fees and Billing, the most common queries related to the setting of fees;<\/li>\n\n\n\n
  3. Records, focussing primarily on Health Information Custodian Successors, File Contents and File Retention;<\/li>\n\n\n\n
  4. Supervision, primarily concerning the supervision of non-members; and<\/li>\n\n\n\n
  5. Release of and Access to Information, related mostly to the client\u2019s right of access and substitute decision-making, particularly with respect to children\u2019s records.<\/li>\n<\/ol>\n\n\n\n

    Answers to many of these queries can be found on the Professional Practice FAQ<\/a> page of the College website which includes the following recent additions.<\/p>\n\n\n\n

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    \"\"<\/figure>\n<\/div>\n\n\n\n
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    Supervisors Duty to Screen Referrals Before Assigning Case to Supervisee <\/strong> <\/h3>\n\n\n\n

    Q:   I have learned about a situation in which a person is providing services to an individual who belongs to a population group with which the supervisor is not authorized to work. When I spoke to the supervisor about this, they explained that they had not realized that the client being seen under their supervision was not within their authorized populations. How can this sort of thing be prevented?<\/strong><\/p>\n\n\n\n

    A:   <\/strong>The Standards of Professional Conduct, 2017<\/em><\/a> require that supervising members must be authorized to autonomously provide services to the specific populations before supervising others in that work. Furthermore, the Standards<\/em> also requires that<\/p>\n<\/div>\n<\/div>\n\n\n\n

    Supervising members must assess the knowledge, skills and competence of their supervisee and provide supervision as appropriate to the supervisee\u2019s knowledge, skills, and competence, based on this assessment<\/em>;<\/p>\n\n\n\n

    Unless a supervisor has sufficient information about a client and the client\u2019s difficulties, they would not be able to provide adequate supervision appropriate to the supervisee\u2019s knowledge, skills and competence.<\/p>\n\n\n\n

    It is the responsibility of a supervisor to be sufficiently familiar with the client\u2019s demographics and needs before permitting their supervisee to commit to provide services.  The adequacy of the supervision could be in question if a supervisor reviews and signs off on reports without having been involved in a direct or supervised intake process, or does not actively supervise the work leading up to any final reports.<\/p>\n\n\n\n

    Even though the Standards<\/em> do not require supervisors to meet and interact with clients receiving services under their supervision, a supervisor should only permit a supervisee to work with a client after they have satisfied themselves that the client is within their authorized areas of practice and belongs to a population with whom they are authorized to work.<\/p>\n\n\n\n

    Area of Practice and Client Groups<\/strong><\/h3>\n\n\n\n

    Q:   Would it  be appropriate for a practitioner authorized in Counselling 51³Ô¹ÏºÚÁÏÍø to work with, or to  conduct an assessment, including the formulation of a differential diagnosis, of a person presenting with symptoms of a psychological disorder? At what point would a client’s presenting problems no longer be considered to fall within the area of Counselling 51³Ô¹ÏºÚÁÏÍø and indicating a need for a referral to a member authorized in Clinical 51³Ô¹ÏºÚÁÏÍø?<\/strong><\/p>\n\n\n\n

    A:   <\/strong>The Definition of Practice Areas<\/em><\/a> are published as part of the Registration Guidelines.  Within the Guidelines, the definition of Counselling 51³Ô¹ÏºÚÁÏÍø stresses fostering and improving human functioning by helping individuals solve problems, make decisions and cope with stresses of everyday life<\/em>.  These can include work\/career\/education, family and social relationships, and mental health and physical health concerns.  In other words, these are the types of difficulties which may cause distress to an otherwise well-functioning or psychologically healthy individual. Some common examples of such problems are bereavement, unemployment, marital separation, or bankruptcy, etc. Generally, an individual presenting as having a disorder of behaviour, emotion or thought, should be assessed and treated by a member authorized in Clinical 51³Ô¹ÏºÚÁÏÍø.<\/p>\n\n\n\n

    As described in the Definition of Practice Areas<\/em>, members who practice Counselling 51³Ô¹ÏºÚÁÏÍø, at a minimum, are expected to have \u00ab\u00a0the ability to formulate and communicate a differential diagnosis in order to develop an appropriate counselling intervention and to identify clients who must be referred elsewhere\u201d.<\/p>\n\n\n\n

    In contrast to that of Counselling 51³Ô¹ÏºÚÁÏÍø, the definition of Clinical 51³Ô¹ÏºÚÁÏÍø, as described in the Definition of Practice Areas<\/em>, is \u00ab\u00a0the application of knowledge about human behaviour to the assessment, diagnosis and\/or treatment of individuals with disorders<\/em> of behaviour, emotions and thought\u201d.<\/p>\n\n\n\n

    It is sometimes unclear at the initial stages of involvement whether a client has a \u201cdisorder\u201d, and this is an important reason that those authorized in Counselling 51³Ô¹ÏºÚÁÏÍø be able to perform a differential diagnosis.  When a client presents with indicators of a disorder of behaviour, emotion or thought, a member who is not authorized in Clinical 51³Ô¹ÏºÚÁÏÍø should refer them to a member authorized in this area.<\/p>\n\n\n\n

    If, at the time of referral, an individual presents with indicators that suggest they may have a diagnosable disorder, it would be most appropriate for an assessment to be conducted by someone qualified to work with those with clinical disorders. One should carefully consider the implications of beginning to work with someone that is likely to need to be transferred to someone else\u2019s care. This could be quite disruptive to the client and the clinical relationship, and may even be damaging to their well-being and\/or treatment.<\/p>\n\n\n\n

    At times, the extent of a client\u2019s difficulties may not be apparent at the initiation of services, and it may later become evident that the client is suffering from a clinical disorder.  If a member, authorized in Clinical 51³Ô¹ÏºÚÁÏÍø, is not available to accept a referral, it would be permissible to obtain supervision from someone so authorized.  This should be considered a \u201clast resort\u201d however, and not a \u201cworkaround\u201d for appropriate authorization.<\/p>\n","protected":false},"excerpt":{"rendered":"

    The Practice Advice Service provides information to College members and members of the public regarding relevant Legislation, Regulations, Standards of Professional Conduct, 2017, and other Guidelines.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ep_exclude_from_search":false,"footnotes":""},"categories":[5],"tags":[553,554,525],"headlines_issue":[551],"class_list":["post-13289","post","type-post","status-publish","format-standard","hentry","category-headlines","tag-area-of-practice","tag-client-group","tag-duties-and-responsibility-of-supervisor","headlines_issue-january_2023"],"_links":{"self":[{"href":"https:\/\/cpbao.ca\/fr\/wp-json\/wp\/v2\/posts\/13289","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cpbao.ca\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cpbao.ca\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cpbao.ca\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cpbao.ca\/fr\/wp-json\/wp\/v2\/comments?post=13289"}],"version-history":[{"count":0,"href":"https:\/\/cpbao.ca\/fr\/wp-json\/wp\/v2\/posts\/13289\/revisions"}],"wp:attachment":[{"href":"https:\/\/cpbao.ca\/fr\/wp-json\/wp\/v2\/media?parent=13289"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cpbao.ca\/fr\/wp-json\/wp\/v2\/categories?post=13289"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cpbao.ca\/fr\/wp-json\/wp\/v2\/tags?post=13289"},{"taxonomy":"headlines_issue","embeddable":true,"href":"https:\/\/cpbao.ca\/fr\/wp-json\/wp\/v2\/headlines_issue?post=13289"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}