Counselling Psychology - Winter 2012
The full version of the Winter 2012 CaPsScoop for Counselling Psychology Students can be found by clicking here
Update to CCPA Members working in Québec: CCPA, Québec CCCs and Bill 21
By Lorna Martin, President of CCPA.
It is a time of potential change for CCPA members in Québec. And change is stressful. CCPA understands how difficult it can be to know that change may be in the air with the advent of Bill 21 and yet not know how that may impact one’s livelihood. We have been actively monitoring the progress of Bill 21 through the legislative process, and have been working on your behalf to clarify the status of CCCs in relation to the impending enforcement of the Psychotherapy Act. In a nutshell, Bill 21 continues to exist as draft legislation. This means that to date no definitive answers are available on what the ultimate wording of the Psychotherapy Act will be, precisely when it will be enforced, and exactly what that will mean for our Canadian Certified Counsellors working in Québec. Here is what we DO know:
CCPA is a national, self-regulating body. It does not provide provincial certification nor does the ‘CCC’ designation fulfill the requirement of belonging to a provincial statutory regulatory body. According to the Canadian Constitution, no national organization can offer or claim to offer provincial credentials. Provincial certification is available ONLY through provincial regulatory college(s). Many of CCPA’s members hold provincial certificates and provincial licenses in addition to the national ‘CCC’ designation. For some members, the ‘CCC’ provides increased mobility across unregulated provinces and territories; for others it is a conscious decision to be recognized as part of a national network of professionally trained counsellors and psychotherapists.
Psychotherapy becomes regulated as a reserved title (psychotherapist) and reserved activity (psychotherapy) once Bill 21 is enforced in Québec. In a recent letter (August 17, 2011) to M. Dutrisac, President of the Office of Professions in Québec, the Canadian Counselling and Psychotherapy Association indicated that it “has been studying the ongoing development of the amendments to the professional code in Québec and wonder if you might provide some direction on the recognition of acquired rights for our certified members in your province.”
M. Dutrisac’s office has kindly responded to our letter and advised that we partake in the consultation process related to Draft Regulation R.C.Q., c. C-26 (Bill 21) to ensure our voice is heard. The consultation period began on October 5, 2011 and was 45 days in length. CCPA forwarded a second letter to the Office of Professions on October 24, 2011 to actively participate in the consultation process.
In the second letter, information was provided that showed the substantial alignments between CCPA’s certified counsellors and the three associations currently listed in regulation as grandfathered organizations. This information was provided in chart form following research into the standards and procedures of the three listed associations and the standards and procedures for certified counsellors with the CCPA. In the consultation letter, a specific request was made to the Office of Professions to recognize CCPA’s certified counsellors as recipients of acquired rights.
CCPA’s message to the Office of Professions read, in part:
“With such clear alignments, CCPA is recommending that the Canadian Counselling and Psychotherapy Association be similarly recognized in the regulation as possessing acquired rights.
“As a specifically identifiable and defined group, many Canadian Counselling and Psychotherapy Association (CCPA) certified members in Québec practice the activity of psychotherapy as it is defined in Bill 21. Some of these certified members belong to one of the Ordres in Québec; others do not. For them to continue practicing in Québec, it is essential that we clarify their status, provide them with fair access to their profession, and ensure they adhere to the regulation respecting the psychotherapist’s permit. CCPA presently has 169 certified members in Québec and over 4,200 members across the country. We have sent a communiqué to our Québec members emphasizing to them the need to adhere to the statutory requirements to continue practicing psychotherapy in the province.”
It is important for all members who are CCCs to prepare for two possible outcomes:
- The granting of grandfathering
- The rejection of grandfathering
In the event that grandfathering is granted, information related to next steps will be ascertained from the Office des Professions and will be provided to you.
In the event that grandfathering of CCCs is not granted AND you perform activities defined as psychotherapy, there are three categories of people who will be eligible to claim an acquired right: members of a professional order, people who are eligible to be a member of a professional order but who are not a member, and those who are not eligible to be a member of a professional order.
To take advantage of acquired rights, individuals must:
- hold a bachelor’s degree in a discipline or a field of the mental health and human relations sectors;
- demonstrate that, in the last three years, they have given 600 hours of psychotherapy related to at least one of the four recognized models (moral, compensatory, medical, enlightenment);
- demonstrate that they have completed a minimum of 90 hours of continuous education related to at least one of the four recognized models over the five years preceding the request for recognition;
- have received – and certify that they have received – a minimum of 50 hours of individual supervision used to analyze at least 200 hours of psychotherapy practice, at any time during their practice as a psychotherapist; if they are unable to certify that they have received individual supervision, they must make a sworn statement to this effect.
The following individuals may also take advantage of acquired rights:
- Members of the Ordre des conseillers et conseillère d’orientation et des psychoéducatrices et psychoéducateur accredited as psychotherapists;
- Psychotherapists not eligible to be members of a professional order who are members of the Canadian Psychoanalytic Society, the Association des psychothérapeutes psychanalytiques du Québec (association of psychoanalytic psychotherapists of Quebec) or the Société québécoise des psychothérapeutes professionnels (Quebec society of professional psychotherapists).
- A person who is not eligible to be a member of a professional order and to whom a permit to practise psychotherapy is issued will, in order to continue practising, be asked to present the diploma entitling him or her to the permit. This category might include a doctor of philosophy who is practising as a psychotherapist, for example.
If you do not fit any of these categories AND you practise psychotherapy, you MUST obtain a permit to practise by contacting any Ordre mandated to enforce Bill 21.
The Definition of What is NOT Psychotherapy
The current version of Draft Regulation R.C.Q., c. C-26 (Bill 21) contains a section (Division IV) that identifies which interventions are NOT considered to be psychotherapy. This section of the draft document has been reproduced herein for your convenience (Draft Regulation R.C.Q., c. C-26, Div. IV.6, 1-8)
DIVISION IV: INTERVENTIONS THAT ARE NOT PSYCHOTHERAPY
6. The following interventions are not psychotherapy:
(1) accompaniment and support of a person through regular or sporadic meetings, so that the person may express his or her difficulties. In such a context, the professional or intervener may give advice or make recommendations;
(2) support intervention to support a person so that the person may maintain and consolidate acquired skills and adaptation strategies by targeting strengths and resources through regular or sporadic meetings or activities. Such intervention includes reassuring, advising and providing information related to the person's condition or the experienced situation;
(3) conjugal and family intervention designed to promote and support the optimal functioning of the couple or family through interviews that often involve all the family members. Such intervention is intended to change the factors in the functioning of the family or couple that impede the couple's or family members' blossoming or to offer assistance and advice in the face of everyday life's difficulties;
(4) psychological education intended to teach skills through the information and education of the person. Such education may be used at every step of the care and service process. It consists in the teaching of specific knowledge and skills to maintain or improve the person's autonomy or health, in particular to prevent the appearance of health or social problems, including mental problems or the deterioration of the person's mental condition. Such teaching may pertain for instance to the nature of the physical or mental illness, its symptoms, its treatments including the role that may be played by the person in
the maintenance or restoration of his or her health, as well as stress management techniques, relaxation techniques, or assertiveness techniques;
(5) rehabilitation aiming at helping a person to deal with the symptoms of an illness or improving skills. Such rehabilitation is used, among other things, with persons suffering from significant mental health problems so that they may reach an optimal level of autonomy towards recovery. It may form part of meetings to accompany or support the person and include, for instance, the management of hallucinations and the practice of day-to-day and social skills;
(6) clinical follow-up consisting in meetings to update a disciplinary intervention plan. It is intended for persons who behaviour
problems or any other problem causing suffering or psychological distress, or health problems, including mental problems. It may involve the contribution of various professionals or interveners grouped in interdisciplinary or multidisciplinary
teams. Such follow-up may be part of an intervention plan within the meaning of the Act respecting health services and social services or the Education Act. take the form of meetings or interventions to accompany or support the person, as defined above, and also include psychological rehabilitation or education. It may also include the adjustment of pharmacotherapy;
(7) coaching to update one's potential by developing talents, resources or skills in persons neither in distress nor in pain
who express particular needs in terms of personal or professional achievements;
(8) crisis intervention consisting in an immediate, short and directing intervention adjusted to the type of crisis, the characteristics of the person and of the person's surrounding. It is intended to stabilize the condition of the person or the person's environment in connection with the crisis situation. That type of intervention may involve exploring the situation and assessing possible consequences, for instance, the danger potential, suicidal risk or risk of decompensation, defusing, support, the teaching of adaptation strategies to deal with the experienced situation and orientation towards services
or care more adapted to the needs.
The Role of CCPA in a Regulated Environment: A Reminder
When CCPA members work in a regulated environment, they must adhere to provincial regulations. CCPA is a national entity that offers its members many services such as the ‘CCC’ designation that is recognized nationally, liability insurance, professional learning opportunities, and much more.
The role of CCPA in a regulated environment is:
- To recognize and honour the work of provinces in the area of counselling and psychotherapy;
- To seek areas of alignment and philosophical agreement in diverse areas of Canada that support a single foundation for the profession of counselling and psychotherapy;
- To provide national frameworks that support provincial and territorial initiatives related to counselling andp sychotherapy;
- To support the regulation of the profession across Canada, and
- To support actions that increase the protection of the public from potential harm by practitioners without appropriate or adequate training, knowledge, or skill.
For more information, contact any Ordre mandated to enforce Bill 21:
OCCOQ, or l’Ordre des psychologues du Québec, or the Office des professions du Québec, or
Contact: info [at] ordrepsy [dot] qc [dot] ca, or
Contact: bmaccallum [at] ccpa-accp [dot] ca
Do you wish to learn about QCA, the local Counselling Association?
These are QCA’s objectives:
- To inform our members of trends and developments in guidance, counselling, and psychotherapy.
- To give access to professional development events at a reduced rate.
- To offer networking opportunities and professional support.
- To provide counselling related information through an online publication.
- To exchange information and resources with other associations and organizations.