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Practice Guidance

What Should Occupational Therapists Consider if Using Artificial Intelligence (AI) in Practice?

Artificial Intelligence (AI) refers to various technologies designed to simulate human thinking and learning. AI works by collecting information and using algorithms to learn, predict and make decisions….
Standards

Standard for Consent, 2023

Insights from Investigations

Responding to Investigations – Part II: Insight & Accountability

In our April 2024 newsletter, we wrote about the importance of OTs responding to investigations in a measured and reasonable manner when recounting their version of events. Insight…
Q&As

Gift Giving

Question: Can I accept a gift from my client? Answer: A reminder to occupational therapists about gift giving. As the holiday season approaches, occupational therapists may start receiving…
Q&As

Client is Driving With a Suspended License

Question: My client, whose driver’s license was medically suspended, revealed that he has been driving. Do I need to report this to the Ministry of Transportation (MTO)? Answer:…
Q&As

Surveillance and Occupational Therapy Practice

Increasingly, third parties are asking occupational therapists to review surveillance material and render a professional opinion as part of their assessment, independent medical examination or paper review. Surveillance…
Q&As

Discretionary Reporting

Question: In some settings, an organization may decide who should report a client to the Ministry of Transportation of Ontario (MTO). If the organization decides that a physician…
Insights from Investigations

Data from December 2023-May 2024

Understanding the types of concerns the College receives and investigates is of interest to both registrants and the public.There are two main types of investigations: complaints from members…
Case Studies

Managing a Privacy Breach

Manuel, an occupational therapist in an outpatient clinic, has been working with a client named Daisy. As a part of his role, Manuel recommended some adaptive equipment and…
Q&As

Use of Externs in Occupational Therapy

Question: Who are clinical externs? Answer: As described in the Ministry of Health’s document Enhanced Extern Program Guide 4.0 October 2021 (oha.com), “externs are clinical learners who are…
Webinars & Podcasts

Privacy Legislation and Occupational Therapy Practice Presentation

https://www.youtube.com/watch?v=63zHr5bMSBs&t=37s Watch the College's presentation on the Privacy Legislation and Occupational Therapy Practice guidance document, hosted by the College's Manager of Practice, Sandra Carter and Practice Consultant Diane…
Case Studies

Working with OTAs in a Private Community-Based Practice

Quinn is an occupational therapist and owner of a private practice. She receives referrals mainly from insurers and lawyers for clients after motor vehicle accident or personal injury….
Insights from Investigations

Responding to Investigations

Receiving a letter or notice from the College about an investigation into their practice can be very stressful. It is a natural reaction to want to respond to…
Case Studies

Should OTs transport clients in personal vehicles?

Luna is an occupational therapist working with Rumel, a client trying to return to work after a traumatic incident. Rumel witnessed a pedestrian struck by the bus he…
Insights from Investigations

Data from June–December 2023

Understanding the types of concerns the College receives and investigates is of interest to both registrants and the public. There are two main types of investigations: complaints from…
Insights from Investigations

Communication is Key

Occupational therapists often ask how they can avoid complaints from clients. While there is no specific formula to 100% protect yourself from a complaint, the good news is…
Q&As

Advertising with Testimonials and Google Reviews 

Question: I understand that client testimonials are not allowed when advertising occupational therapy services, but what about Google reviews? Answer: Occupational therapists are required to follow the Ontario…
Webinars & Podcasts

2024 COTO Board Elections Webinar

https://www.youtube.com/watch?v=FqFKzuuP_YE Recording of the December 12, 2023 webinar on the College of Occupational Therapists of Ontario's 2024 Board of Directors elections, hosted by College Registrar and CEO Elinor…
Insights from Investigations

Snapshot of Complaints in 2022-2023

Behind the scenes, we’ve been collecting and analyzing complaints data to share learning with registrants and help improve patient experience. The snapshot below is based on complaints by…
Case Studies

Documenting Group Interventions

Stella works for a community organization providing occupational therapy services in clients’ homes. As part of the organization’s community outreach, they asked her to develop and run group…
Q&As

Defining Psychotherapy in Occupational Therapy Practice

The College has received questions from occupational therapists about the Standard for Psychotherapy, 2023. This Psychotherapy Q&A resource was developed in consultation with the College’s Practice Subcommittee and…
Q&As

Managing Unavoidable Conflicts of Interest

Question: I live in a smaller community and work as the only occupational therapist at the primary health team clinic. Sometimes I am asked to see a client…
Case Studies

Can Two Occupational Therapists Provide Treatment to One Client at the Same Time?

Jasmin is an occupational therapist (OT) who works in an outpatient neurorehabilitation program. She has been working with Mr. Brodie, a client who is recovering from brain aneurysm…
Q&As

Provisional Registration and Psychotherapy

Question: I hold a provisional registration certificate. Can I practice psychotherapy? Answer: The Standard for Psychotherapy, 2023 (coto.org) states that an occupational therapist must hold a general certificate…
Q&As

Consent for Occupational Therapy Service in Schools 

Occupational therapists working in schools may be delivering service under different models of care depending on factors such as employer, location, and funding source. The College often receives…
Q&As

Standards of Practice Webinar Q&A

On May 2, 2023, the College presented a webinar on the updated Standards of Practice. The following questions from the webinar were received, and general responses are provided…
Webinars & Podcasts

Keeping You Informed: Updated Standards of Practice

https://www.youtube.com/watch?v=11p-cGj7_rk A recording of the May 2, 2023 webinar on the updated Standards for Practice, hosted by the College's Manager of Practice, Sandra Carter and Practice Consultant Diane…
Q&As

Occupational therapy billing practices

Occupational therapists are expected to: Engage in fair, equitable and transparent billing practices. Communicate any fees and related information upfront to the client. Follow the requirements set out…
Case Studies

Advertising in Occupational Therapy Practice

Riley is starting a private practice to provide occupational therapy services to children and families. She is planning to provide individualized services and start a group therapy program…
eLearning Modules

2023 Annual eLearning Module: Building a Sound Foundation in Occupational Therapy Practice

This eLearning module will ask you to work through the various scenarios on key topics, including: Assessment and Intervention Consent Virtual Assessment and Intervention Record Keeping Professional Boundaries…