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Practice Guidance

Guide to Ethical Practice

Practical guidance for applying COTO’s Code of Ethics, navigating ethical dilemmas, and making informed decisions, with reflective practice approaches and an ethical practice checklist.
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Practice Tools

Quick Reference: Use of Title—What you must, must not, and may do

Use of Title: What you must, must not, and may do Title protection is one way to help the public identify occupational therapists (OTs) who are registered (licensed)and…
Standards

Standard Overview

Introduction The Standards of Practice establish the minimum expectations for all occupational therapists in Ontario. They describe how occupational therapists will provide safe, quality, ethical, accountable, and effective…
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Standards

Glossary Overview

Glossary of TermsCo-create Co-create is to “create (something) by working with one or more others” (Merriam-Webster, n.d.). Context Context strongly influences occupational possibilities and healthcare services. There are…
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Resource

Code of Ethics, 2026

Introduction This Code of Ethics provides registrants with information about the College of Occupational Therapists of Ontario’s (the College’s) expectations for ethical practice. It outlines a set of…
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Practice Guidance

Decision-Making Framework, 2021

Please note: This content contains references to an older version of the Code of Ethics and may not reflect recent updates. As of September 21, 2026, the new…
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Standards

Standard for Use of Title, 2023

Standard for Use of Title Occupational therapists use a protected title that tells the public they are qualified to provide services that meet the profession’s Standards. At times,…
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Standards

Standard for the Supervision of Students and Occupational Therapy Assistants, 2023

Standard for the Supervision of Students and Occupational Therapy Assistants Occupational therapists who supervise students or occupational therapy assistants remain professionally accountable for clients receiving safe, appropriate, and…
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Standards

Standard for the Prevention and Management of Conflicts of Interest, 2023

Standard for the Prevention and Management of Conflicts of Interest Occupational therapists are required to be proactive in preventing, recognizing, and managing conflicts of interest in their practice….
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Standards

Standard for Record Keeping, 2023

Standard for Record Keeping Occupational therapists’ records are legal documents intended to officially capture the entirety of occupational therapy services provided. Records document the following: How occupational therapists…
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Standards

Standard for Psychotherapy, 2023

Standard for Psychotherapy This Standard applies to occupational therapists who perform psychotherapeutic techniques, including psychotherapy as a controlled act under the Regulated Health Professions Act, 1991 (RHPA). The…
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Standards

Standard for Professional Boundaries and the Prevention of Sexual Abuse, 2023

Standard for Professional Boundaries and the Prevention of Sexual Abuse Occupational therapists are fully responsible for establishing and maintaining professional relationships with clients, colleagues, students, and all others…
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Standards

Standard for Infection Prevention and Control (IPAC), 2023

Standard for Infection Prevention and Control (IPAC) Occupational therapists protect the public by using best practices to minimize the risks of transmitting infection. Public Health Ontario (PHO) defines…
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Resource
File

Competencies for Occupational Therapists in Canada, 2021
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Standards

Standard for Assessment and Intervention, 2023

Standard for Assessment and Intervention Occupational therapy includes all aspects of assessment, intervention, and consultation. Assessments are the foundation for occupational therapists’ professional opinions and the interventions they…
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Standards

Standard for Acupuncture, 2023

Standard for Acupuncture Acupuncture is a controlled act under the Regulated Health Professions Act, 1991 (RHPA). This is because it involves a procedure performed on tissue below the…
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Standards

Standard for Consent, 2023

Overview Under the law, occupational therapists are required to obtain two types of consent: Informed consent before starting and throughout the delivery of occupational therapy services (assessment, intervention,…
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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…
eLearning Modules

2022 National e-Learning Module: Competencies for Occupational Therapists in Canada

The Competencies for Occupational Therapists in Canada were released in December 2021 after an extensive development and validation process. This module focuses on updated competency requirements and represents…
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