Coming into effect November 2022

Competencies for Occupational Therapists in Canada

The Competencies for Occupational Therapists in Canada. ACOTRO, ACOTUP & CAOT (2021) reflect the broad range of skills and abilities required of all occupational therapists in Canada at every stage of their career. As an occupational therapist in Ontario, you will need to be informed and understand how to apply these competencies in your practice before they come into effect in November 2022. Review the Competencies and contact us if you have any questions.

Competencies for Occupational Therapists in Canada, 2021 (English | French)

The College supports the public’s right to safe, competent and ethical care by occupational therapists. A number of documents set out those clear requirements, and together define the expectations of members of the profession. Learn more below.


The Code of Ethics defines the way occupational therapists, in all situations, should uphold the integrity of the profession, serve the interests of patients, and act in a manner that justifies public trust.

Code of Ethics (English | French) 

Decision Making Framework (English | French)


The essential knowledge, skills and judgement needed by occupational therapists in order to practice.

Essential Competencies of Practice For Occupational Therapists in Canada, 2011 (English | French)

In effect November 2022Competencies for Occupational Therapists in Canada, 2021 (English | French)


Standards define the level of performance, as a consensus of the profession, which forms the framework for practicing and ensuring continuing competence.

Standards for Acupuncture (English | French)

Standards for Assessments (English | French)

Standards for Consent (English | French)

Standards for Infection Prevention and Control (English | French)

Standards for Prevention and Management of Conflict of Interest (English | French)

Standards for the Prevention of Sexual Abuse (English | French)

Standards for Professional Boundaries (English | French)

Standards for Psychotherapy (English | French)

Standards for Record Keeping (English | French)

Standards for Supervision of Students (English | French)

Standards for the Supervision of Occupational Therapist Assistants (English | French)

Standards for Use of Title (English | French)

Practice Guidance

Practice Guidance provides information about specific practice situations or legislation.

Advisory Statement: The Occupational Therapist’s Role in Naloxone Administration, 2017

Child, Youth and Family Services Act, 2017 (CYFSA) (English | French)

Controlled Acts and Delegation (English | French)

Culture, Equity, and Justice in Occupational Therapy Practice (English | French)

Discontinuing Services (English | French)

Discretionary Reporting of Fitness to Drive (English | French)

Guideline: Use of Surveillance Material in Assessments (English)

Guidelines for Working with Third Party Payers (English | French)

Medical Assistance in Dying (English | French)

Private Practice (English | French)

Use of Social Media (English | French)

Virtual Services (English | French)

Working Within Managed Resources (English | French)

Guidelines for Medical Assistance in Dying
Note: Retired in 2021. Please check the Medical Assistance in Dying document.

Guidelines for Telepractice in Occupational Therapy
Note: Retired in 2021. Please check the Virtual Services document.

Position Statement: On the Interpretation of the Controlled Act of Communicating a Diagnosis
Note: Retired in 2020. Please check the Controlled Acts and Delegation document

Coroner's Reports: Responses

College Responses to Coroner's Reports

College Response to the Coroner's Report: Deaths from Bed Entrapment, 2017

College Response to the Coroner’s Report: Deaths from Power Recliner Lift Chairs, 2022