Ontario Psych JEE study materials
Ontario Psych JEE study resources

Ontario Psych JEE key terms

Ontario Psych JEE · Get comfortable with the vocabulary.

Informed consent

A client's voluntary agreement to a service or disclosure after receiving and understanding the relevant information: purpose, risks, benefits, alternatives, limits of confidentiality, and the right to withdraw at any time.

Related: Capacity to consent, Informed consent for treatment
Capacity to consent

A person's ability to understand the information relevant to a decision and to appreciate the reasonably foreseeable consequences of choosing or refusing, assessed at the time the specific decision is made.

Related: Informed consent, Substitute decision-maker
Substitute decision-maker

A person legally authorized to make a decision on behalf of someone incapable, such as a guardian or attorney under a power of attorney, ranked by provincial legislation when no choice was designated.

Related: Capacity to consent, Health Information Custodian
Limits of confidentiality

The defined circumstances in which information may be disclosed without consent, such as serious risk of harm, child protection duties, court orders, or regulatory investigations, explained to clients at the outset.

Related: Duty to protect, Mandatory reporting
Duty to protect

An obligation, triggered by a credible threat of serious harm to an identifiable person, to take reasonable steps such as warning the potential victim, notifying police, or arranging protective measures.

Related: Limits of confidentiality, Mandatory reporting
Mandatory reporting

A statutory duty to report specified situations to an authority without client consent, for example suspected child abuse or a colleague's serious misconduct or incapacity.

Related: Duty to protect, Limits of confidentiality
Personal Health Information

Identifiable information about an individual's physical or mental health, care provided, health number, or payments for care, held by a custodian and governed by provincial privacy legislation.

Related: Health Information Custodian, Lockbox
Health Information Custodian

An individual or organization with custody or control of personal health information by virtue of their role, such as a regulated health professional in practice, and therefore bound by privacy law duties.

Related: Personal Health Information, Lockbox
Lockbox

A client's instruction that specific parts of their health record not be disclosed to others involved in their care, which the custodian must honour subject to limited legal exceptions.

Related: Personal Health Information, Health Information Custodian
Circle of care

The informal group of providers who need a client's health information to provide care, and to whom disclosure may occur without express consent under privacy legislation's implied consent rules.

Related: Personal Health Information, Minimum necessary disclosure
Minimum necessary disclosure

The principle that only the amount of personal health information reasonably required for the stated purpose should be collected, used, or shared, avoiding over-disclosure.

Related: Circle of care, Personal Health Information
Retention period

The minimum length of time a clinical record must be kept under regulation or law, typically measured from the last date of service, after which disposal may follow a documented process.

Related: Clinical record content, Secure destruction
Clinical record content

The elements a professional file must contain, including identifying information, dates of service, presenting issues, assessment findings, plan, progress notes, consent documentation, and consultation or referral details.

Related: Retention period, Progress note
Progress note

A dated entry describing a session's focus, clinical observations, interventions used, the client's response, risk assessment where relevant, and the plan for follow-up.

Related: Clinical record content, Secure destruction
Secure destruction

Irreversible disposal of records, paper or electronic, so that reconstruction is not reasonably possible, carried out with documented methods and safeguards appropriate to the medium.

Related: Retention period, Clinical record content
Access request

A client's formal request to view or obtain a copy of their own record, which must be answered within statutory timelines, with limited grounds for refusal that must be explained.

Related: Personal Health Information, Clinical record content
Privacy breach

Any unauthorized collection, use, disclosure, loss, or access of personal health information, which may trigger notification duties to affected individuals and to the relevant regulator.

Related: Personal Health Information, Minimum necessary disclosure
Informed consent for treatment

The process of discussing a proposed service's nature, expected benefits, material risks, side effects, alternatives, and consequences of declining, then documenting the client's decision.

Related: Informed consent, Capacity to consent
Assent

A minor's or incapable person's agreement to participate, sought in developmentally appropriate language alongside the legally authorized consent of a guardian or substitute decision-maker.

Related: Capacity to consent, Substitute decision-maker
Competence

Possession of the knowledge, skill, judgment, and character required to perform a professional service safely and effectively within one's declared areas of practice.

Related: Scope of practice, Continuing education
Scope of practice

The range of activities a regulated professional is educated, trained, and legally authorized to perform, bounded by legislation, entry-to-practice standards, and their own demonstrated competence.

Related: Controlled act, Competence
Controlled act

A restricted activity, such as communicating a diagnosis or performing psychotherapy, that only members of specified regulated professions may perform or supervise under provincial health professions legislation.

Related: Scope of practice, Delegation
Delegation

The transfer of authority to perform a controlled act to another person who is competent to do so, arranged according to legal requirements and with the delegator remaining accountable for the decision.

Related: Controlled act, Supervision
Supervision

Oversight of a supervisee's practice by a qualified professional who monitors quality, provides feedback, reviews records, and holds defined responsibility for the services delivered.

Related: Delegation, Consultation
Consultation

Seeking input from another professional with relevant expertise when a case exceeds one's own competence, while retaining responsibility for the client and obtaining consent for sharing information.

Related: Competence, Referral
Referral

Directing a client to another provider when the needed service lies outside one's competence, scope, or availability, with appropriate information transfer and follow-up on the transition.

Related: Consultation, Scope of practice
Continuing education

Ongoing learning activities, including formal courses, workshops, peer consultation, and self-directed study, used to maintain and enhance competence throughout a career.

Related: Competence, Reflective practice
Reflective practice

Deliberate examination of one's own clinical work, assumptions, emotional reactions, and outcomes, often recorded in a learning plan, to identify strengths and areas needing improvement.

Related: Continuing education, Competence
Multiple relationship

A situation in which a professional holds a second role with a client or someone closely associated with them, such as friend, employer, teacher, or family member, creating potential conflict.

Related: Conflict of interest, Boundary crossing
Boundary crossing

A departure from customary professional practice, such as a small gift or extended session, that may be harmless or may precede harm depending on context, intent, and effect on the client.

Related: Boundary violation, Multiple relationship
Boundary violation

A harmful breach of the professional relationship's limits, such as sexual contact, exploitation, or therapy for a friend, that serves the professional's needs rather than the client's.

Related: Boundary crossing, Sexual misconduct
Sexual misconduct

Any sexual behaviour toward or with a client, including remarks and touching, which is always prohibited regardless of consent and typically triggers mandatory reporting and permanent practice restrictions.

Related: Boundary violation, Mandatory reporting
Conflict of interest

A circumstance where a professional's personal, financial, or other interest could improperly influence their judgment or actions toward a client, requiring disclosure and management or avoidance.

Related: Multiple relationship, Fee setting
Fee setting

Establishing charges for professional services in advance, communicating them clearly, and avoiding arrangements such as bartering or contingent fees that create exploitation or conflicts.

Related: Conflict of interest, Advertising
Advertising

Public communication about services that must be accurate, verifiable, and not misleading, avoiding testimonials, comparative superiority claims, or guarantees of outcomes.

Related: Fee setting, Professional representation
Professional representation

How a member describes their credentials, title, and services to the public, which must be truthful and must not imply official endorsement, specialization without authority, or superior results.

Related: Advertising, Scope of practice
Standardized test use

Selecting, administering, scoring, and interpreting psychological tests only within one's training, using current norms, valid administration procedures, and appropriate qualifications for the instrument.

Related: Test validity, Diagnosis
Test validity

The degree to which a test measures what it claims for a given purpose and population, which must be considered alongside reliability, norms, and cultural appropriateness before use.

Related: Standardized test use, Informed consent for assessment
Informed consent for assessment

Explaining to an assessee, before testing, the purpose, procedures, fees, who will see results, limits of confidentiality, and feedback arrangements, then securing agreement.

Related: Standardized test use, Test validity
Diagnosis

A professional determination that a set of symptoms meets defined criteria, communicated only within authorized scope using adequate assessment evidence and documented reasoning.

Related: Standardized test use, Controlled act
Complaint

A written allegation that a member has violated standards or legislation, which the regulator screens, investigates, and may resolve through resolution, referral to a hearing, or dismissal.

Related: Discipline hearing, Professional misconduct
Professional misconduct

Behaviour falling below accepted standards, defined in regulation and including incompetence, dishonesty, boundary violations, failure to cooperate with the regulator, and practising while impaired.

Related: Complaint, Discipline hearing
Discipline hearing

A formal adversarial proceeding before a panel that decides whether allegations are proven and, if so, imposes penalties such as suspension, conditions, fines, or revocation.

Related: Complaint, Professional misconduct
Mandatory self-reporting

A member's duty to inform the regulator of specified events, such as a criminal charge, malpractice judgment, or incapacity, often within a set number of days.

Related: Professional misconduct, Complaint