Ontario Psych JEE key terms
Ontario Psych JEE · Get comfortable with the vocabulary.
- Informed consent
- Related: Capacity to consent, Informed consent for treatment
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.
- Capacity to consent
- Related: Informed consent, Substitute decision-maker
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.
- Substitute decision-maker
- Related: Capacity to consent, Health Information Custodian
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.
- Limits of confidentiality
- Related: Duty to protect, Mandatory reporting
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.
- Duty to protect
- Related: Limits of confidentiality, Mandatory reporting
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.
- Mandatory reporting
- Related: Duty to protect, Limits of confidentiality
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.
- Personal Health Information
- Related: Health Information Custodian, Lockbox
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.
- Health Information Custodian
- Related: Personal Health Information, Lockbox
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.
- Lockbox
- Related: Personal Health Information, Health Information Custodian
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.
- Circle of care
- Related: Personal Health Information, Minimum necessary disclosure
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.
- Minimum necessary disclosure
- Related: Circle of care, Personal Health Information
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.
- Retention period
- Related: Clinical record content, Secure destruction
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.
- Clinical record content
- Related: Retention period, Progress note
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.
- Progress note
- Related: Clinical record content, Secure destruction
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.
- Secure destruction
- Related: Retention period, Clinical record content
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.
- Access request
- Related: Personal Health Information, Clinical record content
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.
- Privacy breach
- Related: Personal Health Information, Minimum necessary disclosure
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.
- Informed consent for treatment
- Related: Informed consent, Capacity to consent
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.
- Assent
- Related: Capacity to consent, Substitute decision-maker
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.
- Competence
- Related: Scope of practice, Continuing education
Possession of the knowledge, skill, judgment, and character required to perform a professional service safely and effectively within one's declared areas of practice.
- Scope of practice
- Related: Controlled act, Competence
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.
- Controlled act
- Related: Scope of practice, Delegation
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.
- Delegation
- Related: Controlled act, Supervision
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.
- Supervision
- Related: Delegation, Consultation
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.
- Consultation
- Related: Competence, Referral
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.
- Referral
- Related: Consultation, Scope of practice
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.
- Continuing education
- Related: Competence, Reflective practice
Ongoing learning activities, including formal courses, workshops, peer consultation, and self-directed study, used to maintain and enhance competence throughout a career.
- Reflective practice
- Related: Continuing education, Competence
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.
- Multiple relationship
- Related: Conflict of interest, Boundary crossing
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.
- Boundary crossing
- Related: Boundary violation, Multiple relationship
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.
- Boundary violation
- Related: Boundary crossing, Sexual misconduct
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.
- Sexual misconduct
- Related: Boundary violation, Mandatory reporting
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.
- Conflict of interest
- Related: Multiple relationship, Fee setting
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.
- Fee setting
- Related: Conflict of interest, Advertising
Establishing charges for professional services in advance, communicating them clearly, and avoiding arrangements such as bartering or contingent fees that create exploitation or conflicts.
- Advertising
- Related: Fee setting, Professional representation
Public communication about services that must be accurate, verifiable, and not misleading, avoiding testimonials, comparative superiority claims, or guarantees of outcomes.
- Professional representation
- Related: Advertising, Scope of practice
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.
- Standardized test use
- Related: Test validity, Diagnosis
Selecting, administering, scoring, and interpreting psychological tests only within one's training, using current norms, valid administration procedures, and appropriate qualifications for the instrument.
- Test validity
- Related: Standardized test use, Informed consent for assessment
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.
- Informed consent for assessment
- Related: Standardized test use, Test validity
Explaining to an assessee, before testing, the purpose, procedures, fees, who will see results, limits of confidentiality, and feedback arrangements, then securing agreement.
- Diagnosis
- Related: Standardized test use, Controlled act
A professional determination that a set of symptoms meets defined criteria, communicated only within authorized scope using adequate assessment evidence and documented reasoning.
- Complaint
- Related: Discipline hearing, Professional misconduct
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.
- Professional misconduct
- Related: Complaint, Discipline hearing
Behaviour falling below accepted standards, defined in regulation and including incompetence, dishonesty, boundary violations, failure to cooperate with the regulator, and practising while impaired.
- Discipline hearing
- Related: Complaint, Professional misconduct
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.
- Mandatory self-reporting
- Related: Professional misconduct, Complaint
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.