SECRETS TO PASS CMTO PP# 2 --POLICIES AND PROCEDURES AND
FINAL EXAM QUESTIONS AND ANSWERS
What is a policy statement? - documents that articulate the councils opinions on specific issues
relating to the practice of massage therapy.
what happens to Members who violate the college policy - may be deemed to have violated
regulation and therefore to have committed professional misconduct.
What is a position statement - the collective opinion of the College's Council relating to
practice issues, which may not be covered by a regulation or policy.
Why did the College create policies and procedures statements and guidelines? - They have
been developed to protect the safety of the Ontario public.
what are guidelines - provide a more detailed description of the way in which a policy or
position is translated into practice. They are intended to provide additional guidance to
registrants
What is the College's policy on advertising for massage therapy? - MUST identify the Massage
Therapist who is chiefly responsible for the practice and note that they are a member of the
College of Massage Therapists of Ontario.
What should an advertisement contain? - General information about the practice, such as its
location, accessibility, hours of operation, address and telephone number;
Identification of the educational qualifications of the staff; and
Information on the types of services available at the facility
WHAT MUST NOT BE ON ADVERTISING FOR MASSAGE THERAPY - A testimonial
by a client or former client or by a friend or relative of a client or former client;
Claims or guarantees about treatment that cannot be verified;
An endorsement of a product or line of products;
Anything that is false or misleading;
Any sexual innuendo or language of a sexual nature;
Any statements that discriminate on the basis of a protected status under human rights
legislation; and
Any wording that would imply that staffs of the facility are members of the College when they
are not
What is the CMTO's policy on ancillary and or related activities? - legislation requires "that
the corporation does not carry on, and does not plan to carry on, any business that is not the
practice of the profession governed by the College or activities related to or ancillary to the
practice of that profession"
What are some examples of ancillary and related activities that massage therapists may engage
in? - Selling massage-related supplies for home use;
Teaching massage-related courses;
Publication or selling of books or videos related to massage;
,The temporary investment of surplus funds earned by the corporation.
Massage-related is to be interpreted as meaning not within the scope of practice of Massage
Therapists but having a direct relationship to the practice of Massage Therapy.
why do we have guidelines for massage therapist after they are registered with the college? - to
follow policies; such as scope of practice and code of conduct.
What is a complementary modality for a massage therapist? - There are a number of modalities
that can be integrated into a treatment plan by a Massage Therapist, and may even be accepted
and taught in recognized massage educational institutions, that, if used exclusively in and of
themselves, would not fall within the generally accepted practice of the profession.
What is the CMTO's policy to RMT's that provide complementary modalities? - Therapists
ought to be given a reasonable and responsible latitude with respect to the use of
complementary modalities, recognizing that they are accountable to ensure that the modality is
integrated into a treatment plan that largely consists of modalities in scope
Please list all complementary modalities recognized by the College - Alexander Technique
Aromatherapy
Feldenkrais
Electrical therapy techniques including: a. IFC b. TENS c. Therapeutic Ultrasound d. Pulsed
High Frequency e. Low Intensity Laser Therapy
Guided Imagery
Inhalation Therapy
Kinesiology
Meditation
Pilates
Reiki - first degree reiki only (involves touching the client; second degree reiki is delivered at a
distance and is outside the scope of practice for Massage Therapists)
Therapeutic Touch
Touch for Health
Trager
Yoga
What is the CMTO's policy on consent? - Massage therapists are expected to obtain consent
from clients prior to commencing any treatment. Individuals are assumed to be capable to
provide consent, unless they demonstrate otherwise to the practitioner. There is no specific age
that determines when an individual is deemed capable. This determination will depend on the
individual's ability to understand the situation and the treatment proposed.
Clients may withdraw consent to a treatment at any time, and this must immediately be
respected by the Massage Therapist
HCCA - HEALTH CARE CONSENT ACT
What does the HCCA set out to do - what constitutes the elements required for consent to
treatment; in what situations it is required;
, how to determine the client's capacity to provide it; and what to do if the client is incapable.
The HCCA states that consent must: - relate to the treatment being proposed;
be informed;
be voluntary;
and must not be obtained through misrepresentation or fraud.
The Massage Therapist, when explaining the proposed treatment to a client, must explain: -
the nature of the treatment;
the expected benefits of the treatment;
the material risks and side effects of the treatment proposed and any of the alternative options;
and
the likely consequences of not having the treatment.
What does the HCCA define as treatment? - anything done for a therapeutic, preventive,
palliative, diagnostic, cosmetic or other health related purpose including a course of treatment
or plan of treatment. A practitioner can only administer treatment without consent in
emergency situations.
What is the determination of capacity? - A capable person is considered to be someone who is
able to understand the information being provided about the treatment being proposed, and is
able to appreciate the consequences of having the treatment or not.
What situation should a massage therapist consider to be questionable when determining
capacity? - Situations where capacity might be questioned include: evidence of confused or
delusional thinking, alcohol or drug impairment, the client's inability to make a clear treatment
choice, or a lack of ability to communicate.
What are the guidelines for the provision of information to incapable clients? - The Massage
Therapist must tell the incapable client that a substitute decision maker will assist the client in
understanding the proposed treatment and inform that person of the reason for the use of the
substitute decision maker. If the client disagrees with the finding of incapacity, they must be
informed of their right to go to the Consent and Capacity review board to have the decision
overturne
What are substitute decision makers? - are individuals who make treatment decisions for
individuals who are not capable of making them independently. In most cases, the individual
will be a family member. The SDM is expected to act in the client's best interests and to make
decisions that are consistent with the client's last known wishes.
What does the HCCA set out as the hierarchy of substitute decision makers? - *an official
guardian appointed by the courts;
*an attorney for personal care;
*a representative appointed by the Consent and Capacity Review Board to act for the client;
*a spouse, partner or relative in the following order:
- spouse or partner;
- child if 16 years or older or the custodial parent;
- parent who has only a right of access; - brother or sister; or
FINAL EXAM QUESTIONS AND ANSWERS
What is a policy statement? - documents that articulate the councils opinions on specific issues
relating to the practice of massage therapy.
what happens to Members who violate the college policy - may be deemed to have violated
regulation and therefore to have committed professional misconduct.
What is a position statement - the collective opinion of the College's Council relating to
practice issues, which may not be covered by a regulation or policy.
Why did the College create policies and procedures statements and guidelines? - They have
been developed to protect the safety of the Ontario public.
what are guidelines - provide a more detailed description of the way in which a policy or
position is translated into practice. They are intended to provide additional guidance to
registrants
What is the College's policy on advertising for massage therapy? - MUST identify the Massage
Therapist who is chiefly responsible for the practice and note that they are a member of the
College of Massage Therapists of Ontario.
What should an advertisement contain? - General information about the practice, such as its
location, accessibility, hours of operation, address and telephone number;
Identification of the educational qualifications of the staff; and
Information on the types of services available at the facility
WHAT MUST NOT BE ON ADVERTISING FOR MASSAGE THERAPY - A testimonial
by a client or former client or by a friend or relative of a client or former client;
Claims or guarantees about treatment that cannot be verified;
An endorsement of a product or line of products;
Anything that is false or misleading;
Any sexual innuendo or language of a sexual nature;
Any statements that discriminate on the basis of a protected status under human rights
legislation; and
Any wording that would imply that staffs of the facility are members of the College when they
are not
What is the CMTO's policy on ancillary and or related activities? - legislation requires "that
the corporation does not carry on, and does not plan to carry on, any business that is not the
practice of the profession governed by the College or activities related to or ancillary to the
practice of that profession"
What are some examples of ancillary and related activities that massage therapists may engage
in? - Selling massage-related supplies for home use;
Teaching massage-related courses;
Publication or selling of books or videos related to massage;
,The temporary investment of surplus funds earned by the corporation.
Massage-related is to be interpreted as meaning not within the scope of practice of Massage
Therapists but having a direct relationship to the practice of Massage Therapy.
why do we have guidelines for massage therapist after they are registered with the college? - to
follow policies; such as scope of practice and code of conduct.
What is a complementary modality for a massage therapist? - There are a number of modalities
that can be integrated into a treatment plan by a Massage Therapist, and may even be accepted
and taught in recognized massage educational institutions, that, if used exclusively in and of
themselves, would not fall within the generally accepted practice of the profession.
What is the CMTO's policy to RMT's that provide complementary modalities? - Therapists
ought to be given a reasonable and responsible latitude with respect to the use of
complementary modalities, recognizing that they are accountable to ensure that the modality is
integrated into a treatment plan that largely consists of modalities in scope
Please list all complementary modalities recognized by the College - Alexander Technique
Aromatherapy
Feldenkrais
Electrical therapy techniques including: a. IFC b. TENS c. Therapeutic Ultrasound d. Pulsed
High Frequency e. Low Intensity Laser Therapy
Guided Imagery
Inhalation Therapy
Kinesiology
Meditation
Pilates
Reiki - first degree reiki only (involves touching the client; second degree reiki is delivered at a
distance and is outside the scope of practice for Massage Therapists)
Therapeutic Touch
Touch for Health
Trager
Yoga
What is the CMTO's policy on consent? - Massage therapists are expected to obtain consent
from clients prior to commencing any treatment. Individuals are assumed to be capable to
provide consent, unless they demonstrate otherwise to the practitioner. There is no specific age
that determines when an individual is deemed capable. This determination will depend on the
individual's ability to understand the situation and the treatment proposed.
Clients may withdraw consent to a treatment at any time, and this must immediately be
respected by the Massage Therapist
HCCA - HEALTH CARE CONSENT ACT
What does the HCCA set out to do - what constitutes the elements required for consent to
treatment; in what situations it is required;
, how to determine the client's capacity to provide it; and what to do if the client is incapable.
The HCCA states that consent must: - relate to the treatment being proposed;
be informed;
be voluntary;
and must not be obtained through misrepresentation or fraud.
The Massage Therapist, when explaining the proposed treatment to a client, must explain: -
the nature of the treatment;
the expected benefits of the treatment;
the material risks and side effects of the treatment proposed and any of the alternative options;
and
the likely consequences of not having the treatment.
What does the HCCA define as treatment? - anything done for a therapeutic, preventive,
palliative, diagnostic, cosmetic or other health related purpose including a course of treatment
or plan of treatment. A practitioner can only administer treatment without consent in
emergency situations.
What is the determination of capacity? - A capable person is considered to be someone who is
able to understand the information being provided about the treatment being proposed, and is
able to appreciate the consequences of having the treatment or not.
What situation should a massage therapist consider to be questionable when determining
capacity? - Situations where capacity might be questioned include: evidence of confused or
delusional thinking, alcohol or drug impairment, the client's inability to make a clear treatment
choice, or a lack of ability to communicate.
What are the guidelines for the provision of information to incapable clients? - The Massage
Therapist must tell the incapable client that a substitute decision maker will assist the client in
understanding the proposed treatment and inform that person of the reason for the use of the
substitute decision maker. If the client disagrees with the finding of incapacity, they must be
informed of their right to go to the Consent and Capacity review board to have the decision
overturne
What are substitute decision makers? - are individuals who make treatment decisions for
individuals who are not capable of making them independently. In most cases, the individual
will be a family member. The SDM is expected to act in the client's best interests and to make
decisions that are consistent with the client's last known wishes.
What does the HCCA set out as the hierarchy of substitute decision makers? - *an official
guardian appointed by the courts;
*an attorney for personal care;
*a representative appointed by the Consent and Capacity Review Board to act for the client;
*a spouse, partner or relative in the following order:
- spouse or partner;
- child if 16 years or older or the custodial parent;
- parent who has only a right of access; - brother or sister; or
