Our Policies and Procedures
We understand there are circumstances that require you to miss or cancel your appointments here @CCP. We require 48 hours notice or more for any appointment cancellations. Any cancellations made without proper notice will be subject to the full appointment fee.
When an appointment is cancelled without enough notice it impacts 3 people (at minimum)
1.The person cancelling the appointment, who may not be able to re-schedule.
2.Your therapist who was planning to see you.
3.The person who could have potentially been booked in your spot
Many of us who work @CCP have specific hours in which we see clients. Those spots are reserved for you and only you. Taking on a client and filling that spot requires more than simply calling the next person. Due to the sensitive nature of this work and the time required to prepare for services, our cancellation policy is enforced.
At CCP we have therapists and clinicians working both in-person and online providing services. It has always been important for us to maintain a friendly and safe environment. To help maintain this, we don't have you check out and pay for your session as you're leaving or as you arrive. This work is not always easy and having to stand and process payments is not always a comfortable experience.
That being said, it's expected that you pay for your appointment at the time of service. You will have already arranged the preferred method of payment with your therapist and the understanding is that you will pay for your appointment on the day and time of your scheduled appointment.
This allows you and your therapist to maintain the integrity of your relationship and keep the focus on your work.
Boundaries and Communication:
We may not always be able to answer every email or client inquiry within 24 hours. Each therapist has their own office hours and will attempt to respond to your email request within 48-72 business hours. Please remember that email is not a substitute for therapy and any clinical inquiries should be handled in session.
In general, all communications between the Clinician (Psychotherapist, Dietitian, Facilitator etc) and the client is considered confidential, and is not released to third parties, unless written consent is provided by the participant (or guardian for those participants under the age of 16). This includes parents, spouses and other family members of the client in our care. Youth aged 12 and older have the right to seek counselling which is confidential from others, including parents and guardians. Counsellors reserve the right to discuss a client’s case with his/her supervisor, and in some cases may consult with another colleague.
From CRPO: Informed consent is an important legal concept in health care and is set out in the Health Care Consent Act, 1996. In general, practitioners are required to obtain informed consent for any intervention of a therapeutic, diagnostic, preventive, palliative or other health-related purpose. Practitioners must ensure that clients receive relevant information, including information about possible risks or adverse effects and other treatment options, in order for consent to be considered informed.
Informed consent is required for all assessments and any therapy provided by a member. The principles of informed consent should be followed even when the intervention is not technically a “treatment” as defined in the Health Care Consent Act, 1996. Members should apply the principles of informed consent, therefore, to anything done for a therapeutic, preventive, palliative, diagnostic or other health-related purpose. Only in emergency situations may therapeutic interventions be undertaken without consent, e.g. when a client is suicidal.
Accuracy and specificity
The client must have received sufficient information to understand the nature of the therapy and potential risks and benefits, as well as information about other available therapeutic options and the implications of not proceeding with therapy. Information provided to clients must not misrepresent potential benefits or raise unrealistic expectations. If therapy is expected to probe troubling experiences or to cause emotional distress, this should be explained to the client and noted in the client record. If and when a therapist intends to alter his/her approach to therapy, or to use specific techniques, e.g. hypnotherapy or EMDR (eye movement desensitization and reprocessing), the technique should be explained in some detail, and noted in the clinical record. In such cases, it may be prudent to obtain written consent.
To be valid, a client’s consent must:
be specific, i.e. based on specific relevant information, not vague generalities, and
not involve misrepresentation or fraud.
Health care professionals often use standardized forms to obtain written consent from clients. Members should understand that a signature on a form does not necessarily constitute informed consent. The elements of informed consent (see above) are usually obtained through discussion between the member and the client. Only following discussion can the client provide informed consent. The signature of the client is only partial evidence that s/he has provided informed consent.
Normally, psychotherapy is not a one-time intervention, but continues over a period of time or may be intermittent. Similarly, informed consent is not simply obtained at one point in time and never thought of again. Ongoing consent is implied by the continuing attendance of a client at therapy sessions. However, any change in the therapeutic approach or the techniques employed should be documented in the client record, along with a note about the client’s implied or verbal consent.
Consent may be written, verbal or implied. Generally, in the context of psychotherapy, consent is implied by the very attendance of a client at a therapy session. Attendance must be willing and voluntary, and the client should be informed about the process of therapy and the type of therapy or therapeutic approach normally employed by the therapist. In many instances, engaging in a dialogue with the therapist and discussing personal experiences and issues, will amount to implied consent for therapy.
Age of consent
There is no minimum age for consent. Clients under 18 years of age can, if they are capable of understanding and appreciating the consequences of their decision, give consent. For minors, consent must be considered on a caseby-case basis in light of the young person’s capacity and applicable laws.*
As a general principle, informed consent requires that a client be capable of providing such consent. This means that the client must be cognitively capable, i.e. able to understand the information provided, and appreciate the consequences of his/her decision.
Generally, a therapist may assume that a client is capable, and is not required to conduct a capacity assessment unless there are reasonable grounds to believe the client may not be capable. The therapist assesses the capability of the client by discussing the proposed therapy or therapeutic process with the client. The purpose is to see whether s/he understands the information, and appreciates any possible risks or consequences, including the implications of not proceeding with therapy.
It is important to understand that a client may be incapable with respect to certain issues and capable with respect to others (e.g. a client may be capable of discussing personal matters but incapable of managing their finances). When a client is found to be incapable, the therapist must identify a substitute decision-maker who can provide informed consent on behalf of the client. The substitute must be at least 16 years of age (unless s/he is the parent of a child), and must be a capable person who is willing and able to act. The substitute decision-maker is usually a spouse, parent, friend, or other relative. Potential substitutes are ranked in law, (see below for the ranking of substitutes). Normally, the person ranked highest is asked to serve as substitute decision-maker, if able and willing.
Withdrawal of consent
A client may withdraw consent at any time. Withdrawal of consent should be documented in the client record, and should include the reason for the change.