Direct Client Care

Regulations

The registration Regulation made under the Massage Therapy Act, 1991 states the following requirements for renewal of a General Certificate of registration:

7, (1) 2. The member shall practise the profession only if,

i. the member has provided at least 500 hours of direct client care within the scope of practice of the profession in previous three years, or
ii. the member has, within the previous fifteen months, successfully completed a refresher course approved by the College.

This requirement specifies that the direct client care must be performed within the scope of practice of the profession.

Scope Statement

Section 3. of the Massage Therapy Act, 1991 states:

“The practice of massage therapy is the assessment of the soft tissue and joints of the body and the treatment and prevention of physical dysfunction and pain of the soft tissues and joints by manipulation to develop, maintain, rehabilitate or augment physical function, or relieve pain.”

Policy

Direct client care is defined as professional activities on behalf of a client or supervision of direct client care.

Each of these activities must be within the scope of practice of massage therapy and must contribute to maintaining competence in massage therapy assessment and treatment. When determining whether a specific activity constitutes direct client care members must consider whether the activity maintains the knowledge and skills required to perform treatments and assessments within a massage therapy practice.

Professional activities include:

    • Assessment of the soft tissue and joints;
    • Recommending, developing, or implementing a treatment plan based on the assessment of the client’s needs;
    • Treatment of the soft tissue and joints;
    • Engaging in research in massage therapy that involves the assessment or treatment of clients with soft tissue or joint disorders where the member is directly engaged with the client. 

Supervision of direct client care includes:

  • Overseeing and evaluating massage therapists or massage therapy students (e.g. conducting performance evaluations or case reviews, assessing treatment plans, and recording and monitoring adherence to the scope of practice as defined by the Code of Ethics, the Standards of Practice and the regulations).
  • Supervising research in massage therapy that involves the assessment or treatment of clients requiring massage therapy services where the member is directly engaged with the client. 

Approved: September 20, 2004
 Amended: September 9, 2005