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Through our Advocacy Committee, Therapeutic Recreation Ontario advocates on behalf of the profession and its members to government, employers and other professional partners.

Advocacy News






 TRO advocates for wage increase equity in LTC

July 7, 2021 - Therapeutic Recreation Ontario wrote to the Hon. Rod Phillips, Minister of Long-Term Care to express outrage that the pandemic wage bump being made permanent for PSWs has not been extended to Therapeutic Recreation professionals working in care homes too. TRO members are encouraged to write a letter expressing their concerns too. 

TRs recognized by Premier Ford!

Therapeutic Recreation Ontario is thrilled to share a message of thanks and appreciation from Premier Ford to all Therapeutic Recreation professionals in Ontario! You’ve worked hard remaining committed to your patients/residents/clients this past year. 
We hope you can feel proud knowing that your passion and commitment to your practice is recognized.

TRO meets with Minister of Colleges and Universities

APRIL 26, 2021 –  Prompted by articles in two local newspapers, Heidi Slotegraaf, R/TRO, manager of programs and support services at the Ontario Finnish Resthome Association (OFRA) and Rozalyn Werner-Arcé, TRO executive director, sought a meeting with Ross Romano, MPP for Sault Ste Marie and Minister of Colleges and Universities, to discuss TRO’s concerns about the lack of recognition of Therapeutic Recreation (TR) in long term care.

Minister Romano agreed to share our concerns with Dr. Merrillee Fullerton, Minister of Long-Term Care. Given his portfolio, Minister Romano was also interested in learning about the education of Therapeutic Recreation professionals, particularly as the provincial government pursues a micro-credentialing strategy to help individuals upskill and employers develop the workforce they need.

We provided information on the 12 post-secondary Recreation Therapy programs in Ontario and emphasized the specialized skills required to be a qualified Therapeutic Recreation professional.

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TRO submits proposal to Ministry of Long-Term Care   

MARCH 19, 2021  –  As a follow-up to TRO’s meeting earlier this month with the Director of Stakeholder Relations for the Ministry of Long-Term Care, TRO has submitted a proposal to the Ministry which outlines concrete, cost-effective recommendations that demonstrate how TR professionals help improve the quality of life of residents, family members and staff at Ontario’s long term care homes.

To support the provincial government in its efforts to transform the Long-Term Care system, TRO’s proposal recommends: 

  • Strengthening staffing qualifications 
  • Improving the TR staff-to-resident ratio
  • Recognition of the essential value of TR for the overall well-being and quality of life of residents, team members/staff, and family members
  • Documentation that reflects the impact of Therapeutic Recreation

TRO looks forward to future discussion of the proposal with the Ministry. 


TRO welcomes meeting with Ministry of Long-Term Care (LTC)

MARCH 12, 2021 – TRO had the opportunity to meet with Mason Saunders, Director of Stakeholder Relations for Ministry of Long-Term Care, to discuss the role of Therapeutic Recreation professionals in LTC, the role of TR staff during the pandemic, and the specialized skills and training required to ensure residents experience quality of life while living in LTC.

Katherine Plested, R/TRO, TRO President, Shannon McCallum, R/TRO, President-Elect and, Rozalyn Werner-Arcé, Executive Director, seized the opportunity to explain how TRs make the difference between existing in LTC and living a life with meaning and purpose, and once again, emphasized the specialized skills required to assess, develop and implement individual and group programs. We discussed our partnerships with 12 post-secondary institutions to standardize curriculum and align it with the TR Standards of Practice and that these schools are a pipeline to a large, skilled talent pool. Finally, we strived to differentiate the difference between the roles and expertise between Resident Support Assistants and Therapeutic Recreation professionals.

As we positioned TRO as a collaborative solution-seeker, we were invited to submit a proposal outlining our recommendations that will effectively save government money and improve the quality of life experience of residents. In drafting the response, we will reference our recommendations in our submission to the LTC Commission and TRO’s LTC infographic.  

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LTC Commission invites TRO to speak to recommendations

MARCH 12, 2021 – The invitation arrived in TRO’s Executive Director’s inbox the afternoon of Thursday, March 11 and 24 hours later, Rozalyn Werner-Arcé and Leanne Hughes, R/TRO, Chair of TRO’s Long-Term Care Task Force were meeting with LTC Commission team members, Dawn Palin Rokosh, director of operations and Lynn Mahoney, counsel to the commission. We were invited to speak to TRO’s submission and provide any additional comments. Before we launched into our presentation, Ms. Mahoney stated that TRO’s submission was one of the best they received. (TRO proved that the old adage is true, a picture is worth a 1000 words!) She also stated that they had heard about the importance of recreation and quality of life when meeting with residents and other groups and they were pleased to have the opportunity to meet with TRO.

After highlighting the role of TR and speaking to the loneliness and isolation residents have experienced during COVID, we provided further explanation of our three recommendations:

  • Improve the staff to resident ratio
  • Recognition of the essential value of TR for the overall well-being and quality of life of residents, team members and family members
  • Increase funding to recreation
  • Protected envelope of funding
  • Improve consistency of care: Full-time permanent positions, and enhanced wages
  • Strengthen current LTC staffing qualifications

During the discussion, we once again took the opportunity to emphasize the skilled talent pipeline graduating from the province’s 12 post-secondary education institutions as well as the need to amend the current legislation regarding qualifications of recreation staff:

Section 67Recreational and Social Activities Qualifications All staff members providing recreational and social activities services at the Home for the first time on or after July 1, 2010 must have a post-secondary diploma or degree in recreation and leisure studies, therapeutic recreation, kinesiology or other related field from a community college or university, or be enrolled in a community college or university diploma or degree program in such a field. The Home must cease to employ a staff member who is hired to provide these services, if the person ceases to be enrolled in the program, or fails to successfully complete the program within three years of being hired.

A Therapeutic Recreation professional would never be hired to be a kinesiologist, why is the reverse acceptable? We believe that a qualified Recreation Therapist is someone with education in therapeutic recreation and who is Registered with TRO – the designation represents excellence in the profession.

TRO appreciated the opportunity to meet with representatives of the Commission and looks forward to reading the final report.  

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Ontario LTC residents deprived of programs to support their emotional, cognitive and physical well-being

Therapeutic Recreation repeatedly forgotten in Queen’s Park plans to improve staffing at facilities across the province

FEBRUARY 24, 2021 – A year into the pandemic and many Long-Term Care (LTC) residents are living without the necessary therapeutic recreation programs they need to sustain good quality of life. With February being National Recreation Therapy Month, Therapeutic Recreation Ontario is calling on Queen’s Park to prioritize the wellbeing of residents by recognizing the essential, highly specialized and life-enriching work its members provide.

Read TRO's full press release.

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TRO presents at Ontario government's 2021 Budget Consultations

FEBRUARY 5, 2021 – On behalf of its members, Therapeutic Recreation Ontario has once again called upon the Ontario government to recognize the essential value of therapeutic recreation for the overall well-being and quality of life of residents, staff, and family members.

Rozalyn Werner-Arcé, Executive Director, attended a virtual session of the Ministry of Finance’s 2021 Budget Consultations. During her remarks to Finance Minister Peter Bethlenfalvy, Werner-Arcé asked the government to consider improving resident-to-staff ratios and strengthening staffing qualifications for recreation therapists as part of Ontario’s strategy to reform the province’s long term care system and focus on ensuring better quality of life for LTC residents. 

Werner-Arcé made her presentation via videoconference to a panel of four Durham Region MPPs that included Minister Bethlenfalvy, as well as Rod Phillips, Lindsay Park and Lorne Coe.

Read TRO’s full message and written submission to the Ontario Ministry of Finance.

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TRO advocacy continues with Ministry of Seniors and Accessibility

NOVEMBER 30, 2020 –  TRO President, Katherine Plested, R/TRO, TRO member, Bev Farrell, R/TRO, and Rozalyn Werner-Arcé, Executive Director, met with Mark DeMontis, Policy Advisor & Director of Stakeholder Relations to the Minister for Seniors and Accessibility, Mathew Varsava, Director of Communications to the Minister for Seniors and Accessibility, Alexandra Wilson, Policy Analyst in the Policy Programs & Strategic Partnerships department, and Jacqueline Kiwanuka, Senior Policy & Issues Advisor to the Deputy Minister.
The focus of this Ministry is supporting seniors in retirement homes and in the community, as well as accessibility. We were excited to learn that Mr. DeMontis was already familiar with Therapeutic Recreation, and this provided a great jumping off point to the purpose of our meeting with them – to discuss the role of TR in the community. 

As the lead program staff at Third Age Outreach of St. Joseph’s Health Care London, Therapeutic Recreation Specialist Bev Farrell spoke to the goal of her unique program, which is working with community partners to provide education, recreation and leisure for seniors. Currently they are running some of their programs virtually. As seniors get connected to the program, Third Age Outreach is hoping to increase opportunities for seniors to live a life with meaning and purpose safely in the community, to reduce/delay the admissions to LTC, reduce re-admission to hospitals, and reduce the high incidence of suicide among senior males. 

We also discussed the increased need for trained Therapeutic Recreation professionals in retirement homes, as the population that lives in them today has more complex and high needs than even 10 years ago.
The Ministry expressed that it is concerned about rural communities and the lack of access to transportation and services for seniors. They are looking for ways to ensure that this population also has access to services and supports. The Ministry shared funding opportunities with us and strongly encouraged our members to apply to the Inclusive Communities Grant:

Our ask to this Ministry included:

  • We share in the same goal: system improvements. As such TRO wants to be a collaborative, solutions-seeking partner with government in supporting seniors and improving accessibility in the community.
  • Recognition of the value of the essential value of therapeutic recreation for the overall well-being and quality of life of Ontario residents.

Supporting seniors in the community is the future – Recreation Therapists have known this for a while, the pandemic has simply put a spotlight and accelerated the need for action on the issue. We look forward to further discussion with the Ministry of Seniors and Accessibility to explore the role of TR in Active Living Centres and retirement homes, and consider opportunities for partnership in the new year.

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TRO meets with Premier’s Deputy Chief of Staff

NOVEMBER 26, 2020 –  TRO President, Katherine Plested, R/TRO, President-elect, Shannon McCallum, R/TRO and Executive Director, Rozalyn Werner-Arcé met with Carlo Olivieri, Deputy Chief of Staff in the Premier of Ontario’s office to discuss the Therapeutic Recreation in Long Term Care. The meeting was arranged and facilitated by Vince Amadeo, Consultant at Global Public Affairs, a government relations firm hired by TRO to support our advocacy work.
To assist Mr. Olivieri prepare for the meeting, we sent him the Mount Hope Long Term Care Resident Ambassador video and briefing document ahead of time. This allowed more time for discussion about what Recreation Therapy is (and is not) and its value to residents living in LTC. 

We also wanted him to realize the vast scope of the profession, and so we highlighted the areas where Therapeutic Recreation is practiced, including retirement homes, mental health, hospitals, rehabilitation, day programs, community-based programs, etc. Again, we positioned TRO as being a positive solution-seeker that wants to be a collaborative partner and resource to government.
We shared that Recreation Therapists feel like forgotten healthcare heroes. Our members have worked hard during the pandemic and will continue to do whatever is needed to provide the best care and treatment for their residents/clients/patients. The lack of recognition makes them feel less valued than their fellow team members.

Finally, we discussed the future of Therapeutic Recreation and our concern that too many young people are leaving the profession because they cannot find full-time jobs that enable them to build a life on their own.
In wrapping up the meeting, we summarized our asks:

  1. Reduce the resident-to-TR ratio
  2. Increase resources to TR: allocate more money for meaningful programming, acknowledge the essential value of TR to quality of life in LTC, ensure consistency of care by increasing wages and ensuring full-time, stable employment
  3. Strengthen staffing qualifications: changing staffing qualifications so that staff must have a degree, diploma or post-graduate certificate in TR. 

For additional details on our recommendations, you can read the submission by clicking here.

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TRO updates Ontario’s Patient Ombudsman on TR in LTC

NOVEMBER 23, 2020 –  Katherine Plested, R/TRO, President of Therapeutic Recreation Ontario (TRO) and Rozalyn Werner-Arcé, Executive Director, met with Ontario’s Patient Ombudsman Cathy Fooks to discuss the role of Therapeutic Recreation (TR) in Ontario’s Long-Term Care (LTC) homes. 

The Patient Ombudsman office, which is the last resort of complaint resolution for hospitals, home care programs and LTC, has been gathering information about the situation in LTC and now has an investigation underway.
We positioned TRO as being a solution-seeker, and it was in that context that we highlighted the importance of Recreation Therapy in the lives of residents. We explained that the purpose of TR is to bring meaning, joy and purpose to the lives of LTC home residents; that TR is not about keeping people busy or distracted. We shared a video, developed by Resident Ambassadors at Mount Hope Long Term Care, which tells the story of TR from the resident’s perspective. 

In our conversation, we recognized the value of essential visitors, which are now allowed in LTC, while highlighting the huge undertaking of coordinating visiting programs (i.e. Zoom calls, phone visits, window visits), often leaving little or no time for programs (depending on the resources of the home). We discussed that TRs are team players and will do what it takes to ensure the well-being of residents.
Patient Ombudsman Fooks appreciated the opportunity to be educated about Therapeutic Recreation and seemed to understand that once a resident is up, dressed and has had breakfast, that’s when the real value of Therapeutic Recreation was experienced by the resident. We spoke of TRO’s LTC Commission submission and our proposed recommendations to:

  1. Reduce the resident-to-TR ratio
  2. Increase resources to TR: allocate more money for meaningful programming, acknowledge the essential value of TR to quality of life in LTC, ensure consistency of care by increasing wages and ensuring full-time, stable employment
  3. Strengthen staffing qualifications: changing staffing qualifications so that staff must have a degree, diploma or post-graduate certificate in TR. 

For additional details on our recommendations, you can read the submission by clicking here.

Interestingly, Patient Ombudsman Fooks asked about the education of Therapeutic Recreation professionals and seemed to understand when we explained that although legislation allows LTC home administrators to hire anyone who has education in recreation and leisure, therapeutic recreation, or kinesiology, or other related fields, you would never hire a TR to be a kinesiologist; they would never be qualified for the job.
Recognizing the interconnected relationship of residents, families and staff, the Patient Ombudsman, as part of the office’s investigation, will be creating a survey seeking feedback from all three parties. TRO was asked to circulate the survey to its members and encourage them to respond. We urge all TRO members who work in LTC to make sure your voice is heard, so stay tuned for more details.

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TRO LTC Task Force sends submission to Ontario’s LTC Commission

Therapeutic Recreation Ontario: A blueprint to combat
LTC residents’ helplessness, loneliness and boredom

NOVEMBER 16, 2020 – TRO’s Long Term Care Task Force has sent its submission to the Commissioners of Ontario’s Long-Term Care COVID-19 Commission. 

“Therapeutic Recreation Ontario: A blueprint to combat LTC residents’ helplessness, loneliness and boredom,” the document submitted by TRO’s LTC Task Force, outlines the integral role that Therapeutic Recreation plays in ensuring quality of life for residents by offering meaningful experiences. 

The document also provides recommendations to the Commission on how to better incorporate TR professionals into a model of care for LTC residents that is more socially-focused, home-like, and person- and relationship-centred. These include improving resident-to-staff ratios, recognizing TR’s value for the overall well-being of residents, team/staff, and family members, and strengthening staffing qualifications. 

TRO would like to thank the members of the Task Force for their commitment and support, as well as the efforts of Rob Walters, a government relations consultant who volunteered with TRO to help create this submission to the Commission.  

The Commission has a mandate to investigate how and why COVID-19 spread in long-term care homes, what was done to prevent the spread, and the impact of key elements of the existing system on the spread. It has been asked by the Ontario government to submit a final report by April 30, 2021.

TRO LTC Task Force members include: Leanne Hughes, R/TRO (Chair), Sherry Dupuis, Jill Gibson R/TRO, Karen Megson-Dowling R/TRO, Lindsay Webber R/TRO, Connie Redmond R/TRO, and Rozalyn Werner-Arcé.

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TRO appeals to lead commissioner for inclusion of Therapeutic Recreation in LTC reform

SEPTEMBER 18, 2020 – TRO is continuing its efforts to request involvement in the provincial government’s independent commission into Ontario’s Long Term Care system.

“The time for change is now and the inclusion of skilled Therapeutic Recreation professionals as part of the commission process to reform Long Term Care is critical,” said TRO Executive Director Rozalyn Werner-Arcé and Leanne Hughes, R/TRO, Chair of TRO’s LTC Task Force, in a letter to Honourable Justice Frank Marrocco,  Lead Commissioner of Ontario’s Long-Term Care COVID-19 Commission.

Earlier this summer, the Ontario government announced the terms of reference for the LTC Commission. TRO’s Long-Term Care Task Force has been working to develop recommendations and key messages in preparation for the Commission.

TRO LTC Task Force members include: Leanne Hughes, R/TRO (Chair), Sherry Dupuis, Jill Gibson R/TRO, Karen Megson-Dowling R/TRO, Lindsay Webber R/TRO, Connie Redmond R/TRO, and Rozalyn Werner-Arcé.

You can read TRO’s full message to the Lead Commissioner here.

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Update on Ontario's LTC Commission

JULY 31, 2020 –  It’s been a busy couple of days in Long-Term Care (LTC). On Wednesday, July 29, the Ontario government announced the terms of reference for the LTC Commission. TRO’s Long-Term Care Task Force has been working to develop recommendations and key messages in preparation for the Commission. As further news is released about stakeholder participation, we will inform our TRO membership.

Read more: 

TRO LTC Task Force members include: Leanne Hughes (Chair), Sherry Dupuis, Jill Gibson, Karen Megson-Dowling, Lindsay Webber, Connie Redmond and Rozalyn Werner-Arcé.

On Thursday, July 30, the Ministry of Long-Term Care Staffing Study was released.

Although we have not had much of an opportunity to read the details yet, there are comments which reflect that TRO’s remarks to the Staffing Study committee members were heard. A good start down a long road.

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TRO asks to address independent commission into Ontario's LTC system

MAY 29, 2020 – Following the recent announcement that the Ontario government will be launching an independent commission into Ontario's long-term care system this fall, TRO has reached out to the Minister of Long-Term Care to request to be able to address the commission about its concerns and recommendations regarding the TR profession. 

“The scope of the LTC commission must encompass the psycho-social well-being as well as the physical safety of all residents. That is why Therapeutic Recreation Ontario is requesting the opportunity to address the Commission about our concerns and recommendations,” said TRO Executive Director Rozalyn Werner-Arcé in a statement. 

Although all aspects of the legislation need to be reviewed, TRO is looking to address the roles and qualifications of recreation staff in the regulation for “Recreation and Social Activities”. 

“Developing meaningful programming in long-term care requires skilled staff who have relevant education and who have developed the necessary competencies. Today’s complex population requires more individualized, specialized care and service – large groups and special events fill the social needs of only a very few who live in long-term care now.”

You can read TRO’s full message to the Minister of Long-Term Care here.

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TRO’s government advocacy during COVID-19

MAY 12, 2020 – As the only provincial association that represents Therapeutic Recreation professionals in Ontario, TRO has actively advocated for its members during the pandemic. We believe you deserve acknowledgement and public recognition for going above and beyond your regular duties in order to ensure that their your patients/clients/residents receive the treatment and care they need to maintain overall wellness. To date, TRO has written letters to Premier Ford and the Minister of Long-Term Care. We were successful in advocating for TRs working in long-term care to receive pandemic pay. 

Do you feel overlooked and unrecognized? Write your MPP

Many Therapeutic Recreation professionals who work in areas such as hospitals, mental health and addictions, retirement homes, palliative care, corrections, supportive housing and others, are working outside their scope of practice, going above and beyond under extremely difficult circumstances during the COVID-19 pandemic.

They feel overlooked and unrecognized. If this includes you, TRO has drafted a template letter you can use to write to your Member of Provincial Parliament (MPP) to let them know how you feel. This is the time for TRs to raise their voice and advocate for themselves and their profession. 

The template is meant to be used as a guide only. Feel free to modify it to your voice and circumstance. Words written in italics indicate that you should use your own words. For example, patients/clients/residents indicates that you should use the most appropriate word according to your workplace.
To find the name of your MPP, click here to search by postal code.

To find your MPP's contact information, click here.

TRs deserve recognition by the provincial government. Send your letter ASAP. Be sure to let TRO know that you have written your MPP. Send a quick note or copy of your letter to: ed@trontario.org.

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TRO sends follow-up letter urging Ontario government to recognize TR professionals

MAY 1, 2020 – On behalf of its 1,800-plus members, TRO's Executive Director Rozalyn Werner-Arcé wrote a follow-up message to TRO's April 27 letter to Ontario Premier Doug Ford. 

"We have heard loud and clear from our members, Therapeutic Recreation professionals working in hospitals, long-term care, rehabilitation, mental health and addictions, palliative care, day programs and social services, that they are extremely frustrated at the lack of recognition of their profession and their essential contributions as they work alongside their colleagues during this pandemic."

TRO is calling on Premier Ford and the Ontario government to recognize and publicly acknowledge these dedicated and hard-working professionals, members of inter-collaborative healthcare teams. It is imperative that they be acknowledged for their contributions to Ontario’s most vulnerable citizens.

You can read TRO’s follow-up letter to the Premier here.

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TRO responds to Toronto Star columnist’s criticism banning window visits at Ottawa long-term care homes 

Re: A ban on window visits at long-term-care homes? One Ottawa bureaucrat’s monstrous decree adds insult to injury – Rosie DiManno column, April 30, 2020

MAY 1, 2020 – Read TRO's Letter to the Editor here.

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Time to recognize Therapeutic Recreation professionals in LTC

TRO calls for TR professionals to also be eligible for pandemic pay support  

APRIL 27, 2020 – TRO has sent a letter to Ontario Premier Doug Ford criticizing the government’s failure to recognize Therapeutic Recreation professionals in long-term care (LTC) as frontline workers who should also be eligible for the temporary pandemic pay support announced over the weekend. 

“While it is certainly time for all these workers to be recognized for their dedication and commitment to Ontario’s most vulnerable population, it is extremely disappointing that there is no recognition of Therapeutic Recreation professionals in Long-Term Care (LTC). Does their exclusion from the list mean that they are not eligible for pandemic pay? They are neither auxiliary nor attendant workers,” said Rozalyn Werner-Arcé, TRO director. 

While the lack of recognition may be an oversight, Werner-Arcé says the misstep “is another blow to the morale of the recreation staff – the staff who are responsible for uplifting the spirits of LTC residents.”

“We don’t negate the necessity of having nursing, attendant, food service, and cleaning staff in LTC, but we implore the provincial government to not underestimate or overlook the value and contributions of Therapeutic Recreation staff in the lives of this province’s most vulnerable citizens.”

You can read TRO’s full message to the Premier here.

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TRO welcomes emergency order limiting the number of long-term care homes in which staff may work

APRIL 20, 2020 – Therapeutic Recreation Ontario welcomed news of the Ontario government’s recent emergency order limiting the number of homes at which long-term care staff may work.

TRO responded to the announcement with a letter to Hon. Merrilee Fullerton, Minister of Long-Term Care, asking that Therapeutic Recreation professionals also be included in the discussions to address the issues with the LTC sector. 

“As planning for post-COVID-19 gets underway, we urge the provincial government to address the reasons why staff have to work in more than one facility. The chronic underfunding of long-term care has resulted in low wages, limited hours and precarious working conditions for staff in these facilities, including recreation staff,” said Rozalyn Werner-Arcé, TRO Executive Director. 

As a result, many people, particularly young people, are leaving the profession as they cannot find full-time work that pays a living wage. 

TRO welcomes the opportunity to work with the Ministry of Long-Term Care to address the challenges in long-term care and to advance a shared vision of a long-term care system that works for Ontario’s seniors.

You can read TRO’s full message to the Minister of Long-Term Care here.

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OARC-FCO survey highlights

APRIL 14, 2020 – Many thanks to our members for responding to the brief survey of the Ontario Association for Residents Council (OARC) and Family Councils Ontario. Below is a summary of the results:

  • 38 responses

Platforms used to help residents connect with their loved ones:

  • 52% are using FaceTime
  • 20% are using Skype
  • Other platforms include: Zoom, What’s App, Google Duo, phone calls and Facebook Messenger
  • Often times organizations were using more than one platform

Infection Controls Used:

  • Sanitizing wipes. Most prevalent ones listed include Virox, Cavi, Ovid, Lysol.
  • Wipes are used on both sides of the window for window visits with instructions provided to visitors on how to wipe down.

Issues with wifi bandwidth:

  • 35% said yes, 65% said no

Issues with obtaining equipment:

  • 27% said yes, 73% said no
  • Other comments included: employer doesn’t support FaceTime, could use more equipment but making do, it is important to schedule visits so that everyone gets time, multiple IPADS, but only 1 IP address to make calls, and not enough time to help everyone make all the calls.

Additional comments:
There were lots of additional comments, too many to mention. Highlights include:

  • Be aware of privacy issues when using our own device for residents to make calls. Make sure to follow your employer’s protocols.
  • Some activities are being shared through Facebook groups.
  • We may need to do things outside our job description during this time.
  • You wear many non-TR hats to support the needs of residents and the home’s day to day operations. A fair bit of time is support family members that can’t visit.
  • One beneficial thing to come from this epidemic is that our profession can be seen as being just as essential as the other front line staff. Currently I'm working in LTC with 160 beds with only 3 TR staff because the others are off ill.
  • The biggest challenge we are having is scheduling families in. So many families want to FaceTime and we don’t have enough staff!

To summarize, TRs play an important role in LTC creating engaging, meaningful experiences but the ratio of TR professionals to residents, at the best of times, is not ideal in most workplaces. There is now a heightened need for connection between families and residents and it is challenging for some TRs to be able to do this effectively within limited resources. To paraphrase one TR responder, of course the physical health and safety of resident’s is paramount, but it is vital that there is also a focus on their social well-being too.

And here is one final comment that we wholeheartedly agree with:
TRs in LTC are rock stars! Now more than ever!

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TRO addresses MOLTC’s Long-Term Care Staffing Study Advisory Group

MARCH 11, 2020 – Therapeutic Recreation has a meaningful role to play in the lives of long-term care residents. When it comes to hiring individuals to provide quality recreation care, long-term care homes should hire qualified professionals who have completed their education and training in Therapeutic Recreation.

That was the message delivered by Therapeutic Recreation Ontario to members of the Ministry of Long-Term Care’s newly formed Long-Term Care Staffing Study Advisory Group.

TRO was invited to speak before a meeting of the external advisory group, which was launched by the Ontario Ministry of Long-Term Care last month. The role of the advisory group, which is made up of experts, academics, thought leaders and other stakeholders, is to provide strategic advice on staffing in the long-term care sector across the province.

TRO participated alongside representatives from associations for personal support workers, occupational therapists, physiotherapists and pharmacists. 

Rozalyn Werner-Arcé, TRO Executive Director, and Katherine Plested, R/TRO, TRO President-Elect, attended the meeting in Toronto on behalf of TRO members. Their remarks to the advisory group focused on the following key messages:

  • In order to provide quality, resident-focused care, LTC staffing models should be built on foundational principles such as quality care, meaningful engagement, effective communication, and adequate, stable funding.  
  • TRO recommends that the minimum qualification for hiring recreation staff be a diploma, degree or post-graduate certificate in Therapeutic Recreation.
  • TRO has developed a designation, which signifies an applicant has achieved excellence in their profession. It is recognized by employers across all sectors where therapeutic recreation is practiced including mental health, rehabilitation, hospitals, palliative care and more.
  • In order to provide meaningful recreation care to residents, TRO recommends lower recreation staffing ratios so that TR professionals can offer smaller group activities that provide the resident the time to really feel the experience and be engaged.

“Therapeutic Recreation is one of the most misunderstood and least understood health care professions. People think it is about bingo, birthday parties and bible study – not true. It is about bringing joy and meaning and quality of living to the people who live in a long-term care home. It is about using assessments, tools and resources to create meaningful experiences. It’s about being part of an inter-collaborative team that looks at the whole person,” said Katherine Plested.

“We certainly believe that nursing and personal support worker care is important and should be a priority, but once a person is out of bed, fed, dressed and received their medications, then what do they do with the rest of their day? That’s where Therapeutic Recreation plays a meaningful role.”

You can read TRO’s full message to the Long-Term Care Staffing Study Advisory Group here.

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TRO supports passing of Bill 116, sends letter to MoH

JANUARY, 2020 – Last December, Ontario’s Ministry of Health sent out an announcement about the passing of Bill 116, Foundations for Promoting and Protecting Mental Health and Addictions Services Act, 2019. The Act will establish a Mental Health Addictions Centre of Excellence to be the central point of accountability and oversight for mental health and addictions care in Ontario.

TRO responded to the Ministry’s announcement via a letter created by TRO’s Mental Health Working Group, as well as a TRO-produced infographic about TR in mental health settings, in support of the bill’s passing. In the letter, TRO also highlighted the role TR can play in treatment and support, and welcomed the opportunity to contribute to the development of the Mental Health and Addictions Centre of Excellence to support the Ministry of Health in achieving its goals.

Many thanks to TRO board member Jackie Frail, R/TRO, who re-activated our mental health working group to respond to the Ministry’s announcement, and to Sandra Berzaitis-Smith, R/TRO, Rebecca Thompson, R/TRO, Jessica Quattrini, R/TRO, and Lindsey Oretan, R/TRO for their efforts in this initiative.  

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Greater awareness of TR needed in Palliative Care Health Services Delivery Framework  

OCTOBER 29, 2019 – Earlier this year, the Ontario Palliative Care Network launched the Palliative Care Health Services Delivery Framework, which outlines recommendations for a model of care to improve palliative care in Ontario.

The Delivery Framework is a model of care for adults with a life-limiting illness who are living at home or in community settings and their families/caregivers, with the goal of having the palliative care needs of patients, families and caregivers to be met in a timely and effective way, allowing them to experience care at home as long as possible, if that is their choice.

While Recreation Therapists are mentioned in the Palliative Care Health Services Delivery Framework as members of the Extended Services Team, they are not acknowledged in the Ontario Palliative Care Competency Framework (a companion resource to the Delivery Framework).

TRO’s Advocacy Committee has written a response letter to the co-chairs of the Ontario Palliative Care Network (OPCN) Executive Oversight to express our disappointment that Recreation Therapists have not been recognized in this document for their contributions. We believe that Recreation Therapists have an integral role in addressing the psycho-social needs of individuals and their families and should be key members of the Palliative Care Interdisciplinary Team. 

We hope to engage in a dialogue with members of the OPCN about Therapeutic Recreation and its role in hospice and palliative care, and ways that it could be further incorporated into community-based care to support individuals and their families/caregivers. 

If you have any questions or comments about OPCN’s Delivery Framework, or TRO’s response letter to the OPCN, please contact Rozalyn Werner-Arcé, Executive Director. 

Read TRO's response letter to the OPCN here. 

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TRO welcomes new LTC minister 

JULY 23, 2019 – TRO welcomes the appointment of Merrilee Fullerton as Ontario’s new Minister of Long-Term Care.

Fullerton was appointed to the position in June by Ontario Premier Doug Ford. In a letter congratulating her on her new role, TRO President Sue Verrilli, R/TRO, said Fullerton’s leadership “will be vital as your government continues to implement its strategy to add 30,000 new beds through the addition of 15,000 new long-term care beds and the renewal of 15,000 beds.

“The Long-Term Care sector employs a significant number of Recreation Therapists who help residents live their lives with meaning and purpose through recreation and leisure,” added Verrilli. “Whether it is supporting seniors to overcome boredom, loneliness and frustration, or developing strategies to support responsive behaviours, Therapeutic Recreation is integral to the lived experience of seniors within long-term care as it focuses on the strengths and well-being of individuals through a holistic approach.” 

Read TRO’s letter to Minister Fullerton here

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TRO Salary survey analysis now available! 

FEBRUARY 5, 2019 – As many members may recall, TRO conducted a salary survey in 2018 to get a clearer picture of compensation for TR professionals in a variety of settings across the province, and to provide a resource so you can better advocate for yourself and your profession with your employer or union.

Following the preliminary report that was released at the 2018 Annual General Meeting at the TRO Conference, we are pleased to announce that [drum roll please] the TRO 2018 Salary Survey Report is now available! 

This comprehensive, detailed analysis offers a breakdown of salary data by region, work setting, years of experience, and much more. What are the most important factors that determine your level of compensation as a TR professional in Ontario? Is it years of experience? Geographic location? Check out the report to find out! 

TRO sincerely appreciates the exhaustive efforts of the members of the Salary Survey Working Group and the long hours they put into creating this report. They are: Sonia Roul, R/TRO (Chair), Sadie Friesner, R/TRO, Stacy Jowett, R/TRO, Tiina Liinamaa, Deborah Pugh, and Executive Director, Rozalyn Werner-Arcé.

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TRO Presents at Ontario Budget Consultations

JANUARY 16, 2019 – Rozalyn Werner-Arcé, Executive Director, attended the Ontario Ministry of Finance pre-budget consultations to represent the voice of Therapeutic Recreation Ontario members. In the Ministry’s call for participation, eight areas were identified where the government is seeking input. TRO took the opportunity to respond to the following two most relevant issues, aligning as much as possible our messages with their issues:

  • improve the way to deliver government programs or services
  • cut hospital wait times and end hallway healthcare

This first of a series of consultations was held in Pickering. Participants have precisely three minutes to speak. In attendance from the government was the Hon. Vic Fedeli, Minister of Finance and four MPP’s from Durham Region including:

  • Hon. Peter Bethenfalvy, President of the Ontario Treasury Board
  • Hon. Rod Phillips, Minister of Environment, Conservation and Parks
  • Lorne Coe, MPP
  • Lindsey Park, MPP

Features of our presentation include highlighting the cost-effectiveness of Recreation Therapy in both institutional and community-based programs as well as the following three key messages:

  • that government study the role and value of Recreation Therapy in institutional and community-based health care and social service programs.
  • the establishment of hiring standards including consistent education requirements, job titles and compensation for Recreation Therapists regardless of sector.
  • the establishment of a life enrichment protected envelope of funding that supports TR in LTC settings, including reducing the ratio of residents to Recreation Therapists.

You can read TRO’s full message to the Ontario MInistry of Finance here.

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CRPO registrar provides clarification on “Controlled Act” and TR practices

DECEMBER 2018 – In an ongoing effort to provide greater clarity to help TRO members better understand the implications of the controlled act of psychotherapy, TRO’s College of Psychotherapy Working Group has received new insights from the College of Registered Psychotherapists of Ontario (CRPO).

Background: The Psychotherapy Act (2007) was created by the Ontario government as a means to regulate several new health professions in Ontario. As of December 2017, the controlled act of psychotherapy came into force, which means it has become law. The Ontario government’s proclamation of the Controlled Act was accompanied by a two-year transition period, from December 31, 2017 to December 31, 2019. During this time, individuals who provide psychotherapy have the opportunity to become registered with an appropriate health regulatory college if they wish to continue to perform the controlled act of psychotherapy or to change their practice (Rosen Sunshine, 2018).

In 2015, TRO implemented the College of Psychotherapy Working Group (TRO-CPWG) to research, recommend and act on behalf of the TRO membership, in relation to the designated and Controlled Act of psychotherapy. Throughout this process, the group has been working in collaboration with the CRPO Registrar. In June 2016, the TRO-CPWG reviewed and disseminated information on the CRPO document called “Understanding When Psychotherapy is a Controlled Act.”

Recent Updates: In October 2018, the TRO-CPWG received and studied the “Controlled Act Task Group Consultation Documents.” This material has served to clarify some questions, which Therapeutic Recreation professionals identified, regarding CRPO. Specifically, CRPO published a self-assessment tool which the working group also spent time studying. While valuable, these documents still did not clearly address all questions from the membership.

The TRO-CPWG developed further questions regarding Therapeutic Recreation scope of practice within mental health and addictions settings. These questions were sent to CRPO on November 14, 2018. We are pleased to report a response was received December 4, 2018, and that the TRO-CPWG met December 13, 2018 to discuss the reply.

The TRO-CPWG is pleased to share our questions along with the CRPO’s responses in this letter. We are confident the responses bring greater clarity to multiple issues specific to TR scope of practice and psychotherapy.

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TRO Meets with PC Health Critic at Queen’s Park

TRO ED Rozalyn Werner-Arcé and President Leanne Hughes with Jeff Yurek, MPP

APRIL 24, 2018 – TRO President Leanne Hughes, R/TRO, CTRS and Rozalyn Werner-Arcé, Executive Director, met with Jeff Yurek, MPP for Elgin-Middlesex-London and the Health Critic for the Progressive Conservative (PC) party. We shared with him the same presentation that we did with the Senior Policy Advisor to Health Minister Helena Jaczek, France Gélinas, MPP and NDP Health Critic, and John Fraser, MPP and Parliamentary Assistant to the Minister of Health and Long-Term Care. Mr. Yurek asked great questions to better understand what we were asking for, and was supportive of our messages.  He said he would ensure that our information about Therapeutic Recreation would be passed along to whoever formed the next government after June 7, 2018 (the date of the next provincial election).

As a reminder, our key messages are:

  1. Establish a life enrichment protected envelope of funding that supports TR in LTC settings
  2. Increase Therapeutic Recreation (TR) programs delivered by qualified practitioners (LTC and in community)
  3. Establish hiring standards which include consistent education requirements, job titles and appropriate compensation for TRs
  4. Increase the ratio of TR practitioners to residents in Ontario’s Long-Term Care homes (in some homes this can be as high as 1 RT to 150 residents)

How can you get involved?

After receiving our latest Advocacy Alert, TRO past-president, Sue Verrilli, R/TRO wrote to France Gélinas and thanked her for meeting with TRO and reinforced support for the TRO messages.  You can do the same.  As a voting constituent, your voice matters. Here are some key messages you can include in your email:

  • As a Recreation Therapist (at name of workplace or in name of community), I would like to thank you for meeting with the representatives from Therapeutic Recreation Ontario (TRO) and for taking the time to learn more about Therapeutic Recreation (TR).
  • I hope, that given the opportunity, you will advocate for Therapeutic Recreation in your constituency and at the provincial level.
  • I am particularly concerned about the hiring stands being utilized for Recreation Therapists and the ratios of TRs to residents. As well, consideration needs to be given to having a protected envelope of funding that supports TR in LTC. Also, with the changes that have occurred with Home and Community Care, I hope consideration will be given to bringing in TRs as one of the allied health that people will have access to in this program.
  • Once a person is up and dressed, then what do they do with their day?  That’s where TR plays a meaningful role when delivered by qualified practitioners.
  • Thank you. (sign your name)

Here is the contact and riding information for the MPPs:

Hon. Helena Jaczek, MPP for Oak Ridges-Markham and Minister of Health and Long-Term Care

Jeff Yurek, MPP for Elgin-Middlesex-London and PC Health Critic

France Gélinas, MPP for Nickelbelt and NDP Health Critic

John Fraser, MPP for Ottawa South and Parliamentary Assistant to the Minister of Health and Long Term Care

Be sure to forward a copy of your letter to us at ed@trontario.org

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TRO Meets with France Gélinas, Member of Provincial Parliament (MPP) and NDP Health Critic

Board director Jackie Frail, R/TRO with France Gelinas, MPPAPRIL 18, 2018 – TRO board director Jackie Frail, R/TRO and executive director, Rozalyn Werner-Arcé met with France Gélinas, MPP for the Nickel Belt riding and NDP Health Critic on Wednesday, April 18, 2018.  They took the opportunity to discuss the role of recreation therapy and its value in long-term care. Having worked in healthcare as a physiotherapist, Ms. Gélinas has experience working with Recreation Therapy (RT) professionals in Complex Continuing Care. It was clear from our conversation that she understands the role and value of Therapeutic Recreation (TR), particularly when it comes to people who have experienced a sudden change in their health and well-being.  By taking the opportunity to talk about TR in LTC, TRO was able to educate Ms. Gélinas about the need for hiring standards as well as the need for a consistent and reasonable ratio of TR to residents. She was surprised to learn about ​the fact that seniors living in long-term care are often at greater risk of social isolation and loneliness.

Consistent with our previous statements to government, TRO’s key recommendations to Ms. Gélinas were:

  1. Establish a life enrichment protected envelope of funding that supports TR in LTC settings
  2. Increase Therapeutic Recreation (TR) programs delivered by qualified practitioners (LTC and in community)
  3. Establish hiring standards which include consistent education requirements, job titles and appropriate compensation for TRs
  4. Increase the ratio of TR practitioners to residents in Ontario’s Long-Term Care homes (in some homes this can be as high as 1 RT to 150 residents)

Additionally, we asked Ms. Gélinas to be a champion for TR and advocate for the practice.

A copy of the discussion presentation can be found here.

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TRO Meets with Ministry of Seniors Affairs and Ministry of Health and Long-Term Care to Discuss the Valued Role of TR

Update on Meeting with Ministry of Seniors Affairs

APRIL 11 and 12, 2018 – TRO President Leanne Hughes, R/TRO, CTRS, Board Director, Jackie Frail, R/TRO and Executive Director, Rozalyn Werner-Arcé met with Daniel Oettl, Senior Policy Advisor to the Minister of Seniors Affairs, Dipika Damerla to discuss the role of TR within the Aging with Confidence: Ontario's Action Plan for Seniors. During the half hour meeting, we took the opportunity to talk about TRO as the provincial association that represents 1700 members, what Recreation Therapy is and is not, as well as why it is important to hire qualified TR professionals. We identified ways that TR can fulfil strategies within the Aging with Confidence document and the benefits to seniors in the community. 

We wrapped up the meeting with the following key recommendations:  

1. Access to Therapeutic Recreation Programs and Supports Delivered by Qualified TR Professionals

Therapeutic Recreation can mean the difference between thriving rather than existing in the community. TR not only improves quality of life and wellness, but also addresses many of the other pressing issues seniors experience such as social isolation and depression. Therapeutic Recreation must be available and easily accessible by seniors through annualized, dedicated funding in Seniors Active Living Centres. The ratio of TR staff to seniors must be kept at a reasonable level to ensure programs are tailored to address individual needs vs. arbitrary programs which lack a person-centred focus.

2. Establish hiring standards which include consistent education requirements, job titles and appropriate compensation for TRs.

A qualified TR professional has graduated with a degree, diploma or post-graduate certificate from a recognized Recreation Therapy post-secondary program. Excellence is demonstrated through the Registered with TRO designation (RTRO, R/TRO DIP).

3. Establish a life enrichment protected envelope of funding that would support TR in LTC settings

Consistent programming delivered by qualified TR professionals will be vital to the physical, mental and emotional health and well-being of seniors as they transition from community to long-term care homes.

Further discussion included Naturally Occurring Retirement Communities (NORCs) and the role that Recreation Therapy could play within those. TRO will reach out to key stakeholders relevant to NORC’s and continue to advocate on behalf of TR and TR professionals.

A copy of the discussion presentation can be found here.

Update on Meetings with Ministry of Health and Long-Term Care (MOHLTC):

On Thursday, April 12, TRO had two meetings with officials within the MOHLTC.  The first meeting that TRO President Leanne Hughes, R/TRO, CTRS, President-Elect, Katherine Plested, R/TRO and Executive Director, Rozalyn Werner-Arcé had was with Ian Chesney, Senior Policy Advisor to the Minister of Health and Long-Term Care, Helena Jaczek.  The second meeting was with Nicole Donaldson, Acting Manager of Programs Unit, Licencing and Policy Branch, Bryan Sarles, Senior Program Consultant and Metoo Mach, Senior Financial Policy Advisor.

The purpose of the meetings were two-fold: to create a better understanding of Therapeutic Recreation (TR) and its valued role in LTC and to discuss how TR can be a resource to government in addressing the issues in LTC. During the hour long meetings, we took the opportunity to talk about TRO as the provincial association that represents 1700 members, what Recreation Therapy is and is not, why it is important to hire qualified TR professionals and the role of TR in LTC as well as providing several examples.  A summary of our points includes the following:

Therapeutic recreation, when delivered by qualified practitioners, enables individuals to achieve quality of life and optimal well-being through authentic and meaningful participation in recreation and leisure across variety of settings. In Long-Term Care, therapeutic recreation is not about diversional therapy, activity for the sake of being busy or a distraction. Therapeutic recreation is about:

  • enhancing quality of life. Through individualized support, residents have meaningful experiences during the day
  • recognition of resident’s strengths through their involvement in leisure.  Leisure provides opportunity for residents to demonstrate strengths otherwise unrecognized by staff and other residents.  By increasing their sense of self-worth, staff and other residents see the individual in a more positive way 
  • maintaining continuity and a sense of purpose through valued activities, as well as opportunities to grow and develop by discovering new abilities and learning new skills and talent
  • developing and nurturing strong relationships critical for quality care and support
  • staff having the skills and ability to address responsive behaviours before they escalate
  • normalizing the sleep/wake cycle as resident is tired from engaging in leisure activities during the day
  • providing non-pharmacological interventions that have positive results without negative side effects

Our recommendations included:

  1. Establish a life enrichment protected envelope of funding that supports TR in LTC settings
  2. Increase Therapeutic Recreation (TR) programs delivered by qualified practitioners (LTC and in community)
  3. Establish hiring standards which include consistent education requirements, job titles and appropriate compensation for TRs
  4. Increase the ratio of TR practitioners to residents in Ontario’s Long-Term Care homes (in some homes this can be as high as 1 RT to 150 residents)

Discussion included the fact that the government is investing $300 million in LTC and opening 5,000 more beds.  Their first priorities are nursing and personal support, followed by other therapies, which is where TR would fit. Going forward, it will be important to demonstrate how TR intersects with behavioural and dementia supports. At the meeting with Nicole Donaldson and her team, there was a greater focus on how TR fits within the Falls Prevention Strategy and palliative care. We welcome input/comment from TRO members who are working within either of these two areas to help demonstrate the role recreation therapy has within them.

A copy of the discussion presentation with Ian Chesney, Senior Policy Advisor to the Minister of Health and Long-Term Care, Helena Jaczek can be found here.

A copy of the discussion presentation with Nicole Donaldson, Acting Manager of Programs Unit, Licencing and Policy Branch, Bryan Sarles, Senior Program Consultant and Metoo Mach, Senior Financial Policy Advisor can be found here.


TRO will continue to seek ways to advocate for the profession of Therapeutic Recreation and on behalf of its members.  With the province’s aging population and the vast majority of seniors who want to age at home and in the community, we are confident that there is a role for TR professionals to help seniors with access to services, transportation, housing options, wellness, social connections and active engagement.

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TRO Participates in Pre-Budget Consultations with Minister of Finance

FEBRUARY 1, 2018 – Upon receiving an invitation from Ontario’s Ministry of Finance to participate, Rozalyn Werner-Arcé, Executive Director represented TRO at the in pre-budget consultations in Oshawa on February 1, 2018. Charles Sousa, Minister of Finance and a local MPP, Joe Dickson were in attendance.

These public consultations are taking place in several communities around the province. Additionally, the Ministry is conducting telephone town hall meetings and welcoming written submissions.  The consultations, no matter what their format, are an opportunity for members of the public including businesses and the non-profit sector, to provide input to the government as they plan the 2018 budget.  Last year, 71,000 people participated in consultations.

All the public consultations are recorded and transcribed and made available to the policy staff at Queen’s Park who cross-reference the presentations to written material they receive.  

Presentations are three minutes long – timed by a stopwatch. Click here to see the attached remarks.  

TRO members are encouraged to participate by sending your comments to the Ministry about the value of Therapeutic Recreation. We request that you support our four calls for action:

  1. The establishment of a life enrichment protected envelope of funding that would support TR in LTC settings
  2. An increase of Therapeutic Recreation (TR) programs delivered by qualified practitioners
  3. An increase in the ratio of TR practitioners to residents in Long-Term Care homes
  4. And the establishment of hiring standards including consistent education requirements, job titles and adequate compensation.

If you have any comments, please feel free to contact Rozalyn Werner-Arcé, Executive Director.

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TRO Meets with Ontario MPP to Discuss TR in LTC

NOVEMBER 29, 2017 – TRO president Leanne Hughes, TRO member Sherry Dupuis, and TRO ED Rozalyn Werner-Arcé met with Member of Provincial Parliament (MPP) John Fraser at Queen’s Park to discuss TR in Long Term Care. TRO requested the meeting in response to the CBC radio show, Ontario Today, upon which Mr. Fraser, who is also Parliamentary Assistant to the Minister of Long-Term Care, was a guest. The topic was long-term care and callers were invited to speak about their concerns. Following the show, TRO requested an opportunity to inform Mr. Fraser about the value and impact of TR in long term care and demonstrate how it can address many of the concerns expressed.   

We were pleasantly surprised to learn that Mr. Fraser was quite familiar with Therapeutic Recreation. This allowed us more time to discuss how TR can make a difference in LTC.  We focused our messaging on the following theme: ‘Surviving versus Thriving in LTC: The Importance of Therapeutic Recreation to Quality of Life’.  We provided evidence-based research as well as anecdotes about the difference TR can make not only in the lives of residents and their families, but how it can also contribute to changing the culture within the long term care sector.  We ended our meeting with the following three asks:

1. Ensure Adequate and Protected Resources for TR to support the wellness of residents, families and other staff:

TR is able to support well-lived lives in LTC, including supporting the wellness of residents, families and other staff. This requires removing TR from the Nursing budget and establishing a life enrichment protected envelope of funding that would support TR in LTC settings and establishing hiring standards which include consistent education requirements, job titles and adequate compensation for TRs.

2. Value and Include Therapeutic Recreation:

Thriving rather than existing in LTC requires the valuing and inclusion of therapeutic recreation. TR not only improves quality of life and wellness but also addresses many of the other pressing issues in long-term care such as decreasing responsive behaviours and reducing the need for psychotropic medications.

3. Culture Change: Shift from medical models that focus on body care to person-centred and relational models

Approaches to LTC currently privilege managing bodies and just surviving/existing. Yet, researchers and professionals alike from across the globe have been calling for the urgent need for culture change in LTC, culture change that moves away from medical models that focus on body care to person-centred and relational models that support living life to the fullest and nurturing strong relationships between all in the LTC context.

Mr. Fraser advised TRO that separating TR funding from nursing was an uphill battle. TRO is aware that the province has a very challenging fiscal situation and any new requests for funding are unlikely to be considered at this time. However, we believe it is important to continue to meet with both public servants and politicians to create greater awareness about Therapeutic Recreation to eventually get it on the government’s health care agenda.

A copy of the speaking notes can be found here.  

If you have any comments, please feel free to contact Leanne Hughes, President or Rozalyn Werner-Arcé, Executive Director.

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Advocating for TR in the Schools

ON OCTOBER 4, 2017, TRO member Rebecca Cole-Zimmer along with TRO Board Director Jackie Frail, R/TRO presented to the Niagara Catholic District School Board (NCDSB) Special Education Advisory Committee (SEAC) introducing Therapeutic Recreation (TR) as an intervention for their students.

Rebecca began this advocacy initiative by discussing the potential role for TR in a school setting with the principal at her children's school. The principal suggested that Rebecca connect with SEAC to introduce TR as an intervention for their students. After reaching out to her professor at Niagara College Jackie Frail, R/TRO and the TRO office for support she helped to create a professional presentation advocating for TR services within a school setting. 

The presentation was received enthusiastically by the SEAC committee as they seemed excited to learn about existing services like the Niagara College sensory room, they were open to the idea of TR students completing placements in their schools and were interested in learning how to access services.

Learn more about Rebecca’s advocacy journey and their presentation on the TRO Blog!

Are you interested in advocating for TR in your local school? Reach out to TRO for resources and support at: info@trontario.org

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TRO Presents to BSO Operations Committee

Sue Verrilli, R/TRO

ON SEPTEMBER 28, 2017, TRO past-president Sue Verrilli, R/TRO and TRO member, Anne Scanlon presented to members of the Behaviour Supports Ontario (BSO) Provincial Coordinating Office (PCO) Operations Committee focusing on the value and role of Therapeutic Recreation (TR) in long term care and in community.

Sue provided an overall understanding of TR and the work TRO has undertaken to advance the profession including ourAnne Scanlon development of the Code of Ethics, Standards of Practice, Essential Competency Framework and Scope of Practice, all of which are put into practice by TRO members across the province.  Anne, who worked in Complex Continuing Care and Long Term Care until two years ago when she joined the Community Responsive Behaviour Team in Waterloo-Wellington, spoke to the role of TR as it relates to the BSO and specifically to her role on the Waterloo-Wellington Community Responsive Behaviour Team. She also gave several examples across different practice areas of how TR has been implemented with positive outcomes for the individual and their families and/or the professionals who support them.

The timeliness of their presentation is significant as additional annualized funding of $10 million for BSO will be implemented in 2017-18.  Anne and Sue strategically positioned TR as one of the strategies BSO teams around the province should consider as they develop plans to effectively address the increasing need for responsive behaviour supports.

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TRO Meets with Assistant Deputy Minister to Get Update on Regulation

APRIL 10, 2017 – As many TRO members will know, in February 2010, TRO submitted a letter of intent to apply for regulation under RHPA.  Unfortunately, the process was stalled because the application for regulation criteria changed.  Professions needed to prove risk of harm to the public before they could move forward with their applications. This requirement, in addition to the financial and administrative challenges, proved to be a significant barrier for TRO.  Since that time, many professions have not been recommended for regulation under RHPA by HPRAC, including paramedics and physician assistants. 

Today, rumours abound about what is happening with regulation in Ontario including umbrella colleges and public registries. There are many healthcare professions that want to become regulated, but simply do not have the means or size of membership to pursue it, Therapeutic Recreation, of course, being one of those professions. 

Rozalyn Werner-Arce, Sue Verrilli, Denise Cole, Jill GibsonWith that in mind, on Monday, April 10, 2017, Sue Verrilli, President, Jill Gibson, Board Director and Rozalyn Werner-Arcé, Executive Director met with Denise Cole, Assistant Deputy Minister, Health Workforce Planning & Regulatory Affairs Division, MOHLTC, Allison Henry, Director, Health System Labour Relations and Regulatory Policy, and Letitia Nolasque, Manger, Business Integration Services.  The purpose of the meeting was to inform the Ministry about TRO and TR as a valued component of the health care system and for TRO to get an update on the status of regulation in Ontario.

Below is a summary of our meeting. 

  • TRO prepared a presentation with an overview about TR and TRO, which was followed by discussion. 
  • There are currently 26 colleges. The Ministry feels that this is too many to manage. They don’t have the tools to ensure the effectiveness of the colleges nor do they have the tools to ensure the public is safe.  Some of those colleges are struggling financially.
  • There is an acknowledgement that ‘one size doesn’t fit all’.  In other words, not every health care profession should be regulated under RHPA, but there are no other tools available at the moment.
  • Too many professions want to become regulated for the wrong reasons.  Regulation is not about advancing the profession. Regulation is about protecting the public.
  • The Ministry is developing a strategy and intends to deliver a plan to the new administration post-election. (The next provincial election is scheduled for June 7, 2018.)
  • They are currently interested in the UK model of Right Touch regulation which has a governing body called the Public Standards Authority. In Ontario, this could mean a basket of options including a public registry, umbrella college, title protection, curriculum standards, etc.
  • Whatever they decide upon, the Ministry favours a risk-based evidence approach.
  • They are also looking at the issue of governance. Does it make sense that a college have 50% of practitioners on the board? Are practitioners the right people to govern their profession? Are there others better positioned? What about patients and family members?
  • Professions have codes of ethics (including TRO), but how do they ensure that members adhere to them?
  • A new “proof of concept’ PSW registry will be launched by the end of 2017. The former PSW Registry was considered an expensive list. They have re-worked the registry and the new version will be based on a code of ethics, standards and it will be mandatory.
  • The Ministry will conduct a consultation process about the proposed changes.  TRO requested to be included in the consultations. 
  • To summarize, change is in the air, but it won’t happen overnight.

Next Steps:

The TRO board of directors will have a thorough discussion about the meeting and keep the TRO membership apprised of relevant updates.  If any TRO members have any questions or wish to contribute their thoughts to the discussion, please feel free to contact Sue Verrilli by email at president@trontario.org or Rozalyn Werner-Arcé by email at ed@trontario.org

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Consulting with the Ministry of Advanced Education and Skills Development (MAESD) 

FEBRUARY 24, 2017 – Working together with the Therapeutic Recreation Provincial Education Steering Committee (TRPESC), TRO learned that the Ministry of Advanced Education and Skills Development (MAESD) Program Standards for the Recreation Therapy diploma and Recreation for Special Populations certificate programs are scheduled for review in their 2016-2019 plan.

On February 24, 2017, our Executive Director wrote a letter on behalf of TRO to the MAESD Evaluation Unit offering to share our Essential Competency Framework (ECF) for Therapeutic Recreation document and provide support to the program standards review team during their 2018-2019 review. Click on the “Letter to MAESD” below to download the full letter.

We were pleased to receive a response from the MAESD Program Standards and Evaluation Unit just three days later. The Senior Policy Advisor stated that they appreciate our offer to share the ECF to assist in the development of program standards for the college recreation therapy programs and will be inviting TRO to participate in the consultation process for the review and development of program standards slated to take place in 2018-19. To read the full response, click on the "MAESD Response to TRO" link below. 

Letter to MAESD

MAESD Response to TRO

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APO and TRO Ontario Dementia Strategy Joint Working Group

The Ontario Government’s Ministry of Health and Long Term Care is continuing to move forward in their commitment to developing and implementing an Ontario Dementia Strategy. Public consultations took place in the fall of 2015 followed by the formation of working groups in the winter of 2015. 

In response to the Government of Ontario’s Dementia Strategy Report, Therapeutic Recreation Ontario (TRO) and Activity Professionals of Ontario (APO) created a working group to collaborate on the development of a Response Paper. The response paper outlined opportunities to enhance quality of life for persons with dementia and their care partners through the recognition and inclusion of professions currently underutilized.  The paper highlights the following 4 areas of discussion:

  1. Recreation as Part of the Health Care Sector and Healthy Communities
  2. Enabling Persons with Dementia in Self-Directed Care and in Navigating the Healthcare and Community Support Service Systems
  3. Supporting Care Partners through Leisure
  4. Creating Informed Societies

Recreation and leisure play an integral role in life quality for individuals and communities and are in important component of person-centred, relational, and holistic approaches to health care.  At times misconstrued as a means of diversion, when facilitated by properly trained Recreation Therapists and Recreationists, recreation and leisure can be instrumental in, and in fact essential to ensuring quality of life. 

Click here to review the submitted document.

TRO Writes Letter in Support of Fully-Funded Dementia Strategy

The Alzheimer Society i sseeking a fully-funded Ontario Dementia strategy (www.campaignfordementia.ca). On behalf of our membership, Therapeutic Recreation Ontario wrote a letter to Premier Kathleen Wynne, Hon. Charles Sousa, Minister of Finance, Hon. Dr. Eric Hoskins, Minister of Health and the two Health Critics Jeff Yurek (PC) and France Gélinas (NDP) to express our support for a fully-funded dementia strategy and draw their attention to TR as a key care component of that strategy which can help them achieve their goal of a fiscally sustainable health care system. Please feel free to forward this letter to your own local Member of Provincial Parliament (MPP) and ask them to support this vital initiative. 

June 2017: Update on TRO and the Ontario Dementia Strategy

Although the APO-TRO Dementia Joint Working Group was disbanded, TRO’s efforts in ensuring that Therapeutic Recreation is included within Ontario’s Dementia Strategy continue.  Below is an update on what has transpired since our joint submission with APO was made to the Ministry in November 2016.

Many thanks to Sherry Dupuis and TRO president, Leanne Hughes who organized a presentation at the recent TRO conference. Most notably, Sherry was able to secure Michael Campo and Justin Armstrong, Senior Policy Advisors at MOLHLTC, both of whom have Ontario’s Dementia Strategy in their portfolios, to also present at the conference. The joint presentation focused on our submission and the status of the strategy to date including 10 initiatives of the Ministry (click here to review the submitted document). Sherry has been an amazing advocate for TR at the Ministry level and having Michael Campo at the conference is a feather in our cap.  It was a good opportunity for Michael to learn more about TR and engage with the session attendees.  

Following the conference, Michael reached out to Leanne, Sue Verrilli, past president, and Rozalyn Werner-Arcé, Executive Director, to organize a telephone meeting to discuss TR and its role in community dementia care.  Thanks to Jeanette Sears, R/TRO and Anne Scanlon who provided good insights in preparation for the meeting.  In addition, Michael invited us to attend a Healthy Aging Summit which will take place June 28 in Toronto. This will be a good opportunity to broaden our networks and raise further awareness about TR. 

During the telephone meeting on June 21, 2017, we took the opportunity to highlight the following:

  • The need to have TR leads and/or consultants and staff involved in community programs
  • TR’s provide person-centred planning, strategies and support
  • TR’s know community resources well and can connect clients to them
  • Funding is an issue – there isn’t enough of it for TR programs
  • TR’s can help facilitate the required culture change that must happen. In leadership roles and/or as consultants, they can have influence.
  • TRO can help in the delivery of additional training required for both TR’s and other health/social/community service providers
  • We were able to give examples of community programs where TR’s are working well including adult day programs, community agencies and on a Behaviour Support Organization (BSO) team
  • TR doesn’t have any influence on the RAI-MDS – this needs to change to protect TR funding
  • The Revera home in Thunder Bay which has piloted increasing the number of TR’s on staff to support clients and which has since experienced a reduction in responsive behaviours

We also sent Michael research that was gathered when the joint response was being written. We will continue to seek ways to keep TR top-of-mind for the planners behind Ontario’s dementia strategy.  In the recent provincial budget, $10 million dollars was allocated to Ontario’s Dementia Strategy and thanks to TR advocates like Sherry Dupuis and at the provincial Behaviour Support Organization (BSO), we are hopeful that additional resources will be allocated to the role of TR in dementia community care programs. 

This is all very exciting movement forward for community dementia care and for TR practitioners.  We thank the TRO members of the Dementia Joint Working Group who have contributed to the momentum. They are: Leanne Hughes, R/TRO, Sherry Dupuis, Jeanette Sears, R/TRO, Anne Scanlon, Dave Harris, R/TRO, Rozalyn Werner-Arcé.

ED Represents TRO at Ontario Summit on Healthy Aging

The Ministry of Health and Long Term Care (MOHLTC) hosted the Ontario Summit on Healthy Aging on June 28, 2017 at the MaRS Discovery District.  The day consisted of keynote speakers and a series of panel presentations followed by audience q and a. Topics were very broad ranging including the senior care workforce, the diversity of seniors, age-friendly communities and non-medical transportation systems in communities for seniors.

Representing the TRO membership, TRO ED, Rozalyn Werner-Arcé used the opportunity to network with Ministry officials and other health care stakeholders. While some speakers often referred to personal support workers and the health care system, Dr. Isser Dubinsky from the Institute of Health Policy, Management and Evaluation, University of Toronto referred to the entire care team including Recreation Therapists who contribute to enhancing a person’s quality of life during his remarks. 

This was a good opportunity to continue to raise the profile of Recreation Therapy as a profession that has a vital role in senior’s care, both in institutional and community-based care.  We will continue to seek ways to strategically insert TRO and TR into these discussions.

Questions / Comments: Contact Leanne Hughes at: president-elect@trontario.org

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Advocating to the LHINs

Interested TR professionals from both TRO and CTRA have been working together to develop a working group in Ontario with the objective to demonstrate the value of TR in community and present this information to the Local Health Integration Networks (LHINs). The group has conducted a comprehensive literature review to identify any gaps and to emphasize the need for TR within the community setting. We have also been working diligently to establish key contacts with the LHINs and other community networks such as Health Links. Our goal is to increase awareness about the value of TR while identifying gaps in the community, and cost savings associated with hiring TR professionals in the community. We will do this by developing a presentation which will be delivered to as many of the LHINs as possible.To help with this process, we need the support the TRO members!

LHIN Presentations completed to date:

  • May 2016 Northeast LHIN
  • December 2016 HNHB LHIN
  • March 23, 2018 Central West LHIN
  • SWO LHIN (pending)
  • Champlain LHIN (pending)

College of Psychotherapy Working Group (CPWG)

In response to concerns raised by members, the TRO board of directors formed the TRO - College of Psychotherapy Working Group to understand the impact that the new Controlled Act of Psychotherapy will have on Therapeutic Recreation (TR) practitioners and to share that information with our membership. While not applicable to all TRs, this has particular relevance for those who have received additional training in psychotherapy modalities such as Cognitive Behavioural Therapy (CBT) and Dialectical Behavioural Therapy (DBT). There have been many questions about who should register with the College before the grandfathering period is up (March 2017) and what the impacts are if people don’t register.

The response was overwhelming to the August 2015 call for volunteers to sit on the Working Group.  The terms of reference only allowed for 10 people and so we selected TRO members based on geography (provincial representation), experience, and workplace most likely impacted. 

Over the course of two meetings, we gathered information about the controlled act, learned more about the College, and attempted to understand the impact in some workplaces and how employers were responding. 

As there was still a need for greater clarity and because there was such great interest from the membership about the issue, we contacted Joyce Rowlands, Registrar at the College of Registered Psychotherapists of Ontario (CRPO).  CRPO is still meeting with the five other Colleges to discuss the meaning of the controlled act of psychotherapy, and therefore cannot address our concerns at this time.

However, we are pleased to announce that Ms. Rowlands has agreed to speak at the June 2016 TRO/CTRA joint conference to be held in Kitchener-Waterloo.  We are planning a breakfast session for Thursday, June 2 from 8:00 am – 9:00 am. Additional details about the session and registration will be made available at a later date. 

For further information about the College of Registered Psychotherapist of Ontario, please visit: www.crpo.ca

CPWG Update March 2016

Stay informed of the status of the Psychotherapy Act and potential implications for TR practitioners.Click the link above. 

Grandparenting Period Ends March 31, 2017

Grandparenting is a time-limited, alternate route to registration which allows established practitioners in Canada with appropriate education and training and clinical experience to apply for membership as a Registered Psychotherapist (RP), without having to write the Entry-to-Practice Registration Examination. The grandparenting route is only available until March 31, 2017

With just over four months remaining in which practitioners may apply for membership via the grandparenting route, if you are eligible, or you know a colleague who has expressed interest in registering with CRPO but hasn't yet applied, please share this reminder. If you've already started the process, this might be a good time to log into your user account to review your profile and move things along. This will ensure there is plenty of time to seek answers to any questions you have, complete and submit the application well before the March 31st deadline. For further information, please visit the grandparenting page on the CRPO website.

Mental Health Working Group

With the topic of therapeutic recreation practice in mental health settings being a central component in the College of Psychotherapy discussion, the committee felt they would like to pursue advocacy initiatives in this area and discussed the need to develop a proactive document/ position paper on the role of Recreation Therapy in Mental Health, from an Ontario perspective. The intention of this document would be to have a resource ready to use if members should need to advocate for positions etc. 

A two-page infographic was created to share with delegates at the 2017 TRO Conference. Look for the Mental Health Paper coming summer 2017


Educating Employers

As per TRO's strategic plan and goals of increasing communication and strengthening the organization, an information letter for employers was mailed out to employers of TRO members across the province of Ontario in 2015. The purpose of this initiative is to educate employers about Therapeutic Recreation Ontario, discuss the Registration (R/TRO and R/TRO DIP) designation, including its purpose and process and share our new and exciting website.

As a professional organization, we want employers across the province to be aware of TRO's purpose and how the organization can assist employers to remain current on the field of Therapeutic Recreation (TR) in Ontario. We also want to help them understand the value of the Registration Designation (R/TRO and R/TRO DIP) in terms of their hiring practices and have encouraged them to post TR job opportunities on the TRO Careers webpage.

A follow-up Briefing Note was sent to employers of TRO members in 2015 announcing R/TRO DIP. Each year, the letter was mailed to human resource departments across the province and a Why Hire R/TRO? brochure was included.  We encourage you to share these letters with managers, professional practice leaders, and fellow colleagues in order to educate healthcare professionals regarding Therapeutic Recreation Ontario and the voluntary registration registration (R/TRO, R/TRO DIP) process for TR professionals. Click below to download the initial letter and briefing note.

In September 2016 an additional Briefing Note was sent to employers of TRO members outlining the Scope of Practice and the benefits of hiring a TR practitioner who is a Registered Professional member of TRO.

Letter to Employers (2014) 

Briefing Note to Employers (2015)

Briefing Note to Employers announcing Scope of Practice (2016)

Educating Others about TR

Who’s on Your Team? The Roles of a Recreation Therapist

The Disability Today Network approached TRO with an opportunity to write an article describing Therapeutic Recreation for this year’s Canadian Association for Prosthetics and Orthotics newsletter “Alignment 2015”. Our very own R/TRO Member Keli Cristofaro provided specific examples of TR interventions such as how she worked together with the team to help a young hockey player return to the rink with his new prosthetic leg. Thank-you also to Kimberly Lopez, Ph.D (C) from the TRPR-Journal of TRO for all your work as co-author on this article! Click on the link above to read the published article.

TRO Board Identifies Vital Priorities to Advance Profession

October 2015, the TRO board of directors embarked on a two-day planning process to strategically advance the TR profession. Below is a link to the revised three year strategic plan which reflects the new considerations and strategies.

2015 – 2018 TRO Strategic Plan

Highlights of the Plan:

After listening to subject matter experts, considering trends in TR and healthcare, and debating critical issues, the board fully believes that one of the keys to the future of TR is a scope of practice and as such, the board will undertake to lead this initiative immediately. This is a necessary piece of foundational work integral to creating new opportunities and with a renewed singular focus and increased capacity through our Executive Director, we are convinced it is achievable. 
In addition to this vital strategic priority, TRO will work with colleges and universities to advocate to the Ontario Ministry of Training for Colleges and Universities for TR curriculum standardization consistent with TRO’s Essential Competency Framework. Furthermore, the board recognizes that support of research in and about TR is essential to our messaging and we will develop strategies to gather and make accessible this information to our members. Another main focus of our discussions was the identification of a number of new and existing partnerships which will be important for advancing the profession. 
As TRO has communicated over the last two years, regulation is about protection of the public, not about elevating the profession.  The primary criterion threshold for regulation under the Regulated Health Professions Act (RHPA) is risk of harm to the public. At this time, it is difficult for us to demonstrate risk of harm and the public’s self-interest in regulation of Therapeutic Recreation.  But this should not impede TRO - your professional association - and we, as Therapeutic Recreation professionals, from taking control of our profession’s future and leading the way by creating opportunities in the new health care paradigm.

Background Information Considered by the Board of Directors:

Attached are links to information presented to the board of directors.  Although it may seem out of context to those who were not part of the discussion, the board feels it important to share this information with the membership.  If you have any questions, please feel free to contact Sue Verrilli, President or Rozalyn Werner-Arcé, Executive Director.

Regulation –Moving Forward, What Does it all Mean? –2013 Presentation by Sue Verrilli, R/TRO

RECognizing our Place in History –2013 Presentation by Sue Verrilli, R/TRO

TRO SWOT and PESTLE Analysis – 2015 Presentation by Marita Kloseck, PhD



A. Standards of Practice are developed to assist therapeutic recreation practitioners to systematically plan, implement, evaluate, and adapt their own work performance according to these approved guidelines (TRO, 2012). To view the TRO Standards of Practice, login to the TRO website (www.trontario.org) and visit the Professional Documents webpage. Where as a Scope of Practice is typically "a description of a profession’s activities, including the boundaries of these activities, especially in relation to other professions where similar activities may be performed." (Ontario College of Social Workers and Social Service Workers, 2008 https://ocswssw.org/wp-content/uploads/2015/01/Position-Paper-on-Scopes-of-Practice.pdf). Please note, this is one definition, but a considerable amount of research has been undertaken recently and so as our work progresses, our understanding and definition of scope of practice may evolve too
A. TRO is not pursuing regulation through the Regulated Health Professions Act (RHPA) at this time. For more details, please read the “Regulation in Ontario 2014” article

A. We will need the involvement of members to help move this agenda forward! Once a review of our volunteer engagement process is complete, TRO will reach out to members for volunteers to assist with special projects–stay tuned to the e-TRO, website and TRO social media sites!

Q. What is the difference between “registration” and “regulation”?

A. As presented at the 2013 TRO Conference, listed below are some key differences between “Registration” and “Regulation”: 


  • Least restrictive
  • Provides little or no protection to the public
  • The key focus is identification of those qualified to practice
  • Purpose is to identify for the public qualified people
  • TRO started this process with R/TRO & R/TRO DIP
  • Ontario example: Personal Support Worker


  • Government delegates authority to a profession to self-manage itself in the public interest
  • Accountable to government for adhering to their legislated mandate
  • Key focus is individual’s competency and accountability
  • Key goal is to protect the public
  • This is the most independent form of self-regulation
  • Requires legislation
  • Risk of harm to the public has to be apparent
  • Primary purpose is the protection of the public from incompetent or unethical practitioners
  • Ontario examples: Lawyers, architects, engineers, accountants, etc.


Regulation in Ontario 2014

This is an update in terms of what has been happening in Ontario with regulation under the Regulated Health Professions Act (RHPA). A number of professional groups have been investigated for recommendation for regulation by the Health Professions Regulatory Advisory Council (HPRAC) this past year or so. The following groups were investigated and denied recommendation for regulation: physician assistants, paramedics and dental assistants. The reason they were not recommended for regulation matched what we were told by our consultants two years ago. Let’s look at the reasons behind the denials.

Physician Assistants – insufficient evidence to meet risk of harm threshold. There are approximately 130 Physician Assistants practicing in Canada.

Paramedics – the applicant did not meet risk of harm threshold. There are 7000 paramedics in Ontario, representing three levels of practice.

Dental Assistants – insufficient evidence to meet risk of harm threshold. There are an estimated 20,000 dental assistants in Ontario.

This information is important for TRO to reflect upon in terms of our change in direction in regarding regulation. Let’s ask ourselves the same questions we reflected on two years ago. Do we feel we have the number of members needed to go forward with regulation under RHPA? Two years ago we had less than 1000 members. We now have over 1300 members. Increasing membership is important for elevating our status in Ontario and we continue to work towards increasing our numbers. Do we feel we have an established risk of harm that is more so than paramedics or physician assistants? Our risk of harm does not include any controlled acts or jobs where we don’t work for someone else (for the most part). Is there a way we can combine with other professions that would make us stronger in numbers? When the government looks at regulation, they want to see that we have considered who else we might align ourselves with, such as Activity Professionals of Ontario or the Occupational Therapists of Ontario. And, if we don’t feel that regulation under RHPA is viable, what other options do we have for seIf-regulation?

When reviewing the reports on the professions denied for regulation, there are recommendations TRO might consider for ourselves: title protection, mandatory registry, established scope of practice, etc. All of these areas were touched upon by the consultants two years ago. They are also areas that HPRAC recommended in their reports to the professions listed above.

For further details on the reports denying regulation to these groups, please see the following website: www.hprac.org 

Past Preparations for Regulation

Some of the work TRO has done to prepare for regulation (for more details please see Next Steps Toward Regulation) include creating a code of ethics, standards of practice, registration (R/TRO) process, restructuring the board to include college like components, creation of new bylaws and procedures for bylaws and ultimately a letter to the Ministry of Health and Long-Term Care proposing regulation for therapeutic recreation in Ontario   Please see the response to Part 2 of the Proposed Initial Draft Regulation on behalf of Therapeutic Recreation Ontario (TRO).  With a change in government, they are currently not reviewing regulation letters for any profession.  However, TRO plans to continue to lay the required framework for regulation such as demonstrating a unified profession, creating common education preparation and recognizing different levels of scopes of practice.

TR certification vs regulation in Ontario

TRO members have been interested in pursuing certification prior to its inception in 1999; however, the ultimate goal has always been regulation.  Although TRO had voted (2007) to create an Ontario made certification model as a step toward regulation, in 2009 the TRO board recommended using the R/TRO as the minimum credential in pursuit of the ultimate goal of regulation.  This decision was not made lightly as the TRO board considered many factors including an extensive review of other Canadian therapeutic recreation associations, advice of consultants and the fact that certification would be an additional voluntary step compared to regulation which would be mandatory -the ultimate goal.  Certification by definition is a voluntary qualification/designation earned by a person to indicate they are qualified for a job.  It consists of entry to practice, competency evaluation and a continuing competency program.  Whereas regulation provides a framework for a scope of practice and it includes a general Act, a Procedural Code for all the regulated health professions.  The purpose of regulation is to protect the public.  The pursuit of regulation requires for example that we demonstrate a united profession including common education preparation, common competency review, common practice standards, common continuing competency, common job titles and recognizing different levels of scopes of practice.

Next Steps Towards Regulation

During the TRO conference in Waterloo June 2009, the TRO Board of Directors did a presentation entitled:  

TROs New Direction from Registration (R/TRO) to Regulation

To download the presentation for this session, please click here.

The presentation was also videotaped and can be viewed below.  It is broken down into 5 sections as it is over an hour and half in length.

Click on the section you wish to view. The video will open in a new tab. Once the video has fully downloaded the video will auto play. The speed of the download is dependent on your internet connection.