The article Clinical Social Work Practice in Canada: A Critical Examination of Regulation helps in understanding our regulatory history and while a little Ontario centric, it captures the recent struggles of Canadian Social Work governance with licencing for clinical practice. Again, this article is about the regulation of “clinical practice” in social work, recognizing that predominately this is now the activities most social workers are employed in rather than anything Jane Adams would have been up to, back in the day! It makes recommendations that seek to strengthen regulation and protection of the public along with aims for evidence informed practice, founded in our knowledge base and values.
… The OCSWSSW has low entry to practice requirements (completion of SSW diploma or BSW or MSW degree) and no specific requirements for supervision, psychotherapy, continuing competence, and private practice. However, the OCSWSSW recently announced that an entry to practice exam will be implemented in 2027. It is unclear how the Ontario College will proceed with its plan for a licensing exam considering the recently revealed racial disparities in licensure exam pass rates. We are also unclear on how the other provinces that currently have licensing exams will respond to this important and pressing structural issue. We hope that provinces will re-evaluate the licensing exams and with transparency and community involvement will generate equitable ways of licensing competent social workers. …
My own experience of “the three pillars of the profession – regulation, association, and education” is that they remain siloed from each other with to be fair, occasional glimmers of cooperation. The pivotal role of the Association of Social Work Boards (ASWB), ultimately unexamined by most of us. I went to a consultation on entry exams by them recently that left me believing they are creating another business arm of the social work industry, called entry to practice exam courses, rather than a life long learning, adult learner pedagogy that advances competence in our practice.
https://www.casw-acts.ca/en/what-social-work/three-pillars-social-work
Recommendations from the study:
…Based on the analysis of regulation and clinical social work practice in Canada, the authors propose the following list of recommendations to strengthen clinical social work practice across the country: (1) concerted effort from regulation, education, and association to strengthen clinical social work practice; (2) make standards of practice and codes of ethics uniform across the country for increased mobility, improved public trust, and enhanced clinical competence; (3) create a clinical social work designation in every province; (4) create entry to practice supervision requirements for independent clinical practice and for private practice; (5) specify the qualifications of clinical supervisors and require supervisors to complete training in clinical supervision; (6) set a minimum number of hours for continuing education and make it mandatory for members to submit an annual report; (7) evaluate the need for additional training for advanced clinical social work practice; (8) develop standards for private practice in all provinces and territories and include minimum requirements for private practice; (9) Distinguish between educational levels (i.e., BSW, MSW) and/or designations (i.e., RCSW) to ensure members are adequately trained for practice; and (10) demonstrate a commitment to reconciliation, equity, diversity, anti-oppression anti-discrimination, and anti-racism through acknowledgement of harms and historical trauma, recognition of non-Western worldviews, partnerships with community members, transparency about decision making, and openness to make changes. …
Kourgiantakis, T., Ashcroft, R., Mohamud, F., Benedict, A., Lee, E., Craig, S., Sewell, K., Johnston, M., McLuckie, A., & Sur, D. (2023). Clinical Social Work Practice in Canada: A Critical Examination of Regulation. Research on Social Work Practice, 33(1), 15–28. https://doi.org/10.1177/10497315221109486