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Mailing Address
Health Professions Regulatory Advisory Council
56 Wellesley St W.,
12th Floor
Toronto, Ontario, Canada
M5S 2S3

Telephone and Facsimile
Toll-Free: 1-888-377-7746
Telephone: 416-326-1550.
Fax: 416-326-1549

Applied Behaviour Analysis

 The Minister's Question:

On October 17, 2017, the Minister of Health and Long-Term Care asked the Health Professions Regulatory Advisory Council (HPRAC) to provide advice on:

  • What activities or aspects associated with ABA therapy pose a significant and inherent risk of harm (if any), and whether the risk of harm of this therapy varies by client population (e.g. children and adult); and
  • If there is a risk of harm, what is the range of options for an approach to oversight that could be considered.

The Minister asked that HPRAC provides its advice no later than January 31, 2018.

Minister's referral letter on Applied Behaviour Analysis (ABA)

HPRAC's Approach

When a referral is received from the Minister of Health and Long-Term Care, HPRAC determines relevant public interest concerns and questions. HPRAC attempts to understand all perspectives on an issue including those of key health care practitioners, other affected health care professionals, clients and patients, advocates and regulators.  Each issue proceeds through a multi-stage process where information and responses are requested from and shared with stakeholders. HPRAC will conduct research reviews, and engage in key informant interviews.  Its analysis of the issues will lead to a determination of additional information required, and the appropriate process to be used. 

Commenting on the Issue

Many organizations and individuals have extensive or related experience and interest in Applied Behaviour Analysis. HPRAC is keen to ensure that this experience and interest are fully reflected in its recommendation-making process.

Public consultation via an online survey on Applied Behaviour Analysis opened November 27, 2017 and closed December 7, 2017. Stakeholders also had a two-week period in which to provide written submission which ended on December 8, 2018.  The written submissions received by HPRAC are provided below:

Written submissions

Next steps

On January 31, 2018 HPRAC submitted its report on Applied Behaviour Analysis to the Minister. HPRAC’s reports are confidential until released by the Minister.

HPRAC carefully considered all evidence gathered to develop its recommendations. Feedback from stakeholders helped HPRAC assess the Minister’s questions and determine the issues that needed to be considered throughout the review process.

Please note that HPRAC recommendations are advisory only. The Minister is not bound to accept HPRAC's advice. The release of an HPRAC report and any follow-up action are at the discretion of the Minister. Should the Minister choose to accept HPRAC's advice, the Ministry of Health and Long-Term Care is responsible for implementation of HPRAC recommendations.

To ensure transparency, the stakeholder comments HPRAC receives are posted according to access to information guidelines (for guidelines, visit http://www.hprac.org/en/privacy.asp).