Restricted Psychosocial Interventions

Definitions

What is treatment?

What is a disorder?

What is a mental health disorder?

What is a substantial mental health disorder?

What are
gross impairments?


Frequently Asked Questions

1. Social work scope of practice

The practice of social work is defined as follows in Schedule 27 of the Health Professions Act: In their practice, social workers do one or more of the following:

  • enhance or restore the social functioning of individuals, families, groups, organizations and communities by improving developmental, problem-solving and coping capacities of people and systems
  • promote effective and humane systems that provide resources, opportunities and services to people and link people to those systems
  • contribute to the development and improvement of social policy, and
    • teach, manage and conduct research in the science, techniques and practice of social work, and
  • provide restricted activities authorized by the regulations

2. What are psychosocial interventions?

PSYCHOSOCIAL INTERVENTION is a social work service focused primarily on psychological, behavioural, and social factors, applied to improve functioning and quality of life. The service is typically comprised of screening, assessment and planned intervention that may include, but is not limited to, supportive counselling, psychotherapy, referral services, giving information and assistance to individuals, couples, families, and groups. A psychosocial intervention becomes restricted when a psychotherapeutic intervention is performed with an expectation to treat an underlying grossly impairing mental health disorder.

3. What are restricted psychosocial interventions?

RESTRICTED PSYCHOSOCIAL INTERVENTION is carried out in relation to or as part of providing a health service. It includes psychosocial intervention performed with an expectation of treating a substantial disorder of thought, mood, perception, orientation, or memory that grossly impairs judgement, behaviour, capacity to recognize reality, or ability to meet the ordinary demands of life.

The following are not restricted activities:

  1. activities of daily living, whether performed by the individual or by a surrogate on the individual’s behalf, and
  2. giving information and providing advice with the intent of enhancing personal development, providing emotional support or promoting spiritual growth of individuals, couples, families and groups.

4. Can social workers perform restricted psychosocial interventions?

Not all social workers have the competence to perform the restricted activity. Social workers must limit their practice to areas in which they have gained competence through education, training, and supervised experience. Social workers without individual authorization may perform the restricted psychosocial interventions under supervision of another authorized regulated health professional (e.g., psychologist).

Social workers who have demonstrated their competence through education, training and supervised practice may apply for individual authorization on their practice permit. This authorization does not replace the employers’, practice supervisors’, and individual social workers’ responsibility to screen/assess the safe and competent practice of restricted psychosocial interventions appropriate within their specific practice setting.

5. When does a social worker need individual authorization to perform restricted psychosocial interventions?

Individual authorization is required when a social worker is

  1. treating substantial mental health disorders that grossly impair without appropriate supervision and collaboration
  2. training/supervising others in the practice of the restricted psychosocial interventions

Social workers without individual authorization may perform the restricted psychosocial interventions under the supervision of another authorized regulated health professional (e.g., psychologist).

6. What must a social worker demonstrate to get individually authorized?

Social workers must demonstrate relevant education, training, experience and supervision treating substantial mental health disorders that grossly impair. This is typically performed by social workers with MSW, however, a BSW is considered minimum required education. Training, education, and supervised experience beyond academic coursework and practicum is required. 

7. Who can supervise social workers in performing restricted psychosocial interventions while gaining competence to perform individually?

Any regulated health professional who is (a) authorized to perform and supervise the restricted psychosocial interventions and (b) is competent to do so may supervise social workers treating substantial mental health disorders that grossly impair.

Social workers with “authorization for psychosocial intervention-ADD (Addictions only)” are not authorized to provide supervision for the performance of the restricted activity.

Is This a Restricted Activity?


These examples are not exhaustive or black and white. Clinical judgement is required when identifying the client's condition and the clinician's intent to apply a psychosocial intervention to treat it.

DO YOU:

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  • provide social work services other than treatment to persons who have or could have disordered mental or behavioral health?
  • provide supportive counselling to help a client cope and/or navigate some challenges?
  • conduct assessments and/or refer clients for things like substance use/abuse treatment, medication assessment, specialized treatment program, etc.?
  • provide treatment to complex clients utilizing treatment planning, evidence informed therapies and approaches to address issues like being stuck, insecurity, grief, relationships, parenting, fear, trauma, adjusting to life or health change, etc.?
  • provide treatment to target behavioral health issues to clients without a substantial mental health disorder?
  • provide a wide range of psychosocial interventions to clients with a substantial mental health disorder such as supportive counseling, assessment, issue navigation, referrals, etc.?
  • provide a wide range of psychosocial interventions to hospitalized, incarcerated, or mandated clients with a substantial mental health disorder such as supportive counseling, assessment, issue navigation, referrals, etc.?

        THIS IS NOT RESTRICTED

DO YOU:

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  • provide psychotherapy (or other non-medication or surgical treatment) to clients who have substantial mental illness utilizing treatment planning, evidence informed therapies and approaches to address issues like mental health maintenance, being stuck, insecurity, grief, relationships, parenting, fear, adjusting to life or health change, etc.?

        THIS IS NOT NECESSARILY RESTRICTED

DO YOU:

check
  • provide psychosocial interventions, such as psychotherapy (or other non-medication or surgical treatment) to clients who have substantial mental health disorder who are currently experiencing gross impairments, and that treatment is targeted to treat the grossly impairing substantial mental health disorder?

        THIS IS RESTRICTED

Individual Expectations


Performing restricted psychosocial interventions is a narrow area of practice treating the substantial mental health disorders that are grossly impairing the client's judgement, behaviour, capacity to recognize reality, or ability to meet the ordinary demands of life. Social workers must limit their practice to areas in which they have gained competence through education, training, and supervised experience.


COMPETENCE

  • You understand that treating grossly impairing substantial mental health disorders is restricted because it requires competencies that are not acquired from a social work credential alone.
  • You are responsible for your safe and competent treatment of grossly impairing substantial mental health disorders.
  • You will maintain competence in restricted psychosocial interventions annually.
  • You are experienced at treating grossly impairing substantial mental health disorders and have received supervision and ongoing feedback regarding your safe and competent practice.

PRACTICE
KNOWLEDGE
& SKILLS

  • You understand that most social work services do not treat grossly impairing mental health disorders.
  • You are knowledgeable about the smaller sub-set of diagnosable mental health disorders that are typically described as substantial / serious / severe / major mental health disorders.
  • You are experienced assessing, re-assessing and treating grossly impairing substantial mental health disorders.
  • You understand the difference between supportive counseling and psychotherapeutic treatment informed by planned application of evidence-informed therapies to effect change.
  • You understand that not all psychotherapy is a restricted activity.
  • You understand that clients with a substantial mental health diagnosis might not be grossly impaired.
  • You understand that impairments fall on a spectrum from minor to gross and an individual’s level of impairment can change, and treatment is targeted to elicit and support this change.

REGULATORY
FRAMEWORK

  • You understand only those regulated health professions authorized by the Health Professions Act may perform restricted psychosocial interventions and social work is one of those professions.
  • You understand that social workers utilize clinical supervision and consultation to gain and maintain competence in the higher risk activity of treating grossly impairing substantial mental health disorders.
  • You are responsible for staying informed of the regulatory framework of restricted psychosocial interventions in the Health Professions Act, Restricted Activity Regulation, Social Work Profession Regulation, ACSW standards of practice and policies, Alberta Health guidance, ACSW guidance, and employers policies and guidance.

You are responsible for informing ACSW if and when you are
unable to meet any one of the above requirements.

Additional Resources

Requirements to apply for individual authorization

Registration Status Qualifications Documentation
Required
Application
Processing
Must be
a registered
Social Worker
in Alberta
  • Minimum of a BSW, typically MSW
  • On general registry
  • Education/training specific to the assessment and treatment of substantial mental health disorder(s) that grossly impair
  • Confirmation of the safe and competent experience treating substantial mental health disorder(s) that grossly impair under supervision
  • Training, education, and supervised experience beyond academic coursework and practicum is required
  • Application Form, signed & dated by applicant and supervisor (electronic signature is acceptable)
  • Resume: Up-to-date, highlighting experience treating substantial mental health disorder(s) that grossly impair
  • Complete submissions are reviewed in the order received and are typically processed within 4 weeks
  • Communication regarding application processing is sent to primary email address in profile
  • When individual authorization is processed, it is reflected upon the practice permit and the public registry



Please Note:
Restricted psychosocial interventions
can be performed by RSWs under
appropriate supervision and does not
require individual authorization

Application

After reviewing the above content, upload the application and up-to-date resume (your own format). When logged in, clicking the button below will open the restricted activity form library. Please contact restrictedactivities@acsw.ab.ca if there are further questions.