Quick Reference Guide for Mental Health Regulatory Bodies

Quick Reference Guide for Mental Health Regulatory Bodies

TherapyRoute

TherapyRoute

Clinical Editorial

Cape Town, South Africa

Medically reviewed by TherapyRoute
Mental health professions are regulated differently across more than 50 jurisdictions. Read on to compare protected titles, scope of practice, mobility pathways, and ongoing requirements across nine roles, from psychologist to psychiatric nurse.

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Executive Summary

This comprehensive, quick-reference guide synthesises regulatory information for nine mental health professions across major global jurisdictions. Designed for practitioners seeking international mobility, employers verifying credentials, and policymakers understanding global standards.

Total Statistics

Regulatory Bodies Documented:
  • Psychology: 50+ jurisdictions with statutory regulation
  • Psychiatry: All countries (medical regulation framework)
  • Social Work: 25+ jurisdictions with statutory regulation
  • Counselling/Psychotherapy: 15+ jurisdictions (highly variable)
  • MFT: 10+ jurisdictions (primarily USA state-level)
  • Occupational Therapy: 30+ jurisdictions
  • Psychiatric Nursing: All countries (nursing regulation framework)
  • Addiction Counselling: Primarily professional certification (limited statutory regulation)
  • Creative Therapies: UK only (statutory); others voluntary

Countries with Comprehensive Coverage:

  • Tier A: USA, UK, Canada, Australia, New Zealand, Ireland, South Africa
  • Tier B: 15+ European countries, Japan, South Korea, Singapore, Hong Kong
  • Tier C: Brazil, Mexico, Argentina, India, China, Middle East (selective)

Protected Titles: 250+ documented across 9 professions and 25+ countries

Mutual Recognition Agreements:

  • Trans-Tasman (Australia-New Zealand): Active for all regulated health professions
  • EU Directive 2005/36/EC: 31 countries (automatic recognition for psychiatry, nursing)
  • Canadian Interprovincial: Psychology (11 provinces/territories)
  • No formal MRAs: Counselling, MFT, Social Work, Creative Therapies

CPD Requirements:

  • Mandatory: 85% of regulated professions in developed countries
  • Typical Range: 20-50 hours per year or cycle
  • Audit Rates: 2-10% of registrants annually

How to Use This Guide

Section Navigation:
  1. Executive Summary (this section) - Overview statistics and patterns
  2. Regulatory Bodies Quick Reference Table - Comprehensive comparison across professions/countries
  3. Protected Titles Master List - Alphabetical listing by country
  4. CPD Requirements Summary - Hours, cycles, and audit rates
  5. Mutual Recognition Pathways - MRAs and international mobility frameworks
  6. Scope of Practice Comparison - What each profession can/cannot do
  7. International Mobility Quick Guide - Assessment processes for major destination countries
  8. Professional Associations Directory - Credentialing bodies and voluntary registers
  9. Key Legislation Reference - Governing Acts and Regulations by country
  10. Where to Find Official Information - Direct links to regulatory body websites

Design Philosophy:

  • Practitioner-Focused: Quick lookup format with actionable information
  • Table-Heavy: Visual scanning for rapid comparison
  • Cross-Referenced: Links between sections for comprehensive understanding
  • Confidence Ratings: ⭐⭐⭐ (95%+ verified), ⭐⭐ (90% verified), ⭐ (requires verification)

Key Patterns Identified

Regulatory Models:
  1. National Statutory Regulation: UK (HCPC, GMC, NMC, Social Work England), Australia (AHPRA), New Zealand, Ireland (CORU)
  2. State/Provincial Regulation: USA (50 independent state boards), Canada (10 provinces + 3 territories)
  3. Voluntary Professional Regulation: UK counselling/psychotherapy (BACP, UKCP), Australia social work (AASW)
  4. Mixed Models: Some professions regulated, others voluntary in same country

Title Protection vs. Practice Regulation:

  • Title Protection Only: UK (most professions) - illegal to use protected title without registration
  • Practice Regulation: USA, Canada, Australia, NZ - illegal to practice without license
  • No Protection: Many countries lack either form of protection for counselling, MFT, or addiction counselling

Prescribing Authority Hierarchy:

  • Full Authority: Psychiatrists (all countries)
  • Limited/Conditional: PMHNPs (30 USA states with full practice authority), Psychologists (5 USA states only)
  • No Authority: All other professions

International Mobility Barriers:

  • Language proficiency requirements (IELTS 7.0 typical)
  • Supervised practice requirements (1-3 years common)
  • National examinations (EPPP psychology, NCLEX-RN nursing, ASWB social work)
  • Significant processing time (6-24 months typical)
  • High costs ($5,000-$50,000+ depending on profession and pathway)

1. Regulatory Bodies Quick Reference Table

This master table provides comparative overview of regulatory frameworks for all 9 mental health professions across major jurisdictions.

Legend

  • Statutory: Government-mandated registration/licensing
  • Voluntary: Professional association credentialing (no legal requirement)
  • State/Prov: State or provincial level regulation
  • Mixed: Some aspects statutory, others voluntary
  • None: No regulation

United States

ProfessionRegulatory Body TypeKey RegulatorsProtected TitlesConfidence
PsychologyState/ProvState Psychology Boards (50+)Licensed Psychologist, Clinical Psychologist, etc.⭐⭐⭐
PsychiatryState/ProvState Medical Boards + ABPN (speciality)Psychiatrist, Board Certified Psychiatrist⭐⭐⭐
Social WorkState/ProvState Social Work Boards (50)LCSW, LMSW, LSW, etc.⭐⭐⭐
CounsellingState/ProvState Licensing Boards (48 states)LPC, LPCC, LCPC, NCC, etc.⭐⭐⭐
MFTState/ProvState MFT Boards (50 states)LMFT, Licensed Marriage and Family Therapist⭐⭐⭐
Occupational TherapyState/ProvState OT Boards (50) + NBCOT (national cert)OTR, Occupational Therapist Registered⭐⭐⭐
Psychiatric NursingState/ProvState Boards of Nursing (50) + ANCC (cert)RN, PMHNP-BC, PMH-BC⭐⭐⭐
Addiction CounsellingState/Prov (limited)State Licensing Boards (40+ states)LCDC, LADC, CADC, CAC (varies by state)⭐⭐⭐
Creative TherapiesState/Prov (limited)12 states (art therapy), 13 states (music therapy)Licensed Art Therapist, MT-BC, etc.⭐⭐⭐

USA Notes:

  • No federal-level regulation for any profession (except interstate nursing compact)
  • Significant state-to-state variation in requirements and scope
  • Some states do not regulate counselling, MFT, addiction counselling, or creative therapies
  • NBCOT, ANCC, ATCB, CBMT are national certification bodies (not regulators)

United Kingdom

ProfessionRegulatory Body TypeKey RegulatorsProtected TitlesConfidence
PsychologyStatutoryHCPCPractitioner Psychologist, Clinical Psychologist, Counselling Psychologist, etc. (7 titles)⭐⭐⭐
PsychiatryStatutoryGMC (medical) + RCPsych (specialty)Psychiatrist, Consultant Psychiatrist⭐⭐⭐
Social WorkStatutorySocial Work England, SSSC (Scotland), Social Care Wales, NISCC (NI)Social Worker⭐⭐⭐
Counselling/PsychotherapyVoluntaryBACP, UKCP, NCS (PSA-accredited registers)None (titles not protected)⭐⭐⭐
MFTVoluntaryEmbedded in counselling/psychotherapy frameworkNone⭐⭐⭐
Occupational TherapyStatutoryHCPCOccupational Therapist⭐⭐⭐
Psychiatric NursingStatutoryNMCRegistered Nurse (Mental Health), RN3/RNMH⭐⭐⭐
Addiction CounsellingVoluntaryAddiction Professionals (formerly FDAP)None⭐⭐⭐
Creative TherapiesStatutory (3 only)HCPCArt Therapist, Music Therapist, Dramatherapist⭐⭐⭐

UK Notes:

  • HCPC regulates 15 health professions; counselling/psychotherapy NOT included
  • PSA-accredited registers (BACP, UKCP) provide quality assurance for unregulated professions
  • NMC has separate registration for mental health nursing (distinct from general nursing)
  • Creative therapies: ONLY art, music, drama therapy regulated; dance/movement therapy NOT statutory

Canada

ProfessionRegulatory Body TypeKey RegulatorsProtected TitlesConfidence
PsychologyState/ProvProvincial Colleges (13)Psychologist, Registered Psychologist⭐⭐⭐
PsychiatryState/ProvProvincial Medical Regulators + RCPSCPsychiatrist, Specialist in Psychiatry⭐⭐⭐
Social WorkState/ProvProvincial Colleges (10)Registered Social Worker (RSW), RCSW⭐⭐⭐
Counselling/PsychotherapyState/Prov (limited)Ontario: CRPO; Quebec: OPQ; others: noneRegistered Psychotherapist (ON), Psychologist (QC for psychotherapy)⭐⭐⭐
MFTMixedSome provinces regulate as counselling/psychotherapyVaries by province⭐⭐
Occupational TherapyState/ProvProvincial Colleges (13)Occupational Therapist, OT⭐⭐⭐
Psychiatric NursingState/ProvProvincial Nursing Regulators; RPNs in 4 provincesRegistered Nurse, Registered Psychiatric Nurse (RPN - BC, AB, SK, MB only)⭐⭐⭐
Addiction CounselingVoluntaryCACCF (professional certification)CCAC (voluntary credential)⭐⭐⭐
Creative TherapiesNoneProfessional associations onlyNone⭐⭐⭐

Canada Notes:

  • 13 provincial/territorial regulatory jurisdictions
  • Quebec has unique frameworks (OPQ for psychology/psychotherapy, broader scope)
  • Registered Psychiatric Nurses (RPNs) exist only in western Canada (separate profession from RNs)
  • Ontario RHPA (Regulated Health Professions Act) authorises multiple professions for "controlled act of psychotherapy"
  • Interprovincial mobility: Psychology has MRA (11 jurisdictions); others case-by-case

Australia

ProfessionRegulatory Body TypeKey RegulatorsProtected TitlesConfidence
PsychologyStatutoryPsychology Board of Australia (AHPRA)Psychologist, Registered Psychologist + 9 area endorsements⭐⭐⭐
PsychiatryStatutoryMedical Board of Australia (AHPRA) + RANZCPPsychiatrist, Specialist Psychiatrist⭐⭐⭐
Social WorkNoneAASW (voluntary professional accreditation)None (not regulated)⭐⭐⭐
Counselling/PsychotherapyNonePACFA, ACA (voluntary)None (not regulated)⭐⭐⭐
MFTNoneEmbedded in counseling/psychotherapy (voluntary)None⭐⭐⭐
Occupational TherapyStatutoryOccupational Therapy Board of Australia (AHPRA)Occupational Therapist⭐⭐⭐
Psychiatric NursingStatutoryNursing and Midwifery Board of Australia (AHPRA)Registered Nurse, Nurse Practitioner⭐⭐⭐
Addiction CounsellingNoneAPSAD (professional society, multidisciplinary)None⭐⭐⭐
Creative TherapiesNoneANZACATA (voluntary)None⭐⭐⭐

Australia Notes:

  • AHPRA regulates 16 health professions nationally; social work, counselling NOT included
  • Psychology has 9 "area of practice" endorsements (clinical, counselling, forensic, etc.)
  • Trans-Tasman Mutual Recognition with New Zealand for all regulated professions
  • Voluntary credentialing fills gaps for unregulated professions

New Zealand

ProfessionRegulatory Body TypeKey RegulatorsProtected TitlesConfidence
PsychologyStatutoryNew Zealand Psychologists BoardPsychologist, Registered Psychologist⭐⭐⭐
PsychiatryStatutoryMedical Council of NZ + RANZCPPsychiatrist, Specialist Psychiatrist⭐⭐⭐
Social WorkStatutorySocial Workers Registration BoardRegistered Social Worker⭐⭐⭐
Counselling/PsychotherapyStatutoryPsychotherapists Board of Aotearoa NZRegistered Psychotherapist⭐⭐⭐
MFTMixedSome recognized under psychotherapyVaries⭐⭐
Occupational TherapyStatutoryOccupational Therapy Board of NZOccupational Therapist⭐⭐⭐
Psychiatric NursingStatutoryNursing Council of New ZealandRegistered Nurse⭐⭐⭐
Addiction CounsellingVoluntaryDAPAANZ (professional association)None (not regulated)⭐⭐⭐
Creative TherapiesNoneANZACATA (voluntary)None⭐⭐⭐

NZ Notes:

  • Most comprehensive statutory regulation among English-speaking countries
  • Social work registration became mandatory in 2021
  • Psychotherapy regulated separately from psychology
  • Trans-Tasman Mutual Recognition with Australia

Ireland

ProfessionRegulatory Body TypeKey RegulatorsProtected TitlesConfidence
PsychologyStatutoryCORU (Psychologists Registration Board)Psychologist⭐⭐⭐
PsychiatryStatutoryMedical Council of Ireland + College of PsychiatristsPsychiatrist, Consultant Psychiatrist⭐⭐⭐
Social WorkStatutoryCORU (Social Workers Registration Board)Social Worker⭐⭐⭐
Counseling/PsychotherapyStatutory (as of 2025)CORU (Counsellors/Psychotherapists Registration Boards)Counsellor, Psychotherapist⭐⭐⭐
MFTMixedMay be included in counseling/psychotherapyTBD⭐⭐
Occupational TherapyStatutoryCORU (Occupational Therapists Registration Board)Occupational Therapist⭐⭐⭐
Psychiatric NursingStatutoryNMBI (Nursing and Midwifery Board of Ireland)Registered Nurse⭐⭐⭐
Addiction CounselingVoluntaryACI (Addiction Counsellors of Ireland)None (not regulated by CORU)⭐⭐⭐
Creative TherapiesNoneIACAT (voluntary)None⭐⭐⭐

Ireland Notes:

  • CORU regulates 12+ health and social care professions under Health and Social Care Professionals Act 2005
  • Counselors and Psychotherapists Registration Boards activated in 2025
  • Most comprehensive European regulatory framework

South Africa

ProfessionRegulatory Body TypeKey RegulatorsProtected TitlesConfidence
PsychologyStatutoryHPCSA (Professional Board for Psychology)Psychologist, Clinical Psychologist, Counselling Psychologist, etc.⭐⭐⭐
PsychiatryStatutoryHPCSA (Medical and Dental Professions Board)Psychiatrist, Specialist Psychiatrist⭐⭐⭐
Social WorkStatutorySACSSPSocial Worker, Registered Social Worker⭐⭐⭐
CounsellingMixedHPCSA (limited categories)Registered Counsellor⭐⭐⭐
MFTNoneNot separately regulatedNone⭐⭐
Occupational TherapyStatutoryHPCSA (Professional Board for Occupational Therapy)Occupational Therapist⭐⭐⭐
Psychiatric NursingStatutorySANC (South African Nursing Council)Professional Nurse, Psychiatric Nurse⭐⭐⭐
Addiction CounselingMixedSome categories under HPCSAVaries⭐⭐
Creative TherapiesNoneNot regulatedNone⭐⭐
PsychometryStatutory (UNIQUE)HPCSA (Professional Board for Psychology - PS7 category)Psychometrist, Registered Psychometrist⭐⭐⭐

South Africa Notes:

  • HPCSA (Health Professions Council of South Africa) regulates 12 professional boards
  • ONLY country with independent statutory regulation of psychometrists (PS7 category)
  • Comprehensive regulation across most mental health professions

European Union (Selected Countries)

CountryPsychologyPsychiatrySocial WorkCounseling/PsychotherapyOTNursing
GermanyMixed (state recognition)Statutory (Medical)State diplomasStatutory (Psychotherapy Act)StatutoryStatutory
FranceStatutoryStatutory (Medical)State diplomasLimitedStatutoryStatutory
NetherlandsStatutory (BIG Register)Statutory (Medical)Not regulatedStatutory (BIG Register)StatutoryStatutory
AustriaMixedStatutory (Medical)LimitedStatutory (Psychotherapy Act)StatutoryStatutory
SpainStatutory (Colegio)Statutory (Medical)StatutoryLimitedStatutoryStatutory
ItalyStatutoryStatutory (Medical)LimitedLimitedStatutoryStatutory
SwedenStatutoryStatutory (Medical)Limited authorizationLimitedStatutoryStatutory

EU Notes:

  • EU Directive 2005/36/EC provides automatic recognition for doctors (psychiatry) and general care nurses
  • Psychotherapy regulated separately from psychology in several countries (Austria, Germany)
  • Significant country-to-country variation in counseling, social work regulation
  • Post-Brexit: UK no longer benefits from EU Directive

Asia-Pacific (Selected Countries)

CountryPsychologyPsychiatrySocial WorkCounselingOTNursingNotes
JapanVoluntary certificationStatutory (Medical)National certificationVoluntaryProfessional recognitionStatutoryLimited statutory regulation
South KoreaVoluntary certificationStatutory (Medical)National certificationVoluntaryProfessional recognitionStatutorySimilar to Japan
SingaporeVoluntary (SAC)Statutory (SMC)Not regulatedVoluntaryAHPCStatutoryAllied Health Professions Council for OT
Hong KongVoluntaryStatutory (Medical Council)StatutoryNot regulatedNot regulatedStatutorySocial Workers Registration Board

Asia-Pacific Notes:

  • Most countries lack comprehensive mental health professional regulation
  • Psychiatry regulated as medical specialty in all countries
  • Psychology, counseling primarily voluntary professional certification
  • Significant variation in recognition and requirements

2. Protected Titles Master List (A-Z by Country)

This section provides an alphabetical listing of protected titles by country, with profession, governing legislation, and enforcement status.

Australia (AHPRA-Regulated)

TitleProfessionLegislationEnforcement
Clinical NeuropsychologistPsychologyHealth Practitioner Regulation National Law Act 2009Yes - criminal offense
Clinical PsychologistPsychologyHealth Practitioner Regulation National Law Act 2009Yes - criminal offense
Community PsychologistPsychologyHealth Practitioner Regulation National Law Act 2009Yes - criminal offense
Counselling PsychologistPsychologyHealth Practitioner Regulation National Law Act 2009Yes - criminal offense
Educational and Developmental PsychologistPsychologyHealth Practitioner Regulation National Law Act 2009Yes - criminal offense
Forensic PsychologistPsychologyHealth Practitioner Regulation National Law Act 2009Yes - criminal offense
Health PsychologistPsychologyHealth Practitioner Regulation National Law Act 2009Yes - criminal offense
Nurse PractitionerNursingHealth Practitioner Regulation National Law Act 2009Yes - criminal offense
Occupational TherapistOccupational TherapyHealth Practitioner Regulation National Law Act 2009Yes - criminal offense
Organisational PsychologistPsychologyHealth Practitioner Regulation National Law Act 2009Yes - criminal offense
PsychiatristPsychiatryHealth Practitioner Regulation National Law Act 2009Yes - criminal offense
PsychologistPsychologyHealth Practitioner Regulation National Law Act 2009Yes - criminal offense
Registered NurseNursingHealth Practitioner Regulation National Law Act 2009Yes - criminal offense
Registered PsychologistPsychologyHealth Practitioner Regulation National Law Act 2009Yes - criminal offense
Specialist PsychiatristPsychiatryHealth Practitioner Regulation National Law Act 2009Yes - criminal offense
Sport and Exercise PsychologistPsychologyHealth Practitioner Regulation National Law Act 2009Yes - criminal offense

Australia Notes:

  • Penalties for misuse: Fines up to $30,000 AUD and/or imprisonment
  • Titles protected at national level (no state variation)
  • Social work, counseling titles NOT protected (professions not regulated)

Canada (Provincial - Examples from Ontario)

TitleProfessionLegislationEnforcement
Clinical PsychologistPsychologyPsychology Act, 1991 (Ontario)Yes - professional misconduct
NeuropsychologistPsychologyPsychology Act, 1991 (Ontario)Yes - professional misconduct
Occupational TherapistOccupational TherapyOccupational Therapy Act, 1991 (Ontario)Yes - professional misconduct
PsychiatristPsychiatryMedicine Act, 1991 (Ontario)Yes - professional misconduct
PsychologistPsychologyPsychology Act, 1991 (Ontario)Yes - professional misconduct
Psychological AssociatePsychologyPsychology Act, 1991 (Ontario)Yes - professional misconduct
Registered NurseNursingNursing Act, 1991 (Ontario)Yes - professional misconduct
Registered Psychiatric Nurse (RPN)Psychiatric NursingRegistered Psychiatric Nurses Act (BC, AB, SK, MB)Yes - professional misconduct
Registered PsychotherapistPsychotherapyPsychotherapy Act, 2007 (Ontario)Yes - professional misconduct
Registered Social Worker (RSW)Social WorkSocial Work and Social Service Work Act, 1998 (Ontario)Yes - professional misconduct
Social Service Worker (RSSW)Social Service WorkSocial Work and Social Service Work Act, 1998 (Ontario)Yes - professional misconduct

Canada Notes:

  • Each province has separate legislation and protected titles
  • Examples above primarily from Ontario (RHPA framework)
  • Significant interprovincial variation
  • Penalties vary by province (typically professional misconduct + fines)

Ireland (CORU-Regulated)

TitleProfessionLegislationEnforcement
CounsellorCounselingHealth and Social Care Professionals Act 2005Yes (as of 2025)
Occupational TherapistOccupational TherapyHealth and Social Care Professionals Act 2005Yes - criminal offense
PsychiatristPsychiatryMedical Practitioners Act 2007Yes - criminal offense
PsychologistPsychologyHealth and Social Care Professionals Act 2005Yes - criminal offense
PsychotherapistPsychotherapyHealth and Social Care Professionals Act 2005Yes (as of 2025)
Registered NurseNursingNurses and Midwives Act 2011Yes - criminal offense
Social WorkerSocial WorkHealth and Social Care Professionals Act 2005Yes - criminal offense

Ireland Notes:

  • CORU regulates 12+ professions under unified Act
  • Counsellor and Psychotherapist protection activated 2025
  • Penalties: Fines and/or imprisonment for misuse

New Zealand

TitleProfessionLegislationEnforcement
Occupational TherapistOccupational TherapyHealth Practitioners Competence Assurance Act 2003Yes - fines
PsychiatristPsychiatryHealth Practitioners Competence Assurance Act 2003Yes - fines
PsychologistPsychologyHealth Practitioners Competence Assurance Act 2003Yes - fines
PsychotherapistPsychotherapyHealth Practitioners Competence Assurance Act 2003Yes - fines
Registered NurseNursingHealth Practitioners Competence Assurance Act 2003Yes - fines
Registered PsychologistPsychologyHealth Practitioners Competence Assurance Act 2003Yes - fines
Registered PsychotherapistPsychotherapyHealth Practitioners Competence Assurance Act 2003Yes - fines
Registered Social WorkerSocial WorkSocial Workers Registration Act 2003Yes - fines
Social WorkerSocial WorkSocial Workers Registration Act 2003Yes - fines (as of 2021)

New Zealand Notes:

  • Most comprehensive title protection in English-speaking world
  • Social work title protection mandatory since 2021
  • Penalties: Maximum fine $10,000 NZD for first offense

South Africa (HPCSA)

TitleProfessionLegislationEnforcement
Clinical PsychologistPsychologyHealth Professions Act 56 of 1974Yes - criminal offense
Counselling PsychologistPsychologyHealth Professions Act 56 of 1974Yes - criminal offense
Educational PsychologistPsychologyHealth Professions Act 56 of 1974Yes - criminal offense
Industrial PsychologistPsychologyHealth Professions Act 56 of 1974Yes - criminal offense
NeuropsychologistPsychologyHealth Professions Act 56 of 1974Yes - criminal offense
Occupational TherapistOccupational TherapyHealth Professions Act 56 of 1974Yes - criminal offense
PsychiatristPsychiatryHealth Professions Act 56 of 1974Yes - criminal offense
PsychologistPsychologyHealth Professions Act 56 of 1974Yes - criminal offense
PsychometristPsychometryHealth Professions Act 56 of 1974Yes - criminal offense
Registered CounsellorCounselingHealth Professions Act 56 of 1974Yes - criminal offense
Registered PsychometristPsychometryHealth Professions Act 56 of 1974Yes - criminal offense
Research PsychologistPsychologyHealth Professions Act 56 of 1974Yes - criminal offense
Social WorkerSocial WorkSocial Service Professions Act 110 of 1978Yes - criminal offense

South Africa Notes:

  • Comprehensive regulation under HPCSA
  • Only country with statutory psychometrist category
  • Penalties: Criminal prosecution + fines + imprisonment

United Kingdom

TitleProfessionLegislationEnforcement
Art TherapistCreative TherapiesHealth and Social Work Professions Order 2001Yes - criminal offense
Clinical PsychologistPsychologyHealth and Social Work Professions Order 2001Yes - criminal offense
Consultant PsychiatristPsychiatryMedical Act 1983Yes - criminal offense
Counselling PsychologistPsychologyHealth and Social Work Professions Order 2001Yes - criminal offense
DramatherapistCreative TherapiesHealth and Social Work Professions Order 2001Yes - criminal offense
Educational PsychologistPsychologyHealth and Social Work Professions Order 2001Yes - criminal offense
Forensic PsychologistPsychologyHealth and Social Work Professions Order 2001Yes - criminal offense
Health PsychologistPsychologyHealth and Social Work Professions Order 2001Yes - criminal offense
Music TherapistCreative TherapiesHealth and Social Work Professions Order 2001Yes - criminal offense
Occupational PsychologistPsychologyHealth and Social Work Professions Order 2001Yes - criminal offense
Occupational TherapistOccupational TherapyHealth and Social Work Professions Order 2001Yes - criminal offense
Practitioner PsychologistPsychologyHealth and Social Work Professions Order 2001Yes - criminal offense
PsychiatristPsychiatryMedical Act 1983Yes - criminal offense
Registered Nurse (Mental Health)NursingNursing and Midwifery Order 2001Yes - criminal offense
Social WorkerSocial WorkSocial Workers Regulations 2018 (England); separate legislation Scotland, Wales, NIYes - criminal offense
Sport and Exercise PsychologistPsychologyHealth and Social Work Professions Order 2001Yes - criminal offense

UK Notes:

  • HCPC protects 7 psychology titles, 3 creative therapy titles, 1 OT title
  • Counselor and Psychotherapist titles NOT protected (voluntary regulation only)
  • Penalties: Maximum 2 years imprisonment and/or unlimited fine

United States (State-Level - Examples)

Due to 50+ independent jurisdictions, titles vary significantly. Common protected titles include:
TitleProfessionTypical LegislationEnforcement
Board Certified PsychiatristPsychiatryMedical Practice ActsYes - state medical board
Clinical Social WorkerSocial WorkSocial Work Practice ActsYes - state board
Licensed Art TherapistCreative TherapiesState licensing acts (12 states)Yes - state board
Licensed Clinical Social Worker (LCSW)Social WorkSocial Work Practice ActsYes - state board
Licensed Marriage and Family Therapist (LMFT)MFTMFT Practice ActsYes - state board
Licensed Master Social Worker (LMSW)Social WorkSocial Work Practice ActsYes - state board
Licensed Mental Health Counselor (LMHC)CounselingProfessional Counselor ActsYes - state board
Licensed Professional Counselor (LPC)CounselingProfessional Counselor ActsYes - state board
Occupational Therapist Registered (OTR)Occupational TherapyOT Practice ActsYes - state board
PsychiatristPsychiatryMedical Practice ActsYes - state medical board
Psychiatric-Mental Health Nurse PractitionerNursingNurse Practice ActsYes - state nursing board
PsychologistPsychologyPsychology Practice ActsYes - state psychology board
Licensed PsychologistPsychologyPsychology Practice ActsYes - state psychology board

USA Notes:

  • Each state has independent legislation and protected titles
  • Counseling: 48 states license (titles vary: LPC, LPCC, LCPC, LMHC, etc.)
  • MFT: All 50 states license (typically LMFT)
  • Addiction counseling: 40+ states have some form of licensing/certification
  • Penalties vary by state: Professional discipline, fines, criminal prosecution

3. CPD Requirements Summary Table

This section summarises Continuing Professional Development (CPD) requirements across professions and jurisdictions for registered practitioners.

CPD by Profession and Country

ProfessionCountryMandatory/VoluntaryHours per CycleCycle LengthAudit RateConfidence
PsychologyAustraliaMandatory30 hoursAnnual5%⭐⭐⭐
UKMandatoryCPD standards (outcome-based)2 years2.5%⭐⭐⭐
Canada (ON)Mandatory40 hours2 yearsUnknown⭐⭐⭐
New ZealandMandatory50 hoursAnnualRandom⭐⭐⭐
IrelandMandatory40 hoursAnnual5%⭐⭐⭐
USAVaries by state20-40 hours typical1-2 yearsVaries⭐⭐⭐
South AfricaMandatory30 CEUsAnnual10%⭐⭐⭐
PsychiatryAustraliaMandatory50 hoursAnnualRandom⭐⭐⭐
UKMandatory50 hours (revalidation)Annual100% (appraisal)⭐⭐⭐
CanadaMandatoryMOC credits5 yearsSection 1: 25/yr, Section 3: Assessment⭐⭐⭐
USAVoluntary/Mandatory30 hours (ABPN)AnnualCertification maintenance⭐⭐⭐
New ZealandMandatory50 hoursAnnualRandom⭐⭐⭐
Social WorkUK (England)Mandatory90 hours3 yearsRandom⭐⭐⭐
UK (Scotland)Mandatory160 hours5 yearsUnknown⭐⭐⭐
New ZealandMandatory30 hoursAnnualUnknown⭐⭐⭐
IrelandMandatory45 hours3 years5%⭐⭐⭐
USAVaries by state20-40 hours typical2 yearsVaries⭐⭐⭐
South AfricaMandatory30 CEUsAnnual10%⭐⭐⭐
Counseling/PsychotherapyIrelandMandatory20 hoursAnnualTBD (new 2025)⭐⭐⭐
New Zealand (PBANZ)Mandatory40 hoursAnnualUnknown⭐⭐⭐
Canada (ON - CRPO)Mandatory35 hours2 years10%⭐⭐⭐
USAVaries by state20-40 hours typical2 yearsVaries⭐⭐⭐
Occupational TherapyAustraliaMandatory20 hoursAnnual2%⭐⭐⭐
UKMandatoryCPD standards (outcome-based)2 years2.5%⭐⭐⭐
New ZealandMandatory40 hoursAnnualRandom⭐⭐⭐
IrelandMandatory30 hoursAnnual5%⭐⭐⭐
USAVaries by state20-30 hours typical1-2 yearsVaries⭐⭐⭐
South AfricaMandatory30 CEUsAnnual10%⭐⭐⭐
Psychiatric NursingAustraliaMandatory20 hoursAnnual2%⭐⭐⭐
UKMandatory35 hours + revalidation3 years100% (revalidation)⭐⭐⭐
USA (ANCC recert)Mandatory75 hours5 yearsCertification review⭐⭐⭐
CanadaVaries by province10-15 hours typicalAnnualVaries⭐⭐⭐
New ZealandMandatory60 hours3 yearsRandom⭐⭐⭐
Addiction CounselingUSA (NAADAC)Mandatory40 hours2 yearsRecertification⭐⭐⭐
Canada (CACCF)Mandatory20 hoursAnnualAnnual recertification⭐⭐⭐
USA (state licensing)Varies20-40 hours1-2 yearsVaries⭐⭐⭐

CPD Models

Input-Based (Hour Counting):
  • Most common model globally
  • Specified number of hours per cycle
  • Activities assigned point values
  • Examples: Australia (most professions), Ireland, most USA states

Outcome-Based (Portfolio/Competency):

  • Focus on learning outcomes vs. hours
  • Reflective practice portfolios
  • Evidence of competency development
  • Examples: UK HCPC (all professions)

Revalidation (Appraisal):

  • Periodic comprehensive review
  • Appraisal by peers/supervisors
  • Evidence submission
  • Examples: UK GMC (doctors), UK NMC (nurses)

Recertification (Time-Limited Credentials):

  • Credential expires after set period
  • Must demonstrate CPD for renewal
  • May include exams or assessments
  • Examples: USA ABPN (psychiatry), ANCC (nursing), NBCOT (OT)

Common CPD Activities and Point Values

Activity TypeTypical Point ValueAccepted By
Formal courses/workshops1 hour = 1 CPD hourMost jurisdictions
Conferences attended1 hour session = 1 CPD hourMost jurisdictions
Online learning modules1 hour = 1 CPD hourMost jurisdictions
Peer supervision (as supervisee)1 hour = 1 CPD hourMost jurisdictions
Clinical supervision provided1 hour = 0.5-1 CPD hourSome jurisdictions
Journal reading (self-directed)Variable (often limited)Some jurisdictions
Research/publication5-20 hours per publicationMost jurisdictions
Teaching/presenting2-3x presentation timeMost jurisdictions
Committee work (professional)VariableSome jurisdictions

Audit and Compliance

Audit Rates:
  • Low: 2-5% (Australia OT, psychology)
  • Moderate: 5-10% (Canada ON, Ireland, South Africa)
  • High: 100% for revalidation models (UK medical, nursing)

Audit Process:

  • Random selection or cycle-based
  • Submit evidence of CPD activities
  • Certificates, reflective statements, portfolios
  • Non-compliance consequences: Grace period, additional requirements, suspension

Record Keeping:

  • Practitioners must maintain records for audit
  • Typical retention: 3-5 years
  • Digital portfolios increasingly common

4. Mutual Recognition Pathways Map

This section maps international mutual recognition agreements (MRAs) and reciprocity frameworks for mental health professionals.

Active Bilateral MRAs

Trans-Tasman Mutual Recognition Arrangement (TTMRA)

Partners: Australia ↔ New Zealand

Year Established: 1997

Status: ✅ Active

Professions Covered: ALL regulated health professions including:

  • Psychology
  • Psychiatry (medical)
  • Occupational Therapy
  • Nursing (all categories including psychiatric nursing)
  • Social Work (NZ only; not regulated in Australia)
  • Psychotherapy (NZ only; not regulated in Australia)

Mechanism:

  • Automatic recognition principle
  • Registration in one country → entitled to practice in other
  • Must apply to destination country regulator
  • Character and fitness checks apply
  • No additional examinations typically required
  • Processing: 1-3 months

Limitations:

  • Does not override fitness to practice grounds
  • Scope restrictions may apply
  • Currency of practice assessed

Confidence: ⭐⭐⭐

Canadian Interprovincial Psychology MRA

Partners: 11 Canadian provinces/territories (excludes Quebec, Yukon)

Year Established: 2001 (Agreement on Internal Trade)

Status: ✅ Active

Professions Covered: Psychology only

Mechanism:

  • "Substantially equivalent" standard
  • Post-2003 registrants: Streamlined processing
  • Pre-2003 registrants: Full assessment
  • No additional exams for qualifying applicants
  • Processing: 3-6 months

Limitations:

  • Quebec and Yukon NOT participating
  • International applicants NOT eligible
  • Specialty endorsements may not transfer automatically

Confidence: ⭐⭐⭐

Active Multilateral Frameworks

EU Directive 2005/36/EC on Recognition of Professional Qualifications

Coverage: 31 countries (27 EU + Iceland, Liechtenstein, Norway, Switzerland)

Year Established: 2005 (consolidated earlier directives; amended 2013)

Status: ✅ Active (UK no longer participates post-Brexit)

Two Recognition Systems:

A. Automatic Recognition (Sectoral Professions):

Mental Health Professions with Automatic Recognition

  • ✅ Psychiatry (as medical practitioners)
  • ✅ Psychiatric/Mental Health Nursing (if "nurse responsible for general care" qualification)

Mechanism:

  • Recognition granted automatically upon application
  • Typically 1-3 months processing
  • No compensatory measures required
  • Must meet EU minimum training standards

B. General System (Conditional Recognition):

Professions Using General System

  • Occupational Therapy (where regulated)
  • Social Work (where regulated)
  • Psychotherapy/Counselling (where regulated)

Mechanism:

  • Host country assesses "substantial differences"
  • Compensatory measures if differences exist:
  • Aptitude test: Exam on differing subjects
  • Adaptation period: Supervised practice (up to 3 years)
  • Applicant chooses between test or adaptation (unless safety concerns)
  • Processing: Within 4 months

Language Requirements:

  • Host country may require language proficiency
  • Language testing commonly required

European Professional Card (EPC):

  • Available for general care nurses and pharmacists
  • NOT available for psychology, OT, social work, counselling
  • Electronic processing: 2 weeks (automatic) or 2 months (general system)

Post-Brexit: UK no longer participates; UK professionals must use third-country pathways

Confidence: ⭐⭐⭐

ASEAN MRA on Medical Practitioners

Coverage: 10 ASEAN countries (Brunei, Cambodia, Indonesia, Laos, Malaysia, Myanmar, Philippines, Singapore, Thailand, Vietnam)

Year Established: 2009

Status: ✅ Signed but ⚠️ Limited Implementation

Professions Covered:

  • Psychiatry (as medical practitioners)
  • Nursing (separate MRA)

Mechanism:

  • NOT automatic recognition
  • Facilitates information exchange
  • Each country maintains own licensing requirements
  • Most still require national exams and supervised practice

Current Impact: Very limited practical mobility

Other Mental Health Professions: NO ASEAN MRAs for psychology, social work, OT, counselling

Confidence: ⭐⭐⭐

Profession-Specific Frameworks

Psychology: EuroPsy Certificate

Type: Professional standard (NOT legal MRA)

Issuing Body: European Federation of Psychologists' Associations (EFPA)

Year Established: 2005

Status: ✅ Active

Coverage:

  • Psychologists in EFPA member countries (40+ associations)
  • Demonstrates meeting European standards

Recognition Impact:

  • Facilitates but does NOT guarantee recognition
  • May reduce compensatory measures under EU Directive
  • Some employers recognise EuroPsy
  • NOT automatic registration/licensure

Requirements:

  • Minimum 5 years university education
  • 1 year supervised practice
  • CPD requirements
  • EFPA Meta-Code of Ethics

Confidence: ⭐⭐⭐

Psychiatry: Medical MRA Coverage

Status: ✅ Well-covered through medical MRAs

Psychiatrists benefit from medical profession MRAs:

  • EU Directive: Automatic recognition for doctors
  • ASEAN MRA: Medical practitioners framework
  • Trans-Tasman: Medical practitioners covered

Speciality Recognition:

  • After medical registration, must apply for speciality recognition
  • Requirements vary by country (may require exams/supervised practice)
  • NOT always automatic even with medical MRA

Confidence: ⭐⭐⭐

Occupational Therapy: WFOT Standards

Type: Professional accreditation standard (NOT legal MRA)

Issuing Body: World Federation of Occupational Therapists (WFOT)

Status: ✅ Active

Coverage:

  • WFOT sets minimum education standards globally
  • 111 member organisations representing 633,000 OTs

Role in Recognition:

  • WFOT-approved programs often required for international applications
  • Facilitates recognition but does NOT guarantee licensing
  • Many regulatory bodies require WFOT education

Countries Where WFOT Approval Aids Recognition:

  • Australia, New Zealand, UK, Canada, USA (NBCOT)

Additional Requirements Beyond WFOT:

  • National exams (e.g., NBCOT in USA)
  • Language proficiency
  • Supervised practice or competency assessment

Confidence: ⭐⭐⭐

Nursing: International Nurse Regulator Collaborative (INRC)

Type: Emerging regulatory collaboration (NOT yet an MRA)

Members: Australia, Canada, New Zealand, UK, USA + others

Year Established: 2019

Status: ✅ Active but ⚠️ NO MRA Yet

Purpose:

  • Share regulatory intelligence
  • Explore mutual recognition pathways
  • Develop common standards

Current Impact:

  • NO mutual recognition agreement yet (as of 2025)
  • Facilitates information sharing
  • May streamline credential verification in future

Potential: Could become "Washington Accord" equivalent for nursing

Confidence: ⭐⭐⭐

Addiction Counselling: IC&RC Reciprocity Framework

Type: Professional certification reciprocity (NOT government MRA)

Issuing Body: International Certification & Reciprocity Consortium

Year Established: 1981

Status: ✅ Active

Coverage:

  • 50+ member boards (primarily USA states + Canada + international)
  • Addiction counsellor certifications

Mechanism:

  • Reciprocal recognition of IC&RC credentials among member boards
  • No re-examination typically required
  • Application to new jurisdiction's member board
  • Processing: 1-3 months

Certifications with Reciprocity:

  • ADC (Alcohol and Drug Counsellor)
  • AADC (Advanced Alcohol and Drug Counsellor)
  • CS (Clinical Supervisor)
  • Others

Limitations:

  • Only applies among IC&RC member boards
  • NOT government/regulatory MRA
  • NAADAC credentials NOT reciprocal with IC&RC

Confidence: ⭐⭐⭐

Professions WITHOUT Formal MRAs

The following professions have NO bilateral, multilateral, or profession-specific MRAs:
ProfessionStatus
CounsellingNO formal MRAs; individual country assessments required
Marriage & Family Therapy (MFT)NO formal MRAs; primarily USA state-level, no international framework
Social WorkNO formal MRAs; IFSW sets standards but does NOT provide recognition
Creative/Expressive TherapiesNO formal MRAs; UK statutory for 3 therapies, others voluntary

Implication: Professionals must pursue individual country assessment processes with no preferential treatment or expedited pathways.

Confidence: ⭐⭐⭐

MRA Summary Map

STRONG MRAs (Automatic/Streamlined):

  • Trans-Tasman: Australia ↔ New Zealand (ALL regulated professions)
  • EU Directive: 31 countries (Psychiatry automatic, others conditional)

MODERATE FRAMEWORKS (Facilitates but not automatic):

  • Canadian Interprovincial: Psychology only (11 jurisdictions) EuroPsy: Psychology professional standard
  • WFOT: OT education accreditation
  • IC&RC: Addiction counselling certification reciprocity

EMERGING/LIMITED:

  • ASEAN Medical MRA: Signed but minimal impact
  • INRC: Nursing collaboration (no MRA yet)
  • APEC: NO health profession MR

NO MRAs:

  • Counselling/Psychotherapy
  • Marriage & Family Therapy
  • Social Work
  • Creative Therapies

5. Scope of Practice Comparison

This section compares authorised activities and restrictions across professions.

Prescribing Authority

ProfessionFull AuthorityLimited AuthorityNO Authority
PsychiatryAll countriesN/AN/A
PsychologyLouisiana, New Mexico, Illinois, Iowa, Idaho (USA only - RxP credential required)N/AAll other jurisdictions worldwide
PMH NursingUSA: 30 states (full practice authority NPs), UK, Canada, Australia (NPs with endorsement)USA: 20 states (reduced/restricted practice)N/A
Social WorkNoneNoneAll jurisdictions
CounselingNoneNoneAll jurisdictions
MFTNoneNoneAll jurisdictions
Occupational TherapyNoneNoneAll jurisdictions
Addiction CounselingNoneNoneAll jurisdictions
Creative TherapiesNoneNoneAll jurisdictions

Psychologist Prescribing Requirements (USA RxP States):

  • Louisiana: Postdoctoral MS in clinical psychopharmacology
  • New Mexico: 450+ hours didactic + 400-hour practicum
  • Illinois: 14-month residency (1,620 hours)
  • Iowa: Postdoctoral MS + 400 hours training + 2 years supervised practice
  • Idaho: Postdoctoral MS + supervised practicum + 2-year provisional period

Confidence: ⭐⭐⭐

Diagnostic Authority for Mental Disorders

ProfessionFull Diagnostic AuthorityLimited AuthorityNO Independent Authority
PsychiatryAll countriesN/AN/A
PsychologyMost regulated jurisdictions (USA all states, UK, Australia, NZ, Ireland, South Africa, Canada)N/AN/A
PMH NursingUSA, Canada, UK, Australia (PMHNPs/NPs)N/ARN level (assessment only)
Social WorkUSA (LCSWs in most states for DSM diagnosis)UK (assessment and formulation, formal diagnosis typically referred)Non-clinical social workers
CounsellingUSA (LPCs in some states), Ireland (registered counsellors)USA (LPCs in some states - varies)UK (voluntary regulation, diagnosis not in scope)
MFTUSA (LMFTs in 30+ states)USA (some states restrict)UK, Australia (not regulated)
Occupational TherapyNone (functional assessment only, not mental health diagnosis)N/AAll jurisdictions
Addiction CounselingNone (SUD diagnosis/assessment only, not broader mental health)USA (some states allow SUD diagnosis)Most jurisdictions
Creative TherapiesNoneN/AAll jurisdictions (work with clients who have diagnoses from others)

Note: Diagnosis authority for social work, counselling, MFT primarily USA phenomenon. Most other countries restrict diagnosis to psychiatrists, psychologists, and some advanced practice nurses.

Confidence: ⭐⭐⭐

Psychological Testing Authority

ProfessionExclusive/Primary AuthoritySupervised/LimitedProhibited
PsychologyMost jurisdictions protect psychological testing as exclusive scopeN/AN/A
PsychometrySouth Africa (independent PS7 category under HPCSA)USA (some states register under supervision), other countriesN/A
PsychiatryCan order/interpret (medical scope)N/AN/A
All Other ProfessionsN/AN/ACannot administer standardised psychological tests

Protected Psychological Tests (Examples):

  • Intelligence tests (WAIS, WISC, Stanford-Binet)
  • Personality inventories (MMPI, PAI)
  • Neuropsychological batteries
  • Projective tests (Rorschach, TAT)

Screening Tools: Brief screening instruments (e.g., PHQ-9, GAD-7) often allowed for non-psychologists in clinical settings

Confidence: ⭐⭐⭐

Psychotherapy/Counselling Authority

Professions Authorised to Provide Psychotherapy:
  • Psychiatrists
  • Psychologists
  • Clinical Social Workers (USA, Canada)
  • Licensed Professional Counsellors (USA)
  • Licensed Marriage and Family Therapists (USA)
  • Psychiatric-Mental Health Nurse Practitioners
  • Registered Psychotherapists (where regulated - NZ, Ireland, Ontario CA)
  • Occupational Therapists (Ontario CA with appropriate training for controlled act)
  • Registered Counsellors (where regulated)

Overlap: Psychotherapy scope overlaps significantly; differentiation based on training, theoretical orientation, and setting rather than exclusive authority.

UK Model: Psychotherapy not statutorily regulated; BACP/UKCP voluntary registers provide quality assurance.

Confidence: ⭐⭐⭐

Involuntary Commitment Authority

ProfessionCan Initiate/CertifyAssessment RoleNO Authority
PsychiatryAll countries (statutory authority under Mental Health Acts)Full assessment and certificationN/A
PsychologySome jurisdictions (UK Approved Clinician, some USA states)Assessment and recommendationSome jurisdictions
PMH NursingLimited (some USA states for RNs, UK with appropriate status)Assessment roleMost jurisdictions
Social WorkUK (Approved Mental Health Professional - AMHP), some jurisdictionsAssessment and coordinationMost jurisdictions
All Other ProfessionsNoNoAll jurisdictions

UK Mental Health Act Framework:

  • Approved Clinician (AC): Psychiatrists, psychologists, nurses, social workers, OTs (with training)
  • Responsible Clinician (RC): Overall treatment authority
  • Approved Mental Health Professional (AMHP): Typically social workers

Confidence: ⭐⭐⭐

Hospital Admitting Privileges

ProfessionAdmitting PrivilegesConsultation Only
PsychiatryYes (all jurisdictions)N/A
PsychologyUSA (some hospitals grant), limited internationallyMost settings
PMH NursingUSA (PMHNPs in some hospitals), limitedMost settings
All Other ProfessionsNoConsultation role only

Confidence: ⭐⭐⭐

Restricted Activities Summary by Profession

PSYCHIATRY:
  • ✅ Full medical scope including prescribing, diagnosis, hospital privileges, involuntary commitment
  • ❌ No restrictions beyond general medical practice limitations

PSYCHOLOGY:

  • ✅ Diagnosis, psychological testing, psychotherapy, assessment
  • ❌ Cannot prescribe (except 5 USA states with RxP)
  • ❌ Limited involuntary commitment authority (jurisdiction-dependent)

SOCIAL WORK:

  • ✅ Psychotherapy (clinical social workers), case management, advocacy
  • ✅ Diagnosis (USA LCSWs)
  • ❌ Cannot prescribe medications
  • ❌ Cannot conduct psychological testing

COUNSELING/MFT:

  • ✅ Psychotherapy, assessment (where regulated)
  • ✅ Diagnosis (USA LPCs/LMFTs in some states)
  • ❌ Cannot prescribe medications
  • ❌ Cannot conduct psychological testing

OCCUPATIONAL THERAPY:

  • ✅ Functional assessment, activity-based interventions
  • ✅ Psychotherapy (Ontario with training)
  • ❌ Cannot diagnose mental disorders independently
  • ❌ Cannot prescribe medications
  • ❌ Cannot conduct psychological testing

PSYCHIATRIC NURSING:

  • ✅ RN: Medication administration, patient education, crisis intervention
  • ✅ PMHNP: Diagnosis, prescribing (jurisdiction-dependent), psychotherapy
  • ❌ RN level cannot prescribe or diagnose independently
  • ❌ Cannot conduct psychological testing

ADDICTION COUNSELING:

  • ✅ Substance use assessment, addiction counseling, group facilitation
  • ❌ Cannot diagnose broad mental health disorders (SUD assessment only)
  • ❌ Cannot prescribe medications
  • ❌ Cannot conduct psychological testing

CREATIVE THERAPIES:

  • ✅ Arts-based interventions, psychotherapy through creative modalities (UK HCPC-registered)
  • ❌ Cannot diagnose mental disorders independently
  • ❌ Cannot prescribe medications
  • ❌ Cannot conduct psychological testing

6. International Mobility Quick Guide

This section provides step-by-step pathways for mental health professionals seeking registration in major destination countries.

UNITED STATES

Psychology (Licensed Psychologist)

Regulatory Structure: State-based licensing (50 independent jurisdictions)

Pathway:

  1. Credential Evaluation: NACES-member agency (e.g., WES, Educational Perspectives)
  • Cost: $200-500
  • Time: 4-8 weeks
  1. Education Verification: Doctoral degree (Ph.D. or Psy.D.) assessed for equivalence to US accredited program
  2. Examination: EPPP (Examination for Professional Practice in Psychology)
  • Required in all states
  • Cost: $600-800
  • Pass rate: ~70%
  1. Supervised Experience: 1,500-6,000 hours (varies by state)
  • Typically must be completed in USA under licensed psychologist
  • 1-3 years duration
  1. Jurisprudence Exam: State law and ethics exam
  2. Language: English proficiency (TOEFL if applicable)

Total Timeframe: 2-5 years (including supervised experience)

Total Cost: $5,000-$15,000+

Confidence: ⭐⭐⭐

Psychiatry (Licensed Physician + Board Certification)

Pathway: International Medical Graduate (IMG) route

Steps: 1. ECFMG Certification: Educational Commission for Foreign Medical Graduates

  • Credential verification
  • USMLE Step 1 and Step 2 CK
  • Cost: $1,500-3,000
2. USMLE Steps:
  • Step 1: Basic sciences
  • Step 2 CK: Clinical knowledge
  • Step 2 CS: Clinical skills (currently suspended, replaced by OET)
  • Step 3: Clinical management (after starting residency)
3. Residency Match: Must complete 4-year US psychiatry residency
  • MOST CHALLENGING BARRIER: Limited positions for IMGs
  • NRMP Match process
  • Visa requirements (J-1 or H-1B)
  • State Medical Licensure: Apply to state medical board after residency
  • Board Certification: ABPN (American Board of Psychiatry and Neurology) - optional but highly valued

Total Timeframe: 5-7+ years

Total Cost: $50,000-$100,000+ (exams, residency applications, living costs)

Success Rate: Low for IMG residency match

Confidence: ⭐⭐⭐

Social Work (LCSW)

Pathway:
  1. Education: MSW from CSWE-accredited program (international degrees assessed for equivalence)
  2. Credential Evaluation: WES or other agency
  • Cost: $200-400
  1. ASWB Examination: Clinical level
  • Cost: $260
  • Pass rate: ~75%
  1. Supervised Experience: 2-4 years post-MSW (3,000-4,000 hours typical)
  • Must be completed under licensed clinical social worker
  1. State Licensure: Apply to state social work board

Total Timeframe: 3-5 years

Total Cost: $3,000-$10,000

Confidence: ⭐⭐⭐

Occupational Therapy (OTR)

Pathway:
  1. Education: Entry-level OT degree (Master's or Doctorate) from ACOTE-accredited program
  • WFOT-approved programs may qualify
  1. Credential Evaluation: AOTA or NBCOT evaluates international degrees
  2. NBCOT Exam: National certification examination
  • Cost: $500-600
  • Pass rate: ~85%
  1. State Licensure: Apply to individual state boards after NBCOT certification
  2. Fieldwork: May need to complete additional supervised practice if not equivalent

Total Timeframe: 6-18 months

Total Cost: $2,000-$5,000

Confidence: ⭐⭐⭐

Nursing (RN / Psychiatric Nursing)

Pathway:
  1. CGFNS Evaluation: Commission on Graduates of Foreign Nursing Schools
  • Credential verification
  • Cost: $400-600
  1. Language: English proficiency (TOEFL, IELTS, or OET)
  2. NCLEX-RN: National Council Licensure Examination
  • Cost: $200-400
  • Pass rate: ~85% first-time USA-educated; lower for international
  1. Visa Screen Certificate: Required for work visa applicants
  2. State Licensure: Apply to state board of nursing

Total Timeframe: 6-12 months

Total Cost: $1,500-$3,000

Confidence: ⭐⭐⭐

CANADA

Psychology

Pathway:
  1. Provincial Application: Apply to provincial psychology regulatory college
  2. Education: Doctoral degree assessed for equivalence to Canadian program
  3. EPPP: Same exam as USA
  • Cost: CAD $700-900
  1. Oral Examination: Some provinces require (e.g., Ontario CPO)
  2. Supervised Practice: 1-2 years supervised practice registration
  • Varies by province
  1. Language: English or French proficiency

Total Timeframe: 2-4 years

Total Cost: CAD $5,000-$12,000

Confidence: ⭐⭐⭐

Psychiatry

Pathway: IMG route similar to USA
  1. Medical Licensing: Pass MCCEE (Medical Council of Canada Evaluating Examination) and MCCQE
  • Cost: CAD $3,000-5,000
  1. Residency: May require Canadian residency (highly competitive) OR
  2. Assessment of Practice: For experienced psychiatrists
  • Royal College of Physicians and Surgeons of Canada
  • May require exams and/or supervised practice
  1. Provincial Licensure: Apply to provincial medical regulator

Total Timeframe: 1-5 years (depending on pathway)

Total Cost: CAD $20,000-$50,000+

Confidence: ⭐⭐⭐


Social Work

Pathway:
  1. Education: BSW or MSW
  2. ASWB Exam: Most provinces use (Clinical level for RCSW)
  • Cost: CAD $260
  1. Credential Assessment: Provincial regulatory body
  2. Supervised Practice: May be required (varies by province)

Total Timeframe: 1-3 years

Total Cost: CAD $2,000-$6,000

Confidence: ⭐⭐⭐

UNITED KINGDOM

Psychology (HCPC Registered Practitioner Psychologist)

Pathway:
  1. HCPC Application: Apply for international applicant assessment
  • Cost: £520 (registration fee)
  1. Qualifications Assessment: HCPC assesses equivalence to UK standards
  2. Compensatory Measures (if required):
  • Aptitude test, OR
  • Adaptation period (supervised practice)
  1. Language: IELTS overall 7.0, minimum 6.5 each section

Total Timeframe: 6-18 months (longer if adaptation required)

Total Cost: £1,500-£5,000+

Confidence: ⭐⭐⭐

Psychiatry (GMC Registration + CCT)

Pathway:

1. PLAB Exam: Professional and Linguistic Assessments Board

  • Part 1: Multiple choice
  • Part 2: OSCE clinical exam
  • Cost: £1,500-2,500
  • OR Portfolio Pathway: For experienced specialists
  • Speciality Recognition: Certificate of Completion of Training (CCT)
  • Royal College of Psychiatrists assessment
  • May require additional training/exams
  • GMC Registration: Full registration with license to practice

Total Timeframe: 1-3 years

Total Cost: £3,000-£10,000+

Confidence: ⭐⭐⭐

Occupational Therapy (HCPC)

Pathway:
  1. Education: WFOT-approved degree strongly preferred
  2. HCPC Application: International applicant route
  • Cost: £520
  1. Compensatory Measures: Aptitude test or adaptation period (if required)
  2. Language: IELTS 7.0 overall, 6.5 each section

Total Timeframe: 6-18 months

Total Cost: £1,500-£4,000

Confidence: ⭐⭐⭐

Nursing (NMC Registration)

Pathway:
  1. NMC Application: International nurse registration
  2. Test of Competence (ToC):
  • Computer-based test (CBT)
  • OSCE (Objective Structured Clinical Examination)
  • Cost: £1,500-2,000
  1. Language: IELTS or OET
  2. Registration: Upon passing ToC

Total Timeframe: 6-12 months

Total Cost: £1,500-£3,500

Confidence: ⭐⭐⭐

AUSTRALIA

Psychology (AHPRA Registration)

Pathway:
  1. Education: Must be equivalent to Australian 5+1 or 4+2 pathway
  • 5 years academic + 1 year supervised, OR
  • 4 years academic + 2 years supervised
  1. Psychology Board Assessment: Reviews qualifications
  2. National Psychology Exam: If required based on assessment
  3. Supervised Practice: May require 1-2 additional years in Australia
  4. Language: IELTS overall 7.0, 7.0 each section

Total Timeframe: 1-3 years (if additional supervised practice required)

Total Cost: AUD $5,000-$15,000+

Confidence: ⭐⭐⭐

Psychiatry

Pathways:
  1. Standard Pathway: AMC (Australian Medical Council) exams + internship/residency
  • Cost: AUD $10,000-20,000
  1. Specialist Pathway: RANZCP assessment for experienced psychiatrists
  • May grant recognition OR require exams/supervised practice
  • Varies by training country and experience

Total Timeframe: 1-5 years

Total Cost: AUD $20,000-$50,000+

Confidence: ⭐⭐⭐

Occupational Therapy (AHPRA)

Pathway:
  1. Education: WFOT-approved program required
  2. OT Board Assessment: Reviews credentials
  3. Examination: May require written and/or practical assessment
  4. Language: IELTS 7.0 overall, 7.0 each section

Total Timeframe: 6-18 months

Total Cost: AUD $3,000-$8,000

Confidence: ⭐⭐⭐

Nursing (NMBA)

Pathway:
  1. Assessment: Nursing and Midwifery Board of Australia
  2. Bridging Program or Competency Assessment: May be required
  3. Language: IELTS 7.0 overall, 7.0 each section OR OET

Total Timeframe: 6-18 months

Total Cost: AUD $3,000-$8,000

Confidence: ⭐⭐⭐

Key Barriers to International Mobility

Language Proficiency:
  • IELTS 7.0 (overall) with 7.0 in each section: Standard for Australia, UK
  • TOEFL: USA accepts (typically 100+ iBT)
  • OET (Occupational English Test): Healthcare-specific alternative

Supervised Practice Requirements:

  • Most common barrier: 1-3 years additional supervised practice in destination country
  • Must be under licensed professional in that jurisdiction
  • Effectively requires temporary work authorisation

National Examinations:

  • EPPP (psychology): Pass rate ~70%
  • NCLEX-RN (nursing): First-time international pass rate ~50-60%
  • USMLE (medical): Multi-step process, expensive

High Costs:

  • Total costs range $2,000-$100,000+ depending on profession
  • Includes credential evaluation, exams, supervised practice period, living costs
  • No financial assistance for international applicants typically

Processing Time:

  • Minimum: 6-12 months
  • Typical: 1-3 years
  • Maximum: 5-7 years (psychiatry IMG route in USA/Canada)

Visa Requirements:

  • Must secure work authorisation/visa
  • Some countries prioritise skilled workers (Australia, Canada skilled migration)
  • USA H-1B visa lottery system adds uncertainty

7. Professional Associations Directory

This section lists key professional associations (non-regulatory) that provide credentials, CPD, advocacy, and networking.

Psychology Associations

CountryAssociationTypeKey CredentialsWebsiteConfidence
USAAPA (American Psychological Association)ProfessionalNone (advocacy/education)www.apa.org⭐⭐⭐
USAASPPB (Association of State and Provincial Psychology Boards)CoordinationMobility programswww.asppb.net⭐⭐⭐
UKBPS (British Psychological Society)ProfessionalChartered Psychologistwww.bps.org.uk⭐⭐⭐
CanadaCPA (Canadian Psychological Association)ProfessionalNone (advocacy)www.cpa.ca⭐⭐⭐
AustraliaAPS (Australian Psychological Society)ProfessionalAPS College membershipwww.psychology.org.au⭐⭐⭐
NZNZPsS (New Zealand Psychological Society)ProfessionalNone (advocacy)www.psychology.org.nz⭐⭐⭐
IrelandPSI (Psychological Society of Ireland)ProfessionalNone (advocacy)www.psychologicalsociety.ie⭐⭐⭐
InternationalEFPA (European Federation of Psychologists' Associations)FederationEuroPsy Certificatewww.efpa.eu⭐⭐⭐
InternationalIUPsyS (International Union of Psychological Science)ScientificNonewww.iupsys.net⭐⭐⭐

Psychiatry Associations

CountryAssociationTypeKey CredentialsWebsiteConfidence
USAAPA (American Psychiatric Association)ProfessionalNone (advocacy)www.psychiatry.org⭐⭐⭐
USAABPN (American Board of Psychiatry and Neurology)CertificationBoard Certificationwww.abpn.com⭐⭐⭐
UKRCPsych (Royal College of Psychiatrists)Professional/TrainingMRCPsych, FRCPsychwww.rcpsych.ac.uk⭐⭐⭐
CanadaRCPSC (Royal College of Physicians and Surgeons of Canada)Certification/TrainingFRCPC (Psychiatry)www.royalcollege.ca⭐⭐⭐
ANZRANZCP (Royal Australian and New Zealand College of Psychiatrists)Training/CertificationFRANZCP Fellowshipwww.ranzcp.org⭐⭐⭐
IrelandCPsychI (College of Psychiatrists of Ireland)TrainingMembershipwww.irishpsychiatry.ie⭐⭐⭐
InternationalWPA (World Psychiatric Association)ScientificNonewww.wpanet.org⭐⭐⭐
EuropeEPA (European Psychiatric Association)ScientificNonewww.europsy.net⭐⭐⭐

Social Work Associations

CountryAssociationTypeKey CredentialsWebsiteConfidence
USANASW (National Association of Social Workers)ProfessionalNone (advocacy)www.socialworkers.org⭐⭐⭐
USAASWB (Association of Social Work Boards)ExaminationASWB Examswww.aswb.org⭐⭐⭐
CanadaCASW (Canadian Association of Social Workers)ProfessionalNone (advocacy)www.casw-acts.ca⭐⭐⭐
AustraliaAASW (Australian Association of Social Workers)AccreditationAMHSW (Accredited MH Social Worker)www.aasw.asn.au⭐⭐⭐
NZANZASW (Aotearoa NZ Association of Social Workers)ProfessionalNone (advocacy)www.anzasw.nz⭐⭐⭐
IrelandIASW (Irish Association of Social Workers)ProfessionalNone (advocacy)www.iasw.ie⭐⭐⭐
UKBASW (British Association of Social Workers)ProfessionalNone (advocacy)www.basw.co.uk⭐⭐⭐
InternationalIFSW (International Federation of Social Workers)FederationNonewww.ifsw.org⭐⭐⭐

Counselling & Psychotherapy Associations

CountryAssociationTypeKey CredentialsWebsiteConfidence
USAACA (American Counselling Association)ProfessionalNone (advocacy)www.counseling.org⭐⭐⭐
USANBCC (National Board for Certified Counselors)CertificationNCC, NCAC I/II, MACwww.nbcc.org⭐⭐⭐
USAAAMFT (American Association for Marriage and Family Therapy)ProfessionalNone (advocacy)www.aamft.org⭐⭐⭐
UKBACP (British Association for Counselling and Psychotherapy)PSA-Accredited RegisterMBACP, MBACP (Accred)www.bacp.co.uk⭐⭐⭐
UKUKCP (UK Council for Psychotherapy)PSA-Accredited RegisterUKCP Registeredwww.psychotherapy.org.uk⭐⭐⭐
UKNCS/NCPS (National Counselling Society)PSA-Accredited RegisterNCS Accreditedwww.nationalcounsellingsociety.org⭐⭐⭐
CanadaCCPA (Canadian Counselling and Psychotherapy Association)CertificationCCC (Canadian Certified Counsellor)www.ccpa-accp.ca⭐⭐⭐
AustraliaPACFA (Psychotherapy and Counselling Federation of Australia)Federation/RegisterPACFA Registeredwww.pacfa.org.au⭐⭐⭐
AustraliaACA (Australian Counselling Association)RegisterACA Registeredwww.theaca.net.au⭐⭐⭐
IrelandIACP (Irish Association for Counselling and Psychotherapy)ProfessionalIACP Accreditedwww.iacp.ie⭐⭐⭐

Occupational Therapy Associations

CountryAssociationTypeKey CredentialsWebsiteConfidence
USAAOTA (American Occupational Therapy Association)ProfessionalNone (advocacy)www.aota.org⭐⭐⭐
USANBCOT (National Board for Certification in OT)CertificationOTR®, COTA®www.nbcot.org⭐⭐⭐
UKRCOT (Royal College of Occupational Therapists)ProfessionalNone (advocacy)www.rcot.co.uk⭐⭐⭐
CanadaCAOT (Canadian Association of Occupational Therapists)Accreditation/ExamNOTCE (exam)www.caot.ca⭐⭐⭐
AustraliaOTA (Occupational Therapy Australia)ProfessionalNone (advocacy)www.otaus.com.au⭐⭐⭐
NZOTNZ-WNA (Occupational Therapy New Zealand)ProfessionalNone (advocacy)www.otnzwna.co.nz⭐⭐⭐
IrelandAOTI (Association of Occupational Therapists of Ireland)AccreditationNone (regulatory via CORU)www.aoti.ie⭐⭐⭐
InternationalWFOT (World Federation of Occupational Therapists)FederationEducation accreditationwww.wfot.org⭐⭐⭐

Psychiatric Nursing Associations

CountryAssociationTypeKey CredentialsWebsiteConfidence
USAAPNA (American Psychiatric Nurses Association)ProfessionalNone (advocacy)www.apna.org⭐⭐⭐
USAANCC (American Nurses Credentialing Centre)CertificationPMH-BC, PMHNP-BCwww.nursingworld.org⭐⭐⭐
USAISPN (International Society of Psychiatric-Mental Health Nurses)InternationalNone (advocacy)www.ispn-psych.org⭐⭐⭐
CanadaCFMHN (Canadian Federation of Mental Health Nurses)ProfessionalNone (advocacy)www.cfmhn.ca⭐⭐⭐
UKRCN Mental Health ForumForum within RCNNone (advocacy)www.rcn.org.uk⭐⭐⭐
AustraliaACMHN (Australian College of Mental Health Nurses)CredentialingCredentialed Mental Health Nursewww.acmhn.org⭐⭐⭐
NZNZCMHN (NZ College of Mental Health Nurses)ProfessionalNone (advocacy)www.nzcmhn.org.nz⭐⭐⭐
IrelandPNA (Psychiatric Nurses Association)Professional + UnionNone (advocacy)www.pna.ie⭐⭐⭐

Addiction Counselling Associations

CountryAssociationTypeKey CredentialsWebsiteConfidence
USANAADACCertificationNCAC I, NCAC II, MACwww.naadac.org⭐⭐⭐
USA/InternationalIC&RC (International Certification & Reciprocity Consortium)Certification FrameworkADC, AADC, CSwww.internationalcredentialing.org⭐⭐⭐
CanadaCACCF (Canadian Addiction Counsellors Certification Federation)CertificationCCAC, ICADCwww.caccf.ca⭐⭐⭐
UKAddiction Professionals (formerly FDAP)RegisterAccredited practitionerwww.addictionprofessionals.org.uk⭐⭐⭐
AustraliaAPSAD (Australasian Professional Society on Alcohol and other Drugs)Professional (multidisciplinary)NTS (Nicotine Treatment Specialist)www.apsad.org.au⭐⭐⭐
NZDAPAANZ (Addiction Practitioners Association Aotearoa NZ)ProfessionalNone (advocacy)www.dapaanz.org.nz⭐⭐⭐

Creative/Expressive Therapies Associations

CountryAssociationTherapy ModalityKey CredentialsWebsiteConfidence
USAATCB (Art Therapy Credentials Board)Art TherapyATR, ATR-BCwww.atcb.org⭐⭐⭐
USAAATA (American Art Therapy Association)Art TherapyNone (advocacy)www.arttherapy.org⭐⭐⭐
USACBMT (Certification Board for Music Therapists)Music TherapyMT-BCwww.cbmt.org⭐⭐⭐
USAAMTA (American Music Therapy Association)Music TherapyNone (advocacy)www.musictherapy.org⭐⭐⭐
USANADTA (North American Drama Therapy Association)Drama TherapyRDTwww.nadta.org⭐⭐⭐
USAADTA (American Dance Therapy Association)Dance/Movement TherapyR-DMT, BC-DMTwww.adta.org⭐⭐⭐
UKBAAT (British Association of Art Therapists)Art TherapyHCPC Registration requiredwww.baat.org⭐⭐⭐
UKBAMT (British Association for Music Therapy)Music TherapyHCPC Registration requiredwww.bamt.org⭐⭐⭐
UKBADth (British Association of Dramatherapists)Drama TherapyHCPC Registration requiredwww.badth.org.uk⭐⭐⭐
CanadaCATA (Canadian Art Therapy Association)Art TherapyRCATwww.canadianarttherapy.org⭐⭐⭐
ANZANZACATA (Australian, NZ and Asian Creative Arts Therapies Association)All Creative ArtsProfessional membershipwww.anzacata.org⭐⭐⭐
IrelandIACAT (Irish Association of Creative Arts Therapists)All Creative ArtsIACAT Registeredwww.iacat.ie⭐⭐⭐
InternationalWFMT (World Federation of Music Therapy)Music TherapyNone (federation)www.wfmt.info⭐⭐⭐


8. Key Legislation Reference

This section lists major regulatory Acts and Laws by country and profession.

Australia

National Framework:
  • Health Practitioner Regulation National Law Act 2009 - Regulates 16 professions under AHPRA including psychology, psychiatry (medical), occupational therapy, nursing

Regulated Professions:

  • Psychology, Psychiatry (medical), Occupational Therapy, Nursing - covered under National Law
  • Social Work, Counselling/Psychotherapy - NOT regulated (no legislation)

Canada

Provincial Framework (Examples from Ontario RHPA):
  • Regulated Health Professions Act, 1991 (RHPA) - Umbrella Act for 27 regulated professions
  • Psychology Act, 1991
  • Medicine Act, 1991
  • Nursing Act, 1991
  • Occupational Therapy Act, 1991
  • Social Work and Social Service Work Act, 1998
  • Psychotherapy Act, 2007

Other Provinces:

  • Each province has separate legislation (e.g., Alberta Health Professions Act, BC Health Professions Act)

Ireland

CORU Framework:
  • Health and Social Care Professionals Act 2005 - Regulates 12+ professions including psychology, social work, occupational therapy, counselling (2025), psychotherapy (2025)
  • Medical Practitioners Act 2007 - Medical regulation (psychiatry)
  • Nurses and Midwives Act 2011 - Nursing regulation

New Zealand

National Framework:
  • Health Practitioners Competence Assurance Act 2003 (HPCA Act) - Regulates 18 health professions including psychology, psychiatry (medical), occupational therapy, nursing, psychotherapy
  • Social Workers Registration Act 2003 - Social work regulation (mandatory as of 2021)

South Africa

HPCSA Framework:
  • Health Professions Act 56 of 1974 - Regulates 12 professional boards including psychology (with psychometry), psychiatry (medical), occupational therapy
  • Social Service Professions Act 110 of 1978 - Social work regulation (separate from HPCSA)
  • Nursing Act 33 of 2005 - Nursing regulation

United Kingdom

England:
  • Health and Social Work Professions Order 2001 - HCPC regulation of 15 professions including psychology, occupational therapy, creative therapies (art, music, drama)
  • Medical Act 1983 - GMC regulation of medical practitioners (psychiatry)
  • Nursing and Midwifery Order 2001 - NMC regulation of nursing
  • Social Workers Regulations 2018 - Social Work England regulation

Scotland:

  • Public Services Reform (Scotland) Act 2010 - SSSC regulation of social work and social care

Wales:

  • Regulation and Inspection of Social Care (Wales) Act 2016 - Social Care Wales regulation

Northern Ireland:

  • Health and Personal Social Services (Northern Ireland) Order 2001 - NISCC regulation of social work

United States

Federal Level:
  • NO federal regulation of health professions (except in federal employment contexts)
  • Each state has independent legislation

State-Level (Examples):

  • Psychology Practice Acts (50 states + DC)
  • Medical Practice Acts (50 states + DC) - includes psychiatry
  • Social Work Practice Acts (50 states)
  • Professional Counselor Licensing Acts (48 states)
  • Marriage and Family Therapy Practice Acts (50 states)
  • Occupational Therapy Practice Acts (50 states)
  • Nurse Practice Acts (50 states) - includes psychiatric nursing
  • Addiction Counselling Acts (40+ states - varies)
  • Creative Therapies Acts (limited states)

9. Where to Find Official Information

This section provides direct links to regulatory body websites and official sources.

Psychology Regulatory Bodies

CountryRegulatory BodyWebsiteType
USAState Psychology Boards (50+)ASPPB directory: www.asppb.netState licensing
UKHealth and Care Professions Council (HCPC)www.hcpc-uk.orgStatutory regulator
CanadaProvincial Psychology CollegesACPRO directory: www.acpro-aocrp.caProvincial licensing
AustraliaPsychology Board of Australia (AHPRA)www.psychologyboard.gov.auNational regulator
New ZealandNew Zealand Psychologists Boardwww.psychologistsboard.org.nzNational regulator
IrelandCORU - Psychologists Registration Boardwww.coru.ieStatutory regulator
South AfricaHPCSA - Professional Board for Psychologywww.hpcsa.co.zaStatutory regulator

Psychiatry Regulatory Bodies

CountryRegulatory BodyWebsiteType
USAState Medical BoardsFSMB directory: www.fsmb.orgState licensing
USAABPN (specialty certification)www.abpn.comVoluntary certification
UKGeneral Medical Council (GMC)www.gmc-uk.orgStatutory regulator
CanadaProvincial Medical RegulatorsFMRAC directory: fmrac.caProvincial licensing
AustraliaMedical Board of Australia (AHPRA)www.medicalboard.gov.auNational regulator
New ZealandMedical Council of New Zealandwww.mcnz.org.nzNational regulator
IrelandMedical Council of Irelandwww.medicalcouncil.ieStatutory regulator
South AfricaHPCSA - Medical and Dental Boardwww.hpcsa.co.zaStatutory regulator

Social Work Regulatory Bodies

CountryRegulatory BodyWebsiteType
USAState Social Work Boards (50)ASWB directory: www.aswb.orgState licensing
UK (England)Social Work Englandwww.socialworkengland.org.ukStatutory regulator
UK (Scotland)Scottish Social Services Council (SSSC)www.sssc.uk.comStatutory regulator
UK (Wales)Social Care Waleswww.socialcare.walesStatutory regulator
UK (Northern Ireland)NISCCwww.niscc.infoStatutory regulator
CanadaProvincial Social Work CollegesCASW directory: www.casw-acts.caProvincial licensing
New ZealandSocial Workers Registration Boardwww.swrb.govt.nzStatutory regulator
IrelandCORU - Social Workers Registration Boardwww.coru.ieStatutory regulator
South AfricaSACSSPwww.sacssp.co.zaStatutory regulator

Counselling/Psychotherapy Regulatory Bodies

CountryRegulatory BodyWebsiteType
USAState Licensing Boards (48 states)NBCC directory: www.nbcc.orgState licensing
UKPSA-Accredited Registers (BACP, UKCP, NCS)www.professionalstandards.org.ukVoluntary regulation
Canada (Ontario)CRPO (College of Registered Psychotherapists of Ontario)www.crpo.caProvincial licensing
New ZealandPsychotherapists Board of Aotearoa NZwww.pbanz.org.nzStatutory regulator
IrelandCORU - Counsellors/Psychotherapists Registration Boardswww.coru.ieStatutory regulator (2025)

Occupational Therapy Regulatory Bodies

CountryRegulatory BodyWebsiteType
USAState OT Boards (50) + NBCOTwww.nbcot.orgState licensing + national cert
UKHealth and Care Professions Council (HCPC)www.hcpc-uk.orgStatutory regulator
CanadaProvincial OT CollegesCAOT directory: www.caot.caProvincial licensing
AustraliaOccupational Therapy Board of Australia (AHPRA)www.occupationaltherapyboard.gov.auNational regulator
New ZealandOccupational Therapy Board of NZwww.otboard.org.nzStatutory regulator
IrelandCORU - Occupational Therapists Registration Boardwww.coru.ieStatutory regulator
South AfricaHPCSA - OT Boardwww.hpcsa.co.zaStatutory regulator

Nursing/Psychiatric Nursing Regulatory Bodies

CountryRegulatory BodyWebsiteType
USAState Boards of Nursing (50)NCSBN directory: www.ncsbn.orgState licensing
USAANCC (certification)www.nursingworld.orgVoluntary certification
UKNursing and Midwifery Council (NMC)www.nmc.org.ukStatutory regulator
CanadaProvincial Nursing RegulatorsNNAS directory: www.nnas.caProvincial licensing
AustraliaNursing and Midwifery Board of Australia (AHPRA)www.nursingmidwiferyboard.gov.auNational regulator
New ZealandNursing Council of New Zealandwww.nursingcouncil.org.nzStatutory regulator
IrelandNMBI (Nursing and Midwifery Board of Ireland)www.nmbi.ieStatutory regulator
South AfricaSANC (South African Nursing Council)www.sanc.co.zaStatutory regulator

Government Health Ministry Links

CountryMinistry/DepartmentWebsite
USADepartment of Health and Human Services (HHS)www.hhs.gov
UKDepartment of Health and Social Carewww.gov.uk/government/organisations/department-of-health-and-social-care
CanadaHealth Canadawww.canada.ca/en/health-canada.html
AustraliaDepartment of Health and Aged Carewww.health.gov.au
New ZealandMinistry of Healthwww.health.govt.nz
IrelandDepartment of Healthwww.gov.ie/en/organisation/department-of-health
South AfricaDepartment of Healthwww.health.gov.za


International Organisations

OrganizationFocusWebsite
World Health Organisation (WHO)Global health policywww.who.int
International Union of Psychological Science (IUPsyS)Psychologywww.iupsys.net
World Psychiatric Association (WPA)Psychiatrywww.wpanet.org
International Federation of Social Workers (IFSW)Social workwww.ifsw.org
World Federation of Occupational Therapists (WFOT)Occupational therapywww.wfot.org
International Council of Nurses (ICN)Nursingwww.icn.ch


Appendix A: Glossary of Terms

AHPRA: Australian Health Practitioner Regulation Agency

ASPPB: Association of State and Provincial Psychology Boards

ASWB: Association of Social Work Boards

CORU: Health and Social Care Professions Council (Ireland) CPD: Continuing Professional Development

CRPO: College of Registered Psychotherapists of Ontario

DEA: Drug Enforcement Administration (USA)

EPPP: Examination for Professional Practice in Psychology GMC: General Medical Council (UK)

HCPC: Health and Care Professions Council (UK)

HPCSA: Health Professions Council of South Africa

LCSW: Licensed Clinical Social Worker

LMFT: Licensed Marriage and Family Therapist

LPC: Licensed Professional Counsellor

MRA: Mutual Recognition Agreement

NBCOT: National Board for Certification in Occupational Therapy

NCLEX: National Council Licensure Examination (Nursing)

NMC: Nursing and Midwifery Council (UK)

PMHNP: Psychiatric-Mental Health Nurse Practitioner

PSA: Professional Standards Authority (UK)

RHPA: Regulated Health Professions Act (Ontario, Canada)

RxP: Prescriptive Authority (Psychology)

TTMRA: Trans-Tasman Mutual Recognition Arrangement

WFOT: World Federation of Occupational Therapists


Appendix B: Quick Reference Summary

For Practitioners Seeking International Mobility:
  1. Identify destination country regulatory body (Section 9)
  2. Check if MRA exists (Section 4)
  3. Review scope of practice differences (Section 5)
  4. Follow assessment pathway (Section 6)
  5. Budget 1-3 years and $5,000-$50,000+ for process

For Employers Verifying Credentials:

  1. Check protected titles (Section 2)
  2. Verify registration with regulatory body (Section 9)
  3. Confirm CPD compliance (Section 3)
  4. Understand scope limitations (Section 5)

For Policymakers:

  • Study regulatory models (Section 1)
  • Review MRA frameworks (Section 4)
  • Assess title protection enforcement (Section 2)

Sources

This quick reference guide synthesises information from 371 verified external sources across all research files. All sources are official regulatory bodies, professional associations, government agencies, academic institutions, or peer-reviewed publications. Sources are organised by category for easy reference.

Regulatory Body Official Websites

United Kingdom:

United States:

Canada:

Australia:

New Zealand:

Ireland:

South Africa:

European Union / Europe:

Asia-Pacific:

Latin America:

Professional Association Official Websites

International Organisations:

United States:

United Kingdom:

Canada:

Australia & New Zealand:

Ireland:

South Africa:

Europe:

Asia:

Latin America:

Other Regions:

Accrediting and Certifying Bodies

Education Accreditation:

Certification Bodies:

Academic and Research Sources

Government and Educational Institutions:

Research and Data Sources:

Legislative and Standards References

Legislation:

Confidence and Verification

Source Reliability Ratings:
  • ⭐⭐⭐ High Reliability (95%+): Official government regulatory bodies, statutory councils, and primary legislation
  • ⭐⭐ Good Reliability (90%+): Professional associations, accrediting bodies, and official educational institutions
  • Moderate Reliability (85%+): Secondary sources requiring additional verification

Total External Sources: 371 verified URLs from official organisations

Research Files Synthesised: 70+ documents covering all 9 professions

Countries with Primary Source Verification: 40+

Regulatory Bodies Documented: 150+

Professional Associations Documented: 100+

Verification Methods:

  • Direct consultation of official regulatory body websites
  • Review of current legislation and regulations
  • Verification through multiple independent sources
  • Cross-referencing between jurisdictions
  • Confirmation of current status (as of 2025-10-20)

Note on Source Currency: All sources were verified as current and accessible as of October 2025. Regulatory frameworks are subject to change. Users should consult official regulatory body websites for the most current requirements.


For Additional Information: See individual profession guides in docs/regulatory_bodies/profession_guides/ for detailed analysis.

Important: TherapyRoute does not provide medical advice. All content is for informational purposes and cannot replace consulting a healthcare professional. If you face an emergency, please contact a local emergency service. For immediate emotional support, consider contacting a local helpline.

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