Practice standards define the minimum level of expected performance for registered massage therapists, and therefore define what constitutes safe, ethical, and competent delivery of care by RMTs.
RMTs are responsible for exercising their professional judgment to apply the standards to the situations that they face in practice.
The Indigenous Cultural Safety, Humility, and Anti-Racism Standard of Practice will take effect January 1, 2024.
The purpose of this standard is to set clear expectations for how registered massage therapists (RMTs) are to provide culturally safe and anti-racist care for Indigenous patients.
This standard is organized into six core requirements.
Indigenous Peoples is a collective noun that describes First Nations, Inuit and Métis people. They are the original inhabitants of Canada, long predating settlement and colonization by European and other peoples. Indigenous Peoples are not a homogenous group, and their languages, culture, customs, traditions, and spirituality vary in important ways.
Indigenous-specific racism is the historic and ongoing race-based discrimination, negative stereotyping and injustice experienced by Indigenous people. It contributes to and perpetuates power imbalances, systemic discrimination, and inequitable outcomes – including health outcomes – stemming from colonial policies and practices.
Cultural humility refers to a process of ongoing self-reflection and self-critique that begins with an in-depth examination of the RMT’s assumptions, beliefs, biases, and privilege, as well as the goals of the patient-therapist relationship. It involves humbly acknowledging oneself as a learner and promotes patient/RMT relationships based on mutual respect, open and effective communication and mutual trust and decision-making.
Cultural safety occurs when the Indigenous person receiving care experiences the treatment and the treatment environment as respectful, safe and allowing for meaningful communication and service. A culturally safe environment is one that is experienced as being physically, socially, emotionally and spiritually safe, without challenge, ignorance or denial of the patient’s identity.
2SLGBTQQIA+ (two spirited, lesbian, gay, bisexual, transgender, queer, questioning, intersex and asexual) is the acronym used to refer to a community of gender-diverse people across all Indigenous Peoples, while recognizing the limitations of any acronym.
RMTs practice in a self-reflective manner by:
RMTs embed cultural safety and humility within massage therapy practice by:
RMTs provide relational and patient-centered care1 by:
RMTs practice in a trauma-informed manner by:
RMTs take appropriate action when others act in a racist or discriminatory manner towards Indigenous people by: