The profession of Therapeutic Clowning, now in its thirty-first year, is developing rapidly. Practitioners around the world now gather biannually at international conferences designed to present research, share techniques during artistic workshops and provide mentorship and supervision. The Therapeutic Clown Program at Holland Bloorview Kids Rehabilitation Hospital is the first in the world to create Standards of Care for their practice, inviting other programs to follow their example. The Standard of Care is written for practices deemed high risk, high volume or problem prone. The practice of the Therapeutic Clown Program deals with a high volume of clients and at times can be deemed ‘problem prone’. For these reasons, the Program began writing Standards of Care beginning with ‘The Responsibilities of the Therapeutic Clown Practitioners’, outlining what is expected of them both on and off the units. This document was written in order to uphold competency and reliability. It ensures the sustainability of the program and its high standards which in turn serves the clients and families who benefit from its sound structure. In addition to providing clear guidelines to the Therapeutic Clown Practitioners, it also serves as an information tool for other clinicians in terms of how to engage their services. This in turn will help families and clients understand how the clown artists operate on the units to aid in communication. This Standard was passed by the Professional Advisory Committee in 2013 and revised in 2015. It is believed this program is the first Therapeutic Clown program to electronically document in the permanent health care record of each client they serve. It was presented at an international panel discussion about Supervision and Evaluation at the latest Healthcare Clowning International Meeting in Portugal in March, 2016 to much acclaim.

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