Assessment Flashcards
Free Time Boredom Assessment
Identifies four aspects of boredom or leisure:
- Meaningfulness
- Mental Involvement
- Speed of time (enough activities to fill free time)
- Physical Involvement
Measurement of Social Empowerment and Trust (SET)
Tests how clients perceived social attitude and skills have changed due to participation in RT.
Population: Adults and Adolescents with mild-no cognitive impairment
5 Subscales:
- Bonding/cohesion
- Empowerment (perception of ones ability to influence people)
- Self-awareness
- Self-affirmations (express beliefs and goals)
- Awareness of others
CERT-PB
Comprehensive Evaluation in Recreational Therapy - Psychiatric Behavioral
Population: Adults with psychiatric disorders and adults and youth without. Clients receiving long-term impatient care
Purpose of test: identification and evaluation of client behaviors related to applying appropriate social skills that will enable them to integrate into society
Observational Checklist divided into 3 areas:
1: Genral (appearance, attendance, attitude)
2: Individual Performance (Attention span, strength, endurance, frustration)
3: group performance (leadership, responsiveness)
CERT-PD
Comprehensive Evaluation in Recreational Therapy- Physical Disabilities
Population: Adult clients in rehabilitation programs
Purpose: Establish baseline levels of client functional skills needed for leisure activities
Observational Checklist 8 Areas:
- Gross Motor Function
- Fine Motor Function
- Locomotion (ambulation, wheelchair maneuvering, transfer ability)
- Motor skills (coordination & reaction time)
- Sensory
- Cognition
- Communicating
- behavior
LCM
Leisure Competence Measure “assessment summary)
Purpose: measure client outcome
Population: any setting
Divides skills into seven levels from total independence- total dependence. 8 sub sections:
- Leisure awareness
- Leisure attitude
- Leisure skills
- cultural/social behaviors
- interpersonal skills
- community integration skills
- social contact
- Community participation
GRST
General Recreation Screening Tool
Population: Adults with intellectual disability with developmental levels from 0-6 months up to 7-10 years in intermediate care facilities
Purpose: Identify general developmental levels of functioning
Observational. 18 Skill areas associated with leisure activity:
- GMS
- FMS
- hand eye coordination
- play behavior
- play structure
- language use
- language comprehension
- understanding of numbers
- use of objects
- following directions
- problem solving
- attending behavior
- possessions
- emotional control
- imitation play
- people skills
- music
- Stories and drama
REDS
Recreational Early Development Screening tool
Population: Adults with intellectual and severe developmental disabilities whose functioning is below 1 year old level
Purpose: to determine developmental levels from 0-1 month up to 8-12months
Observational method measuring 5 areas:
- GMS
- FMS
- sensory
- social
- cognition
MDS
Minimum Data Set
Population: Long-term healthcare facility residents that receive medicare/medicaid
Purpose: used for assessment 5 days after resident admission, at specified intervals and whenever changes in services
Includes sections for documenting resident activity preferences and TR results
FIM
Functional Independence Measure
Population: Acceptable for group administration and applicable across all disciplines. Commonly used by rehabilitation centers
Purpose: measure clients functional ability
FIM contains 18 items, including 13 motor tasks and 5 cognitive tasks related to activities of daily living (ADLs).
seven levels of functional ability represented on the FIM:
·Level 7 = Complete independence.
· Level 6 = Modified independence.
·Level 5 = Client requires supervision or setup.
·Level 4 = Minimal contact assistance: Client performs 75% or more of the task.
· Level 3 = Moderate assistance: Client performs 50–74% of the task.
·Level 2 = Maximum assistance: Client performs 25–49% of the task.
· Level 1 = Dependent/total assistance: Client performs <25% of the task.
· Level 0 = No activity occurs.”
The FIM’s 18 areas are: eating, grooming, bathing, upper-body dressing, lower-body dressing, toileting, bladder management, bowel management, bed-to-chair transfer, toilet transfer, shower transfer, locomotion (ambulatory or wheelchair), stairs, cognitive comprehension, expression, social interaction, problem-solving, and memory.
GAF
Global Assessment of Functioning
Population: patients with psychiatric disorders
The GAF uses a 100-point continuum of single items, from superior functioning with no symptoms (100–91) to persistent danger of harming self/others/inability to maintain minimal personal hygiene/serious suicidal act with clear intention of death (10–1). This 100-point scale is divided into ten functional ranges, though when applicable, intermediate scores are also possible.
Each 10-point range on the GAF scale is explained below:
· 100–91: no psychiatric symptoms; superior functioning in a wide range of activities.
· 90–81: minimal symptoms, e.g. occasional family arguments, mild anxiety before stressful events (exams/interviews/presentations); good functioning in every area, wide activity range; social effectiveness, general life satisfaction.
· 80–71: transient, expected reactions to stressors, like trouble concentrating following family conflict; only slight impairment in functioning, like temporary slips in school/work performance.
· 70–61: some mild symptoms, like mild insomnia, anxious/depressed mood; or some functional difficulty, but functions fairly well generally; some meaningful relationships.
· 60–51: moderate symptoms, e.g. occasional panic attacks; circumstantial, flat conversation; moderate functional difficulty like co-worker/family conflicts, few friends
· 50–41: serious symptoms like shoplifting frequently, obsessive-compulsive rituals, suicidal ideation; or serious functional impairment like inability to hold jobs, no friends.
· 40–31: some communicative/reality-testing impairment, e.g. illogical/irrelevant/obscure speech; or major impairment in several areas, e.g. family interactions, school/work, mood, thinking, or judgment—cannot work/school failure, neglects family, avoids friends.
· 30–21: delusions, hallucinations; seriously impaired judgment/communication; cannot function in most areas.
· 20–11: some danger of harming self/others or gross communication impairment; occasionally cannot maintain minimal personal hygiene.
· 10–1: persistent danger of harming self/others or inability to maintain minimal personal hygiene or serious suicidal act. 0: insufficient information.
Blooms Taxonomy (1965)
Hierarchy of thinking low-high
- Knowledge/recall
- Comprehension
- Application
- Analysis
- Synthesis
- Evaluation
Leisure Diagnostic Battery (LDB)
Self-reported or computerized version
population: Adolescents and adults with or without disabilities
Purpose: Looks at perceived freedom in leisure. Measures leisure needs, playfulness, barriers to leisure engagement, depth of leisure involvement, received leisure competence and control, inventory of leisure preferences
Leisure Satisfaction Measure (LSM)
Self-report and includes Spanish version. Agree or disagree statements
Population: high cognitively functioning clients
Purpose: Measure how well clients feel leisure is meeting their needs
- needs categories (physiological, psychological, educational, social, relaxation, and aesthetic)
Leisure Attitude Measurement (LAM)
Self-report has Spanish version
Population: cognitively high functioning
Purpose: Identify their attitudes regarding leisure
-Identified 3 areas of leisure attitudes (cognitive, affective and behavioral). respondents agree or disagree w/ statements
Idyll Arbor Leisure Battery (IALB)
Bassed on scores of these assessments LAM, LMS, LIM and LSM this scale provides examples of suitable interventions
Four components: Leisure attitude, leisure satisfaction, leisure interest, leisure motivation
Also provides summary of affect and mannerisms observed during test administrations
Leisurescope Plus and Teen Leisure Scope
Population: Adult and adolescent clients w/ High cognitive functioning
Purpose: identify areas of leisure in which respondent has high interest and emotionally motivated to participate in. Also who needs high arousal experiences
-Utilized pictures
Life Satisfaction Scale (LSS)
Self report
Population: clients with moderate to no cognitive impairment
Purpose: informs leisure attitudes and barriers
-gives statements for respondents to agree and disagree to
State Technical Institute Leisure Assessment Process (STILAP)
Population: Adults and adolescents with physical, intellectual, psychological or developmental disabilities
Purpose: assesses patterns of leisure participation, leisure skills.
-Respondents indicate interest, some interest and much interests. Also include 14 competencies
Leisure Assessment Inventory (LAI)
Population: adults/seniors with developmental disabilities and middle aged/older adults with moderate to no cognitive disabilities
Purpose: measures leisure participation and behaviors. utilizes pictures
Four subscales: Leisure Activity Participation Index, Leisure Preference Index, Leisure Interest Index and Leisure Constraints
Leisure Motivation Scale (LMS)
Self-reporting
Population: Clients with high cognitive functioning
Purpose: Measure motivation
Four main motivators: competence mastery, stimulus avoidance, social and intellectual
Respondents agree/disagree with statements
Leisure Interest Measure (LIM)
Self-report
Population: high cognitive functioning
Purpose: Measures interest in 8 domains:
1. physical, 2. social, 3. cultural, 4. service, 5. reading, 6. Artistic, 7. mechanical, 8. Outdoor
Assessment of Leisure and Recreation Involvement (LRI)
Self-report
Population: Moderate/no cognitive impairment
Purpose: Measures perception of involvement and participation. Agree/disagree statements
Six cog/emotional influences: 1. interest, 2. Importance, 3 pleasure, 4. centrality to self-participation, 5. intensity, 6. meaning
Social Interaction Scale
·7 = Client interacts appropriately with others 100% of the time. ·6 = Occasional inappropriate behavior, but self-corrects; or medication required (antipsychotic, antianxiety, antidepressant, etc.). ·5 = Client only needs behavioral supervision under unfamiliar or stressful conditions, less than 10% of the time. ·4 = Client interacts appropriately 75–90% of the time. ·3 = Client interacts appropriately 50–74% of the time. ·2= Client interacts appropriately 25–49% of the time. ·1 = Client interacts appropriately less than 25% of the time. -0 = Client never interacts appropriately/does not interact. Inappropriate behavior observations include: non-interactive/withdrawn; excessive crying/laughing; loud, abusive, foul language; temper tantrums; physical attacks; requiring restraints for safety.
Motivational Interviewing
Focuses on the role motivation has in bringing change in an individual
Primary Elements:
Collaboration Working with client rather then confronting
Evocation: Instead of imposing ideas. Draw out ideas from client about problems and solutions
Autonomy: Respecting clients choices and recognizing the client is the one responsible for change.