Modalities/interventions Flashcards
fading
gradual removal of physical guidance
contracts
written agreement to perform certain behaviors
What is the purpose of the TRAM model
to show the interrelationships between different tasks of providing intervention programs to clients
a comprehensive system of accountable service provision
Comprehensive and specific program design–TRAM
collecting data about factors such as community, agency, departments, clients and profession that impact the program and its clients
implementation and evaluation plans are created to ensure that the right program will be delivered and reviewed systematically
Activity analysis, selection, and modification
the process used to systematically review specific activities to determine whether they have the potential to help clients achieve targeted outcomes
Protocols
clinical practice guidelines
meant to provide a blue print of treatment for a specific diagnosis or client problem and when validated through professional use and consensus, allow for program bench marks to be set
assessment plan
client assessment is the process used to place clients into therapeutic recreation programs based on their individual needs strengths and limitations.
intervention programs and client documentation
Therapeutic recreation intervention programs are provided to clients based on need
the baseline for intervention is documented in a client assessment
program evaluation and outcomes
the focus is on the end result of the intervention designed on the behalf of the client and it is one part of patient care monitoring
quality improvement and efficacy research
quality assurance, continuous quality improvement and performance improvement
wide spectrum of activities ranging form determining an appropriate definition of care to establishment of actual standards of practice that if implemented will result in acceptable levels of service
Group stages of devleopment
orientation: insecurity, relance on the leader, need help to break the ice
Conflict: as people reveal themselves, values clash
cohesion: resolve conflict, develop sensitivity
Performance or productivity: group members become functional and devote themselves to achieving individual and group goals
Multi-disciplinary teams
each assesses separately
services are provided separately
little interaction among members
interdisciplinary team
group consensus
regular staff meetings
outcomes shared among members
trans-disciplinary teams
everything interactive and integrated shared decision making crossing of role boundaries team shares knowledge and skills considered most advance team structure