Planning Flashcards
Medical Model
-Doctor centered, illness-oriented approach to patient care and treatment.
-Treatment is directed at disease rather than the whole person.
-The role of the CTRS is to develop a treatment program directed toward any disease aspect.
Community Model
-Those individuals who are found in a specific geographical area, who share common interests and needs and are linked together by those same needs and interests. (i.e. a group of veterans who are disabled)
-The role of the CTRS is to function as a consultant, public relations expert, advocate, leader, supervisor, community planner, educator/teacher.
Education Model
-Found within public schools, special schools, and training centers for persons who are intellectually disabled, or have specific sensory and non-sensory disabilities.
-The role of the CTRS often involves the use of recreation experiences to develop a positive self-concept, social skills and activity skills that can be used following release or discharge.
Person centered model
-Often used by many TR personnel in all areas of service.
-Focus on the client’s dreams and goals, which drive the treatment and the program.
Leisure Ability Model
-Composed of three components: functional intervention, leisure education, and recreation participation.
-Goal: satisfying leisure lifestyle and the independent functioning of the client in leisure experiences and activities of his/her choice.
-The CTRS assesses the client’s needs and provides necessary functional interventions, leisure education, recreation participation services and evaluates the degree which the client met the desired outcomes.
International Classification of Functioning, Disability and Health (ICF)
-Established by the WHO
-Describes holistic health and provides a system of standardized communication and collaboration in health care.
-Interactive model that illustrates the relationship between the concepts of a person’s health condition, body structures/function, activities and participation, environmental and personal factors.
-Considered compatible with TR due to its focus on body function, activities, and participation.
Service Delivery Model
Four components:
-Diagnosis/needs assessment
-Treatment/rehabilitation of a problem or need
-Educational services
-Prevention/Health promotion activities
This model provides scope of services involves in TR with an ultimate goal of improving quality of life of a patient.
Positive Psychology
Branch of psychology focused on the character strengths and behaviors that allow individuals to build a life of meaning and purpose, to move beyond surviving to flourishing.
Leisure Education
Focus on the development and acquisition of various leisure-related skills, attitudes, and knowledge.
-Utilizes an education model as opposed to a medical model
-Four components
1) Leisure awareness
2) Social interaction skills
3) Leisure resources
4) Leisure activity skills
The Health Protection/Promotion Model
Consists of:
1. helping a patient recover from threats of health (protection)
2. helping a patient achieve optimal health (promotion) through the use of recreation and leisure activities.
-Three components of therapeutic recreation:
- prescriptive activities (directed by CTRS)
- recreation (mutual direction between therapist and patient)
- leisure (self-directed)
As patient’s health improves, he/she moves across the components.
Well-Being
A state of successful, satisfying, and productive engagement with one’s life and the realization of Ones’s full physical, cognitive, and social-emotional potential.
The Leisure and Well-Being Model
The outcome of this model is well-being.
Two areas:
-enhancing leisure experiences
-developing leisure resources
By improving both areas, wellbeing can be ahcieved
The Therapeutic Recreation Outcome Model
An extension of the service delivery model
This model looks at outcomes of the delivery of TR services.
It takes into account changes in functional capabilities and health status of patient, which ultimately impact qol.
Quality of Life
A person’s physical, psychological, social, occupational, and leisure functioning as well as a sense of well-being.
Optimizing Lifelong Health Model
Focuses on actively and selectively engaging in activities that maximize general personal and environmental resources while making it possible for clients to pursue their chosen leisure pursuits.
person-centered care
-People are seen as motivated by a basic tendency to seek growth and self-enhancement.
-Believes that people have the capacity to be rational thinkers who can assume responsibility for themselves and whose behavior will be constructive when given freedom to set directions in life.
-The helper never tells the client what to do, is non-judgmental and nondirective.
Individual Intervention Plan/Treatment Plan
Document that is kept in the clients charts and outlines the action to be taken with the client who’s receiving intervention or treatment services.
It is a step-by-step outline to be followed to assist the client in achieving goals.
The intervention plan should contain:
assessment results/client problem areas or deficits, client goals and objectives, action plans for client involvement, frequency and duration of participation, facilitation styles and approaches, staff and client responsibilities, reevaluation schedule, signature, date, client demographic background, history and referrals to and from TR services.
Selection of programs, activities, and interventions
Three major factors:
-activity content and activity process
- resource factors
-client characteristics
CTRS can determine appropriate activities:
-Based on client goals
-select client goals based on activities
It is useful to review diagnostic and program protocols
Other things to consider:
-agency philosophy
-type of program
-space available
-resources available
-length of stay of patient and frequency attending TR program
Factors concerning activity characteristics:
- Activities must have a direct relationship to client goal
- Functional intervention activities should focus on the ability of the activity to help the client reach his or her goals, rather than on the activity for the activity’s sake.
- Functional intervention and leisure education activities should have very predominant characteristics that are related to the problem, skill, or knowledge being addressed.
- Activity characteristics are important considerations for the successful implementation of a program.
- Clients should be able to place an activity in some context in order for them to see it as useful and applicable to their overall rehabilitation or treatment outcomes.
- A single activity or session is not likely to produce a desired behavioral change.
- Consider the types of activities in which people will engage when they have the choice.
- Program to the clients’ outcomes and priorities.
- Client involvement in activities should be enjoyable.
Task analysis
The breakdown of a skill into its components or steps.
A CTRS sequences every skill needed from the first to the last step, that a client must be able to do in order to participate in an activity.
Activity Analysis
Enables the therapist to determine if an activity is appropriate for the patient at the patient’s current functional level or if activity will assist patient in reaching goal.
Which activity will provide the greatest benefit for the patient?
