Recreational Therapy
Terms
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- Health
- complete physical, mental, and social well-being not just absence of disease or infirmity
- Quality of Life
- subjective assessment of the psychological and spiritual well-being, people with high quality of life has feelings of content, joy, satisfaction, and self-determination
- Therapeutic
- having the power to heal or cure
- Therapeutic Recreation
- Using recreation as a tool to help improve or maintain the health, quality of life, and/or functional capacities of people with special needs
- NTRS
- National Therapeutic Recreation Society, branch of the National Recreation and Park Association, main focus: using leisure to enchance health, functional abilities, independence, and QOL
- ATRS
- American Therapueitc Recreation Association, uses the medical model approach, mainly in hospital or rehab settings
- Code of Ethics
- guide for the actions of professionals and has expected standard of care for patients
- Medical or Clinical Approach
- Main therapist is the physician, all other therapists have roles designated by the physician, physician assesses the disease/sickness and initiates therapy, goal is to treat/heal/cure the disease/sickness disadvantage: ignores broader needs of patient such as QOL, health, and ONLY treats disease found in: acute care facilities: rehab, physical care, pyschiatric facilities, medical/surgical hospitals
- Two types care facilities are
- custodial care and long-term care
- Custodial care
- group homes, correctional facilities, long-term care for elderly purpose: to provide very BASIC needs that are needed for survival: eating, showering, using the restroom focus is NOT rehabilitation of patient -activities seen as way of occupying time and busy work -being replaced by long-term care approach
- Long-term care facility
- Focus is Rehabilitation of patient: resocialization, remotivation, and reality orientation skills -uses variety of tx to maintain or improve highest level of functioning/QOL possible -healthcare regulations tell: -what activities/services to provide -qualifications of personnels -problem: increasing aging population could expand and challenge the field
- Milieu Therapy
- used in mental hospitals patient's emotional problems are seen as result from unhealthy interactions with environment goal: change/teach new attitudes and behaviors for readjustment into their environment
- Education/Training
- Acquisition of skills and knowledge needed to become a contributing member of society
- Community-based Therapeutic Recreation
- integral components of larger delivery system City Rec Deparments TRS provides opportunity for client to select experiences and acquire skills needed to participate in integrated community based-programs
- Models
- give a framework for selecting, sequencing, and organizing interventions
- Leisure Ability Model
- Primary outcome: improve independece and satisfying leisure functioning that directly affects a person's QOL and happiness
- What are the 3 phases of Leisure ability model?
- First phase- tx Second- leisure education third- recreation participation ****freely chosen and independently implemented leisure pursuits (up to patient to pick/choose and implement*
- Health Promotion Model
- Focus: TR use to encourage clients to achieve maximum health rather than just recover from illness -get actualization and wellness
- Optimizing Life-long health Model What are the basic elements of this model?
- client needs resources, opportunities, and environments, achieving or maintaining healthy leisure lifestyles, scope and quality of health and human service system available to the client
- Self-Determination and Enjoyment Enhancement Model
- TR services contribute to the personal growth and well-being through creating environments conducive to enjoyment and self-determination
- Functional capacity
- ability to perform specific functions in each of the five domains of health (mental, physical, social, spiritual, and emotional)
- Health Status
- status of health that not only includes physical health but also mental, spirtual, emtional, and social health
- What are the five functional domains of health status?
- Mental or cognitive physical emotional/psycholigcal spiritual social function
- ICFDH
- International Classification of functioning, disability, and health : standardized list of identifying codes and defintions of human functioning and disabilites
- What is purpose of ICFDH?
- Used by WHO, helps measure the health/disability of individual and populations, gives standardized codes for claim forms
- How is the ICFDH organized?
- Three levels to look at: 1. body function/structure 2. activities (daily activities-limitations to daily activities) 3. participation (restricted/restrictions as a result of functioning with disability)
- What are two contributing factors of activities level?
- 1. environmental factors 2. personal factors