1. Home
  2. Facilitating Client Change Through Therapeutic Recreation: Intervention Textbook Strategies in Support Well-Being eBook

Facilitating Client Change Through Therapeutic Recreation: Intervention Textbook Strategies in Support Well-Being eBook

$99.00
Maximum quantity available reached.

Copyright year: 2026

ISBN: 978-1-96271-045-9

Pages: 798

Primary Author's: Colleen D.Hood with Cynthia P. Carruthers

Educators:
If available, desk copies can be requested using the button in the right column below. More information is available to Educators.

We, as therapeutic recreation professionals, have a moral and ethical responsibility to do our very best on behalf of clients and to support their efforts to move toward greater well-being. The provision of best TR interventions and services relies on several elements. First, we must identify a purpose that is meaningful to clients along with corresponding, salient goals. Second, we must identify and implement a model of service that guides the attainment of the desired goals. Finally, we must implement theoretically and scientifically grounded interventions that effectively support clients in the development of their strengths, capacities and most valued life. 

 

Facilitating Client Change Through Therapeutic Recreation: Intervention Strategies to Support Well-Beingprovides TR students and practitioners with the knowledge and tools necessary to facilitate clients’ attainment of positive, meaningful, and empowering change. It articulates why the enhancement of well-being is a worthy and attainable goal of service, that the theoretical components of well-being that are highly amenable to change through therapeutic recreation psychoeducational interventions and leisure engagement, and how TR professionals can help clients recognize and navigate roadblocks to change. This book discusses the importance of the therapeutic alliance in the facilitation of positive client change and the centrality of therapist self-care to their effectiveness with clients. Finally, this book provides in-depth discussion of the elements of human behavior that can be modified to support client attainment of meaningful goals—including a focus on actions/behaviors, feelings, and thoughts. In each of the chapters that explore these elements of human behavior, theory and detailed, practical strategies and therapeutic interventions are woven together to create a framework for TR professionals. The text concludes with a presentation of a new holistic and integrated therapeutic approach that is individualized, contextualized, and grounded in evidence-based strategies.  


Section I: Foundational Concepts Related to Therapeutic Recreation                Professional Practice 
Chapter 1: Client Change and Well-Being: The Fundamentals of TR Professional Services 1
State of the Field Related to Interventions and Facilitation Techniques
Historical Trends—Evolution of the Purpose of the Field 
Evolution of the Purpose of the Field: Focus on Client Change 
Evolution of the Purpose of the Field: Adopting a Dual Focus in TR Services 
Evolution of the Purpose of the Field: Linking Leisure to Well-Being
Historical Trends—The Medicalization of Clients
The Medicalization of Clients: Influence on the Goals of TR Services
The Medicalization of Clients: Emergence of Strengths-Based Perspectives on Clients
The Medicalization of Clients: Shifting Back Toward a Humanistic View of Clients 
The Medicalization of Clients: The Importance of Leisure for Countering the Problem-Based Perspective 
Historical Trends—The Medicalization of Health Care and a Focus on Efficacy and Accountability
Using Theory in Practice: Enhancing Theories-of-Action by Using Scholarly Theory and Evidence
Purpose and Organization of this Book
Chapter Features
Chapter 2: Starting with the End in Mind: Adopting Well-Being as the Goal of TR Services 37
Theoretical Foundations for Adopting Well-Being as the Goal for TR Services
Conceptualizing Well-Being
Contemporary Conceptualizations of Well-Being: Subjective and Psychological Well-Being
Application to TR Practice: Starting with the End in Mind
Chapter 3: The Leisure and Well-Being Model: A Means to Enhance Well-Being 69
Value of Service Delivery Models
Introducing the Leisure and Well-Being Model
Enhancing Leisure Experience
Developing Resources
Applications to TR Practice: Understanding the LWM
Chapter 4: Understanding Client Change 117
The Dialectics of Change: Change is Hard AND Change is Possible
Understanding the Brain and Change
Neurobiology Primer—Neural Pathways and Neuroplasticity 
Evolutionary Psychology—The Hierarchy of Brain Functions 
Negativity Bias of the Brain—Attending to the Bad 
Understanding the Nature of Change
Components of Human Behavior
The Illness/Health Relationship—Flourishing and Languishing
A Proposed Framework for Change for TR Services 
Understanding the Process of Change
Key Elements of the Process of Change Arising from Health Behavior Models 
The Transtheoretical Model of Change (Stages of Change) 
Health Belief Model 
Integrated Behavioral Model 
Key Elements of Change Arising from Counseling and Psychotherapy 
Putting All the Pieces Together—Conceptualizing Change in TR Services
Chapter 5: Approaching Change Through the Lens of Strengths:
Conceptualizing Strengths-Based Interventions 157
Introducing Strengths-Based Practice
The Value of Strengths-Based Interventions
Schools of Thought Related to Strengths-Based Practice
Defining Strengths
Classification and Assessment of Strengths
Conceptualizing Strengths-Based Interventions
Introducing a Conceptual Model for Strengths-Based TR Interventions
Applications to TR Practice: How Do We Embrace a Focus on Strengths?
Chapter 6: Challenges to Change: Adversity-Informed TR Practice 199
Adversity: Is There a Connection to TR Services?
Forms of Adversity: Stigma
Forms of Adversity: Marginalization
Forms of Adversity: Loss and Grief
Defining Loss
Definition of Loss-Related Terms
Types of Loss
Understanding the Grief Response and Models of Grieving
Implications of Loss for TR Services 
Forms of Adversity: Trauma
Defining Trauma
Understanding the Impact of Trauma
Responses to Trauma
Therapeutic Recreation Practice: Taking an Adversity-Informed Approach
Adversity-Related Issues Appropriate for TR Intervention
Adversity-Informed TR Professional Practice
Section II: Foundations of Becoming a Helping Professional 
Chapter 7: Foundations of Helping: Developing the Therapeutic Alliance 255
Therapeutic Alliance
Valued Outcomes of an Effective Therapeutic Alliance
Essential Elements of an Effective Therapeutic Alliance 
Congruence 
Unconditional Positive Regard (UPR)
Accurate Empathic Understanding
Tricky Issues Related to the Therapeutic Alliance
Self-Disclosure 
Boundaries
Summary
Chapter 8: Foundations of Helping: Facilitating Psychoeducational Groups 303
Working with Groups: Facilitating Psychoeducational Groups in TR Practice 
Psychoeducational Groups Defined/Described 
Value of Psychoeducational Groups in TR Practice 
Key Characteristics of Psychoeducational Groups 
Psychoeducational Group Leadership Skills
Instructional Strategies
Psychoeducational Group Leadership Skills
Summary
Chapter 9: Self-Care and Professional Well-Being: Flourishing in Work and Life 323
Self-Care: An Ethical Imperative
Professional Well-Being
Challenges to Professional Well-Being
Self-Care Strategies
Section III: Intervention Approaches for Facilitating Client Change 
Chapter 10: Working with Actions: Changing Behaviors to Support Increased Well-Being 345
Foundations of Working with Actions
Brief Historical Evolution 
Key Assumptions of Behavioral Approaches to Change 
Definition of Terms
Operant Conditioning: One Key Foundation of Working with Actions
Adopting a Focus on Actions: Applications to TR Practice
Acquiring New Actions and Behaviors: Developing Positive Skills
Increase Engagement in Desired Actions Or Behaviors
Reduce or Eliminate Engagement in Undesired Behavior 
Adopting a Focus on Actions: In Summary
Introducing the Case of Lily–Fostering Critical Thinking and Application

Chapters 11 - 17:

 

Chapter 11: Working With Thoughts: Modifying Habitual Thought Patterns to
Support Well-Being 403

Foundations of Working with Thoughts
Brief Historical Evolution
Key Assumptions of Cognitive Approaches to Change 
Thinking about Thinking: Understanding Levels of Thought
Core Beliefs and Schemas
Intermediate Beliefs/Assumptions 
Automatic Thoughts
Metacognition
Examining Factors that Influence Patterns of Thinking
Social Learning Theory/Self-Efficacy
Attribution Theory 
Adopting a Focus on Thinking: Applications to TR Practice
Strategies for Modifying the Content of Thoughts 
Summary of Working with Thoughts—Second Wave Approaches
Application of a Focus on Thoughts to the Case of Lily
Chapter 12: Working With Thoughts: Changing One’s Relationship With Thoughts Through Acceptance and Mindfulness 463
Foundations of Third Wave Approaches
Mindfulness: A Core Feature of Third Wave Approaches
Meditation: An Essential Practice for Mindfulness
Third Wave Approaches: The Mindful Therapist
Specific Third Wave Approaches
Mindful-Based Stress Reduction (MBSR)
Mindfulness-Based Cognitive Therapy (MBCT) 
Acceptance and Commitment Therapy (ACT) 
Third Wave Approaches and TR Professional Practice 
Chapter 13: Working with Emotions: The Foundations of Affective Approaches 489
Defining Terms
Affect
Emotion
Feelings
Felt Sense/Interoception 
Mood
Philosophical Foundations of Working with Emotions
Key Assumptions of Affective Approaches to Change 
Humanistic Psychology as One Foundation of Affective Approaches 
Affective Neuroscience as the Second Foundation of Affective Approaches
Affective Neuroscience Applied: Three Types of Interventions 
Bottom-Up Interventions for Working with Emotions 
Top-Down Interventions for Working with Emotions 
Horizontal Processing and Working with Emotions 
Foundations of Affective Approaches and TR Practice
Chapter 14: Working with Emotions: Down-Regulation Strategies for
Responding to Uncomfortable, Difficult Emotions 537
Emotion Regulation and TR Professional Practice
Defining Terms
The Modulation Model of Affect Regulation 
Models of Emotion Regulation
Proposing a Model for Emotion Regulation for TR Services
Summary of Downregulation Strategies for TR Practice
Increasing Distress Tolerance 
Approaches to Increasing Distress Tolerance 
Emotion Regulation Strategies and TR Practice
Application of a Focus on Downregulation to the Case of Lily
Chapter 15: Working with Emotions: Enhancing Positive Experience and Emotions 603
Defining Terms
Key Foundations of a Focus on Positive Emotion
A Model for TR Interventions Designed to Increase Positive Emotion and Experience
Summary of Upregulation Strategies for TR Practice
Application of a Focus on Upregulation to the Case of Lily
Chapter 16: Working with the Whole Person: Integration/Eclecticism and
Fourth Wave Approaches to Client Change 677
Reviewing the Evolution of Approaches to Client Change
Foundations of Fourth Wave Approaches
A Wealth of Theories and Therapies: Integration and Eclecticism
Fourth Wave Approaches: Attending to the Process of Change
Applications of Fourth Wave Approaches to TR Practice
The Value of Process-Based Therapy for TR Services

Related products