Therapeutic Recreation Program Design, 6th Ed - eBook

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ISBN/ISSN: 978-1-95281-537-9

Author(s): Norma J. Stumbo, Carol A. Peterson

Copyright year: 2021

Edition: 6th

Other Formats: Print

pages: 384

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More than ever, consumers and proponents of health care services are demanding greater accountability; more effective methods of service delivery (e.g., evidence-based practice); and a higher degree of reliable, proven client outcomes. The sixth edition of Therapeutic Recreation Program Design: Principles and Procedures includes new, important, and timely information for therapeutic recreation students and professionals. This textbook will help students and professionals meet those demands in the new and emerging health care and human service markets. 

Therapeutic Recreation Program Design: Principles and Procedures, Sixth Edition was written for students preparing for the field of therapeutic recreation and professionals providing services to clients. Therapeutic recreation is concerned with the direct delivery of services to clients with disabilities, illnesses, or special needs. Delivery of these services requires an in-depth understanding of both the procedures of delivering quality programs and the content to be addressed within the programs. This text addresses both areas (process and content), utilizing a comprehensive and integrated approach. 

Therapeutic Recreation Program Design: Principles and Procedures, Sixth Edition focuses on the design, development, and evaluation of therapeutic recreation services, using a systematic approach to program design and delivery. One major intention of the text is to draw the reader to understanding the connections among each task carried out through the design, implementation, and evaluation of therapeutic recreation programs. 

Significant changes have been included in this sixth edition, strengthening the relationships between theory, evidence-based practice, and client outcomes. Each chapter contains updated information reflecting the latest trends and nuances in health care and human services. This sixth edition is accompanied by an electronic Instructor’s Manual as well as a Student Manual, both containing a wealth of information for extracting the in-depth information from this book. The Instructor’s Manual includes chapter overviews, chapter outlines, important terms, sample test questions, student activities, and more for each chapter in the textbook. The Instructor’s Manual also includes electronic files of the illustrations, tables, and boxes from the textbook. 



CHAPTER 1:  Conceptual Foundations: The Basis for Service Development and Delivery

Models of Disability

Health, Wellness, and Quality of Life

Quality of Life

Leisure-Related Concepts and Benefits

Physical Health and Leisure

Emotional and Psychological Health and Leisure

Social Health and Leisure

Cognitive Health and Leisure

The Importance of Leisure

Leisure, Health, and Therapeutic Recreation

The Concept of Leisure Lifestyle


Discussion Questions



CHAPTER 2: The Leisure Ability Model

Services Based on Client Needs

Rationale for Therapeutic Recreation Services

Clients of Therapeutic Recreation Services

Therapeutic Recreation Service Settings

A Word About Models

The Leisure Ability Model

A Client-Oriented Approach to Therapeutic Recreation

Functional Intervention as a Component of Therapeutic Recreation Service

Leisure Education as a Component of Therapeutic Recreation Service

Recreation Participation as a Component of Therapeutic Recreation Service

Two Examples of the Leisure Ability Model in Practice

Leisure Ability as a Holistic Approach

Leisure Ability as an Outcome


Discussion Questions



CHAPTER 3: Important Aspects of Therapeutic Recreation Services

Accountability for Therapeutic Recreation Service Provision

Cultural Competence in TR Programming

Client Outcomes

Important Characteristics of Outcomes

Intervention as a Means for Creating and Measuring Client Change

Systematic Program Design

Therapeutic Recreation Intervention “Best Practices”

Systems Design and Therapeutic Recreation Intervention


Discussion Questions



CHAPTER 4: Therapeutic Recreation Accountability Model

Factors Affecting Service Accountability

The Therapeutic Recreation Accountability Model


Discussion Questions



CHAPTER 5: Comprehensive Program Design

Client Needs and Outcomes

Benefits of Comprehensive and Specific Program Design

Therapeutic Recreation Program Planning Model

Other Comprehensive Program Documentation Issues


Discussion Questions



CHAPTER 6: Specific Program Design

The Program Plan

The Implementation Plan


Discussion Questions



CHAPTER 7: Activity Analysis

Benefits of Activity Analysis

Overview of Activity Analysis

Principles of Activity Analysis

The Activity Analysis Rating Form

Using the Activity Analysis Rating Form 

Activity Selection Factors

Activity Modification

Task Analysis


Discussion Questions



CHAPTER 8: Activity Selection and Implementation

Client Outcomes

Therapeutic Recreation Specialist Competencies

Factors Influencing Selection of Activities

Examples of Activity Selection

Relationship Between Activities and Clients Goals

Activity Resources


Discussion Questions



CHAPTER 9: Treatment and Diagnostic Protocols

The Need for Standardized and Evidence-Based Practice

Related Terminology

Advantages of Standardized Protocols

Types of Protocols

Protocols in Therapeutic Recreation Services

Intervention/Treatment Protocols

Diagnostic Protocols

Relationship of Protocols to Program Design, Client Assessment, and Client Outcomes


Discussion Questions



CHAPTER 10: Client Assessment

Purposes and Uses of Assessment 

Definition of Client Assessment

Principles of Therapeutic Recreation Client Assessment

Relationship Between Client Assessment and Program Placement

Computerized Client Assessment

Assessment as a Measurement Tool

Client Assessment as a Systematic Process

The Assessment Planning Process

The Assessment Implementation Process

Issues Surrounding Client Assessment

Thoughts About Activity Interest Inventories


Discussion Questions



CHAPTER 11: Client Documentation

Types of Documentation

Rationale for Quality Documentation

Electronic Health Records

Basic Types of Client Documentation

Principles of Quality Client Documentation

Common Methods of Charting

Treatment Plans

Progress Notes

Discharge and Referral Summaries

Incident Reports


Discussion Questions



CHAPTER 12: Program and Client Evaluation

Definition of Evaluation

A Generic Evaluation Design Model

Client Evaluation

Specific Program Evaluation

Comprehensive Program Evaluation

Efficacy Research


Discussion Questions



CHAPTER 13: Professionalism and Accountability: Challenges for the Future

Useful Resources


Discussion Questions



APPENDIX A: Relaxation: A Program System

APPENDIX B: Social Behaviors: A Program System

APPENDIX C: Therapeutic Recreation Assessment Instruments

APPENDIX D: Common Medical Abbreviations

APPENDIX E: Glossary

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