The fifth edition of Therapeutic Recreation Program Design: Principles and Procedures includes new, important, and timely information for therapeutic recreation students and professionals. Changes continue to happen rapidly in the world of health care and human services and in the field of therapeutic recreation.
More than ever, consumers and proponents of health care services are demanding greater accountability, more effective methods of service delivery (such as evidence-based practice), and a higher degree of reliable, proven client outcomes. This book aims to help students and professionals meet those demands in the new and emerging health care and human service markets.
Like the previous editions, this book 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. These two areas are interrelated and interdependent. Knowledge or expertise in one area and not the other will result in programs that are either inappropriate to clients’ leisure-related needs or inadequate in terms of how the program is delivered. This text addresses both areas (process and content), utilizing a comprehensive and integrated approach.
The first two chapters focus on the content underlying the delivery of therapeutic recreation services to clients. The latter 11 chapters outline the process or procedures utilized to implement quality programs. Together, these two parts enable an understanding of both the content and process of therapeutic recreation programming.
This text focuses on the design, development, and evaluation of therapeutic recreation services. It is not introductory in that it presumes prior knowledge of illnesses and disabilities, service settings, therapeutic recreation as a profession, activity planning and delivery, and basic intervention techniques.
Understanding of professional issues such as credentialing, accreditation, standardization of practice is assumed. Knowledge of these concepts is important for the reader to be able to apply them within the context of program design and delivery addressed in this text.
This text uses a systematic approach to program design and delivery. The content of therapeutic recreation services is provided by the Leisure Ability Model with the components of functional intervention, leisure education, and recreation participation. The process of program conceptualization, documentation, and evaluation is represented in the largest sense by the Therapeutic Recreation Accountability Model.
These two models intersect to deliver the foundational concepts of program delivery in therapeutic recreation services. These models provide the basis for systematic, logical, and needs-driven programming that produces predictable, effective, and necessary client outcomes. The text draws the reader to understanding the connections among each task carried out through the design, implementation, and evaluation of therapeutic recreation programs.
Format and Organization of the Fifth Edition
Significant changes have been included in this 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.
The 13 chapters in this book follow a logical sequence from theoretical foundations to a challenge for the future.
Chapter 1 has been streamlined and discusses literature pertinent to understanding the basis for delivering therapeutic recreation services to clients. Concepts such as health, quality of life, self-efficacy, intrinsic motivation, internal locus of control, and personal choice are presented as they relate to individuals’ leisure lifestyles.
Chapter 2 is devoted to the Leisure Ability Model and includes an update of pertinent literature to support the model.
Chapter 3 is a new addition that addresses some of the cornerstones of high quality programming, such as accountability, client outcomes, and the use of evidence-based and theory-based programming, and systems design.
Chapter 4 details the Therapeutic Recreation Accountability Model, which provides the basis for the remaining chapters of the text.
Chapter 5 presents information and procedures related to comprehensive program planning of total unit or agency therapeutic recreation programs, and Chapter 6 addresses the structure and requirements of specific programs.
Chapters 7 and 8 include numerous examples of applying activity analysis and selection to client situations. Intervention and diagnostic protocols are the subject of Chapter 9, with updates on the newest clinical practice guidelines in the field.
Information about client assessment (Chapter 10) and other forms of client documentation (Chapter 11) is upgraded, and new information about cultural competency and electronic health records is included.
Chapter 12 looks at client evaluation, specific program evaluation, and comprehensive program evaluation through the lens of a generic program evaluation model. Information about external accreditation standards also has been updated.
Chapter 13 has been expanded with new trends in health care competencies, and many new resources have been added as well.
Appendices A and B include examples of two systems designed programs, Relaxation and Social Skills.
Appendix C contains assessment instruments and Appendix D common medical abreviations.
A glossary of important terms is also included.
Like its predecessors, the purpose of this book is to provide comprehensive and progressive program development information for the field of therapeutic recreation.
The text carries a dual focus on program content and the process used to design, deliver, and evaluate intervention programs.
Chapter 1: Conceptual Foundations: The Basis for Service Development and Delivery
Chapter 2: The Leisure Ability Model
Chapter 3: Important Aspects of Therapeutic Recreation Services
Chapter 4: Therapeutic Recreation Accountability Model
Chapter 5: Comprehensive Program Design
Chapter 6: Specific Program Design
Chapter 7: Activity Analysis
Chapter 8: Activity Selection and Implementation
Chapter 9: Treatment and Diagnostic Protocols
Chapter 10: Client Assessment
Chapter 11: Client Documentation
Chapter 12: Program and Client Evaluation
Chapter 13: Professionalism and Accountability: Challenges for the Future