Therapeutic Recreation Program Design, 6th Ed
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.
Preface
Acknowledgments
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
Summary
Discussion Questions
References
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
Summary
Discussion Questions
References
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
Summary
Discussion Questions
References
CHAPTER 4: Therapeutic Recreation Accountability Model
Factors Affecting Service Accountability
The Therapeutic Recreation Accountability Model
Summary
Discussion Questions
References
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
Summary
Discussion Questions
References
CHAPTER 6: Specific Program Design
The Program Plan
The Implementation Plan
Summary
Discussion Questions
References
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
Summary
Discussion Questions
References
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
Summary
Discussion Questions
References
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
Summary
Discussion Questions
References
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
Summary
Discussion Questions
References
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
Summary
Discussion Questions
References
CHAPTER 12: Program and Client Evaluation
Definition of Evaluation
A Generic Evaluation Design Model
Client Evaluation
Specific Program Evaluation
Comprehensive Program Evaluation
Efficacy Research
Summary
Discussion Questions
References
CHAPTER 13: Professionalism and Accountability: Challenges for the Future
Useful Resources
Summary
Discussion Questions
References
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