Therapeutic Recreation Program Design

Therapeutic Recreation Program Designuses the most up-to-date information and powerful study tools to help readers learn how to synthesize different elements of therapeutic recreation into one cohesive program. TheFifth Edition features an improved organization that guides students through the theory and practice of therapeutic recreation programming in a way that fully prepares them to work effectively in the industry.Conceptual Foundations: The Basis for Service Development and Delivery, The Leisure Ability Model, Therapeutic Recreation Services: Important Considerations, Therapeutic Recreation Accountability Model, Comprehensive Program Design, Specific Program Design, Activity Analysis, Activity Selection and Implementation, Treatment and Diagnostic Protocols, Client Assessment, Client Documentation, Program and Client Evaluation, Professionalism and Accountability: Challenges for the Future.Intended for those interested in learning the basics of therapeutic recreation program design.

Norma Stumbo is a respected author and educator at the leading edge of the therapeutic recreation field, and has been the lead author on Therapeutic Recreation Program Design since the third edition. She boasts the highest name recognition in the world in the TR field. A prolific writer and researcher, Stumbo has received numerous awards throughout her career, such as the Presidential Citation from the National Therapeutic Recreation Society (2006), the Jorndt Outstanding Graduate Student/Faculty Mentor Award (Illinois State University, 2004), and the Outstanding University Researcher Award (Illinois State University, 1998). She taught for more than two decades at Illinois State University and is currently coordinating a National Science Foundation grant at the University of Illinois at Urbana-Champaign.

Carol Peterson is another universally-known name in the field of therapeutic recreation. She has spent over 20 years as a university faculty member in the discipline. Her text, Therapeutic Recreation Program Design, is considered the Bible of therapeutic recreation. She is a founding member of the American Therapeutic Recreation Association and was president of the National Therapeutic Recreation Society from 1980-81. She is the former Dean of the College of Human Performance and Development at the University of Nevada, Las Vegas. She is now retired, but is actively engaged in professional development of current TR practitioners through workshops and presentations.

Foreword	p. ix
Preface	p. xi
Conceptual Foundations: The Basis for Service Development and Delivery	p. 1
Health, Wellness, and Quality of Life	p. 2
Leisure-Related Concepts and Benefits	p. 5
The Concept of Leisure Lifestyle	p. 13
Concepts Related to Leisure Behavior	p. 16
Summary	p. 22
Discussion Questions	p. 22
References	p. 23
The Leisure Ability Model	p. 27
Services Based on Client Needs	p. 27
Rationale for Therapeutic Recreation Services	p. 28
Clients of Therapeutic Recreation Services	p. 30
Therapeutic Recreation Service Settings	p. 31
The Leisure Ability Model	p. 33
A Client-Oriented Approach to Therapeutic Recreation	p. 35
Functional Intervention as a Component of Therapeutic Recreation Service	p. 36
Leisure Education as a Component of Therapeutic Recreation Service	p. 42
Recreation Participation as a Component of Therapeutic Recreation Service	p. 62
Examples of the Leisure Ability Model in Practice	p. 68
Leisure Ability as a Holistic Approach	p. 69
Leisure Ability as an Outcome	p. 70
Summary	p. 70
Discussion Questions	p. 71
References	p. 71
Important Aspects of Therapeutic Recreation Services	p. 73
Accountability for Therapeutic Recreation Service Provision	p. 73
Client Outcomes	p. 74
Intervention as a Means for Creating and Measuring Client Change	p. 79
Systematic Program Design	p. 80
Therapeutic Recreation Intervention "Best Practices"	p. 82
Systems Design and Therapeutic Recreation Intervention	p. 85
Summary	p. 87
Discussion Questions	p. 87
References	p. 88
Therapeutic Recreation Accountability Model	p. 91
Factors Affecting Service Accountability	p. 91
The Therapeutic Recreation Accountability Model	p. 95
Summary	p. 103
Discussion Questions	p. 104
References	p. 104
Comprehensive Program Design	p. 107
Client Needs and Outcomes	p. 107
Benefits of Comprehensive and Specific Program Design	p. 109
Therapeutic Recreation Program Planning Model	p. 109
Other Comprehensive Program Documentation Issues	p. 132
Summary	p. 136
Discussion Questions	p. 137
References	p. 137
Specific Program Design	p. 139
The Program Plan	p. 142
The Implementation Plan	p. 164
The Implementation Description	p. 172
Summary	p. 174
Discussion Questions	p. 175
References	p. 175
Activity Analysis	p. 176
Benefits of Activity Analysis	p. 178
Overview of Activity Analysis	p. 180
Principles of Activity Analysis	p. 181
The Activity Analysis Rating Form	p. 181
Using the Activity Analysis Rating Form	p. 198
Activity Selection Factors	p. 199
Activity Modification	p. 200
Task Analysis	p. 206
Summary	p. 208
Discussion Questions	p. 208
References	p. 208
Activity Selection and Implementation	p. 209
Client Outcomes	p. 209
Therapeutic Recreation Specialist Competencies	p. 212
Factors Influencing Selection of Activities	p. 213
Examples of Activity Selection	p. 222
Selecting Activities Based on Client Goals	p. 224
Selecting Client Goals Based on Activities	p. 225
Activity Resources	p. 226
Summary	p. 227
Discussion Questions	p. 227
Treatment and Diagnostic Protocols	p. 228
The Need for Standardized and Evidence-Based Practice	p. 228
Related Terminology	p. 230
Advantages of Standardized Protocols	p. 232
Types of Protocols	p. 234
Protocols in Therapeutic Recreation Services	p. 234
Intervention/Treatment Protocols	p. 235
Diagnostic Protocols	p. 237
Relationship of Protocols to Program Design, Client Assessment, and Client Outcomes	p. 240
Trends in TR Protocol Development	p. 246
Summary	p. 246
Discussion Questions	p. 246
References	p. 247
Client Assessment	p. 249
Purposes and Uses of Assessment	p. 249
Definition of Client Assessment	p. 251
Principles of Therapeutic Recreation Client Assessment	p. 251
Relationship between Client Assessment and Program Placement	p. 254
Cultural Competence in Client Assessment	p. 257
Computerized Client Assessment	p. 258
Assessment as a Measurement Tool	p. 259
Client Assessment as a Systematic Process	p. 268
The Assessment Planning Process	p. 269
The Assessment Implementation Process	p. 283
Issues Surrounding Client Assessment	p. 292
Thoughts about Activity Interest Inventories	p. 294
Examples of Commercial Therapeutic Recreation Assessments	p. 294
Summary	p. 296
Discussion Questions	p. 297
References	p. 298
Client Documentation	p. 300
Types of Documentation	p. 300
Rationale for Quality Documentation	p. 302
Electronic Health Records	p. 306
Basic Types of Client Documentation	p. 307
Principles of Quality Client Documentation	p. 307
Common Methods of Charting	p. 311
Treatment Plans	p. 319
Progress Notes	p. 340
Discharge and Referral Summaries	p. 346
Incident Reports	p. 347
Summary	p. 348
Discussion Questions	p. 349
References	p. 350
Program and Client Evaluation	p. 351
Evaluation as a Management Tool	p. 351
Definition of Evaluation	p. 352
A Generic Evaluation Design Model	p. 354
Client Evaluation	p. 362
Specific Program Evaluation	p. 367
Comprehensive Program Evaluation	p. 373
Efficacy Research	p. 380
Summary	p. 382
Discussion Questions	p. 382
References	p. 383
Professionalism and Accountability: Challenges for the Future	p. 386
Useful Resources	p. 391
Summary	p. 397
Discussion Questions	p. 397
References	p. 397
Relaxation: A Program System	p. 398
Social Behaviors: A Program System	p. 434
Therapeutic Recreation Assessment Instruments	p. 454
Common Medical Abbreviations	p. 461
Glossary	p. 468
Index	p. 475
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Therapeutic Recreation Program Design Principles and Procedures

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