Recreation Therapy:An integral part of the rehabilitation

treatment team

Casey Linstad, CTRS Nicole Wells, CTRS, CBIS

Rec Therapy Name: First NameA=Astrology

B= BasketballC=CookingD=DaydreamingE=ExerciseF=FishingG=GolfH=HikingI=Indoor GardeningJ=Jazzercise

K=KnittingL=LegoM=MeditationN=Nail ArtO=OrigamiP=PhotographyQ=QuiltingR=ReadingS=Self-DefenseT=Taxidermy

U=Ultimate FrisbeeV=VolunteerW= WritingY=YogaZ=Zumba

Rec Therapy Name: Last NameA=AfficionadoB= BeginnerC=CompetitorD=Dark HorseE=EntrantF=FanG=GamerH=HipsterI=InfuserJ=Jock

K=KnightL=LeaderM=MasterN=NoviceO=OriginalP=PlayerQ=QuizzerR=RookieS=Superstar

T=Team playerU=UniterV=VesselW= WarriorY=YellerZ=Zapper

Session Objectives1. To educate on the importance of Recreation Therapy, especially in a brain injury rehabilitation setting.

2. To inspire health care professionals with evidence-based recreation interventions used for persons with brain injury.

3. To integrate Recreation Therapy into more brain injury rehabilitation programs.

Recreation as Therapy?

“While (RT) has much to offer...its specific contribution lies in the area of leisure functioning. Because leisure is such an integral part of most peoples lives, it is seen as vitally important to individuals overall quality of life and life satisfaction”. (Peterson, 2000)

Quality of Life• Simply increasing the variety and frequency of

social and leisure activities may not increase SQOL

• Increase opportunities for participation with others

• Enhance subjective experience of social and leisure activities

• Specific to patients with TBI; social support network, redefining oneself though new roles, and participating in fulfilling and meaningful activities

What does this mean for RT?“Providing the right patient with the right service (at) the right time in the right setting at the right intensity and for the right duration”. (Navar, 1991)

Accountability via the Leisure Ability Model• Functional Intervention

o Baseline abilities that are prerequisite to typical leisure behavior hand-eye coordination, endurance, strength, memory, attention,

orientation, expression• Leisure Education

o Development of leisure-related skills, attitudes and knowledge leisure awareness, social interaction skills, leisure activity skills

and leisure resources• Recreation Participation

o An expression of one’s leisure lifestyle opportunities for fun, enjoyment and self-expression within an

organized delivery system

leagues, tournaments, arts and crafts, music, fitness classes, park

or pool

(Peterson,

2000)

APIE

• Assess• Plan• Intervention• Evaluate

Assessment

Paper assessment

Get to know WHOLE person

Interview family and friends as well

All Together Now!

Interdisciplinary Goal: Ambulation• PT OT, SLP, Nursing, Psychology,

Social Work, Nutrition, RT, others...

A Fishy Story…

Individual TR Goals

Modifying favorite activities:• Physical modifications• Modification devices• Finding a similar activity with the

same benefits

Research

ResearchDone before?Protocol/ProceduresOutcomesNever enough research per intervention

Intervention

Evaluation

Outcomes

Documentation

Debrief

Session Objectives1. To educate on the importance of Recreation Therapy, especially in a brain injury rehabilitation setting.

2. To inspire health care professionals with evidence-based recreation interventions used for persons with brain injury.

3. To integrate Recreation Therapy into more brain injury rehabilitation programs.

ReferencesNavar, N. (1991). Advancing therapeutic recreation through quality assurance: A perspective on the changing nature of quality in therapeutic recreation. In B.Riley (Ed.), Quality management: Applications for therapeutic recreation (pp. 3-20). State College, PA: Venture Publishing Company.

Peterson, Carol Ann, and Norma J. Stumbo. Therapeutic Recreation Program Design: Principles and Procedures. Boston: Allyn and Bacon, 2000. Print.

McLean, A.M.. (2013). Associations between social participation and subjective quality of life for adults with moderate to severe traumatic brain injury. Disability and Rehabilitation, Early Online, 1-10. doi:10.3109/09638288.2013.834986