Practice of TR
holistic approach - correct answer-treatment of cognitive, emotional, physical, social, spiritual
recreative experience - correct answer-allows people to relax, stimulate minds, enjoy
adventure, socialization - has impact on life
special/adaptive recreation - correct answer-provision of programs for individuals with
disabilities to provide lifestyle that actively involves leisure (aka segregated programming)
inclusive recreation - correct answer-full acceptance and integration of person with
disabilities into the recreation mainstream; mandatory in all community rec programs
(because of ADA)
recreation as treatment modality - correct answer-used for purposeful interventions using
prescribed activities to bring about physical, social, cognitive, spiritual, and emotional
change
continuity of care - correct answer-client is transitioned from clinical to community settings
American College of sports medicine guidline - correct answer-exercise 30 minutes a day 5
days a week
Leisure ability model - correct answer-FUNCTIONAL INTERVENTION (act as therapist,
bring clients up to the baseline of their peer's average functional level); LEISURE
EDUCATION (act as counselor, provide choices); RECREATION PARTICIPATION (act as a
resource, client's choose participation in community); assess needs, provide intervention,
evaluate the degree to which needs were met
Health Protection/Health Promotion Model - correct answer-(1) help pt recover from threats
to health (2) help pt achieve optimal health; mission is to aid person move toward an optimal
state of health; underlying concepts (humanistic perspective, high-level wellness,
stabilization and actualization tendencies, health)
TR Service Delivery Model - correct answer-Four components (diagnosis/needs
assessment, treatment/rehab of a problem, educational services, prevention/health
promotion activities); intended to represent a continuum of service delivery ranging from
intense care to community-based programs
TR Outcome Model - correct answer-an extension of the service delivery model; looks at
outcome of TR services; takes into account changes in functional capacities and health
status that will ultimately impact the quality of life
Medical/clinical model of healthcare - correct answer-centers on physician as primary
decision-maker for client care
, Practice settings - correct answer-hospital, long-term care, community recreation,
correctional facilities
Assessment - correct answer-by adhering to assessment protocols, error is reduced and
confidences in results is increased
Current assessment instruments - correct answer-agency specific assessments;
assessments that have been studied and published--(Comprehensive Evaluation in
RT-Psyc/CERT-Psych[to determine behaviors that relate to a person's ability to successfully
integrate into society using social interaction skills], Comprehensive Evaluation in RT -
Physical Disabilities[measures visual acuity, ocular pursuit, depth perception], BANDI-RT
assessment, Functional Assessment of Characteristics for TR-FACTR[measures
prerequisite skills related to leisure participation]
Leisure Assessments/Checklists - correct answer-Leisure diagnostic battery (LDB); Leisure
Competence Measure (LCM); Leisurescope Plus; Leisure Motivation Scale (LMS)
Other inventories - correct answer-Functional Independence Measure (FIM), American
Spinal Injury Association Scale (ASIA), Rancho Los Amigos Scale of Cognitive Functioning,
Glasgow Coma Scale, Children's Coma Scale, Inpatient Rehabilitation Facility-Patient
Assessment Instrument (IRF-PAI)[so rehab units and hospitals can receive medicare and
medicaid reimbursement], Global Deterioration Scale (GDS)[long-term care facilities],
Mini-Mental State Examination[long-term care facilities], Minimum Data Set for Resident
Assessment and Care Screening (MDS)[long-term care facilities and Medicare
reimbursement], Multilaxial Assessment System specifically the Gloabl Assessment and
Leisure Functioning (GALF)[psychiatric], Global Assessment of Functioning (GAF)[a
numerical scale used by clinicians and physicians in mental health settings
Minimum Data Set (MDS) - correct answer-CTRS completes Section F Preferences for
Customary Routine and Activities;
Other sources of assessment data - correct answer-Records or charts, staff, support system,
educational records, interview with family and friends
Criteria for selection/development of assessment - correct answer-Purpose, Reliability
(consistency of measurement), Validity (extent to which assessment meets intended
purpose), Practicality/Usability (can it be done in this facility?), Availability
Implementation of Assessment - correct answer-Fully understand the assessment and
administer it with east, use interviews/observations/self-administered questionnaires/record
interviews
7-step process to assessment implementation - correct answer-review assessment protocol,
prepare for assessment, administer assessment, analyze/score assessment results,
interpret results for program placement, document results of assessment, re-assess pt as
necessary
holistic approach - correct answer-treatment of cognitive, emotional, physical, social, spiritual
recreative experience - correct answer-allows people to relax, stimulate minds, enjoy
adventure, socialization - has impact on life
special/adaptive recreation - correct answer-provision of programs for individuals with
disabilities to provide lifestyle that actively involves leisure (aka segregated programming)
inclusive recreation - correct answer-full acceptance and integration of person with
disabilities into the recreation mainstream; mandatory in all community rec programs
(because of ADA)
recreation as treatment modality - correct answer-used for purposeful interventions using
prescribed activities to bring about physical, social, cognitive, spiritual, and emotional
change
continuity of care - correct answer-client is transitioned from clinical to community settings
American College of sports medicine guidline - correct answer-exercise 30 minutes a day 5
days a week
Leisure ability model - correct answer-FUNCTIONAL INTERVENTION (act as therapist,
bring clients up to the baseline of their peer's average functional level); LEISURE
EDUCATION (act as counselor, provide choices); RECREATION PARTICIPATION (act as a
resource, client's choose participation in community); assess needs, provide intervention,
evaluate the degree to which needs were met
Health Protection/Health Promotion Model - correct answer-(1) help pt recover from threats
to health (2) help pt achieve optimal health; mission is to aid person move toward an optimal
state of health; underlying concepts (humanistic perspective, high-level wellness,
stabilization and actualization tendencies, health)
TR Service Delivery Model - correct answer-Four components (diagnosis/needs
assessment, treatment/rehab of a problem, educational services, prevention/health
promotion activities); intended to represent a continuum of service delivery ranging from
intense care to community-based programs
TR Outcome Model - correct answer-an extension of the service delivery model; looks at
outcome of TR services; takes into account changes in functional capacities and health
status that will ultimately impact the quality of life
Medical/clinical model of healthcare - correct answer-centers on physician as primary
decision-maker for client care
, Practice settings - correct answer-hospital, long-term care, community recreation,
correctional facilities
Assessment - correct answer-by adhering to assessment protocols, error is reduced and
confidences in results is increased
Current assessment instruments - correct answer-agency specific assessments;
assessments that have been studied and published--(Comprehensive Evaluation in
RT-Psyc/CERT-Psych[to determine behaviors that relate to a person's ability to successfully
integrate into society using social interaction skills], Comprehensive Evaluation in RT -
Physical Disabilities[measures visual acuity, ocular pursuit, depth perception], BANDI-RT
assessment, Functional Assessment of Characteristics for TR-FACTR[measures
prerequisite skills related to leisure participation]
Leisure Assessments/Checklists - correct answer-Leisure diagnostic battery (LDB); Leisure
Competence Measure (LCM); Leisurescope Plus; Leisure Motivation Scale (LMS)
Other inventories - correct answer-Functional Independence Measure (FIM), American
Spinal Injury Association Scale (ASIA), Rancho Los Amigos Scale of Cognitive Functioning,
Glasgow Coma Scale, Children's Coma Scale, Inpatient Rehabilitation Facility-Patient
Assessment Instrument (IRF-PAI)[so rehab units and hospitals can receive medicare and
medicaid reimbursement], Global Deterioration Scale (GDS)[long-term care facilities],
Mini-Mental State Examination[long-term care facilities], Minimum Data Set for Resident
Assessment and Care Screening (MDS)[long-term care facilities and Medicare
reimbursement], Multilaxial Assessment System specifically the Gloabl Assessment and
Leisure Functioning (GALF)[psychiatric], Global Assessment of Functioning (GAF)[a
numerical scale used by clinicians and physicians in mental health settings
Minimum Data Set (MDS) - correct answer-CTRS completes Section F Preferences for
Customary Routine and Activities;
Other sources of assessment data - correct answer-Records or charts, staff, support system,
educational records, interview with family and friends
Criteria for selection/development of assessment - correct answer-Purpose, Reliability
(consistency of measurement), Validity (extent to which assessment meets intended
purpose), Practicality/Usability (can it be done in this facility?), Availability
Implementation of Assessment - correct answer-Fully understand the assessment and
administer it with east, use interviews/observations/self-administered questionnaires/record
interviews
7-step process to assessment implementation - correct answer-review assessment protocol,
prepare for assessment, administer assessment, analyze/score assessment results,
interpret results for program placement, document results of assessment, re-assess pt as
necessary
