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TR-5327 Assessments in Therapeutic Recreation

Terms in this set (68)

What are the categories do assessments measure?
1. Attitudes, 2. functional skills, 3. participation patterns, 4. Outcomes and, 5. personality
What are the main three assessments used for Attitudes in TR: (and what page number in the "Assessments Tools for Recreation Therapy and Related Fields," fourth edition)
1) Leisurescope Plus and Teen Leisurescope Plus p. 270
2) Leisure Diagnostic Battery (LDB) p. 262
3) Idyll Arbor Leisure Battery (IALB)
May use nemonic : (attitudes are sick) I.L.L. p.227
Leisure scope plus A-purpose of the assessment:
1) To identify areas of high interest; 2)To identify the emotional motivation for participation; 3) To identify individuals who need higher arousal experiences (High risk).

(The degree of interest the an individual has in ten areas of leisure, the feelings that the individual reports concerning involvement in a variety of activities, and the degree to which the individual seeks out high arousal activities.)
Leisure scope plus B-measures what type of clientele?
* adults and teens with little to no cognitive impairment.
Recommended guidelines:
*Mental age of six years or above
*Rancho Los Amigos level of 6 or above
*Reality Orientation level of "Mild to No Orientation Disability"
Leisure scope plus C-suggested populations:
Preformed in psychiatric setting, with adjudicated youth or with chemical dependency. Other various settings include: Rehabilitation, geriatric, head injury, substance abuse, pain management, parks and Rec. Depts. ect...
Leisure scope plus D-Description:
May be done in a group or individually. Includes 10 categories: Games, Sports, Nature,Collection, Crafts, Art& Music, Entertainment, Volunteerism, Social Affiliation and Adventure. Assessment consists of a forced choice between 2 pictures shown at the same time.
Leisure scope plus E- is scored:
High interest are scored on a grid and emotions are checked. Score takes place as the assessment tool is used. 10 minutes at end to report the summary. (Usually self administers and self-scored with little to no cognitive impairment).
Leisure Diagnostic Battery (LDB)A- main purpose includes:
1. To assess the client's leisure functioning,
2. To determine the areas in which improvement of current leisure functioning is needed.
3. To determine the impact of offered services on the client's leisure functioning.
4. To facilitate research on the structure of leisure to enable a better understanding of the value, purpose, and outcomes of leisure experience.
(used for research)
Leisure Diagnostic Battery (LDB)B- has how many versions:
Two; Version A and Version B (short forms- Has long forms as well A and C) has 7 scales.
* most researched TR assessment
Leisure Diagnostic Battery (LDB)C- types of Clientele:
Version A: Intellectual Disability/Developmental Disability or Ortho, 9-14yrs age (been extended to 18yrs.)
Version B: suitable for adults or persons without disabilities with a rancho of 7 or above
Reality orientation: mild to no cognitive impairment
Leisure Diagnostic Battery (LDB) D- suggested populations:
Originally developed for use in schools.
Leisure Diagnostic Battery (LDB) E- general description of measures:
Section one:
A: Perceived leisure competence
B: Perceived leisure control
C: Leisure needs
D: Depth of involvement
E: Playfullness
Section two:
F: Barriers to leisure involvement
G: Leisure Preferences
Leisure Diagnostic Battery (LDB) F- is scored by:
Requires knowledge related to the administration and scoring of testing tools and knowledge related to leisure functioning. Is timely to score; Self-report assessment. Also computerized.
Idyll Arbor Leisure Battery (IALB) A-main purpose includes:
Measures 4 areas:
Leisure Attitude Measurement
Leisure interest measure
Leisure motivation scale
Leisure satisfaction Measure
Idyll Arbor Leisure Battery (IALB)B- types of Clientele:
Recommended clients with moderate to no cognitive impairment. With suggested levels of:
IQ of 80 or above, Mental age of 12 or above, Rancho Los Amigos Score of 7 or above, and Reality of Orientation: mild to no Orientation disability.
Idyll Arbor Leisure Battery (IALB)C- general description
Is a combination of four separate assessments. Each assessment has been tested for both initial and ongoing validity and reliability. Used as a whole it provides the therapist with a broad measure of the clients leisure aptitudes. Used separately the provide the therapist with a statistically valid measure of that aspect of the clients leisure lifestyle.
Idyll Arbor Leisure Battery (IALB)D- is scored by:
Most accredited agencies expect the therapist to administer criterion- administered assessment (measures the exact skill the client is able to demonstrate) Approximately 10-30 minutes per test with 5-15 minutes to score per test. Basic reading and math skills are required to administer and score. Has an executive summary that shows interventions based on scores of each of the assessments including participant's affect and mannerisms.
What are the main three assessments used for Measuring functional skill in TR: (and what page number in the "Assessments Tools for Recreation Therapy and Related Fields," fourth edition)
1) Comprehensive Evaluation in Recreation Therapy (CERT) p326-p337
2) FOX p346
3) Functional Assessment of Characteristics for Therapeutic Recreation -Revised p364
*May use nemonic : The Functional CERT FOX FACT-R
Comprehensive Evaluation in Recreation Therapy (CERT)A- : What are the two types of?
1. Pysch/Behavioral
2. Physical Rehab (Disabilities)
* one of the oldest standardized tests that is still in use today.
Comprehensive Evaluation in Recreation Therapy(CERT) B- main purpose includes:
1. ) Psych- Acute intake assessment and documentation and document chance in RTC.
2.) Physical Rehab: 8 areas: Fine motor, Gross motor, locomotion, motor skills, sensory, cognition, communication, behavior.
A set of specific objects are needed i.e. mat, table, small objects, checker set, various services for ambulation marked 10 ft increments, stairs, 4 musical instruments, watch, figure vs. ground pictures, pencil/paper, score sheet.
Comprehensive Evaluation in Recreation Therapy (CERT) C-types of Clientele:
1. Psych/Behavioral:
Ranchos Los Amigos level 5 or above
Developmental level (DL) : 10 or above
Reality orientation level (ROL): severe and above
2. Physical Rehab:
Ranchos: 1-8
DL: most items will allow a DL of 5yrs or above
ROL: Severe or above
Comprehensive Evaluation in Recreation Therapy (CERT) D- suggested populations:
Psych/Behavioral: Originally, psychiatric adults, although youth and adults may use. May be more appropriate for longer stays.
Physical Rehab: For clients with the loss of function, Adults in Rehab, used in hospital settings on a Team W OT and PT. however, provides good functional skill baseline for clients who do not have OT and PT.
Comprehensive Evaluation in Recreation Therapy (CERT) E- general description
Psych/Behavioral: To identify, define, behaviors relevant to a person's ability to successfully integrate into society using his or her social skills.
Physical Rehab: To establish a baseline for client' functional skills related to leisure activities. Reassessment of the same client helps to establish skill or recovery loss. (up to 10 times per client)
Comprehensive Evaluation in Recreation Therapy (CERT)F- is scored by:
Can be used to document interactions after each treatment setting. Checklist based on observation. Determines the success of intervention outcomes. even one-point change is important. The target score of normal functioning should be an overall score of zero to 3. Administering, scoring and interpreting this test should have formal training as a therapist.
FOX A-(p346) main purpose includes:
Evaluates client current skill level in social/affective domain.
Measures 6 areas:
1) Reaction to others, 2) Reactions to objects, 3) Attention seeking, 4) interactions with objects, 5) Concept of Self, and 6) interaction with others.
*One of the oldest standardized tests used today.
FOX B- types of Clientele:
Rancho Los Amigos: level 2-5,
Developmental Level: Birth to 5 yrs.
Reality Orientation Level: Cognition Severe to Moderate
FOX C- suggested populations:
Individuals with primary or secondary diagnosis of dementia, Intellectual disability/DD, or brain injury. Originally for youth/teens with severe profound ID/DD.
FOX D- general descriptionterm-30
To establish the baseline for functional skills related to Leisure. Observation.
(Previously, The Activity Therapy Social Skills Baseline, used at the Fox Development Center in Dwight, IL)
FOX E- is scored by:
Takes about 20 mins per client. Therapist will need to determine which levels of the FOX to administer to ensure all of the required objects are near by. Need the FOX manual and Score sheet. (inconsistencies in score when using adaptive equipment) A change requires moving a full level. Assessments should be given at different times of day and in different circumstances both before and after interventions.
Functional Assessment of Characteristics for Therapeutic Recreation -Revised A- (p364) main purpose includes:
Identify appropriate direction for treatment.
Measures 11 areas and three domains : physical, cognitive, social/emotional.
Physical- sight/vision, hearing, ambulation, general coordination
Cognitive- orientation, repetitive language, attending, concentration, longterm memory ect..
Social/emotional- dyad, small group, competition, conflict/argument ect..
Functional Assessment of Characteristics for Therapeutic Recreation B-Revised types of Clientele:
All groups over age 10.
Los Ranchos level 3 and above
ROL: Severe and above
Functional Assessment of Characteristics for Therapeutic Recreation -Revised C-suggested populations:
Original population was adults in VA hospitals (rehab, psych, geriatric, hospital ect..) Can be used as an initial screening for most populations.
Functional Assessment of Characteristics for Therapeutic Recreation -Revised D-general description
Determine the clients needs related to their basic functional skills and behaviors (social skills). See if client qualifies for therapy services and to identify the area most likely to improve with therapy services. (no validity reported)
Functional Assessment of Characteristics for Therapeutic Recreation -Revised E-is scored by:
Not administered filled out after observation of the client in a variety of activities and reviewing medical chart. Designed for a specialist with no formal training- to administer and score. Should take 5 minutes to fill out and score.
State Technical Institution Leisure Assessment Process(STILAP) A- (p578) main purpose includes:
14 competencies include:
a. Physical skill that can be done alone
b. Physical skill that she can participate in with others regardless of skill level
c. Physical skill that requires the participation of one or more others
d. Activity dependent on some aspect of the outdoor environment
e. Physical skills not considered seasonal
f. Physical skill with carry over opportunity for later years.
g.Physical skill with carry over opportunity that is vigorous for cardiovascular improvement
h. Mental skill participated in alone
I. Mental skill requiring one or more others
J. Appreciation skill or interest area which allows for emotional or mental stimulation through observation or passive response
K. Skill which enables the creative construction or self-expression through object manipulation, sound, or visual media
L. Skill which enables the enjoyment or improvement of the home environment
M. Physical or mental skill which enables participation in a predominately social situation
N. Leadership or interpersonal skill which enables community service
O. other
State Technical Institution Leisure Assessment Process(STILAP) B- types of Clientele:
Rancho Los Amigos: level5 or above
development level: the activities listed in the activity checklist are generally for clients over 10 years or an adapted age of 6 or above.
Reality Orientation level: moderate to no impairment
State Technical Institution Leisure Assessment Process(STILAP) C- suggested populations:
ID/DD, adolescents and adults with physical or psychological disabilities. adolescents and adults who need more balance in their leisure.
State Technical Institution Leisure Assessment Process(STILAP) D- general description
To help achieve a balanced lifestyle. Serves a dual purpose. I finds leisure activities that the client prefers- not a measure that is related to the outcome. It is also measures the balance of activities, which can be an intended goal for an intervention. Areas: Assess leisure skill participation patterns, categorizing these patterns into leisure competency areas, and provide guidelines for future program involvement.
State Technical Institution Leisure Assessment Process(STILAP) E-is scored by:
Has 123 activities. Indicate much (M), some (S), and interest (I). 14 competencies; the activity checklist may be administered by a paraprofessional trained in the administration of the STILAP. The assessment is scored by an individual who is Certified Therapeutic Recreation Specialist through the National Council for Therapeutic Recreation Certification, (NCTRC)
What are the main two assessments used for Measuring participation patterns in TR: (and what page number in the "Assessments Tools for Recreation Therapy and Related Fields," fourth edition)
1) State Technical Institution Leisure Assessment Process(STILAP) p578
2) Community Integration Program (CIP) p617
May use Nemonic: STILAP(articipation) CI*P(articipation)
Community Integration Program (CIP)A- p617 main purpose includes:
To measure different aspects of clients knowledge and skills in accessing community resources. There are 6 modules (with 22 areas) of program including: Community environment, Cultural activities, Community activities, Transportation, physical activities and independent Plan. (skills required to function with in his or her community)
Community Integration Program (CIP) B- types of Clientele:
Rancho los amigos 5 and above
Developmental level: 10 and above
Reality Orientation level: moderate to no impairment.
Community Integration Program (CIP) C- suggested populations:
Any population that needs to regain the ability to use community resources, including but not limited to patients with physical disabilities, developmental disabilities, psychiatric disorders, head injuries and youth at risk.
Community Integration Program (CIP) D-general description
The most commonly used TR assessment; one of the oldest standardized test that is still used today. Measures the cognitive awareness and demonstrated abilities related to the use of community resources and leisure time.
Four TR goals addressed:
1. application of skill
2. socialization
3. problem solving
4. resource guide
Community Integration Program (CIP) E- is scored by:
Each module takes up a different length of time to administer, the shortest being thirty minutes. The skill level of the patient, the area of the community used for the module, an the resources being accessed all impact the amount of time required. the modules are scored after implementing each module. The forms take between ten and twenty minutes each to fill out.
What are the main two assessments used for measuring outcomes in TR: (and what page number in the "Assessments Tools for Recreation Therapy and Related Fields," fourth edition)
1.) Resident Assessment Instrument (RAI) p677
2) Leisure Competency Measure (LCM)p 667
3) Recreation Behavior Inventory (RBI) p
may use nemonic: Right Left Right Outcomes
Resident Assessment Instrument (RAI) A- p677 main purpose includes:
3 basic components:
Minimum Data Set (MDS)-test questions interdisciplinary-SET OF SCREENING OF CLINICAL AND FUNCTIONAL STATUS-TR is section N and T (F&O; 2010-2013)
Contains: Minimum Data Set, Triggers(scores that indicate further assessment), Resident Assessment Protocols(RAPs-18 areas: provides guidelines for further assessment as indicated by triggers. For new residents or when significant change in health status or annual MDS review) , resource Utilization Guidelines(RUGs- scoring) , Prospective Payment System (PPS - government reimbursement for NH-based in average cost of resident), Quality Indicators(QI- indicate potential problem area related to healthcare and quality of life based on other resident who had that problem).
Resident Assessment Instrument (RAI) B- types of Clientele:
Used in long term care/ nursing home facilities, Medicare and Medicaid.
Resident Assessment Instrument (RAI) C- suggested populations:
Used in long term care/ nursing home facilities, geriatric NH, SNF, SNU, all -LTC.
Resident Assessment Instrument (RAI) D- general description
Interdisciplinary assessment to determine the most appropriate level of care for residents. MDS+TRIGGERS+RAPS=COMPREHENSIVE ASSESSMENT GUIDELINES
ARD: Assessment Reference
Date:
Admit 14d.30d. 60d. D/C
Quarterly
Annual
change condition

Narrative note form
Facility- national data base CMS
Used to assess, reimburse, and qualify assurance
Summary assessment. Professionals first assess functional needs using another assessment and then summarizes findings on this document
Resident Assessment Instrument (RAI) E- is scored by:
Is fully computerized.
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Leisure Competency Measure (LCM) A- p667 main purpose includes:
A standardized instrument designed to measure outcomes related to therapeutic recreation. Has 8 subsections (with detailed criteria which relate to FIM's) LAM- Leisure Ability Model:
1. leisure awareness
2. leisure attitude
3. Leisure skills
4. Cultural/social behaviors
5. Interpersonal skills
6. Community integration skills
7. Social Contract
8. Community participation
Leisure Competency Measure (LCM) B- types of Clientele:
Originally designed for adults rehabilitation, geriatric, psychiatric, and long term care settings. Also, has been found useful working with young adults and adolescents (13+ years). Compliance with JACHO, CARF, and CCHSA-Canadian Council on Health Services Accreditation.
Leisure Competency Measure (LCM) C- suggested populations:
Geriatric or Rehabilitation facility.
Leisure Competency Measure (LCM) D- general description
Standardized instrument designed to measure outcomes. It is not an assessment but an assessment summary. (not a diagnostic tool), Measures change in client over time. Has 7 levels from complete independence to total independence. Identifies patterns of leisure dysfunction, evidence-based decision making, program evaluation and client centered goal setting TR intervention.
Leisure Competency Measure (LCM) E- is scored by:
May look lengthy, once learned it is very quick and easy to complete. Initial time less than an hour. Client 10 minutes to 5 minutes. A measure of client improvement through summation of client improvements.
Recreation Behavior Inventory (RBI) A- p677 main purpose includes:
Level of performance in cognition perceptual motor, sensory, success in recreation, splinter skills.
Recreation Behavior Inventory (RBI) B- types of Clientele:
Vocational Rehabilitation ACT
Recreation Behavior Inventory (RBI) C- suggested populations:
Children in Psych or long term care facilities.
Recreation Behavior Inventory (RBI) D- general description
10 at a time in a group. 20 activities of group behavior.
Recreation Behavior Inventory (RBI) E- is scored by:
3 pt. scale and Sequenced developmentally
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What are three main assessments used for personality measurement in TR: (and what page number in the "Assessments Tools for Recreation Therapy and Related Fields," fourth edition)
1) Individual and Group Color
2) Shape
3) Ayurveda
may use nemonic: InShapeA-personality
Personality measures: A- main purpose includes:
1) Individual and Group Color: Personality measure, Group placement
2) Shape: Personality measure, Group placement
3) Ayurveda: Nutrition, Disease prevention and reduction of symptoms
Personality measures: B- types of Clientele:
1) Individual and Group Color: any (visual)
2) Shape: any (visual)
3) Ayurveda: any (visual)
Personality measures: C- suggested populations:
1) Individual and Group Color
2) Shape
3) Ayurveda
Personality measures: D- general description
1) Individual and Group Color: colors lead to meaning: Blue, Orange, Red, Gold
2) Shape: Square, Rectangle, Triangle, Squiggly
3) Ayurveda: survey, with food description
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