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exam 3 - rec therapy

Terms in this set (61)

treatment models: leisure and ability model
- Peterson and Stumbo
- independent leisure functioning is the overall purpose of tr
- tr services exist along a continuum of decreasing control by the tr and increasing control by the client
treatment models: leisure and ability model: level one
functional intervention
- client - improve functional ability - low degree of control
- therapist - high degree of control - provide interventions
- interventions designed to bring about a functional change
treatment models: leisure and ability model: level two
leisure education component
- client - increasing control
- therapist - decreasing control
- areas of development: leisure awareness, social interaction skills, leisure resources, & leisure activity skills
treatment models: leisure and ability model: level two: leisure awareness
1.1 - knowledge of leisure
1.2 - self-awareness
1.3 - leisure & play attitudes
1.4 - related participatory & decision-making skills
treatment models: leisure and ability model: level two: social interaction skills
2.1 - communication skills
2.2 - relationship-building skills
2.3 - self-representation skills
treatment models: leisure and ability model: level two: leisure activity skills
3.1 - traditional
3.2 - non-traditional
treatment models: leisure and ability model: level two: leisure resources
4.1 - activity opportunities
4.2 - personal resources
4.3 - family & home resources
4.4 - community resource
4.5 - state & national resource
treatment models: leisure and ability model: level three
recreation participation
- client - high degree of control
- therapist - low degree of control
- emphasis on rec. not functional improvement
treatment models: health protection/health promotion model
- David Austin
- purpose: enable client to recover following a threat to health & achieve optimal health
treatment models: health protection/health promotion model: health protection
health promotion
treatment models: health protection/health promotion model: treatment/rehabilitation due to disability
wellness oriented
treatment models: health protection/health promotion model: motivation to restore health
motivation to enhance health
treatment models: health protection/health promotion model: prescriptive activities
- therapists - high level of control
- rt provides structured & direction -----> stability tendency
- interventions rt directed
- client control is small & in poor health
treatment models: health protection/health promotion model: recreation
- mutual participation of rt & client
- rt provides narrows - "stability tendency" declines
- client's "actualization tendency growing" increasing client role
treatment models: health protection/health promotion model: leisure
- self-directed
- actualization tendency - client has freedom of choice
- optimal health
treatment model: trs delivery & tr outcome
- Van Andel (1998)
- two different models
- TRS delivery - outlines the types of services designed to achieve predetermined outcomes
- tr outcome - outlines various outcomes to TRS; an extension to part one
treatment models: trs delivery: diagnosis/needs assessments
- formal evaluation of patient
- use of formal assessment instrument
- develop baseline
- client provides consent if able if not legal representative
treatment models: trs delivery: treatment/rehabilitation
- provision of intervention by rt
- rt prescribes treatment
- client agree to actively participate or not
treatment models: trs delivery: education
- teaches specific knowledge/skill
treatment models: trs delivery: prevention/promotion
- promotes/reinforces healthy lifestyle
treatment models: tr outcome
- leisure experience - high degree of choice and freedom, and intrinsic motivation
- non-leisure experience/therapy - little choice, high constraint, and extrinsic motivation
- Van Andel's second model
- outcomes measured by a balancing of quality life, domains, domains of behaviors, and health status
treatment models: tr outcome: health status
where a person exists between death and optimal wellness; -10 death and +10 health
treatment models: tr outcome: functional domains
- mental
- physical
- social (leisure)
- emotional
- spiritual
treatment models: tr outcome: quality of life
- satisfaction
- contentment
- joy
- self-determination
- well-being
treatment models: self-determination and enjoyment enhancement model
- Dattilo, Kleiber, William (1998)
- "based on the assumptions that if clients experience enjoyment and functional improvements, they will display self-determination in leisure
treatment models: tr outcome: optimizing lifelong health through therapeutic recreation model
- Wilhite, Keller, & Cadwell (1999)
treatment models: tr outcome: optimizing lifelong health through therapeutic recreation model: three key principles
- health leisure lifestyle leads to reduction of further illness, disability, or secondary consequences
- individualized resources and opportunity may enhance health and well-being
- be prepared to change in respond to personal/environment change
treatment models: tr outcome: optimizing lifelong health through therapeutic recreation model: four interrelated elements
1. selecting: matching interests, abilities, resources, id goals
2. optimizing: engaging in activities to optimize goals
3: compensating: for impaired abilities
4: evaluating: the effectiveness or may continue on
treatment models: tr outcome: optimizing lifelong health through therapeutic recreation model: educator/facilitator
- educator - dealing w/ client's awareness, skills, and knowledge
- facilitator - provide clients w/ opportunity to use what has been learned to experience leisure
*not everyone can be completely independent
behavior health/psychiatric disorders: classification system
- diagnostic & statistic manual of mental disorders
- 5th edition
- DSM-5
- widely used in US
- American Psychiatric Association
- international statistical classification of diseases & related health problems
- 11th edition
- ICD-11
- used throughout the world when DSM-5 is not used
behavior health/psychiatric disorders: schizophrenia spectrum disorders: psychotic features
- delusions
- hallucinations
- disorganized thought & speech
- disorganized or abnormal motor behavior
- know of positive characteristics (presence of characteristics)
behavior health/psychiatric disorders: schizophrenia spectrum disorders: delusions
beliefs
- even w/ factors contrary to the belief
- example: persecution, song is a secret message to the individual, belief self or others are religious characters or missing organs
behavior health/psychiatric disorders: schizophrenia spectrum disorders: hallucination
perceptual
- visual - auditory - example
- reporting hearing other plotting against self
- seeing a wolf
behavior health/psychiatric disorders: schizophrenia spectrum disorders: absent features
inability
- experience pleasure - social withdrawal/avoidance
- motivation - known as negative
- as a feature are not present or unable to experience/avoid
behavior health/psychiatric disorders: schizophrenia spectrum disorders: cognitive symptoms
- attention deficits
- working memory
behavior health/psychiatric disorders: schizophrenia spectrum disorders: executive function/higher-order cognition
- episodic memory
- social cognition
- metacognition
behavior health/psychiatric disorders: schizophrenia spectrum disorders: episodic memory
- recall past experiences
- inability to project an imagined future
behavior health/psychiatric disorders: schizophrenia spectrum disorders: executive function
- purposeful - goal directed problem-solving/planning
- culturally appropriate response
behavior health/psychiatric disorders: schizophrenia spectrum disorders: metacognition
- social cognitive function
- thinking about thinking
- synthesis of thoughts
behavior health/psychiatric disorders: schizophrenia spectrum disorders: mood & affective disorders
related to individual's mood and affect
behavior health/psychiatric disorders: schizophrenia spectrum disorders: depression
major umbrella term including
- depression - situation disorder - atypical disorder
- persistent depressive disorder
- bipolar disorder
- seasonal affective disorder
- psychotic depression
- postpartum depression
- premenstrual dysphoric disorder
behavior health/psychiatric disorders: schizophrenia spectrum disorders: depression: effects/symptoms
- depressed mood
- decreased interest in previous activities
- change in activity level
- fatigue
- decreased ability to concentrate
- suicidal thoughts
- disruption of social functioning
- impairment of other major life activities (school, work, & family)
- not associated w/ chemical dependency
behavior health/psychiatric disorders: anxiety, stress, & trauma-related disorders: anxiety & stress disorders
- associated w/ previous occurrences
- no current potential for danger
behavior health/psychiatric disorders: anxiety, stress, & trauma-related disorders: post-traumatic stress disorder (PTSD)
- associated w/ traumatic event
behavior health/psychiatric disorders: anxiety, stress, & trauma-related disorders: obsessive & compulsive disorders
- thoughts &/or acts
- involves (before one can move forward)
behavior health/psychiatric disorders: behavior disorders: eating disorders: bulimia nervosa
- binge eating
- lack of control overeating
- behaviors (unhealthy) to control weight (exercise, vomiting, & laxatives)
behavior health/psychiatric disorders: behavior disorders: eating disorders: anorexia nervosa
- restriction of intake
- behaviors (unhealthy) to control weight (exercise, vomiting, & laxatives)
behavior health/psychiatric disorders: personality disorders: borderline personality disorder
- inability of personality functions, self-image, interpersonal relationships, affect & impulsivity beginning by early adulthood
- characteristics: risky, impulsive, self-destructive (spending, substance use, reckless driving, etc.) & hostility
behavior health/psychiatric disorders: personality disorders: schizotypal
- social & interpersonal marked by acute discomfort w/, & reduced capacity for close relationships as well as by cognitive or perceptual distortions & eccentricities of bx - beginning by early adulthood
behavior health/psychiatric disorders: personality disorders: schizotypal: characteristics
- withdrawal
- diminished capacity (social contact & interpersonal relationships)
- disruption of self-image, cognition, & emotional expression
behavior health/psychiatric disorders: personality disorders: antisocial personality disorder
disregard for & violation of the rights of others- occurring since 15 years but 18 years old for dx
behavior health/psychiatric disorders: personality disorders: antisocial personality disorder: characteristics
- failure to follow legal & ethnic standards/norms
- egocentric callous disregard to others
- deceitfulness
- not taking responsibility for own actions
behavior health/psychiatric disorders: personality disorders: narcissistic personality disorder
grandiosity (in fantasy & behavior) needs for admiration & lack of empathy - beginning by early adulthood
behavior health/psychiatric disorders: personality disorders: narcissistic personality disorder: characteristics
- grandiose attention/approval seeking
- vulnerable self-image
behavior health/psychiatric disorders: serious mental illness
- pervasive
- long duration
- large impact
- multiple areas of functioning
behavior health/psychiatric disorders: serious mental illness: characterized
- disability - impairment in major life activity
- duration - present for a significant of period of time
- diagnosis
behavior health/psychiatric disorders: serious mental illness: what can it do for bx health?
- interpersonal relationships (social skills)
- coping skills
- remediation of symptoms
- return to a close as possible to premorbid functioning (before symptoms occurred)
- reach highest level of functioning possible
behavior health/psychiatric disorders: evidence-based practice - physical activity/exercise
- research implies exercise & activity are very beneficial for psychiatric diagnoses
- similar effects as antidepressants
- similar to psychological therapy (aka psychotherapy, "talking" therapy
- improve cognitive functioning
- included in clinical practice guidelines for treatment of depression
behavior health/psychiatric disorders: behavioral activation
- bx activation is an intervention & coping skills primarily for depression
- purpose is to...
- increase engagement in adaptive activity
- decrease engagement in activity associated w/ depression or increased risk of depression
- solve problems which limit access to reward or maintaining aversion control
behavior health/psychiatric disorders: social skills training (sst)
- sst seeks to improve socially acceptable behaviors
- sst helps decrease psychiatric symptoms, improves functioning, improves well-being, & improves quality of life
behavior health/psychiatric disorders: serious mental illness: sought outcome
- clinical status
- functional status
- subjective well-being
- reduction in rumination, hallucination behavior, inappropriate behaviors, and controlling clinical symptoms
- self-care
- participation in community
- etc...
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