Statement of Personal Philosophy of TR

My Philosophy

Therapeutic Recreation professionals should be committed to providing a constructive and enjoyable experience for their clientele.  The utilization of recreation and leisure plays a critical part in delivering quality service.  As an individual who is working toward becoming a Certified Therapeutic Recreation Specialist (CTRS), my own personal philosophy is to work to provide quality service, and to increase overall well being and happiness through the use of recreational therapy.
Therapeutic Recreation is a holistic process using recreation and leisure of all different kinds to bring about a positive change, either socially, emotionally, intellectually, physically, or spiritually, in an effort to maintain and improve overall quality of life.  I will most likely care for clients who fall along a wide continuum of functionality and self-care abilities.  In order to fully allow each client to receive the benefits of Therapeutic Recreation, the activities they participate in and the care they receive must be catered toward their individual wants and needs.  As a therapeutic recreation specialist, I must be able to assume appropriate roles when working with each individual.






















The Leisure Ability Model pictured above illustrates this continuum, and the roles the specialist will assume at each point along the continuum.  They assume these roles based on the clients’ functionality and what will be most beneficial for their continued improvement.
For clients who have limited functionality, the specialist acts as a therapist and works to improve functional ability.  For instance, if an individual needs help improving motor-coordination skills, they will participate in activities that involve full body movement, such as soccer, yoga, or line dancing in an effort to increase balance, strengthen muscles, etc.  As the client improves and experiences an increase in their ability to participate, the role of the practitioner changes to that of a counselor.
As a counselor, the CTRS’s main responsibility is to educate the client on leisure and recreation.  The specialist works to teach the client how to find and participate in recreation on their own.  For example, if the client expresses an interest in outdoor activities, perhaps they will teach them how to fish.  Touching the water, fish, and other things around them can be good sensory input.  Fishing can also help develop fine motor skills and hand-eye coordination, while creating an outlet for the client to relax and recuperate.  This activity continues to provide therapeutic benefits, but is also something the client can learn how to do and choose to participate in on their own.  The counselor teaches clients to independently use recreation and leisure to increase their own well being.
For the client who attains an even higher functionality, the CTRS begins to act as a resource.  They provide organized activities to entertain clientele and make their experience more enjoyable.  One example of an activity that clients may enjoy is Bingo.  When participating in this activity, the client is self-sufficient enough to participate without much help from the specialist.  The specialist is still involved in carrying out the activity and are also available to give assistance at the client’s request.
The continuum in the Leisure Ability Model is designed to bring about continued growth and improvement.  However, it is not uncommon for clients to regress occasionally. Regression can provide a good learning experience for the client.  We obviously do not wish for our clients to revert in any way; but if they do, the experience will be used as a teaching opportunity.  This learning experience can create a favorable environment for therapeutic recreation specialists to make a positive impact.  
I believe it’s important to work to make the best of every situation and provide clientele with appropriate recreation and leisure regardless of circumstance or condition. As a future CTRS, I will work to utilize recreation and leisure to improve and enrich the lives of everyone I work with.


Philosophies of Professional Organizations

Many professional organizations have philosophies as well.  The philosophies for the National Therapeutic Recreation Society (NTRS), American Therapeutic Recreation Association (ATRA), and Utah Recreation Therapy Association (URTA) can be found at the following links:

Philosophy Articles

Often philosophies are based off of a specific recreational therapy model.  Several examples of those models are shown and explained in the following articles:

Timeline

"The past is behind, learn from it. The future is ahead, prepare for it. The present is here, live it."
-- Thomas S. Monson


The history of therapeutic recreation goes back thousands of years. TR has evolved significantly, especially within the last hundred years. A timeline outlining many of the major events from 420 BC to the present day can be found by clicking the link below:




TR Competencies

Competence is defined as "the quality of being adequately or well qualified physically and intellectually" (http://wordnetweb.princeton.edu/perl/webwn?s=competency).  A list of competencies to work in TR can be found below:

  • Levels of Competency
    • Level 1, Beneficence (Do No Harm): Basic and general competencies that a Certified Therapeutic Recreation Specialist (CTRS) can do in any type of setting after a basic orientation to the specific unit and setting assuming successful completion of the facility’s orientation (e.g., fire and safety, hazards, etc.). Supervision is easily attainable (readily available) within the treatment setting whenever the therapist has questions or is in of supervision. Level 1 does not qualify the professional to take clients off of the facility’s campus without supervision. At the Level 1 the therapist is able to provide basic supervision for recreational therapy support personnel (e.g., volunteers, aides).
    • Level 2, Mastery Level: The therapist successfully demonstrates competencies contained within Level 1. The therapist demonstrates the ability to perform all aspects of the job including knowing when to refer to specialists or to seek assistance. Demonstrates independent clinical judgment to perform all aspects of job. Level 2 indicates that the therapist has demonstrated the competencies required to take clients off of the facility’s campus without supervision.
    • Level 3, Teacher: Demonstrates specialized skills related to teaching and supervision of others. An individual at Level 3 must be able to successfully demonstrate all competencies from Levels 1 and 2 and must have a minimum of two years experience within the environment or disability group for which s/he will supervise a student intern.
  • Primary Methods of Achieving and Measuring Competency:
    • Workshop/Inservice Attendance: Therapists attends a workshop or inservice whose content is equal to or greater than the knowledge and skill base required. This level of measurement is assuming a great deal: that the therapist was actively listening and participating, and that the content provided the knowledge and skill base adequately and accurately and that the therapist was able to translate the material into knowledge and skills needed for practice.
    • Self-Education with Written Test: The therapist successfully completes an independent study whose content is equal to or greater than the knowledge and skill base required and whose content has been developed and accepted by a recognized group. Successful completion is defined as having passed a test on the content of the material. "Recognized group" could include professional organizations, institutions of higher education or other recognized groups of professionals, including a facility’s clinical competency or staff education committee.
    • Verbalize Knowledge Base: The therapist is able to verbally (or otherwise communicate) the content required in adequate detail to demonstrate a clear understanding. The content of the knowledge base may be determined to be meeting standards if it: 1. demonstrates enough understanding for beneficence, 2. contains content with a scope and detail considered adequate when compared to professional literature and standards and 3. satisfies requirements for job performance.
    • Demonstrated Skill: The therapist is able to demonstrate the skill required with adequate technique to show a clear ability. The level of skill may be determined to meet standards if it: 1. shows enough technique for beneficence, 2. displays proficiency with a scope and detail considered adequate when compared to professional literature and standards and 3. satisfies requirements for job performance.
    • Credentialing: The therapist holds proof of competence through a recognized credentialing agency achieved through a process of demonstrated knowledge and skill. Recognized credentialing agencies include (but are not limited to) the National Council for Therapeutic Recreation Certification, the American Red Cross, state and federal agencies.
  • List of Competencies
    • Demonstrate skill related to leadership skills
    • Holds basic knowledge of life stages
    • Knowledge of common side effects of general medication groups
    • Working knowledge of common diagnosis including ability to define physical and emotional ramifications
    • Holds basic knowledge of other disciplines
    • Holds basic knowledge of ethics related to practice and can demonstrate understanding in his/her day-to-day practice
    • Holds fundamental knowledge of types of legal status and using this knowledge can support the facility’s policies for implementation relating to legal status
    • Demonstrates a working knowledge of standards of practice (JCAHO, HCFA, CARF, NCQA, ATRA/NTRS, etc.)
    • Knowledge of treatment outcomes
    • Knowledge of cognition
    • Knowledge of how the neuromuscular system works and impacts function
    • More extensive list found at http://www.recreationtherapy.com/professsional-competency.htm

Listing and Definitions of Related Fields


Therapeutic Recreation Specialist often work with other professionals in related fields.  A list of many of these occupations is listed below:
  • Addiction Counseling - Addiction counseling programs prepare students to work as counselors with people who have alcohol, substance abuse, or gambling addictions. Addiction counselors assess addiction problems, set up treatment plans, and  learn methods for early intervention and prevention. 
  • Art Therapy - Art therapy programs teach students how to use art to promote the physical, mental, and emotional health of patients. Art therapy programs offered  include topics such as assessment, treatment, and rehabilitation of mental, emotional, and developmental disorders using art, and psychology and counseling techniques.
  • Community Services - Community service programs prepare people to connect individuals with health care and social services. In community service programs, students may be able to specialize in community organizing and advocacy, community health services, mental illnesses, or prevention of domestic violence, child abuse, or drug/alcohol addiction. 
  • Dance Therapy - Dance programs teach people to express ideas and feelings through movement and dance performance. Dance therapy is the psychotherapeutic use of movement and dance for emotional, cognitive, social, behavioral and physical conditions. It can help aid, treat, and cure many types of diseases and disabilities.
  • Gerontology - Gerontology programs teach people about the aging process - including physical, mental, and social changes - and the needs of older people. Geriatrics is the comprehensive health care of older persons and the well-being of their informal caregiver 
  • Human Services - Human service programs prepare people to work for organizations that serve people in need. In human services programs, students study human behavior and problems. Students learn the theories, principles, and practice of providing human services. They also learn how to counsel and refer clients to related services.
  • Medical Doctors - Medical Doctors (M.D.) examine patients; obtain medical histories; order, perform and interpret diagnostic tests; and prescribe and administer treatment for people suffering from injury or disease. 
  • Mental Health Counseling - Mental health counseling programs prepare people to counsel patients with personal problems, conflicts, or emotional crises. In mental health counseling programs students learn to guide patients to improved mental health. Students also learn counseling and interviewing skills. In addition, they learn observation and testing methods. Mental health counselors identify mental illness, conduct therapy, and research different counseling methods.
  • Music Therapy - Music therapy programs prepare people to encourage healing in patients through music. Music therapists address physical, psychological, behavioral, emotional, and social needs in patients. 
  • Nursing - Registered nursing programs prepare people to work as registered nurses (R.N.). RNs administer medication and treatments, care for patients, and assist physicians.
  • Occupational Therapy - Occupational therapy programs prepare people to help patients who have physical, mental, or emotional health problems learn skills to live on their own.  Occupational therapists assess and evaluate patients, provide assistive and rehabilitative technologies, and give vocational counseling.
  • Physical Therapy - Physical therapy programs prepare people to work with patients who have physical pain or limitations. Physical therapy programs include topics such as patient assessment and evaluation, care plan development, physical therapy modalities, rehabilitation psychology, and movement dynamics.
  • Psychology - A general psychology program focuses on human behaviors and behavioral disorders.  Psychology focuses on providing therapeutic treatments to clients who experience a wide variety of symptoms. It is also one of the largest specialty areas within psychology. 
  • Recreation, Fitness, and Leisure Studies - Recreation, fitness, and leisure studies programs prepare people to provide recreational services to the public. In recreation, fitness, and leisure studies programs students may be able to specialize in parks and recreation, health and physical education, and health and wellness. Recreation, fitness, and leisure studies programs include program management and wellness promotion.
  • Rehabilitation Counseling - Rehabilitation counseling programs prepare people to counsel patients with mental and physical disabilities.In rehabilitation counseling programs students learn counseling and interviewing skills. In addition, they learn observation and testing methods. Students can concentrate on specific disabilities, such as mental illness, deafness, or substance abuse. Students learn how different disabilities affect the mind, body, and emotions.
  • Social Work - Social work programs prepare people to counsel groups and individuals. In social work programs, students learn counseling methods and how to manage casework. They also learn when to make referrals to other services.
  • Sport and Fitness Management - Sport and fitness management programs prepare people to run health clubs and manage sports teams. Sport and fitness management programs include topics such as business management, marketing, program planning and development, facilities management, health and safety standards, and public relations. 
    • Resources: http://www.iseek.org/education/fieldOfStudy?tab=5&id=361308, http://en.wikipedia.org/wiki/Dance_therapy, http://www.aghe.org/500217, http://psychology.about.com/od/psychologycareerprofiles/p/counseling-psychology.htm, http://explorehealthcareers.org/en/Career/17/Physician_MD, 


Glossary of TR Terminology

An extensive glossary of common terminology related to therapeutic recreation can be found at the following site:

https://scholarworks.iu.edu/dspace/bitstream/handle/2022/6474/Austin_Glossary.pdf?sequence=1

Critiques

Resources

Resources for each of the special populations can be found at the end of each of their corresponding Fact Sheets.  For example, if you need information concerning whom to talk to if you feel you are battling depression, follow the link below and click on the Depression Fact Sheet.  The resources are located at the very end of each packet.

Fact Sheets

Additional Information

Much more additional information can be found at the "Web Quiz" link below.

https://docs.google.com/file/d/0B9IACXFjmCnoNjg1aFgzZFlmWTA/

The majority of the information provided on the Web Quiz was found on the following websites: