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Intro to Therapeutic Rec > APIE Process > Flashcards

APIE Process Flashcards

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1
Q

What is the first step in the TR Process?

A

Establish a Therapeutic Relationship.

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2
Q

What does the APIE Process stand for in Therapeutic Recreation?

A

Assess, Plan, Implement, Evaluate.

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3
Q

What is the purpose of the assessment in the APIE Process?

A

To collect information on select domains of a client’s functioning and integrate it into an individualized care or treatment plan.

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4
Q

What are some reasons for conducting assessments in Therapeutic Recreation?

A

Baseline, program placement, formative evaluation, summative evaluation, research, administrative requirement, and communication between disciplines.

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5
Q

What are some methods for data collection in assessments?

A

Self-Report (interviews, questionnaires), Observation (behaviors, actions), Performance Tests (functional abilities), and Forensics Review (demographics, health).

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6
Q

What are the targets for assessment in Therapeutic Recreation?

A

Functional skills, developmental skills, leisure skills, attitudes, cognitive functioning, psychological functioning, social functioning, lifestyle, and barriers.

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7
Q

What does reliability in assessment refer to?

A

The consistency of the assessment results.

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8
Q

What are the types of reliability concerns in assessments?

A

Stability (Test-Retest), Inter-Rater, Equivalence, and Internal Consistency.

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9
Q

What does validity in assessment refer to?

A

The accuracy of the assessment results.

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10
Q

What are the types of validity concerns in assessments?

A

Content, Face, Criterion-Referenced, Concurrent, and Construct.

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11
Q

What is practicality in the context of assessments?

A

The usability and feasibility of the assessment.

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12
Q

What is Classical Test Theory?

A

Observed score = true score + error score.

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13
Q

What are some possible sources of error in assessments?

A

Administration of assessment, subject performance, questions, and distractions in the testing environment.

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14
Q

What does the Leisure Diagnostic Battery (LDB) measure?

A

Leisure functioning, including perceived freedom and leisure, competence, control, needs, involvement, and playfulness.

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15
Q

What is the scoring interpretation for the Leisure Diagnostic Battery (LDB)?

A

A higher score indicates higher perceived freedom and leisure.

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16
Q

What does the Comprehensive Evaluation in Recreational Therapy - Psych (CERT-Psych) measure?

A

Ability to successfully integrate in general, individual, and group performance.

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17
Q

What is the scoring method for the CERT-Psych?

A

Reverse scoring; a high score indicates a low expectation for successful integration.

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18
Q

What does the Comprehensive Evaluation in Recreational Therapy - Physical (CERT-Phys) measure?

A

Physical functioning abilities in eight areas.

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19
Q

What is the Minimum Data Set 3.0 (MDS) used for?

A

Resident assessment including initial, quarterly, and annual assessments, required by CMS.

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20
Q

What are some sections included in the Minimum Data Set (MDS)?

A

Identification info, cognitive patterns, mood, behavior, functional status, health conditions, and participation in assessment.

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21
Q

What is the Inpatient Rehabilitation Facility-Patient Assessment Instrument 3.0 (IRF-PAI) used for?

A

Assessment during admission and discharge in inpatient rehabilitation facilities.

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22
Q

What is required by CMS for the IRF-PAI?

A

It must include multidisciplinary sources of information such as patient interviews and staff observations.

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23
Q

What is the significance of the Assessment Reference Date (ARD) in the MDS?

A

It marks the date for assessment reference in the resident assessment process.

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24
Q

What is the significance of Planning in the TR Process?

A

Planning is essential for individualization, continuity, communication, identification of desired outcomes, and determination of implementation methods.

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25
What are the three levels at which planning can take place in therapeutic recreation?
Comprehensive program plans, individualized treatment plans, and activity plans.
26
What does the APIE Process stand for in the context of the TR Process?
Assess, Plan, Implement, Evaluate.
27
What are the components of a well-constructed objective in therapeutic recreation?
Behavior or Performance, Criterion, Condition.
28
How does a goal differ from an objective in therapeutic recreation?
Goals are broad statements of intent that are not directly measurable, while objectives are specific, measurable statements of intent.
29
Provide an example of a goal and its corresponding objective related to flexibility improvement.
Goal: To improve client's flexibility. Objective: Client will attend a stretching class for 10 consecutive mornings without prompting from staff.
30
What should be considered when planning activities in therapeutic recreation?
Activity characteristics, direct relationship to client goals, client engagement, and interest.
31
What is Activity Analysis in therapeutic recreation?
The study of activity variables and client variables to help select activities that maximize enjoyment and functional success.
32
List the components of Activity Analysis.
Understanding Activities, Value of Activities as a Means, Activity variables, Individual variables, Activity adaptation/modification.
33
What are the external activity variables that can influence activity implementation?
Equipment, Facilities, Staff, Weather.
34
What are the internal activity variables that can influence activity implementation?
Psychomotor, Cognitive Processes, Affective, Social Interaction.
35
What are planned activity adaptations?
Changes that allow for equal opportunity to obtain access, results, benefits, or levels of achievement.
36
Differentiate between accommodations and modifications in therapeutic recreation.
Accommodations change the strategy, procedures, or methods while keeping objectives and outcomes the same; modifications change the objectives and outcomes.
37
What is Assistive Technology in the context of therapeutic recreation?
A device, approach, or adaptation that supports an individual with a disability in independently performing a specific task.
38
What are examples of high-tech and low-tech assistive technology?
High-tech: advanced technology, electronics, machinery; Low-tech: simple everyday items.
39
What does Durable Medical Equipment (DME) include?
Wheelchairs, walkers, canes, respirators, braces.
40
What should be included in an Activity Plan?
Type of Activity, Activity Name, Program/Activity Goals, Number of Players, Age Group, Population, Primary Social Interaction Pattern, Equipment and Resources, Description/Sequence of Activity, Safety Factors, Reference, Notes/Adaptations/Modifications.
41
What is the purpose of writing goals in the TR planning process?
To indicate the direction of improvement and provide a framework for objectives.
42
What is the role of activity analysis in maximizing participant enjoyment?
It helps select activities that align with participant strengths and interests while ensuring functional success.
43
What is the importance of recognizing client strengths and interests in the TR planning process?
It allows for the creation of individualized treatment plans that are relevant and engaging for the client.
44
What is the intended outcome of activity-based interventions in therapeutic recreation?
To acquire and improve functional skills, promote psychosocial learning, provide diversion, facilitate creative expression, and convey symbolic meaning.
45
What is the significance of documenting the TR process and outcomes?
It ensures accountability, allows for evaluation of effectiveness, and supports continuity of care.
46
How can activity characteristics influence successful activity implementation?
They determine how well the activity aligns with client goals and the level of engagement it provides.
47
What are some examples of planned activity adaptations?
Substituting different body positions, changing speed or tempo, changing performance area, changing equipment, changing rules, using assistive devices.
48
What are the main components of the TR Process?
Establish a Therapeutic Relationship, APIE Process (Assess, Plan, Implement, Evaluate), Document process and outcome.
49
What does the APIE acronym stand for in the TR Process?
Assessment, Planning, Implementation, Evaluation.
50
What is the purpose of the Individualized Treatment/Program Plan?
It guides the implementation process based on assessment results, client needs, and goals.
51
What elements are included in an Individualized Treatment/Program Plan?
Assessment results, strengths & interests, client needs/problems, goals and objectives, action plan, selected activities, implementation protocols, modifications, and evaluation plan.
52
List some planned activity adaptations and modifications in the implementation phase.
Substituting body positions, changing speed/tempo, changing performance area, changing equipment, changing rules, and using assistive devices.
53
What skills are essential for effective implementation in TR?
Technical skills, sequencing, monitoring, facilitation skills (briefing, leading, preparation, teaching, progressing, debriefing).
54
What are some common standardized programs in Therapeutic Recreation?
Aquatic Therapy, Strength Training, Leisure Education, Reality Orientation, Sensory Stimulation, Coping/Stress Management.
55
What are implementation concerns in the TR Process?
Scheduling conflicts, monitoring client progress, and practitioner adaptability.
56
What is the purpose of client evaluation in the TR Process?
To determine the effectiveness of an intervention and to develop a discharge/transition plan.
57
What is the purpose of program evaluation in TR?
To determine the efficiency of a program, identify areas for improvement, meet accreditation requirements, and demonstrate outcomes.
58
What are the two types of evaluation in the APIE process?
Formative (monitoring progress) and Summative (final evaluation).
59
What types of documentation are included in the APIED process?
Assessment documentation, treatment/intervention plan, progress notes, and discharge summary.
60
What should progress notes include?
Description of the person, task orientation, behavior, interactions, progress toward goals, and environmental cues.
61
What are the types of progress notes used in TR documentation?
Narrative, SOAP(E), and PIE.
62
What does SOAP stand for in SOAP notes?
Subjective, Objective, Assessment, Plan (Evaluation).
63
What is included in a clinical discharge/transition plan?
Summary of treatment goals, services received, client progress, remaining problems/concerns, and recommendations for post-discharge planning.
64
What are the characteristics of effective clinical writing for progress notes?
Clear, concise, precise, descriptive, and free of ambiguity, slang, and jargon.
65
What is the significance of the closing phase in the TR Process?
It involves concluding the relationship with the client and summarizing the overall treatment experience.
66
What is the role of monitoring in the implementation phase?
To ensure that the client is progressing and that the treatment plan is effective.
67
What is the importance of assistive devices in activity adaptations?
They help clients participate in activities by accommodating their specific needs.
68
What factors influence the effectiveness of a therapeutic intervention?
Client goals, behaviors, emotional states, attitudes, knowledge, skills, and abilities.
69
What is the cost/benefit ratio in program evaluation?
It assesses the financial efficiency of the program relative to its outcomes.
70
What is the role of environmental cues in progress notes?
They provide context for the client's behavior and interactions during the intervention.

Intro to Therapeutic Rec (4 decks)

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