FINAL EXAM! 1101 Flashcards
What is assessment? What are the 4 types of assessments? What is a need?
Assessment - systematic gathering of targeted information to determine a client’s strengths, barriers and needs
4 types of assessment are:
- Observation and inferences, observation: what you actually see or hear, observable facts, inference: your interpretation of the meaning behind the behaviour, rules: minimum of 3 observations and inferences, on 3 different days, 3 different times of day, in 3 different situations and each observation/inference should be at least 15 minutes in length
- Leisure interview/conversation, 1:1, leisure inventory, leisure interview questions, trying to gather leisure knowledge and awareness based on past experiences
- Background information - medical records/charts/documents, culture/where they are from,
- Standardized tools - RELIABLE: produces similar results with different implementers, VALID: measures what is intended to measure ex. LDB leisure diagnostic battery and LAS leisure attitude scale
- Need – Is a positive restatement of the barrier/issue i.e. improve, increase, develop
- A need is NOT how we are going to “fix” and address the need
What is planning? What is a SMART goal? What is an activity analysis? What is an activity analysis used for in TR?
Planning - Plans are made to meet the client’s needs
IPP = individual program plan
SMART goals = specific and strategic, measureable, attainable, results oriented, timebound
Activity analysis = done during planning stage, completed without regard for any particular client group, analysis of the activity as it is typically performed
-evaluates potential value of the activity
Used in TR to: match client needs to the activity and intended outcomes, identify where to modify or adapt thereby increasing opportunities for participation by different clients
What is Implementation? What are technical (hard) skills and facilitation (soft) skills?
Implementation - Putting the plan into action
-1:1, small groups, large groups
Technical skills - hard skills, job tasks
Facilitation skills - soft skills, interpersonal skills, leadership skills
What is evaluation?
Evaluation - Was the intervention effective?
Pre-post test scores
GAS - goal attainment scaling
Consultation with family/staff to note changes observed by others
Determine if IPP goals and objectives were achieved, do we need to make them more attainable or more challenging or make new goals?
Write progress notes during implementation - regularly scheduled (daily, weekly, monthly or after an exception)
Evaluate after a set period of time if goal is achieved
What are the 4 ways TRP’s role to strengthen environmental resources in the FTL model?
- facilitating real choices for leisure
- facilitating typical lifestyle rhythms
- facilitating social supports - exploring social networks
- facilitating inclusive environments (physically, administratively, and programmatically)
What is the TRP’s role to Enhance Leisure Experiences in the FTL model?
- TRS support in two ways
1. Through facilitating a participants leisure skill and knowledge
2. Facilitating environments to support the experience
What is the focus of the FTL model?
Individual in their environment
What are the two main founding principles of the FTL model?
- grounded in the social model of disability
- based on ecological perspective
Identify and describe the 5 areas to develop resources in the LWM PSCPE
- Psychological resources: capacity for happiness, emotional regulation
- Social resources: communication skills, interpersonal skills
- Cognitive resources: ability to attend, concentration, memory
- Physical resources: physical health, physical fitness
- Environmental resources: social connectedness & social networks, community engagement/empowerment
Identify and describe the 5 leisure experiences of the LWM SAMLV
- Savouring leisure - paying attention to the positive aspects and emotions associated with leisure experience
- Authentic leisure - reflective of essential aspects of self knowing and owning
- Mindful leisure - full engagement in the experience with simultaneous disengagement from the concerns of everyday life
- Leisure gratifications - leisure that is optimally challenging and engaging, enjoyable, leads to effort and commitment
- Virtuous leisure - leisure that is service to something larger than oneself
According to the LWM, What does personal growth require? IPE and DRCSWB
- Increased positive emotion
- Development of resources and capacities which support well-being
Describe the 3 components of the HP/HP model?
- Prescriptive Activities - TRP’s help activate clients, stability tendency is paramount (health protection) - TRP driven
- Recreation - re-creation, actualization tendency emerges and stabilizing tendencies decline (health promotion)- Mutual participation of client and TRP
- Leisure - intrinsic motivation is main component of leisure - Client directed
What is the mission of TR according to the Health Protection/Health Promotion Model?
To use activity, recreation and leisure to help people deal with barriers to health and assist them to grow toward their highest level of health and wellness
Name and briefly describe the coded components and their coding letter
- Body structures - s - anatomical parts of the body
- Body functions - b - physiological functions of body systems
- Activities - d - the execution of a task or action by an individual
- Participation - d - involvement in a life situation
- Environmental Factors - e - make up the physical, social and attitudinal environment in which people live and conduct their lives
What are the qualifiers?
no mild moderate severe complete (ALL)
No mild moderate substantial complete (Facilitator)
Identify the qualifiers for: -Environment=E; barrier/facilitator .0 = no barrier .1 = mild barrier .2 = moderate barrier .3 = severe barrier .4 = complete barrier Facilitators (+) .+0 = no facilitator .+1 = mild facilitator .+2 = moderate facilitator .+3 = substantial facilitator .+4 = complete facilitator
-Activities and participation=D; difficulty, current performance; capacity without assistance and capacity with assistance
1st number = current performance in their current environment, includes assistive devices or personal assistance
2nd number = highest probable level of functioning of the person at a given moment WITHOUT ASSISTANCE
3rd number = highest probable level of functioning of the person at a given moment WITH ASSISTANCE
These qualifiers allow for comparison between performance and capacity .0 = NO difficulty .1 = MILD difficulty .2 = MODERATE difficulty .3 = SEVERE difficulty .4 = COMPLETE difficulty
-Body Function=B, body structure=S .0= NO impairment .1 = MILD impairment .2 = MODERATE impairment .3 = SEVERE impairment .4 = COMPLETE impairment
What model of health does the ICF follow? Understand the differences between the three models of health
ICF follows the BIOPSYCHOSOCIAL MODEL
- Medical Model - views disability as a feature of the person, directly caused by disease, trauma or other health condition which requires medical care provided in the form of individual treatment by professionals
- Social Model - sees disability as a socially-created problem and not an attribute of an individual
- Biopsychosocial Model - an integration of medical and social perspectives
What is the main American Legislation on the RIghts of Persons with Disabilities and when did it come into law?
The American with Disabilities Act of 1990
Prohibits discrimination based on disability in all areas of public life
Required reasonable accommodation be made to facilitate participation by removing barriers and adding aids
What is the main Canadian Legislation on the Rights of Persons with Disabilities and when did it come into law?
The Canadian Charter of Rights and Freedoms - 1982
All people have equal rights, regardless of ability
Discuss Pinel and Tuke’s role in the humanitarian movement
Philippe Pinel - director of largest hospital for people with insanity in paris “moral treatment”
- Milieu therapy principles
a) Removed patients from dungeons and chains
b) Allowed people to live in sunny rooms, home-like environment
c) Encouraged exercise and movement in grounds
- Productive work - daily activities
William Tuke - around the same time as Pinel but in the US
a) Founded York Retreat
b) People with mental illness lived freely in a “kindly” quaker environment
Both credited by many TR historians as planting the seeds of TR
What was Florence Nightingale’s influence on the development of TR?
-british nurse during times of war 1854-1870’s, used recreation to combat side effects of soldiering - injury, drinking and depression. Involved pets, music, games, socializing and colour - beautiful environments, established Inkerman cafe - rec room and coffee house on hospital grounds