NCTRC: Professionalism/Administration

Code of ethics: Beneficence

Recreational Therapy personnel shall treat persons served in an ethical manner by actively making efforts to provide for their well-being by maximizing possible benefits and relieving, lessening, or minimizing possible harm.

Code of ethics: Non maleficence

Recreational Therapy personnel have an obligation to use their knowledge, skills, abilities, and judgment to help persons while respecting their decisions and protecting them from harm.

Code of ethics: Autonomy

Recreational Therapy personnel have a duty to preserve and protect the right of each individual to make his/her own choices. Each individual is to be given the opportunity to determine his/her own course of action in accordance with a plan freely chosen. In the case of individuals who are unable to exercise autonomy with regard to their care, recreational therapy personnel have the duty to respect the decisions of their qualified legal representative.

Code of ethics: Justice

Recreational Therapy personnel are responsible for ensuring that individuals are served fairly and that there is equity in the distribution of services. Individuals should receive services without regard to race, color, creed, gender, sexual orientation, age, disease/disability, social and financial status.

Code of Ethics: fidelity

Recreational Therapy personnel have an obligation, first and foremost, to be loyal, faithful, and meet commitments made to persons receiving services. In addition, Recreational Therapy personnel have a secondary obligation to colleagues, agencies, and the profession.

Code of ethics: veracity

Recreational Therapy personnel shall be truthful and honest. Deception, by being dishonest or omitting what is true, should always be avoided.

Code of ethics: informed consent

Recreational Therapy personnel should provide services characterized by mutual respect and shared decision making. These personnel are responsible for providing each individual receiving service with information regarding the services, benefits, outcomes, length of treatment, expected activities, risk and limitations, including the professional's training and credentials. Informed consent is obtained when information needed to make a reasoned decision is provided by the

Code of ethics: confidentiality and privacy

Recreational Therapy personnel have a duty to disclose all relevant information to persons seeking services: they also have a corresponding duty not to disclose private information to third parties. If a situation arises that requires disclosure of confidential information about an individual (ie: to protect the individual's welfare or the interest of others) the professional has the responsibility to inform the individual served of the circumstances.

Code of ethics: competence

Recreational Therapy personnel have the responsibility to maintain and improve their knowledge related to the profession and demonstrate current, competent practice to persons served. In addition, personnel have an obligation to maintain their credential.

Code of ethics: compliance with laws and regulations

Recreational Therapy personnel are responsible for complying with local, state and federal laws, regulations and ATRA policies governing the profession of Recreational Therapy.

ATRA #1: Assessment

rT follows requirements for assessment and treatment and conducts individualized assessment to collect accurate data to determine course of action, treatment plan.

ATRA 2: Treatment Planning

RT plans and develops an individualized treatment plan that identifies goals and intervention strategies.

ATRA 3: Plan implementation

Implements individualized treatment plan using appropriate intervention strategies to restore, remediate, or rehabilitate in order to improve functioning and independence as well as reduce or eliminate the effects of illness or disability. Implementation is consistent with the overall patient/client treatment program.

ATRA 4: Reassessment and evaluation

evaluates and compares the client's response to the individualized treatment plan. Plan is based on changes in the intervention, diagnosis and patient/client responses.

ATRA 5: Discharge/transition planning

Develops a discharge plan in collaboration with the patient, family, and other treatment team members in order to continue treatment as appropriate.

ATRA 6: Prevention/safety planning/risk management

RT plans to improve patient/client and safety by planning for prevention and reduction of risks to prevent injury and reduce harm.

ATRA 7: Ethical conduct

RT adheres to atra code of ethics in providing patient/client treatment and care that are humane and professional.

ATRA 8: Written plan of operations

TR department is governed by WPO and standards of other accrediting agencies.

ATRA 9: Staff qualifications and competency assessment

tr staff maintain appropriate credentials and opportunities for professional development.

ATRA 10: Quality Improvement

quality improvement for monitoring and evaluating the quality and appropriateness of care, and to identify and resolve problems in order to improve tr services.

ATRA 11: Resource Management

Reflects reasonable and appropriate use of resources.

ATRA 12: Program evaluation and research

Engage in routine program evaluation and research for determining the appropriateness and effectiveness of RT treatment and care.

Registration

Voluntary process overseen by states in which a professional acknowledges practice in their profession. Required/voluntary.

Certification

non-governmental agency uses grant recognition to an individual who has met certain predetermined qualifications specified by agency. Voluntary process.

Licensure

mandatory process overseen by states in which a professional maintains a minimum standard of credentialing. Required by specific states. Highest.

How long is certification cycle?

5 yrs

Normalization

person with disabilities has the same needs and desires as a person who doesn't have a disability.

3 parts of accessibility

architectural, program, and skills

Diversity Factors

gender, age, race, sexual orientation, physical impairments/qualities

Internal Stake holders

within organization; employees, management,

External Stake Holders

not within; customers, community partners, etc.

Operating budget

day to day expenses and revenues for a year. projects the revenue to be generated from services provided and expenses associated with providing these services.

Capital budget

Long range planning, few years.Long term planning or purchase of buildings/equipment, renovations/expansions, or items not used in daily operations.

JCAHO

Accredits variety of hospitals. Accredits ambulatory, behavioral, home care, and hospital health care. Medicare/medicaid won't cover if facility isn't jcaho.

CARF

Mandates standards directly over TR. Treat individuals with addictions to opiods, spinal cord, and tbi.

Healthy People 2020

CTRS assisting community in building a better support system/understanding of people with disabilities so they can have a better life.

medicare

provides care for people 65+, people with specific disabilities, end stage renal disease. Provides hospital care, skilled nursing, home health, hospice. op, er, equipment.

Medicaid

qualified needy individuals. Pay difference between income and cost of care.

Health Insurance Portability and Accountability Act (HIPAA) of 1996 and later rules

Hippa

Strategic Plan

projecting needs and activities of an organization in the future

Multidisciplinary teams:

• each assesses separately

• services are provided separately

• little interaction among members

Interdisciplinary team:

• group consensus

• regular staff meetings

• outcomes shared among members

Trans-disciplinary teams:

• everything interactive and integrated

• shared decision making

• crossing of role boundaries

• team shares knowledge and skills

• considered most advanced team structure