Rt Models, Philosophy, and Modalities

why adopt a RT practice model

help with program development and assist with program accountability…

things to consider before choosing a practice model

must coexist within the context of the larger healthcare and human service delivery systems. must also co-exist with accrediting bodies, state regulations, public policy, and legislation. currently most operate under the medical model

healthcare delivery models

medical, psychosocial model of disability, rehabilitation, wellness (preventative)

content models

a type of practice model that identifies the substance of RT services

process models

a type of practice model that identifies the procedures of how the RT services will be implemented in the facility

service models examples

Leisure Ability, Health Protection/Health Promotion, TR Outcome, TR Service Delivery

outcome/service delivery model examples

Optimizing Lifelong Health and Well-Being, Leisure and Well-Being Model, Leisure Spiritual Coping Model, Self-Determination and Enjoyment Enhancements

Leisure Ability Model

defines types of services to offer and explains the relationship between the CTRS and client. functional intervention, leisure education, recreation participation

Health Protection/Health Promotion Model

goal of TR is for clients to achieve the highest level of heath and well being. the purpose of TR is identified as enabling a client to recover from a threat to health and to achieve optimal health. aims to reduce barriers to health (not recreation).

Health Protection/Health Promotion Model: prescriptive activities

provide stabilization and energy. these are short activities that provide the client with a sense of control mostly prescribed by the CTRS

Health Protection/Health Promotion Model: recreation activities

done collectively between the CTRS and the patient. these activities are designed to help get the patient re-engaged and potentially to reduce symptoms and optimize their health. can also teach new life skills

Health Protection/Health Promotion Model: leisure

the end stage. this is where the client has the greatest amount of freedom and choice. the client feels a sense of purpose and motivation which leads to optimal health and well being

TR Service Delivery and TR Outcome Model

go together. the first directs the type of services to be designed and offered. the second is an extension of the first. the end result is to increase quality of life by increasing functional capacity

TR Service Delivery Model

diagnosis/assessment

treatment/rehab

education

prevention/health promotion

TR Outcome Model

improve quality of life/health and well being are the suggested outcomes for TR services. looks at health status (interrelationship of 5 domains) and increase functional capacity and health status through TR service to experience a higher quality of life

Optimizing Lifelong Health and Well-Being

RT’s role “facilitate the adoption of healthy leisure lifestyles that prevent or minimize the impact of disabling or dysfunctional conditions, or secondary consequences for person who already experience a chronic or disabling condition, while promoting optimal health and well being”

Leisure and Well-Being Model

based on positive psychology and leisure behavior, choosing to not focus on the clients problems or diseases/disorders. intended to be applied in all settings

Leisure Spiritual Coping Model

grounded on theoretical and empirical findings that spirituality can play an important role in recovery for people with mental illness, and that recreation and social activities have been identified as spiritual activities

Self Determination and Enjoyment Enhances

based on the thought process that self-determination and enjoyment can lead to functional improvement and self-growth. by focusing on self-determination, enjoyment and functional improvement makes it align well with the health and human services emphasis

after adapting a practice model

plug in service modalities (aka interventions) or the services used to help achieve the desired outcomes of the clientele being served. these are planned, implemented, and evaluated in regards to the RT practice mode, program goals, client specific goals and objectives