Practice models for service delivery

Health protection/Health promotion

-restore, maintain, and prevent dysfunction to achieve optimal wellness

-3 phases

3 phases of Health protection/health promotion

1. Prescriptive activity- implement interventions to engage pt in finding pleasure

2. Recreation- focused on rec experience

3. Leisure- attain optimal health, freedom

TR service delivery model

-Empower client to achieve their desired goals and optimally experience a sense of fulfillment, satisfaction, mastery, and well-being

-4 phases

4 phases of TR service delivery

1. diagnosis/needs assessment- abilities, strengths, limitations

2. treatment/rehabilitation- interventions addressing objectives

3. education- emphasize health promotion and maintenance

4. prevention/health promotion- promote and reinforce healthy lifestyle choices

Optimizing Lifelong Health (OLH)

-purpose of RT is to enhance health and minimize effects of illness and disability over the life course (continuous motion)

-3 fundamental principles

-4 processes

3 fundamental principles of OLH

1. health leisure lifestyle across a life course decreases the probability of preventable illness/disability

2. individualizing and strengthening resources and opportunities

3. individuals must be prepared to alter leisure choices when it is needed due to life/health changes

4 processes of OLH

1. selecting - activities

2. optimizing - goal attainment

3. compensating - for impaired abilities

4. evaluate - effectiveness of activities in contributing to a healthy lifestyle

Leisure ability model (LAM)

-services should be based on client needs or deficits

-focusing on needs related to leisure makes RT unique

-leisure is vital to QOL and life satisfaction

-operates on 3 assumptions'

-3 major categories of service

Leisure and well being

-end goal is well0being

-moves RT from medical model to focusing on individuals strengths and assets

-2 mechanisms of well being

2 mechanisms of well being (leisure and well being model)

1. to increase value of leisure in building resources, creating positive emotion, and cultivating ones potential

2. provide psycho-educational interventions that facilitate resource development

3 assumptions of LAM

1. every human needs, wants, and deserves leisure

2. individuals experience barriers to full and satisfying leisure

3. many individuals with disabilities and/or illnesses may experience more frequent, severe, or lasting barriers

3 major categories of service (LAM)

1. functional intervention - improve functional behaviors needed for leisure fulfillment

2. leisure education - development of various leisure-related skills, attitudes, and knowledge

3. recreation participation - focus on providing opportunity for leisure within organized delivery systems

4 areas of flourishing leisure model

1. leisure experience

2. strengths and resources

3. participant

4. environment

Positive psychology

-focused on strengths

-used toward end of treatment

-contrasts medical model

-reframes negative emotions but acknowledges evidence-based process

Humanistic perspective theory

-individuals are able to make their own decisions with goal of self-sufficiency

-strengths based, human is first in all aspects even within same diagnosis

-holistic approach

Self-determination and enjoyment enhancement

-meet individual where they are at

-use their interests as goal or as a method to reach a different goal