NCTRC review Professionalism

Hospital Recreation

emphasized the profession's role and value of offering meaningful recreational experiences and opportunities affording enjoyment/pleasure

Recreational Therapy

Emphasized using recreational activities therapeutically to remediate/treat specific disabilities/illnesses.

ATRA Standards of Practice

Developed by the American Therapeutic Recreation Association, it reflects levels of service provision for therapeutic recreation professionals to implement in a variety of settings. It will assist the therapeutic recreation professional in assuring the systematic provision of quality therapeutic recreation services.

Standard 1

Covers assessment

Standard 2

Covers treatment planning

Standard 3

Involves plan implementation

Standard 4

Reassessment and evaluation

Standard 5

Addresses discharge and transition planning

Standard 6

Prevention, Safety Planning and Risk Management

Standard 7

Ethical Conduct; RTs adhere to ATRA Code of Ethics

Standard 8

Describes how to make a written plan of operation

Standard 9

Identifies criteria for staff qualifications and competency assessment

Standard 10

addresses the subject of quality management

Standard 11

Covers the topic of resource management

Standard 12

Provides guidelines for program evaluation and research

Elements of Cultural Competence

1.cultural awareness

2.educational recognition

3language comprehension

4. environmental awareness

Beneficence

•Actively making efforts to provide for clients' well-being by maximizing possible benefits and relieving, lessening, or minimizing possible harm.

Nonmaleficence

•Obligation to use our knowledge, skills, abilities, and judgment to help people while respecting their decision and protecting them from harm

Autonomy

•Duty to preserve and protect the right of each client to make their own decisions in accordance with a plan freely chosen

Justice

•Responsible to ensure that our clients are served fairly and that there is equity in the distribution of services

Fidelity

•Obligation to be loyal, faithful, and meet commitments made to our clients

Veracity

Be truthful and honest

informed consent

•Should provide services characterized by mutual respect and shared decision making

Confidentiality and Privacy

•Duty to disclose all relevant information to clients seeking services and not to disclose information to third parties

Competence

•Responsibility to maintain and improve our knowledge related to the profession and demonstrate current, competent practice to our clients

Compliance with laws and regulations

•Responsible for complying with local, state and federal laws, regulations and policies governing the profession

Americans Disabilities Act of 1990

Protects individuals with disabilities from being discriminated against

The disability must limit major life activities in order to be covered (i.e. mild allergies do not count)

Disability must not prevent "essential" job functions or safe performance (i.e., you do not have to hire a blind person to drive a truck)

Can reasonable accommodations be made?

Title 1 of ADA

A title of a federal statute that prohibits employment discrimination against qualified individuals with disabilities in regard to job application procedures, hiring, compensation, training, promotion, and termination.

Title 2 of ADA

prohibits discrimination against a person with a disability in all services, programs, and activities provided to the public by state and local governments

Title 3 of ADA

public accommodations and commercial facilities

Title 4 of ADA

equal access to telecommunication services

Section 504 of the Rehabilitation Act of 1973

Is a section of the a federal civil rights law which reads in part, that no "otherwise qualified handicapped individual" shall be excluded from participation in program or activity receiving federal financial assistance ("college, university or other post-secondary institution, or a public system of higher education") It is much broader in its definition of "handicap" than is the IDEA and it is a much more general law in that it doesn't not provide specific direction on how to address the needs of individuals with disabilities, referring only to the fact that schools must make "reasonable accommodations." Because of its broader definition students who do not qualify for special education services under the IDEA may be considered "handicap" under Section 504.

IDEA 2004

The Individuals with Disabilities Education Act (IDEA) is a law ensuring appropriate educational programs and services to children with disabilities throughout the nation. It governs how states and public agencies provide early intervention, special education and related services to more than 6.5 million eligible infants, toddlers, children and youth with disabilities. The law and its implementing regulations include detailed guidance and requirements to states and to local school districts on identifying the needs of students with disabilities, determining appropriate services and how to implement those services. It also gives direction on legal requirements and involving and collaborating with parents and resolving disagreements between schools and parents.

Joint Commission

an independent, not-for-profit organization that evaluates and accredits healthcare organizations

Commission on Accreditation of Rehabilitation Facilities (CARF)

external source of accreditation for health and human service providers, including providers of addiction Substance abuse treatments, b/h,children and youth services, medical rehabilitation, aging services , community services,, home, services and providers of RT.

Omnibus Budget Reconciliation Act (OBRA)

law passed by the federal government that includes minimum standards for nursing assistant training, staffing requirements, resident assessment instructions, and information on rights for residents

Medical model

the concept that diseases, in this case psychological disorders, have physical causes that can be diagnosed, treated, and, in most cases, cured, often through treatment in a hospital.

-Physician is the primary practicioner that determines the role of RT

Community model

a model of corrections based on the goal of reintegrating the offender into the community

Educational Training Model

Gain vocational skills

Focuses on the acquisition of knowledge and skills that are required to become a contributing member of society

Used in sheltered workshops, vocational rehab centers, day-care centers, school

Heavy emphasis on classroom-like framework

Psychosocial rehabilitation model

Focuses on restoring those with mental disorders to the community as functioning society members with a sense of well-being

Health and wellness model

preventing illness before it occurs by promoting wellness and health

Recovery Model

the planning goal is to allow clients to maintain control of their lives even when they can't control their symptoms and to make decisions rather than focus ing on returning to their previous level of functioning

CMS includes

-Home health

-Outpatient rehabilitation providers

-psychiatic hosputals

-inpatient rehabilitation facilities

-Nursing homes

JC includes

-BHC and human services

-Home care

-Hospital

-Nursing care

-Assisted Living

CARF includes

-Bx health (addiction and substance abuse rehab mental health and case management)

-Aging services and CCRC: nursing homes, retirement living

-Medical rehabilitation: occupational rehabilitation braininbury pain management

-opioid treatment

-Vision rehabilitation services.