|American Journal of Recreation Therapy ®|
Fall 2002; pages 11-14
Recreation therapy in palliative care is an emerging area of practice. A lack of funding within palliative programs often restricts the number of professionals in paid recreation therapy positions within the multidisciplinary team. The lack of experienced recreation therapists in the field of palliative care subsequently impacts the number of opportunities for student placements and preceptorship within this discipline. This article outlines the value of recreation therapy in an acute care palliative unit. A description of the process and progress to date of one palliative care team, at the Peter Lougheed site of the Calgary General Hospital, and its efforts to supplement palliative service delivery with expertize from recreation therapy, are described.
Fall 2002; pages 15-20
Four studies are presented, which entail how leisure motivation and psychosocial adjustment are related in various groups of adolescents and young adults. The first two studies examined the relationship between leisure motivation, adjustment, personality, and need structure in high school students and incarcerated young offenders. These studies revealed that young offenders in a correctional setting and high school students might differ in terms of their personality, needs, adjustment, and in their motivations for engaging in various leisure activities. The third study explored how leisure motivation, leisure satisfaction, and leisure freedom are related in young offenders in a psychiatric facility. These results suggest that while leisure motivation can be satisfied in multiple ways, a lack of freedom can impede both the motivation to participate in and the satisfaction derived from leisure activities. The final study investigated the relationship between leisure motivation and adjustment in a large sample of college students. This in-depth analysis also addressed the issue of bandwidth in assessment. Specifically, findings reveal that nuances in the relationship between leisure motivation and adjustment can be viewed from perspectives ranging from the broad to increasingly narrow levels of detail. Taken together, these four studies strongly support the use of therapeutic recreational interventions for both the prevention and rehabilitation of psychosocial adjustment difficulties.
Fall 2002; pages 21-24
Fall 2002; pages 25-31
This article will familiarize the reader with an evidence-based animal-assisted therapy protocol and flow sheet designed for the recreation therapist practicing in long-term care facilities. An overview of the differences between animal-assisted activities and animal-assisted therapy will be provided as well as a brief review of the research that produced the animal-assisted therapy protocol and flow sheet. Animal-assisted therapy provides a tool for geriatric recreation therapists to improve quality of life for the residents in their care.
Fall 2002; pages 33-39
Fall 2002; pages 40-42
This case report describes the use of individualized therapeutic recreation with a subject diagnosed with probable Alzheimerís type dementia. Following initial assessment and identification of problems and areas of interest, activities were developed to engage the subject using adaptations of his past leisure and work activities. After a 10-day intervention, the subject exhibited decreased negative behaviors and increased involvement with leisure activities.
Fall 2002; pages 43-46
The Adapted Work Program (AWP), developed by Theressa Burns and Brenda Ebbitt, is based on the principle that engagement, not entertainment, is often more effective in reducing boredom and frustration among persons with dementia. It was initially developed as a task-oriented, sheltered workshop for veterans in a VA hospital setting. The programís basic concept of adapting tasks as an individualís functional abilities decline also has potential for implementation in other adult care facilities for residents with dementia. The underlying theme of providing repetitive-type work for persons at all levels of functioning has successfully reduced agitation, even among late-stage dementia patients in long-term care. Veteransí scores on the Geriatric Depression Scale (GDS) showed marked improvement following participation in the AWP.
Not on the Sidelines: Living and Playing with a Disability Written and directed by Ben Achtenberg; Produced by Karen McMillen
Rebecca Stackhouse, MA, CTRS, CMC
Fall 2002; pages 47-48