History of Assessment in Recreational Therapy

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Questions and Answers

Prior to the 1950s, what was a primary focus of recreation therapy assessment?

  • Determining vocational potential
  • Assessing motor skills
  • Measuring physical strength
  • Evaluating psychological coping benefits (correct)

In the 1950s, recreation therapy assessments became less clinical-based than they were previously.

False (B)

According to Dr. John Eisele Davis, what is an ‘advantageous position’ for a recreational therapist to discover diagnostic material?

observing a patient in the motivated medium of play

Before the 1950s, clients were often assigned to different ‘______’ according to the psychological impact of hospitalization.

<p>Grades</p> Signup and view all the answers

Match the following names with their significant contriubtions to recreational therapy:

<h1>Dr. John Eisele Davis = Authored ‘Clinical Applications of Recreational Therapy’ Preston = Classified clients by ‘Grades’ based on psychological impact</h1> Signup and view all the answers

According to 'BERNIE' Phillips, what were the objectives of Recreational Therapy (RT)?

<p>To assist doctors in patient recovery and improve the quality of life for those remaining in the hospital. (B)</p> Signup and view all the answers

The Mundy Inventory for the Trainable Mentally Retarded was the first standardized test in Therapeutic Recreation.

<p>True (A)</p> Signup and view all the answers

What term was given to the approach used in the 2000s to improve assessment efficiency?

<p>&quot;Funnel Approach&quot;</p> Signup and view all the answers

In the 1970s, the ___________ Activity Therapy Social Skills assessment was developed.

<p>Fox</p> Signup and view all the answers

What was a main focus of the Therapeutic Recreation Journal in the 1960s regarding its content?

<p>Inclusion of individuals with disabilities. (C)</p> Signup and view all the answers

The Leisure Interest Inventory created in 1969 was commercially available.

<p>False (B)</p> Signup and view all the answers

What was a primary focus of assessment in the 1990’s?

<p>functional outcome assessment</p> Signup and view all the answers

The National Recreation Accreditation Project developed standards for the preparation of a __________ major.

<p>therapeutic recreation</p> Signup and view all the answers

Match the following assessment tools with their description:

<p>Mundy Inventory (1966) = First standardized test in RT, focused on functional skills of individuals with mental retardation Fox Activity Therapy (1977) = Development of functional prerequisite skills Leisure Interest Inventory (1969) = Leisure domains, not commercially distributed Milwaukee Avocational Satisfaction Questionnaire = Leisure satisfaction based on job satisfaction surveys</p> Signup and view all the answers

In the 1980s, what type of approach to assessment was increasingly encouraged among RT professionals?

<p>Using multi-method approaches incorporating both standardized and non-standardized tests. (D)</p> Signup and view all the answers

Flashcards

Early Recreation Therapy Assessments (Before the 1950's)

Early recreation therapy assessments primarily focused on psychological coping benefits and assigned clients to different "grades" based on their emotional impact from hospitalization. The primary goal was to understand how hospitalization affected their mental well-being.

Recreational Therapy Assessments in the 1950s

Recreation therapists started using activities to assess physical function; effectively, the activity itself became the tool for assessing their capabilities. This signifies a shift from purely emotional considerations to a more practical understanding of patients' abilities.

Early RT Objectives

Therapeutic Recreation (RT) aimed to help doctors treat patients and make their hospital stays more fulfilling.

Mundy Inventory

The first standardized test in therapeutic recreation, focusing on functional assessment of individuals with mental retardation.

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Dr. John Eisele Davis - Key Contributions

Dr. John Eisele Davis, a pioneer in recreational therapy, emphasized that recreational therapists possess a unique vantage point for observing and diagnosing individuals' needs and behaviors. He believed that play offered a natural context for learning and understanding a person.

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Assessment Techniques in the 1950s

Crude observational methods like watching patients perform calisthenics, use balloons, play sports, and engage in other activities were employed to assess pre and post-operative outcomes, indicating a lack of sophisticated assessment tools at the time.

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Leisure Interest Inventory

An assessment instrument using a variety of leisure activities to gauge preferences and assess functional skills.

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"Clinical Applications of Recreational Therapy" (1952)

In 1952, Dr. Davis published "Clinical Applications of Recreational Therapy", advocating for the integration of recreational activities into clinical practice and their use as a means to assess and treat patients.

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RT Assessment in the 1970s

The 1970s saw a surge in RT assessment development to improve professional competence and address client needs.

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Milwaukee Avocation Satisfaction Questionnaire

The Milwaukee Avocation Satisfaction Questionnaire assesses satisfaction with leisure activities based on job satisfaction surveys.

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RT Assessment in the 1980s

The 1980s brought a shift towards a more standardized and multi-method approach to RT assessment.

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RT Assessment in the 1990s

The 1990s saw continued growth in commercial assessment instruments with a focus on functional outcomes.

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RT Assessment in the 2000s

Current RT assessments emphasize screening, efficiency, and the use of technology in a redefined healthcare landscape.

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Funnel Approach (RT Assessment)

A system of assessment that uses a funnel approach to streamline and improve the efficiency of RT assessment.

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Specialized Interdisciplinary Approach (RT Assessment)

Interdisciplinary collaboration in RT assessment ensures a holistic approach by incorporating input from various healthcare professionals.

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Study Notes

History of Assessment in RT

  • The history of assessment in recreational therapy (RT) shows a progression from limited "games therapy" approaches in the pre-1950s era, to more clinical-based assessments in the 1950s, using activities like calisthenics for outcome measurement, and crude observational techniques.
  • Early RT assessments focused on psychological coping mechanisms and clients were assigned grades based on their situation in hospitals (Preston, 1932).
  • No standardized methods were utilized.
  • In the 1950s, assessments became more clinical based, with a focus on the application of recreational therapy. Recreational activity was employed for measuring functional ability. The Recreation WAS used as an assessment tool.
  • Assessments in the 1960s focused on a National Recreation Accreditation Project to develop standards for preparing therapeutic recreation majors.
  • Limited assessment tools were available, despite a few attempts and a Therapeutic Recreation Journal's focus on including individuals with disabilities.
  • In the 1970s new instruments were developed including the Milwaukee Avocation Satisfaction Questionnaire, Leisure satisfaction based on job satisfaction surveys, Construction Leisure Activity Survey, Leisure Activities Blank, Overs' Picture Card Survey, Walshe Temperament Survey (for measuring mood in activity), and Fox Activity Therapy Social Skills (Carney, 1977). The community integration program emerged as well.
  • The 1980s featured a move toward a more standardized assessment process. Approaches encouraged multi-method use. Incorporation of standardized and non-standardized tests was common.
  • The 1990s involved the first collection of RT assessments in textbooks. Further survey and assessment of current research, together with a growth in the number of available commercial instruments, were also apparent. The emphasis was toward functional outcome assessment.
  • In the 2000s-present, the approach shifted to specialized interdisciplinary assessments, valid over homemade assessments, and client-centered care which was functional versus only leisure focused.
  • New assessments involved computerized healthcare records and increased attention to efficiency to assess for reimbursement or diagnosis.
  • Assessment protocols, including materials, required credentials, facilitation techniques, and interpretive norms, were created in this period.
  • Current issues with RT assessments included research into the functional meaning of scores, valid instruments, research using RT instruments with low reliability scores, and reducing agencies that use homemade tests and leisure surveys only.

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