Lesson 4 - Current Trends in TR PDF

Current Trends in TR  Define Define professionalism as it relates to therapeutic recreation Understand Understand professional competencies and how they are evaluated in TR as well as service delivery outcomes Explore contemporary issues and trends in therapeutic...

Current Trends in TR  Define Define professionalism as it relates to therapeutic recreation Understand Understand professional competencies and how they are evaluated in TR as well as service delivery outcomes Explore contemporary issues and trends in therapeutic Explore recreation § Key Themes: o Application of Michel Foucault’s critical theory to therapeutic recreation (TR) o TR as a social construction, open to change and re-interpretation o The relationship between power, knowledge, and truth in shaping practices within TR o Importance of critical reflection, historical understanding, and ethical self-formation in transforming TR practices How can Foucault's "tools" § Foucault's Toolbox: assist as o Historical Analysis (genealogy) o Critique of Power and Knowledge we re- o Problematization o Ethics of Care of the Self imagine o Rejection of the Universal Truth the field of TR? View Video at https://media.dlib.indiana.edu/media_objects/p5547w31p  § What are markers of the professionalization of an occupational group? § How is professionalism defined? Questions Related to § What are elements associated with Professionalism professionalism? Do any stand out as being most important to you? § What are means that will help RTs engage in professionalism? § Create a team definition of a therapeutic relationship § Differentiate between a ”professional relationship” and “professional boundaries” § What boundaries does your team feel are important?  The therapeutic relationship is “a trusting Definition of connection and rapport established between therapist and client through collaboration, Therapeutic communication, therapist empathy and mutual understanding and respect.” Relationship: (Cole & McLean (2003), p. 262) Key Elements in Therapeutic Relationships: §Empathy §Hope §Caring §Genuineness §Having positive §Autonomy and regard and respect Mutuality for clients The roles of RTs (Doing things with clients, not to them. RTs are active collaborators. Relationships for RTs are “client-partner”) Offering clients warm, caring, supportive atmospheres (The warm, supportive, caring atmospheres frees clients to be themselves.) Clients tend to like RTs (Clients tend to appreciate and value what RTs do for them and like the RTs for it.) Place matters (In contrast sterile examining rooms or formal offices, RT takes place in positive recreation venues.) § How do we ensure and verify our worth? § PROFFESIONAL COMPETENCE § How do we prove our value? § PROOF OF SERVICE OUTCOMES  “Habitual and judicious use of PROFESSIONAL communication, knowledge, technical skills, clinical reasoning, emotions, values, COMPETENCE and reflection in daily practice for the benefit of the individual and community being served” (Brody, 2014) Foundational knowledge Assessment Process Theories and Concepts Selection and Implementation of Practice Guidelines Assessment Diagnostic Groupings Assessment Domains Administration of TR Documentation Implementation Services Planning Foundations of Professional Practice Advancement of the Individualized Patient/Client Evaluating Managing Recreational Support Profession Assessment Treatment/Programs Therapy Practice Content/Competencies Planning Treatment/Programs Implementing Treatment/Programs Certification Exam CEUs Conference attendance Writing Graduate school classes Are CEU's the best way to measure and ensure competence of a TRS? What other ways could be utilized?  CLIENT § Documentable changes in client behavior, skills, and/or attitudes that can be attributed OUTCOMES to active participation in a TR intervention program Consumers Administrators Clinicians All health care stakeholders TILE TEAM BREAKOUT What is the relationship of professional competencies to client outcomes? § What are typical outcomes for TR? § Which of the five major areas of outcomes do most TR outcomes fall into?? § Is there a professional consensus on which client outcomes are important? Or how to measure and report their achievement? Clinical Functional Well-being or status status quality of life Cost/resource Satisfaction consumption Demonstrate that care makes a difference Critical for measurements Widely accepted Comprehensive Suitable or meaningful Sensitive to change Psychometrically sound Statistically amenable Practical or actionable § If a TR specialist is not able to well define and measure client outcomes prior to designing and deliver the service, what does this say about their competencies? § How does this compare with other health professionals such as surgeons, physical therapists, and acupuncturists? AS A TEAM: § Discuss the current issues and trends you found in your research for our discussion post. § Discuss the following: § What are some of the issues currently challenging TR? § Write these on the whiteboard § How important is knowledge transfer for addressing some of the issues? § What strategies do you have to address these issues? § What does TR need to do to ensure its future? INDIVDUAL SUBMISSION: § Choose one of the issues your team discussed and write the following into a text box or submit as a separate word or pdf document. § In 2-4 paragraphs, complete the following individually: § Describe the issue § Discuss how it will impact TR and/or what strategies you have to address such an issue