Bridging the Gap: The Continuum of Care From Rehab to Community

Transcription

1 Bridging the Gap: The Continuum of Care From Rehab to Community MARYJO ARCHAMBAULT, MS, CTRS; SOUTHERN CT STATE UNIVERSITY JOAN JAKIELA, MS. CTRS, CRPA; MANCHESTER COMMUNITY COLLEGE

2 Recreation & Leisure Parks & Recreation Assesses the community Plans programs based on community needs Implements programs for the Community Evaluates Was the program well attended? Cost effective? Enjoyable? Recreation Therapy Assesses the individual Plans programs based on individual needs Implements programs for the individual Evaluates Did the patient meet their goals? Was the program cost effective?

3 Is there a connection between the two?? Parks & Recreation Recreation Therapy Community Clinical Sub-Groups within the Community Individual goals & objective Recreation is the modality Recreation is the modality Goals & Objectives Goals & Objectives

4 What is the mission of your Park & Recreation Department? Is it similar to any of these? The department provides a wide variety of recreation opportunities to enhance the quality of life in..works with other organizations within the town to meet the diverse needs and interests of community members The mission of Recreation is to enhance the quality of life for all town residents. This is accomplished by providing a comprehensive program of recreational opportunities for all ages, ability levels, and provides safe, attractive well maintained, well managed parks & recreation facilities

5 Definition of Therapeutic Recreation The purposeful utilization or enhancement of leisure as a way to maximize a person s overall health, well-being, or quality of life Robertson & Long, 2008, p.4

6 Do you see any similarities in the definitions?

7 So, Is There a Way We Can Work Together?

8 The Continuum of Care A Continuum of care is a concept involving an integrated system of care that guides and tracks patient over time through a comprehensive array of health services spanning all levels of intensity of care

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10 Is there a continuum of care in recreation?

11 Leisure Ability Model To improve independent and satisfying leisure functioning, also referred to as leisure lifestyle Stumbo & Peterson, 1998, p.83

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13 Recreation Participation Structured activities that allow the client to practice newly acquired skills, and/or experience enjoyment and self-expression Client is intrinsically motivated Therapist s role is now a facilitator Opportunity for client to reach their potential

14 Case Study Mr. Jones is a 45 year old man who recently had a heart attack. He was first admitted to St. Francis Hospital Cardiac Unit and was later discharged to the Hospital for Special Care Rehab Unit. His insurance only allowed him to stay for two weeks. During this time he was assessed by a CTRS. The CTRS initially worked on functional intervention which included building up his endurance and strength as well as managing his anxiety. Upon discharge the CTRS provided leisure education and worked with Mr. Jones to connect him with programs ion his community. What types of programs might be appropriate? Would there need to be any modifications?

15 Is it practical to think we could extend the continuum of care to Parks & Recreation Departments? Barriers Benefits

16 Benefits of the Continuum Opportunity to embrace all members of our communities! Providing community support to individuals who may need it most To prevent recurrences of illnesses To improve the Quality of Life

17 Group Work What Programs Do You Currently Offer? Park & Recreation Professionals What Programs Do You Currently Need? Recreation Therapist

18 Role of the CTRS Assess the Community Park & Recreation Center for Accessibility and usability Suggestions for Adaptive Equipment (Card holders, electronic card shufflers etc) Make note of available programs Assess the need for staff training Consult on an individual basis

19 Role of the Park & Recreation Supervisor Who are my community members? What are the primary diagnoses in the rehab facilities in my areas? What programs can be offered?/ What programs are currently offered? Do I have a CTRS on staff? Market programs to area facilities

20 In 2010, the most popular principal diagnoses Ages Pneumonia CHF Ages 45 & Older Cardiovascular Disease Stroke Heart attacks

21 Who else would the continuum apply to? Individuals discharged from facilities and on ABI waivers who live in the community Individuals on Money Follows the Person Individuals living in group Homes or Supported Apartments

22 How else can we support individuals through out the continuum?

23 QUESTIONS???? Thank You!!