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4054482
LEI 4711 RVC
26 October 2016
Assessment Instrument Assignment
I.
Introduction
Assessment instruments are an essential part of providing effective recreational
therapy that leads to improved quality of life in individuals living with disabilities
through goal setting and leisure participation. In this specific assignment, I will be
building a hypothetical in house assessment tool that could possibly be used by a
Recreational Therapist for the organizing of information and assessment of leisure
interests within a particular population. This assessment will include general
background information, such as date of birth, address, emergency contacts, and
current and past medications taken; as well as deeper level mental health information
like, family involvement, substance abuse information, current areas of concern, and
so on. Overall, the assessment will work to investigate potential leisure interests that
can serve as a guide in goal setting for future client participation in therapeutic
recreation services.
The assessment will allow recreational therapists to gain a sense of which areas
within the many symptoms of a particular disability need to be most focused on in the
individual being assessed. This will allow for more precisely targeted individual
needs and measurable improvement areas. The expected possibilities of using such an
assessment is that (1) the therapists will be able to better encourage client
participation in recreational services of interest, (2) leisure awareness will bring about
When using this instrument to assess leisure interests of people with MDD
there are three main target domains, including but not limited to emotional, social,
and physical functioning. Improving all of these areas is pivotal for living a
healthier lifestyle, unimpaired in daily routine due to the imbalance of these
domains. People with MDD face a variety of events on a day to day basis where
their emotional, social, and physical functioning is expected to be on a level that it
is not while they are experiencing an episode. These expectations come from the
social norm of ordinarily being able to hold up a standard level of emotional
intelligence even in the midst of feeling moodiness, grief, gloom, or the like.
However, for clients with MDD, these areas of functioning have diminished
unintentionally on their part and significantly because of the effects that come
with being depressed.
Socially, people with MDD may have previously been very active, but the
disorder often causes diminished companionship because of disinterest in what
used to be considered pleasurable. For instance, someone that used to go out to eat
or celebrate with close friends every weekend before feeling depression, may now
not be interested in doing so anymore. Through recreational intervention, clients
past leisure interests can flourish again, increasing also their social behavior and
participation.
In addition, the physical effects of MDD on the body can be very
dangerous and even lethal if not addressed. In some instances, people have tried
to cope with depression through substance abuse, excessive sleeping and/or
eating, and even self-harm. On the contrary, some people dont eat, sleep, or tend
both verbal and nonverbal cues should be recorded in the comments section and
taken into consideration. Neutrality should be kept until the end of the assessment
in order to avoid biased responses on the initial assessment. Instead of reading
questions one by one, the facilitator should ask the participant what he/she used to
enjoy and to share about themselves. As the conversation thrives, the CTRS can
take note of how poorly or well the client would rate these particular activities
depending on the way they speak about it. For participants that need more
structure, the administrator may want to speak more often and ask questions that
guide conversation toward the patients leisure interest. The therapist will be
asking if in the last two years the client has participated in particular categories of
activities, how often they did it, and to what extent they enjoyed it. Generally, the
maximum amount of time taken on this assessment should be 45 minutes and the
minimum amount of time taken should be 20 minutes.
When administering this assessment there are two readily available options,
depending on clients cognitive ability and their willingness to hold conversation
at the time of filling out the assessment. One option is allowing the client to be
fully independent in filling out the form with no additional conversation or
intervention. The advantage of this option is that clients will participate in
reading and writing their thoughts however they see best fit. However, Major
Depressive Disorder (MDD) can be a secondary problem of having a physical or
cognitive disability, therefore limiting the amount of material comprehended and
expressed in written format. The second option would be to have a therapists read
out the questions in a question/answer, formal conversation format that
in which the client is relaxed. The environment should be free of any emotional
triggers and hazardous items. The client should take the assessment around people
they consider to be trustworthy, and they should be reassured that the information
they sure is fully confidential. This will allow for the patient to feel more
comfortable sharing their true feelings versus just saying what they believe others
want to hear. Therapists should also be highly aware of their word choice when
responding to participants. Overall, creating an atmosphere where the participant
is able to be open without pressure is the most important environmental factor.
IV.
(Middle)
(Last)
GENERAL INFORMATION
D.O.B.: ______________
Age:_______
Gender: Male [
] Female [
MM/DD/YY
Street
City
State
Zip
Email: ___________________________
Email: ___________________________
Are you currently taking, or have taken any prescription medications? Yes___ No___
If yes, please list:
_____________________________________________________________________
_____________________________________________________________________
FAMILY INVOLVEMENT
Relationship Status: Single [
Married [
] Divorced [
Separated [
If any, please list any health issues within your family, such as heart problems,
diabetes, depression, general anxiety disorder, eating disorders, schizophrenia, etc.?
____________________________________________________________________
____________________________________________________________________
Have you experienced physical, sexual or emotional abuse? Yes___ No___
If yes, explain:
____________________________________________________________________
No
> 5 times
Rate: Poor
Unsatisfactory
Satisfactory
Good
Very Good
Comments: _________________________________________________________
SUMMARY OF ASSESSMENT:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
SIGNATURE OF PARTICIPANT
SIGNATURE OF THERAPIST
V.
X_____________________________________
X_____________________________________