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Transcript of TRAM
Systematic procedure to select the most efficient, effective activity to help the client reach the intended program outcome.
Activity Analysis and selection are closely related to program design, protocol development, and client assessment. Comprehensive and Specific Program Design Establishing the direction of the TR department, unit, or agency.
Gathering data about the factors that impact the program and its clients, and prioritizing, and selecting those programs that best meet the needs of the demographic. Protocols: Clinical Practice Guidelines The best strategy response to a problem, an issue, or a symptom of a client.
Approaches or techniques that will lead to expected treatment outcomes.
Diagnostic...which is based on the client
Treatment...based on specific programs Assessment Plan Implementation technique that you use to determine what behavioral change(s) are needed by participation
4 Major concepts in understanding how assessment content and implementation procedures:
1.The assessment content reflects the selected activity.
2.The assessment content and program content match to ensure the client is in the appropriate program.
3. The professional has to be knowledgeable in the procedures and tools to bring out data in the assessment process.
4. Determine the baseline levels of client needs, abilities, and limitations to ensure you have the tools to measure outcomes Intervention Programs and Client Documentation Intervention programs have a specific intention of modifying client behavior(s) and be presented in a way that produces the changes.
First step is to do a client assessment
1. Problems, strengths, and limitations are documented to determine the necessary service or protocol.
Without documentation, there is no evidence. The CTRS is better able to prove client outcomes and program effectiveness. Additional documentation include:
Client's Individualize Treatment Plan: Outlines the goals and specific plan of action.
Progress notes: Used to monitor progression towards, or regression from the goals in the treatment plan, and to modify action plan if necessary.
Discharge and referral summaries: Compilation of the services received by the client, their reaction to the action plan, and any future recommendations for leisure service involvement Jim Dang & Ian Learned Therapeutic Recreation Accountability Model Program Evaluation/Program Outcomes Evaluation is helpful in refining the focus of intervention programs and in measuring client outcomes.
Gathering and analyzing detail in a manner to determine the quality, effectiveness, and/or outcomes of a program.
Q's to consider...
Were there adequate staff to implement the program and supervise clients?
Was the facility adequate for the purpose of the program-enough space?
Was the equipment functioning properly?
How effective and efficient was the program format in assisting the clients in achieving their outcomes?
Client Evaluation/Client Outcomes Did you reach the intended outcome?
Evaluation is done by referring to the compilations of documents for the client or clients of a program.
Positive client outcomes depend on well-designed programs in which clients are placed systematically, and in which interventions are delivered for a specific purpose. Quality Improvement/Efficacy Research Constant quality improvement in the services delivered to clients.
What was done? How well was it done?
Efficacy Research is gathering data and analysis with the goal of documenting service effectiveness, for a particular group or group of clients. Essentially we are...
"Providing the right patient with the right service at the right time in the right setting at the right intensity and for the right duration"