Recreational therapy or therapeutic recreation (TR) is a systematic process that utilizes recreation (
leisure
Leisure has often been defined as a quality of experience or as free time. Free time is time spent away from business, work, job hunting, domestic chores, and education, as well as necessary activities such as eating and sleeping. Leisure ...
) and other activities as interventions to address the assessed needs of individuals with illnesses and/or disabling conditions, as a means to psychological and physical health, recovery and
well-being
Well-being, or wellbeing, also known as wellness, prudential value or quality of life, refers to what is intrinsically valuable relative ''to'' someone. So the well-being of a person is what is ultimately good ''for'' this person, what is in th ...
. Recreational therapy may also be simply referred to as ''recreation therapy'', in short, it is the utilization and enhancement of leisure.
The work of recreational therapists differs from other professionals on the basis of using leisure activities alone to meet well-being goals, they work with clients to enhance motor, social and cognitive functioning, build confidence, develop coping skills, and integrate skills learned in treatment settings into community settings. Intervention areas vary widely and are based upon enjoyable and rewarding interests of the client. Examples of intervention modalities include creative arts (e.g., crafts, music, dance, drama, among others), games, sports like adventure programming, exercises like dance/movement, and skill enhancement activities (Motor, locomotion, sensory, cognition, communication, and behavior).
Approaches
There are four approaches in therapeutic recreation:
* Recreation services: Providing recreation services to people with disabilities for experiencing leisure and its benefits, often this takes a rehabilitation tone in approach for helping clients to reach an optimal level of health and well-being.
* Therapeutic approach: The purpose of this approach is curative in nature. It attempts to lessen and ameliorate the effects of illness' and disabilities, it also can be prescriptive for improving certain functional capacities.
* Umbrella or combined approach: Use of recreation as a subjective continuation of enjoyable activities as well as a recreation service for bringing purposeful change.
* Leisure ability approach: An approach that operates leisure activities therapeutically and engages the clients fully for participation with good dissemination on the benefits of structured leisure/ leisure awareness education (Gun & Peterson, 1978).
Eight domains of leisure are: leisure awareness, leisure attitudes, leisure skills, community integration skills, community participation, cultural and social behaviors, interpersonal skills.
Educational programs
A
bachelor's degree
A bachelor's degree (from Middle Latin ''baccalaureus'') or baccalaureate (from Modern Latin ''baccalaureatus'') is an undergraduate academic degree awarded by colleges and universities upon completion of a course of study lasting three to six ...
in recreational therapy is required for most entry-level positions. These programs typically cover areas such as treatment and program planning,
human body
The human body is the structure of a Human, human being. It is composed of many different types of Cell (biology), cells that together create Tissue (biology), tissues and subsequently organ systems. They ensure homeostasis and the life, viabi ...
,
physiology
Physiology (; ) is the scientific study of functions and mechanisms in a living system. As a sub-discipline of biology, physiology focuses on how organisms, organ systems, individual organs, cells, and biomolecules carry out the chemical ...
,
kinesiology
Kinesiology () is the scientific study of human body movement. Kinesiology addresses physiological, anatomical, biomechanical, pathological, neuropsychological principles and mechanisms of movement. Applications of kinesiology to human health ...
, and
professional ethics
Professional ethics encompass the personal and corporate standards of behavior expected of professionals.
The word professionalism originally applied to vows of a religious order. By no later than the year 1675, the term had seen secular applic ...
. Some programs offer the opportunity to specialize in
occupational therapy
Occupational therapy (OT) is a global healthcare profession. It involves the use of assessment and intervention to develop, recover, or maintain the meaningful activities, or ''occupations'', of individuals, groups, or communities. The field of ...
, and in the intervention of those that are mentally or physically challenged. Most employers prefer to hire candidates who are Certified Therapeutic Recreation Specialists (CTRS). Therapists become certified through the National Council for Therapeutic Recreation Certification (NCTRC) or through a provincial regulatory body such as, Therapeutic Recreation Ontario (TRO). To qualify for
certification
Certification is the provision by an independent body of written assurance (a certificate) that the product, service or system in question meets specific requirements. It is the formal attestation or confirmation of certain characteristics of a ...
under the Academic Path, applicants must have a bachelor's degree in TR, complete an
internship
An internship is a period of work experience offered by an organization for a limited period of time. Once confined to medical graduates, internship is used practice for a wide range of placements in businesses, non-profit organizations and gover ...
under the supervision of a CTRS, and pass a written exam. There is also an Equivalency Path A and B for certification. The requirements are slightly different and include a bachelor's degree outside of TR, paid work experience, and successful completion of the written exam.
Continuing Education
Recreation Therapists with the Certified Therapeutic Recreation Specialist (CTRS) credential are required to complete 50 clock hours (5.0 CEUs) of continuing education within a 5 year span as part of the overall requirements to renew national certification through NCTRC.
NCTRC has outlined several ways a CTRS can earn continuing educatio
Continuing Education
These include:
a.) Academic Courses
b.) Teleconferences/Audio Seminars like ATRA's webinar series.
c.) Internet Course Programs: Some online programs identified are on the Therapeutic Recreation Directory website
The largest online providers for RT continuing education are:
1
ATRA- American Therapeutic Recreation Association Webinars2
Rec Therapy Today3
SMART CEUs Hub- Success Makers Are Rec Therapists- Unlimited NCTRC Pre-Approved CEUs
d.) Conferences: American Therapeutic Recreation Association (ATRA) and state branches of ATRA. Recreation therapists can attend conferences provided by related professional organizations and earn CEUs (pending the session meets Therapeutic Recreation (TR) knowledge areas required by NCTRC.
e.) Internships & Externships: Supervised guidance to practice.
Professional organizations
The American Therapeutic Recreation Association (ATRA) and the Canadian Therapeutic Recreation Association (CTRA)
are the largest national membership organizations representing the interests and needs of recreational therapists in the U. S. and Canada.
Credentialing
Certification:
The National Council for Therapeutic Recreation Certification, a charter member of the
National Organization for Competency Assurance
The Institute for Credentialing Excellence (ICE) is one of the two main U.S. organizations that accredit personnel certifications or certificates. In November 2009 the ICE formally changed its name from the National Organization for Competency As ...
(NOCA), also provides a certification that expires after 5 years. Those who are certified must apply for re-certification at the end of the expiration period. Specialty certification is now available in five areas. Health and human service professionals who acquire a higher level of knowledge and more advanced skills provide the consumer with a greater depth of service compared to individuals who practice at less advanced levels. Specialization is well recognized within professional practice and has become the norm within the health and human service delivery system today. The median salary for recreational therapists in the United States was estimated $44,839 a year in 2011. This number may vary slightly based on specific geographic region, years of experience, and type of employing agency.
Licensure:
There are currently four states with Recreational Therapy licensure (Utah, North Carolina, New Hampshire, and Oklahoma).
To practice Recreational Therapy in these states, professionals must possess a current, valid state license. In addition to the four currently licensed states, numerous other states are currently moving toward developing licensure. Through the Joint Task Force on Recreational Therapy Licensure sponsored by the American Therapeutic Recreation Association and the National Council for Therapeutic Recreation Certification, significant progress is being made in the licensure arena. Licensure is being pursued by the profession as a further means of protecting the public from potential harm.
References
Further reading
* Robertson, T. & Long, T. (Eds.) (2007). Foundations of Therapeutic Recreation. Champaign, IL: Human Kinetics.
* Stumbo, N. J.& Peterson, C. A.(2009). Therapeutic recreation program design: Principles and procedures. Toronto, ON: Pearson Benjamin Cummings.
* Dattilo, J. & McKenney, A. (2011). Facilitation Techniques in Therapeutic Recreation (2nd ed). State College, PA: Venture Publishing.
* Carter, M., Van Andel, G., & Robb, G. (2003). Therapeutic Recreation A Practical Approach. Prospect Heights, IL: Waveland Press, Inc.
* Austin, D. R., Crawford, M.E., McCormick, B.P. & Van Puymbroeck, M. (2015). Recreational Therapy: An Introduction (4thed). Urbana, IL: Sagamore Publishing.
* Kunstler, R., & Stavola Daly, F. (2010). Therapeutic recreation leadership and programming. Champaign, IL: Human Kinetics.
External links
American Therapeutic Recreation Association (ATRA)National Therapeutic Recreation Society{{Physical therapy and rehabilitation
Allied health professions
Rehabilitation team
Leisure