Intervention Plan
What is intervention planning?
- Individualized plan that is achieved via colaborative approach (client & support staff) that outlines specific strategies based on assessment results
What is intervention plan?
- Road map that a client will follow on their journey through treatment
- "Intervention plan may be the most important form of client documentation"
- If its not documented in IP, there is no need to provide service
What are the components of the IP?
1. background/ demographic data
2. precautions/ contraindications
3. referral
4. assessment results
5. goals
6. objectives
7. action plan
8. frequency & duration of participation
9. intervention styles & approaches
10. staff and participant responsibilities
11. evaluation plan
12. signatures & dates
characteristics of intervention?
1. focuses on systematic assessment results
2. must be designed in advance to ensure effective/ efficent delivery
3. produce evaluation data
4. produce targeted & meaningful outcomes
Relation between client placement & client needs
Client needs program (client placed in program):
Correct
- client receives necessary services
Incorrect
- no service, no unneccessary program involvement
Client doesn't need program (not placed):
Incorrect
- recieves unnecessary services, not likely to be intervention
No service- program involvement is not necessary
What does assessment, intervention, and program plan answer?
Assessment: WHERE are you now?
Intervention: HOW you will get there?
Program plan: WHAT are we going to do?
What are the steps to IP development?
1. the IP applies TR models
2. specific program protocols/ procedures are developed
3. SMART short/ long term goals & objectives are developed & measureable/ attainable
4. the IP is communicated to the client, caregiver(s), TR assisstant & healthcare team when needed
5. IP is reviewed/ modified in order to reflect changes in clients needs/ abilities
6. IP includes discharge plans & provides follow up services when needed
7. task analysis is performed
8. partnerships are developed with variety of community service providers
9. inclusive community leisure opportunities are developed
10. clients/ caregiver(s) are educated on ways to become involved in community
Overt vs. covert
Overt: can be observed directly (visible, audible, concise, specific)
Covert; cannot be observed directly (cognitive, invisible, emotional, internal)
What are the types of recreation programs?
1. Intervention
Goal: produce client outcomes (specific, measurable, measureable change)
2. Diversional
- purley recreational activities
- intended for entertainment (fun, diversion, "keep clients busy")
DETERMINE RIGHT APPROACH
What is program planning?
- Creates framework for each program (addressing client needs within context of their environment)
- systematic process linked to IP
Includes:
1. purpose
2. rationale
3. description
4. target population
5. goals and outcomes
6. evaluation mechanisms
7. resources requirements
what are the contents of the IP?
Learning outcomes:
- explaining factors that should be considered prior to developing the IP
- discuss how participants / TR contribute to IP
- identify appropriate info needed to assist participant
- develop intervention goals/ objectives based on client assessment info
what is pseudo intellectual stimulation?
- added filler words
- lacks depth
- appears to be smart without requiring knowledge
Making the connections
logical, planned, proven connection netween
1. client needs/ deficiits
2. client goal: reduce barriers, interventions
3. immediate client outcomes
4. ultimate client outcomes (life satisfaction, wellness, QOL)
What included in TR process (traditional language)
1. assess
2. plan
3. implement
4. evaluate
What are the principles to guide strengths based TR practice?
1. every individual, group, family/ community has strengths
2. difficulties are sources of challenge & opportunity
3. we don't know the upper limits of a clients capacity to grow and change only the participant know that
4. collaboration (not expert domination) its the basis for our interactions with participants
5. every environment is full of resources to be tapped into
6. hopefulness matters
7. context matters
8. strengths can nurtured, thus must be: assessed, planned, focused on and evaluated
what is client evaluation?
Analyzing the impact/ success of TR assessment, IP, program delivery in respect to client centered outcomes
- answers the questions
1. HOW & WHEN TR will measure effectiveness of goals, objectives and client action plan
2. WHAT changes need to take place
3. HOW satisfied participant is with goals, objectives and action plan
What are the client outcomes?
1. Functional intervention:
- increased ability to manage anger appropriately
2. Leisure education:
- increased ability to make decisions related to leisure participation
3. Recreation participation:
- improved ability to express self within leisure context
Whats included in TR process (strengths based language)?
1. discover
2. dream, design
3. deliver
4. deliberate
What are is the IP job description & their percentages?
1. acute/ general hospital- 100%
2. physical rehab- 93%
3. chronic/ continuing care hospital- 100%
4. mental health facility- 75%
5. community based agencies- 73%
why is evaluation process important?
1. can be lead to enhanced sense of self/ self worth by PARTICIPANT
2. how we judge effectiveness
3. can determine if we need to revise PROGRAM
4. affirming to know that our work makes a DIFFERNECE
What are the principles of the IP?
Quality: right everything quote
Client outcome oriented: need to have relevance & importance to clients future lifestyle/ are attainable within time frame of service delivery