Dr. Z.'s TR Practice Model
Treatment: The CTRS works with the client to improve on areas that are related to the client's diagnosis. At this point, the CTRS is most like a therapist and the client has little freedom in their recreation choices, as the CTRS chooses activities that will most improve the functional abilities of the client. For example, a client could be treated through climbing a rock wall to learn how to depend on others if that is something that he or she struggles with.
Leisure Education: In the leisure education area, the CTRS functions as a counselor and the client has an increased level of freedom of choice in recreational pursuits. The CTRS helps the client to learn about different leisure activities that he or she can participate in to improve quality of life. Through this educational process, the client has an expanded range of options for future leisure activities. For example, educating youth that have problems with drug abuse or delinquency about other, more beneficial recreational activities can help them to have more options and hopefully choose those options that will not get them into further trouble.
Leisure Participation: At the leisure education stage, the CTRS functions as a resource to the client. The client can now freely choose any leisure activity to participate in and the CTRS can be used for any additional needed information. For example, a client could contact the CTRS to find out where the nearest wheelchair basketball league meets after he or she has chosen to participate in this activity.
Overlap: Clients can be at any point on the scale from functional intervention to recreation participation. One client may be at a low-functioning stage and need to start at this point and progress, while other clients may be hard to reach and need to begin with freely chosen recreation before they will let a therapist know their problems and work with them. At any stage, other stages can be incorporated as well. For example, someone who is in the functional intervention stage may receive a treatment in a form of recreation that they are not familiar with and will need to be educated on the form of recreation while they are being treated.
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