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< mid-year

2001 ATRA Mid-Year Professional Issues Forum Conference.

Las Vegas, Nevada
March 8-11, 2001
Riviera Hotel and Casino

Conference Sessions

Friday, March 9, 2001

8:30am-10:00am (.1 CEUs)

A3: Opening General Session: Claiming Your Magnificence

Elmiree Farr Walter

You – the 21st century therapist – can access personal potential, initiate change, stimulate creativity, promote independence in others, and interface your personal mission with professional mentoring. You have, within you, the ability to imagine yourself secure, self-confident, empowered, influential, talented and successful!

CONCURRENT SESSIONS: 10:30am-12noon (.15 CEUs)

A4: Assessments, Outcome Measures, and Resident-Centered Programming in Long Term Care

Sienna Boothman, CTRS

As the individuals residing in long term care facilities become increasingly mentally and physically impaired, a shift from the traditional activity-focused programming to a resident-centered approach to therapeutic recreation service delivery is required. Fundamental to this shift is the utilization of appropriate standardized assessments. Five assessments appropriate for use in long term care will be reviewed and a discussion of their strengths and limitations will follow. Basic and Intermediate

A5: The ATRA Congress: A Report on the Public Policy Agenda

Charles Bond, CTRS and Gloria L. Gram, CTRS

In March, 2000, ATRA coordinated the efforts of the march on Capital Hill by 240 recreational therapists to educate and advocate for recreational therapy services in health care. As a result of this tremendous effort, the ATRA Congress, with representatives from all ATRA Chapter Affiliates, approved eleven platform statements that set the agenda for future public policy efforts. Join Charles and Gloria and others from the ATRA public policy team in reviewing the progress that has been made to date. Basic, Intermediate and Advanced

A6: Playing with Purpose: Effects of a Developmental Program on Romanian Orphans with Disabilities

Daniel D. Ferguson, Ph.D., CTRS

A structured program of play activity is very helpful to orphan children with disabilities. “Play with Purpose” provides developmental activities that can be used in home or hospital situations with young children. Basic and Intermediate

A7: Treatment’s Mystique: The Use of Self

David Howard, MSW, CTRS

Treatment” implies healing and growth. This session will closely examine our role within therapeutic relationships and our own intrapersonal and interpersonal perspectives which significantly impact personal satisfaction, our efficacy as a therapist, and our membership within a truly great healing profession. Intermediate and Advanced

A8: Virtual Reality: Overview to the Research and Applications to Therapeutic Recreation

Jane Kaufman Broida, Ed.D., CTRS and Clark Germann, Ph.D.

This session will provide a review of research in pertinent uses of virtual reality technology. Applications to therapeutic recreation practice will be highlighted, including the Community Access Through Technology (CATT) project. Basic and Intermediate

CONCURRENT SESSIONS: 2:00 - 5:30pm (.3 CEUs) - 3 Hour Intensives

A9: Revised Standards of Practice: Improving the Quality of Services Through Consistent Practice

Bob Riley, Ph.D., CTRS and Ray West, MS, TRS/CTRS

The revised ATRA Standards of Practice Self Assessment Guide (2000) is a practical tool for practitioners who wish to improve the quality of therapeutic recreation services and prepare for JCAHO or state accreditation audits. Comparisons will also be made with APTA and AOTA standards of practice. Basic

A10: The Case Study Approach in Therapeutic Recreation

Barbara Wilhite, Ed.D.,CTRS; M. Jean Keller, Ed.D., CTRS; and Jan Hodges, Ph.D., CTRS

Case studies simulating events and situations comparable to those CTRSs encounter provide a safe environment in which taking risks, testing ideas, evaluating decisions, and comparing outcomes are encouraged. This interactive session will focus on how to develop and use case studies in a variety of instructional situations, including pre-service and inservice instructional situations. Basic, Intermediate and Advanced

A11: Behavioral Medicine: Applications for Recreational Therapy

Carmen V. Russoniello, Ph.D., TRS/CTRS, LPC and Thomas Skalko, Ph.D., TRS/CTRS

The purpose of this session is to assist recreational therapists in developing a basic knowledge and understanding of the role behavioral medicine plays in obtaining and maintaining health. Participants learn basic underpinnings of behavioral medicine as well as self-regulatory skills which, when coupled with cognitive strategies, directly treat a variety of psychophysiological disorders. Participants will have an opportunity to practice newly learned skills. There will be a live demonstration of the effectiveness of these techniques using heart rate variability biofeedback. This session will be limited to the first 35 participants. Basic, Intermediate and Advanced

A12: Using Assessments for Outcome Oriented Recreational Therapy

Diane Groff, Ed.D., TRS/CTRS and Ellen Broach, Ed.D., CTRS

This session will identify procedures for selecting assessment instruments that effectively measure recreational therapy outcomes. Attention will be given to: identifying areas that can be assessed in RT; selecting quality assessment tools that provide objective measure of functional levels; using assessment results to justify treatment choices; and using assessment results to enhance communication with the team, case managers, and administrators. Basic, Intermediate and Advanced

A13: Renewal and Reflection: On the Road to Becoming Happier and Healthier

Norma J. Stumbo, Ph.D., CTRS

Participants will be actively involved in learning and practicing strategies for renewing their energy levels and reflecting on the person they want to become. Professional and personal goals and priorities, selecting activities consistent with the goals and priorities, and time management skills will be explored. Self-management skills such as relaxation and the ability to reduce the impact of negative people will also be addressed. This session will be limited to the first 75 participants. Basic, Intermediate and Advanced

Saturday, March 10, 2001

8:30-10:00am (.15 CEUs)

B14: General Session, Peter Thomas, ATRA Legislative Counsel

Peter Thomas, ATRA Legislative Counsel

Join us for an update on your membership at work in the public policy health care arena. Peter Thomas, ATRA Legislative Counsel, will provide an overview of the legislative and regulatory events and opportunities that will shape our profession’s future.

CONCURRENT SESSIONS: 10:15-11:45am (.15 CEUs)

B15: Post Traumatic Stress Disorder (PTSD) and Children: Implications for Recreational Therapy Program Delivery

Carmen V. Russoniello, Ph.D., TRS/CTRS, LPC; Jennifer Beatley; and Dana Bingham Alexander, SW

The purpose of this session is to illustrate the negative impact of post-traumatic stress on children and to suggest recreational therapy programming methods to assist in their recovery. Basic, Intermediate and Advanced

B16: The Cognitive Pragmatics of the Aging Self: Implications for Optimizing Health and Well-Being Across the Life Span

Barbara Wilhite, Ed.D.,CTRS; M. Jean Keller, Ed.D., CTRS; and Jan Hodges, Ph.D., CTRS

As individuals age, shifts toward a less positive balance of gains and losses occur. This imbalance may be more severe in individuals with chronic disease. Preliminary results from a study involving older adults with Parkinson’s disease will highlight to what extent strategies of self-management and reorganization (cognitive pragmatics) are being used to optimize health and well-being, and to what extent leisure is involved. Intermediate and Advanced


B17: Keeping the Community in Rehab: A Humanistic Approach

Mary Clark, MA; Deborah Pugh; and Jan Vetter

Research demonstrates that the psychosocial needs of the individual play a significant role in adjustment to disability and a successful return to community living. This session will challenge recreation therapists to look outward, mobilizing community resources and developing strategic partnerships in order to ensure successful outcomes. Basic, Intermediate and Advanced

B19: Complementary Clinical Programming: New Approaches for TR

George Patrick, Ph.D., CTRS

The session will explain some of the relevance of complementary and alternative therapies to TR Several programming examples will be offered as possibilities for TR services including t’ai chi, meditation, yoga, gigong, journaling, light exercise, medical play, chronic illness support groups, pain management support groups, animal visits, stress management, relaxation training, massage, adventure activities, acupressure, art and music. This session will be limited to the first 100 participants. Intermediate

12:00-2:20pm (.15 CEUs)

B20: ATRA Membership Luncheon: ATRA Congress 2001

ATRA Public Policy Team: Charles Bond, CTRS; Gloria Gram, CTRS; and G.T. Thompson, M.Ed., CTRS, Team Leaders

The ATRA CONGRESS 2001 will convene as part of our membership luncheon.

Chapter Public Policy delegates from across the nation will conduct the business of forming our public policy agenda from the grassroots up. Basic, Intermediate and Advanced

CONCURRENT SESSIONS: 2:30-5:45pm (.3 CEUs) - 3 Hour Intensives

B21: Outcome Achievement in Therapeutic Recreation

Jan Hodges, Ph.D., CTRS; Janet Funderburk, M.S., CTRS; Bob Riley, Ph.D., CTRS; Carmen V. Russoniello, Ph.D., TRS/CTRS, LPC; Norma J. Stumbo, Ph.D., CTRS; and Ray West, MS, TRS/CTRS

This session will provide an overview of the issue of outcome measurement within therapeutic recreation. Viewed as a timely topic, outcome measurement has received a great deal of attention by external regulatory agencies and is considered a vital element to the professional success of therapeutic recreation. This session will address outcome measurement from a variety of perspectives including conceptual background, application to specific populations (developmental disability and psychological-mental health), integration to treatment intervention (behavioral medicine), and application to the management of therapeutic recreation services. Intermediate and Advanced

B22: ATRA in Action: Taking the Message Home

G.T. Thompson, M.Ed., CTRS; Gloria Gram, CTRS; Sharon Nichols, CTRS; and Public Policy Team Members

Are you passionate about your profession? If you are we have a message we want you to take to your home state! Join the public policy team in learning how to advocate for your profession and for the individuals you serve. Be a part of our first annual “week in the district” and learn how to take this training back to the state level. ATRA will help you identify your contacts, arrange your meetings and present persuasive arguments. Learn what advocacy points to include and how to follow up your visit. Join us as we develop ATRA’s annual public policy agenda. Basic, Intermediate and Advanced

B23: Hang Up the Shingle! This TR is in Private Practice

Laurie Jake, CTRS, CEDS; Teresa Lynn, CTRS, CCM; Lynda Mitchell, EdD., CTRS, CPRP; and Donna Young, CTRS

TR private practice is fairly new and pursued by few. Come and learn if TR private practice is for you. Identify some essential areas of the business, what has worked and what has not. Help set the future path of this exciting career option. Bring ideas, questions and business cards. Intermediate and Advanced

B24: Health Promotion and Disease Prevention: Learning the Language for the 21st Century

Kathy Coyle, Ph.D., CTRS

This presentation will review the conceptual shifts occurring in health and human service systems that will transform health care in the 21st century. The session will focus on the shift from a disease model of care to a holistic care model with an emphasis on health promotion and disease prevention, especially for persons with disabilities. Discussion will focus on opportunities that exist for TR within this arena and the curricular, programmatic, and research foci that will facilitate TR emergence as a leader in this arena. Basic, Intermediate and Advanced Level

B25: Is It an Activity or Is It Therapy? Only Your CTRS Knows for Sure!

Colleen Deyell Hood, Ph.D., CTRS and Suzie W. Lane, Ed.D., CTRS

Therapeutic recreation specialists are experts at program delivery and activity implementation. However, the full impact of these experiences is often compromised when we do not make the connection between the activity and the issue faced by the clients. This session will focus on processing – one of the most valuable aspects of therapeutic interventions – and on the development of metaphoric connections between the activity and the clients’ real life experience. This session will be limited to the first 50 participants. Basic, Intermediate and Advanced Level

Sunday, March 11, 2001

CONCURRENT SESSIONS: 8:30-10:00am (.15 CEUs)

C26: States Taking the Initiative

Ann D. Huston, MPA, CTRS

Through ATRA’s Public Policy agenda, ATRA initiated a coordinated effort for states to develop local public policy initiatives. State initiative coordinators, representing many of ATRA’s chapter affiliates are progressing with state advocacy efforts. Learn about the State Initiatives Program that is advocating for Medicaid coverage, inclusion of recreational therapy in the State Children’s Health Initiative Program (SCHIP), educating state legislators, pursuing qualified health provider definitions, etc. This session is designated for practitioners interested in learning more or becoming involved with state public policy efforts, a current professional issue.

Basic, Intermediate and Advanced

C27: Utilizing Performance Improvement Techniques to Enhance a Community Reintegration Program

Pamela J. Plasket, CTRS

Using a re-entry program as an example, this presentation provides information about using performance improvement techniques to enhance recreational therapy processes and an update of ATRA QI Team efforts. This session will be limited to the first 100 participants. Intermediate and Advanced

C28: How to Read and Understand Psychological Reports

Caroline Ajemian, Psy.D.

This session will focus on establishing a basic understanding of psychological tests, how to read the results and how to use the recommendations to help interventions work better. Basic and Intermediate

C29: “Yes, I’m a CTRS and Here’s What I Can Do…”

Laurie Jake, CTRS, CEDS and Blair McKissock, CTRS

This session is designed to evoke meaningful discussion about the value of the CTRS credential and how to effectively market the diversification of skills that a CTRS has to offer. Through a review of the NCTRC Job Task Analysis, we will brainstorm effective ways to market our skills and look toward a number of alternative career paths open to a CTRS. Basic and Intermediate

C30: Holidays and Celebrations: Teaching Coping Skills for All Cultures

Jamie Strelow, MA, CTRS, RTC

Coping skills for holidays and celebrations should be included in leisure education programs. This session will provide the resources to teach “holiday” coping skills in a culturally aware and sensitive manner. Basic, Intermediate, and Advanced

CONCURRENT SESSIONS: 10:15-11:45am (.15 CEUs)

C31: How to Practice TR in a Nursing Home

Marcia Shalek, CTRS

Many CTRSs struggle in nursing homes to provide quality therapeutic recreation services. This session will give the practitioner the tools and knowledge to bring back to their individual facilities, the benefits of providing both activities and therapeutic recreation in long term care. Basic and Intermediate

C32: Americans with Disabilities Act: An Advocacy and Planning Tool for Recreational Therapists

Barbara Mayfield, MS, JD

Key sections of the Americans with Disabilities Act of 1990 can impact employment, government services, public transit, accommodations, and telecommunications for the people we serve through recreational therapy interventions. Become a better advocate for your clients by increasing your understanding of this impact. Discover current concepts and resources, including accessible web pages, universal design, issues affecting persons throughout the lifespan, and disability awareness events or forums to increase public awareness. Basic, Intermediate and Advanced

C33: Rural Rehabilitation Partnerships: An Operation Stroke Example

Gisele Gaudet, Ed.D., CTRS and Susan Geisler, MA, PT, ATC/L

This session will focus on a rural partnership to educate constituents about stroke identification, wellness, and post-stroke rehabilitation best practices (including recreation therapy and physical therapy). A rural Operation Stroke initiative will be highlighted. Intermediate

C34: Beyond Fight vs. Flight: Responses of Hospitalized Patients

Mark Mattiko, M.Ed., CTRS

Being hospitalized or treated for disease is presumed to be stressful. The outcome of any stressful even is its response, namely, its coping response. Whether one thinks about or acts upon a stressor, the reaction of either approaching or avoiding is inevitable. This study mapped the coping responses of 473 patients by style and domain. Coping and its relationship with recreation therapy, the instrument used, theoretical foundation and the overall results of this clinical research will be shared. Case studies will be presented to highlight recreation therapy’s clinical research application. Ample time will be provided for comment and discussion. Basic, Intermediate and Advanced

C35: Student Competency: Assessment of Practice Skills and Abilities

Deborah A. Hutchins, MS, CTRS and Wendy Watson, CTRS

This session will provide an overview of the importance of practice competence. In addition, the session will review a number of methods to assess student performance of practice knowledge, skills and abilities. The focus will be on the development of a competency assessment tool to use as part of internship preparation and evaluation. Intermediate

12:00noon-1:30pm (.1 CEUs)

C36: Closing General Session: Mirages, Miracles and the Mundane: Reflections at the Oasis

Carol Ann Peterson, Ed.D., CTRS

Using humor, astute observation, historical context and personal experience, this session will challenge our beliefs and assumptions about the work we do. From the perspective of her professional career as a therapeutic recreation practitioner, teacher, leader and author, and from her reflection of personal evolution, Carol brings to this closing session a dynamic and thought provoking view of our profession and our lives. The concepts of mirage, miracle and mundane will be woven into the content to further enhance our appreciation of our individual and collective journey.