Behavioral Health Protocols and Treatment Plans for Recreational Therapy gives professionals and students efficacy-based protocols for behavioral health settings. The book's guidelines also demonstrate how to develop your own protocols and treatment plans. The book has three sections to assist in creating unique and individualized recreational therapy services.

* The diagnostic protocols represent the most common diagnostic groups of clients in behavioral health. They outline the treatment and services routinely provided to clients with a specific diagnosis.
* Program protocols include structure, process, and outcome criteria that need to be taken into consideration when planning a new program. They describe a specific treatment group that will be offered to a client.
*  The treatment plans cover many of the difficult behaviors of clients to provide problem-centered, individualized treatment planning. They are a useful resource to show how the therapist can interact with a client to achieve effective outcomes.

In addition, bibliographies in each protocol list available outcome-oriented research that may be used to support the effectiveness of recreational therapy services. This expanded second edition includes diagnostic and program protocols for child and adolescent settings, as well as additional protocols for adult and geriatric clients. Behavioral Health Protocols and Treatment Plans for Recreational Therapy will be a frequently used reference for your professional practice.

The Authors

Karen Grote has spent more than thirty years in Recreational Therapy, mostly in behavioral health settings. Since earning her master's degree from the University of North Carolina at Chapel Hill, Karen has worked to develop the profession as a therapist, supervisor, educator, and as a mentor. Her commitment to recreational therapy has led her to accept elected offices at the local, state, and national levels. She was one of the earlier presidents of the American Therapeutic Recreation Association, serving in FY 1991. In recent years Karen has guided the establishment of the Recreational Therapy Foundation by acting as its president.

Sara Warner has an undergraduate degree in science with a focus in Recreational Therapy, as well as a master of arts degree from the University of Toledo. In addition, she's been a member of the Cincinnati Dayton Area Recreation Therapy Association since 2007, where she also served on the board for two consecutive years. Sara's current professional involvement includes her full-time role as the Recreation Coordinator for the Children's Home of Northern Kentucky and part-time employment with St. Elizabeth Hospital where she serves as a Recreational Therapist.

Contents

Acknowledgement
Introduction

Protocols

Diagnostic Protocols
Sample Diagnostic Protocol Format
Attention Deficit/Hyperactivity Disorder
Oppositional Defiant Disorder
Reactive Attachment Disorder, Inhibited Type
Major Depressive Episode
Bipolar Disorder, Mania
Schizophrenia and Other Psychotic Disorders
Anxiety Disorders
Dementia of the Alzheimer's Type

Program Protocols
Sample Program Protocol

Child/Adolescent Program Protocols
Therapeutic Art Program
Pet Assisted Therapy
Circus Performance Program
Community Integration

Adult Program Protocols
Fitness Program (Contributed by Marcia Smith)
Leisure Education Program
Friendship Development
Stress Management and Relaxation
Guided Imagery (Contributed by Vincent Bonadies)
My Life Collage (Contributed by Timothy James Legg)

Geriatric Program Protocols
Morning Exercise Group
Octaband(R) Movement (Contributed by Donna Neuman-Bluestein)
Garden Group (Contributed by Wendy Maran)
Leisure Education
Aromatherapy
Cognitive Stimulation

Treatment Plans

Behavioral Domain
Resistance to Treatment
Poor Time Management
Poor Impulse Control, Violating Others' Personal Space
Poor Impulse Control, Walking Away from Group
Poor Personal Hygiene
Anxious Behavior
Extreme Agitation
Low Tolerance for Interaction
Loud Voice
Intrusiveness
Demanding
Manipulation
Superficiality
Passivity
Paranoia, Distrust
Obnoxiousness, Offensive Behavior
Overt Hostility
Hyper-talkative
Somaticizing
Hopelessness
Obsessive-Compulsive
Insomnia

Affective Domain
Flat Affect
Anhedonia
Inappropriate Laughter
Overly Bright
Lability
Low Self-Esteem
Anger
Anxiousness

Cognitive Domain
Psychomotor Retardation
Psychotic Thoughts
Ruminating Thought
Poor Concentration
Disorientation
Loose Associations
Poor Ego Boundaries
Poor Body Boundaries

Physical Domain
Psychomotor Retardation
Nonproductive Body Movements
Unsteady Gait, Uncoordinated
Unsteady Stance
Lethargy

Leisure Domain
Lack of Initiative
Few Leisure Interests
Poor Compliance with Personal Recreation Goals
Insufficient Participation
Multiple Stressors
Overwhelmed with Responsibilities
Few Social Supports
Knowledge Deficit
Requires Structure

References