1 Therapeutic Recreation Internship Manual, Fall 2022

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1Therapeutic RecreationInternship Manual, Fall 2022

2Table of ContentsIntroduction . 3Letter from Mr. Devan McNeill, Program Coordinator, Faculty of Health Sciences . 3Program Information . 5Suggested Internship Timeline . 6Purpose, Structure, and Expectations . 7Definitions of Terms . 8Course Outline . 9Objectives . 10Assignments and Evaluation. 10Student Responsibilities . 16Site/Agency Supervisor Responsibilities . 18Academic Supervisor Responsibilities . 19Helpful Tips . 20Appendices . 21Frequently Asked Questions. 22Atra Code of Ethics . 232014 NCTRC Job Analysis . 24Informed Consent. 25Confidentiality Agreement and Crisis Support Plan . 26Internship Agreement (Policies and Guidelines) . 27SMART Goals Form . 29Evaluation of SMART Goals . 30Self-Reflection Ruberic . 32Presentation Assessment - Service Project . 33Service Project Evaluation Form. 34Student Midterm Self Evaluation . 35Student Final Self Evaluation . 36Documentation of Internship (Hours Log) . 37Mid-Term and Final Evaluation . 39Consent for Collecting and Disclosing Student Information Form . 45UofL Informed Consent, Risk Acknowledgement & Indemnity Agreement. 46

3IntroductionFACULTY OF HEALTH SCIENCES – THERAPEUTIC RECREATIONCongratulations from Mr. Devan McNeill, Program Coordinator of the TherapeuticRecreation program in the Faculty of Health Sciences – University of LethbridgeCongratulations on the final stage of your journey in the Therapeutic Recreation Program. My colleaguesand I are delighted that you have selected this opportunity; as a result you are already on the right path toa rewarding career! This is a very important milestone of the program and of your learning experience.We worked closely with the Alberta Therapeutic Recreation Association, employers, supervisors, andpractitioners as we developed this internship experience. You will benefit from working with experiencedsupervisors, practitioners, allied health professionals, and researchers who will provide you with a first rateexperience. Such a partnership model fosters a learning culture that supports continuing professionaldevelopment and lifelong learning.On behalf of all faculty and staff in the Faculty of Health Sciences, I extend best wishes to each of you asyou embark upon your internship journey.Best regards,Devan McNeill, CTRSProgram Coordinator, Therapeutic RecreationFaculty of Health Sciences, University of Lethbridge

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5OVERALL THERAPEUTIC RECREATION PROGRAM DESCRIPTIONOur Bachelor of Therapeutic Recreation is the first of its kind in Alberta and one of only nine degreeprograms leading to therapeutic recreation certification in Canada. The program is accredited through theCommittee on Accreditation of Recreational Therapy Education (CARTE) and meets the requirements ofthe National Council for Therapeutic Recreation Certification (NCTRC). This ensures that graduates fromthis program are eligible to become Certified Therapeutic Recreation Specialists (CTRS). NCTRC: The non-profit organization, which was established in 1981, is the one and onlyinternationally recognized credentialing organization for the profession of therapeutic recreation(NCTRC, 2018). It is dedicated to professional excellence by ensuring that recreation therapistsmeet their stringent requirements and maintain continual growth in the profession. Only thesequalified individuals may gain and maintain the Certified Therapeutic Recreation Specialist(CTRS) credential.CARTE: An approved accreditation program under the Commission on Accreditation of AlliedHealth Education Program (CAAHEP) and whose overall mission is to promote the highest levelsof professional competence of recreation therapists.Summary of what students learn prior to their internship: Foundations of Therapeutic Recreation: History, development, and benefits of the profession, aswell as the different models of service.Program planning in Therapeutic Recreation: Development, application, and evaluation oftherapeutic recreation programming.Recreation and leisure across the life course: Overview of the characteristics, evolution, andfunctions of leisure in Canada across the life course.Processes and techniques in Therapeutic Recreation: Theoretical and practical aspects of theprocedures necessary for assessment, planning, implementation, management, and evaluationspecific to therapeutic recreation services.Facilitation in Therapeutic Recreation: Various hands on and applicable facilitation techniques.Therapeutic Recreation for special populations: Introduction to the different characteristics andneeds of individuals with varying abilities in regard to therapeutic recreation domains of servicedelivery.Issues and trends in Therapeutic Recreation: Contemporary issues within the profession.Research Design in Therapeutic Recreation: Understanding of research methodologies relevantto the profession, as well as an overview of current assessment and evaluation instruments.Administration in Therapeutic Recreation: Essential management and effective practices of theprofession in various settings.Support Courses Human Anatomy and Physiology: A study of the human body from investigation of anatomicalsystems, to physiological functioning and biomechanical processes of movement.Abnormal Psychology: Examination of behaviour disorders, theories of causation, descriptions ofthe disorders, and strategies of various therapies throughout the lifespan.Human Development Across the Lifespan: Examination of human growth and psychologicaldevelopment across the lifespan. Overview of the interplay of biological, sociological andpsychological forces in human development.Liberal Education List Requirement CoursesThe University of Lethbridge is deeply rooted in a liberal education philosophy, so the Liberal EducationRequirement has been incorporated into every degree and combined degree program.

6The Liberal Education List Requirement ensures that throughout your degree you will acquire a breadth ofknowledge, encompassing a variety of disciplines, perspectives and theories - a solid foundation forpersonal and professional development. Over the course of your program, each student must completefour courses from each of the following three lists (12 courses in total): List I - Fine Arts and Humanities List II - Social Science List III - ScienceSUGGESTED INTERNSHIP TIMELINEWEEK1–2WEEK3–4WEEK5–6WEEK7, 8, 9TasksOrientation to Facility / Department Services delivered Communication Professionalism Writing goals & objectives Time management Risk Management Infection ControlReview Policies and Procedures Manual, as well asimportant legislative acts (e.g., FOIP, Mental HealthAct, etc.)Discuss & review student’s goalsDiscuss the evaluation formsComplete the following forms: Confidentiality Agreement and CrisisSupport Plan SMART GoalsIntroduction to Other Disciplines / co-workersReview University Assignments / TasksBrainstorm Service Project IdeasObserve an intervention (group or 1:1)Observe an AssessmentDefine Project & Outline service projectComplete Initial AssessmentCaseload Minimum of 1 person/client/patientCo-facilitate an interventionBegin the Self-Reflection online discussion onMoodleContinue work on Service ProjectMidterm Evaluation given to Agency Supervisor toreview prior to completionComplete Progress NotesComplete Discharge SummaryTarget: 25% of supervisor’s caseloadFacilitate an intervention on your ownComplete minimum 3 AssessmentsTarget: 50% of supervisor’s caseloadContinue to complete more AssessmentsComplete evaluations onactivities/interventions/programsMidterm EvaluationStudent midterm self-evaluation formComplete Update on Service ProjectCompleted DateDue: After 2 daysDue: End of week 2Due: End of Week 3 (5%)Due: End of Weeks 3-12(20%)Due: End of Week 8 (10%)Due: End of Week 8Due: End of Week 7 (5%)

7WEEK10,11,12WEEK13 – 14WEEK15Continue to contribute to the online Self-ReflectiondiscussionsTarget: 75% of supervisor’s caseloadContinue to complete more AssessmentsContinue to complete evaluations onactivities/interventions/programsComplete the final Self-Reflection online discussionon MoodleService Project Presentation to Departmental Staffand Agency SupervisorFinal Evaluation given to Agency Supervisor to lookover and set a date for a reviewSubmit SMART Goals evaluationTarget: 100% of supervisor’s caseloadService Project Final Presentation Assessment Evaluation FormStudent Self-Evaluation FormDocumentation of Internship FormExit Interview / Final EvaluationEnd professional relationships with clients and staffmembers. Thank people and stay in contact withyour supervisor.Last one End of Week 12Due: End of week 14(5%)Due: End of Week 15 (20%)Due: End of Week 15Due: End of Week 15Due: End of Week 15 (35%)As the student takes over the supervisors caseload of clients, student supervision and guidance are stillnecessary.PURPOSE, STRUCTURE, AND EXPECTATIONSPurpose – By the end of the placement, students will be able to develop and demonstrate classroomskills (program planning, ethics, professional behaviour) in a practical work environment. The students willdevelop clinical practice skills and abilities under the guidance of a Certified Therapeutic RecreationSpecialist (CTRS). During the internship the students will be assessed on competencies related toTherapeutic Recreation (TR). This experience will lead to further understanding of critical issues related topractice and understanding of how TR fits into health and human services. By the end of the placement,students should transition to as close as possible to 100% of the supervisors work/caseload. Essentially,the student should be doing the complete work of their supervisor at the placement site. This course willmeet all NCTRC requirements for a successful internship experience, leading to potential CTRSdesignation.Structure – Under the supervision of a CTRS, the internship will be completed over 15 weeks and aminimum of 560 full-time hours. The internship may be in an area of practice that serves students’ needsand can be established through partnership with the Therapeutic Recreation program and the Faculty ofHealth Sciences. The practicum will run from September 6th 2022, to December 16th 2022.Expectations – The student is expected to work full time hours throughout their internship toaccumulate a minimum of 560 hours over 15 weeks. Also, some agencies may require additional hours(for example, Nova Scotia Health Authority requires students commit to 600 hours). The internshipsupervisor must be employed with a regular position at the sponsoring agency and work a minimum of 30hours per week (some exceptions may apply). At least 50% of the supervisor's duties must be intherapeutic recreation (some exceptions may apply). The internship must be supervised by an academicsupervisor and an agency supervisor, both of whom need to be a CTRS. The internship agencysupervisor must be certified for at least one year prior to supervising students. The internship experiencemust be based on the therapeutic recreation process as defined by the current NCTRC Job Analysis.

8DEFINITIONS OF TERMSAcademic Supervisor – a CTRS employed by the University of Lethbridge to coordinate, advise,monitor, and evaluate the student in an internship for academic credit.Site/Agency Supervisor – a CTRS who has been working in the field of Therapeutic Recreation. Thisperson will direct, supervise, and evaluate the student in the completion of an internship in an agency tosatisfy academic requirements and NCTRC Standards.Practicum/Internship – an experiential process of translating knowledge into clinical skills and abilitiesin a safe, structured, and supervised setting. The internship must be completed at one agency for 15consecutive weeks for a total of 560 hours. Completion of the internship results in 15.0 credit academichours.Student – is enrolled at the University of Lethbridge, pursuing a Bachelor of Therapeutic Recreation. Thestudent is expected to be an active participant in the learning and supervisory process. The student isexpected to be professional and be knowledgeable of the Alberta Therapeutic Recreation Association andthe Canadian Therapeutic Recreation Associations Code of Ethics and Standards of -of-ethics.aspx; http://canadian-tr.org/resources/).

9THE UNIVERSITY OF LETHBRIDGEFACULTY OF HEALTH SCIENCESTREC 4550 – Practicum in Therapeutic RecreationCourse Syllabus – Fall 2022TREC 4550XINSTRUCTOR:OFFICE:PHONE:E-MAIL:Aimee Douziech, MSc., CTRS EC 4550XAINSTRUCTOR:OFFICE:PHONE:E-MAIL:Zac Crouse, M.Ed., CTRS (#48794)LaHave, Nova Scotia902-220-0313Zac.Crouse@uleth.caCOURSE DESCRIPTION:This course will meet all NCTRC requirements for a successful internship experience, leading to potentialCTRS designation. Under the supervision of a CTRS, the internship will be completed over 15consecutive weeks and 560 full-time hours. The internship may be in any area of practice that servesstudents’ needs and can be established through partnership with the Therapeutic Recreation program andthe Faculty of Health Sciences.COURSE FORMAT:On-site and in person practicum/internship, off campus, 15 weeks (560 hours)PREREQUISITES:TREC 3000, TREC 3100, TREC 3200, TREC 3300, TREC 3400, TREC 3500, TREC 4000, TREC 4100,TREC 4200, plus all support and elective courses.REQUIREMENTS:Students are required to submit all required documentation to the Internship Specialist (MarinaChristman) prior to placement start. We highly advise students to start on these items right away, asthey can take quite a while to complete. Please also keep in mind that agencies might have their owndocumentation requirements in addition to the University of Lethbridge. Students need to submit thefollowing:1.2.3.4.5.Faculty of Health Sciences Consent FormHSPnet Consent form (for sites that require this for application purposes)Immunization RecordsImmunization History FormOriginal Police Information Check (including vulnerable sector search) – scan in your checkthen submit an original via mail – reduced cost form available on the website6. Moodle Module “The Practicum Student Orientation” found here:https://moodle.uleth.ca/long term/course/view.php?id 916 – submit certificate upon coursecompletion7. DocuSign Forms – required 1 week prior to placement start include the following forms:a. UofL Informed Consent Risk and Indemnity Agreementb. UofL Hazard Assessment8. Any additional forms or documentation as required and requested

10COURSE OBJECTIVES:By the end of the placement, students will be able to develop and demonstrate classroom skills in apractical in person work environment. They will also meet the following competencies:1. Skill in the use of behavioral observations.2. Skill in the use of functional performance testing.3. Skill in gathering and use of relevant information from records, charts, family, significant others,and other professionals.4. Skill in establishing an effective therapeutic/helping relationship.5. Skill in applying individual and group leadership/helping techniques.6. Skill in assisting the patient/client to process the treatment intervention, thereby enhancing selfawareness and formulating conclusions relevant to treatment goals and objectives.7. Skill in facilitating a variety of evidence-based treatment interventions or modalities, such asgames, exercise, community reintegration, etc., to reach treatment outcomes.8. Skill in applying ethical and conduct standards to practice.9. Skill in practicing safety, emergency, infection control and risk management procedures.10. Skill in scheduling, time management, and prioritization of tasks and decisions.11. Skill in managing productivity and labor resources.12. Skill in assisting the patient/client in processing and applying knowledge and skills learned to meetindividual needs.13. Knowledge of word root, prefixes, and suffixes used in medical and psychiatric vocabulary.14. Skill in use of standard charting signs, symbols and abbreviations.15. The Recreational Therapy curriculum must include provision for clinical experiences, includingclinical education/practicum and clinical internship/field placement, under the direct supervision ofa qualified clinical supervisor (CTRS) in an appropriate setting.16. Clinical education experiences must provide students with opportunities to practice and integratethe cognitive learning and associated psychomotor skills required of the profession, in accordancewith professional standards of practice, to develop entry-level clinical proficiency and professionalbehavior as a Recreational Therapist as defined by professional guidelines for competenciesnecessary for safe and effective recreation therapy practice.17. The clinical internship or field placement experience must meet the requirements of theinternational credentialing organization and laws and regulations for certification, registration orlicensure. Competencies for practice as a recreation therapist must be a focus of developmentduring the clinical internship or field placement experience.REQUIRED TEXT:TREC 4550 Internship Manual. Lethbridge, AB: University of Lethbridge.COURSE ASSIGNMENTS AND EVALUATION:Assignments are to be completed primarily on your own time. Some exceptions may occur due toconfidentiality or access to information while on site, but any exceptions are based on relevance andrequire discussion between the student and supervisor. Students can expect to spend approximately3-5 hours per week working on assignments (example: forum posts, service project) outside of theirscheduled internship hours.The following is a breakdown of how the internship will be evaluated. Please remember that the Internshipin Therapeutic Recreation is a Pass/Fail in which students must obtain a GPA equal to or higher than 2.5

11AssignmentSMART Goals: Develop five (5) SMARTgoals (3 professional and 2 personal)that are relevant to your placement andthe population. Needs to be approved byAgency and Academic Supervisors.Service Project: This project is to bedecided upon in collaboration with thestudent’s agency supervisor. The projectshould make a significant contribution tothe department and will include apresentation to department, TR team,and staff. Needs to be approved byAgency and Academic Supervisors.Weekly Online Discussion: Studentsare required to complete a weeklysubmission that documents what theycompleted/learned, what competencieswere covered, and how they felt abouttheir experience.Midterm and Final Evaluation: Thismark will be divided between thestudent’s midterm grade and finalevaluation by the agency supervisor.The student should be included in theprocess and a meeting should bescheduled at both dates to go overgrades and comments.Service ProjectValueDates to be completed5% offinal markGoals due End of Week 2,Evaluation due End of Week 1430% offinal markDraft due End of Week 3 (5%),Update due End of Week 7 (5%),Final due End of Week 15 (20%)20% offinal mark10 weekly entriesTwo entries per week (1 original postand one peer response)due at the end of Weeks 3-12 worth2% per week.45% offinal markMidterm (Week 8, 10%)Final (Week 15, 35%)(Value 30%)Due at the end of Week 3, 7, 15During the internship, students will take responsibility for a major project from inception to evaluation. Theproject must be useful to the agency and it must provide the student with a new learning experience.Students may work with other staff and their site/agency supervisor in all phases of the project but mustbe the person primarily responsible for the implementation and evaluation of the service project. Someaspects of the service project can be done on site (based on relevance and discussion with agencysupervisor), however students can expect to spend time outside their internship hours working on thisproject (anywhere from approximately 2-3 hours a week).Although the planning and implementation of a special event or community outing is an acceptable taskfor an internship student, it is not considered to be an acceptable service project idea.The service project needs to connect with a minimum of three sub-tasks of the Job Task Domains (Table2) according to 2014 CTRS Job Analysis Report (NCTRC, 2017), bAnalysisReport.pdfSome ideas for a service project include: a Comprehensive Program Plan,multiple Specific Program Plans/Protocols,an in-depth Case Study of a client/patient,a Special Grant for the agency,Adoption of a new service delivery model,Research Project,Volunteer Manual and orientation training,

12 Community Recourse Manual and SPP,Best Practice Article review and proposal for conference/symposium, etc.All service projects should connect to relevant research. A review of relevant research must beincorporated to help guide your project.The Service Project is broken down into different sections to keep you on track:1. OUTLINE [5%] - Due End of Week 3A one page, double spaced outline must be approved by your agency supervisor and submitted forapproval by the academic supervisor by the end of week 3.Format: Provide a PLAN of how you will reach your goal including a detailed SCHEDULE (1 mark).Describe how you will MEASURE the effect or success of your project (2 marks).Discuss your chosen method of EVALUATION and any BENEFITS the agency will receive fromyour project (1 mark).List and explain the LINK between your service project and at least three (3) sub-tasks of theNCTRC Job Task Domains (1 mark).2. UPDATE [5%] - Due End of Week 7A one page, double space paper that describes the progress of your service project.Format: Detail your progress toward your goal(s); work that has been done so far, reflections, andupcoming presentation ideas (3 marks).Describe any adaptations or modifications to your schedule, methods of measurement orevaluation (1 mark).Discuss any challenges you have encountered so far. If you do not feel you have experienced anychallenges, then indicate what you will do to increase the level of challenge for your project (2marks).3. FINAL draft [20%] – Due End of Week 15 For the final draft, please submit any written materials and presentation slides. Your presentation should be 20-30 minutes for the TR department, staff, and any other member ofthe agency that has interest in attending. Included in the evaluation of your service project is the presentation assessment (see page 32)for your site/agency supervisor to complete during your presentation and the special serviceproject evaluation form (see page 33) to be completed after your presentation.Goals/Discussion(Value 5%)Due at the end of Week 2 and Week 14Fill out the attached SMART Goals document (page 28), sign it, have your site/agency supervisor sign it,and submit it to the academic supervisor by the end of Week 2.SMART stands for Specific, Measurable, Action-oriented, Realistic, and Time-based. Remember you areto create 3 professional goals and 2 personal goals. Professional goals are related to your work, duties, and role as a recreation therapy intern(review the NCTRC Job Task Analysis for ideas).

13 Personal goals are related to you as you grow and develop as a person that will benefit you inyour future career (e.g., assertiveness, communication, relationship building, etc.).At the end of Week 14, complete the SMART goal evaluation form (see pages 29-30) with youragency/site supervisor.Online Discussion(Value 20%)Due at the end of Week 3-12At the end of Week’s 3-12 (Sunday’s at 11:59pm, MST) you will be required to respond to questionsposted on Moodle by the academic supervisor. Each week students are required to make at least 1original post and 1 peer response regarding the weekly topic. Additionally, students are expected toanswer any question or discussion that arise from peers or the academic supervisor. Attached is a guideto self-reflection (see page 31) that would be useful for structuring your online submissions. Each weekyour submissions will be evaluated and given a mark of 0-2%.Mid-Term and Final Evaluation(Value 45%)Due at the end of Week 8 & 15To assist in ensuring that by the end of the internship, the student is competent in NCTRC’s various job tasks,formal evaluations are to occur midway through the internship (week 8) and again at the end (week 15). Theseevaluations are to be thoroughly discussed with the student and shared with the academic supervisor. Byconducting formal evaluations, the student, site/agency supervisor, and academic supervisor will be madeaware of student strengths, as well as areas that require more support and guidance for improvement to occur.Please note that as important as the formal evaluations are, it is also essential that ongoing informalevaluations/feedback are discussed with the student for continual growth and understanding on a day to daybasis.Grading for the mid-term evaluation is as follows: Above 80% means you are progressing exceptionally well.70-80% means you are progressing well and that your skills are on track.Below 70% means you may need to put extra effort into ensuring you are developing thenecessary skills.Please see the attached mid-term and final evaluation (pages 37-43) form to be filled out by thesite/agency supervisor and reviewed with the student afterwards. There is also a student mid-term selfevaluation as well as a final self-evaluation that the student is to fill out regarding their experience(see page 34-35). The mid-term evaluation is to be submitted to your academic supervisor during week 8and the final evaluation is to be submitted during week 15.STUDENT RESPONSIBILITIES: Students are responsible to review the University of Lethbridge Therapeutic Recreation (TR) programHandbook found on the TR website https://www.uleth.ca/healthsciences/trStudents are responsible for the timely completion of all materials indicated in this course syllabus.Students must follow the academic regulations and policies laid out in The University of Lethbridgecalendar. Students are responsible, in particular, for all sections in 4.c dealing with the StudentDiscipline Policy – Academic Calendar.pdf Please follow the specific agency policy guidelines for cell phone use.

14LATE POLICY:Late submission of assignments is strongly discouraged. The final mark on any assignment which issubmitted late will be reduced by 15% for greater than 15 minutes past the due date and time and 10% forevery 24 hours past thereafter. Fo

Processes and techniques in Therapeutic Recreation: Theoretical and practical aspects of the procedures necessary for assessment, planning, implementation, management, and evaluation specific to therapeutic recreation services. Facilitation in Therapeutic Recreation: Various hands on and applicable facilitation techniques.

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Zoo Animal Nutrition IV Zoo Animal Nutrition IV (2009) was edited by M. Clauss, A. Fidgett, G. Janssens, J.-M. Hatt, T. Huisman, J. Hummel, J. Nijboer, A. Plowman. Filander Verlag, Fürth ISBN-13: 978-3-930831-72-2 To obtain a copy of the book, contact Filander Verlag at info@filander.de Dierenfeld, E. S. Conservation collaborations: nutrition .