Medical Home: Is there a place for recreational therapy?
DOI:
https://doi.org/10.5055/ajrt.2010.0010Keywords:
medical home, recreational therapy, chronic disease managementAbstract
The purpose of this article is to explore the role of recreational therapy within a medical home model. Medical home is a movement to manage the care of individuals with complex and chronic health needs through their primary care physician and the physician’s team. The concepts of medical home are discussed. These concepts are the same as those on which recreational therapists have been trained. This article demonstrates the various ways in which recreational therapists can meet the challenges posed by serving individuals with chronic disease.
The medical home model provides a rare opportunity for recreational therapists to combine clinical skills with community skills to meet the needs of those individuals in the community with chronic and complex needs. This article demonstrates that recreational therapists are already engaged and invested in this model. What is lacking is the promotion of skills and services of the recreational therapists to market and communicate this to primary care providers.
References
Centers for Disease Control and Prevention: Chronic Disease Prevention and Health Promotion. Available at http://www.cdc.gov/nccdphp/. Accessed February 8, 2009.
Schulte MF: Editorial. Front Health Serv Manage. 2009; 25(2): 1.
American Hospital Association: Available at http://www.aha.org. Accessed April 21, 2010.
National Council of Therapeutic Recreation Certification: CTRS profile study. Available at http://www.nctrc.org/standardsandpublications.htm. Accessed April 21, 2010.
Deloitte Center for Health Solutions: The Medical Home: Disruptive Innovation for a New Primary Care Model. 2008.
National Council of Therapeutic Recreation Certification: NCTRC national job analysis. Available at http://www.nctrc.org/documents/5JobAnalysis.pdf. Accessed April 21, 2010.
Stumbo NJ, Peterson CA: Therapeutic Recreation Program Design: Principles and Processes. 5th ed. San Francisco, CA: Benjamin Cummings, 2009.
Austin D: Therapeutic Recreation: Processes and Techniques. 6th ed. Champaign, IL: Sagamore Publishing, 2009.
Bullock C, Mahon M: Introduction to Recreation Services for People with Disabilities: A Person-Centered Approach. 2nd ed. Champaign, IL: Sagamore Publishing, 2000.
Howe-Murphy R, Charboneau B: Therapeutic Recreation Intervention: An Ecological Perspective. Englewood Cliffs, NJ: Prentice Hall, 1987.
Homer CJ, Klatka K, Romm D, et al.: A review of the evidence for the medical home for children with special needs. Pediatrics. 2008; 122(4): 922-937.
Austin DR, Crawford ME: Therapeutic Recreation: An Introduction. 3rd ed. Needham Heights, MA: Allyn & Bacon, 2001.
Carter MJ, VanAndel G, Robb G: Therapeutic Recreation: A Practical Approach. 3rd ed. Prospect Heights, IL: Waveland Press, 2003.
Devine M, Lashua B: Constructing social acceptance in inclusive leisure contexts: The role of individuals with disabilities. Ther Recreation J. 2002; 36(1): 65-83.
Reid D, Campbell K: The use of virtual reality with children with cerebral palsy: A pilot randomized trial. Ther Recreation J [serial online]. 2006; 40(4): 255-268.
Chiang I, Lee Y, Frey G, et al.: Testing the situationally modified social rank theory on friendship quality in male youth with high SH functioning autism spectrum disorder. Ther Recreation J. 2004; 38(3): 261-274.
Sherril C: Recreation and leisure expertise needed in obesity battle. Palaestra. 2007; 23(4): 52-54.
Groff D, Lawrence E, Grivna S: Effects of a therapeutic recreation intervention using exercise: A case study with a child with cerebral palsy. Ther Recreation J [serial online]. 2006; 40(4): 269-283.
Schneiter R, Devine M: Reduction of self-injurious behaviors of an individual with autism: Use of a leisure communication book. Ther Recreation J [serial online]. 2001; 35(3): 207-219.
Hodges JS, Luken K, Hubbard A: Supporting the transition of one man with autism from work to retirement. Ther Recreation J. 2004; 38(3): 301-311.
American Academy of Family Physicians Press Release: Joint Principles of a Patient-Centered Medical Home Released by Organizations Representing More Than 300,000 Physicians. 2007.
America’s Health Insurance Plans: AHIP Board of Directors Releases Principles on Patient-Centered Medical Home. 2008.
Patient-Centered Primary Care Collaborative: Available at http://www.pcpcc.net/content/american-medicalassociation-adopts-principles-patient-centered-medicalhome. Accessed December 23, 2008.
McGaw JL: Whole patient care: Reaching beyond traditional healthcare. Front Health Serv Manage. 2008; 25(2): 39-42.
Wangsness L: Medical home approach brings back managed care, Boston Globe, April 8, 2009.
Kensinger K, Boor J, Gearig J, et al.: Therapeutic recreation for international refugees in a Midwest community. Ther Recreation J. 2007; 41(2): 148-157.
Kensinger K, Gibson HJ, Ashton-Shaeffer C: Leisure as a reflection of normalcy: Leisure in the lives of young adults with developmental disabilities. Annu Ther Recreation. 2007; 15: 45-58.
Reimbursement. In Brasile FM, Skalko TK, Burlingame J (eds.): Perspectives in Recreational Therapy: Issues of a Dynamic Profession. Ravensdale, WA: Idyll Arbor, 1998: 447-462.
Sedletzeck H: Medicaid waivers. A Presentation at the Michigan Therapeutic Recreation Association Coverage and Reimbursement Workshop. November 7, 2008.
Wilhite B, Keller MJ, Epps L: In-home therapeutic recreation challenges and promises: The future favors. In the bold. In In-Home Therapeutic Recreation: Successful Strategies and Services. Ashburn, VA: National Therapeutic Recreation Society, National Recreation and Park Association, 2002.
Beck TM, Rynbrandt RL: In-home therapy: A marriage between municipal recreation and recreational therapy. In-Home Therapeutic Recreation: Successful Strategies and Services. Ashburn, VA: National Therapeutic Recreation Society, National Recreation and Park Association, 2002.
Johnson DE, Bullock CC, Ashton-Shaeffer C: Homebased family leisure education for children with disabilities. In-Home Therapeutic Recreation: Successful Strategies and Services. Ashburn, VA: National Therapeutic Recreation Society, National Recreation and Park Association, 2002.
Loy DP, Broach E, King T, et al.: “Bridging” the gap in today’s rehabilitation process: An in-home therapeutic recreation service delivery program. In-Home Therapeutic Recreation: Successful Strategies and Services. Ashburn, VA: National Therapeutic Recreation Society, National Recreation and Park Association, 2002.
Sable J, Gravink J. In-home therapeutic recreation intervention for people with recent spinal cord injuries. In-Home Therapeutic Recreation: Successful Strategies and Services. Ashburn, VA: National Therapeutic Recreation Society, National Recreation and Park Association, 2002.
Voelkl JE, Buettner L, St. Pierre J: The at-home recreation program: An innovative approach to serving community older adults with dementia and their caregivers. In-Home Therapeutic Recreation: Successful Strategies and Services. Ashburn, VA: National Therapeutic Recreation Society, National Recreation and Park Association, 2002.
Sable J, Gravink J: The PATH to community health care for people with disabilities: A community-based therapeutic recreation service. Ther Recreation J. 2005; 39(1): 78-87.
Riley B (ed.): Evaluation of Therapeutic Recreation Through Quality Assurance. State College, PA: Venture, 1987.
Buettner L, Fitzsimmons S: Introduction to evidence based recreation therapy. Annu Ther Recreation [serial online]. 2007; 15: 12-19.
Buettner L, Fitzsimmons S: Dementia Practice Guideline for Recreational Therapy: Treatment of Disturbing Behaviors. Alexandria, VA: American Therapeutic Recreation Therapy, 2003.
Stumbo NJ (ed.): Professional Issues in Therapeutic Recreation: On Competence and Outcomes. 2nd ed. State College, PA: Venture, 2009.
Coyle C, Kinney W, Riley R, et al.: Benefits of Therapeutic Recreation: A Consensus View. Ravensdale, WA: Idyll Arbor, 1991.
Riley B (ed.): Quality Management: Applications for Therapeutic Recreation. State College, PA: Venture, 1991.
Carter MJ, O’Morrow GS (eds.): Effective Management in Therapeutic Recreation. 2nd ed. State College, PA: Venture, 2006.
Thompson GT: Reimbursement: Surviving prospective payment system as a recreational therapy practitioner. In Stumbo NJ (ed.): Professional Issues in Therapeutic Recreation: On Competence and Outcomes. Champaign, IL: Sagamore Publishing, 2009: 301-316.
Passmore T: Coverage of Recreational Therapy: The Rules and Regulations. 2nd ed. Hattiesburg, MS: American Therapeutic Recreation Association, 2010.
National Partnership for Women and Families: Available at http://www.nationalpartnership.org/site/PageServer?pagename=ourwork_hcc_MedicalHome. Accessed December 23, 2008.
MedPAC: A Data Book Healthcare Spending and the Medicare Program. 2007.
MedPAC: MedPAC Report to Congress. Reforming the Delivery System. 2008.
Published
How to Cite
Issue
Section
License
Copyright 2000-2023, Weston Medical Publishing, LLC
All Rights Reserved
