A comparison of recreational therapy and child life practice: Similarities, differences, and opportunities

Authors

  • Victoria L. Cooper, MSRT, CTRS, CCLS
  • Heather R. Porter, PhD, CTRS

DOI:

https://doi.org/10.5055/ajrt.2016.0102

Keywords:

recreational therapy, child life, scope of practice, comparison

Abstract

Transdisciplinary care and collaboration among team members is necessary and essential to maximize patient outcomes. Collaboration is the most effective when professionals understand the unique role of each discipline. This is potentially more difficult when disciplines overlap in some services provided, or when an individual on the team is dually certified. In pediatric care settings, this is often the case for recreational therapy (RT) and child life (CL). The purpose of this study is to highlight the benefits of transdisciplinary care, as well as summarize similarities and differences between the two fields based on profession-based documents. Findings indicate 28 unique areas of RT practice, 18 grey areas (items found in both RT and CL profession-based documents with shades of differences), eight items found in one profession that are highly likely to occur in both professions, and 31 areas of similarity. Items of similarity do not raise concern, as the items appear to be common among many healthcare professions, such as developing a therapeutic relationship and conducting an assessment. Differences stem from underlying principles of each profession. RT is primarily a treatment/therapy-based profession (eg, functional skill development), whereas the foundation of CL is a helping-based profession (eg, coping within the hospitalized environment). RT must effectively deliver a message of its unique contribution to the healthcare landscape with special emphasis on functional skills development, client and family education and counseling, and community integration and transition training related to maximizing healthy engagement in play, leisure, recreation, and community activities post hospitalization for continued recovery, development, and prevention. Methods of disseminating findings and strengthening RT evidence-based research in pediatric acute care are provided, along with suggested opportunities for collaborative research.

Author Biographies

Victoria L. Cooper, MSRT, CTRS, CCLS

Department of Rehabilitation Sciences, Temple University, Philadelphia, Pennsylvania.

Heather R. Porter, PhD, CTRS

Department of Rehabilitation Sciences, Temple University, Philadelphia, Pennsylvania.

References

Rossen EK, Bartlett R, Herrick CA: Interdisciplinary collaboration: The need to revisit. Issues Mental Health Nurs. 2008; 29(4): 387-396.

Blankenship K, Elsworth R: Rebuilding an interdisciplinary rehabilitation team. Rehabil Nurs. 2006; 31(3): 91-123.

Anderson L, Heyne L: Therapeutic Recreation Practice: A Strengths Approach. State College, PA: Venture Publishing, 2012.

Nandiwada DR, Dang-Vu C: Transdisciplinary health care education: Training team players. J Health Care Poor Underserved. 2010; 21(1): 26-34.

Vyt A: Interprofessional and transdisciplinary teamwork in health care. Diabetes Metab Res Rev. 2008; 24: S106-S109.

Phillips HM: Recreational Therapy Services and the Functional Independence of Inpatient Pediatric Population [dissertation]. Greenville, NC: East Carolina University, 2009.

Law M, King G, King S, et al.: Patterns of participation in recreational and leisure activities among children with complex physical disabilities. Dev Med Child Neurol. 2006; 48(5): 337-342.

Pearson JE, Cataldo M, Tureman A, et al.: Pediatric intensive care unit patients: Effects of play intervention on behavior. Crit Care Med. 1980; 8(2): 64-67.

Alcock DS, Feldman W, Goodman JT, et al.: Evaluation of child life intervention in emergency department suturing. Pediatr Emerg Care. 1985; 1(3): 111-115.

Alcock D, Goodman J, Feldman W, et al.: Environment and waiting behaviors in emergency waiting areas. Child Health Care. 1985; 13(4): 174-180.

Wolfer J, Gaynard L, Goldberger J, et al.: An experimental evaluation of a model child life program. Child Health Care. 1988; 16(4): 244-254.

Brewer S, Gleditsch SL, Syblik D, et al.: Pediatric anxiety: Child life intervention in day surgery. J Pediatr Nurs. 2006; 21(1): 13-22.

American Therapeutic Recreation Association: FAQ about RT/TR. Available at https://www.atra-online.com/what/FAQ. Accessed February 17, 2016.

National Council for Therapeutic Recreation Certification: CTRS professional profile. Available at http://nctrc.org/wp-content/uploads/2015/02/MM2-ctrs-professional-profile-brochure.pdf. Accessed February 17, 2016.

Child Life Council: Child life services. Pediatrics. 2014; 133(5): E1471-E1478.

National Council for Therapeutic Recreation Certification: NCTRC national job analysis. February 2015. Available at http://nctrc.org/wp-content/uploads/2015/02/RP1-MM6-nctrc-job-analysis-report.pdf. Accessed February 17, 2016.

American Therapeutic Recreation Association: Standards for the Practice of Recreational Therapy & Self-Assessment Guide. Hattiesburg, MS: American Therapeutic Recreation Association, 2013.

American Therapeutic Recreation Association: Guidelines for Competency Assessment and Curriculum Planning for Recreational Therapy Practice. Alexandria, VA: American Therapeutic Recreation Association, 2008.

Child Life Council: Standards of clinical practice. Available at https://www.childlife.org/files/StandardsofClinicalPractice.pdf. Accessed February 17, 2016.

Child Life Council: Child life competencies. Available at https://www.childlife.org/files/ChildLifeCompetenciesUPDATED.pdf. Accessed February 17, 2016.

Moore EK: Bibliotherapy. In Porter H (ed.): Recreational Therapy Basics, Techniques, & Interventions. Enumclaw, WA: Idyll Arbor, Inc., 2015: 223-230.

Kuo DZ, Houtrow AJ, Arango P, et al.: Family-centered care: Current applications and future directions in pediatric health care. Matern Child Health J. 2012; 16(2): 297-305.

Child Life Council: The child life profession. Available at https://www.childlife.org/The%20Child%20Life%20Profession/. Accessed February 17, 2016.

Mickan SM: Evaluating the effectiveness of health care teams. Aust Health Rev. 2005; 29(2): 211.

Published

04/01/2016

How to Cite

Cooper, MSRT, CTRS, CCLS, V. L., & Porter, PhD, CTRS, H. R. (2016). A comparison of recreational therapy and child life practice: Similarities, differences, and opportunities. American Journal of Recreation Therapy, 15(2), 13–28. https://doi.org/10.5055/ajrt.2016.0102

Issue

Section

Articles