The Rainforest Craft Group

OT 628

Introduction

• Objective: -Improve occupational performance by using

everyday tools -Choose from preselected crafts or create their own

rainforest creature• A work hardening/non-craft option also available • Number of participants: Two to four participants • Applicable Settings:

-Skilled Nursing Facilities (SNF): Medicare Part A -Rehabilitation -Mental Health -Pediatrics -Long-term care

General Benefits of the Rainforest Craft Group

• Outlet for creating a meaningful take-home product1

• Opportunity for success and self-accomplishment• Accommodates different current levels of function• Meets individualized therapeutic goals • Easily adjusts to the number of participants• Use of supplies are modeled by other group members

Clinical Benefits

• Turn-taking• Problem solving• Conflict resolution• Social interaction3

• Impulse control

• Gross/fine motor • Initiation/termination of task• Sequencing• Planning• Following directions• Balance

• ROM• Self-esteem • Insight into one’s own disability

• Opportunity to practice performance skills2

Financial Analysis for One Day

No group (81% productivity)

Cost of therapist for one hour of treatment:(wage + benefit load) / productivity %($40 + $10)/81% = $61.73

Cost of therapist for one day of treatment81% productivity = 6.5 billable hours per day$61.73 x 6.5 hrs. = $401.25

Revenue for one hour of treatment = $100Revenue for one day of treatment = $650

Margin for one day of treatmentRevenue - Cost = Margin$650 - $401.25 = $248.75

Financial Benefit for One DayWith four-person group (109.4% productivity)

A one-hour group of 4 patients adds 2.25 billable hours to the day and 45 minutes for documentation and other non-billable activities.

Cost of therapist for one hour of treatment:(wage + benefit load) / productivity %($40 + $10)/109.4% = $45.70

Cost of therapist for one day of treatment109.4% productivity = 8.75 billable hours per day$45.70 x 8.75 hrs. = $399.88

Revenue for one hour of treatment = $100Revenue for one day of treatment = $875

Margin for one day of treatmentRevenue – Cost = Margin$875 - $399.88 = $475.12

Margins

With group: $475.12Without group: $248.75

On this day there would be a $226.37 increase in margin by running a group.

Role of the Occupational Therapist

• Introduce self and facilitate client introductions• Facilitate group guidelines• Introduce the activity• Encourage participation• Observe and evaluate each clients’ performance

skills • Suggest upgrades and downgrades• Facilitate closing discussion (wrap-up)

Activity Grading • Upgrades

o Fabricate multiple craftso Reach at different levels of treeo Stand up while working o Use smaller sized materials

• Downgradeso Stay seatedo Use precut or premade materialso Use larger sized materials

Set-up

• Tables and chairs – circle, semi-circle, or most optimal layout

• Supplies ready and easily accessible• Samples of the completed crafts available

Materials for the Tree

• 2 blocks and 1 cone Styrofoam• 20” x 30” green foam board• Glue• Paper bags• Wooden skewers• Copper Wire• Cable ties• Four corner iron• Hose clamp• Cardboard toilet paper rolls• Scissors• Staples

Materials and Steps for Making the Tree

Stage 1 Stage 2 Stage 3

Stage 4 Stage 5

Materials for the Sloth

• Construction paper• Velcro tape• Markers• Glue• Scissors

Materials for the Chameleon

• Tissue paper• Pipe cleaners• Markers• Scissors• Tape

Materials for the Ant

• Pompoms• Googly eyes• Pipe cleaners• Thread• Glue

Things to Think About

• Are there any other suggestions for upgrades or downgrades?

• Other populations/specific diagnoses that may benefit from this activity?

• Other settings?

Demonstration!(Meet the Bunch)

Mr. George Wilson

Ms. Michelle Jones

Ms. Jane Smith

OccupationalTherapist

Scene 1: Introductions

Scene 2: Mr. George Wilson

• 65 years old• Admitted to SNF after a left CVA• Right hemiparesis• Right hand dominant• Upset and distraught with current physical condition• Goal: To increase upper extremity range of motion for

ADL

CLICK and SEE!

Scene 3: Ms. Jane Smith

• 35 years old• Admitted to SNF for contracture management after

receiving closed, second degree burns on the dorsum of her right hand

• Ashamed of her burns• Goal: To increase ROM and fine motor dexterity for ADL

Scene 4: Ms. Michelle Jones

• 75 years old• Admitted to SNF to recover from a fall• Presents with:

o Kyphotic posture of the thoracic spineo Decreased activity endurance

• Goal: To access overhead cabinets, bend down and retrieve objects from the floor, and unload the dishwasher

Scene 5: Conclusion

Class Discussion

• Are there any other suggestions for upgrades or downgrades?

• Other populations/specific diagnoses that may benefit from this activity?

• Other settings?

References

1. Craig, C. & Finlay, L. (2010). Working with groups. (6th ed.). In M. Curtin, M. Molineux, J. Supyk-Mellson (Eds.), Occupational therapy and physical dysfunction enabling occupation (pp. 257). UK: Churchill Livingstone Elsevier, Limited.2. Hardison, J. & Lloren, L. (1988). Structured craft group activities for adolescent delinquent girls. In D. Gibson (Ed.), Group process and structure in psychosocial occupational therapy (pp. 106). New York, NY: Haworth Press, Inc.3. McDermott, A.A. (1988). The effects of three group formats on group interaction patterns. In D. Gibson (Ed.), Group process and structure in psychosocial occupational therapy (pp. 71). New York, NY: Haworth Press, Inc.