Therapeutic Recreation Practice: A Strengths Approach

Pennsylvania Therapeutic Recreation Society’s Therapeutic Recreation Institute June 3, 2014

“Courage is not the towering oak that sees storms come and go; it is the fragile blossom that opens in the snow.”

Alice M. Swaim, American author

Lynn Anderson, Ph.D., CTRS, CPRP Recreation, Parks and Leisure Studies

SUNY Cortland P.O. Box 2000

Cortland, NY 13045-0900 lynn.anderson@cortland.edu

(607) 753-4942

Schedule

9:00-10:30 Introductions; the strengths approach defined Principles and theories of the strengths approach Well-being and leisure at the heart of therapeutic recreation practice

10:30-10:45 Break

10:45-11:45 The Flourishing through Leisure Model: An Ecological Extension of the Leisure and Well-Being Model Applying the Flourishing Model using the TR Process

11:45-12:00 Discussion and questions

12:00-1:00 Lunch Break

1:00-2:30 Principles and practice of strengths-based assessment Assessment tools that focus on internal and external strengths

2:30-2:45 Break

2:45-3:30 Principles and practice of strengths-based planning Planning processes in action: MAPS, PATH and others

3:30-4:00 How will you apply the strengths approach? Discussion and questions

We are experiencing a paradigm shift in health, human, and recreation services to a strengths approach. What is strengths-based practice? What are its theoretical underpinnings? How is therapeutic recreation practice different when using a strengths approach? In this workshop, we will explore this exciting paradigm shift and discuss how therapeutic recreation, with leisure at its heart, can flourish. The Flourishing through Leisure Model: An Ecological Extension of the Leisure and Well-Being Model will be explored as a framework for strengths-based therapeutic recreation practice.

Use this QR Code to go to the website for the powerpoint handout and additional resources for this session.

Or go to this website: http://colfax.cortland.edu/nysirrc/links-articles-interest.html

Learning Outcomes

1. Participants will be able to define the strengths approach in

health, recreation, and human services.

2. Participants will able to compare and contrast therapeutic

recreation practice from a strengths versus deficits approach

and identify important differences

3. Participants will describe the relationship between leisure and

well-being and understand how that relationship is

foundational to the strengths approach.

4. Participants will be able to define the components of the

Flourishing through Leisure Model: An Ecological Extension of

the Leisure and Well-Being Model and identify ways they can use

the model to deliver strengths-based therapeutic recreation

services

5. Participants will identify at least eight tools that can be used to

assess strengths.

6. Participants will identify principles that underlie strengths-based

planning in therapeutic recreation.

Self-Reflection Exercise

Describing People from Deficit and Capability Perspectives

1. Describe what you do not like about yourself. How does writing this list make you feel? 2. Describe what you like about yourself. How does writing this list make you feel?

Values in Action (VIA) Strengths Assessment (Peterson & Seligman, 2004; Seligman, 2002)

Very Much

Like Me Like Me Neutral Unlike Me Very Much

Unlike Me

Cluster 1: 1a. “I am always curious about the world” is: 5 4 3 2 1 1b. “I am easily bored” is: 1 2 3 4 5 2a. “I am thrilled when I learn something” new is: 5 4 3 2 1 2b. “I never go out of my way to visit museums or other educational

sites” is: 1 2 3 4 5

3a. “When the topic calls for it, I can be a highly rational thinker” is: 5 4 3 2 1 3b. “I tend to make snap judgments” is: 1 2 3 4 5 4a. “I like to think of new ways to do things” is: 5 4 3 2 1 4b. “Most of my friends are more imaginative than I am is: 1 2 3 4 5 5a. “I am always able to look at things and see the big picture” is: 5 4 3 2 1 5b. “Others rarely come to me for advice” is: 1 2 3 4 5 Cluster 2: 6a. “I have taken frequent stands in the face of strong opposition” is: 5 4 3 2 1 6b. “Pain and disappointment often get the better of me” is: 1 2 3 4 5 7a. “I always finish what I start” is: 5 4 3 2 1 7b. “I get sidetracked when I work” is: 1 2 3 4 5 8a. “I always keep my promises” is: 5 4 3 2 1 8b. “My friends never tell me I’m down to earth” is: 1 2 3 4 5 9a. “I throw myself into everything I do” is: 5 4 3 2 1 9b. “I mope a lot” is: 1 2 3 4 5 Cluster 3: 10a. “I have voluntarily helped a neighbor in the last month” is: 5 4 3 2 1 10b. “I am rarely excited about the good fortune of others as I am about

my own” is: 1 2 3 4 5

11a. “There are people in my life who care as much about my feelings and well-being as they do about their own” is:

5 4 3 2 1

11b. “I have trouble accepting love from others” is: 1 2 3 4 5 12a. “No matter what the social situation, I am able to fit in” is: 5 4 3 2 1 12b. “I am not very good at sensing what other people are feeling” is: 1 2 3 4 5 Cluster 4: 13a. “I work at my best when I am in a group” is: 5 4 3 2 1 13b. “I hesitate to sacrifice my self-interest for the benefit of the group”

is: 1 2 3 4 5

14a. “I treat all people equally regardless of who they might be” is: 5 4 3 2 1 14b. “If I do not like someone, it is difficult for me to treat him or her

fairly” is: 1 2 3 4 5

15a. “I can always get people to do things together without nagging them” is:

5 4 3 2 1

15b. “I am not very good at planning group activities” is: 1 2 3 4 5 Cluster 5: 16a. “I control my emotions” is: 5 4 3 2 1 16b. “I can rarely stay on a diet” is: 1 2 3 4 5 17a. “I avoid activities that are physically dangerous” is: 5 4 3 2 1 17b. “I sometimes make poor choices in friendships or relationships” is: 1 2 3 4 5 18a. “I change the subject when people pay me compliments” is: 5 4 3 2 1 18b. “I often talk about my accomplishments” is: 1 2 3 4 5 19a. “I always let bygones be bygones” is: 5 4 3 2 1 19b. “I always try to get even” is: 1 2 3 4 5

Very Much

Like Me Like Me Neutral Unlike Me Very Much

Unlike Me

Cluster 6: 20a. “In the last month, I have been thrilled by excellence in music, art,

drama, film, sport, science, or mathematics” is 5 4 3 2 1

20b. “I have not created anything of beauty in the last year” is: 1 2 3 4 5 21a. “I always say thank you, even for little things” is: 5 4 3 2 1 21b. “I rarely stop and count my blessings” is: 1 2 3 4 5 22a. “I always look on the bright side” is: 5 4 3 2 1 22b. “I rarely have a well-thought-out plan for what I want to do” is: 1 2 3 4 5 23a. “My life has a strong purpose” is: 5 4 3 2 1 23b. “I do not have a calling in life” is: 1 2 3 4 5 24a. “I always mix work and play as much as possible” is: 5 4 3 2 1 24b. “I rarely say funny things” is: 1 2 3 4 5 Scoring Your Strengths: Enter your score from the items above in each blank below; add the scores for each strength and each virtue in the “Totals” columns. Note that the Virtues score is an average of all of the strengths items in that box.

Virtue 1: WISDOM Total

Curiosity 1a. + 1b.

Love of learning 2a. + 2b.

Judgment/open-mindedness 3a. + 3b.

Ingenuity/creativity 4a. + 4b.

Perspective 5a. + 5b.

Wisdom Subtotal (divide by 5 for average)

Virtue 2: COURAGE Total

Valor 6a. + 6b.

Perseverance 7a. + 7b.

Integrity 8a. + 8b.

Zest/vitality 9a. + 9b.

Courage Subtotal (divide by 4 for average)

Virtue 3: HUMANITY Total

Kindness 10a. + 10b.

Loving 11a. + 11b.

Social intelligence 12a. + 12b.

Humanity Subtotal (divide by 3 for average)

Virtue 4: JUSTICE Total

Citizenship 13a. + 13b.

Fairness 14a. + 14b.

Leadership 15a. + 15b.

Justice Subtotal (divide by 3 for average)

Virtue 5: TEMPERANCE Total

Self-control 16a. + 16b.

Prudence 17a. + 17b.

Humility 18a. + 18b.

Forgiveness 19a. + 19b.

Temperance Subtotal (divide by 4 for average)

Virtue 6: TRANSCENDENCE Total

Appreciation of beauty 20a. + 20b.

Gratitude 21a. + 21b.

Hope 22a. + 22b.

Spirituality 23a. + 23b.

Humor 24a. + 24b.

Transcendence Subtotal (divide by 5 for average)

Circle your top 5 strengths. Circle your top 2 virtues. What is your “signature strength?”

Compare/Contrast: The Role of Leisure in the Strengths versus the Deficits Approach

Deficits approach - the medical model perspective

Strengths approach - a capabilities perspective

Health and functional outcomes are a key focus. Because it is not controlled by the “therapist,” leisure is diversional and outside the treatment process. The therapist must control and prescribe the intervention for predicted health and functional outcomes to occur. The freedom associated with leisure makes it a difficult tool to use to make prescribed change.

Leisure is a key component of life quality and well-being as it is controlled by the participant, providing important sources for self-determination and utilization of strengths. In the process of building meaningful leisure, well-being is improved across multiple domains.

Participant problems and deficits drive the helping relationship – leisure is reduced to an activity to be used as a tool to fix the deficits in a prescribed manner.

Participant aspirations and dreams drive the helping relationship – leisure is often a key part of a participant’s personal goals for a meaningful life.

Participant strengths are used as a tool to fix deficits. Strengths are only important in that they can be directed at remediation of weaknesses, which, in the medical model, is the focus of the helping process.

Participant strengths are nurtured and developed to a higher level. Leisure, freely chosen, is an arena and context to build strengths.

Enhancement of the leisure experience is only useful if it leads to a remediation of deficits on which the helping process is focused. Leisure is a means to an end.

Enhancement of the leisure experience is an important outcome of therapeutic recreation services. It also contributes to improved well-being. Leisure is an end in and of itself, and is also a means to a higher quality of life.

According to Mobily (1999), “The ‘angst’ created is evident in the tortuous fit between recreation/leisure (demanded by leisure theory and research) and the health/functional outcomes (necessary for reimbursement of services) evident in most of the models [using a deficits approach]. The difficulties reflect the difference between what has been learned theoretically (about leisure behavior) and the expectations and standards of the audiences the TR profession must play to in reality. Trying to wed therapeutic outcomes to leisure without losing the essence of the leisure experience is ‘the struggle’.”

There is a harmonious fit between leisure and the outcomes expected by the audiences the TR profession plays to in a strengths approach. Leisure is closely tied to therapeutic outcomes that build strengths and a life of meaning and well-being. Agencies and professionals using the strengths approach clearly see the need for high quality leisure experiences as a part of the helping process.

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

64 • TherapeuTic recreaTion pracTice: a STrengThS approach

Figure 4.3 Flourishing through Leisure Model: A

n Ecological Extension of the Leisure and Well-B

eing Model

Facilitation of leisure skills and knowledge:

• Savoring leisure* • Interests, preferences

• Authentic leisure*

• Talents, abilities• Leisure gratifications* • Skills and com

petencies• M

indful leisure* • Leisure know

ledge• V

irtuous leisure* • A

spirations

Facilitation of leisure environments:

• Real choices for leisure• Typical lifestyle rhythm

s• Social support• Inclusive environm

ents - Physical accessibility - A

dministrative inclusivity

- Programm

ing inclusivity

PER

SON

in the ENV

IRO

NM

ENT

What the Therapeutic R

ecreation Specialist Does

Outcom

es the Participant Experiences

Enhancing the Leisure Experience

Developing Strengths and R

esources

Facilitation of psychological and emotional

strengths:• Capacity for happiness*• Em

otion regulation*• Self-aw

areness/self-acceptance/self-congruence*• A

utonomy/self-determ

ination/goal directedness*• Com

petence*• O

ptimism

*

Facilitation of psychological and em

otional resources:• Positive behavioral supports• N

atural cues• Q

uiet spaces in public areas• H

igh expectations and positive attitudes• O

ther supports and accomm

odations

Play

Recreate

PerceiveFeel

Facilitation of cognitive strengths:• A

bility to attend*• Concentration*• Follow

ing directions*• M

emory*

• Problem solving

• Goal setting*, aspiration discovery

Facilitation of cognitive resources:• Environm

ental cues• Environm

ent modifications

• Quiet spaces in public areas

• Activity adaptations

• Other supports and accom

modations

ThinkLearn

Facilitation of social strengths:• Com

munication skills*

• Interpersonal skills*• Reciprocal-relationship skills*, friendship skills• Leadership and citizenship skills• Social confidence*

Facilitation of social resources:• Inclusivity and diversity• O

pportunities to engage in meaningful

social roles• Trained staff• Peer support developm

ent• O

ther supports and accomm

odations

Relate

Belong

Facilitation of physical strengths:• Physical health*• M

obility*• Fitness—

endurance, strength, flexibility*• Energy and vitality• Physical activity skills

Facilitation of physical resources:• Safe environm

ents• U

niversal design• A

dapted equipment

• Affordability, equitable resource distribution

• Hom

e recreation resource development

• Comm

unity recreation resource developm

ent

Act

Do

Facilitation of spiritual strengths:• H

ope and inspiration• Sense of m

eaning and purpose• Peace of m

ind• Reflection and w

isdom• Self-actualization• Sense of connectedness/feeling a part of

something bigger

• Other character strengths and virtues

Facilitation of spiritual resources:• Culture of hope, support, and

encouragement

• Proximity to nature

• Quiet places in public areas

• Places of spiritual nourishment

• Beauty and aesthetics in the environment

Believe

Value

Participant’s goals, dream

s, and aspirations

Well-B

eing

Environmental resources and

personal strengths that cultivate grow

th, adaptation, and inclusion

LEISURE

WELL-BEIN

G

I find enjoyment in m

y leisure experiences and they positively

impact other aspects

of my life

COG

NITIVE

WELL-BEIN

G

I think in a focused w

ay and learn eagerly

PHYSICA

LW

ELL-BEING

I do and act in my

daily life with vitality

and no barriers

SPIRITUA

LW

ELL-BEING

I live my life hopefully,

in harmony w

ith my

values and beliefs

SOCIA

LW

ELL-BEING

I relate well to others

and belong to valued social groups

PSYCHO

LOG

ICAL &

EM

OTIO

NA

LW

ELL-BEING

I feel happy and perceive I am

in control of m

y life

I experience a state of successful,

satisfying, and productive

engagement w

ith m

y life*

A Flourishing Life

* From the Leisure and W

ell-Being M

odel (Carruthers & H

ood, 2007; Hood &

Carruthers, 2007)

from Anderson, L., & Heyne, L. (2012)

Figure 1. Components of the Leisure and Well-Being Model

Enhancing Leisure Experience

•Savoring Leisure •Authentic Leisure •Leisure Gratifications •Mindful Leisure •Virtuous Leisure

Developing Resources

Psychological Resources •Capacity for Happiness •Emotion Regulation •Self-awareness/Self-acceptance /Self-

congruence •Autonomy/Self-Determination/Goal

Directedness •Competence •Optimism/Hope/Positive Illusions •Sense of Meaning

Social Resources •Communication Skills •Interpersonal Skills •Reciprocal Relationship Skills •Social Confidence

Cognitive Resources •Ability to Attend •Memory •Concentration •Goal Setting •Following Directions •Problem Solving

Physical Resources •Physical Health •Mobility •Physical Fitness •Energy

Environmental Resources •Social Connectedness & Social Networks •Community Engagement/Empowerment

Positive affect,

emotion, and experience

Cultivation and

expression of one’s full potential

Well-Being: a state of successful,

satisfying, and productive engagement with one’s life and the realization of one’s full physical, cognitive, and

social-emotional potential

Components of TR Service Delivery

Distal Goals Proximal and Medial Goals

Anderson & Heyne, 2012

Well-Being

LEISURE WELL-BEING I find enjoyment in my leisure experiences and they positively

impact other aspects of my life.

COGNITIVE WELL-BEING

I think in a focused way and learn eagerly.

PHYSICALWELL‐BEING I do and act in my daily life with vitality and no barriers.

PSYCHOLOGICAL& EMOTIONAL WELL‐BEING

I feel happy and perceive I am in control of my life.

SOCIALWELL‐BEING I relate well to others and belong to valued social groups.

SPIRITUAL WELL‐BEING

I live my life hopefully, in harmony with my values and beliefs.

*To access powerpoint slides and handout, use the QR Code above or use this web address: http://colfax.cortland.edu/nysirrc/links-articles-interest.html

Strengths-Based Therapeutic Recreation Assessment

INTERNAL STRENGTHS

EXTERNAL STRENGTHS

Assessment Source of Assessment Assessment Source of Assessment

Domain: Leisure Discover Your Passions Interview

McGill, J. (1996). Developing leisure identities. Toronto, ON: Leisurability Publications.

Recreation Inventory for Inclusive Participation

Schleien, S., Ray, T., & Green, F. (1997). Community recreation and people with disabilities: Strategies for inclusion. Baltimore, MD: Paul Brookes Publishing.

Strengths Discovery Assessment

Clark, H. (2007). Strengths Discovery Assessment Process for working with transition aged youth and young adults at http://www.fldoe.org

Inclusivity Assessment Tool

Inclusive Recreation Resource Center at www.inclusiverec.org

Ways of Savoring Checklist

Bryant, F., & Veroff, J. (2006). Savoring: A new model of positive experience. Mahwah, New Jersey: Lawrence Erlbaum Assoc. Inc.

Leisure Resource Asset Mapping

Anderson, L. & Heyne, L. (2012). Therapeutic recreation practice: A strengths approach. Venture Publishing.

Leisure Diagnostic Battery

Venture Publishing at www.venturepublish.com

Domain: Psychological/Emotional Positivity Test

Fredrickson, B. L. (2013) at www.positivityratio.com/single.php

Supports Intensity Scale

American Association for Intellectual and Developmental Disabilities. (2005, 2009). The Supports Intensity Scale. Washington, DC: AAID.

Domain: Cognitive Mindful Attention Awareness Scale

Brown, K., & Ryan, R. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822-848.

HOME Inventory Caldwell, B. M., & Bradley, R. H. (2003). Home Observation for Measurement of the Environment: Administration Manual. Tempe, AZ: Family & Human Dynamics Research Institute, Tempe, AZ: Arizona State U.

Domain: Social Home & Community Social Behavior Scale

Merrell, K., & Caldarella, P. (2008). Home and Community Social Behavior Scales (HCSBS). Baltimore, MD: Paul Brookes Publishing.

Circle of Friends

Falvey, M., Forest, M., Pearpoint, J., & Rosenberg, R. (1997). All my life’s a circle. Toronto, Ontario, Canada: Inclusion Press.

Domain: Physical Borg Rating of Perceived Exertion Scale

Borg, G. (1998). Borg’s Perceived Exertion and Pain Scales. Champaign, IL: Human Kinetics.

Walk Score® Walk Score® at www.walkscore.com

Domain: Spiritual VIA Strengths Assessment

Peterson, C., & Seligman, M. (2004) at http://www.viacharacter.org/www/

The HOPE Questions

Anandarajah, G., & Hight, E. (2001). Spirituality and medical practice: Using the HOPE questions as a practical tool for spiritual assessment. American Family Physician, 63(1), 81-89.

Global Outcomes of Well-Being and Quality of Life Assessment Source of Assessment

Satisfaction with Life Scale

Diener, E. (1984, 1993) at http://internal.psychology.illinois.edu/~ediener/SWLS.html

Subjective Happiness Scale Lyubomirsky, S. (2013) at http://sonjalyubomirsky.com/subjective-happiness-scale-shs/

Quality of Life Profile On-Line

University of Toronto at www.utoronto.ca/qol/profile/adultVersion.html

The Well Being Index (WBI)

Therapeutic Recreation Journal (manuscript by Dr. Jeff Witman et al. in revision)

http://www.positivityratio.com/single.php

Take two minutes to complete the Positivity Self Test now. Your score provides a snapshot of how your emotions of the past day combine to create your positivity ratio.

Instructions: How have you felt in the past day? Look back over the past day (i.e., from this time yesterday up to right now). Using the 0-4 scale below, indicate the greatest degree that you've experienced of each of the following feelings.

0 = Not at all

1 = A little bit

2 = Moderately

3 = Quite a bit

4 = Extremely

What is the most amused, fun-loving, or silly you felt?

What is the most angry, irritated, or annoyed you felt?

What is the most ashamed, humiliated, or disgraced you felt?

What is the most awe, wonder, or amazement you felt?

What is the most contemptuous, scornful, or disdainful you felt?

What is the most disgust, distaste, or revulsion you felt?

What is the most embarrassed, self-conscious, or blushing you felt?

What is the most grateful, appreciative, or thankful you felt?

What is the most guilty, repentant, or blameworthy you felt?

What is the most hate, distrust, or suspicion you felt?

What is the most hopeful, optimistic, or encouraged you felt?

What is the most inspired, uplifted, or elevated you felt?

What is the most interested, alert, or curious you felt?

What is the most joyful, glad, or happy you felt?

What is the most love, closeness, or trust you felt?

What is the most proud, confident, or self-assured you felt?

What is the most sad, downhearted, or unhappy you felt?

What is the most scared, fearful, or afraid you felt?

What is the most serene, content, or peaceful you felt?

What is the most stressed, nervous, or overwhelmed you felt?

Copyright Dr. Barbara Fredrickson 2009

Satisfaction with Life Scale

https://www.authentichappiness.sas.upenn.edu/questionnaires/satisfaction-life-scale Below are five statements that you may agree or disagree with. Using the 1 - 7 scale below, indicate your agreement with each item by placing the appropriate number on the line preceding that item. Please be open and honest in your responding.

• 7 - Strongly agree • 6 - Agree • 5 - Slightly agree • 4 - Neither agree nor disagree • 3 - Slightly disagree • 2 - Disagree • 1 - Strongly disagree

____ In most ways my life is close to my ideal.

____ The conditions of my life are excellent.

____ I am satisfied with my life.

____ So far I have gotten the important things I want in life.

____ If I could live my life over, I would change almost nothing.

31 - 35 Extremely satisfied 26 - 30 Satisfied 21 - 25 Slightly satisfied 20 Neutral 15 - 19 Slightly dissatisfied 10 - 14 Dissatisfied 5 - 9 Extremely dissatisfied

Permission to Use The scale is copyrighted but you are free to use it without permission or charge by all professionals (researchers and practitioners) as long as you give credit to the authors of the scale: Ed Diener, Robert A. Emmons, Randy J. Larsen and Sharon Griffin as noted in the 1985 article in the Journal of Personality Assessment. About SWLS The SWLS is a short 5-item instrument designed to measure global cognitive judgments of satisfaction with one's life. The scale usually requires only about one minute of a respondent's time.

196 The Well-Being Index

17    

Use  the  following  scale  to  indicate  your  level  of  agreement  with  the  statements  below:  

0  =  strongly  disagree      1  =  mildly  disagree      2=  unsure      3  =  mildly  agree      4  =  strongly  agree  

____A.  I  relate  well  to  others  

____B.  I  live  my  life  hopefully  

____C.  The  way  I  live  my  life  is  consistent  with  my  values  and  beliefs  

____D.  I  have  poor  health  

____E.  I  think  in  a  focused  way  

____F.  I  belong  to  social  groups  which  I  value  

____G.  I  learn  eagerly  

____H.  I  feel  controlled  by  others  

____I.  I  feel  happy  

____J.  I  am  optimistic  

____K.  My  leisure  experiences  positively  impact  other  areas  of  my  life  

____L.  I  have  trouble  solving  problems  

____M.  I  have  lots  of  energy  

____N.  I  do  not  have  a  sense  of  meaning  and  purpose  

____  O.  My  fitness  level  is  high  

____  P.  I  find  enjoyment  in  my  leisure  experiences  

____Q.I  don’t  often  get    to  do  what  I  enjoy  in  my  leisure  

____  R.I  don’t  have  friends  

Scoring:          Leisure:          K  +  P  =  ___  -­‐  Q  =  ___          Cognitive:          E  +  G  =  ___  -­‐  L  =  ___    

Physical:  M  +  O  =  ___  -­‐  D  =  ___          Spiritual:  B  +  C  =  ___  -­‐  N  =  ___  

Social:  A  +  F  =  ___  -­‐  R  =  ___              Psychological/Emotional:    I  +  J  =  ___  -­‐  H  =  ___  

1  =  The  WBI  was  developed  by  Jeff  Witman  from  the  content  of  the  Flourishing  Through  Leisure  Model  (Anderson  &  Heyne,  2012).  It  is  published  in  the  Therapeutic    Recreation  Journal,  Volume  48(2),  pp.        )  

 

Figure 1. Well-Being Index (WBI)1

1 The WBI was developed by Jeff Witman from the content of the Flourishing Through Leisure Model (Anderson & Heyne, 2012). It is published in the Therapeutic Recreation Journal, Volume 48(2), pp. 188–198.

What are Your Goals and Do They Contribute to Your Well-Being? Goals are a powerful influence on well-being. Here is an exercise to see how your own goals for yourself meet the criteria we discussed in this workshop. List your goals below. For each goal, decide which of the descriptors best fit it. The more your goals are intrinsic, authentic, approach-oriented, harmonious, activity-based, flexible, and appropriate, the more they will contribute to your overall happiness. Goal: Is this goal: __intrinsic __authentic __approach-oriented __harmonious __ activity-based _flexible/appropriate Goal: Is this goal: __intrinsic __authentic __approach-oriented __harmonious __ activity-based _flexible/appropriate Goal: Is this goal: __intrinsic __authentic __approach-oriented __harmonious __ activity-based _flexible/appropriate Goal: Is this goal: __intrinsic __authentic __approach-oriented __harmonious __ activity-based _flexible/appropriate Goal: Is this goal: __intrinsic __authentic __approach-oriented __harmonious __ activity-based _flexible/appropriate Thoughts?

Chapter 11–Implementation in Strengths-Based Therapeutic Recreation Practice • 331

Self-Assessment of Learning

ASSESS YOUR STRENGTHS-BASED PRACTICESGreen, McAllister, and Tarte (2004) developed the Strengths-Based Practice Inventory to help us assess our ability to implement the strengths approach in our services and programs with participants. Here are items adapted from the inventory that you can use to measure how well you are doing in putting the strengths-based approach into practice. Rate yourself from Strongly Agree (4) to Strongly Disagree (1). The higher your score, the more you are implementing the strengths approach (total possible points equals 64 points).

Empowerment Approach Strongly Agree

(4)

Agree

(3)

Disagree

(2)

StronglyDisagree

(1)

1. I help participants see strengths in themselves they didn’t know they had.

2. I help participants use their own skills and resources to reach goals.

3. I work together with participants to help them meet their needs.

4. I help participants see they are good at things.

5. I encourage participants to think about their own goals or dreams.

Cultural Competence

6. I encourage participants to learn about their own culture and history.

7. I respect participants’ cultural and/or religious beliefs.

8. I have materials for participants that positively reflect their cultural background.

Sensitivity and Knowledge

9. I know about other programs participants can use if they need them.

10. I give participants good information about where to go for services they need.

11. I understand when something is difficult for participants.

12. I support participants in the decisions they make about themselves.

Relationships and Support

13. I encourage participants to share their knowledge with others.

14. I provide opportunities for participants to get to know others in the community.

15. I encourage participants to go to friends and family for help and support.

16. I encourage participants to get involved in their community.

Strengths-Based Therapeutic Recreation Resources List Anderson, L., & Heyne, L. (2012a). Therapeutic recreation practice: A strengths approach. State College, PA: Venture Publishing, Inc. Anderson, L., & Heyne, L. (2012b). Flourishing through Leisure: An Ecological Extension to the Leisure and Well-Being Model in therapeutic

recreation strengths-based practice. Therapeutic Recreation Journal, 46(2), 129-152. Anderson, L., & Heyne, L. (2013). A strengths approach to assessment in therapeutic recreation: Tools for positive change. Therapeutic

Recreation Journal, 46(2), 89-108. Carruthers, C., & Hood C. (2004). The power of the positive: Leisure and well-being. Therapeutic Recreation Journal, 38(2), 225–245. Carruthers, C. & Hood, C. (2007). Building a life of meaning through therapeutic recreation: The Leisure and Well-Being Model, part I.

Therapeutic Recreation Journal, 41(4), 276-297. Carruthers, C., & Hood, C. (2011). Mindfulness and well-being: Implications for TR practice. Therapeutic Recreation Journal, 45(3), 171-189. Cohen, K. (2005). Complexity, content, and community coaching: A new method for collective decision-making. eReview of Tourism Research,

Conference Abstracts. Retrieved from http://ertr.tamuj.edu/index.cfm Deegan, P. (1988). Recovery: The lived experience of rehabilitation. Psychosocial Rehabilitation Journal, 11(4), 11-19. Fredrickson, B. L. (2001). The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions. American

Psychologist, 56(3), 218-226. Fredrickson, B. L. (2009). Positivity: Groundbreaking research reveals how to embrace the hidden strength of positive emotions, overcome

negativity, and thrive. New York: Crown Publishers. Fredrickson, B. L. (2013). Love 2.0: How our supreme emotion affects everything we feel, think, do and become. New York: Hudson Street Press. Heyne, L., & Anderson, L. (2012). Theories that support strengths-based practice in therapeutic recreation. Therapeutic Recreation Journal,

46(2), 106-128. Hood, C., & Carruthers, C. (2007). Enhancing leisure experience and developing resources: The Leisure and Well-Being Model, part II.

Therapeutic Recreation Journal, 41(4), 298-325. Jacobson, N., & Curtis, L. (2000). Recovery as policy in mental health services: Strategies emerging from the states. Psychosocial Rehabilitation

Journal, 13(2), 1-14. Koyama, T., McHaffie, J., Laurienti, P., & Coghill, R. (2005). The subjective experience of pain: Where expectations become reality. Proceedings

of the National Academy of Sciences, 102(36), 12950-12955. Lopez, S., & Snyder, C. (2003). Positive psychological assessment: A handbook of models and measures. Washington, D.C.: American

Psychological Association. Lyubomirsky, S. (2008). The how of happiness: A scientific approach to getting the life you want. New York: The Penguin Press. Lyubomirsky, S. (2013). The myths of happiness: What should make you happy, but doesn’t, what shouldn’t make you happy, but does. New York:

Penguin Press. Nussbaum, M. (2007). Frontiers of justice: Disability, nationality, species membership. Boston: Harvard University Press. Peterson, C., & Seligman, M. (2004). Character strengths and virtues: A handbook and classification. American Psychological Association. Rapp, C., & Goscha, R. (2006). The strengths model: Case management with people with psychiatric disabilities. New York: Oxford University

Press. Rock, D. (2006). Quiet leadership. New York: Harper Collins. Rock, D., & Schwartz, J. (2006). The neuroscience of leadership. Strategy + Business, 43(2), 1-10. Saleebey, D. (2006). The strengths perspective in social work practice (4th ed.). Boston, MA: Pearson Education, Inc. Schwartz, J., Stapp, H., & Beauregard, M. (2005). Quantum physics in neuroscience and psychology: A neurophysical model of mind-brain

interaction. Philosophical Transactions of the Royal Society B, 10, 1-19. Search Institute. (2013). What kids need: Building blocks for children and youth. Minneapolis, MN: Author. Retrieved from http://www.search-

institute.org/developmental-assets Seligman, M. (1998). Why therapy works. APA Monitor, 29(12), 1-2. Retrieved from http://www.apa.org/monitor Seligman, M. (2003). Foreword: The past and future of positive psychology. In C. Keyes & J. Haidt (Eds.), Flourishing: Positive psychology and

the life well-lived (pp. xi-xx). Washington, DC: American Psychological Association. Seligman, M. (2009). Positive Psychology Center, University of Pennsylvania. Retrieved from http://www.ppc.sas.upenn.edu/index.html Seligman, M. (2011). Flourish: A visionary new understanding of happiness and well-being. New York: Simon and Schuster. Utesch, W. (n.d.). From a glass half empty to a glass half full: A review of the transition from deficit to strength-based approaches. Fort Wayne, IN:

Foellinger Foundation. Witman, J., Jacob, S., Anderson, L, Heyne, L., & Malcarne, B. (2014). The Well-Being Index: A pilot project. Therapeutic Recreation Journal, 48(2),

188-198. World Health Organization. (2004). Joint position paper – Community-based rehabilitation: A strategy for rehabilitation, equalization of

opportunities, poverty reduction, and social inclusion of people with disabilities. Geneva, Switzerland: World Health Organization. Video and Other Links: Aimee Mullins, My 12 Pair of Legs: http://www.ted.com/talks/aimee_mullins_prosthetic_aesthetics Aimee Mullins, The Opportunity of Adversity: http://www.ted.com/talks/aimee_mullins_the_opportunity_of_adversity Bene Brown, The Power of Vulnerability: http://www.ted.com/talks/brene_brown_on_vulnerability Flame, the Band: http://www.flametheband.com/ Hilary Lister, Dream Trust: http://www.hilarylister.com/A96C9/Home.aspx