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Therapeutic Recreation Written Plan of Operation
Vista Dimple Dell Treatment Center

Populations served: Female only facility
Depression / Dysthymia -Trauma
Disordered Eating -Attachment Issues
Substance Abuse -Non-verbal Learning Disorders
Self-harm Behaviors -Physical, Emotional, Sexual Abuse
Bipolar Disorder -Oppositional Defiant Disorder
Anxiety / Panic Disorder -Borderline Personality Traits
Description of Community: Vista is an all female health care based facility. The 16-bed
facility treats adolescent females, ages 13-18, with psychological challenges. They have
designed a comprehensive, fully- licensed transition program to create self-esteem and
positive self-identity. Vista treatment center is uniquely placed in Sandy, Utah in the
foothills of the Wasatch Mountain range providing a quiet, healing location for
rehabilitation. Their program is based largely around recreation therapy helping to
identify a positive sense of self. The daily schedule for the girls includes education,
individual therapy, group therapy, recreation, art class, journaling and body image work.
They are taught to lead an all-around healthy lifestyle with guidance in nutrition,
spirituality, hygiene and goal setting. The clinical staff includes nurses, dietary
academic and recreation therapists.
Mission Statement: Vista Treatment Centers have been helping adolescents overcome
psychological challenges for over 17 years. We are a program built on relationships of
trust and accountability. We care about your daughter because we know she has
tremendous potential, despite her current struggles. We judge our success by how well
we can help her reach that potential. We believe in the power to change because we see it
happen every day.
Recreational Therapy Program Statement of Purpose: Recreational Therapy employs
recreational based interventions designed to restore, remediate and rehabilitate a
persons level of functioning and independence in life activities, to promote health and
wellness as well as reduce or eliminate the activity limitations and restrictions to
participation in life situations caused by an illness or disabling condition (American
Therapeutic Recreation Association, 2009). The recreational therapy program provides
the necessary resources and interventions in order to meet the physical, social, emotional,
and cultural needs of the clients. Each individual client receives a specific treatment plan
to promote her specific needs. The RT program plays a key role in providing clients
resources to access after discharge from the facility.
Goal of the Program: Our goal of the program is to provide the highest level of
individualized treatment plans and interventions to fulfill the specific needs of the
patients.
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Scope of Care: Inpatient setting for Vista age and diagnoses criteria.
Administration of Program: The manager of the RT department will be a licensed
Therapeutic Recreation Specialist (TRS) or Master Therapeutic Recreation Specialist
(MTRS) and Certified Therapeutic Recreation Specialist (CTRS). The manager of RT
reports within the multidisciplinary team; this includes service directors, medical
directors, director of nursing, and managers of social work and psychology. The
Manager of RT is responsible for maintaining staff abilities according to the ATRA
standards of practice, and NCTRC Job Analysis.
Human Resource:
Staffing Ratio: 1-2 RT professional(s) to every 4-6 patients
Staff Development: Monthly staff meetings are held to review program
development, quality improvement, departmental goals, and staff development.
Continuous staff development opportunities are provided through the department
and by the larger RT community; such as URTA and ATRA.
Certifications/Licenses: Each recreational therapist will hold a current Utah State
license as a Therapeutic Recreation Specialist (TRS) or a Master Therapeutic
Recreation Specialist (MTRS) and will be certified by the National Council for
Therapeutic Recreation Certification (NCTRC) as a Certified Therapeutic
Recreation Specialist (CTRS) as specified in the job description. A Ropes Course
certified individual will be required for the specific intervention.
Professional Affiliation: Membership in professional organizations is highly
encouraged.
Ethics: All Recreational Therapists adhere to the ATRA Code of Ethics, which
are maintained in the department handbook.
Risk Management: All supplies will be ready before activity, and all supplies will be
accounted for after activity, transportation and liability insurance, all staff will follow
OSHA guidelines, check of equipment before and after use.
Patient to staff ratio: 1 RT : 10 Patients
Driving and vehicle procedures are under Vistas facility regulations
Program Description:
Assessment Process: The RT conducts an individualized assessment upon admission to
collect the systematic and comprehensive data needed to determine the placement of
patient into RT programs. This process is essential in providing the basis for an
individualized treatment plan.
Planning Process/Documentation: The RT plans and develops an individualized treatment
plan that identifies the goals and objectives along with intervention strategies. This is the
foundation and guideline for the implementation of a successful treatment program.
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Implementation of Services: RT implements individualized treatment plan using
appropriate intervention strategies that were addressed in goals and objectives. These
strategies are used to restore, remediate or rehabilitate patient to improve functioning and
independence and reduce or eliminate the effects of illness or disability.
Outdoor Recreation Activities/Challenge Adventure:
! Fly Fishing
! Snowboarding
! Mountain Biking
! Skiing
! Yoga
! Golfing
! Hiking
! Rock Climbing
! Snowshoeing
! Ropes Course
o Psych-education: Stress management and Coping.
o Leisure Education: Self-awareness/self-esteem, knowledge of resources,
social interaction skills.
Re-Assessment and Evaluation Process: RT systematically reassesses and evaluates the
patients progress relative to the individualized treatment plan. Treatment plan is revised
based upon changes in the interventions and diagnosis. These are essential elements in
the provision of efficient and effective treatment services. The evaluation process
provides the routine collection of formative and summative progress/discharge notes,
which allows RT to monitor patients response to treatment and progress and to make any
revisions necessary.
Discharge and Transition Planning: RT develops a discharge plan in collaboration with
treatment team and family members in order to continue appropriate treatment after
discharge from Vista. This is necessary for the overall treatment process and is addressed
from point of admission. This provides summarization of patients responses to treatment
and functional outcomes.
Recreation Services: Activities are provided to serve as distractions from the patients
daily schedule. The programs are designed to have comprehensive goals of social skills,
life satisfaction, leisure/recreation skills, relaxation, coping skills, and developing self-
identity.
Specific Program Design: Rock Climbing to Promote Positive Coping Skills.
General statement of purpose: To provide the clients insight into identifying,
developing, and utilizing positive coping skills for lifetime use.
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Description of Program: A recreation intervention that uses rock climbing as a
method for participants to gain insight into their current coping skills. Through
group processing, the clients will identify their individual coping skills and
discuss possible positive coping skills.
Client problems that may be addressed: Re-experiencing Trauma/flashbacks,
substance abuse, depression/bad thoughts
Referral criteria: Physician prescribed interventions
Contraindicated criteria:
o Suicide/ Self-harm watch
o Photosensitive medications
o Elopement risks
Staff training/certification requirements: One Staff member needed for every 10
clients. One staff member must have an AMGA SPI certification that ensures they
understand the techniques and skills needed to lead groups in high-risk rock
climbing adventures. All staff must have Crisis Intervention Certification.
Risk Management considerations:
o All supplies will be ready before activity, and all supplies will be
accounted for after activity.
o Transportation and liability insurance will be obtained through Vista.
o All staff will follow OSHA guidelines.
o Trained and certified rock climbing instructors, one per every 5 students
along.
o In class session introduction of basic rock climbing knowledge before
field sessions.
o Check of equipment before and after use.
o If rules are broken, clients are no longer allowed to participate in the
activity.
o Helmets are always worn at field location.
o As instruction progresses, clients must be checked off on skills before they
can go live.
Outcomes expected:
o Clients will identify at least one of their own personal coping skills.
o Clients will identify at least one positive coping skill that they can utilize
throughout their life and will demonstrate by the end of the activity.
o The client will be able to demonstrate knowledge of basic rock climbing
techniques.
o The client will have higher self-confidence during challenging activities
shown through pre and post testing and self-report.
Evaluation: RT program will be evaluated through reassessment and
observations/interviews; these are used to evaluate the effectiveness of the RT program.
Effectiveness will be determined through the comparison of the admission assessment
and the post-program assessment. Behavioral objectives will also be used as an
evaluation tool and measured based on if the individual overall goals were fulfilled.
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Resources:
Facility: Accommodating gym for recreation activities and Ropes Course
provided; facility is close to the Wasatch Mountain Range for outdoor
recreational activities/interventions.
Equipment/Supplies: All necessary equipment and supplies are provided by Vista
Treatment Center, if more are required, the RT manager will delegate funds to
obtain the necessary equipment/supplies.
Budget: RT department budget is determined by Vista, and the RT manager will
assign funds within the department.