Grace Lebrecht

Intervention Protocol
Program Title: Coping for Quality of Life

Purpose: The purpose of the Coping for Quality of Life program is to teach patients healthy
coping mechanisms. The first step in learning to cope is to understand how stress and anxiety
directly affect the responses of the mind and body. Clients will learn to identify their personal
stressors and anxiety responses and develop techniques to cope with and change these
responses.

Description: The Coping for Quality of Life Program is designed for adults, ages 18-50 who have
been diagnosed with Post Traumatic Stress Disorder. The group process program is offered
once a week, in one hour sessions, for a 6-week time period. The first three weeks of the
program are dedicated to developing an understanding of the patients’ personal stressors and
anxiety triggers and their connection to the mind and body. The last three weeks will introduce
a diverse set of coping mechanisms and a follow-up plan to assist with compliance after the
program.

Approaches and Techniques:

· Psychoeducational sessions

· Body mapping

· Meditation

· Guided imagery
Outcomes:
 Clients will be able to identify 3 personal stressors, and one physical reaction to each
stressor, as facilitated by a recreational therapist, by the end of the program.
 Clients will be able to properly demonstrate box breathing for a minimum of 3 minutes
as facilitated by a recreational therapist, by the end of the six weeks.
 Clients will be able to list five sources of positive support in their lives, as facilitated by
the recreational therapist, by the end of the six week program.

Client Problems to be Addressed:

 Poor Mental Health
o Those with PTSD may experience depersonalization, derealization, depression,
and anxiety as well as other mental illnesses
o Flashbacks and/or dreams recalling the trauma are common
o Dissociative amnesia is possible
 Poor Social Health
o Those who suffer from PTSD are more likely to avoid social situations,
particularly those which resemble the situation from which their trauma arose
o Isolation is common not just from strangers but from close family and friends as
well
Grace Lebrecht
Intervention Protocol
 Maladaptive Coping Mechanisms
o Some turn to substance abuse in order to relieve the symptoms
o Anger, lashing out, and general lack of control or ability to express emotions may
occur

Interventions:

Referral Criteria:
 Voluntarily through self-referral
 Physician referral
 Inpatient team referrals

Contraindicated Criteria
 Be aware of individual stressors/triggers during psychoeducational sessions
 Clients reacting to personal stressors/triggers should be monitored more closely
 Clients with suicidal ideation may not be best suited for the program as it addresses
stressors/triggers
 If a client is sick, they should not attend the program

License/Certifications/Training:
 State licensure as a TRS or MTRS
 National certification as a CTRS
 Meditation training
 De-escalation training if a client is reacting to a stressor/trigger
 BLS
 Behavior Management Training

Risk Management
 Be aware of each client’s personal stressors/triggers and their reactions to them
 Know/understand how to de-escalate each client if they react to a stressor/trigger
 Account for materials before and after activity

Program Evaluation
 Each client will fill out a self-assessment at the beginning, three-week, and six-week
marks of the program. This assessment will allow the client to evaluate the effects the
program is having on their PTSD symptoms, and will demonstrate the efficacy of the
program.
 Each client will take a satisfaction survey at the end of the program. This will allow
clients to evaluate their overall satisfaction with the efficacy of the program, the way it
was run, and allow for suggestions for improvement.
Grace Lebrecht
Intervention Protocol

Signature

G. Lebrecht, License, Certification, (RT student)

October 9, 2019