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Department of Recreation Therapy, University of Utah

RECTH 5300-Management in Recreational Therapy

Instructor: Christina J. Coleman

National Ability Center (NAC)

May 3rd, 2022

Vanessa Keele: Program Design

Savannah Good: Program Management Plan

David Leon: Fiscal Management Plan

Katy Hancock: Human Resources Management Plan

Madison Pech: Marketing & Advocacy Plan


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Operations Manual
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CONTENTS
NATIONAL ABILITY CENTER (NAC) GENERAL INFORMATION............................................................................... 7
LOCATIONS ................................................................................................................................................................... 7
MISSION ...................................................................................................................................................................... 7
VALUES ........................................................................................................................................................................ 7
NATIONAL ABILITY CENTER (NAC) ORGANIZATIONAL CHART ............................................................................................... 8
GENERAL INFORMATION AND MANAGEMENT PLAN ......................................................................................... 9
NATIONAL ABILITY CENTER’S RECREATIONAL THERAPY DEPARTMENT ............................................................. 10
DEPARTMENT ORGANIZATIONAL CHART .......................................................................................................................... 10
DEPARTMENT MISSION STATEMENT ............................................................................................................................... 10
DEPARTMENT PRINCIPAL VALUES ................................................................................................................................... 10
DEPARTMENT GOALS.................................................................................................................................................... 10
INTERVENTION PROGRAMS............................................................................................................................ 11
CHALLENGE BY COURSE: ADAPTIVE CHALLENGE COURSE PROGRAM ..................................................................................... 11
Program Principles: ............................................................................................................................................ 11
Goals:.................................................................................................................................................................. 11
BOWS AND ARROWS: ADAPTIVE ARCHERY PROGRAM ....................................................................................................... 12
Program Principles: ............................................................................................................................................ 12
Goals:.................................................................................................................................................................. 12
ROCK STARS: ADAPTIVE ROCK-CLIMBING PROGRAM ......................................................................................................... 13
Program Principles: ............................................................................................................................................ 13
Goals:.................................................................................................................................................................. 13
Evidence-Based Practice Article for Therapeutic Benefits of Challenge Course Programming ...................... 14
PROGRAM MANAGEMENT PLAN .................................................................................................................... 17
THERAPEUTIC DOCUMENTATION PROCEDURES AND GUIDELINES ......................................................................................... 18
ASSESSMENT ............................................................................................................................................................... 18
ASSESSMENT TYPES...................................................................................................................................................... 18
Online Registration ............................................................................................................................................ 18
Phone Conversation ........................................................................................................................................... 18
Record Review .................................................................................................................................................... 19
Participant Profile Review ................................................................................................................................. 19
In-Person Assessment ........................................................................................................................................ 19
PROGRAM PLANNING ................................................................................................................................................... 19
Plan Implementation ......................................................................................................................................... 20
DOCUMENTATION........................................................................................................................................................ 20
Polices ................................................................................................................................................................. 20
EVALUATION ............................................................................................................................................................... 20
Formal Evaluation .............................................................................................................................................. 21
Evaluation Survey .............................................................................................................................................. 21
DISCHARGE AND TRANSITION PLANNING ......................................................................................................................... 22
Single Session ..................................................................................................................................................... 22
Standard Program.............................................................................................................................................. 22
ETHICAL CONDUCT ......................................................................................................................................... 24
ETHICAL CONDUCT ....................................................................................................................................................... 25
Procedures .......................................................................................................................................................... 25
CODE OF ETHICS .......................................................................................................................................................... 25
RISK MANAGEMENT PLAN.............................................................................................................................. 28
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RISK MANAGEMENT ..................................................................................................................................................... 29


PROGRAMMING .......................................................................................................................................................... 29
Challenge Course Risks ....................................................................................................................................... 29
Rock Climbing Risks ............................................................................................................................................ 29
Archery Risks ....................................................................................................................................................... 29
SUPPLIES .................................................................................................................................................................... 30
First Aid ............................................................................................................................................................... 30
Challenge Course ................................................................................................................................................ 30
Climbing Wall...................................................................................................................................................... 30
Archery................................................................................................................................................................ 30
EQUIPMENT ................................................................................................................................................................ 31
Challenge Course ................................................................................................................................................ 31
Climbing Wall...................................................................................................................................................... 31
Archery................................................................................................................................................................ 31
PATIENTS.................................................................................................................................................................... 32
Individual risk factors.......................................................................................................................................... 32
Behavioral risk factors ........................................................................................................................................ 32
Environmental risk factors .................................................................................................................................. 32
RISK MANAGEMENT GUIDELINES.................................................................................................................... 33
RISK MANAGEMENT GUIDELINE: FALL RISK PREVENTION ................................................................................................... 34
Procedures .......................................................................................................................................................... 34
Before Programming .......................................................................................................................................... 34
After Programming ............................................................................................................................................. 34
FALL PREVENTION CHECKLIST ......................................................................................................................................... 35
INFECTION CONTROL ..................................................................................................................................... 36
INFECTION CONTROL .................................................................................................................................................... 37
Procedures .......................................................................................................................................................... 37
Participant injuries ............................................................................................................................................. 37
Infection Control ................................................................................................................................................ 37
INCIDENT REPORT .......................................................................................................................................... 38
INCIDENT REPORT ........................................................................................................................................................ 39
PROCEDURE ................................................................................................................................................................ 39
QUALITY IMPROVEMENT................................................................................................................................ 41
QUALITY IMPROVEMENT ............................................................................................................................................... 42
Purpose ............................................................................................................................................................... 42
Risk Management............................................................................................................................................... 42
Infection Control ................................................................................................................................................. 42
Incident Report ................................................................................................................................................... 42
QUALITY INDICATORS ................................................................................................................................................... 42
PROGRAM EVALUATION AND RESEARCH ........................................................................................................ 43
PROGRAM EVALUATION AND RESEARCH .......................................................................................................................... 44
Participants ........................................................................................................................................................ 44
Staff .................................................................................................................................................................... 44
Program .............................................................................................................................................................. 45
PERSONNEL BUDGETS ................................................................................................................................................... 47
LINE-ITEM BUDGETS ..................................................................................................................................................... 51
Supplies Line-Item Budget ................................................................................................................................. 51
Equipment Line-Item Budget ............................................................................................................................. 52
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PROGRAMMATIC VOLUME BUDGET ................................................................................................................................ 53


CAPITAL ..................................................................................................................................................................... 55
REVENUE .................................................................................................................................................................... 57
RECREATIONAL THERAPY DEPARTMENT ......................................................................................................... 58
HUMAN RESOURCES MANAGEMENT PLAN ..................................................................................................... 58
RECREATIONAL THERAPY DEPARTMENTAL ORGANIZATIONAL CHART .................................................................................... 59
NATIONAL ABILITY CENTER JOB DESCRIPTIONS ................................................................................................................. 60
Job title: Recreational Therapy Coordinator ..................................................................................................... 60
Job title: Recreational Therapist (Full-Time) ..................................................................................................... 63
Job title: Recreational Therapist (Part-Time).................................................................................................... 65
Job Title: Volunteer Coordinator (Full Time: 40 hours)..................................................................................... 67
Volunteer............................................................................................................................................................ 69
RECREATIONAL THERAPY JOB COMPETENCIES:.................................................................................................................. 71
STAFF ORIENTATION POLICIES AND PROCEDURES ........................................................................................... 72
ORIENTATION POLICY ................................................................................................................................................... 73
ORIENTATION PROCEDURE ............................................................................................................................................ 73
STAFF DEVELOPMENT CALENDAR ................................................................................................................... 75
MARKETING & ADVOCACY PLAN .................................................................................................................... 90
OVERVIEW.................................................................................................................................................................. 91
PARTICIPANT NEEDS ..................................................................................................................................................... 91
MARKETING GOAL, OBJECTS, AND RESOURCES................................................................................................................. 92
MARKETING STRATEGIES............................................................................................................................................... 93
Internal Strategies ............................................................................................................................................. 93
External Strategies ............................................................................................................................................. 93
Client Strategies ................................................................................................................................................. 93
SPONSORSHIP LEVEL OPPORTUNITIES:............................................................................................................................. 94
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Comprehensive Program Design


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National Ability Center (NAC) General Information


The National Ability Center (NAC) empowers individuals of all abilities through building self-
esteem, confidence, and lifetime skills through sport, recreation, and leisure education.
Programming includes Adaptive Sports, Outdoor Adventures, and Community Training. Bringing
the community together through recreation breaks down the stigmas and barriers that prevent
community members from experiencing a full leisure lifestyle. The NAC is removing barriers for
recreation participation with programming 365 days of the year. The programs have been
designed with inclusion as a priority. Whether you are three or over 100, a beginner, an
accomplished athlete, or somewhere in-between, we welcome you, your family, and friends.

Locations
Park City: 1000 Ability Way, Park City, UT 84060
Moab: 610 Cermak St, Moab, UT 84532

Mission
The National Ability Center empowers individuals of all abilities to improve their quality of life
by building self-esteem, confidence, and lifetime skills through sport, recreation, and leisure
education.
Keywords: Empower, self-esteem, confidence

Values
National Ability Center (NAC) Organizational Chart
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The Recreational Therapy Department


General Information and Management Plan
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National Ability Center’s Recreational Therapy Department


Department Organizational Chart

Department Mission Statement


The Recreational Therapy Department of the National Ability Center embraces, celebrates, and
fosters inclusivity of all participants and all abilities. We aim to empower participants as they
build self-esteem, confidence, and lifetime skills through sports, recreation, and leisure
education.

Department Principal Values


Self-esteem Integrity
Confidence Empowerment
Independence Quality of life
Social Functional Skills Well-being
Emotional Functional Skills Innovation
Physical Functional Skills Resourcefulness
Self-efficacy Compassion
Resilience

Department Goals
• To identify and eliminate barriers impacting personal leisure involvement.
• To provide leisure education opportunities that support future leisure participation.
• To provide programs and resources for individuals of all abilities.
• To empower participants through sports, recreation, and leisure education programs.
• To increase independence, self-esteem, and confidence for participants of all abilities.
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Intervention Programs
Challenge by Course: Adaptive Challenge Course Program
Challenge by Course: Adaptive Challenge Course Program at the National Ability Center’s
challenge course presents an exciting opportunity for individuals of all abilities to join the fun
up in the sky. This program’s goal is to focus on individual empowerment all the while fostering
team building and group trust. Our challenge course program staff works with everyone to
identify and overcome barriers to provide the most authentic challenge course experience. Are
you ready to join us up in the bird’s nest and start having fun?

Program Principles:
• Trust
• Teamwork
• Communication
• Empowerment
• Resilience
Goals:
• To empower individuals through problem solving and teamwork to overcome leisure
barriers.
• To facilitate group discussion that to further develop the conversation on an individual’s
trust in self and in others.
• To promote a compassionate, encouraging, and supportive environment that empowers
individuals as they build confidence in their selves and their abilities.
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Bows and Arrows: Adaptive Archery Program


Adaptive Archery Program will provide an environment in which the participant can learn focus,
concentration, and control while engaging in archery as a possible new leisure activity or
further advance previous skills. Our instructors have a wealth of expertise and training to make
archery adaptive, whether you use a power wheelchair, have low vision/blindness, or use your
teeth to shoot the bow. Our instructor’s goal for every archer is to provide individualized
support to encourage the greatest amount of independent engagement as possible. This
program is identified as an adaptive program, but friends and family are welcome to join in on
the fun as well!

Program Principles:
• Resilience
• Innovation
• Resourcefulness
• Self-efficacy
• Independence
Goals:
• To improve skills and abilities that are used to increase leisure participation.
• To provide education on physical, mental, social, and emotional well-being.
• To increase level of independence across functional abilities.
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Rock Stars: Adaptive Rock-Climbing Program


Rock Stars: Adaptive Rock-Climbing Program provides a unique fitness opportunity to
individuals of all abilities. The National Ability Center’s indoor rock-climbers will be challenged
both physically and mentally. Climbers may find new active problem-solving skills focusing on
self-awareness in leisure participation. Our professional guides are well-versed with adaptive
techniques and equipment, so whether you want to boulder close to the ground or conquer a
new route to the top, they will ensure a safe, yet challenging experience.

Program Principles:
• Confidence
• Independence
• Empowerment
• Physical functioning skills
• Resilience
Goals:
• To guide, support, and encourage participants in navigating challenging recreational
opportunities.
• To develop trust and self-awareness in self, others, and in their relationship to
recreation and leisure.
• To provide recreational and leisure services that improve mental and physical
endurance levels and to encourage physical activity and fitness
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Evidence-Based Practice Article for Therapeutic Benefits of Challenge Course Programming

Impact of One-Day Adventure-Based Experiential Learning (AEL) Programme on Life


Effectiveness Skills of Adult Learners

Bloemhoff. (2016). Impact of one-day adventure-based experiential learning (AEL) programme


on life effectiveness skills of adult learners. S.A. Journal for Research in Sport Physical
Education and Recreation, 38(2), 27–35. ISBN: 0379-9069

Article Link: IMPACT OF ONE-DAY ADVENTURE-BASED EXPERIENTIAL.pdf

This study examined the effectiveness and influence of how just one day on a ropes
course can influence life proficiency. Experiential learning is one of the strongest and most
enduring learning theories, which informs on learning by doing. In this study, Experiential
Learning was demonstrated by the participants' engagement in the ropes course. The
researchers measured the following eight outcomes: active initiative, emotional control,
intellectual flexibility, self-confidence, social competence, task leadership, and time
management. The results suggest significance through time management, social competence,
intellectual flexibility, and emotional control. The National Ability Center (NAC)’s Challenge by
Course program aligns with this research which demonstrates the benefits this intervention
provides participants. The outcomes from this study further support the NAC’s Mission
including social competence, intellectual flexibility, and emotion regulation which all assist in
improving quality of life. Individuals with disabilities typically do not have access to
interventions like this due to physical limitations. With the NAC’s all-inclusive challenge course
program, individuals of all abilities are able to receive the benefits that are produced from this
program.
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Getting Roped In: Group Cohesion, Trust, and Efficacy Following a Ropes Course Intervention

Eatough, E., Chang, C.-H., & Hall, N. (2015). Getting Roped In: Group Cohesion, Trust, and
Efficacy Following a Ropes Course Intervention. Performance Improvement Quarterly,
28(2), 65–89. https://doi.org/10.1002/piq.21183

Article Link: Getting Roped In - Group Cohesion, Trust, and Efficacy Following a Ropes Course
Intervention.pdf

Eatough and colleagues examined the effects of a challenge course intervention across
samples of three working environmental populations, which included 1) reserve military corps,
2) healthcare employees (non-military), and 3) utility company employees (2015). The
researchers utilized self-report questionnaires completed by participants before and after the
challenge course intervention to measure participants’ perceived stress, group cohesion, group
member trust, group-efficacy, and self-efficacy. Participation in the challenge course
intervention induced acute stress, which facilitated the opportunity for all participants to
significantly increase group cohesion, group member trust, group-efficacy, and self-efficacy.
Additional benefits observed from the challenge course intervention included increased
identification with the group, improved performance, positive organizational outcomes,
increased citizenship behavior, and favorable attitudes. Therefore, this research study aligns
with the mission, goals, vision, and principles of the National Ability Center by demonstrating
the psychosocial benefits of challenge course interventions for participants. This challenge
course intervention study also demonstrates the appropriateness for a variety of populations,
including individuals serving in the military, which is relevant to the inclusive populations that
the NAC serves.
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Participation of Divorced Single Parents and their Children in Outdoor Activities to Improve
Attitudes and Relationships

Kriel. (2016). Participation of divorced single parents and their children in outdoor activities to
improve attitudes and relationships. S.A. Journal for Research in Sports Physical
Education and Recreation, 38(3), 69–79.

Article Link: PARTICIPATION OF DIVORCED SINGLE PARENTS AND THEIR CHILDREN IN OUTDOOR
ACTIVITES TO IMPROVE ATTITIDUES AND RELATIONSHIPS.pdf

This study explored the impacts of outdoor adventures which include hiking, equestrian,
mountain biking, and a high ropes course. The research specifically examined divorced families
facing challenges in relationships. The results of this study demonstrated that through
participation in the outdoor adventure programs, all family members experienced improved
self-esteem, increased motivation, better communication skills, enhanced problem-solving
abilities, as well as deepened trust and respect for one another. Recognizing that the families in
this study were experiencing a tumultuous period, this research determined that participation
in these specific adventure programs observed a significant increase in the family dynamic
strength. Individuals of all abilities experience struggles similar to the families in this study and
can benefit from the improvement of inter and intrapersonal skills which include self-esteem,
motivation, communication, problem-solving, trust, and respect.
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The Recreational Therapy Department


Program Management Plan
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SECTION: Recreational Therapy Department
SUBJECT: Documentation Guidelines

Therapeutic Documentation Procedures and Guidelines


The Recreational Therapy Department of the National Ability Center adheres to the American
Therapeutic Recreation Association (ATRA) standards of practice; to ensure that all participants
are receiving the best service. The ATRA standards of practice emphasize the Recreational
Therapy Process. The Recreational Therapy Process utilizes assessments, planning,
implementation, documentation, and evaluation.

Assessment
The Recreational Therapy Department of the National Ability Center (NAC) facilitates numerous
programs. The assessments will collect relevant information about each participant to ensure
safety and allow for individualized services. The department utilizes several different forms of
assessments to ensure all necessary information is gathered prior to participation. These
assessments gather important considerations of what may impact a participant’s involvement
in programming. All assessment data is collected and documented within the participants
profile and is continuously updated throughout the participant’s enrollment.

Assessment Types
Online Registration
Online registration is the first step in assessment of participants. All participants are required to
complete online registration at least 72 hours prior to engagement in the program. During the
online registration process, all participants will be provided with a Program Participant
Information Form. This online form will ask participants about potential accommodation needs
and program contraindications. Additionally, the online form will gather information on the
participants’ independence related to the level of support required by staff, individual support
system, noting any potential risks. This ensures appropriate safety measures can be taken prior
to programming.

Phone Conversation
All online registration documents are reviewed by the Recreational Therapy Department
manager and staff prior to the phone conservation with the participant. Within 24 – 48 hours
after registration, participants will receive a phone call from a department staff member. This
phone call is utilized to clarify any information that was shared in their registration and obtains
greater insight on the participant and their support system. This ensures appropriate
programming is provided.

PREPARED BY: EFFECTIVE DATE: REVISION DATE: PAGE:


S. Good March 3, 2022 March 3, 2023
APPROVED BY: 1 OF 5
C. Coleman
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SECTION: Recreational Therapy Department
SUBJECT: Documentation Guidelines

Record Review
A record review will be conducted by the Recreational Therapist (RT) 24 – 72 hours prior to
each program session to ensure that the RT is aware of the most current participant
information. The information gathered will include the participant’s functional domains
(physical, cognitive, social, behavioral, emotional, and spiritual) as well as barriers to leisure
participation (e.g., participant’s level of independence, contraindications to specific programs,
equipment needed for participation, participant risk factors, and personal leisure interests and
goals).

Participant Profile Review


A profile review of enrolled participants will be conducted by the Recreational Therapist (RT) 24
– 72 hours prior to each programming session. The review assists the RT to ensure they are
provided with most current information on participants and assist in navigation of further
assessments to be carried out. This review will include addressing participants’ individualized
needs, level of independence and to address any changes that may have occurred since
previous participation in a program.

In-Person Assessment
During the program session, the Recreational Therapist (RT) will gather information through an
in-person assessment. This occurs through observations of conversations and interactions
between the RT with the participant and their interactions with others. This ensures that the
participant will receive the appropriate and individualized programming that will best serve
them.

Program Planning
The program plan consists of goals and objectives of the participant in relation to the
programming they are participating in. The goals of the participant are created based on the
information gathered from the assessment process and the participant's desired outcomes.
Additionally, the participant goals are created in collaboration with the participant and the
recreational therapist to allow for the self-efficacy of the participant. A minimum of two goals
will be created and must be specific to the program in which the participant is registered for.
Then, the goals will be broken down into two or three objectives that define the condition
under which the desired behavior is to occur, the specific behavior that is desired, and the
criteria to measure this behavior. Once the participant’s program plan is completed, it will be
kept on the participant’s profile stored within the Recreational Therapy Department. The

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SECTION: Recreational Therapy Department
SUBJECT: Documentation Guidelines

program plan will be modified as needed, which is dependent upon participant progress, lack of
progress, or regression.

Plan Implementation
Recreational therapists will utilize the aforementioned assessment and program plan
procedures to implement specific programming for participants. The National Ability Center’s
programs have foundations in evidence-based practice to address participant goals. Fulfillment
of these goals will facilitate improvement in participant quality of life.

The NAC will measure participant engagement in programming through:


• Continuous observation and notation of participants by staff.
• Measure participation towards individualized goals and objectives.
• Evaluation, modification, and/or discontinuation of programs depending on needs of
participant.

Documentation
Documentation will provide accountability and verify the Recreational Therapy Process is
applied with programming. Documentation will note the participant’s response to the program
in relation to their goals and objectives through a progress note in the participant’s profile.

Polices
The Recreational Therapy Department documentation policies are:

• Progress notes competed within 24 hours of the program


• Progress notes will be in narrative format containing the following information:
o Relevant information spoken by the participant
o Relevant information observed by the Recreational Therapist
o Assessment of participation within the program
o Progress toward goals and objectives
Evaluation
The Recreational Therapist (RT) will provide participants with a survey after the completion of
the program to gain insight to improve programming. The RT will be expected to review the
evaluations and adjust their programming accordingly. This ensures that the participants are
receiving the best services to algin with their goals.

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SECTION: Recreational Therapy Department
SUBJECT: Documentation Guidelines

Formal Evaluation
• The formal evaluation is to understand the experience of the participant and is
administered electronically.
• Formal evaluation is sent via email or completed onsite via iPad after the completion of
the program. Assistance to complete the evaluations is available onsite as needed.
• This information is compiled into an evaluation folder and reviewed by the department
staff.
Evaluation Survey
This survey would be available to participants after each program they participate in to gather
feedback on their experience. This step is critical for the Recreational Therapy Department to
understand what areas to improve upon to provide the best quality services.
Survey Form:
• Name of participant
• Date of evaluation
• What program(s) did you participate in?
• Identify any staff that was a part of your program
o A list of staff and/or pictures are provided
• Identify any staff that was the most supportive or helpful during your program (if
applicable)
o A list of staff and/or pictures are provided
• Did you have a goal you wanted to meet by participating in this program? (yes/no)
• If yes, what goal(s) were you wanting to meet by participating in this program?
o Do you feel like you were able to meet your goal(s) by participating in this
program? (yes/no, why?)
o Do you feel like you were able to work towards your goal(s) by participating in
this program? (yes/no, why?)
The following section is specifically about your thoughts on this program:
• How was your time in the program?
o What went well?
o What did you enjoy the most?
o What did you enjoy the least?
o What could be improved on?
o Was there anything you were disappointed with?

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SECTION: Recreational Therapy Department
SUBJECT: Documentation Guidelines

o
• Additional comments

Discharge and Transition Planning


Due to the high standards of the National Ability Center, the Recreational Therapy Department
utilizes the process of assessment, planning, implementation, documentation, and evaluation.
This process ensures that participants receive the highest quality of services. The National
Ability Center follows a discharge and transition plan to uphold the Recreational Therapy
Process.
Single Session
A single session is a one-time session with a participant.
• Participants are to be discharged after every single session with completed discharge
documentation.
o At the end of each session, all participants are to receive program completion
summative documentation for discharge. The summative documentation will
provide information for the next session to improve their future participation.
o Documentation in a narrative note will be completed within 24 hours of every
session and kept on file via google drive. All participant profiles are kept on in the
NAC google drive system to ensure retrieval of previous participant information
upon a participants return.
▪ If a participant returns within six months of their last session, they will be
provided a re-assessment prior to the next session utilizing their
participant profile.
▪ If a participant returns after six months or more from their last session,
they will be provided with a new assessment and participant profile.
• All participants will be provided with relevant information and resources to encourage
continued leisure engagement.
• After participants finish the session, a discharge documentation summary is given to the
participant and family members as needed.
Standard Program
A standard program consists of an established number of sessions for a set number of weeks, as
agreed upon by the participant and the staff.
• Participants are to be discharged from the NAC system after completion of the standard
program with completed discharge documentation.
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SECTION: Recreational Therapy Department
SUBJECT: Documentation Guidelines

o All participants engaged in a standard program will receive progress notes at the
end of each session.
o Tasks might be assigned to the participant to complete before the next session
to support completion of their goals and objectives.
o Documentation will be done after every session and stored in a google drive
folder in case the participant decides to return for re-assessment prior to next
program.
• After participants finish the program, a discharge documentation summary is given to
the participant and family members as needed.

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Ethical Conduct
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SECTION: Recreational Therapy Department
SUBJECT: Ethical Conduct

Ethical Conduct
The National Ability Center (NAC) maintains a high standard of ethical conduct as an
organization and consequently requires that all staff meet and uphold the same high standards.
By following the Code of Ethics established by the American Therapeutic Recreation Association
(ATRA), the NAC ensures the foundation and maintenance of a safe, valuable and therapeutic
environment and experience for our participants, which aligns with the mission and values of
the NAC.

Procedures
The NAC will uphold the ATRA Code of Ethics through the procedures outlined below:
• Once a staff member is hired, they will be presented with the ATRA Code of Ethics.
• All staff members are expected to adhere to every principle listed in the ATRA Code of
Ethics.
• Training is provided monthly to staff to maintain knowledge and understand of the
ATRA Code of Ethics.
• Each staff member is expected to report to the Recreational Therapy Coordinator if they
are aware that another staff member is not adhering to the code.
• If an ATRA Code of Ethic principle is not upheld or adhered to the staff member will
meet with Recreational Therapy Coordinator to establish a plan of action to address the
issue(s).
o If the staff member fails to meet with the Recreational Therapy Coordinator or
fails to follow the ATRA Code of Ethics after creating the plan of action,
disciplinary action will follow which may result in termination.
Code of Ethics
PRINCIPLE 1: BENEFICENCE
Recreational Therapy personnel shall treat persons served in an ethical manner by actively
making efforts to provide for their well-being by maximizing possible benefits and relieving,
lessening, or minimizing possible harm.

PRINCIPLE 2: NON-MALEFICENCE
Recreational Therapy personnel have an obligation to use their knowledge, skills, abilities, and
judgment to help persons while respecting their decisions and protecting them from harm.

PRINCIPLE 3: AUTONOMY
Recreational Therapy personnel have a duty to preserve and protect the right of each individual
to make his/her own choices. Each individual is to be given the opportunity to determine
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SECTION: Recreational Therapy Department
SUBJECT: Ethical Conduct

his/her own course of action in accordance with a plan freely chosen. In the case of individuals
who are unable to exercise autonomy with regard to their care, recreational therapy personnel
have the duty to respect the decisions of their qualified legal representative.

PRINCIPLE 4: JUSTICE
Recreational Therapy personnel are responsible for ensuring that individuals are served fairly
and that there is equity in the distribution of services. Individuals should receive services
without regard to race, color, creed, gender, sexual orientation, age, disease/disability, social
and financial status.

PRINCIPLE 5: FIDELITY
Recreational Therapy personnel have an obligation, first and foremost, to be loyal, faithful, and
meet commitments made to persons receiving services. In addition, Recreational Therapy
personnel have a secondary obligation to colleagues, agencies, and the profession.

PRINCIPLE 6: VERACITY
Recreational Therapy personnel shall be truthful and honest. Deception, by being dishonest or
omitting what is true, should always be avoided.

PRINCIPLE 7: INFORMED CONSENT


Recreational Therapy personnel should provide services characterized by mutual respect and
shared decision making. These personnel are responsible for providing everyone receiving
service with information regarding the services, benefits, outcomes, length of treatment,
expected activities, risk and limitations, including the professional’s training and credentials.
Informed consent is obtained when information needed to make a reasoned decision is
provided by the professional to competent persons seeking services who then decide whether
to accept the treatment.

PRINCIPLE 8: CONFIDENTIALITY & PRIVACY


Recreational Therapy personnel have a duty to disclose all relevant information to persons
seeking services: they also have a corresponding duty not to disclose private information to
third parties. If a situation arises that requires disclosure of confidential information about an
individual (i.e.: to protect the individual’s welfare or the interest of others) the professional has
the responsibility to inform the individual served of the circumstances.

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PRINCIPLE 9: COMPETENCE
Recreational Therapy personnel have the responsibility to maintain and improve their
knowledge related to the profession and demonstrate current, competent practice to persons
served. In addition, personnel have an obligation to maintain their credential.

PRINCIPLE 10: COMPLIANCE WITH LAWS AND REGULATIONS


Recreational Therapy personnel are responsible for complying with local, state and federal
laws, regulations and ATRA policies governing the profession of Recreational Therapy.

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Risk Management Plan


29
SECTION: Recreational Therapy Department
SUBJECT: Risk Management Plan

Risk Management
The National Ability Center’s risk management plan is designed to reduce the risk of potential
occurrence(s) of preventable injuries associated with program participation, supplies, and
equipment.

Programming
Challenge Course Risks
• Fall risks from high elevations
• Injury from cuts, bruises, and abrasions
• Muscle/tendon strain
• Rope burn
• Injury from equipment or other debris falling
• Presence, behaviors, or falls from other participants
• Outdoor elements (weather, temperature, insects)
Rock Climbing Risks
• Falls risks from high elevations
• Injury from cuts, bruises, and abrasions
• Muscle/tendon strain
• Rope burn
• Injury from equipment or other debris falling
• Presence, behaviors, or falls from other participant
Archery Risks
• Fall risks from uneven ground
• Puncture/tear wounds from arrows
• Eye injuries or fiberglass splinters
• Impalement while removing arrows from target
• Bruising from bow string
• Equipment failure

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SECTION: Recreational Therapy Department
SUBJECT: Risk Management Plan

Supplies
First Aid
• Antiseptic wipes
• Antibiotic ointment • Tape • Blood compressor
• Burn dressing • Bandage gauze • Eye dressing
• Burn relief gel • Band-Aid 1”x3” • Gloves S, M, L
• Sting relief gel • Knuckle band-aid • Ice packs
• Hydrocortisone • Finger band-aid • Emergency blanket
• Eye wash • Patch band-aid • AED pads
• Gauze 2”x2” • Wound closure pediatric/adult
• Gauze 4”x4” • Triangle bandage

Challenge Course
• Climbing gloves • Insect repellent • Paper towels
• Socks (for • Single-use cups • P-cord
participant • Hand sanitizer • Electrical tape
resources) • Disinfectant spray • O-shaped screw
• Sunscreen • Cloth rags

Climbing Wall
• Climbing Shoes for • Individual chalk • Hardware for hand
participant bags and footholds
resources • Climbing tape • Additional hand
• Chalk and foothold

Archery
• Paper targets
• Hay bales
• Arrows
• Gloves
• XL poly-spots

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SECTION: Recreational Therapy Department
SUBJECT: Risk Management Plan

Equipment
Challenge Course
• Ropes • Cables • Serving sleeves
• Belay devices • Cable clamps • Staples
• Lobster claws • Cable grabs • Ladders
• Carabiners • First grips • Ladder straps
• Harnesses • Guy Anchors • Poles
• Helmets • Rapid link • Trolleys
Climbing Wall
• Climbing wall • Ropes • Helmets
• Crash mat • Belay devices
• Hand and foot • Carabiners
holds • Harness

Archery
• Bows
• Quivers
• Targets
• Chest guards
• Arm guards

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SECTION: Recreational Therapy Department
SUBJECT: Risk Management Plan

Patients
Individual risk factors
• Limited range of motion
• Impaired walking patterns
• Impaired balance
• Visual impairment
• Reduced muscle balance
• Poor reaction time
• Use of medications specifically
o Benzodiazepines
o Antidepressants
o Anti-psychotics
o Psychoactive

Behavioral risk factors


• History of falls
• Fear of falling
• Risk taking behavior
• Poor nutrition/hydration
• Lack of physical
• activity
• Clothing concerns
• Misuse of assistive devices

Environmental risk factors


• Uneven ground
• Clutter or loose items
• Lack of stair railings
• Poor lighting (dim lighting or glare)
• Obstructed walkways

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Risk Management Guidelines


34
SECTION: Recreational Therapy Department
SUBJECT: Risk Management Guideline: Fall Risk Prevention

Risk Management Guideline: Fall Risk Prevention


Procedures
Due to the inherent risks of the activities in the programming of the National Ability Center
(NAC) and the vulnerability of the populations served; risk management is critical to ensure safe
practices are being upheld. The Recreational Therapist will utilize the following guidelines to
identify and minimize potential fall risks and incidents. These guidelines will be addressed
before and after each program.

Before Programming
• Remove any loose items or hazards from walkways and high-traffic areas.
• Identify and mark uneven ground with signs to inform participants of these areas.
• Remove or secure loose rugs/mats with tape, tacks, or a slip-resistant backing.
• Immediately clean spilled liquids or foods.
• Ensure space has adequate lighting.
• Ensure that all participants are wearing the proper footwear and appropriate clothing. If
not, provide them with extra or lost-and-found shoes.
After Programming
• Ensure that all equipment is wiped down.
• Ensure that all equipment and supplies are accounted for and put away (including
shoes, if borrowed by participant(s)).
• Record notes of any potential risks that were noticed.
• Record notes for participants.

All equipment and supplies will be prepared and accounted for by the Recreational Therapist or
appropriately trained staff of the National Ability Center (NAC). This process will take place
prior to and following the completion of each session or program. Staff will thoroughly inspect
all equipment and supplies before and after use to maintain quality standards. The NAC staff or
Recreational Therapists will utilize the equipment/supplies checklist (see page 34).

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Fall Prevention Checklist

Pre- Post- Check-


Staff Check- # Of # Of Item
Date Group Group Out
Name In Time Items Items Quality
Items Items Time

There should also be a footer that extends here


36

Infection Control
37
SECTION: Recreational Therapy Department
SUBJECT: Program Management-Infection Control

Infection Control
Procedures
Infection control is designed to maintain the health and safety for participants and staff. These
procedures ensure adherence to state and county regulations and compliance guidelines.

Participant injuries
The Recreational Therapist is responsible for ensuring the safety of all participants during
programming to reduce potential risk of injury by maintaining appropriate staff-participant
ratio.

Infection Control
• The Recreational Therapy staff and supporting volunteers will ensure a clean
environment for all participants by following the CDC guidelines listed below. Equipment
will be disinfected between each use and each participant will receive their own baggie
of chalk.
CDC Covid-19 Precautions
• Get vaccinated and stay up to date on your COVID-19 vaccines.
• Wear a well-fitted mask to help protect yourself and others.
• Avoid crowds and poorly ventilated indoor spaces.
• Test to prevent spread to others.
• Stay 6 feet apart from others who don’t live with you.
• Wash your hands often with soap and water. Use hand sanitizer if soap and water
aren’t available.

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Incident Report
39
SECTION: Recreational Therapy Department
SUBJECT: Program Management-Incident Report

Incident Report
All staff at the National Ability Center (NAC) are to complete an incident report after any
situation where an accident or near accident has occurred during any of the programming in
which a participant is involved. This policy is upheld and provided training for all staff in the
Recreational Therapy Department. The Recreational Therapist (RT) appointed as lead of the
program will follow-up with the incident and staff completing the incident report. The lead RT
will also report the incident and completion of the incident report to all relevant parties.
The National Ability Center considers an incident to be any event that negatively impacts
participants or staff in the form of physical injury. The event is to be documented and an
incident report is to be completed and turned in to the Recreational Therapy Supervisor.

Procedure
The incident report is to be completed within 24 hours of the incident occurring. It is necessary
for every section of the incident report is to be completed. If information is unknown, it must
specify why. If the incident report section is not relevant to the individual the incident is
regarding, please note N/A in the box.

Staff incident reports will be directed to Human Resources to complete the Staff Incident
Reporting Form. Staff do not fill out the form below, this is for participants only.

• The lead Recreational Therapist and the staff member who completed the incident
report will notify the Department Manager of the incident. Then the most senior staff
member will contact and notify the family of the reported incident, as well as the risk
management director.
• The NAC Staff member who witnessed the event in which the incident occurred, is to fill
out the incident report.
o In the instance that there are primary and secondary staff members who
observed an incident, notation of primary or secondary observation should be
stated as directed below.
▪ If it is a primary observation, that staff member should fill out the
incident report and complete an incident reporting notation.
▪ If it is a secondary observation, that staff member who witnessed the
event should be noted on the incident report as a witness. The secondary
observer(s) should complete an incident report form as well. The
secondary observer(s) should also report the incident to the highest-
ranking staff member at the program location.
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SECTION: Recreational Therapy Department
SUBJECT: Program Management-Incident Report

Incident report
Incident Report
1.Name and Department
of staff member
completing incident
report
2. Participant full name

3. Participant information 3a. Age 3b. Diagnosis 3c. Primary Care


Provider
3d. Allergies 3e.Emergency 3f. Current Medications 3g. Other
Contact
4. Date of incident 5. Time of incident
occurrence occurrence
6. Location of the incident

7. What was happening


when the incident
occurred?
8. Description of incident
that occurred
9. Action taken following
immediately after incident
10. Were there any Yes or No 11. Names and contact
witnesses? (please circle information of witness
one) for statements

12a. Secondary witness


description of incident
(staff)
12b. Secondary witness
description of incident
(non-staff)
13. Who was notified?
Signature, Credential,
date
Print name
41

Quality Improvement
42
SECTION: Recreational Therapy Department
SUBJECT: Program Management-Quality Improvement

Quality Improvement
Purpose
Quality improvement is an ongoing process which continuously improves the quality of the
program(s). The National Ability Center (NAC) utilizes evaluation to gather participant feedback
and incorporate program improvements. The NAC also includes improvement through Risk
Management, Infection Control, and Emergency Codes.
• Staff will utilize the Recreational Therapy Process in a timely and correct order as
described in Standards 1-5. Modifications associated with the Recreational Therapy
Process will be made as needed.
• Feedback from internal (staff feedback) and external sources (participant surveys)
should be considered when modifying programs, for long-term or short-term situations.
Emergency codes
Emergency codes are used to communicate safety information effectively. Below are the code
color, name, and description.

Color Code Name Description


Code Pink Infant/Child Abduction
Code Orange Hazardous Material/Spill Incident
Code Silver Active Threat
Code Violet Violent/Combative Individual
Code Yellow Natural Disaster
Code White Evacuate Building
Code Green Emergency Activation/ call 911
Code Red Fire
Code Blue Medical Emergency

Risk Management: See Risk Management Plan and Specific Risk Management Guideline
Infection Control: See Infection Control Risk Management Plan
Incident Report: See Incident Report Risk Management Plan

Quality Indicators
• Diagnostic • Clothing Concerns • Participant Survey
Protocols • Participant Safety • Record-Review
• Assessment • Efficient use of
Protocols Resources
• Intervention • Inventory
Protocols • Inspections

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Program Evaluation and Research


44
SECTION: Recreational Therapy Department
SUBJECT: Program Management-Program Evaluation and Research

Program Evaluation and Research


The National Ability Center (NAC) believes in the development and improvement of
programming through the evaluation process. Continuous program evaluations and
incorporation of current research is essential to maintain and further best practices to the
participants served.

The NAC adheres to the Recreational Therapy Process to ensure best practices in programming.
The evaluation aspect of this process consists of evaluation of programming from the
participants to identify areas of improvement and recognize existing quality. The NAC analyzes
those results to implement feedback and to continue to maintain and improve the quality
programming.

The Recreational Therapy Department and Recreational Therapy Staff will utilize multiple
measurements and methods to accurately evaluate the quality of all programs through:

Participants
• Participant Survey: online or via iPad
• Environment: sense of safety
o physical, emotional, and psychological
• Engagement: level of engagement of participants throughout programming,
interactions with staff and peers.
• Experience: value and likelihood to return

Staff
• Qualifications: must meet required training/certifications and education as noted in the
job descriptions.
• Observation: staff can identify behavior, body language, and communication of
participants. Then record observations in documentation.
• Documentation: narrative notes and summative notes (discharge) of participants
• Employee Reporting: incident reports, hazards, and general feedback

Participant feedback: participant post-program evaluations via survey

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SECTION: Recreational Therapy Department
SUBJECT: Program Management-Program Evaluation and Research

Program
• Program Team Meetings: collaboration for improvements discussed at team meetings
and implemented at staff development trainings.

The Recreational Therapy Department uses data from all evaluation formats to examine,
identify, and address areas of development or training for all staff, programs, and procedures to
ensure quality participant experiences. The program evaluations are critical and essential to the
overall effectiveness and success of the program(s). The evaluation process further assists in
ensuring the departmental core principles are being met or delivered. These include the
following principles:

• Self confidence
• Independence
• Increased motivation for participation
• Personal goal attainment
• Physical activity
• Learned and/or improved skill
• Feelings of social connection

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Fiscal Management Plan


47

Personnel Budgets
OPERATING BUDGET- OVERALL PERSONNEL
Program- Recreational Therapy Department
Personnel/Name FTE Hourly Annual Benefits Total
Recreational Therapy Coordinator 1 $ 28.00 $ 58,240.00 0.32 $76,876.80
Recreational Therapist FTE 1 $ 18.00 $ 37,440.00 0.32 $49,420.80
Recreational Therapist FTE 1 $ 18.00 $ 37,440.00 0.32 $49,420.80
Recreational Therapist FTE 1 $ 18.00 $ 37,440.00 0.32 $49,420.80
Recreational Therapist FTE 1 $ 18.00 $ 37,440.00 0.32 $49,420.80
Recreational Therapist FTE 1 $ 18.00 $ 37,440.00 0.32 $49,420.80
Recreational Therapist FTE 1 $ 18.00 $ 37,440.00 0.32 $49,420.80
Recreational Therapist FTE 1 $ 18.00 $ 37,440.00 0.32 $49,420.80
Recreational Therapist FTE 1 $ 18.00 $ 37,440.00 0.32 $49,420.80
Recreational Therapist FTE 1 $ 18.00 $ 37,440.00 0.32 $49,420.80
Recreational Therapist FTE 1 $ 18.00 $ 37,440.00 0.32 $49,420.80
Recreational Therapist FTE 1 $ 18.00 $ 37,440.00 0.32 $49,420.80
Recreational Therapist FTE 1 $ 18.00 $ 37,440.00 0.32 $49,420.80
Recreational Therapist PTE 0.5 $ 19.00 $ 19,760.00 0.32 $26,083.20
Recreational Therapist PTE 0.5 $ 19.00 $ 19,760.00 0.32 $26,083.20
Recreational Therapist PTE 0.5 $ 19.00 $ 19,760.00 0.32 $26,083.20
Recreational Therapist PTE 0.5 $ 19.00 $ 19,760.00 0.32 $26,083.20
Recreational Therapist PTE 0.5 $ 19.00 $ 19,760.00 0.32 $26,083.20
Recreational Therapist PTE 0.5 $ 19.00 $ 19,760.00 0.32 $26,083.20
Recreational Therapist PTE 0.5 $ 19.00 $ 19,760.00 0.32 $26,083.20
Recreational Therapist PTE 0.5 $ 19.00 $ 19,760.00 0.32 $26,083.20
Volunteer Coordinator FTE 1 $ 21.00 $ 43,680.00 0.32 $57,657.60
Total $826,425.60
Recreational Therapy Personnel Justification:
The Recreational Therapy Department of the National Ability Center (NAC) run adaptive programs
which are staffed by the following positions: Recreational Therapy Coordinator, Volunteer
Coordinator, Full-time Recreational Therapists, Part-time Recreational Therapists, and Volunteers.
All Recreational Therapy programs at the NAC, have calculated the appropriate ratio of staff to
participants based on considerations for environmental and participant safety precautions. The
budget observed above indicated the necessary staff for facilitating the adaptive programming
48

of the Recreational Therapy Department. Each specific program is defined below to justify the
reasoning of the positions and their value to the department.

The Volunteer Coordinator is responsible for managing all volunteers to support participant to staff
ratios within programs.

The Recreational Therapy Coordinator is the overall management role within the Recreational
Therapy Department. The Recreational Therapy Coordinator is responsible for planning, overseeing,
and directing operations of services, the management of all Recreational Therapy staff, oversight of
the Volunteer Coordinator, Volunteers, as well as all programs or activities.
The Recreational Therapists support the organization to facilitate the adaptive programs utilizing
the Recreational Therapy Process which is, a “systematic process that uses recreation and other
activity-based interventions to address the assessed needs of individuals with illnesses and/or
disabling conditions, as a means to psychological and physical health, recovery and well-being”
(ATRA, 2022). Improving the physical, cognitive, social, emotional, and spiritual functioning of
participants.
The Volunteers of the National Ability Center assist as a supportive role and are each trained for
specific programming. They each assist the Recreational Therapist with various tasks as assigned to
meet program needs. All volunteers will report to the volunteer coordinator.
All positions within the Recreational Therapy Department are valuable in adaptive programming to
ensure all participants and their families are receiving the highest quality programming and support
to cultivate self-efficacy of participants.
49

OPERATING BUDGET- PROGRAM PERSONNEL


Program- Challenge by Course
Personnel/Name FTE Hourly Annual Benefits Total
Recreational Therapy Coordinator 0.15 $28.00 $8,736.00 0.32 $11,531.52
Recreational Therapist 1 $18.00 $37,440.00 0.32 $49,420.80
Recreational Therapist 1 $18.00 $37,440.00 0.32 $49,420.80
Recreational Therapist 1 $18.00 $37,440.00 0.32 $49,420.80
Recreational Therapist 1 $18.00 $37,440.00 0.32 $49,420.80
Recreational Therapist 1 $18.00 $37,440.00 0.32 $49,420.80
Recreational Therapist 1 $18.00 $37,440.00 0.32 $49,420.80
Recreational Therapist part-time 0.5 $19.00 $19,760.00 0.32 $26,083.20
Recreational Therapist part-time 0.5 $19.00 $19,760.00 0.32 $26,083.20
Recreational Therapist part-time 0.5 $19.00 $19,760.00 0.32 $26,083.20
Recreational Therapist part-time 0.5 $19.00 $19,760.00 0.32 $26,083.20
Volunteer Coordinator 0.15 $21.00 $6,552.00 0.32 $8,648.64
Total $421,037.76
Challenge by Course Personnel Justification:
The Recreational Therapy Department of the NAC facilitates the Challenge by Course, an
adaptive challenge course program. During the weather friendly months, this program has
greater participant volumes. This program utilizes the following staff to facilitate the Challenge
by Course program: Full-time Recreational Therapists, Part-time Recreational Therapists, and
Volunteers as needed by daily program needs. The Recreational Therapy Coordinator and
Volunteer Coordinator determine the number of volunteers necessary to support the program
daily. The staffing needs for the Challenge by Course program are calculated based on
environmental and participant safety precautions to maintain appropriate staff to participant
ratios.
50

OPERATING BUDGET- PROGRAM PERSONNEL


Program- Rock Stars
Personnel/Name FTE Hourly Annual Benefits Total
Recreational Therapy Coordinator 0.15 $28.00 $8,736.00 0.32 $11,531.52
Recreational Therapist 1 $18.00 $37,440.00 0.32 $49,420.80
Recreational Therapist 1 $18.00 $37,440.00 0.32 $49,420.80
Recreational Therapist 1 $18.00 $37,440.00 0.32 $49,420.80
Recreational Therapist 1 $18.00 $37,440.00 0.32 $49,420.80
Recreational Therapist part-time 0.5 $19.00 $19,760.00 0.32 $26,083.20
Recreational Therapist part-time 0.5 $19.00 $19,760.00 0.32 $26,083.20
Recreational Therapist part-time 0.5 $19.00 $19,760.00 0.32 $26,083.20
Volunteer Coordinator 0.15 $21.00 $6,552.00 0.32 $8,648.64
Total $296,112.96

The Rock Stars Personnel Justification:


The Recreational Therapy Department facilitates the Rock Stars program utilizing the following staff:
Full-time Recreational Therapists, Part-time Recreational Therapists, and Volunteers. The
Recreational Therapy Coordinator and Volunteer Coordinator will determine the number of
volunteers needed to support the program. The Rock Stars program staffing needs are calculated
based on environmental and participant safety precautions to maintain appropriate staff to
participant ratios.

OPERATING BUDGET- PROGRAM PERSONNEL


Program- Bow and Arrow
Personnel/Name FTE Hourly Annual Benefits Total
Recreational Therapy Coordinator 0.15 $28.00 $8,736.00 0.32 $11,531.52
Recreational Therapist 1 $18.00 $37,440.00 0.32 $49,420.80
Recreational Therapist 1 $18.00 $37,440.00 0.32 $49,420.80
Recreational Therapist part-time 0.5 $19.00 $19,760.00 0.32 $26,083.20
Volunteer Coordinator 0.15 $21.00 $6,552.00 0.32 $8,648.64
Total $145,104.96
Bow and Arrow Personnel Justification: The Recreational Therapy Department facilitates the
Bows and Arrows program utilizing the following staff: Full-time Recreational Therapists, Part-time,
and Volunteers. The Recreational Therapy Coordinator and Volunteer Coordinator will determine
the number of volunteers needed to support the program. The Bows and Arrows program staffing
needs are calculated based on environmental and participant safety precautions to maintain
appropriate staff to participant ratios.
51

Line-Item Budgets
Supplies Line-Item Budget

Unit
Supplies JAN April August TOTAL
Cost
Antiseptic Wipes $4.99 $399.20 $798.40 $399.20 $1,596.80
Antibiotic Ointment $14.25 $28.50 $57.00 $28.50 $114.00
Burn-Relief Gel
$6.95 $27.80 $55.60 $27.80 $111.20
(Spray Form)
Sting-Relief Swabs $65.02 $130.04 $260.08 $130.04 $520.16
Hydrocortisone $23.60 $47.20 $94.40 $47.20 $188.80
Gauze 2' x 2" $5.86 $29.30 $58.60 $29.30 $117.20
Gauze 4"x 4' $6.95 $34.75 $69.50 $34.75 $139.00
Medical Tape $3.42 $68.40 $136.80 $68.40 $273.60
Bandage Gauze Roll $15.00 $45.00 $90.00 $45.00 $180.00
Band-Aid 1"x3" $3.90 $39.00 $78.00 $39.00 $156.00
Knuckle Band-Aid $18.64 $74.56 $149.12 $74.56 $298.24
Patch Band-Aid $4.95 $19.80 $39.60 $19.80 $79.20
Wound Closure $5.75 $23.00 $46.00 $23.00 $92.00
Triangle Bandage $1.57 $15.70 $31.40 $15.70 $62.80
Blood Compressor $0.87 $8.70 $17.40 $8.70 $34.80
Eye Dressing $10.50 $10.50 $21.00 $10.50 $42.00
Medical Gloves S,
$21.00 $441.00 $882.00 $441.00 $1,764.00
M, L, Xl
Ice Bags $149.43 $149.43 $298.86 $149.43 $597.72
Emergency Blanket $16.70 $50.10 $100.20 $50.10 $200.40
AED Pads
$83.52 $167.04 $167.04 $334.08
(Pediatric/Adult)
Socks S, M, L, XL
$60.00 $180.00 $360.00 $180.00 $720.00
(Patient Resources)
Sunscreen $76.67 $230.01 $460.02 $230.01 $920.04
Insect Repellent $48.98 $97.96 $195.92 $97.96 $391.84
Single-Use Cups $102.99 $102.99 $205.98 $102.99 $411.96
Hand Sanitizer $37.95 $189.75 $379.50 $189.75 $759.00
Supplies Justification: The Recreational Therapy Department purchases
Total supplies$10,104.84
three times per
year: January, April, and August at the beginning of each month. The purchasing amount increases
in April as the Challenge by Course volume doubles during the summer season. The calculated
amount of each item is determined by frequency of use and the volume of participants. These
supplies are important for the challenge course as they help maintain safety and aid in facilitation of
the program.
52

Equipment Line-Item Budget

Equipment Unit Cost April July TOTAL


Dynamic Rope (6) $219.05 $876.20 $876.20 $1,752.40
Static Rope (2) $139.95 $559.80 $559.80 $1,119.60
Belay Devices $24.95 $74.85 $74.85 $149.70
Lobster Claws $69.95 $139.90 $139.90 $279.80
Carabiners $9.50 $28.50 $28.50 $57.00
Seat Harness (Medium) $46.70 $140.10 $140.10 $280.20
Seat Harness (X-Large) $46.70 $140.10 $140.10 $280.20
Seat Harness (Youth) $74.95 $224.85 $224.85 $449.70
Chest Harness (Small) $35.00 $105.00 $105.00 $210.00
Chest Harness (Large) $35.00 $105.00 $105.00 $210.00
Full Body Harnesses $93.25 $279.75 $279.75 $559.50
Helmets $29.95 $149.75 $149.75 $299.50
Cable Clamps $2.08 $6.24 $6.24 $12.48
Cable Grabs $413.75 $1,241.25 $1,241.25 $2,482.50
Fist Grips $14.00 $42.00 $42.00 $84.00
Rapid Link $6.30 $18.90 $18.90 $37.80
Serving Sleeves $2.00 $6.00 $6.00 $12.00
Staples $1.30 $3.90 $3.90 $7.80
Ladders $145.00 $145.00 $145.00 $290.00
Ladder straps $3.98 $11.94 $11.94 $23.88
Trolleys $203.65 $203.65 $203.65 $407.30
5 Gallon Heavy-Duty Water Cooler (3) $24.97 $24.97 $24.97 $49.94
400 lb. Wagon Truck $205.04 $205.04 $205.04 $410.08
XL Poly-Spots $25.85 $25.85 $25.85 $51.70
Paracord $4.75 $14.25 $14.25 $28.50
Climbing/Belay Gloves $35.06 $105.18 $105.18 $210.36
Total $9,755.94
Equipment Justification: The Recreational Therapy Department purchases equipment two times per
year in April and July at the beginning of each month. The Challenge by Course program equipment
budget seeks to ensure quality and well-maintained equipment. The purchase frequency and quantity
is calculated by Volume of participants (usage time x number of participants by months x number of
times session within each month) in the Challenge by Course program. The Challenge by Course
program enrolls approximately 5,000 participants between May and August. The equipment
necessary for this program (belay devices, carabiners, harnesses, and helmets), endures a lot of wear
and tear throughout the season the challenge course program in which the challenge course is used.
Many of these items will need to be replaced regularly to ensure best practices for the safety and
welfare of the participants and staff of the NAC and the Recreational Therapy Department.
53

Programmatic Volume Budget


PATIENT/CLIENT/PARTICIPANT
PROGRAM- Volume
Program
s JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC Total
Challeng
e by 1,92 1,92 2,40 2,40 2,40 2,40 1,92 1,92 17,28
Course 0 0 0 0 0 0 0 0 0
Rock 1,60 1,60 1,60 1,60 1,60 1,60 1,60 1,60 1,60 1,60 1,60 1,60 19,20
Stars 0 0 0 0 0 0 0 0 0 0 0 0 0
Bows
and 1,44 1,44 1,44 1,44 1,44 12,24
Arrows 720 720 720 0 0 0 0 0 720 720 720 720 0
Volume Justification: The Challenge by Course is an outdoor-only activity utilizing the Challenge
Course at the National Ability Center. Due to the nature of this program and the local weather, in
the months of November through February the Challenge by Course is closed (due to increased
precipitation and cumulation of snow). There is increased availability of this program in the months
of May through August as the seasons shift to warmer weather which increases demand of this
program. During these months it is expected that there will be 6 segments 20 times per week each
with 20 participants. The challenge course has tentative programming in March, April, September,
and October as weather permits. During these tentative months there are 6 segments 16 times a
month each with 20 participants.
The Rock Star is an indoor climbing program offered throughout the year; It will have 4 segments 40
times a month each with 10 participants. Due to increasing seasonal demand during the summer
months this program receive a doubled volume budget. During the outdoors month the program
will have three segments 48 times a month with 10 participants each time.
The Bows and Arrows program is also available indoors, maintaining significant participant
engagement year-round. During its indoors month it will be held 3 segments 24 times a month each
with 10 participants. This is also facilitated outdoors, depending on weather, and experiences a
reduction of Volume in the months of September through March. During the outdoors month the
program will have three segments 48 times a month with 10 participants each time.
54

Activity Based Costing


ACTIVITY BASED COSTING
All Programs
Activity
Supplies & Staff Total
Program Volume Staff Cost Direct Costs Maint. Admin. Total Cost Unit
Equipment Training Indirect
Cost
Challenge
by
Course 17,280 $421,037.76 $19,860.78 $440,898.54 $24,000.00 $10,000.00 $7,000.00 $41,000.00 $481,898.54 $27.89
Rock
Stars 19,200 $296,112.96 $19,860.78 $315,973.74 $4,000.00 $10,000.00 $5,000.00 $19,000.00 $334,973.74 $17.45
Bows and
Arrows 12,240 $ 145,104.96 $19,860.78 $164,965.74 $14,000.00 $10,000.00 $2,000.00 $26,000.00 $190,965.74 $15.60

Activity Based Cost Justification: The Challenge by Course requires greater utilization of staff for the program’s
specific and unique safety precautions. This increases staff costs at a significantly greater rate than other adaptive
programs within the Recreational Therapy Department. As observed above the Challenge by course makes up 45.8%
of the Adaptive Program budget for the Recreational Therapy Department. Further costs that are unique to the
Challenge by Course program include the environmental maintenance and program specific staff training costs.
However, as observed by the volume budget, in the brief time this program is available, the Challenge by Course
program facilitates the greatest number of participants. In the Revenue Budget and the Marketing Plan, the
increased costs of this program are alleviated through the Annual Challenge by Course Fundraiser. This event is
intended to utilize the challenge course to attract new friends of the NAC and encourage new sponsorships and
remind long-time friends of the NAC the value of their regular donations. This event will increase awareness and
advocacy of the NAC and our support of providing recreational opportunities to individuals of all abilities.
The Rock Stars and the Bows and Arrows programs are both provided year-round yielding an overall higher general
volume, however the frequency of participants yields a month-by-month lower participant engagement requiring a
reduced staff ratio resulting in a decreased unit cost. Both programs generate lower staff costs due to the reduced
safety precautions. Training allotted for the staff for the Bows and Arrows program has a regular cost of $2000
annually, facilitating an affordable unit cost of $15.60. All programming of the NAC would not be possible without
the passionate volunteer staff of the NAC. The volunteer staff are used in all programming to assist with support
throughout the year.
55

Capital
Capital
Item Cost Quality Cost
Shed $150,000.00 1 $150,000.00
Action Track Chairs $13,793.00 10 $137,930.00
Total $287,930.00
Capital Justification:
Adaptive Equipment Shed:
The Recreational Therapy Department of the NAC needs a new and updated shed. This request for a
new shed is to obtain suitable storage of the equipment and supplies utilized for the adaptive
equipment for the Challenge by Course, Rock Stars, and Bows and Arrows programs. The current
storage sheds This proposal will account for one 80,000- 100,00 square foot shed or two 40,000-
50,00 square foot sheds both style options have vaulted ceilings. The price asked for covers the
actual shed(s) themselves, labor, concrete slab, electrical work, plumbing, and contract requirements
for this proposal from start of construction to project completion. As the NAC continues to grow in
number of participants and available programs, the current sheds are filling up. Additional storage
space is necessary to avoid overcrowding of equipment and to prevent an Occupational Safety and
Health Administration (OSHA) safety violation. Granting a new shed would eliminate the safety
violation and ensure OHSA compliance.

[Pictured is the requested shed]


56

All-Terrain Action Track Wheelchairs:


The All-Terrain Action Track Wheelchairs minimize participant limitations during programs. The All-
Terrain Action Track Chairs are ideal for the Challenge by Course program but will also be used for
additional programs and terrain. These All-Terrain Action Track Chairs have "TYPE I TRACKS". Type I
Tracks have more aggressive tread for additional traction in mud and snow. They are durable and
will handle the terrain of the challenge course and various other programs. Having access to All-
Terrain Action Track Chairs for the Challenge Course and other adaptive recreational programs of the
NAC, would provide greater inclusion and accessibility of our participants of all abilities and
eliminating the potential risk of damaging of a participant’s personal wheelchair.
57

Revenue
Revenue
Type of Fund Potential Fiscal Revenue
Grants $100,000.00
Fundraiser $700,000.00
Leadership workshops $324,000.00
Sponsorships $500,000.00
New Program $113,992.06
Total $1,737,992.06

Revenue Justification: As a non-profit organization, the National Ability Center requires access to
many forms of yearly revenue. These revenue sources assist in maintaining equipment. These
revenue sources include:
1) Grants that are awarded after an application process and do not have to be repaid.
2) Fundraisers such as the Annual Challenge by Course Fundraiser which highlights the numerous
benefits of the program to both the participants and the community. This fundraiser is also a way
for sponsors to have a greater understanding of how their donations impact the program and
participants.
3) Leadership workshops were facilitated at least once a week for each program generating
additional funding.
4) This year the National Ability Center also focused on saving money to start the construction of
the new program to come 2023.
5) The National Ability Center provides recognition of sponsorships organizations who create extra
revenue for the program.
58

Recreational Therapy Department


Human Resources Management Plan
59

Recreational Therapy Departmental Organizational Chart


60

National Ability Center Job Descriptions

Job title: Recreational Therapy Coordinator

Agency National Ability Center


Department Name Recreational Therapy
Prepared Date April 7th 2022

Positions Summary
The Recreational Therapy Coordinator is the management position within the Recreational
Therapy Department of the National Ability Center (NAC). The NAC is a non-profit organization
that provides individuals with physical, cognitive, and intellectual impairments and disabilities
the opportunity to access recreational activities. The Recreational Therapy Coordinator is
responsible for planning, overseeing, and directing operations of services, departmental staff,
and programs. The Recreational Therapy Coordinator is responsible to develop, maintain, and
improve quality program services for the Recreational Therapy Department.

Essential Duties/Responsibilities
• Recruit, hire, orient, and manage staff within the Recreational Therapy Department.
• Develop, implement, and maintain records of staff evaluations.
• Create and maintain staff and program schedules.
• Coordinate, plan, and facilitate scheduled trainings and meetings.
• Collaborate with the Volunteer Coordinator to identify volunteer-based support.
• Uphold, train, and develop newly identified risk management policy and procedures.
• Coordinate community and private events.
• Maintain compliance with the American Therapeutic Recreation Association (ATRA)
Standards of Practice and Code of Ethics.
• Develop, implement, and maintain record of program evaluations.
• Report on statistical outcome measures of program evaluations to stakeholders.
• Conduct program needs assessment for all Recreational Therapy Department programs.
• Monitor and implement any legislation and regulatory changes related to Recreational
Therapy or nonprofit programming.
• Support Recreation Therapists with program facilitation as needed:
o Review participant information
o Conduct participant assessments
o Plan, implement, evaluate, and document program activities
o Create and maintain a safe therapeutic environment
o Establish therapeutic relationships with participants

Knowledge, Skills, and Abilities


Knowledge of:
• Utah nonprofit laws and regulations.
61

• Americans with Disabilities Act (ADA) law and regulations.


• Federal and Utah State laws and standards regarding documentation, reporting, and
confidentiality.
• Utah Recreational Therapy laws for licensure.
• National Council for Therapeutic Recreation Certification (NCTRC) Job Task Analysis.
• American Therapeutic Recreation Association (ATRA) Code of Ethics and Standards of
Practice.
• Recreational Therapy services management and administration.
• Adaptive sports equipment and maintenance.
Skills and Abilities to:
• Effectively work independently.
• Supervise and lead staff.
• Manage multiple programs.
• Effective verbal and written communication skills.
• Basic Microsoft Office skills.
• Effective problem-solving skills.
• Establish rapport with participants.
• Facilitate individual and group sessions.
• Demonstrate critical thinking and problem-solving skills.
• Language skills: Proficient in speaking, reading, and writing English language.

Job Specifics/Qualifications
• Full-time: 40 hours per week
• Licensed to practice Recreational Therapy in the state of Utah through the Department
of Occupational and Professional Licensing (DOPL) as a Therapeutic Recreation Specialist
(TRS) or Master Therapeutic Recreation Specialist (MTRS) (preferred).
• Certified under the National Council for Therapeutic Recreation Certification as a
Certified Therapeutic Recreation Specialist (CTRS).
• Bachelor’s degree from an accredited college or university in Recreational Therapy or
closely related field.
• Level 1 Ropes/Challenge Course Certification (preferred).
• Minimum of two years of management experience as a Recreational Therapist
(preferred).
• Minimum of five years of experience in adaptive sports and recreation (preferred).
• Valid Driver's License for the state of Utah.
• Current CPR and First Aid Certification (preferred).
Legal Notification
• Required criminal background check.
• Required drug screening.
• Immunizations: All employees are required to be vaccinated for COVID-19 and meet all
national and state immunization regulations.
62

• Physical demands: carrying, pushing, pulling, climbing, reaching, standing and/or sitting
for long periods, stooping, crouching, walking, manual dexterity, and able to lift at least
50 lbs.
• The National Ability Center is an equal opportunity employer and does not discriminate
based on race, gender, sex, sexual orientation, age, religion, national origin, disability,
pregnancy, childbirth, or pregnancy-related conditions.
63

Job title: Recreational Therapist (Full-Time)

Agency National Ability Center


Department Name Recreational Therapy
Prepared Date April 7th 2022
Reports to Recreational Therapy Coordinator

Position Summary
The Recreational Therapist is responsible for performing the Recreational Therapy Process,
which consists of assessments, planning, implementation, documentation, and evaluations. This
position facilitates numerous types of programs within the National Ability Center (NAC). The
NAC is a non-profit organization that provides individuals with physical, cognitive, and
intellectual impairments and disabilities the opportunity to access recreational activities. The
Recreational Therapy Department is responsible for the implementation of Recreational
Therapy programming, establishing an engaging environment for all participants.

Essential Duties/Responsibilities
• Utilize the Recreational Therapy Process (assess, plan, Implement, documentation, and
evaluations) for all programming.
• Conduct assessments of each participant including reviewing online registration,
telephone interview, and in-person assessment.
• Plan individualized programming for participants using completed assessments.
• Create measurable and realistic goals for each participant.
• Review participant information prior to each program session.
• Implement planned programming using evidence-based practices.
• Document and track participant progress through maintaining current progress and
performance records of each participant.
• Evaluate participant progress and goal completion then implement any adaptions or
modifications necessary for participants to work towards specified goal(s).
• Create and maintain a safe therapeutic environment.
• Establish therapeutic relationships with participants.
• Monitor and address safety concerns.
• Adhere to the American Therapeutic Recreation Association (ATRA) Standards of
Practice and Code of Ethics.
• Uphold risk management policy and procedures.
• Attends all scheduled trainings.
• Orient volunteer staff to programming tasks.

Knowledge, Skills, and Abilities


Knowledge of:
• Americans with Disabilities Act (ADA) law and regulations.
64

• Federal and Utah State laws and standards regarding documentation, reporting, and
confidentiality.
• National Council for Therapeutic Recreation Certification (NCTRC) Job Task Analysis.
• American Therapeutic Recreation Association (ATRA) Code of Ethics and Standards of
Practice.
• Recreational Therapy services management and administration.
• Adaptive sports equipment and maintenance.
Skills and Abilities to:
• Effectively work independently and in group settings.
• Facilitate individual and group sessions.
• Effective verbal and written communication skills.
• Establish rapport with participants.
• Demonstrate critical thinking and problem-solving skills.
• Language skills: Proficient in speaking, reading, and writing English language.

Job Specifics/Qualifications
• Full-time: 40 hours per week
• Licensed to practice Recreational Therapy in the state of Utah through the Department
of Occupational and Professional Licensing (DOPL) as a Therapeutic Recreation Specialist
(TRS) or Master Therapeutic Recreation Specialist (MTRS) (preferred).
• Certified under the National Council for Therapeutic Recreation Certification as a
Certified Therapeutic Recreation Specialist (CTRS).
• Bachelor’s degree from an accredited college or university in Recreational Therapy.
• Level 1 Ropes/Challenge Course Certification (preferred).
• One year of experience in adaptive sports and recreation (preferred).
• Valid Driver's License for the state of Utah.
• Current CPR and First Aid Certification (preferred).

Legal Notification
• Required criminal background check.
• Required drug screening.
• Immunizations: All employees are required to be vaccinated for COVID-19, and meet all
national and state immunization regulations.
• Physical demands: carrying, pushing, pulling, climbing, reaching, standing and/or sitting
for long periods, stooping, crouching, walking, manual dexterity, and able to lift at least
50 lbs.
• The National Ability Center is an equal opportunity employer and does not discriminate
based on race, gender, sex, sexual orientation, age, religion, national origin, disability,
pregnancy, childbirth, or pregnancy-related conditions.
65

Job title: Recreational Therapist (Part-Time)

Agency National Ability Center


Department Name Recreational Therapy
Prepared Date April 7th 2022
Reports to Recreational Therapy Coordinator

Position Summary
The Recreational Therapist is responsible for performing the Recreational Therapy Process,
which consists of assessments, planning, implementation, documentation, and evaluations. This
position facilitates numerous types of programs within the National Ability Center (NAC). The
NAC is a non-profit organization that provides individuals with physical, cognitive, and
intellectual impairments and disabilities the opportunity to access recreational activities. The
Recreational Therapy Department is responsible for the implementation of Recreational
Therapy programming, establishing an engaging environment for all participants.

Essential Duties/Responsibilities
• Utilize the Recreational Therapy Process (assess, plan, Implement, documentation, and
evaluations) for all programming.
• Conduct asessments of each participant including reviewing online registration,
telephone interview, and in-person assessment.
• Plan individualized programming for participants using completed assessments.
• Create measurable and realistic goals for each participant.
• Review participant information prior to each program session.
• Implement planned programming using evidence-based practices.
• Document and track participant progress through maintaining current progress and
performance records of each participant.
• Evaluate participant progress and goal completion then implement any adaptions or
modifications necessary for participants to work towards specified goal(s).
• Create and maintain a safe therapeutic environment.
• Establish therapeutic relationships with participants.
• Monitor and address safety concerns.
• Adhere to the American Therapeutic Recreation Association (ATRA) Standards of
Practice and Code of Ethics.
• Uphold risk management policy and procedures.
• Attends all scheduled trainings.
• Orient volunteer staff to programming tasks.

Knowledge, Skills, and Abilities


Knowledge of:
• Americans with Disabilities Act (ADA) law and regulations.
66

• Federal and Utah State laws and standards regarding documentation, reporting, and
confidentiality.
• National Council for Therapeutic Recreation Certification (NCTRC) Job Task Analysis.
• American Therapeutic Recreation Association (ATRA) Code of Ethics and Standards of
Practice.
• Recreational Therapy services management and administration.
• Adaptive sports equipment and maintenance.
Skills and Abilities to:
• Effectively work independently and in group settings.
• Facilitate individual and group sessions.
• Effective verbal and written communication skills.
• Establish rapport with participants.
• Demonstrate critical thinking and problem-solving skills.
• Language skills: Proficient in speaking, reading, and writing English language.

Job Specifics/Qualifications
• Part-time: >30 hours per week
• Licensed to practice Recreational Therapy in the state of Utah through the Department
of Occupational and Professional Licensing (DOPL) as a Therapeutic Recreation Specialist
(TRS) or Master Therapeutic Recreation Specialist (MTRS) (preferred).
• Certified under the National Council for Therapeutic Recreation Certification as a
Certified Therapeutic Recreation Specialist (CTRS).
• Bachelor’s degree from an accredited college or university in Recreational Therapy.
• Level 1 Ropes/Challenge Course Certification (preferred).
• One year of experience in adaptive sports and recreation (preferred).
• Valid Driver's License for the state of Utah.
• Current CPR and First Aid Certification (preferred).

Legal Notification
• Required criminal background check.
• Required drug screening.
• Immunizations: All employees are required to be vaccinated for COVID-19, and meet all
national and state immunization regulations.
• Physical demands: carrying, pushing, pulling, climbing, reaching, standing and/or sitting
for long periods, stooping, crouching, walking, manual dexterity, and able to lift at least
50 lbs.
• The National Ability Center is an equal opportunity employer and does not discriminate
based on race, gender, sex, sexual orientation, age, religion, national origin, disability,
pregnancy, childbirth, or pregnancy-related conditions.
67

Job Title: Volunteer Coordinator (Full Time: 40 hours)


Agency National Ability Center
Department Name Recreational Therapy
Prepared Date April 7th 2022
Reports to Recreational Therapy Coordinator

Position Summary
The Volunteer Coordinator of the National Ability Center (NAC) is a support role within the
Recreational Therapy Department. The Volunteer Coordinator is the first point of contact
for community members looking for volunteer opportunities within the NAC. The Volunteer
Coordinator is responsible for coordination of volunteer position requirements including
sourcing, recruiting, onboarding, scheduling, and continued training. The Volunteer
Coordinator uses various navigations for recruitment such as community outreach, social
media, and online sourcing. The NAC is a non-profit organization that provides individuals
with physical, cognitive, and intellectual impairments and disabilities the opportunity to
access recreational activities.

Essential Duties/Responsibilities
• Source and recruit volunteers.
• Develops and maintains volunteer onboarding manual including, scheduling procedures,
training schedules, assigned tasks, and workplace expectations.
• Schedule and coordinate onboarding volunteers including orientation and program
training.
• Maintains an ongoing monthly training schedule.
• Track volunteer performance.
• Maintains record of volunteer retention.
• Maintain contact information of volunteers.
• Respond to phone, voicemail, email and in-person inquiries regarding volunteer
opportunities.
• Coordinates community outreach events specific for volunteers.
• Manage online recruitment sources (e.g., social media posts, Website postings,
Mentor.org).
• Meets with the Recreational Therapy Director to coordinate upcoming program and
volunteer needs.
• Maintain professional behavior by representing the Mission and Values of the NAC and
of the of Recreational Therapy Department.

Knowledge, Skills, and Abilities


• Americans with Disabilities Act (ADA) law and regulations.
• Federal and Utah State laws and standards regarding documentation, reporting, and
confidentiality.
• Knowledge of volunteer programs for non-profit organizations.
68

• Customer Service Skills.


• Computer proficiency including Microsoft Office and other basic programs.
• Organizational and time management skills.
• Ability to communicate effectively through oral and written skills.
• Demonstrate critical thinking and problem-solving skills.
Language skills: Proficient in speaking, reading, and writing English language.

Job Specifics/Qualifications
• Full-time: 40 hours per week
• Bachelor's degree in Parks Recreation and Tourism or related field (preferred).
• Event coordination experience (preferred).
• Minimum of two years of management experience (preferred).
• Five years of experience in adaptive sports and recreation (preferred).
• Valid Driver's License for the state of Utah.
• Current CPR and First Aid Certification (preferred).

Legal Notification
• Required criminal background check.
• Required drug screening.
• All employees are required to be vaccinated for COVID-19, and meet all national and
state immunization regulations.
• Physical demands: carrying, pushing, pulling, climbing, reaching, standing and/or sitting
for long periods, stooping, crouching, walking, manual dexterity, and other repetitive
movements, ability to lift at least 50lbs.
• The National Ability Center is an equal opportunity employer and does not discriminate
based on race, gender, sex, sexual orientation, age, religion, national origin, disability,
pregnancy, childbirth, or pregnancy-related conditions.
69

Volunteer

Agency National Ability Center


Department Name Recreational Therapy
Prepared Date April 7th 2022
Reports to Volunteer Coordinator

Position Summary
Volunteers of the Recreational Therapy Department assist the Recreational Therapy staff with
programming, events, and special projects at the National Ability Center (NAC). Volunteers of
the Recreational Therapy Department work closely with participants of all abilities, their
families, and of the Recreational Therapy Department staff to help ensure a safe and engaging
environment for all adaptive programs. The NAC is a non-profit organization that provides
individuals with physical, cognitive, and intellectual impairments and disabilities the
opportunity to access recreational activities.

Essential Duties/Responsibilities
• All Volunteer assignments will be assigned by the Volunteer Coordinator.
• Communicate availability of schedule with the Volunteer Coordinator.
• Attend Volunteer trainings and meetings supporting upcoming assign programs.
• Assist the Recreational Therapy Department staff in the set up and clean-up of assigned
programs and events.
• Organize and clean of program equipment utilized.
• Assist participants with adaptive equipment fitting as needed.
• Assist participants with navigating the facility.
• Assist in registration and administrative tasks.

Knowledge, Skills, and Abilities


• Strong communication skills
• Reliable method of transportation
• Effectively work independently and in group settings.
• Establish and maintain professional interactions with participants
• Demonstrate critical thinking and problem-solving skills
• Language skills: Proficient in speaking, reading, and writing English language
• Maintain professional behavior by representing the Mission and Values of the NAC and
of the of Recreational Therapy Department.

Job Specifics/Qualifications
• Strong communication skills.
• Effective time management skills.
• Social appropriateness and behavioral skills.
70

• Tasks management.

Legal Notification
• Required criminal background check.
• Required drug screening.
• Immunizations: All employees are required to be vaccinated for COVID-19, and meet all
national and state immunization regulations.
• Physical demands: carrying, pushing, pulling, climbing, reaching, standing and/or sitting
for long periods, stooping, crouching, walking, manual dexterity, and able to lift at least
50 lbs.
• The National Ability Center is an equal opportunity employer and does not discriminate
based on race, gender, sex, sexual orientation, age, religion, national origin, disability,
pregnancy, childbirth, or pregnancy-related conditions.
71

Recreational Therapy Job Competencies:


• Complete assessments, analyze, and integrate collected information into participant’s
record.
• Discuss results of assessment with participants and associated staff members.
• Create realistic and measurable goals/objectives for each participant.
• Establish therapeutic relationship with participants.
• Plan programs utilizing activity and task analysis and select adaptations, modification,
and assistive technology.
• Effectively implement programming through demonstration of active leadership,
monitoring needs for adaptations, and continuous safety management.
• Perform evaluations of participant outcomes and progress.
• Utilize completed evaluations to reassess participant’s programming needs, determine
program effectiveness, and implement changes.
• Document progress notes for each participant after each session.
• Relay pertinent information to National Ability Center staff and volunteers.
• Provide collaborative service through developing and coordinating program plan with
identified team members.
Competencies specific to the Recreational Therapy Coordinator (including all the above):
• Conduct needs assessment of budget, supply and equipment inventory, and staffing
resources.
• Verify all Recreational Therapy staff follow legal qualifications.
• Uphold risk management practices and record retention thorough regular program and
staff evaluations.
• Recruit, train, develop and manage the Recreational Therapy staff.
• Develop professional rapport with staff by providing development and mentorship
opportunities through evaluations and special trainings.
• Prepare and update a written plan of operation.
• Monitor compliance with the standards of practice and consistency with the agency
mission and values.
• Coordinating events within the National Ability Center that uphold the mission and
values of the organization.
• Complete all assigned safety and risk management trainings by specified deadlines.
• Follow protocols for disciplinary action in collaboration with specified human resources
team.
• Complete reports summarizing Recreational Therapy services.
• Develop and conduct quality improvement plan.
• Identify, secure, and manage supplemental funding such as grants, fundraisers, and
sponsorships.
• Maintain networking avenues with community stakeholders and sponsors through
education and advocacy.
• Monitor and implement any legislative/regulatory changes.
72

Staff Orientation Policies and Procedures


73

Orientation Policy
The Recreational Therapy Department staff adhere to and uphold the American Therapeutic
Recreation Association (ATRA) Code of Ethics and Standards of Practice. Promoting
professionalism, integrity, and an environment of continuous improvement program services.
The Recreational Therapy Department encourages and provides opportunities for professional
development of all staff members and volunteers. The Department strives to create a safe,
engaging, and exciting environment that acknowledges creativity and growth of all department
staff members and volunteers.

Orientation Procedure
All staff members at the National Ability Center (NAC) are required to complete and adhere to
all orientation policies and procedures. Upon completion of all orientation processes, all staff
and volunteers will sign an Orientation Completion Form. Signing the Orientation Completion
Form the NAC staff and volunteer agrees to adhere all the policies and procedures of the NAC.

• All staff members at the National Ability Center (NAC) are required to complete and
adhere to the following procedures (located in the NAC Orientation Policy):
o Proof of completed required vaccinations (MMR, seasonal influenza, Covid 19,
Chicken Pox, and Tetanus [all vaccines are to be maintained to the most current
requirements]).
o Proof of completed TB Test (2 step TB skin test (administered 1-3 weeks apart) or
Quanti-FERON Gold Blood Test lab report required).
o Cleared Drug Screen (Negative standard 10-panel drug screening through an
approved agency).
o Completed Background Check (Must be compliant with a background check, all
convicted charges will be reviewed.
o Provide three professional references (The staff member will provide three
professional references available to contact, if a reference is not reachable a
replacement must be provided).
o Proof of licensure(s) and certification(s)
▪ All Recreational Therapists must be:
• Licensed by the state of Utah through the Department of
Occupational and Professional Licensing (DOPL).
• Certified Therapeutic Recreation Specialist (CTRS) from the
National Council for Therapeutic Recreation Certification (NCTRC).
• Recreational Therapists are responsible for monitoring and
maintaining these licenses and certifications.
• Basic Life Support (BLS).

All Recreational Therapy Department staff must complete the following orientation procedures
to ensure they are oriented and trained. Staff are provided with the following necessary
orientation and new hire documents included in the orientation packet:
• National Ability Center (NAC) Staff Handbook
74

• National Ability Centers (NAC) mission and values


• National Ability Center Staff Orientation
• National Ability Center Policies and Procedures
• Recreational Therapy Department Handbook
• Recreational Therapy Department Mission and Values
• Recreational Therapy Department Staff Orientation
• Recreational Therapy Department Policies and Procedures
• Recreational Therapy Department Orientation checklist
• Recreational Therapy Job description
• Recreational Therapy Job Competencies
• Orientation and Training shifts (Must be completed before facilitating)
• Emergency Protocols

Employer reserves the right to terminate employment at any time for any reason, or for no
reason at all. Any changes of policies or procedures will be written and presented to all staff
members before being implemented.
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Staff Development Calendar


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Marketing & Advocacy Plan


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Overview
The Recreational Therapy Department and the Challenge by Course Program at the National
Ability Center (NAC) presents an exciting opportunity for individuals of all abilities. The
Recreational Therapy Department of the NAC is establishing the new “Challenge by Course
Annual Fundraiser,” which will be utilized to raise funds specifically for the Challenge by Course
Program. These funds will also contribute to the future adaptive equipment and resources such
as the All-Terrain Action Track Chairs.

The Challenge by Course program provides participants and their families with opportunities to
enhance their quality of life. Evidence supports that participating within this program increases
self-esteem, confidence, and independence. Current research also supports that participating in
a challenge course cultivates group trust within family through individual and team building
experiences. The Recreational Therapy Department of the NAC takes pride in our exceptional
and highly trained challenge course staff who are qualified to support you and your loved ones
on the challenge course. The staff will provide the greatest care and customer service to ensure
we are able to identify and overcome barriers in your participation. Our goal to provide a
rewarding and challenging experience

Participant needs
The Annual Challenge by Course Fundraiser for 2022 will
highlight the intended purchase of All-Terrain Action Track
Chairs. Providing another option for inclusion and
engagement for our participants significantly reducing
barriers for participation. Specialized equipment such as the
All-Terrain Action Track Chairs empowers participants
accessibility and engagement which offers opportunities to
increase self-confidence, self-efficacy, self-esteem, and
independence. These chairs can be used for individuals with
varying functional abilities enhancing their experience in a
valuable and rewarding way.

Target Marketing
The target audience for the Challenge by Course fundraiser
is community members, past and present participants,
families, and friends of the National Ability Center.
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Marketing Goal, Objects, and Resources


Marketing Internal External Client
Areas

To expand current strategic partnership and community resources and to


Goal extend community reaches through advocacy, educational events, and creating
partnerships to increase funding.

To post flyers that To post flyers one month To email and mail
Objectives promote the challenge before the fundraiser within flyers to the entire
course to current staff the local community National Ability
and participants one including local schools and Center (NAC) contact
month before the event community recreation list and the current
throughout each building centers to reach community participant list.
at the National Ability members, and people
Center. involved in the education
system. To promote verbally
in the community
To create a promotional and within the NAC
event post on Instagram each current programs to
week for one month prior to reach current
the event to increase the participants and
number of participants that families.
are already involved or
interested in the NAC.

Personnel Madison Pech Vanessa Keele Savannah Good

Resources Paper, Printer, Editing software, Stamps, Envelopes, Address Labels, Client
emails, Client mailing list
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Marketing Strategies
Internal Strategies
To post flyers that promote the challenge course to current staff and participants one month
before the event throughout each building at the National Ability Center.
• Beginning April 7th flyers should be distributed throughout all buildings within the
National Ability Center facility.
External Strategies
To post flyers one month before the fundraiser within the local community including local
schools and community recreation centers to reach community members, and people involved
in the education system.
• Beginning April 7th flyers should be posted within local school districts and recreation
centers. Also sending digital flyers to other areas that are not near National Ability
Center (NAC) that would promote and support the Challenge by Course Annual
Fundraiser.
To create a promotional event post on Instagram each week for one month prior to the event
to increase the number of participants that are already involved or interested in the NAC.
• On April 7th the National Ability Center will post an event infographic on Instagram.
• On April 14th, 21st, 28th, and May 5th a reminder of the event with a link to the original
post will be added to Instagram (stories).
Client Strategies
Email and mail flyers to the National Ability Center contact list which includes current and past
participants, stakeholders, sponsors, and involved community members.
• On April 7th an email with a digital flyer will be sent out to the contact list.
To promote verbally in the community and within the NAC current programs to reach current
participants and families.
• Staff will be notified April 1st of the fundraiser and will begin promoting April 7th. They
are encouraged to promote verbally in the community and hand out flyers within the
NAC current programs to reach participants and families.
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Sponsorship Level Opportunities:

• Gold Challenge Champion $ 14,000


o Provides the purchase of an Action Track chair for National Ability Center
Programming
o Perks:
▪ Your choice of business logo, in honor of, or names on an 8 x 10 plaque.
▪ Both table and banner at event (Provided banner to NAC, we provide
canopy and table set up).
▪ SWAG bag
• Silver Strong supporter $7,000
o Finances new equipment (ropes, harnesses, cable grabs, trolleys, ladders,
straps).
o Perks
▪ Your choice of business logo, in honor of or names on a 6x8 plaque on
Ropes course poles
▪ Booth table and banner at event (Provided banner to NAC, we provide
canopy and table set up).
▪ SWAG bag
• Bronze big support $3,500 provides …Group scholarship
o Supports an underprivileged group to cover the cost for their group to come to
participate in a full program.
o Perks
▪ Your choice of business logo, in honor of, or names on a 5 x 7 plaque
▪ Booth table and banner at event (Provided banner to NAC, we provide
canopy and table set up).
▪ SWAG bag
• Challenge by Course Fan $500 provides …Individual scholarships
o Financially covers the cost of an individual to participate.
o Perks
▪ SWAG Bag (T-shirt, hat, water bottle, sticker, drawstring bag)
• One-time Donation of any amount under $100
o Put any amount of your choice into our Challenge by Choice donations box at the
event or Venmo us.
o Perks
▪ National Ability Center vinyl decal
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The Instagram caption will read as follows “Come join us in our Annual Fundraiser! This year we
will be raising funds to buy new action track chairs.

🗓May 7| 9-5 pm
📍National Ability Center

[Graphic of participant at the Challenge Course, next to Action Track Chair, and a graphic with a
blue background that includes the National Ability Centers logo with text saying, “Challenge by
Course Annual Fundraiser Saturday, May 7, 2022, | 9 am-5 pm, come experience the challenge
course and new action track chair for more info visit Discovernac.org.”
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References

American Therapeutic Recreation Association. (2015). Code of Ethics. In Standards for the
practice of recreational therapy: & self-assessment guide (pp. 123–124). essay.

American Therapeutic Recreation Association. (2015). Standards for the practice of recreational
therapy: & self-assessment guide.

Bloemhoff. (2016). Impact of one-day adventure-based experiential learning (AEL) programme


on life effectiveness skills of adult learners. S.A. Journal for Research in Sport Physical
Education and Recreation, 38(2), 27–35. ISBN: 0379-9069

Centers for Disease Control and Prevention. (2022, February 2). Infection control: severe
acute respiratory syndrome coronavirus 2 (SARS-COV-2). Centers for Disease Control
and Prevention. Retrieved March 2, 2022, from
https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-
recommendations.html

Eatough, E., Chang, C.-H., & Hall, N. (2015). Getting Roped In: Group Cohesion, Trust, and
Efficacy Following a Ropes Course Intervention. Performance Improvement Quarterly,
28(2), 65–89. https://doi.org/10.1002/piq.21183

Kriel. (2016). Participation of divorced single parents and their children in outdoor activities to
improve attitudes and relationships. S.A. Journal for Research in Sports Physical
Education and Recreation, 38(3), 69–79.

Stumbo, N. J., & Peterson, C. A. (2009). Therapeutic Recreation Program Design: Principles &
procedures (fifth). Pearson Education.

Utah Recreation Therapy Association - what is the APIED process? Utah Recreation Therapy
Association - What is the APIED Process? (n.d.). Retrieved March 3, 2022, from
https://www.utahrectherapy.org/about/what-is-the-apied-process

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