RT Treatment Plan
You have now identified major areas of concern for potential intervention. You will now create a recreational therapy treatment plan for your client by
developing 2 major goals, with 2 corresponding objectives for each of those goals. These should stem from your major concerns. Don’t forget: Be sure to
consider the client’s diagnoses (abilities, challenges, course of the disease/illness), intrapersonal, interpersonal, and structural facilitators and barriers that
could impact your treatment plan, and the client’s length of stay and discharge plan (in other words, consider the realistic nature of your treatment plan).
Treatment Planning
Identify 2 goals and 2 objectives for each goal that relate to the treatment priorities you identified.
GOAL #1 (broad): ↑ PHYSICAL ENGAGEMENT
Objectives for Goal #1 (specific,
List 2 modalities that you could use
List and explain the treatment
List the technique/s you will use in
measureable, use clinical terminology
to address the objective. Explain
structure that would be best to
your tx sessions to address the
and abbreviations)
your clinical reasoning for choosing
address the objective and why?
objective and explain HOW you are
each modality (provide a STRONG
(1:1, 2:1, small group, large
going to apply the technique/s to
justification). Thinking about the
group)
address the objective. In other words,
Modalities course, if you completed
what are YOU going to do (specifically)
an activity analysis on this modality,
within your tx sessions to help the
how are the skills/knowledge
client progress in meeting this
required for this modality meeting
objective (e.g., I will utilize simple 1
the needs of your client.
step activities. When she becomes
distracted, I will provide verbal cuing to
redirect her back to the task, etc).
Condition: post education
Leisure Education: The pt stated that For this particular pt, I believe
We can begin by asking the pt what an
Behavior: Verbalize benefits and
he would like to engage in exercise
that this modality should be done average day was like prior to admitting
different types of leisure time physical
in the future, however lacks
1:1 to get the point across
him to the facility. Although we already
activity
motivation to participate in physical
effectively.
know his leisure interests, this can be
Criteria: 30 min, min vc’s
activity because he doesn’t find it
helpful so that we can have a better
Full objective: Post education, client to
enjoyable. It is crucial for the pt to
understanding of how the pt uses his
verbalize benefits and types of leisure
become physically active because he
free time throughout the day. We can
time physical activity
is morbidly obese and at risk for
then show him different instances that
death. Educating the pt about
he can use for physical activity.
pleasurable ways to become
Following this, we will educate him
physically active is important
about possible adjustments that can be
because he may become more
incorporated into the pt’s everyday
motivated to engage in exercise and
activities to increase his physical
physical activities that he is
engagement. In order to make these
interested in. Leisure education
exercises leisurely, we can encourage
promotes good health habits
them to be done in instances that he is
because it may encourage the pt to
participating in his favorite activities;
regularly engage in physical leisure
activities in the future. If the pt
regularly participates in physical
activity, he will reduce his risk for
death, help treat his 2° dx, and ↑ his
overall quality of life.
Condition: In community Setting
Behavior: Engage in physical activity
Criteria: ≥30 mins, light → mod (I)
intensity, ≥ 30x/wk
Full objective: In a community setting,
pt to engage in light→mod physical
activity ≥ 30 min ≥3x/wk
Walking: The client’s assessment
indicated that he was interested in
engaging in physical activity in the
future to decrease his health risks.
The client will be able to participate
in this physical activity easily
because it does not require a lot of
time and can be adapted to fit his
leisure interests. Walking does not
require additional equipment or
expenses. This exercise can be
adjusted to a slow or fast pace,
based on the pt’s level of comfort.
This modality can ↑ the client’s
flexibility, strength, balance, and
overall health condition since it
causes him to be more physically
active. Walking also provides the pt
with opportunities for socializing.
The pt may want to invite his
brother, friends, or family to walk c
we can encourage the pt to dance
while listening to music, go to sporting
events (which requires more physical
activity) rather than watch them on
television, and suggest doing leg lifts or
arm lifts during commercials while
watching television. We will then
explain how participating in leisure
time physical activity is beneficial since
it may motivate him to engage in
physical activity on a regular basis. I
will conclude by asking the pt what
adjustments in his daily life he thinks
can be made that will influence him to
participate in physical activities and
offer more suggestions if necessary.
In a 1:1 approach, the RT may
want to explore incorporating the
pt’s leisure interests into walking
exercises. This may motivate him
to engage in this physical activity
in solitude after discharge.
The pt may be more motivated to
participate in this modality if it is
in a small group. A small group
will provide the pt c opportunities
to socialize, which may increase
his mood. A small group may also
help the pt form a support system
that could encourage him to walk
on a regular basis.
We will need to check c a physician to
see if any specific parameters need to
be addressed prior to tx. We will then
get a physician’s order and address
those PRN. During the tx session, I am
going to invite the pt to take a walk c
me. During the walk, the RT will
demonstrate ways that he can
incorporate his favorite leisure
interests into this physical activity; i.e.,
listening to music while walking. We
can also suggest for the pt to walk with
a small group. He may want to walk
with a small group so that he can
socialize and be motivated to engage
in the physical activity on a regular
basis.
him. Socialization is important
because it will provide him c
opportunities that may strengthen
friendships, interpersonal
relationships, and other types of
social connections. Since the client
has a 2° dx of depression, this may
improve his mood and his overall
quality of life.
RT Treatment Plan cont.
GOAL #2 (broad): ↑ COPING STRATEGIES
Objectives for Goal #2 (specific,
measureable, use clinical terminology
and abbrev.)
List 2 modalities that you could use
to address the objective. Explain
your clinical reasoning for choosing
each modality (provide a STRONG
justification). Thinking about the
Modalities course, if you completed
an activity analysis on this modality,
how are the skills/knowledge
required for this modality meeting
the needs of your client.
List and explain the treatment
structure that would be best to
address the objective and why?
(1:1, 2:1, small group, large
group)
Condition: Within functional activity in
a quiet environment
Behavior: Sustain attention for 20 mins
Criteria: Min (A)
Full objective: Within functional
activity, pt to sustain attention in a
quiet environment for 20 mins c min (A)
Art: Art can be used as a coping
strategy for the pt’s 2° dx of
depression. According to the LIM,
the pt’s highest interest is in the
Artistic Domain. This means that the
pt may be more motivated to
participate in art as a coping strategy
because he already finds it
pleasurable. Art serves as a form of
self-expression, a stress reducer, and
a leisure interest. Having the pt use
art as a coping strategy may improve
his mood, reduce his depression, and
↑ his overall quality of life.
Due to the pt’s 2° dx of
depression, the pt may benefit
the most in a 1:1 approach. In this
approach, the pt may be more
comfortable expressing his
emotions in solitude rather than
with other individuals are around.
A quiet environment is optimal to
promote increased
attention/focus on the activity to
deter him from thinking about his
depression. With that said
however, as the pt progresses RT
may explore 2:1 and small group
interventions to broaden the
incorporation of other skills, such
as social communication.
List the technique/s you will use in
your tx sessions to address the
objective and explain HOW you are
going to apply the technique/s to
address the objective. In other words,
what are YOU going to do (specifically)
within your tx sessions to help the
client progress in meeting this
objective (e.g., I will utilize simple 1
step activities. When she becomes
distracted, I will provide verbal cuing to
redirect her back to the task, etc).
We can demonstrate simple artistic
activities that may relieve his
depression and reduce stress. These
activities may include painting,
drawing, building (since the pt shared
his passion for architecture), and even
writing. During RT assessment, the pt
perseverated about his love for his
religion, therefore may want to
incorporate his religious beliefs into
this modality. This may help him cope
better with his depression since he is
already passionate about it. The pt
may want to make paintings or write
poems about Christianity.
Condition: In community setting
Behavior: Engage in support group
Criteria: Weekly
Full objective: Pt to engage in a weekly
support group in a community setting.
Support Group: Although the pt has
good relations with his friends and
family, the pt would benefit from
interacting with individuals that have
similar dx as him. Engaging the pt in
a support group can offer an
opportunity to make connections
with individuals that relate to him.
This may help the pt feel that he is
not alone with his dx. A support
group may  the pt’s social
interactions, support system, mood,
attitude, overall quality of life,
relieve stress, offer comfort, and
may help reduce the pt’s depression.
A small group approach is the
best way to address this
objective. Engaging the pt with a
small group may help him
become more at ease
communicating his issues.
We can talk with the pt about the
benefits of socializing with individuals
that have similar health conditions. We
can explain to the pt ways a support
group may help reduce his depression
and improve his quality of life. After
the pt understands the benefits, we
can research the support groups in the
area in order to find one that best suits
the pt. After the pt agrees upon a
group, we can encourage him to go to
weekly sessions.