New Possibilities for Meaningful Leisure Experiences

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Transcript of New Possibilities for Meaningful Leisure Experiences

  • New Possibilities for Meaningful Leisure Experiences

  • Objectives

    Reflect on the impact of the institutional, medical model of care on leisure policies, practices, and experiences in long-term care homesConsider how a community, relational model of living might reshape leisure policies, practices, and experiences in long-term care homesLearn about Authentic Partnerships and Living and Celebrating Life through LeisureEnvision new possibilities for meaningful leisure experiences

  • Getting to know each otherDivide into pairsIntroduce yourself to your partner and interview each other using the following question:Thinking about your personality, what type of building would you be if you were a building? What type of kitchen utensil? What type of transportation vehicle?We will invite those who wish to share what you found out

  • Creating a safe space .What do you need to feel safe to share your stories, experiences, and opinions?

    What do you need from your facilitators?

    What do you need from your colleagues?

    What do you need from the space to participate in meaningful ways?

  • Culture Changeis an organic on-going and evolving processinvolves critically examining the language, values, assumptions, attitudes, practices, approaches, and policies embedded within an organisationis a movement from the medical/institutional model of care to a relational/social model of livinginvolves the development and implementation of a comprehensive set of fundamental reforms in order to create caring communities where both empowered front-line staff and [Elders and families] can flourish (Rahman & Schnelle, 2008, pp.142-143)

  • Culture Change is NOTan end product or outcomesolely a quality improvement initiativea specific program or model of care that is implemented a one-size fits all approachtop-down mandate imposed by otherseasy

  • Reflections on the medical, institutional model of care

  • Small Group Exercise #1Take turns to read out the characteristics of the medical/institutional model outlined on the handoutBased on your experiences and observations, together identify some of the impacts of the institutional/medical model on leisure policies, practices and experiences in long-term care homesCreate a skit that presents some of the impacts you discussed

  • Dramatic Performances and Large Group DiscussionWhich aspects of the institutional, medical model are observed in each of the performances?What are the similarities and differences between the performances?What other impacts are you aware of that were not shown in the skits?

  • Recreational Therapya treatment service designed to restore, remediate and rehabilitate a persons level of functioning and independence in life activities, to promote health and wellness as well as reduce or eliminate the activity limitations and restrictions to participation in life situations caused by an illness or disabling condition. (ATRA, 2009)

  • Therapeutic Recreationa profession which recognizes leisure, recreation and play as integral components of quality of life. Service is provided to individuals who have physical, mental, social or emotional limitations which impact their ability to engage in meaningful leisure directed toward functional interventions, leisure education and participation opportunities. These processes support the goal of assisting the individual to maximize the independence in leisure, optimal health and the highest possible quality of life.(CTRA)

  • Common ImplicationsDominance of the biomedical paradigm undervaluing of leisure and a diversional or therapy focus (i.e., recreation as distraction, treatment or intervention) undermines personhoodProfessionalization of activities and recreation departmentalized approachLarge group programs and too few individually meaningful opportunitiesStructured programs and too few spontaneous and self-initiated opportunities disrupts the rhythms of daily life

  • Common Implications (contd)Assessments tend to focus on measuring functional levels in order to identify deficits in need of treatment or interventionLimitations experienced are often attributed to the illness or disability with little regard for social or environmental factorsValuing independence over interdependenceLittle attention is given to strengths and continued abilities, and how Elders themselves think about recreation and leisure in their lives

  • Small Group Exercise #2On your tables you will find an envelope with quotes from our research with persons living with dementiaRead the quotes aloudDiscuss together:What are the consequences of the medical, institutional model on older adults reflected in the quotes?

  • Reflections on culture change values and the relational, social model of living

  • Guided Imagery Exercise

  • Small Group Exercise #3In small groups, take turns sharing the images you envisioned After everyone has shared, together choose three words to describe how your groups images were different from the impacts presented in the skitsWe will hear a sample of responses

  • Culture Change ValuesChoice and self-determinationDignity and respectNurturing body, mind and spiritKnowing and focusing on the personLiving lifeEnabling, normalizing environmentsClose interdependent relationshipsCollaborative decision-makingFlexibility

  • Small Group Exercise #4Take turns to read out the characteristics of the relational/social model outlined on the handoutTogether discuss what would need to change in your earlier skit to align the leisure policies, practices and experiences with the relational/social model?Transform your earlier skit into a new skit that reflects the relational/social model

  • Dramatic Performances and Large Group DiscussionWhich aspects of the relational, social model are observed in each of the performances?What are the similarities and differences between the performances?How might individual experiences change if the relational, social model was a reality?

  • Alternative Meanings of Leisure in LTC

  • Paired Interviews on LeisureFind a partner you have not worked with beforeTogether explore what leisure means to each of you and what you would need for meaningful leisure if you moved into a LTC home? What would you want your leisure to look like?Share with the larger group

  • Leisure is an ExperienceIt is the quality of the experience of doing the activity, not the activity itself, that makes it leisure. Leisure is mainly motivated by intrinsic reasons, that is, the activity is chosen because of the meaningful qualities it holds for the individual. Therefore, leisure is primarily an experience. (Kelly, 1982)

  • Of all species, humans are the biggest players of all. We are built to play and built through play. When we play, we are engaged in the purest expression of our humanity, the truest expression of our individuality It energizes us and enlivens us. It eases our burdens. It renews our natural sense of optimism and opens us up to new possibilities Play is the vital essence of life. It is what makes life lively. (Brown, 2009) Leisure is an Expression of Our Humanity

  • Leisure provides the opportunity to consider the kind of life a person wishes to live, permitting reflection on the personal meaning of well-being and how it might be achieved leisure provides the opportunity to do those things people consider meaningful and worthwhile leisure allows people to reflect and to realize the personal values that constitute their well-being. (Sylvester, 1992)Leisure is Well-Being

  • Leisure is among a new generation of human rights. Like other rights, awareness and acceptance of the right to leisure will require time It will necessitate individuals sufficiently courageous to challenge the status quo. Serious consideration of the right to leisure, moreover, will call for reform in therapeutic recreation. What calling the field of therapeutic recreation ultimately chooses to hear, however, and how well it responds, remains to be seen. History will be our judge, as time will either tell on us or about us. (Sylvester, 1992) Leisure is a Human Right

  • We must reach beyond therapy and diversion and embrace leisureLeisure is the celebration of freedom at its crowning point.(Sylvester, 1987, p. 81)

  • New Possibilities

    From an Emphasis on

    To an Emphasis onAssessment as a One-Way ProcessDialogue- and Relationship-Centered Getting to Know Each OtherFunctional Domains (cognitive, physical, social, emotional, spiritual, and psychological)Valued Leisure ExperiencesFunctional Limitations Abilities, talents, gifts, aspirationsActivity InterestsKnowing the Whole PersonDiversional or Therapeutic Meaningful

  • Small Group Exercise #6Work together to identify new possibilities you can envision for meaningful leisure experiences within your LTC environment, possibilities that align your leisure practice with the culture change valuesWrite each possibility on a separate post-it note and post on the wallWe will hear a sample of your new possibilities

  • Dot-mocracyTake five minutes and circulate among the new possibility themesChoose the new possibility or possibilities for leisure that energise you the mostPlace your three sticky dots beside your favourite new possibilities you can put all dots on one or beside three separate ones

  • Small Group Exercise #7Each of the small groups will be assigned one of the new possibilities to work onUsing the Designing Our Way Forward Table, identify three to five actions (things that would need to happen/change) and the supports/resources needed in order to achieve each of the new possibilitiesShare your actions