Certified Therapeutic Recreation Specialist, Margaret Shea Adult Healthcare Program

Overview

The Margaret M. Shea RN Adult Day Health Program (formerly known as the Mattapan Adult Day Health Program) is a program of Boston Medical Center (BMC) that provides structured day services in an ambulatory, home-like setting for adults who do not require 24-hour institutional care, but because of physical, cognitive and/or psychosocial impairment, are not completely able to live independently.

For many frail elderly, adult day care allows them to live alone, or with family, postponing and often preventing nursing home placement. The adult day health program also serves adults (age 18 and over) who may have disabilities that prevent them from being completely independent. This environment offers structure to clients who may be isolated, confused, or depressed. The program provides respite to the primary caregiver to be employed outside the home while their family member attends the day program.

Reporting to the Program Director, the Therapeutic Recreation Specialist conducts comprehensive assessment of clients with physical and functional deficits, as well as oversight and review of documentation by the Therapeutic Activities Coordinators. Working with the Director and all other ADH Program staff, the CTRS is responsible for the planning and implementing individual, small and large group activity programs to achieve and maintain optimal levels of independence and psychosocial functioning of the clients.

The CTRS may provide student and volunteer training and oversight according to departmental and BMC guidelines and participates in continuous education.

This position requires experience in general recreational activities programing for the elderly and adults with cognitive, physical and/or psychosocial limitations or disabilities.

Position: Therapeutic Recreation Specialist (Certified CTRS)

Location: Boston, MA (Margaret Shea Adult Healthcare Program)

Schedule: 40 hours per week

At Boston Medical Center (BMC), our diverse staff works together for one goal - to provide exceptional and equitable care to improve the health of the people of Boston. Our bold vision to transform health care is powered by our respect for our patients and our commitment to ensure everyone who comes through our doors has a positive experience.

You'll find a supportive work environment at BMC, with rich opportunities throughout your career for training, development, and growth and where you'll have the tools you need to take charge of your own practice environment.

• Conducts therapeutic recreation evaluation procedures according to professional and departmental guidelines.
• Initiates new client assessments within two scheduled client days
• Completes evaluation and documentation within 2 weeks of admission, in accordance to Adult Day Health regulations.
• Reviews patient records and gathers necessary information.
• Selects evaluation procedures that reflect understanding of the patient's diagnoses, abilities and limitations.
• Interprets evaluation results, develops an integrated diagnostic impression, and makes recommendations.
• Performs re-evaluations according to departmental policies and professional best practices with changes in patient's status or response to programing.
• With the client, care team and care giver, establishes therapeutic goals; provides educates patient and caregiver regarding evaluation findings and management care recommendations as needed.
• Incorporates findings and goals into the Interdisciplinary Care Plan
• Establishes treatment goals and plans that reflect the needs of the patients while meeting program, institutional, and regulatory requirements.
• With the client, care team and caregiver, formulates treatment goals and plans that reflect the client's unique psychological and functional deficits. Establishes measurable and attainable short and long term goals in collaboration with patient and/or caregiver. Modifies goals as warranted by changes in client's status.
• Should the client warrants a discharged from the program, assesses discharge needs of the patient and caregiver, and coordinate the discharge plan with the ADH nursing staff, social worker.
• Implements comprehensive individual, small and large group programing.
• Develop and implement treatment plans and programs by designing recreational activities selected to achieve individual specific objectives and needs, by providing individual and group activities, leisure education, therapeutic programs and general recreational opportunities
• Establishes Therapeutic Activity programing priorities based on evaluation results and the specific needs of individual clients and the collective needs of the entire ADH Program census.
• Demonstrates clinical problem solving skills with a variety of client problems and is able to substantiate actions taken. Adjusts patient treatment programs appropriately and terminates them as warranted by client's progress and/ or a change in functional level.
• Develops and/or adapts age-appropriate recreational equipment, games, and…