TR Process_02

EVALUATION PHASE
Evaluation is the fourth and final phase in the TR process.  In this phase, the goals and objectives in the IPP are appraised.  The primary question to answer in the evaluation phase is, How did the client respond to the planned intervention?
Evaluation reveals if the plan has been effective or it if requires revision.  If the planned program has not had the desired effect, it needs to be modified, reimplemented, and reevaluated.  This cyclic process continues as necessary.
As has been indicated, it is essential to involve clients in all phases of the TR process to the fullest extent of their capacities.  This principle should of course be followed in the evaluation phase, where clients can help the TR specialist determine the effectiveness of the program in achieving sought outcomes.
The specific steps involved in the evaluation phase include: completing a summative evaluation (determining client outcomes), reporting evaluation results (documenting efficacy), revising the plan and/or developing a discharge, referral, or transition plan.
Documenting Practice
 Communicating with Clients and their Families
 Communicating with Colleagues
  Working in Teams-
  Barriers to Successful team communication-
 Oral Reports
• Effective group communication is the responsibility of every member
• Perfect understanding among group members is impossible
• Disagreements will occur and do not necessarily signal a breakdown in a group communication
Written Reports
 Purpose-
 Clinical Writing:
 RULE #1:
 RULE #2:
 RULE #3:
 RULE #4:

Types of Written Reports
 Progress/Service Notes:
 Additional Information gained from progress/service notes:
• Appearance (e.g., facial, posture, clothing)
• General attitude toward the task, therapist, or peers
• Work habits
•  Attitude toward instruction
• Motor activity and coordination
• Emotional reaction to the task, therapist, or peers
• General affect/mood
• Behavior during unstructured time
• Hopes and concerns expressed by client, family, or support systems
• Explanation of events that prevented participation with intervention plan
Recreation therapists use the information compiled for a progress/service note to evaluate their interventions.  This evaluation process may result in three outcomes:
1. Identifying new goals for the client because he/she has achieved original goals.
2. Discharge the client from TR services because he/she has achieved his or her goals and does not need any further intervention at this point.
3. Identify new goals or interventions because the client has not achieved the targeted goals or the client has set new goals for him or herself.
Frequency of progress/service notes:
NARRATIVE CHARTING:
SOAP CHARTING:
PIE CHARTING:
 
 Legal Issues in Documenting Client Care
 Other Venues for Communicating About Practice