Intervention Protocol

Ellie Tucker

Intervention Protocol

University of Utah

Ellie Tucker
Intervention Protocol
Ellie Tucker

Intervention Protocol:
Program Title:
 Stress Management Program

General Statement of Purpose:

 The Stress Management Program will increase client’s ability to
identify/understand personal stressors. Patient will be able to implement learned
coping skills as a means of stress management.

Description of Program and Program Outcomes:

 Clients will engage in a stress management workshop two times per week for a
60-minute duration time. Workshops will be a group process involving five to ten
clients. Patients will be introduced to a minimum of five mindfulness activities
using leisure-based intervention (yoga & meditation).
 Outcomes of the Stress Management Program will be aimed toward advancement
of social skills, achievement of stress management/coping skills, increased
communication, and improved self-esteem. Upon discharge, clients will be able to
identify a minimum of five personal stressors and five coping skill strategies.

Client Problems That May Be Addressed:

 Emotional:
o Anxiety/stress
o Depression
o Mood swings
o Guilt
 Social:
o Aggressive physical/verbal behavior toward self and others
o Detachment from self (emotions), others, or certain situations
 Cognitive:
o Heightened reaction to unexpected stimuli
o Concentration difficulties (difficulty attending to focused tasks)

Referral Criteria:
 Referred by therapist
 Self-referral

Contradicted Criteria:
 Clients must be in a level two program and comply with program placement.

Intervention Activities or Techniques:

**Detailed intervention activities and techniques are listed following the document.
 Deep Breathing Exercise: Physical Activity
 “Push the Panic Button”: Psycho-Educational Activity
 Stress Ball Balloons: Creative Activity
 Velcro Catch: Game-Like Activity
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Ellie Tucker

 Attached to a String: Challenge Activity

Staff Training/Certification Requirements:

 State license as a TRS or MTRS
 National certification by NCTRC as a CTRS
 CPR Training
 Behavioral Training
 Drivers License
 Yoga Certification
 Meditation Certification

Risk Management:
 Transportation
 Patient to staff ratio
 Toxic materials
 Safety and security
 Employee health
 Equipment

Outcomes Expected:
 Patients will engage in stress management workshops for a minimum of 60
minutes two times per week during the treatment process.
 Upon discharge, patients will identify a minimum of five personal stressors and
five coping skills.
 Patients will be introduced to a minimum of five mindfulness activities during
program process.
 Clients will verbally communicate four specific stress management strategies to
TRS prior to discharge.
 Clients will develop a minimum of three resources through stress management
techniques during the treatment process.
 Patients will attend a minimum of three coping based interventions upon
discharge.

Program Evaluation:
 Follow-up testing:
o Every three months to insure quality care for patient.
o Gathering of formative evaluation following stress management
workshops:
o Observation of client’s improvement with coping skills and stress
management strategies.
 Gathering of summative evaluation upon client discharge:
o Review of client outcomes compared to program outcomes.
 Staff and safety regulations checklist:
o Ensure patient’s safety and satisfaction within the program.
 Family Surveys
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Ellie Tucker

o Provide Internet survey to family members to receive further information

on client and program process.
 Quality Improvement Plan
o Self-assessment of TR services to plan for future improvements.

E. Tucker TRS, CTRS (student)

02/21/2017
Intervention Protocol
Ellie Tucker

References
Stumbo, Norma J., and Carol Ann Peterson. Therapeutic Recreation Program Design:
Principles and Procedures. Englewood Cliffs, NJ: Prentice-Hall, 1984. Print.

Diagnostic and Statistical Manual of Mental Disorders: DSM-5. Washington, D.C.:

American Psychiatric Association, 2013. Web.

"Post-Traumatic Stress Disorder." National Institute of Mental Health. U.S.

Department of Health and Human Services, n.d. Web. 4 Oct. 2016.

"PTSD Statistics." PTSD United. Creative MMS, 2013. Web. 4 Oct. 2016. Tull,

Matthew. "PTSD and Anxiety Disorders." Verywell. About Inc., n.d. Web. 4 Oct.
2016.

Swales, Pamela. "Factsheets: Sleep and Posttraumatic Stress Disorder (PTSD)."

New York Alliance Against Sexual Abuse. N.p., 2000. Web. 4 Oct. 2016.

"PTSD and Depression - Overview." WebMD. N.p., 2005. Web. 4 Oct. 2016.