Recreation Therapist

Summary

The Recreation Therapist for the Lebanon VA Medical Center is aligned under Patient Services at Lebanon VA Healthcare System, a level 1-C facility involving 1 main campus and 5 outpatient clinics, whose purpose is to provide care and rehabilitation to those Veterans with a variety of disabilities and multiple diagnoses.

Duties

Under direct supervision the incumbent will conduct, analyze, interpret, and report assessment data based upon functional domains (cognitive, sensory, social, affective, physical, and leisure). Incorporating the four-step process of: assessment, planning, implementation, and evaluation of services delivered. The Recreation Therapist constructs appropriate and evidence-based Recreation Therapy interventions for treating patients in their assigned program area. Duties may include, but are not limited to, any of the following under direct supervision: review Recreation Therapy consults and conduct comprehensive evaluations. Based upon the assessment data and in collaboration with other stakeholders, the therapist develops individualized treatment plans with measurable therapeutic goals and objectives including scope, duration and treatment. Recommends adaptation, modification, and/or assistive technology to meet the assessed needs and preferences in Recreation Therapy. Through the use of activity/task analysis, behavioral interventions, and therapeutic procedures they design individualized treatment interventions to reduce stress, anxiety and maladaptive behaviors, recover basic motor functioning, reasoning abilities, build confidence, and develop compensatory strategies to master critical life skills necessary to re-enter the community in a productive manner. Techniques/strategies used to improve or support clinical outcomes may include but are not limited to: develop positive patterns of behavior; relaxation and stress reduction; lifestyle alteration; social skills training; develop self-esteem; reinforce positive relationships; motor learning and training strategies; anger and pain management; identify risks; recovery support; lifestyle adjustment; conflict/problem resolution; adjustment to disability, including coping with grief and loss. Exercises resourcefulness in providing individualized, unique effective methods and procedures when implementing therapeutic interventions including but not limited to: assistive technology; cognitive behavioral skills; aquatic therapy; fitness and wellness; adapted sports and leisure development, community accessibility/reintegration/transition. Evaluates patient needs for additional, alternative, or termination of services and monitor effectiveness of intervention plans and makes modifications, as needed. Determines effectiveness of protocols, modalities and programs for targeted groups through quantitative analysis and identifies potential risks and need for adaptive interventions with cases to facilitate improved bio-psychosocial well being. Conducts discharge analysis for community needs. The Recreation Therapist, under direct supervision, is expected to perform documentation of patient care including assessments, progress notes, encounters, consultations, care plans, and other reports as needed. Serves as Recreation Therapy representative on interdisciplinary teams as assigned or needed. In consultation with patients, their families, and caregivers, Recreation Therapist shall educate as required regarding treatment interventions and goals, in addition to any consideration involving adaptations to better ensure optimal treatment outcomes. Demonstrates ability and competency in treating patients that range in age from young adult to geriatric who may experience complex medical or mental health issues. Recreation Therapist, under direct supervision, interprets provider referrals and consults; and apply all health and safety regulations to minimize and mitigate risks in the provision of patient care and the environment of care. Work Schedule: Monday - Friday, 8:00 am - 4:30 pm weekend, holiday, evening coverage as needed Telework: Ad-hoc, at supervisor discretion Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education: A bachelor's degree or higher, from an accredited college or university, with a major in therapeutic recreation or recreation/leisure, with an option and/or emphasis in therapeutic recreation. The degree must be approved by the National Council for Therapeutic Recreation Certification (NCTRC); OR, A bachelor's degree or higher in any field from an accredited college or university and must be a certified therapeutic recreation specialist (CTRS). The degree must be approved by the NCTRC. If hired under this education, the certification cannot be waived. Certification: Applicants must be certified in recreation therapy as a CTRS by the NCTRC. If hired using an alternative degree (other than recreation), applicants must be certified. Exception: Non-registered and/or non-certified applicants, who otherwise meet the eligibility requirements for registration and/or certification, may be given a temporary appointment as a graduate recreation or creative arts therapist, under the authority of 38 U.S.C. § 7405(c)(2)(B), for a period not to exceed two years. Applicants who fail to obtain registration and/or certification during this temporary full-time appointment may be terminated. The exception only applies to positions at the GS-7 and GS-9 level. For grade levels at or above the full performance level, the candidate must be registered and/or certified. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: GS-7 Experience/Education: None beyond the basic requirements. GS-9 Experience/Education: At least one year of creditable experience at the next lower grade level, or a master's degree in recreation therapy may be substituted for the required one year of professional recreation therapist experience. Demonstrated Knowledge, Skills, and Abilities (KSAs): In addition to the experience above, the candidate must demonstrate all of the following KSAs: Knowledge of assessment tools and treatment for the diagnosis or disability of the patient. Knowledge to interpret and apply all health and safety regulations, to minimize and mitigate risks in the provisions of patient care, and environmental maintenance. Ability to effectively communicate and educate patients, families, caregivers, and other health care professionals to facilitate the treatment process. Knowledge to apply evidence-based and best practice therapeutic techniques and interventions. GS-11 Experience: At least one year of specialized experience at the next lower grade level. Demonstrated Knowledge, Skills, and Abilities (KSAs): In addition to the experience above, the candidate must demonstrate all of the following KSAs: Ability to adapt assessment tools and treatment interventions to address the complexity of the diagnosis or disabilities and demonstrate the clinical reasoning necessary to identify the need for further in-depth specific assessment of function and utilization of unconventional methods and techniques. Knowledge to independently interpret provider referrals and consults; and apply all health and safety regulations to minimize and mitigate risks in the provision of patient care and the environment of care. Skill in effectively communicating and educating, in