new possibilities for meaningful leisure experiences · celebrating life through leisure...
TRANSCRIPT
02/04/2013
1
New Possibilities for Meaningful Leisure
Experiences
Jennifer Carson PhD Candidate,
Aging, Health & Well-Being,
University of Waterloo
Sherry Dupuis PhD,
Director, MAREP,
University of
Waterloo
Colleen Whyte PhD Candidate,
Lecturer,
Brock University
Objectives • Reflect on the impact of the institutional, medical
model of care on leisure policies, practices, and
experiences in long-term care and retirement living
• Consider how a community, relational model of living
might reshape leisure policies, practices, and
experiences in long-term care and retirement living
• Learn about Authentic Partnerships and Living and
Celebrating Life through Leisure
• Envision new possibilities for meaningful leisure
experiences
02/04/2013
2
This recreation
assessment script is an
actual transcript,
adapted from
Pedlar, Hornibrook, &
Haasen, 2001
Please welcome our actors to the
stage
Large Group Discussion
• Using the information provided in
your handout, which aspects of the
institutional, medical model did
you observe in the play?
Small Group Exercise #1
• Discuss the following question
together: Based on your experiences
and observations, what are some of the
impacts of the institutional, medical
model on leisure policies, practices and
experiences in long-term care and
retirement living?
• We will hear a sample of responses.
02/04/2013
3
Recreational Therapy
• a treatment service designed to restore,
remediate and rehabilitate a person’s 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)
Common Implications • Dominance of the biomedical paradigm
undervaluing of leisure and a diversional or therapy focus (i.e., recreation as distraction, treatment or intervention) undermines personhood
• Professionalization of activities and recreation departmentalized approach
• Large group programs and too few individually meaningful opportunities
• Structured programs and too few spontaneous and self-initiated opportunities disrupts the rhythms of daily life
Common Implications (cont.) • Assessments tend to focus on measuring functional
levels in order to identify deficits in need of treatment or intervention
• Limitations experienced are often attributed to the illness or disability with little regard for social or environmental factors
• Valuing independence over interdependence
• Little attention is given to strengths and continued abilities, and how Elders themselves think about recreation and leisure in their lives
02/04/2013
4
Guided Imagery Exercise
Small Group Exercise #2
• Please take turns sharing the images
you envisioned. After everyone has
shared, together choose three words to
describe how your group’s images were
different from the impacts described in
exercise #1.
• We will hear a sample of responses.
Leisure is an Experience
It 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)
02/04/2013
5
• 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, p. 15-
16)
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
02/04/2013
6
Leisure… is the celebration of freedom at its crowning point. (Sylvester, 1987, p. 81)
We must reach beyond therapy and diversion and embrace leisure
Authentic Partnerships…
actively incorporate and
value diverse perspectives
and include persons living
with dementia, family and
other partners-in-care, and
professional partners in
shared decision-making Dupuis, S.L., Gillies, J., Carson, J., Whyte, C., Genoe, R.,
Loiselle, L., & Sadler, L. (2011). Moving beyond patient
and client approaches: Mobilizing authentic partnerships
in dementia care. Dementia.
02/04/2013
7
Living and Celebrating Life through Leisure Participatory Action Research Team
Members of John Noble Home LEAD
Program: Elaine Smith, Marion Nelles, Bonnie
Broughton, Helen Broadley, Lereine Milton, Janice
Ross, Bryant Redfern, John Stulen, Yvonne
Peachey, Margaret Boyle, Norman Wilson
Project Partners: Sherry Dupuis, Jessica Luh,
Lisa Meschino, Leah Sadler (MAREP, UW); Colleen
Whyte (Brock University); Jennifer Carson & Christy
Parsons (Schlegel Villages); Rebecca Genoe
(University of Regina); Corrie Bradley (Sunnyside);
Connie Grafe (St. Joseph’s); Karen Megson-
Dowling (Sunnybrook); Jill Mercier (Alzheimer
Society of Kitchener-Waterloo); Dick Stewart &
Susan Harkness (Family Care Partners)
Being
Me Being
With
Having
Fun
Growing and
Developing
Making a
Difference
Seeking
Freedom
Finding
Balance
Being
Me
02/04/2013
8
Being
With
Seeking
Freedom
Finding
Balance
02/04/2013
9
Making
a
Difference
Growing
&
Developing
Having
Fun
02/04/2013
10
‘By Us For Us’ Guide
helpful tips for
supporting meaningful leisure
experiences
Free download on
MAREP’s website:
www.marep.uwaterloo.ca
Small Group Exercise #3
• Choose a facilitator for your group.
• Spread out the photos related to your
theme so everyone in your group can
see the photos. Take a few moments
to look at the photos.
• As the facilitator, engage your group
in a discussion using the prompts.
From an Emphasis on
To an Emphasis on
Assessment as a One-
Way Process
Dialogue- and Relationship-
Centered ‘Getting to Know
Each Other’
Functional Domains (cognitive, physical, social, emotional,
spiritual, and psychological)
Valued Leisure
Experiences
Functional Abilities and
Activity Interests Knowing the Whole Person
Diversional or Therapeutic Meaningful
New Possibilities
02/04/2013
11
Small Group Exercise #4
• Please share some of the new
possibilities you can envision for
meaningful leisure experiences within
your community.
• Together, identify three things that
need to happen in order to achieve
some of these new possibilities.
• We will hear a sample of responses.
What Will You Do?
In order to support the meaningful
leisure experiences of those with
whom I work, I plan to…
Please write your goal in the space provided.
Being
Me Being
With
Having
Fun
Growing and
Developing
Making a
Difference
Seeking
Freedom
Finding
Balance
02/04/2013
12
Watch yourself. Every minute we
change. It is a great opportunity. At any point,
we can step out of our frozen selves and our ideas
and begin afresh.
(Natalie Goldberg, 1986, Writing Down the Bones)
Thank You! • Other comments or questions
• Please return photos to envelope and leave in room
• Email: