Experiences Matter: The Science Of Using Therapeutic Activities As Interventions For Neuropsychiatric Symptoms Linda L. Buettner, PhD, LRT, CTRS. Physician ordered Individualized Time limited treatment with goals
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The Science Of Using Therapeutic Activities As Interventions For Neuropsychiatric Symptoms
Linda L. Buettner, PhD, LRT, CTRS
Treatment is designed to
improve function or behavior.
NOT the same as DIVERSIONAL ACTIVITIES
4. Provide examples of
Recreation Therapy Intervention (RTI) Study (n=107) funded by the Alzheimer’s Association.
At-home RTI Study (n=30) funded by the Retirement Research Foundation.
Total N=137 individuals with severe dementia and neuropsychiatric behaviors.
Comprehensive Model of Engagement
By Dr. Cohen-Mansfield
Buettner, Fitzsimmons, & Atav, 2006
30% apathy and isolation
59% mixed behaviors
Buettner, Fitzsimmons,& Atav, 2006
Setting (special care in nursing home and assisted living significantly worse behavior problems and significantly less activity)
Existing Activity Offerings*
*Buettner, L. & Fitzsimmons, S. (2003) Activities calendars: want you see is not what you get, American Journal of Alzheimer’s Disease, 18(4), 215-226.
Recreational interests listed by participants
A. To calm individuals with agitation
B. To alert individuals with apathy
Ultimate goal: active engagement in meaningful recreational activities to change a behavior at the right time.
Could we predict the outcome physiologically?
measure the physiology of
Alzheimer’s Association & Retirement Research Foundation, 2001-2003
Highly significant decrease agitated and
apathetic behaviors with person-centered recreational therapy interventions.
2. Delivery of treatment just before problem rountinely occurs is important concept.
3. Intervention chosen had the desired effect
97% of the time.
Average activity engagement 27 minutes, with WC biking found as the most engaging treatment.
Once we know what works a care plan can be provided for others (Time limited and cost effective)