1. HPR 451

2.  Goals are broad, objectives are (more) specific  Objectives are a means of measuring whether or not goals are met  Goals may be (or sound) “subjective” but well-written objectives are “objective,” (makes sense, doesn’t it)

3.  They keep the treatment on target and measurable  Without them, unable to assess whether the treatment was effective  Must be coordinated with the length of stay which keeps decreasing in healthcare  Allowing clients to participate in developing goals increases their sense of control over their situation and motivation to improve  Insurance companies want clients to be involved in tx process

4.  Art program? (drawing, painting, sculpture)  Music program? (vocal or instrumental)  Book/reading program? (any type)  Film appreciation program? (any genre)  Computer instruction program? (graphics, web instruction)  Bowling program? (any level)  Canoeing? (any level)

5.  Use water exercise instruction to enhance the physical health and psychological well- being of participants  Subjective, not really assessable or measurable  Will need to draw out measurable elements for the objectives

6.  To increase functional leisure skills  To increase leisure awareness  To increase social interaction  To complete community reintegration program  To increase awareness of stress management techniques  To increase awareness of relaxation methods  To increase assertiveness  To increase anger management skills

7.  To decrease physical aggression  To decrease verbal outbursts  To improve time management skills  To maintain cognitive level  To develop discharge plan  Others???

8.  Increase awareness of nonalcohol-related behavior  Decrease anxiety  Increase insight into personal value system  Increase awareness of alternative leisure activities  Improve physical endurance

9.  Very Specific  Written to be Measurable/Assessable  Should be possible for anyone (trained) to observe and determine if objectives are met  Frequently used in TR/RT or in medical/allied health areas  Insurers including Medicare/Medicaid want to see that interventions or treatments lead to outcomes  Why do something if it isn’t effective???  Behavior + Condition + Criteria

10. Assessment Goals Objectives Criteria Condition Performance (Behavior)

11.  After completing the “Learn to Bowl” program, John will demonstrate familiarity with the rules of bowling by accurately describing them when asked to do so by his instructor (as assessed by the instructor)  Condition: After completing….  Behavior: demonstrate  Criteria: accurately describing when asked to do as assessed by instructor

12.  During ball practice, all participants in the softball skills program will hit a pitched ball into fair territory at least 20% of the time  Condition: During ball practice  Behavior: hit a pitched ball  Criteria: into fair territory at least 20% of the time

13.  Think about the “benefits to participants” – this should guide your objectives (and goals)  Physical/exercise activities:  Improve tolerance, improve skill, learn new skills, learn the rules, learn about use of equipment, learn specific habits (check heart rate, drink water, etc.), learn/improve sportsmanship

14.  Creative/visual arts:  Learn technique, skills, care of instrument, reading music, using oil paint, water color, etc. create a specific thing, learn a piece of music, a part in a play, write a monologue, perform in front of others, etc.  Social/person skills: (many types of activities)  Work in groups, lead group or activity, make speech, instruct, present, work/play/participate without conflict, contribute efforts toward goal, recruit or attract others into activity or program, organize or assist with event, manage or complete tasks as requested, etc.

15.  Participants in the water exercise program will have an exercise tolerance of 45 minutes at the conclusion of the 4-week program (level II – could be 1 hr, etc.)  All participants in the water exercise program will learn how to check pulse or heart rate and to adjust exercise intensity accordingly

16.  Graduate? What objectives do you need to achieve first?  Get a good (or better) job? What objectives do you need to achieve first?  Recreational goals – golf a certain score; run a certain speed/distance; make a quilt; learn to play/sing a piece of music; complete a painting, etc. What objectives do you need to achieve first?

17.  Cognitive  Improve time management skills  Increase attention span  Improve memory  Enhance leisure awareness  Increase knowledge of community leisure resources  Increase leisure-related skills

18.  Psychological  Increase anger control  Improve self-esteem  Decrease depression  Increase motivation for leisure  Increase leisure-related skills

19.  Physical  Increase physical fitness  Increase flexibility  Increase leisure-related skills  Increase endurance  Improve balance  Increase strength  Improve eye-hand coordination

20.  Social  Improve social skills  Increase cooperation  Increase leisure-related skills  Improve impulse control

21.  Establish friendships/Improve social skills  Explore spirituality/improve reading skills (e.g., through sacred and secular literature)  Sexual relations/learn to use sexual aids for a person with a spinal cord injury  Creative expression/improve fine motor skills  Increased autonomy/improve decision-making skills  Self-determination/provide opportunities to make decisions and use abilities  Broaden leisure interests and abilities/increase leisure awareness, skills, and resources