Therapeutic Recreation Ontario (TRO)



[pic]

Therapeutic Recreation Ontario

Registration Application Forms

Effective September 1, 2015

Appendices

R/TRO DIP

TRO Mailing Address

850 King St W, Suite 20

Oshawa ON L1J 8N5

|[pic] |Professional Registration (R/TRO DIP) |

| |Application Form #1 |

|Date       |

|First Name |Last Name |TRO Membership # |

|      |      |      |

| I hereby allow TRO to add my name to the list of R/TRO & R/TRO DIP designation holders available | |

|to the public on the TRO website upon successful registration. | |

| |Signature |

| | | | |

|Hm Address |Hm City |Hm Prov |Hm Post Code |

|      |      |    |      |

|Hm E-mail |Hm Telephone |Hm Fax |

|      |      |      |

| |

|Current Employer |

|      |

|Address |City |Prov |Postal Code |

|      |      |    |      |

|E-mail | Telephone |Fax |

|      |      |      |

|1st Application for registration | |Appeal |

| $165.00 +hst | $25.00 +hst |

| $25.00 +hst I would like my portfolio returned to me* | |

|*If you choose this option, your portfolio (without the binder) will be returned to your home address listed on this form for an administration fee of $25.|

|If you are a successful applicant and this option is not selected, your portfolio will be shredded. Making a copy of your portfolio for your own records |

|is a much more cost-effective option! |

| |

|February Review |May Review |August Review |November Review |

| |January 1 submission deadline | |April 1 submission deadline| |July 1 submission deadline | |October 1 submission deadline |

| |

|Method of Payment: Online |

|Please include a copy of your payment notice. |

| |

|FOR OFFICE USE ONLY: |

|Date Processed: | |Authorization Code: | |

| |

|[pic] |R/TRO DIP Application Form #2 |

| |Formal Education |

|Name:       |TRO Membership #       |

|You must provide a photocopy of an official transcript for each college attended. You must also provide a copy of your actual diploma or certificate. |

Formal Education Point Structure

|Designation |Diploma |TR Coursework |Supportive Coursework | Points |

|R/TRO DIP |Successful completion of the |Minimum 15** TR credits will address the |Minimum 9** credits within one or |50 pts |

| |following: |following competency dimensions outlined |more of the following areas: | |

| | |in TRO’s Essential Competency Framework |social science | |

| |TR diploma |and meet the definition of a TR course as|health science | |

| | |defined in the R/TRO DIP application |humanities | |

| |or |package. | | |

| | |Assessment | | |

| |Allied diploma* + post |Intervention Plan | | |

| |graduate certificate in TR |Program Development | | |

| | |Program Delivery | | |

| | |Documentation | | |

| | |Evaluation | | |

| | |Community Practice | | |

| | |Research | | |

| | |Communication and Interprofessional | | |

| | |Collaboration | | |

| | |Professional Accountability | | |

| | |Professional Development | | |

*An allied diploma is a diploma in health and human services

**(3 credits equals 1 college semester course)

Form #2 Continued…

|Formal Education |

|Name of College |Type of Diploma |# of Years |Year Obtained |

|      |      |      |      |

|      |      |      |      |

|      |      |      |      |

|      |      |      |      |

Therapeutic Recreation Coursework

A TR course at the College level will be defined as:

A therapeutic recreation course at the college level is a minimum value of 3 credits. Eighty percent of the course content must directly address one or more of TRO’s Standards of Practice as evidenced by the course outline. Use of a therapeutic recreation textbook for each course or a book of readings with a strong reference list is required.

|TR Course Title |Course |Credits |

|And Educational Institution |Number | |

|      |      |      |

|      |      |      |

|      |      |      |

|      |      |      |

|      |      |      |

|      |      |      |

|      |      |      |

| |Total= |15 credits |

Supportive Coursework

A Supportive Course will be defined as:

A minimum 30-hour highly structured credit course from an accredited college that provides a foundation in the social sciences, health sciences or humanities.

|Supportive Course Title |Course Number |Credits |

|and Educational Institution | | |

| |      |      |

|      |      |      |

|      |      |      |

|      |      |      |

|      |      |      |

| |Total= |9 credits |

It is the responsibility of the applicant to include supporting documentation on coursework if the course title alone does not meet TR/Supportive coursework course definitions

Allied Diploma

An allied diploma will be defined as:

A diploma in health and human services with at least 9 credits in supportive coursework within one or more of the following areas: social science; health science or humanities.

Supportive Coursework Identification for Allied Diplomas

A supportive course will be defined as:

A minimum 30-hour highly structured credit course from an accredited college that provides a foundation in the theory and/or philosophy and/or program content within the health and human services field.

Social science – A Social Science course explores a branch of science that studies human society and the various relationships among individuals within a society. These courses focus on the institutions and functioning of human society and the interpersonal relationships of individuals as a member of society. Social Science encompasses general topics that apply to Therapeutic Recreation such as sociology, psychology, cultural anthropology, socioeconomics, geography and political science.

Health science – A Health Science course is one that focuses on an interdisciplinary approach to the study of health, wellness and illness. Health Science encompasses a variety of sub-disciplines, all of which relate to the application of science to health. Courses in Health Science contribute to the development of strategies to protect and promote healthy living, optimize physical abilities, enhance well-being and prevent disease and injury. These courses allow for an understanding of health through topics such as anatomy and physiology, microbiology, neurology, kinetics, gerontology, medical terminology and ethical issues. Health Science courses also allow for training in areas such as patient care, health care administration, patient relations, health education and research.

Humanities – A Humanities course is one that includes academic disciplines that study human culture and constructs. Courses in Humanities look at historical developments and how they have impacted today’s world. Studying courses in the Humanities provides general knowledge and intellectual skills, rather than specific work-related skills. General topics covered in the Humanities may include history, literature, philosophy, languages, gender studies, human rights, communications, multimedia, and religion.

|[pic] |R/TRO DIP Application Form #3a |

| |Practical Experience: For Pathway A Applicants ONLY |

|Name:       |TRO Membership #       |

|The Pathway A Practical Experience chart is required to be filled out and signed by the placement coordinator/designate from your educational institution |

Practical Experience Point Structure

|Education Program |Essential Competencies Addressed During Practical Experience |Total Hours Required |Total Points |

| |Practical experience will address the following dimensions | | |

|TR Diploma |outlined in TRO’s Essential Competency Framework. |430 hours |50 points |

|or |Assessment | | |

| |Intervention Plan | | |

|Allied Diploma + post |Program Development | | |

|graduate certificate in TR |Program Delivery | | |

| |Documentation | | |

| |Evaluation | | |

| |Community Practice | | |

| |Research | | |

| |Communication and Interprofessional Collaboration | | |

| |Professional Accountability | | |

| |Professional Development | | |

|[pic] |R/TRO DIP Application Form #3b |

| |Practical Experience: For Pathway B Applicants ONLY |

|Name:       |TRO Membership #       |

|Current Employing Agency |Date |

|      |      |

| |

|Type of Agency: (e.g. Hospital, Long Term Care, Children’s Centre, Mental Health, Corrections, Education, Private) |

|      |

|Job Title |Name of Supervisor |Job Title of Supervisor |

|      |      |      |

|Start Date of Employment (DD/MM/YYYY) |Average Weekly Hours |*Job Description: Attach a copy of your current job |

| | |description |

|      |      | |

| |

|Job Title |Standards |Total Hours |Divided by 1950|X |X multiplying factor|Total |

| | |Worked | |20 | |= |

|1.       |      |      |      |      |      |      |

|2.       |      |      |      |      |      |      |

|3.       |      |      |      |      |      |      |

|4.       |      |      |      |      |      |      |

|5.       |      |      |      |      |      |      |

|6.       |      |      |      |      |      |      |

|7.       |      |      |      |      |      |      |

|8.       |      |      |      |      |      |      |

| |Total |      |

|[pic] |R/TRO DIP Application Form #3b |

| |For Pathway B Applicants ONLY |

| |*IF you meet the minimum points (50) with your current position DO NOT complete this |

| |page. |

| | |

| | |

| | |

|Provide only work experience for the past 10 years. **Please call the TRO office for additional copies of this page if needed. ** 3 copies in this |

|package. |

|Name:       |TRO Membership #       |

|Previous Employing Agency :       |Date:       |

|Previous Agency Address:       |

|Previous Agency City:       |Previous Agency Prov:       |Previous Agency Post Code:       |

|Day Time Phone #:       |Fax #:       |

| |

|Type of Agency: (e.g. Hospital, Long Term Care, Children’s Centre, Mental Health, Corrections, Education, Private) |

|      |

|Job Title |Name of Supervisor |Job Title of Supervisor |

|      |      |      |

|Start Date of Employment (DD/MM/YYYY) |Start Date of Employment (DD/MM/YYYY) |Average Weekly Hours       |

|      |      | |

| |

|Job Title |Standards |Total Hours |Divided by 1950|X |X multiplying factor|Total |

| | |Worked | |20 | |= |

|1.       |      |      |      |      |      |      |

|2.       |      |      |      |      |      |      |

|3.       |      |      |      |      |      |      |

|4.       |      |      |      |      |      |      |

|5.       |      |      |      |      |      |      |

|6.       |      |      |      |      |      |      |

| |Total |      |

|[pic] |R/TRO DIP Application Form #3b |

| |For Pathway B Applicants ONLY |

| |*IF you meet the minimum points (50) with your current position DO NOT complete this |

| |page. |

|Provide only work experience for the past 10 years. **Please call the TRO office for additional copies of this page if needed. ** 3 copies in this |

|package. |

|Name:       |TRO Membership #       |

|Previous Employing Agency :       |Date:       |

|Previous Agency Address:       |

|Previous Agency City:       |Previous Agency Prov:       |Previous Agency Post Code:       |

|Day Time Phone #:       |Fax #:       |

| |

|Type of Agency: (e.g. Hospital, Long Term Care, Children’s Centre, Mental Health, Corrections, Education, Private) |

|      |

|Job Title |Name of Supervisor |Job Title of Supervisor |

|      |      |      |

|Start Date of Employment (DD/MM/YYYY) |End Date of Employment (DD/MM/YYYY) |Average Weekly Hours       |

|      |      | |

| |

|Job Title |Standards |Total Hours |Divided by 1950|X |X multiplying factor|Total |

| | |Worked | |20 | |= |

|1.       |      |      |      |      |      |      |

|2.       |      |      |      |      |      |      |

|3.       |      |      |      |      |      |      |

|4.       |      |      |      |      |      |      |

|5.       |      |      |      |      |      |      |

|6.       |      |      |      |      |      |      |

| |Total |      |

|[pic] |R/TRO DIP Application Form #4 |

| |Professional Affiliation |

|Name:       |TRO Membership #       |

|1. You must ensure that you are a member in good standing with Therapeutic Recreation Ontario by having a current student/professional membership. Check |

|your membership expiry and ensure it is up to date prior to submitting your application package. |

|2. Please ensure that the points that you have calculated in this section are transcribed to the final points page on Form 6. |

|(points 25) |

|Professional Affiliation – Direct |

| |Organization |Points |Points |

|Mandatory |Therapeutic Recreation Ontario |25 |25 |Verified by |

| | | | |TRO |

| |Total |      |

| |

|[pic] | |

| |R/TRO DIP Application Form #5 |

| |Professional Contributions |

|Name:       |TRO Membership #       |

|In order to receive credit for your professional contributions, you must provide proof of completion of your activities in this category (e.g. letter from |

|Professional Practice leader or supervisor, letter from course instructor, Professional Contribution Credits (PCC transcript), copy of table of contents or|

|article, letter from educational institution or direct supervisor confirming supervision of placements). |

| |

|Please Note: You must obtain a minimum of 25 points in the overall Professional Contributions category (to a maximum of 50 points). Although there is a |

|maximum number of points that may be earned for each subsection (i.e., maximum number of points allowed for the Educational Opportunities sub-section is |

|20), there is no minimum number of points necessary for each subsection. |

|Category |Activity |Supporting Material|

| |List items within each category|Required |

|[pic] |R/TRO DIP Application Form #5a |

| |Professional Contribution Criteria |

Professional Contribution Criteria

For Non-TRO Sponsored Events

Please fill out this form for each non-TRO sponsored event you are submitting in the educational opportunities category of the professional contributions section of the R/TRO DIP application. By relating your educational opportunities to the professional contribution credit criteria, you are ensuring your learning relates directly to the profession of therapeutic recreation.

Include this form as well as your certificate of completion indicating the number of hours attended for each educational opportunity you are submitting with your R/TRO DIP application.

Presentation Title:      

Presentation Date/Location:      

Length of Presentation (in hours):      

Please indicate appropriate Professional Contribution Criteria*:

Assessment

Intervention Plan

Program Development

Program Delivery

Documentation

Evaluation

Community practice

Research

Communication and Interprofessional Collaboration

Professional Accountability

Professional Development

* Refer to appendix pages 11 and 12 for glossary of each criteria code.

Submission Description:

(Briefly describe what you learned at the session and how it relates to the PCC criteria)

|[pic] |R/TRO DIP Application Form #5b |

| |Professional Contribution Glossary |

Professional Contribution Criteria Glossary

1. Assessment: Utilizes an individualized and systematic process to determine individual strengths, needs, and interests of clients to establish priorities and direction of TR intervention.

Examples: Measuring patient needs in order to develop programs, creating or developing assessment tools.

2. Intervention: Outlines specific strategies and modalities based on assessment results. The individualized plan is achieved via a collaborative approach including the client and support networks to attain a client-centered and outcome-oriented process.

Example: Multidisciplinary discussion (medical rounds, education).

3. Program Development: Creates a framework for each program addressing the needs and interests of clients within the context of their environment. It is a systematic process based on the intervention plan. Individual and group program outlines should include purpose, rationale, description, target population, goals, outcomes, evaluation mechanisms, and resource requirements.

Examples: Creating or modifying programs, the history or motivation around program development explains the ‘what and why’ of programs.

4. Program Delivery: Encompasses the provision of outcome-oriented programs in a variety of service delivery settings that reflect a continuum of care model. A therapeutic recreation practitioner’s action is determined by the intervention plan and can be offered on an individual and/or group basis.

Examples: explaining changes made to programs and their impact, modifications made for groups or individuals, step-by-step process of delivery, explains the ‘how to’ of programs.

5. Documentation: The comprehensive collection of information related to every aspect of therapeutic recreation intervention. This can include a variety of methods (written, verbal, electronic, etc.) and the steps of an initial screening, assessment report, progress report, discharge report, case review, and/or intervention notes. Documentation provides a basis for professional accountability.

Examples: MDS and/or other specific tools used, what to include to ensure effective documentation, importance of documentation.

6. Evaluation: Involves a thorough review of therapeutic recreation assessment, intervention plan, program development, and program delivery to illustrate and ensure the efficacy of therapeutic recreation services.

Examples: New evaluation tools/processes, ways to gather accurate information from clients (focus groups, one on one, questionnaires, satisfaction surveys, etc), how to get patients to focus groups, formal versus informal methods.

7. Community Practice: The obligation to create opportunity for community involvement for clients in a variety of service delivery settings.

Examples: creating opportunities through advocacy (community outings, reduced rates, etc.), bringing community in (i.e. Intergenerational programs).

8. Research: Demonstrates the benefits of a planned systematic analysis of the components that comprise therapeutic recreation services. Work in this area illustrates professional efficacy while contributing to the growth of therapeutic recreation as a whole.

Examples: Steps involved in research process, teaching ways to make research less intimidating, ways to follow through and put research into practice, keeping track of evaluation as a research tool, gathering data and compiling information to identify trends, literature searches in program development, how to develop a research question.

9. Communication & Interprofessional Collaboration: Demonstrates the ability how to establish and maintain effective and professional communication with clients, professional colleagues while understanding how to use culturally relevant client-centered principles in the communication process.

10. Professional Accountability: Ability to understand the importance of practicing in a safe and ethical manner under the scope of professional service and TRO’s Code of Ethics.

11. Professional Development: A commitment to ongoing involvement in upgrading personal and professional knowledge related to therapeutic recreation.

Examples: regulation, continuing education, student supervision, advocacy of Therapeutic Recreation in other groups/committees, skill sharing/skill development/bringing skills to TR, learning about new equipment/resources/trends.

|[pic] |R/TRO DIP Application Form #6 |

| |Final Points Summary Page |

|Name:       |TRO Membership #       |

|FORMS |YOUR POINTS |TRO’s PRACTICE REVIEW COMMITTEE POINTS |

|FORM #1 |Completed |Completed |

|Professional Registration |Not Complete |Not Complete |

|Application | | |

|FORM #2: |TR Diploma |TR Diploma |

|Formal Education | | |

| | | |

|(50 points) | | |

| |Allied Diploma plus |Allied Diploma plus |

| |Post Graduate Certificate in TR |Post Graduate Certificate in TR |

| |TR Coursework |TR Coursework |

| |Supportive Coursework |Supportive Coursework |

| |Total Form #2 Points       |Total Form #2 Points:       |

|FORM #3: |Pathway A: Chart |Pathway A: Chart |

|Practical Experience | | |

| | | |

|(50 points) | | |

| |Pathway B: |Pathway B: |

| |Placement #1       |Placement #1       |

| |Placement #2       |Placement #2       |

| |Placement #3       |Placement #3       |

| |Placement #4       |Placement #4       |

| |Total Form #3 Points:       |Total Form #3 Points:       |

|FORM #4: |Direct:       |Direct:       |

|Professional | | |

|Affiliation | | |

| | | |

|(25 points) | | |

|Maximum 50 points) | | |

| |Total Form #4 Points:       |Total Form #4 Points:       |

|FORM #5: |Total Form #5 Points:       |Total Form #5 Points:       |

|Professional Contributions | | |

| | | |

|(Minimum 25 points) | | |

|Total Points |       |       |

|(Minimum 150 points) | | |

|[pic] |R/TRO DIP Application Form #6 |

| |Final Points Summary Page Continued |

| |For Office Use Only! |

|Name:       |TRO Membership #       |

|Date Reviewed: |

|Reviewed by: | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

|Decision: Registered Professional (R/TRO DIP) ( Not Registered ( |

|NOTES: |

| |

| |

| |

| |

| |

| |

| |

| |

| |

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download