Facilitation Techniques
Michelle Wilson
Florida International University
demonstrate what to use and how to climb, spot other participants and belay and
assist with tying the ropes.
Adaptations: Participants with Autism Spectrum Disorder: Autism
Spectrum disorder is a group of complex neurodevelopment disorder characterized
by repetitive and characteristic patterns of behavior and difficulties with social
communication and interaction (www.ninds.nih.gov). Individuals with ASD have
difficulty with socialization, emotional regulation, transitioning to change in routine
and behavioral problems. The tower climb in adventure therapy promotes
socialization, team building and support from other teammates and staff, this
activity is a challenge by choice and each participant is invited to participate
voluntarily to the activity. Participants with ASD may need the CTRS to demonstrate
and model expected skills, provide a visual schedule and instruction with pictures of
the activity broken down into smaller steps (task analysis), schedule a one-on-one
trial climb if the participant is hesitant to attempt with other participants around
and provide reinforcement during and after the activity. This may help reduce any
anxiety the participant may have regarding the Tower Climb.
Adaptations: Participants with Mental Health disorder Major Depressive
Disorder: Major Depressive Disorder is an Axis I disorder that may manifest with
somewhat diverse symptomatology and occurs as a single episode or as a recurrent
condition and range in intensity from mild to severe. The onset may be triggered by
situational factors. MDD have symptoms of depressed mood most of the day,
nearly every day, diminished interest or pleasure in activities, unintentional
increase/decrease in appetite or weight, change in sleep patterns, change in
energy, psychomotor changes and diminished cognitive abilities. Most people who
have MDD, have a lack of confidence, distrust and are isolated. This adventure
activity helps them focus on concentration so the participant is no longer focused
on their issues of depression, support and encouragement of the group for
motivation and physical activity which releases endorphins. If participants are not
willing to initially climb, they can do so tandem with a partner which challenges the
participant to develop trust and communication. They may need extra
encouragement, discussion to express their feelings pre/post climb and additional
instructions during the climb.
References:
Bradford Woods Adventure Educational Manual. Retrieved September 8, 2016.
From https://www.bradwoods.org/wp-content/uploads/2012/03/Bradford-WoodsAdventure-Therapy-Overview.pdf
Dattilo, J., & McKenney, A. (2016) Facilitation Techniques in Therapeutic Recreation.
Third edition. State College, PA: Venture Publishing, Inc.
Inclusion Strategies for students with Autism Spectrum Disorder. Retrieved
September 8, 2016. From http://www.learnnc.org/lp/editions/every-learner/6692.
Porter, Heather. (2015). Recreational Therapy for Specific Diagnoses and Conditions.
Enumclaw, WA: Idyll Arbor, Inc.
sides of the boat and prevent the mast from falling sideways, stays are on the bow
and prevent the bow and stern and prevent the mast from falling forward and
backward. Running rigging includes the lines attached to the sails and lastly the
halyard is the line at the top of the sail and is used to raise and lower the sail and
the lines attached to the tip of the sail are sheets. Finish the session by reviewing
parts of the boat, steps for board/disembarking the boat, benefits and difficulties.
Leadership considerations: CTRS is part of the staff aboard the sailboat for the
recreational activity that attends the lesson with the participants and assists with
boarding and debarking. It is imperative that the CTRS is CPR and first aid certified.
Depending on the ability of the participant, the staff to participants ratio should be
either 1:3 or 1:5. Before starting the session the therapist must review water
safety, rules, expectations and provide any demonstrations or further explanation
needed for the participant.
Adaptations: Participants with Spinal Cord Injury: Spinal cord injury occurs
when the spinal cord is damaged as a result of trauma, disease or disorder. When
the spinal cord is damaged, communication is interrupted and can result in
temporary or permanent loss of movement and/or sensation. Paraplegia results
from injury to T1-S5. To ensure successful sailing with participants with SCI, special
adaptations are needed for safety when boarding the boat, during the sail, and
disembarking the boat. All staff members should be certified in CPR and first aid
and everyone should have a life jacket. Staff should assist the participant on and
off the boat using either a mechanical lift, transfer boarding bench or personal
assistance while the boat is securely attached to the dock. The deck should be
open and broad to accommodate adaptations. Some boats may be equipped with a
special seat to board guest with SCI, its a metal box with a hinged extension that
unfolds and can be position like a ramp into the boat, with hand guards they are
able to shift over into the seat. Also transfer benches and grab bars can be
positioned to assist with mobility in the boat or seats with back or trunk support.
Also the staff and CTRS needs to make sure the participant is shifting weight to
decrease the onset of pressure ulcers, wear protective gear because they may have
difficulty regulating body temperature and need to avoid cuts and abrasions, stay
hydrated, and check all equipment for safety and make sure its in good working
condition.
Adaptations: Participants with Visual Impairments: Visual impairment is a
visual acuity of 20/40 or less with the best correction and legal blindness is a visual
acuity of 20/200 or less in the better eye with best correction or a visual field extent
of 20 degrees or less in diameter. Participants with visual impairments can
participate in sailing through adaptive methods with the assistance of sighted staff.
The principles of sailing can be taught with emphasis on safety consideration, attire
and layout and parts of the boat as well as hands on techniques for steering and sail
trim. The feel of wind on the face can be guide to changing directions and using the
sails.
References