Policies for Consent to Pediatric Recreational Therapy Services at Inclusion Therapies LLC Center
PRACTICE POLICIES THIS ACKNOWLEDGMENT INCLUDES POLICIES FOR PEDIATRIC SERVICES AT OUR CENTER. PLEASE REVIEW IT CAREFULLY.
1. Where are the therapy sessions? We hold most Psychosocial (PSR) Rehabilitation therapy sessions (outdoor activities including Aquatics, Ecotherapy, Fishing and Outdoor Sports) near or at our Center for Therapeutic Recreational Technology (CTRT) (indoor activities including Biofeedback, Digital Health, Gaming and Virtual Reality), located at 660 S. Bagdad Rd., Ste. 120, Leander, TX 78641. In select cases, sessions are held in school, at home or at other community locations. NOTE: For clients with a recent history of elopement and/or physical aggression, at least one adult parent or guardian will transport and accompany them on community outings outside of their residence (for the duration of the session).
(i) Who is seen during the session? Only the client will be treated by our staff during the session. No other minor children will be provided any supervision. For home-based sessions, at least one adult parent or guardian must be onsite for the duration of the session. There is no childcare available at our center or available during our sessions and only the client may be left in our care (no other unsupervised minors will be allowed to remain onsite). If we have space available, family members are welcome to remain in our waiting area.
2. What activities are available at the therapy sessions located at the center at 660 S. Bagdad Rd., Ste. 120, Leander, TX, 78641?
At the community activity center, our office has a variety of indoor activities:
· games, · music, · virtual reality, · biofeedback, · treadmill, · exercise bike, · arts, · crafts, and more...
Right outside the activity center, less than 500 feet away at Robin Bledsoe Park, outdoor activities (weather permitting) include: · swimming in the Junior Olympic-size pool, · splash pad, · basketball, · soccer, and · trails, and more...
Benbrook Ranch Park is 1.8 miles from the activity center and has activities including: · two Little League Baseball fields, · one Adult Baseball field, · four batting cages, · hike and bike trails, · skate park, · disc golf course, · playscape, and more...
Devine Lake Park, 1.9 miles from the activity center is a 45.5-acre regional park with: · open space areas for recreation, · allowed lake activities include fishing, · non-motorized boating, · wildlife observation and more....
3. What is the staff ratio for clients? For our pediatric clients, we provide a one-on-one session supervised by the Clinical Director Recreational Therapist (supported by a Bachelor's Degree Level Therapist Assistant/ Technician carrying out activities) and/or (if permitted by the client payer agency) small group sessions (1:4 ratio).
4. How long are the Recreational Therapy sessions? Our standard pediatric sessions are 45, 90 or 180 minutes in duration. The maximum hours per week of services is individually determined based on client diagnosis (and, if applicable payer agency parameters).
5. When are the sessions? We are open from 7:00 am – 7:00 pm, Monday - Friday and the 1st Saturday of each month from 7:00 am - 3:00 pm.
6. What do I need to bring to the activity center? If a client plans to go swimming, they must bring $2 if they under age 12 and $3 if they are over age 12 (daily fee to use the pool at https://www.leandertx.gov/parksrec/page/robin-bledsoe-pool-fees) and a swimsuit (we do not provide any clothes or swim attire for clients). Otherwise, nothing else should be brought to the center. Our center has outdoor bikes (with helmets and pads), fishing poles, and even kayaks (with life vests) to provide an ample variety of activities for clients.
7. Are food and drinks provided at the activity center? No, only water is provided to clients. This is to ensure that no allergen, or guardian unapproved food or drink, is consumed by clients. Any food or drinks that a client desires onsite must be pre-approved by the guardian and sent with the client to the session by their guardian. We have a refrigerator to store client items during the session. Food or drink is not to be shared with any other clients.
8. Do you provide medication at the activity center? No, we do not dispense any medication at the activity center.
9. Will therapists or other staff pay for client to buy things and/ or participate in activities? Inclusion Therapies has invested in providing a community activity center with a variety of indoor and nearby outdoor public activities. This is to ensure that all clients are able to participate in activities without any economic requirement. If a client desires an activity that is fee-based outside of our provided activities, that would be negotiated on a case-by-case basis with their guardian providing payment. Our staff do not buy any items or give money to clients under any circumstances.
10. May guardians wait at the center if they want to? Yes! If a guardian is available to stay for the session, we would encourage them to participate in activities with the client and treatment therapist. Most clients are dropped off and picked-up by their guardian at the end of the session.
11. May clients do any activity they want to do? As our client, you and your guardian will authorize approved activities. Within your approved activities, with the understanding that there may be availability issues (weather, public health, equipment availability, waiting your turn for other people to finish using/ doing the activity, etc.); during each session the client will select from their approved options.
12. What if clients only want to do one activity? An important aspect of Psychosocial Rehabilitation (PSR) for mental and behavioral health is to learn new things by engaging in new experiences. For example, if a client really loves to play card games, being open to trying a new card game for the first time is important for building new skills and self-efficacy. We structure each session so that clients will have 2-3 blocks and we request that one block is a new experience during each session.
13. What if a client doesn't want to do anything at all? If there is a time where a client doesn’t want to do any activity, we ask the guardian to contact us ahead of time and let us know that the session needs to be rescheduled. On the rare occasion that a client is at the activity center (or any other session location) and becomes unwilling or unable to participate in any activity, we will request their guardian to immediately come and pick them up. If there is a medical emergency with client, and/ or client is physically abusive or otherwise a danger to themselves and/or others; 911 will be called for assistance with ensuring client safety and preventing property damage and/ or harm to others. Inclusion Therapies LLC staff will not restrain or physically engage with clients and will rely on 911 services to attend to client in a safe manner. Client's legally authorized representative (parent, guardian, etc.) acknowledges and accepts by their signature herein that any and all property damage caused by client to Inclusion Therapies LLC property (or that of any other owner), will be their sole responsibility to pay for repair, replacement and all other related costs to place the property owner in the position they were prior to the property damage.
14. Will the Recreational Therapist force clients to do an activity? No. Recreation is the Client's Creation. Inclusion Therapies provides outpatient healthcare treatment for the benefit of each client. At Inclusion Therapies, we respect the choices that each client makes, and our mandate is to work with clients to achieve their treatment plan outcomes. We are a partner striving together towards our client’s productive outcomes; thus, we are not able to provide healthcare services to a client that refuses or rejects them. If a client refuses services during a session, we will request their guardian to come and pick them up. If a client is refusing services before coming to the center, we require that the guardian contact us and let us know that the session needs to be rescheduled. If a client refuses services/ “no shows” for confirmed sessions three (3) times within 60 days or two (2) times in a row; we will remove the client from the schedule and request a meeting to reassess their commitment to participate in services. Upon reaffirmation of the desire to actively participate in services, we will place the client back on the schedule. We provide patient/ client-centered care and adhere to the multidisciplinary treatment team concept, “No decision about me without me.” We work to support our clients and we acknowledge their choices to participate or not in treatment. We provide activities, highly qualified therapists and support staff, evidence-based treatment interventions and a passion to partner with our clients to achieve healthy outcomes. When a client decides they want our services to support them in achieving their goals, we are ready! Here are some tips for supporting teens into participating in therapy and younger children.
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