Recreation Therapist

Full Job Description

The Recreation Therapist is a staff member of the Community Living Center at the Lexington VA Health Care System.

The position is located at the Sousley campus and is organized under Patient Care Services.

The incumbent is responsible for developing, organizing, and administering Recreation/Creative Arts programs to provide therapeutic treatment to patients.

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

Education: (a) A bachelor's degree or higher, from an accredited college or university, with a major in therapeutic recreation or recreation/leisure, with an option and/or emphasis in therapeutic recreation.

The degree must be approved by the National Council for Therapeutic Recreation Certification (NCTRC) OR, (b) A bachelor's degree or higher in any field from an accredited college or university and must be a certified therapeutic recreation specialist (CTRS).

The degree must be approved by the NCTRC. If hired under this education, the certification cannot be waived. Certification: Applicants must be certified in recreation therapy as a CTRS by the NCTRC.

If hired under paragraph 3b(1)(b), certification cannot be waived. English Language Proficiency: Must be proficient in spoken and written English, as required by 38 U.S.C. § 7403(f).

May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).

Grade Determinations: Grade 7: (a) Experience/Education: None beyond the basic requirements.(b) Assignment: Employees at this level serve in an entry level position as a recreation therapist.

They work under the direct supervision of a recreation or creative arts therapist, at or above the full-performance level, or a designated supervisor in a clinical environment.

Employees have knowledge of their respective discipline, and work with guidance from higher-level or supervisory staff.

Established treatment procedures are substantially adapted and applied for acutely ill patients.

Employees at this level would not be assigned work at a community-based outpatient clinic (CBOC), unless supervision is on site.

Grade 9: (a) Experience/Education: At least one year of creditable experience at the next lower grade level (GS-7), or a master's degree in recreation therapy may be substituted for the required one year of professional recreation therapist experience.

(b) Demonstrated Knowledge, Skills, and Abilities: In addition to the experience above, the candidate must demonstrate all of the following KSAs: Knowledge of assessment tools and treatment for the diagnosis or disability of the patient.

Interpret and apply all health and safety regulations, to minimize and mitigate risks in the provisions of patient care, and environmental maintenance.

Effectively communicate and educate patients, families, caregivers, and other health care professionals to facilitate the treatment process.

Apply evidence-based and best practice therapeutic techniques and interventions. (c) Assignment: Employees at this level serve in a developmental position as a recreation therapist.

They work under general supervision to perform work in a clinical environment.

Employees have knowledge of their respective discipline and work with guidance from higher level or supervisory staff to establish treatment procedures that are substantially adapted and applied for patients who are acutely ill.

The recreation therapist may: conduct patient evaluations; analyze and interpret leisure, cognitive, and motor skill assessment data to develop individualized goals, objectives, and treatment plan of care; develop and select interventions to achieve patient goals; review patient progress; adapt or adjust the treatment plan and intervention strategies; implement therapeutic interventions that support measurable functional outcomes; evaluate patient needs for additional, alternative, or termination of services; document patient's behavioral observations, progress, functioning, and intervention outcomes; and develop and provide collaborative services with other team members.

Therapists at this level may be given general assignments in a program area. Grade 11: (a) Experience: At least one year of creditable experience at the next lower grade level (GS-9).

(b) Demonstrated Knowledge, Skills, and Abilities.

In addition to the experience above, the candidate must demonstrate all of the following KSAs: Adapt assessment tools and treatment interventions to address the complexity of the diagnosis or disabilities and demonstrate the clinical reasoning necessary to identify the need for further in-depth specific assessment of function and utilization of unconventional methods and techniques.

Independently interpret provider referrals and consults; and apply all health and safety regulations to minimize and mitigate risks in the provision of patient care and the environment of care.

Effectively communicating and educating, in a clear and concise manner, with patients, families, caregivers, and other health care professionals to facilitate the interdisciplinary treatment process.

Independently utilizing appropriate screening and evaluation techniques required to appropriately provide direct patient care in areas such as, but not limited to recommendations for recreation therapy assistive devices, including fit and function.

Independently applying evidence-based and best practice therapeutic techniques and interventions.

Knowledge of the principles and techniques in recreation therapy assessment and the treatment of recreation, leisure, and biopsychosocial functional deficits. (c) Assignment.

Employees serving at the full performance level function with independent judgment to administer and interpret recreation therapy assessments and utilize clinical competencies to develop unconventional assessment and interview approaches to effectively elicit information.

They conduct, analyze, interpret, and report assessment data based upon functional domains (cognitive, sensory, social, affective, physical, and leisure).

Incorporating the four-step process of assessment, planning, implementation, and evaluation of services delivered, the therapist constructs evidence-based recreation therapy interventions for treating patients with complex medical or mental health issues, such as polytrauma, traumatic brain injury (TBI), posttraumatic stress disorder (PTSD), spinal cord injury (SCI), substance use disorder/addictions, serious mental illness (SMI), and hospice/palliative care requirements.

They provide direct patient care and receive guidance from higher-level supervisory staff members for only the most complex patients and require only general supervision.

They review recreation therapy consults and conduct comprehensive evaluations.

Based upon the assessment data, and in collaboration with other stakeholders, the therapist develops individualized treatment plans with measurable therapeutic goals and objectives including scope, duration, and treatment.

They recommend adaptation, modification, and/or assistive technology to meet a patient's assessed needs and preferences in recreation therapy.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.The full performance level of this vacancy is GS-11.

The actual grade at which an applicant may be selected for this vacancy is in the range of GS-7 to GS-11.

Physical Requirements: Work involves regular recurring physical exertion as prolonged walking, standing, bending, moderately heavy lifting or moving equipment positioning severely disabled patients, assisting patients in ambulation.

Requires agility, dexterity, skill. ability in one or more art forms. Safe transportation of patients. Incumbent is exposed to infectious diseases and medical emergencies.

Many patients are emotionally disturbed may demonstrate assaultive/aggressive behaviors secondary to underlying condition. Major Duties:

Recreation Therapists perform a wide variety of interventions, which contribute to the overall health of Veterans such as but not limited to the following responsibilities: Administer and interpret recreation therapy assessments Conduct, analyze, interpret, and report assessment data based upon functional domains (cognitive, sensory, social, affective, physical, and leisure).

Constructs evidence-based recreation therapy interventions for treating patients with complex medical or mental health issues, such as polytrauma, traumatic brain injury (TBI), posttraumatic stress disorder (PTSD), spinal cord injury (SCI), substance use disorder/addictions, serious mental illness (SMI), and hospice/palliative care requirements.

Provide direct patient care & receive guidance from higher-level supervisory staff members for only the most complex patients and require only general supervision.

Review recreation therapy consults and conduct comprehensive evaluations.

Recommend adaptation, modification, and/or assistive technology to meet a patient's assessed needs & preferences in recreation therapy.

Designs individualized treatment interventions to reduce stress, anxiety, and maladaptive behaviors; recover basic motor functioning and reasoning abilities; build confidence; and develop compensatory strategies to master critical life skills necessary to re-enter the community in a productive manner.

Improve or support clinical outcomes Providing individualized, unique, effective methods and procedures when implementing therapeutic interventions including, but not limited to: assistive technology; cognitive behavioral skills; aquatic therapy; fitness and wellness; community accessibility/reintegration/transition; and adapted sports and leisure development.

Evaluates for additional, alternative, or termination of services.

Determines the effectiveness of protocols, modalities, and programs for targeted groups through quantitative analysis and identify potential risks and needs for adaptive interventions to facilitate improved biopsychosocial well-being.

Participate in co-treatment opportunities, including but not limited to: neurological rehabilitation, mental health recovery programs, and palliative care related to the symptoms of a terminal illness.

Performs other duties as assigned.

Work Schedule: Full-Time Day Tour Of Duty, 07:00am - 03:30pm, 07:30am - 04:00pm or 08:00 - 04:30pm (day tour of duty primarily with the possibility of some off shifts, and weekends or holidays for scheduled events) (May be required to travel to outside events with patients, no overnight travel) Telework: Not Available Virtual: This is not a virtual position.

Functional Statement #: 30363F, 30364F, 30347F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized