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Express
Yourself
Recreati
onal
Therap
y
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Introduction
Implementation Description
Express Yourself Recreation Therapy is a program designed to instruct and assist clients
in managing stress, anger, depression, and other emotional issues. Self-expression is a key factor
to maintaining ones mental, emotional, and even physical health (Froehlich, 2009). This will be
done through an assortment of expressive activities that include creation of art, expression
through writing, and verbal self-expression. Through Express Yourself Recreation Therapy,
clients will learn different forms of constructive and positive self-expression. With this, they will
learn how to view themselves, the world, and the circumstances that they face every day through
a different and more positive scope. In addition to this, they will also be able to better handle and
react to upsetting or stressful situations that they encounter throughout their lives by expressing
themselves positively and constructively. This will make a great deal of impact in the lives of our
clients especially during times of trauma, depression, or frustration as self-expression is a great
tool to use to overcome these hardships (Pennebaker, 1997).
In the Express Yourself Recreation Therapy Program, the client will engage in a
multitude of expressive activities. These activities will include creation and sculpting, drawing
and painting, group speaking and one-on-one speaking, and other forms of expression such as
singing and dancing. These forms of expression have been shown in studies to not only reduce
levels of depression, stress, and anxiety, but they also help to improve ones feelings about the
circumstances around them as well as about their disability or condition (Kim, 2009). Through
these forms of expression, clients will be given the tools to cope better with hardships,
circumstances that they might perceive as unfair, and any negative feelings that they may have
about themselves or others.
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Population
This program will be specifically geared towards individuals from the age range 5-17.
These individuals will be children and adolescents that are in the process of dealing behavioral
and psychiatric disorders. These disorders will range from mild to severe and the program will be
tailored for each individual accordingly.
Individuals in this program will be dealing with a variety of disorders of conditions and
disorders. These disorders will be disorders that affect an individuals emotions, perspective of
the world, and sensitivity to certain people and events. Examples of this include people who will
struggle with general anxiety disorders, intermittent explosive disorders, depressive disorders,
attention-deficit disorder, and bipolar disorder. These disorders affect the daily life of these
individuals socially, emotionally, and cognitively. This can result in the individual facing
exclusion, ridicule, and depression (Dattilo, 2012, pp. 171-172). As a result, the clients of this
program may come in with deficiencies in self-confidence, social skills and interactions, selfimage, and management of impulses and emotions. With this in mind, the expressive activities
will teach the clients how to properly and positively express themselves, their feelings, and how
they feel about events happening around them in order for them to be able to better handle not
only their disorders but to also have better and more constructive interaction with people and
interactions that take place in their everyday life (school, work, teams, groups). These individuals
will be participants in this program in order to learn coping mechanisms, be provided leisure
education, and learn how to better perceive and react to adverse situations that they are faced
with.
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Program Purpose
The purpose of this program will be to assist clients in finding a productive, positive, and
safe way to express themselves. Through this expression, the participants of this program will be
better able to handle certain situations that would other cause them otherwise increased stress,
anxiety, depression, or other negative feelings. Good self-expression techniques can also help
people going through chronic conditions such as depression or post-traumatic stress disorder
(Pennington, 2011). By giving the clients the opportunity for self-expression and having them
engage in expressive activities, this program aims to help individuals overcome negative feelings
ranging from resentment, regret, and depression to rage, spite, and disappointment. This program
is also being implemented to help prevent explosive or extreme episodes that can result from a
buildup of unexpressed emotions and sentiments (Hagan, 2013). It has also been shown that not
frequently expressing oneself in a positive and constructive manner leads to more physical and
health-related issues such as higher blood pressure and even increased risk and occurrence of
cancer (Hagan, 2013). Through the teaching, implementation, and participation in expressive
activities, this program will reduce health risks, increase the quality of social interaction and the
quantity of positive social interaction, and help the clients to cope and deal with their disorders,
and change the clients outlook and perspective on their condition and on life in general for the
better.
Number, Length, and Frequency of Sessions
For this program to be effective, the clients must be a part of an intensive program in
which they have enough time to learn the coping mechanisms, emotion and impulse management
strategies, and how to express satisfaction and disappointment in an appropriate and productive
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manner. In order to achieve this, the Expressive Activities program requires that the client take
part in long-term programs. This time period is based off of a study performed by health
psychology professor Phillippa Lally which shows that it takes approximately 66 days (2
months) to form new habits that they engage in automatically (Clear, 2014). With this research in
mind, the expressive activities program runs for 3 months. During this three month period,
clients will attend 3 sessions a week that each last an hour long. This length of the program as
well as the frequency and number of sessions allow the recreation therapist to attempt to reduce
or even eliminate the occurrence of bad habits and tendencies such as bottling up emotions or
having explosive attitudes and create good habits and tendencies such as keeping a journal or
creating art projects when a client feels troubled.
Facilities and Equipment
The requirements for the facility would require that there is enough space to
accommodate each participant. For example, in the event that the clients are just having a group
discussion or doing a group activity that doesnt require any equipment, all that would be
required is a meeting room that can accommodate up to 30 people. However, many other
activities will include arts, sculpting and crafts, music, and/or dancing. In these cases, a room
will be required that will have enough space for up to 30 people to move about freely. For the
activities that involve painting, drawing, creating artistic projects, and sculpting, a space will be
needed that has tables or other flat surfaces that can seat up to 30 people and equipment for the
participants.
The equipment that is needed for this program depends on the activity being done in that
session for the participants. To start off, due to the fact that this program is tailored towards the
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expressive needs and interests of children and adolescents safety equipment is mandatory. For
example safety scissors, non-toxic washable crayons, markers, pens, color pencils, and pencils
must be available. The same goes for paint and glue. Construction paper, clay, pipe cleaner, yarn,
beads, glitter, and play-doh will also be used throughout the course of this program for the art
segment of the sessions. Other equipment such as speakers (for music), easels, smocks, clay
modeling machines will also be needed. Due to the fact that this program will be for children and
adolescents, this facility must also feature a safe and secure area in which all of this equipment is
to be stored in order to ensure the safety of all the participants.
Staff
The staff of the expressive activities program are comprised of certified therapeutic
recreation specialists (CTRS). There will be 3 CTRS will also specialize in certain fields of
expressive art. For example, one CTRS will also have music therapy certification from the
certification board of music therapists. Another CTRS will have certification from the art therapy
certification board there the third CTRS will have dance therapy certification from the
Dance/Movement Therapy Certification Board. They will be assisted by consultants from each
field that will be there to help them develop the program plan and work on the implementation of
the programs.
Evaluation
Program Evaluation
This program is evaluated based on the outcome of the sessions individually, at its three
checkpoints (once a month), and at the end of the whole program. The sessions, checkpoints, and
full program would be evaluated based on a norm-referenced assessment. This would mean that
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the program would be evaluated and measured in terms of efficiency and effectiveness based on
how well it achieved the goals set forth for the client. Each evaluation of the program would be
evaluated based on how well it identified the goal for each client and helped that client to reach
the goal. For example, if a client had social anxiety disorder and had the goal of being able to
interact with individuals without fear of panic attacks or being judged or criticized, the program
would be evaluated on how efficiently and effectively the program helped the client to reach
their goal.
Client Evaluation
Client evaluation is critical to this program. This is the case because it is through client
evaluation that the programs efficiency and effectiveness can be measured. A program can only
be as good as its results and the results are based solely on the client outcomes. These outcomes
will recorded as qualitative data in which the client will be placed in simulated situations in
which they are faced with a stimulus or trigger that will stress, agitate, or cause a sense of fear or
panic in them. Their reaction to this stimulus/trigger will be the client outcomes of this program.
For the client evaluation, the clients progress and the time it takes them to progress are
the main factors that are evaluated by the CTRS. For example, for a client with intermittent
explosive disorder, the clients reaction to triggers would be tracked on a session-by-session and
checkpoint-by-checkpoint basis as well as at the end of the program. Their reaction at the time of
the evaluation would be recorded. Their progress would then be based on how they reacted
during their evaluation whether it be after the first session, first checkpoint, or at the end of the
program. This information would then be compared to how they would react to a trigger before
they started the program which is compiled in a pretest. The goal for the client would be to get
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them as close to a reasonable reaction as possible. The proximity of their reaction to the
reasonable reaction would measure the effectiveness of the program and the progress that they
have made and recorded in a post test. The time that it took for them to get to that point would
measure the efficiency of the program and how quickly theyve been able to adapt and
incorporate the use of self-expression and expressive activities into their daily lives.
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Program Plan
Program Title:
Express Yourself Recreational Therapy
Statement of Purpose:
Express Yourself Recreation Therapy is a leisure-education oriented program that seeks
to help individuals use expressive activities to positively and constructively express themselves
in order to help cope with and even overcome psychological and behavioral disorders.
Program Objectives
Objectives and Performance Measures
Program: Express Yourself Recreation Therapy
Terminal Program Objective: 1.0 To be able to engage in more positive social interactions
Enabling Objective:
Performance Measure:
1.1 Speak with others in a friendly, respectful,
Clients are able to hold a conversation without
and courteous manner.
inappropriate outbursts, panic attacks, or
feelings of judgement or criticism.
1.2 Work together with others towards a
Clients are able to take in to account others
common goal.
feelings, communicate with others effectively,
and listen and be accepting of others ideas and
thoughts in order to come together to work as a
team.
1.3 Express feelings about others in a positive
Clients will state their opinions of other in a
and constructive light.
way that builds that person up and encourages
them rather than tear them down.
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Performance Measure:
Client can respond to a negative stimulus or
trigger by calmly expressing how they feel
about.
Expressing ones feelings and using that selfexpression to calm themselves in the event of
an impending panic attack.
Reacting more rationally and lessening the
feeling of helplessness when something goes
wrong. Making the best out of a negative
situation.
Performance Measure:
The client will demonstrate the ability to
effectively reduce the amount of stimuli that
can induce depression through self-expression
techniques.
The client will no longer be affected by certain
anxiety causing stimuli. (reduced fear of
certain bugs in case of acarophobia).
The client will demonstrate the ability to better
handle depression and anxiety when it occurs
through self-expression techniques and the use
of expressive activities.
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EO NO: 1.1 Speak with others in a friendly, respectful, and courteous manner.
Content
Process
1. Introduce expressive activities program 1. Brief the participants on what the expressive
activities program is, what goals it tries to
reach, and how it is going to reach those goals
2. Introduce Activity
2. Explain the rules of the activity to the
participants as well as the expectations of what
is to be done by the participants. Participants
will be arranged in a circle. It will then be
explained to them that one person will start off
with a letter. That person will have to think of a
nice or encouraging word that starts with the
letter that they are given and use it to describe
another person in the circle.
3. Introduce boundaries and expectations
3. The CTRS will explain to the participants
that only appropriate words will be used and
that different people must be complimented.
Not only the same person each time.
4. Debrief and have a discussion
4. The participants will discuss how being
complimented made them feel, how
complimenting others can make people feel
better about themselves, and the social and
emotional value that comes from having
friendly, courteous, and respectful
conversations
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Session 5: Oobleck
Purpose: The purpose of this activity is to provide the participants with a fun object that can bbe
used to calm or even avoid anxiety.
TPO 2.0: To be able to control and manage outbursts through positive self-expression
EO 2.2: Avoidance of panic attacks through self-expression
Set-Up: For this activity, everyone will work individually. Each person will receive one bowl, a
cup of corn starch, 1 cup of water, one plastic container, and food coloring.
TPO NO: 2.0
EO NO: 2.2 Avoidance of panic attacks through self-expression
Content
Process
1. Introduce Activity
1. The participants will be told that they are
making a sort pf science project that has both
liquid and solid properties. This objects
hybrid-like features make it a great sensory
stimulating object which will be great to use in
cases of anxiety or distress because it can keep
the attention of the participant and have a
soothing effect.
2. Introduce rules and expectations and do the
2. Due to the messy nature of this project, the
activity
CTRS will have to monitor closely the making
of the oobleck. To make it, all the ingredients
are mixed together. The only variation that will
take place is the food coloring which can be
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activity
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1.0
EO
1.1
1.2
Description
Activity: Circle
of Compliments
-Instruction and
Provision of
Materials
-Initiate and
Perform Activity
-Discussion and
Debrief Period
Activity:
Progressive
Drawing
Session #
1
Time (Min)
-5
-35
-20
2
-10
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1.0
2.0
2.0
1.3
2.1
2.2
-Instruction and
Provision of
Materials
-Initiate and
Perform Activity
-Discussion and
Debrief Period
Activity:
Friendship
Mural
-Instruction and
Provision of
Materials
-Initiate and
Perform Activity
-Discussion and
Debrief Period
-40
-10
-10
-40
-10
Activity:
Affirmation
Poster
-Instruction and
Provision of
Materials
-Initiate and
Perform Activity
-Discussion and
Debrief Period
Activity:
Oobleck
-Instruction and
Provision of
Materials
-Initiate and
Perform Activity
-Discussion and
Debrief Period
-5
-45
-10
-15
-25
20
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2.0
3.0
3.0
3.0
2.3
3.1
3.2
3.3
Activity: Inside
Out Board
Game
-Instruction and
Provision of
Materials
-Initiate and
Perform Activity
-Discussion and
Debrief Period
Activity: I feel
like ____ that
____.
-Instruction and
Provision of
Materials
-Initiate and
Perform Activity
-Discussion and
Debrief Period
Activity:
Treasure Map
-Instruction and
Provision of
Materials
-Initiate and
Perform Activity
-Discussion and
Debrief Period
Activity:
Directors Cut
-Instruction and
-15
-35
-10
-10
-35
-15
-5
-45
-10
-10
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Provision of
Materials
-Initiate and
Perform Activity
-Discussion and
Debrief Period
-40
-10
References
Pennebaker JW. Opening Up: The Healing Power of Expressing Emotions. New York, NY:
Guilford Press; 1997.
Froehlich, E. (2009, December 24). Art Therapy: Self-Expression Reduces Stress. Retrieved
November 23, 2015, from https://www.smartlivingnetwork.com/stress/b/reduce-stress-with-selfexpression/
Kim, H. S. (2008). Culture and the cognitive and neuroendocrine responses to speech. Journal of
Personality and Social Psychology, 94, 32-47.
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Kim, H. S. & Sherman, D. K. (2007). Express yourself: Culture and the effect of selfexpression on choice. Journal of Personality and Social Psychology, 92, 1-11.
Dattilo, J. (2012). Inclusive leisure services: Responding to the rights of people with disabilities
(3rd ed.). State College, PA: Venture Pub.
Pennington, A. (2011, September 18). 'Denying Self-Expression Led Me to Depression'
Retrieved November 23, 2015, from http://www.huffingtonpost.com/andrea-pennington-md/selfexpression-and-depression_b_964551.html
Hagan, P. (2013, September 6). Don't bottle up your emotions it'll knock years off your life and
raise cancer risk by 70 percent. Retrieved November 23, 2015, from
http://www.dailymail.co.uk/health/article-2414537/Dont-bottle-emotions--itll-knock-years-liferaise-cancer-risk-70-percent.html
Lawlis, F., & Peavey, B. (2015, June 1). What is Psychoneuroplasticity? - Origins Recovery
Center. Retrieved November 23, 2015, from
https://www.originsrecovery.com/psychoneuroplasticity/
Clear, J. (2014, April 10). How Long Does It Actually Take to Form a New Habit? (Backed by
Science). Retrieved November 23, 2015, from http://www.huffingtonpost.com/jamesclear/forming-new-habits_b_5104807.html
McNiff, S. (n.d.). Group Activities. Retrieved November 24, 2015, from
http://www.expressivetherapist.com/group-activities.html
Danyali, A. (2014, March 26). Oobleck Science: Solid or Liquid? Retrieved October 30, 2015,
from http://www.education.com/activity/article/Solid_Liquid_fifth/