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Community Outing Program Protocols
Therapeutic Recreation Services
Adolescent Unit
PURPOSE: to develop a standard of service
for community outings for the Adolescent Unit.
REFERRAL CRITERIA: patients meeting the
following criteria become eligible for outings- 1) attainment of level two
2) written order by a physician for therapeutic
recreation outings
3) prior successful participation in therapeutic
recreation activities
4) verbal approval by members of the treatment
team and nursing staff
CONTRAINDICATED CRITERIA: patients not
meeting the referral criteria and patients on suicide or elopement precautions
will not be eligible for outings.
PROCEDURE: Outings are planned each Wednesday
evening and Saturday afternoons.
1) Safety: safety procedures are implemented prior
to and during outings
- staff is familiar with patients attending the
outing
- staff is familiar with the outing site
- staff is responsible for monitoring client
behavior; sets limits as necessary
- first aid kit is available at all times
- an emergency plan is developed prior to each
outing; conduct training sessions for staff and patients as necessary (e.g.,
pre-outing training for caving trips)
- behavioral expectations are announced to patients
prior to outings
- clients are dressed appropriately for the activity
and weather conditions
- the vehicle is checked for safe conditions
prior to each trip
- seat belts are mandatory
- a patient to staff ratio is set at a minimum
of 4 to 1
- check-in with each participant to see how he
is doing
- promote safe and cooperative behaviors
2) Planning Prior to the Outing
- discuss upcoming out trips with unit program
director
- schedule staff to meet patient to staff ratio
- schedule use of a vehicle
- order food from the kitchen as needed
- obtain spending money from the business office
as needed
- secure permission from custodians or parents
for those patients needing permission prior to each out trip
- announce outing to patients and discuss their
eligibility and about the outing
3) Preparation on the Day of the Outing
- meet with staff to discuss patient's current
status
- gather all supplies, foods, equipment, money,
etc. as needed
- meet with patients to discuss their responsiblities
and their goals
- upon return and during the outing, process
the outing, their interactions, feelings, goals met, etc.
Recreation Outing Itinerary (This form is completed several days prior to an outing and posted at
the nurses station)
Date:
Time Leaving:
Time Expected Back:
Staff Attending:
Patients Attending:
Itinerary:
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Miscellaneous Notes:
(examples- "Please have meds ready." "Joe needs his bee sting kit.")
OUTINGS REPORT
(This form is used prior to the outing to jot down important info
clients and after the outing as a report to unit staff)
Date of Outing:
Time Out:
Time In:
Destination:
Staff Attending:
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SUMMARY OF ACTIVITIES ENGAGED BY PATIENTS:
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PROBLEMS (if any) ENCOUNTERED ON THE OUTING:
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1) First Name:
Description: (clothing, features, etc. in event of elopement)
Info: (meds, allergies, needs, etc)
Outing/tx goal:
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2) First Name:
Description: (clothing, features, etc. in event
of elopement)
Info: (meds, allergies, needs, etc)
Outing/tx goal:
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3) First Name:
Description: (clothing, features, etc. in event
of elopement)
Info: (meds, allergies, needs, etc)
Outing/tx goal:
-------------------------------------------------------------------------
4) First Name:
Description: (clothing, features, etc. in event
of elopement)
Info: (meds, allergies, needs, etc)
Outing/tx goal:
-------------------------------------------------------------------------
5) First Name:
Description: (clothing, features, etc. in event
of elopement)
Info: (meds, allergies, needs, etc)
Outing/tx goal:
-------------------------------------------------------------------------
6) First Name:
Description: (clothing, features, etc. in event
of elopement)
Info: (meds, allergies, needs, etc)
Outing/tx goal:
-------------------------------------------------------------------------
7) First Name:
Description: (clothing, features, etc. in event
of elopement)
Info: (meds, allergies, needs, etc)
Outing/tx goal:
-------------------------------------------------------------------------
8) First Name:
Description: (clothing, features, etc. in event
of elopement)
Info: (meds, allergies, needs, etc)
Outing/tx goal:
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9) First Name:
Description: (clothing, features, etc. in event
of elopement)
Info: (meds, allergies, needs, etc)
Outing/tx goal:
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10) First Name:
Description: (clothing, features, etc. in event
of elopement)
Info: (meds, allergies, needs, etc)
Outing/tx goal:
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