Violence and Barriers to Meaningful Relationships

A MSRT student at Temple University. shared that she had been introduced to Robert Waldinger’s TED Talk: What Makes a Good Life? Lessons from the longest study on happiness.
Here is a link to the video:
The student shared, “His main point states that in life, our happiness is most influenced by meaningful relationships.”
She asked: “My question to you is how, in our practice, can we best promote meaningful relationships for our participants when there may be barriers due to violence? What kinds of interventions do you use to help various populations that may become more reclusive due to past abuse, gender violence, etc.? In what ways can we address this issue with participants?”
Here is my response:

 

I provide services for children (both male and female) between (ages 7 to 12) who have abuse-reactive needs. Children admitted to the unit have experienced some type of traumatic in their life.

 It is a Psychiatric Residential Treatment Facility. The typical stay is 6 to 9 months.

Some of the common needs among patients include:

 

  • Lack of interpersonal skills (possibly from learned behaviors)
  • Lack of assertiveness skills (often resorts to physical, verbal aggression)
  • Lack of a social support system (no identified foster family or adoptive family)
  • Lack trust in others
  • In addition, patients may have other conditions, like Autism Spectrum Disorder (ASD)
  • Some children have Reactive Attachment Disorder (RAD) – this is where they had neglect at an early age and fail to learn how to have emotional connections and relationships

 

Trauma-Focused Cognitive Behavior Therapy (TF-CBT) and Dialectical Behavior Therapy (DBT) are the two primary treatment modalities. There is evidenced-based research that demonstrates that these two approaches are effective.

Both TF-CBT and DBT have a focus on interpersonal skills.

  • In the TF-CBT mode, there is a phase called, enhancing social skills
  • In the DBT model, there interpersonal skills are one of the four main skill sets taught.

 

We identify our intervention as “interpersonal skills training or social skills training.”

We in recreation therapy have a lot to offer in this domain.

 

We use a lot of recreation activities as means to achieve outcomes.

  • Sports: taking turns, good sportsmanship, being part of a team/ group
  • Board games: taking turns, being a good sport,
  • Social activities: ballroom party for Halloween or ice cream social
  • Education/ classroom settings: to teach skills. Using pictures of children in different social situations
  • The listening game: Teach what paraphrasing is. Get a book like “The conversation starts.” Read a question to a group member. Group member answers. Randomly select a different group member to paraphrase what the first group member said to indicate he (or she) listened and then ask that group member a question.
  • Assertiveness training: Teach the children to ask for what they want or to express their feelings with use of I-statements.
  • Cinema therapy card game: Play a movie. Ask children questions from the card game that get the kids to point out social skills, emotions in characters
  • Community re-entry outings: passes to local parks, zoos, water parks, mall, or other places.
  • Emotional support: being able to recognize emotions in others and be able to offer support
  • Family-based recreation therapy: with rec therapist: Mental health therapist/ counselor provide family therapy. and the rec therapist often supervise the community re-entry outings before a new family is on their own with a patient. The rec therapist can implement games and activities to help the family and child to get to know each other, and supervises passes in the community.

 

The recreation therapist serves as a role-model, a coach, a facilitator, and evaluates progress.

Delivering Happiness [the Zappos Way] — A Model for Rec Therapy Service Delivery

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(c) CanStockPhoto

A Personal Reflection, Review, and Suggestion for Rec Therapy Application of

Tony Hsieh’s (2010) book, Delivering Happiness, with applications to Rec Therapy Practice

Source:

Hsieh, T. (2010). Delivering happiness: a path to profits, passion, and purpose. New York: Business Plus.

By Danny Pettry

Seth Godin is one of my favorite authors. I read everything he writes and almost everything he recommends. Godin said this about Tony Hsieh’s “This book is funny, true, important, and useful. Just like Tony.” I decided to read the book.

Tony Hsieh became the CEO at Zappos at the age of 24. Zappos originally sold shoes online. The company now claims to provide customer service and happiness as well as many other online items. Today, the company is owned by Amazon.

 

Hsieh’s book has three sections.

These include:

Part I: Profits

Part II: Profits and Passion

Part III: Profits, Passion, and Purpose.

 

Reading is the secret. Hsieh shares this right in the preface that, “at Zappos, we encourage our employees to read books from our library to help them grow, both personally and professionally.”  Here at DannyPettry.com: Rec Therapy CEUs, we also encourage recreational therapists to read books for the same reason.

 

A Review of Part I: Profits

                Hsieh provides an autobiography of his own life as an entrepreneur.  I personally enjoyed Hsieh’s concept of poker in business.

Hsieh suggests:

 

  • Play [poker] games you understand. It is hard to win at a game a person does not know well. “This reminds me of effective recreational therapy practice. Provide interventions that you have had training and experience to provide.
  • Remember you always change tables. Recreational therapists might realize they are not happy or as successful in a certain area and they may want to work towards moving into a position they are better suited for. I have often heard recreational therapists say they would never want to work with a certain population and to realize they have a strong passion for it once they have tried it out.

There is a bigger purpose at play

Hsieh shared, “research from the field of happiness would confirm that the combination of physical synchrony with other humans as part of something bigger than one self leads to greater happiness.”

This appears to be the case with recreational therapy. We, too, are working on a team with many other professionals to help patients. I feel there is something “bigger” to everything we do in life. There is a greater purpose.

Profit is best achieved when a person understands what they are doing (competency), has a passion for it (loves it), and feels they are (part of something bigger).

Rec therapists can be successful as well when they develop continued competencies to do their job and to continue to grow and following passion. Recreational therapists may want to think that their purpose is beyond simply working for xyz hospital, or making a salary, or being a recreational therapist. Recreational therapists may want to seek out something bigger.

 

A Review of Part II: Profits and Passion

                Profits are important. Hospitals (where most Recreational Therapists) work need profits in order to stay afloat. Valuable services are provided when a hospital is profitable. Those that go out of business are no longer providing services for the community.

Hsieh discusses times when Zappos struggled with profits. He was real with the staff, letting them know the importance of getting back to being profitable.

  • Provide better customer service.

This goes far beyond just being good to customers. It includes being good to everyone, like the vendors. All people are treated well.

Hsieh provides a list of 10 ways to instill customer service into your company on page 147.

In a nutshell, these concepts included: everyone in the company is responsible for customer service, WOW people, empower employees to provide great services, be real (no upselling or phony scripts) in conversations, customer calls are a way to build rapport, hire people who love customer service, all people get customer service.

I personally believe recreational therapists are people (in general) who are already good at heart and treat people well.

 

  • It is not about selling shoes at Zappos. It is bigger.

 

This is a lot like saying, it is not about the “Activity” in recreational therapist. It is about meeting the target goals the patient has, such as increased stamina, increased interpersonal skills, and increase independence in identified functional areas.

 

Ask Anything  – an open culture

 Zappos has an open, transparent culture. Employees can ask the company anything (with or without using their name). These questions and answers are emailed monthly.

An employee could ask:

  • Is the company profiting?
  • When is the holiday party or company picnic
  • Where is the company going to be in three years?
  • When is national ice cream day?

Recreational therapists could encourage this process to take place at their facility, pending the administration is open to it. Recreational therapists could give them a copy of Hsieh’s book.

 

  • As you grow, you might need to move “to a bigger [poker] table

Zappos started to provide more accessories beyond shoes.

Recreational therapists may want to strive to provide more services beyond recreational therapy for customers. Recreational therapists may want to supervise interns, provide trainings for fellow staff, and organize events for hospital / agency employees in effort to boost morale (pending administration approves).

 

Have Core Values

There company solicited values from employees. Some of the values were overlapping. They narrowed it to this list:

The Ten Core Values at Zappos include:

 

1.)    Deliver WOW Through Service

2.)    Embrace a Drive Change

3.)    Create Fun and a Little Weirdness

4.)    Be Adventurous, Creative, and Open-Minded

5.)    Purse Growth and Learning

6.)    Build Open and Honest Relationships with Communication

7.)    Build a Positive Team and Family Spirt

8.)    Be Passionate and Determined

9.)    Be Humble.

 

Hospital/ agencies often have their own list of values. Do employees actually know what they are? Do they buy into it?

Recreational therapists could take the initiative and choose to be leaders in the company core values. Recreational therapists could volunteer to help develop these values for their company if they are not already created. Of course, I am idealistic. I understand that recreational therapists are often already pretty busy people. And I’d like to point that Hsieh suggested, “do more with less.”

Recreational therapists could create their own personal values for work.

At my hospital, we have “WOW cards.” Anyone can fill one out by identifying a staff and writing why they provided a wow.

At my own company, DannyPettry.com: Rec Therapy CEUs shares several of those same values such as: have a growth mindset and being determined and passionate and of course being humble.

 

Employee Training at Zapppos

                Zappos provides courses for their staff. These include: communication skills, coaching, science of happiness, leadership, public speaking, stress management, manager orientation, time management, grammar and writing, how to write effective emails, and many more topics. Employees can receive pay rate increases for completing courses as well.

 

A Review of Part III: Profits, Passion, and Purpose

                This was the smallest chapter. The focus was on “taking it to the next level.” It felt very Rogarian in the style of Carol Rogers. The three basic tips were: be passionate, tell personal stories, and be real.

Two books suggested were: Good to Great and Tribal Leadership.

 

 

Bibliography

Hsieh, T. (2010). Delivering happiness: a path to profits, passion, and purpose. New York: Business Plus.