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Develop a Role-Playing Gaming Therapeutic Recreation Handbook of Practice?

Posted by hawke@rpgresearch.com at Jan 16, 2013 12:45 PM |
As I continue to peruse in depth the Recreation Therapy Handbook of Practice, and tracking the sections of the book that could use role-playing gaming as a treatment (see my eaarlier posting notes for example), I'm considering trying to take on the (overwhelming) task of creating an RPG specific version of the book...

This would of course initially be theoretical. Until people actually start formally using RPGs for such therapies, it is unknown what the challenges and pitfalls will be for certain, though certainly many logical assumptions can be made (though will need verification).

II think I'll start out compiling my notes into a more organized document, then post it as a PDF for download, and then also export it to a Wiki style format. Then hopefully over time, as TR and other care professionals begin to (hopefully) use RPGs for their clients, they can modifyand make postings about their experiences to make it a more definite handbook.

Will see how this goes. People have any thoughts on this? If you are a care professional, would you find this useful?

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Hawke Robinson
Hawke Robinson says:
Jan 17, 2013 12:03 PM
Added details for those with significant impairment in b110 Consciousness functions, and possible scenarios for still implementing RPG therapy with significant accommodation suggestions, using choose-your-own-adventure-like approaches with simply yes/no or numerical choices for the client. http://rpgr.org/[…]/rpgtrhp-wiki-home-page
Hawke Robinson
Hawke Robinson says:
Jan 17, 2013 12:13 PM
ICF b110 -

 8.3.1.1.1 Treatment for Consciousness Functions

    Therapist performs evaluation of level of impairment, one possible measure is the FOX or Activity Therapy Social Skills Baseline (earlier version). Based on the results of the client's functioning, the therapist should determine if the level of impairment is too significant for participation any of the RPG formats (TRPG, CRPG, or LARP) by establishing the Accommodations Rating (AR) as per section 8.2 of this document, to determine if there is sufficient functioning to participate with modifications, or participation without modifications.

Initially it may seem impossible to apply RPG therapeutic treatment techniques to a level 3 or 4 patient with consciousness function impairment of such severity, but it might be possible with significant accommodation. Clients with severe levels of impairment in this category may not be candidates for application of role-playing gaming therapy, however it may still be possible with significant accommodations.
Possible scenario #1 (ICF b11003 or b11004)
The client is in the 3-4 level of impairment, barely responsive to stimuli. If not able to respond to at least simple yes/no questions with a squeeze, twitch, eye movement or other signal, the client is not candidate for any RPG accommodation. However, if the client can at least respond to simple yes/no questions by some means, or even slight numerical responses (for example 3 blinks for 3, and 1 blink for 1), then a highly accommodated version of RPG might be feasible. The client should already have been known to have an interest in RPG's and/or RPG-like activities prior to impairment. For example, the therapist may interview the client's friends and family and discover that the client previously enjoyed role-playing gaming in one form or another, so it might be a stimulus that the client would very much enjoy and have a positive response to.
In the case of the severely impaired, the therapist might take more of a “choose your own adventure” approach to engaging the client in RPG therapy. The therapist would provide a simple list (or a series of yes/no questions) of character archetypes for the client to chose as his/her Player Character (PC). Then the therapist would provide a narrative of the scenario, and at key points provide the client opportunities to make decisions on what to do next through either yes/no, or numerical selection. These scenerios could initially meet the RTHP suggestions of just small 10-15 minute increments initially, but slowly increase in duration and complexity over time (page 151, referencing the O'Sullivan and Schmitz (1998) list).
This adventure would initially just a be a solo, one-on-one, adventure with the therapist as narrator, and the client as the sole player. If the client's functioning improves, then longer sessions of greater complexity may be possible.
Additionally, other participants may later be able to join in the process, friends and family, to help with re-engaging socially and to train those in the client's support structure on the process.



Hawke Robinson
Hawke Robinson says:
Jan 24, 2013 02:20 AM
Many more updates, almost daily. Over 70 pages now.
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