Carmen B.

Pingree
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Department Management Plan

Miranda Hunt, Aubrey Johnson, Shayla Martinez, Minh Anh Pham, Samantha Shimada, Jess Watt

RECTH 5300

4/23/2023
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CARMEN B. PINGREE AUTISM CENTER OF LEARNING

RECREATIONAL THERAPY DEPARTMENT MANAGEMENT PLAN

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Table of Contents
Comprehensive Program Plan…………………………………………………………………………………………………………………..…..…......4
Administrative Organizational Chart………………………………………………………………………………………..……………...............5
Recreational Therapy Department Organizational Chart……………………………………………………………………...………….…..……6
Vision, Mission, Goals………………………………………………………………………………………………………………….…….........7
Interventions………………………………………………………………………………………………………………………………......…8-9
Risk Management Plan………………………………………………………………………………………………………………………..……….....10
Risk Management Plan…………………………………………………………………………………………………….…………........….11-12
Guidelines: Patient to Staff Ratios..…………………………………………………………………………………………………….....….13-14
Risk Management Policy- Incident Reports…………………………………………………………………………………………….....……..15
Policies and Procedures Manual - Ethical Conduct…………………………………………………………………………………………..…..16
Quality Improvement Policy……………………………………………………………………………………………………………….…17-18
Program Evaluation…………………………………………………………………………………………………………………………...19-20
Policies and Procedures Manual - Documentation Guidelines…………………………………………………………………………….…21-22
Fiscal Management Plan…………………………………………………………………………………………………………………………..……..23
Operating Budgets: Personnel……………………………………………………………………………………………………….……..…24-26
Operating Budgets: Supplies……………………………………………………………………………………………………………...…..26-27
Operating Budgets: Equipment…………………………………………………………………………………………………………..…...27-28
Operating Budgets: Volume…………………………………………………………………………………………………………………...28-29
Activity Based Costing……………………………………………………………………………………………………………………..…29-31
Capital Budget…………………………………………………………………………………………………………………………….……...31
Revenue Budget………………………………………………………………………………………………………………………….…...31-32
Human Resource Management Plan……………………………………………………..………………………………………………………..…….33
Recreational Therapy Department Job Descriptions………………………………..………………………………….…………….……….34-44
Job Competencies…………………………………………………………………..……………………………………………….……………45
Orientation, Policy, Procedures…………………………………………………….…………………………………………...….…………….46
2023 Staff Development/Training Calendar…………………………………………..………………………………………….………..…47-58
Marketing and Advocacy Plan…………………………………………………………………………………………………………..………………59
Intervention Program and Marketing Goal…………………………………………………………………………………….………………...60
Evidence-Based Literature…………………………………………………………………………………………………….……………...61-62
Client/Participant Strategy…………………………………………………………………………………………………….…………………62
Internal Strategy……………………………………………………………………………………………………………..………………..62-63
External Strategy……………………………………………………………………………..……………………………………………….63-65
Appendixes………………………………………………………………….…………………………………………………………………………66-67
References……………………………………………………………………………………………………………………………………………..68-69
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COMPREHENSIVE PROGRAM PLAN

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Administration Organizational Chart

Nurse Clinical Operations

Director manager

Intake Licensed Recreation

Attending Coordinato Certified al
Clinician r Social Therapist
Worker Manager

Team Lead Team Lead

Team Lead
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Recreational Therapy Organizational Chart

Recreational
Therapy Manager

Recreational Recreational
Therapist Therapist

Therapeutic Therapeutic
Recreation Recreation
Technician Technician
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Vision Statement of Recreational Therapy Department

The Recreational Therapy Department strives to improve the quality of life of our individuals with autism by providing a safe and
supportive environment in which all our participants have the opportunity to work towards their functional goals through meaningful
recreation.

Mission Statement of Recreational Therapy Department

The Recreational Therapy Department adheres to the standards of practice of the American Therapeutic Recreation Association.
This department utilizes evidence-based modalities to produce measurable outcomes related to increasing independence and functional
abilities of the individuals we serve. We strive to be resilient, supportive, tenacious, and cohesive within our healthcare team.

Goals of the Recreational Therapy Department

1. To provide a comprehensive assessment to develop an individualized treatment plan and outcomes.

2. To provide evidence-based interventions that help enable individuals to reach their own program outcomes.
3. To develop functional, cognitive, and executive skills through therapeutic recreation modalities that will help participants thrive
in their community and environment.
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Intervention Programs

Animal Assisted Therapy Program

The animal assisted therapy program is designed to meet the individual goals of each client. The animal assisted therapy
experience benefits the individual as they learn to brush and pet an animal using fine motor skills. This program works to address motor
skills as well as communication. Individuals have the opportunity to read to, talk to, or interact with the animal as interacting with an
animal is far less intimidating than another person. The animal is considered a non-judgmental play partner (London, et al., 2020), the
child can express themselves without worry of judgment of another person, and are able to regulate emotions better.

Goals:
1. To independently communicate their feelings to their animal.
2. To show that the presence of the animal will assist in emotional regulation.
3. To improve gross motor skills.

LEGO® Therapy Social Skills Training Program

Children with autism spectrum disorder may experience a variety of social deficits including limited social interaction, difficulty
initiating conversations, as well as maladaptive behaviors (Owens et al., 2008). LEGO® Therapy is designed to improve social skills in
children with Autism through facilitating interaction and communication with peers. In LEGO® group therapy, each participant is
assigned a role with specific tasks, including an engineer, a supplier, and a builder. The group has to communicate, take turns, and
collaborate to complete the LEGO® building model. Through LEGO® therapy, a research study found that there was an increase in
verbal communication among participants (Andras, 2012). A study published in the Journal of Autism and Developmental Disorders
additionally found that LEGO® Therapy was effective in increasing the length the social interactions participants were having and in
reducing “Autism-specific social difficulties” while the Social Use of Language Programme was not (Owens et al., 2008, p.1954). Lego
therapy was also found to be effective in reducing maladaptive behaviors (Owens et al., 2008).
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Goals:
1. To increase appropriate social interactions.
2. To reduce maladaptive behaviors.
3. To improve fine motor skills.

Finger Painting

The finger painting program will be used to help increase fine motor skills and cognitive skills. During the intervention, the
students will work on drawing patterns, coordinating finger/muscle movements, recognizing colors, and using their creativity. Students
will also work on following directions and attention to task skills. (Tiara et al., 2019). This activity will also address tracing with their
finger and choosing the correct color of paint on a worksheet. Once they have completed their worksheet, they will then get a blank paper
that they can create their own picture based on the theme for the day.

Goals:
1. To increase attention to tasks.
2. To increase cognitive function.
3. To improve fine motor skills.
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RISK MANAGEMENT PLAN

Risk Management Plan

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The Recreational Therapy department at Carmen B. Pingree identifies the possible risk involved with students and staff while
doing recreational therapy. There is a comprehensive plan in place to mitigate risks and follow the proper guidelines when there is an
issue that arises. The risks that are identified are having to deal with patients, the program, and supplies used during the interventions.
Risk management reports are sent monthly in order to keep the standard of care for patients.

SECTION: Recreational Therapy Department

SUBJECT: Risk Management Plan

Risk Management
Patients:
● Allergies
● Dietary needs
● Behavioral concerns
● Medications

Identified Risks Within Programs:

● Animal Assisted Therapy
○ Pet hair allergies
○ Animal sanitation
○ Animal getting spooked
○ Dog bites
○ Hands getting tangled in the leash
PREPARED BY: RT Department EFFECTIVE DATE: REVISION DATE: PAGE:

APPROVED BY: Clinical Director March 5, 2023 1 of 2

& S. Shimada, TRS, CTRS
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● LEGO® Therapy Social Skills Training Program

○ Swallowing a LEGO
○ Being hit by a LEGO
○ Dirty LEGO pieces
● Finger Painting
○ Paint getting on clothes
○ Ingesting paint
○ Allergic reaction to paint
○ Throwing paint on others
Supplies:
● Animal Assisted Therapy
○ Dog/animal
○ Hand sanitizer
○ Brushes
○ Gloves
● LEGO® Therapy Social Skills Training Program
○ LEGOS and LEGO Tables
○ Chairs
● Finger Painting
○ Paint
○ Blank Paper and Butcher Paper
○ Individual Worksheets
○ Paper Towels
○ Aprons
PREPARED BY: RT Department EFFECTIVE DATE: REVISION DATE: PAGE:

APPROVED BY: Clinical Director March 5, 2023 2 of 2

& S. Shimada, TRS, CTRS
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SECTION: Recreational Therapy Department

SUBJECT: Risk Management - Patient to Staff Ratios

Risk Management Guidelines

Patient to Staff Ratios

The Recreational Therapy Department will completely adhere to the specific policy regarding the appropriate group ratio of
patients and staff. Failure to do so will call to immediate consideration for termination. This will prevent emergency related situations as
well as creating a plan to meet the Risk Management Plan for the entire department. The department acknowledges that not all situations
can be prevented, but this policy is put in place to limit the number of probable incidences.

Specific Risk for Group Ratio

1. The ratio for the Recreational Therapist (RT) to patients is 1:5.
a. A Therapeutic Recreation Technician (TRT) will be used to maintain all patient to staff ratios.
b. Team Leads should be present at all times.
2. If no team leads or TRT are available to assist with the group, the RT must hold the group in an open forum, within sight of a
clinician or director.
a. If possible, the LCSW will sit in during the group to maintain the ratio.
3. For all community outings, the RT to patient ratio must be enforced and at least one TRT must accompany the group.
a. If a TRT is unavailable, the LCSW or clinical director must accompany the group.

PREPARED BY: M. Hunt EFFECTIVE DATE: REVISION DATE: PAGE:

APPROVED BY: Clinical Director March 5, 2023 1 of 2

& S. Shimada, TRS, CTRS
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4. Gender Specific Groups:

a. In an all-female group, all attending staff will be female.
i. If there is a male therapist, two female staff must be present.
b. In an all male group, all attending staff will be male.
i. If there is a female therapist, two male staff must be present.
5. Patient ratio will be documented and recorded by the RT at the end of each group.
a. RT will complete the risk management form for each group.
b. The staff that are present will be noted on the form for the patient to staff ratio and will sign off.

PREPARED BY: M. Hunt EFFECTIVE DATE: REVISION DATE: PAGE:

APPROVED BY: Clinical Director March 5, 2023 2 of 2

& S. Shimada, TRS, CTRS
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SECTION: Recreational Therapy Department

SUBJECT: Risk Management- Incident Report

Risk Management Policy - Incident Report

The Recreational Therapy Department will complete an incident report when a client or staff has been injured, if there has been damage
to the property, or if there has been a medical incident. Medical incidents may include a medication error or medical device malfunction.

Procedures
As soon as an incident has been assessed, it is important to complete an incident report. Incident reports should be completed within 24
hours of the incident. Staff working in the recreational therapy department will fill out the report with their name, names of other staff
who may have been involved, names of clients who may have been involved, and a detailed explanation of the incident. This report will
then be shared to all members of the treatment team.

*See Appendix A at the end of this document for our incident report form.

PREPARED BY: Y. Watt EFFECTIVE DATE: REVISION DATE: PAGE:

APPROVED BY: Clinical Director March 5, 2023 1 of 1

& S. Shimada, TRS, CTRS
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SECTION: Recreational Therapy Department

SUBJECT: Ethical Conduct

Policies and Procedures Manual - Ethical Conduct

All members of the Recreational Therapist Department will be required to follow the Code of Ethics provided by ATRA. The department
is also required to follow ethical guidelines provided by Carmen B. Pingree and Valley Behavioral Health. The therapists will be given a
list of ATRAs Code of Ethics and will be taught the guidelines that they are required to follow. The Code of Ethics will be posted in the
Recreational Therapy office, to be viewed by the therapists and clients.

PREPARED BY: A. Pham EFFECTIVE DATE: REVISION DATE: PAGE:

APPROVED BY: Clinical March 5, 2023 1 of 1

Director & S. Shimada, TRS,
CTRS
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SECTION: Recreational Therapy Department

SUBJECT: Quality Improvement

Quality Improvement Policy

The Recreational Therapy Department at Carmen B. Pingree has a quality improvement plan that assesses risk management, infection
control protocols, codes, and quality indicators. This department follows all procedures and policies put in place by the Carmen B.
Pingree Autism Center of Learning as well as all policies specific to the Recreational Therapy Department.

- Risk Management
1) Please reference the risk management plan above.
- Infection Control
1) All staff experiencing symptoms of illness are expected to follow current guidelines set by the Centers for Disease Control
regarding quarantining, masking, and returning to the workplace.
2) Staff should notify the nurse on staff if they have a student who is showing symptoms of illness at school.
3) When cleaning up any body fluids staff will wear gloves and any other necessary personal protective equipment and will
appropriately sanitize all infected surfaces.
4) Staff and students will wash their hands after using the restroom, before eating or serving food, after being outside, after
cleaning, after participating in animal assisted therapy, and as otherwise necessary.
5) Staff will stay up to date on all required immunizations.
6) All frequently touched surfaces and materials including but not limited to tabletops, LEGOs, and art materials will be
disinfected regularly.

PREPARED BY: A. Johnson EFFECTIVE DATE: REVISION DATE: PAGE:

APPROVED BY: Clinical Director March 5, 2023 1 of 2

& S. Shimada, TRS, CTRS
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- Codes
Codes will be relayed through the school’s intercom system or through staff radios
1) Code Red - Indicates the need for a lockdown
2) Code Orange - Indicates the need for an evacuation
3) Code Blue - Indicates a medical emergency
4) Code Brown - Indicates an earthquake and the need to shelter in place
5) Code Yellow- Indicates that staff need assistance managing student behaviors safely
6) Code Purple - Indicates that a student has or is attempting to elope.

- Quality Indicators
-Policies/ Procedures/ Guidelines
-Inventory
-Inspections
-Record Review-Student
-Incident Reports
-Student/Parent Satisfaction Surveys
-Attendance

PREPARED BY: A. Johnson EFFECTIVE DATE: REVISION DATE: PAGE:

APPROVED BY: Clinical Director March 5, 2023 2 of 2

& S. Shimada, TRS, CTRS
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SECTION: Recreational Therapy Department

SUBJECT: Program Evaluation

Program Evaluation Policy

The Recreational Therapy Department will evaluate the program to enhance the effectiveness of the treatment of care. The department
will also conduct evidence-based research to develop and improve the treatment programs.

Client Evaluation
1. Client evaluations are conducted on an individual basis by the CTRS to see whether the initial goals and objectives of the clients
have been accomplished.
a. The evaluation will be conducted at the end of every treatment program and then will be further discussed in the
department meetings.
Program Evaluation
1. Program evaluation will be conducted every three months by the CTRS in order to ensure the effectiveness of the programs. The
evaluation will include:
a. The specific therapeutic recreation program
b. The whole therapeutic recreation program
i. The Risk Management Program and Quality Improvement Program will be referenced
c. The CTRSs and staff evaluations
d. The client satisfaction surveys will be conducted at the end of the program *See Appendix B at the end of this document
for the client satisfaction survey*

PREPARED BY: A. Pham EFFECTIVE DATE: REVISION DATE: PAGE:

APPROVED BY: Clinical Director March 5, 2023 1 of 2

& S. Shimada, TRS, CTRS
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2. Evidence-based research will continue to be conducted and reviewed to update and improve the treatment programs as needed.
3. The Recreational Therapy Manager will review the program evaluations to approve or decline any adjustments to the programs.
Adjustments will be noted and reviewed by the team.

Methods
1. Type of Instrument
a. Interviews: personal, face-to-face
b. Surveys: satisfaction form
c. Observation
d. Record documentation: pre- and post-assessments, client documentation, program evaluation forms
2. Type of Questions
a. Both close-ended and open-ended questions will be provided
3. Size of Sample
a. For evaluating goals, direct observation will depend on each client’s objectives
b. Interviews and surveys will include all clients
4. Audience
a. Information will be presented to families and Recreational Therapy Department
5. Report Format
a. The final results will be presented in detailed written reports and kept in files

PREPARED BY: A. Pham EFFECTIVE DATE: REVISION DATE: PAGE:

APPROVED BY: Clinical Director March 5, 2023 2 of 2

& S. Shimada, TRS, CTRS
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SECTION: Recreational Therapy Department

SUBJECT: Policies and Procedures Manual - Documentation

Policies and Procedures Manual - Documentation Guidelines

1. Assessment
a. Within the first official day at Carmen B. Pingree, the Recreational Therapist (RT) will conduct a record review of the
following:
i. School history and records
ii. Diagnostic protocol
iii. Medications and intake form
b. Within the first three school days the RT will conduct a standardized assessment and observation of the student in class to
assess the student’s cognitive, physical, social, emotional, and behavioral functionality.
2. Planning
a. Within one full school day of completing the assessment and observation the RT will document student goals and objects
and add it to the master treatment plan.
b. RT will create long term, short term, goals and objectives for the student throughout their time at Carmen B. Pingree.
c. Goals and objectives are
3. Implementation
a. All Recreational Therapy activities must be supervised by a Certified Therapeutic Recreation Specialist (CTRS) through
the National Council of Therapeutic Recreation, licensed in the state of Utah as a Therapeutic Recreation Specialist (TRS)
or Masters of Therapeutic Recreation (MTRS).
b. All plans will be written and followed in order to create the most therapeutic experience for students.

PREPARED BY: Y. Watt EFFECTIVE DATE: REVISION DATE: PAGE:

APPROVED BY: Clinical Director March 5, 2023 1 of 2

& S. Shimada, TRS, CTRS
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c. There must be a student to staff ratio of 6:1 at all times while on the Carmen B. Pingree campus.
d. Prior to introducing any new recreational therapy activities, the CTRS will review the plan with the supervisor of the
Recreational Therapy (RT) program to ensure the activity meets the guidelines.
e. Incident reports must follow the incident report guidelines and all reports must be given to the RT supervisor as well as to
the parent of the student to which the incident occurred.
4. Evaluation
a. Evaluations will happen every three months, these evaluations will assess:
i. The therapeutic recreation program as a whole
ii. The CTRSs on staff
iii. Each student and their goals and objectives
iv. The effectiveness of treatment
v. Satisfaction of program and treatment
b. Parents or guardians will review the information with the student’s CTRS after these evaluations are completed.
c. Treatment plans will be implemented and changes as needed and will be shared with the rest of the interdisciplinary team.
5. Documentation and Discharge
a. Progress notes will be written after each session for every student that was in the group.
b. These notes will be in the narrative note format and include the student’s observed behaviors and responses, progression
or regression of goals and objectives, and any other notes that may be important regarding the student’s treatment. Notes
will be added to each student’s profile of notes and sent to the supervisor of the Recreational Therapy program.
c. Prior to a student being discharged, the discharge document must be completed and reviewed by the interdisciplinary team
and family of the student.
d. Discharge summaries will be filled out and attached to the discharge document.
e. The transition plan will consist of the goals and objectives of the student as well as the skills and goals that the student
will work towards once leaving Carmen. B Pingree.
f. Functional levels will be assessed.
PREPARED BY: Y. Watt EFFECTIVE DATE: REVISION DATE: PAGE:

APPROVED BY: Clinical Director March 5, 2023 2 of 2

& S. Shimada, TRS, CTRS
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FISCAL MANAGEMENT PLAN

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Operating Budgets: Personnel

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Justification: The recreational therapy department has one full time manager to complete administrative tasks and oversee all
recreational therapy programs. The recreational therapy manager will spend a small portion of their time observing and ensuring high
quality services in each of the three offered RT programs. The department also has two full time recreational therapists who oversee the
three offered programs. One will be in charge of LEGO therapy and one will be in charge of finger painting. The two will collaborate on
the animal assisted therapy program as this type of intervention may require a higher degree of observation and intervention to ensure the
safety of both the students and the assistive animals. The department has two part time recreation therapy technicians, one to assist in
LEGO therapy and one to assist in fingerpainting. These employees will help the department meet required staff to student ratios and
assist the recreational therapists with adapting interventions and with documentation. Each program will run 2x per week and will have
up to 12 students in attendance. Therefore 2-3 staff will be required to attend each session for appropriate ratios to be met. Since there
will be two recreational therapists attending animal assisted therapy, a recreation therapy technician is not required to work this program.
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Operating Budgets: Supplies

Justification: The LEGO program will begin with an initial purchase of items in January (see equipment budget) and LEGOs will be
replenished every 6 months as some will be broken and lost over time. Because this is a high contact intervention, cleaning supplies such
as sanitizer and disinfectant spray will be budgeted for every quarter.

Justification: The finger painting program will take place in a different room than other department interventions. Because of this, more
cleaning supplies will be needed to ensure a usable space and to limit damage to equipment caused by water or paint. These supplies will
be replenished every quarter. Required worksheets will be purchased monthly. Each student will be budgeted for 2 worksheets per
session. There are 8 sessions per month with approximately 12 students in each session. 11 cents x 12 students x 2 worksheets x 8
sessions = $21.12 per month. Paint and other supplies will be replenished quarterly. Blank paper will be purchased for the students to
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create their art on and butcher paper will be purchased to help keep tables clean and free of paint stains. This will also allow for easier
clean up. Paper towels and clorox wipes will be used for clean up of supplies, student hands, and tables and chairs as needed. As the
students will be sharing paint, hand sanitizer is needed to reduce the spread of germs.

Justification: The majority of supply costs for the animal assisted program are purchased for the safety and comfort of students. Gloves
and brushes will be provided for students with sensory concerns who do not want to directly touch the animals. These will be replenished
every 6 months. The general care and use of animals will be the responsibility of the volunteers who bring the animals. As this is another
high contact intervention, sanitizer will be utilized every session and will need to be restocked quarterly.

Operating Budgets: Equipment

Justification: The equipment needed to provide LEGO therapy consists of LEGO specific tables to build the LEGOs on and the initial
bulk purchase of the LEGOs themselves. Each base lego set costs $45 and will be shared among 4 students per session. We will purchase
3 sets to accommodate 12 students per session. Each table can comfortably fit 4 students around it so we will also purchase three tables.
The initial purchases will be made at the beginning of the calendar year and will be replenished as needed (see supplies budget).
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Justification: The drying rack will be used to display and dry the paintings created by students. Two $120 drying racks will have the
capacity to fit all student art from both finger painting sessions. The craft aprons will be purchased to cover up the students and ensure
their clothes do not get covered in paint. The aprons come in a pack of 12 for $25 and will be shared between sessions.

Justification: The pet hair vacuum will be needed for cleaning up dog fur and debris. This is crucial in maintaining a clean classroom
and alleviating possible allergies for the students and staff.
Operating Budgets: Volume
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Justification: Each program will span 1 hour (2 segments). There are approximately 12 students in each session. Each program will run
2x per week which equates to 8x per month. Not every student will participate in every program, most of the 36 students will engage in 2
out of the 3 different programs each week. The monthly volume for each program will be 2 segments x 8 sessions per month x 12
students per session = 192. Yearly Volume = 192 (monthly volume) x 12 months = 2,304. The school’s recreational therapy programs
will run all year round so we will estimate equal participation during the summer months as all other months.

Activity Based Costing

Justification: Indirect costs for the LEGO therapy program total to $120 which will be put toward a bi-annual parent night in which
parents will come to the school with their student so that the student can present their LEGO project to their parent and the student can
demonstrate skills learned during therapy with their parent(s). This parent night will require the purchase of food, beverages, plates,
napkins, cups, and utensils, table cloths, and lego themed decor items. Staffing costs for this program reflect having a recreational
therapist and recreation therapy technician primarily manage this program and having the recreational therapy manager observe and
assist as needed to evaluate the quality of the program and ensure safe student to staff ratios. Most supply and equipment costs reflect one
time large purchases of tables and an initial supply of legos to get this program running. Periodically replenishing legos and purchasing
disinfectants and hand sanitizers contribute to more frequent supply costs. The activity unit cost of this program in its initial year is
comparable to the department’s other programs at just under $30.
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Justification: The indirect costs of the finger painting program total to $120. This will be put toward a bi-annual art gallery presentation
and fundraiser. Students will be able to present pieces of their art to their parents and other community members as well as sell their art
as a school fundraising opportunity. To put on this event, the department will need to purchase food, beverages, plates, napkins, cups,
and utensils. These funds will also go toward advertising the fundraiser to the community and parents. Staffing costs reflect having a
recreational therapist and recreation therapy technician primarily running this program as well as allotting for the recreational therapy
manager to observe and assist as needed to evaluate the quality of the program and ensure safe student to staff ratios. This activity
requires more supplies than other programs. However, while the primary purpose of offering this intervention is for its therapeutic
benefits to students, student generated art can be sold at the bi-annual fundraisers to help offset supply costs. The activity unit cost for
this program is comparable to other department programs at just under $30.

Justification: The indirect costs of the animal assisted therapy program total to $250. $200 will go toward a bi-annual professional
carpet cleaning ($100 per cleaning) to thoroughly remove pet hair and stains from the school floors. Additionally, $50 will go toward
thank you gifts for the volunteers who bring their therapy animals to the school. Each session will have a different volunteer so two gifts
will be purchased annually at $25 per gift. The staffing costs for this program are higher than other department programs as two
recreational therapists will be running sessions rather than one recreational therapist and one technician. This is important for this
program as greater attention to managing client behaviors may be needed to ensure client and animal safety. This additional staffing cost
can be justified through low supply and equipment costs. To get the program going a one time vacuum purchase will be necessary. All
supply costs include necessary products to ensure a limited spread of germs and allergens and products that make the intervention more
adaptable and accessible to students with different sensory needs. Volunteers will bring animals in for therapeutic purposes at no cost to
the school making this our most affordable program with an activity unit cost of $24.34 during its first year running.
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Capital Budget

Justification: All three recreational therapy programs will coordinate and share these two capital budget items. The TV will be used by
the animal assisted therapy program to watch educational videos about different animals and appropriate behaviors with animals. The
LEGO and finger painting programs will use the TV to project tutorial videos to students. The speaker can be used by each program to
provide calming and meditative music to students as needed. We plan on budgeting for these items later in the year as funds become
available.

Revenue Budget

Justification: Revenue for all three recreational programs will come from grants, fundraisers, donors, and branded product sales. The
department will apply to the autism speaks local impact grants which will produce an estimated $3,500 in revenue. An art gallery
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featuring student art created in the finger painting program will be held for fundraising. We estimate an revenue of $480 from these
fundraisers. After speaking with the department’s regular donors it is anticipated that support from donors will total $15,000 this year.
We will also sell RT branded products for additional revenue which the department estimates will total to $150.

*It can be noted that the revenues projected here do not fully cover department staffing and program costs. An overall organization
budget (rather than the RT department specific budget) will be a better reference regarding how additional Carmen B. Pingree revenues
as well as collected tuition will be allocated to help cover RT department costs.
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HUMAN RESOURCE MANAGEMENT PLAN

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Department Job Descriptions:

Department: Recreational Therapy

Job Title: Recreational Therapy Manager

Position Summary: The Recreational Therapy manager is responsible for ensuring that the mission, vision, and goals of Carmen B.
Pingree are being achieved by directing the services and staff of the Recreational Therapy Department. The manager is responsible for
recruiting, supervising, and evaluating all staff and interns. The responsibilities of the manager also include overseeing everyday
operations, supervising quality of services, and providing monthly training. The manager will also be in charge of supervising the
department budget and related resources.

Minimum Qualifications:
- Current Utah State Licensure as a Master Therapeutic Recreation Specialist (MTRS)
- Current Utah State Licensure as a Certified Therapeutic Recreation Specialist (CTRS) from the national Council for Therapeutic
Recreation Certification (NCTRC)
- American Heart Association BLS First Aid/CPR/AED certified
- Must have two years of management experience
- Must have one year of experience working with individuals with autism or other intellectual or developmental disabilities

Essential Duties and Responsibilities:

- Conduct admission assessment and orientation
- Implement the APIED process into the development of treatment programs with staff
- Provide clinical supervision of all staff and interns
- Provide monthly staff training
- Responsible for recruiting and evaluating staff through monthly meetings
- Responsible for evaluating and documenting all treatment programs monthly and approve or decline any changes to the programs
- Ensure compliance with standards and regulations
- Review any reports submitted by staff
- Manage department budget and resources
- Establish therapeutic relationships between staff and clients
- Provide a safe and effective environment for staff and clients by following risk management and ethical policies
 Carmen B. Pingree
35

Knowledge and Abilities:

- Knowledge of population with autism or other intellectual and developmental disabilities
- Demonstrate leadership skills
- Demonstrate problem solving skills
- Demonstrate time management skills
- Demonstrate organizational skills
- Demonstrate critical thinking skills
- Demonstrate clinical skills
- Demonstrate effective therapeutic communication and listening skills
- Demonstrate group processing skills
- Maintain a positive and effective work environment
- Be capable of lifting 50 lbs of weight or greater

Legal Notifications:
- Must pass a pre-employment background check
- Must pass a required drug screening each year
- All immunizations must be current and given to Human Resources
- Adhere to the Americans with Disability Act regulations
 Carmen B. Pingree
36

Department: Recreational Therapy

Job Title: Recreational Therapist 1

Position Summary: A recreational therapist at Carmen B. Pingree is expected to assess the needs and strengths of our students with
Autism, identify individual goals for each student, and plan and implement evidence based and age appropriate interventions to help our
students meet their goals. The recreational therapist is additionally expected to demonstrate appropriate documentation and evaluation of
all sessions and programs. The recreational therapist 1 position will be in charge of our LEGO based therapy - social skills training
program and will co-lead our animal assisted therapy program with another recreational therapist. The recreational therapist reports to the
recreational therapy manager.

Minimum Qualifications:
- Bachelor's degree in Recreational Therapy/Therapeutic Recreation or related field
- Current TRS or MTRS license in the state of Utah
- Current CTRS certification from the NCTRC
- Current BLS and First Aid/CPR/AED certifications
- Must be willing to work with animals

Essential Duties and Responsibilities:

- Attend employee orientation and complete all necessary paperwork and trainings
- Adhere to the APIED process
- Continuously evaluate the effectiveness and safety of programs
- Adhere to the ATRA Code of Ethics and Standards of Practice
- Work under the direction of, and report to, the recreational therapy manager
- Attend required staff meetings, trainings, and parent nights
- Work to achieve and adhere to the mission, vision, and values of the organization
- Adhere to all department and agency policies and procedures
- Create and follow intervention protocols for all programs
- Supervise and direct therapeutic recreation technicians and agency volunteers
- Contribute to advocacy for the population served
 Carmen B. Pingree
37

Knowledge and Abilities:

- Understanding of autism spectrum disorder and appropriate activity interventions or this population
- Demonstrate excellent communication, problem solving, time management, and organizational skills
- Ability to build rapport and therapeutic relationships
- Understanding of Social Skills Training principles
- Understanding of Animal Assisted Therapy principles (certification in this area is preferred but not required as our animal therapy
volunteers are certified)
- Ability to research and implement evidence based interventions
- Experience working with individuals with autism or other intellectual and developmental disabilities and the ability to
communicate using American Sign Language are preferred
- Be capable of lifting 50 lbs of weight or greater

Legal Notifications:
- Must be able to pass a required criminal background check
- Must pass an annual drug screening
- Must receive all agency required immunizations or complete an exemption form and adhere to approved accommodations
- Must adhere to all requirements of the Americans with Disabilities Act
 Carmen B. Pingree
38

Department: Recreational Therapy

Job Title: Recreational Therapist 2

Position Summary: A recreational therapist at Carmen B. Pingree is expected to assess the needs and strengths of our students with
Autism, identify individual goals for each student, and plan and implement evidence based and age appropriate interventions to help our
students meet their goals. The recreational therapist is additionally expected to demonstrate appropriate documentation and evaluation of
all sessions and programs. The recreational therapist 2 position will be in charge of our finger painting program and will co-lead our
animal assisted therapy program with another recreational therapist. The recreational therapist reports to the recreational therapy
manager.

Minimum Qualifications:
- Bachelor's degree in Recreational Therapy/Therapeutic Recreation or related field
- Current TRS or MTRS license in the state of Utah
- Current CTRS certification from the NCTRC
- Current BLS and First Aid/CPR/AED certifications
- Must be willing to work with animals

Essential Duties and Responsibilities:

- Attend employee orientation and complete all necessary paperwork and trainings
- Adhere to the APIED process
- Continuously evaluate the effectiveness and safety of programs
- Adhere to the ATRA Code of Ethics and Standards of Practice
- Work under the direction of, and report to, the recreational therapy manager
- Attend required staff meetings, trainings, and parent nights
- Work to achieve and adhere to the mission, vision, and values of the organization
- Adhere to all department and agency policies and procedures
- Create and follow intervention protocols for all programs
- Supervise and direct therapeutic recreation technicians and agency volunteers
- Contribute to advocacy for the population served

Knowledge and Abilities:

- Understanding of autism spectrum disorder and appropriate activity interventions or this population
 Carmen B. Pingree
39

- Demonstrate excellent communication, problem solving, time management, and organizational skills
- Ability to establish rapport and therapeutic relationships
- Understanding of/background in Art Therapy or Expressive Therapies is a plus
- Understanding of Animal Assisted Therapy principles (certification in this area is preferred but not required as our animal therapy
volunteers are certified)
- Ability to research and implement evidence based interventions
- Experience working with individuals with autism or other intellectual and developmental disabilities and the ability to
communicate using American Sign Language are preferred
- Be capable of lifting 50 lbs of weight or greater

Legal Notifications:
- Must be able to pass a required criminal background check
- Must pass an annual drug screening
- Must receive all agency required immunizations or complete an exemption form and adhere to approved accommodations
- Must adhere to all requirements of the Americans with Disabilities Act
 Carmen B. Pingree
40

Department: Recreational Therapy

Job Title: Therapeutic Recreation Technician 1

Position Summary: The Therapeutic Recreation Technician (TRT) will assist in the implementation of the treatment interventions and
assist the patient accomplish their treatment goal. The TRT will observe patient behaviors and assist the licensed therapists before and
after treatment interventions. The TRT will offer assistance to staff during the entirety of the APIED process with the patients. Reports to
and is directly supervised by a licensed Recreational Specialist (MTRS/CTRS).

Minimum Qualifications:
- At least an age of 18 years old.
- A high school graduate with a diploma.
- Licensed in the state of UT as a Therapeutic Recreation Technician.
- American Heart Association BLS First Aid/CPR/AED certified.

Essential Duties and Responsibilities:

- Complete all the steps on Employee Onboarding.
- Act as a resource for management and staff.
- Have an understanding of the LEGO intervention.
- Observe the behaviors of the patients before, during, and after the session.
- Adhere to the APIED process.
- Advocate for the populations served.

Knowledge and Abilities:

- Demonstrate effective therapeutic communication skills.
- Demonstrate critical thinking skills.
- Demonstrate adequate group processing skills.
- Maintain a positive and efficient workplace environment.
- Efficient time management skills.
- Demonstrate an understanding of the population and their needs.
- Be capable of lifting 50 lbs of weight or greater
 Carmen B. Pingree
41

Legal Notifications:
- Pass a required background check.
- Must pass a required drug screen test each year.
- All immunizations must be current and given to Human Resources.
 Carmen B. Pingree
42

Department: Recreational Therapy

Job Title: Therapeutic Recreation Technician 2

Position Summary: The Therapeutic Recreation Technician (TRT) will assist in the implementation of the treatment interventions and
assist the patient accomplish their treatment goal. The TRT will observe patient behaviors and assist the licensed therapists before and
after treatment interventions. The TRT will offer assistance to staff during the entirety of the APIED process with the patients. Reports to
and is directly supervised by a licensed Recreational Specialist (MTRS/CTRS).

Minimum Qualifications:
- At least an age of 18 years old.
- A high school graduate with a diploma.
- Licensed in the state of UT as a Therapeutic Recreation Technician.
- American Heart Association BLS First Aid/CPR/AED certified.

Essential Duties and Responsibilities:

- Complete all the steps on Employee Onboarding.
- Act as a resource for management and staff.
- Maintain safety of patients.
- Observe the behaviors of the patients before, during, and after the session.
- Adhere to the APIED process.
- Advocate for the populations served.

Knowledge and Abilities:

- Demonstrate effective therapeutic communication skills.
- Demonstrate critical thinking skills.
- Demonstrate adequate group processing skills.
- Maintain a positive and efficient workplace environment.
- Efficient time management skills.
- Demonstrate an understanding of the population and their needs.
- Be capable of lifting 50 lbs of weight or greater
 Carmen B. Pingree
43

Legal Notifications:
- Pass a required background check.
- Must pass a required drug screen test each year.
- All immunizations must be current and given to Human Resources.
 Carmen B. Pingree
44

Department: Recreational Therapy

Job Title: Volunteer

Position Summary:
The volunteer will assist the licensed Recreational Specialist (CTRS/MTRS) in group or individual settings for interventions by helping
prepare materials, keeping patients on task, and cleaning up after interventions. The volunteer supports and is engaged with the group or
individual in an appropriate manner. The volunteer reports and is supervised by a MTRS or CTRS for the duration of the intervention.

Minimum Qualifications:
- Volunteer training provided by Carmen B. Pingree School
- Volunteer orientation and paperwork provided must be completed

Essential Duties and Responsibilities:

- The volunteer orientation and paperwork must be completed
- Volunteer training provided by Carmen B. Pingree School is completed
- Comply with the standards of the participants, but also the standards that are set for staff
- Be supportive and advocate for the population that is being served
- Act as a resource for the CTRS/MTRS, but also other staff that may be involved
- Be capable of lifting 50 lbs of weight or greater

Knowledge and Abilities:

- Effective listening skills
- Effective abilities to lead when needed
- Demonstrate problem solving skills
- Demonstrate strategic communication skills

Legal Notifications:
- Must pass a background check
- Must pass a drug screening
- Immunization records sent to Human Resources
- Up to date on all vaccines
- Adhere and current with the Americans with Disabilities Act and regulations
 Carmen B. Pingree
45

Recreational Therapy Department Job Competencies:

1. The RT can assess students and identify all needed information to create an individualized treatment plan.
2. The RT can accurately create an individual treatment plan for each student, based on the assessment findings.
3. The RT can correctly document the assessment and process of the students RT treatment.
4. The RT can identify the strengths and limitations in the domains of health: physical, cognitive, social, emotional, and spiritual.
5. The RT can create individual goals and objectives for each student.
6. The RT can implement evidence-based treatment interventions, while focusing on both the students strengths and limitations.
7. The RT can evaluate the students progress throughout treatment.
8. The RT can describe the policies and procedures that other RT staff need to follow and can hold staff accountable to them.
9. The RT can keep the facility and equipment clean and safe to follow safety codes.
10. The RT can comply with the schools code of ethics along with ATRAs code of ethics.
11. The RT can comply with the written plan of operation.
12. The RT can provide optimal levels of patient care and treatment.
13. The RT can continuously improve care and treatment.
14. The RT can collaborate with others.
15. The RT can manage a budget, and stay within that budget.
 Carmen B. Pingree
46

Orientation Policy and Procedure

Orientation:
At Carmen B. Pingree, we are committed to providing a comfortable and professional workplace environment for all employees.
Orientation will bring the employee knowledge about the organization and some of the principles that it stands for.

Policy:
All new employees will be given a copy of the policies and procedures for Carmen B. Pingree. Employees will be expected to
sign a contract stating that they have read and understand all of the policies and procedures. Job responsibilities and competencies will
also need a verification form signed by the employee and will be reviewed by the supervisor. Volunteers will be given job
responsibilities and competencies forms as well. Volunteers will also be given policies and procedures form within an employee
handbook. All forms will be turned into the clinical director.

Procedures:
1. Orientation times will be held on the first and the third Monday of each month, unless the day falls on a federal or national
holiday. During these trainings, the new employee will be provided the following
a. Employee handbook
b. Policy and Procedure handbook
c. Job responsibility and competency verification form
d. Policy and Procedure verification form
e. Job description
2. Volunteers will have a separate volunteer orientation where they will learn the basic resources and knowledge about Carmen B.
Pingree.
3. Within 30 days of hire, new employees will return the signed verification forms for both of the policy and procedures and job
responsibilities. Employees may not continue regular duties if these forms are not completed or returned.
4. Within 30 days of hire, new employees must complete:
a. Employee orientation
b. First Aid/CPR/AED training
i. If the orientation and training are not completed within 30 days of hire, the employee will have a meeting with the
clinical director to reevaluate employment status.
5. All employees must maintain current licenses and certifications.
6. Policies and procedures handbook will be updated when necessary.
7. Upon termination from Carmen B. Pingree, employees will be required to return all keys to the clinical director.
 Carmen B. Pingree
47

2023 Staff Development /Training Calendar:

January
Sunday Monday Tuesday Wednesday Thursday Friday Saturday

1 2 3 4 5 6 7
Winter Break Winter Break LEGO Therapy: Finger Painting: Animal Therapy:
Orientation Training 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
10:00am-1:00pm

8 9 10 11 12 13 14
LEGO Therapy: Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy: Department Meeting ASL Training
2:00pm-3:00pm 2:00pm-3:00pm 1:00pm-2:30pm

15 16 17 18 19 20 21
Martin Luther King Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
Jr. Day - No School 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am

22 23 24 25 26 27 28
LEGO Therapy: Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy: RT Workshop Interdisciplinary
2:00pm-3:00pm 12:00pm-4:00pm Staff Meeting
1:00pm-2:30pm

29 30 31
LEGO Therapy: Finger Painting:
9:30am-10:30am 2:00pm-3:00pm
Animal Therapy:
2:00pm-3:00pm
 Carmen B. Pingree
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February
Sunday Monday Tuesday Wednesday Thursday Friday Saturday

1 2 3 4
LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
RT Social Media
Post Day

5 6 7 8 9 10 11
LEGO Therapy: Orientation Training: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 10:00am-1:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy: Finger Painting: Department Meeting
2:00pm-3:00pm 2:00pm-3:00pm 2:00pm-3:00pm

12 13 14 15 16 17 18
LEGO Therapy: Valentines Day LEGO Therapy: Annual BLS Animal Therapy:
9:30am-10:30am Themed Finger 9:30am-10:30am Recertification 10:00am -11:00am
Animal Therapy: Painting: Animal Therapy 9:00am-12:00pm Interdisciplinary
2:00pm-3:00pm 2:00pm-3:00pm parent presentation Finger Painting: Staff Meeting
4:00pm-6:00pm 2:00pm-3:00pm 1:00pm-2:30pm

19 20 21 22 23 24 25
Presidents Day - No Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
School 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am

26 27 28
LEGO Therapy: Finger Painting:
9:30am-10:30am 2:00pm-3:00pm
Animal Therapy:
2:00pm-3:00pm
 Carmen B. Pingree
49

March
Sunday Monday Tuesday Wednesday Thursday Friday Saturday

1 2 3 4
LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am

5 6 7 8 9 10 11
LEGO Therapy: Orientation Training: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 10:00am-1:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy: Finger Painting: Department Meeting
2:00pm-3:00pm 2:00pm-3:00pm 2:00pm-3:00pm

12 13 14 15 16 17 18
LEGO Therapy: Finger Painting: LEGO Therapy: St. Patty’s Day Party Animal Therapy:
9:30am-10:30am 2:00pm-3:00pm 9:30am-10:30am Finger Painting: 10:00am -11:00am
Animal Therapy: 2:00pm-3:00pm Interdisciplinary
2:00pm-3:00pm Staff Meeting
1:00pm-2:30pm

19 20 21 22 23 24 25
Spring Break Spring Break Spring Break Spring Break Spring Break
No School No School No School No School No School

26 27 28 29 30 31 1
LEGO Therapy: Finger Painting: LEGO Therapy: URTA Conference: URTA Conference:
9:30am-10:30am 2:00pm-3:00pm 9:30am-10:30am Group Canceled Group Canceled
Animal Therapy:
2:00pm-3:00pm
 Carmen B. Pingree
50

April
Sunday Monday Tuesday Wednesday Thursday Friday Saturday

2 3 4 5 6 7 8
LEGO Therapy: Orientation Training: LEGO Therapy: Easter Themed Rabbit and Chicks
9:30am-10:30am 10:00am-1:00pm 9:30am-10:30am Finger Painting: Animal Therapy:
Animal Therapy: Finger Painting: 2:00pm-3:00pm 10:00am -11:00am
2:00pm-3:00pm 2:00pm-3:00pm

9 10 11 12 13 14 15
LEGO Therapy: Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy: Department Meeting
2:00pm-3:00pm 2:00pm-3:00pm

16 17 18 19 20 21 22
LEGO Therapy: Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy: MANDT Systems Interdisciplinary
2:00pm-3:00pm Training Staff Meeting
12:30pm-5:30pm 1:00pm-2:30pm

23 24 25 26 27 28 29
LEGO Therapy: Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
30 9:30am-10:30am 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy: LEGO Parent Night
2:00pm-3:00pm 5:00pm-8:00pm
 Carmen B. Pingree
51

May
Sunday Monday Tuesday Wednesday Thursday Friday Saturday

1 2 3 4 5 6
LEGO Therapy: Orientation Training: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 10:00am-1:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy: Finger Painting:
2:00pm-3:00pm 2:00pm-3:00pm

7 8 9 10 11 12 13
LEGO Therapy: RT In-service LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 10:00am-11:00am 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy: Finger Painting: Department Meeting
2:00pm-3:00pm 2:00pm-3:00pm 2:00pm-3:00pm

14 15 16 17 18 19 20
Field Trip Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
Groups Canceled 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am

21 22 23 24 25 26 27
LEGO Therapy: Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy: Parent Teacher Parent Teacher Parent Teacher Interdisciplinary
2:00pm-3:00pm Conferences Conferences Conferences Staff Meeting
4:00pm-6:00pm 4:00pm-6:00pm 4:00pm-6:00pm 1:00pm-2:30pm

28 29 30 31
LEGO Therapy: Finger Painting: LEGO Therapy:
9:30am-10:30am 2:00pm-3:00pm 9:30am-10:30am
Animal Therapy:
2:00pm-3:00pm
 Carmen B. Pingree
52

June
Sunday Monday Tuesday Wednesday Thursday Friday Saturday

1 2 3
Finger Painting: Animal Therapy:
2:00pm-3:00pm 10:00am -11:00am

4 5 6 7 8 9 10
LEGO Therapy: Orientation Training: LEGO Therapy: Mentorship Seminar Animal Therapy:
9:30am-10:30am 10:00am-1:00pm 9:30am-10:30am 9:00am-10:30am 10:00am -11:00am
Animal Therapy: Finger Painting: Finger Painting: Art Gallery
2:00pm-3:00pm 2:00pm-3:00pm 2:00pm-3:00pm Fundraiser
5:00pm-8:00pm

11 12 13 14 15 16 17
LEGO Therapy: Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy: Department Meeting Interdisciplinary
2:00pm-3:00pm 2:00pm-3:00pm Staff Meeting
1:00pm-2:30pm

18 19 20 21 22 23 24
LEGO Therapy: Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy:
2:00pm-3:00pm

25 26 27 28 29 30 1
LEGO Therapy: Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy:
2:00pm-3:00pm
 Carmen B. Pingree
53

July
Sunday Monday Tuesday Wednesday Thursday Friday Saturday

2 3 4 5 6 7 8
Independence Day Independence Day LEGO Therapy: Finger Painting: Animal Therapy:
Weekend No School 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
No School

9 10 11 12 13 14 15
LEGO Therapy: Orientation Training: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 10:00am-1:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy: Finger Painting: Department Meeting
2:00pm-3:00pm 2:00pm-3:00pm 2:00pm-3:00pm

16 17 18 19 20 21 22
LEGO Therapy: Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy: Mental Health Interdisciplinary
2:00pm-3:00pm Seminar Staff Meeting
1:00pm-2:30pm 1:00pm-2:30pm

32 24 25 26 27 28 29
Pioneer Day Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
No School 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am

30 31
LEGO Therapy:
9:30am-10:30am
Animal Therapy:
2:00pm-3:00pm
 Carmen B. Pingree
54

August
Sunday Monday Tuesday Wednesday Thursday Friday Saturday

1 2 3 4 5
Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am

6 7 8 9 10 11 12
LEGO Therapy: Orientation Training: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 10:00am-1:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy: Finger Painting: Department Meeting ASL Training
2:00pm-3:00pm 2:00pm-3:00pm 2:00pm-3:00pm 1:00pm-2:30pm

13 14 15 16 17 18 19
LEGO Therapy: Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy: Mindfulness Interdisciplinary
2:00pm-3:00pm Training Staff Meeting
12:30pm-1:30pm 1:00pm-2:30pm

20 21 22 23 24 25 26
LEGO Therapy: Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy:
2:00pm-3:00pm

27 28 29 30 31
LEGO Therapy: Finger Painting: LEGO Therapy: Finger Painting:
9:30am-10:30am 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm
Animal Therapy:
2:00pm-3:00pm
 Carmen B. Pingree
55

September
Sunday Monday Tuesday Wednesday Thursday Friday Saturday

1 2
Animal Therapy:
10:00am -11:00am

3 4 5 6 7 8 9
Memorial Day - No Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
school 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am

10 11 12 13 14 15 16
LEGO Therapy: Orientation Training: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 10:00am-1:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy: Finger Painting: Department Meeting Interdisciplinary
2:00pm-3:00pm 2:00pm-3:00pm 2:00pm-3:00pm Staff Meeting
1:00pm-2:30pm

17 18 19 20 21 22 23
LEGO Therapy: Registered Behavior LEGO Therapy: Annual First Animal Therapy:
9:30am-10:30am Tech. In-service 9:30am-10:30am aid/CPR/AED class 10:00am -11:00am
Animal Therapy: 10:00am-11:00am 9:00am-1:00pm
2:00pm-3:00pm Finger Painting: Finger Painting:
2:00pm-3:00pm 2:00pm-3:00pm

24 25 26 27 28 29 30
LEGO Therapy: Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy:
2:00pm-3:00pm
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October
Sunday Monday Tuesday Wednesday Thursday Friday Saturday

1 2 3 4 5 6 7
LEGO Therapy: Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy:
2:00pm-3:00pm

8 9 10 11 12 13 14
LEGO Therapy: Orientation Training: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 10:00am-1:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy: Finger Painting: Department Meeting LEGO Parent Night
2:00pm-3:00pm 2:00pm-3:00pm 2:00pm-3:00pm 5:00pm-8:00pm

15 16 17 18 19 20 21
Fall Break Fall Break Fall Break Fall Break Fall Break

22 23 24 25 26 27 28
LEGO Therapy: Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy: De-escalation Interdisciplinary
2:00pm-3:00pm Training Staff Meeting
2:00pm-3:30pm 1:00pm-2:30pm

29 30 31
LEGO Therapy: Halloween - No
9:30am-10:30am School
Animal Therapy:
2:00pm-3:00pm
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November
Sunday Monday Tuesday Wednesday Thursday Friday Saturday

1 2 3 4
LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am

5 6 7 8 9 10 11
LEGO Therapy: Orientation Training: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 10:00am-1:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy: Finger Painting: Department Meeting
2:00pm-3:00pm 2:00pm-3:00pm 2:00pm-3:00pm

12 13 14 15 16 17 18
LEGO Therapy: Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy: Marketing and Interdisciplinary
2:00pm-3:00pm Advocacy Seminar Staff Meeting
1:00pm-2:00pm 1:00pm-2:30pm

19 20 21 22 23 24 25
LEGO Therapy: Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy: Parent Teacher Parent Teacher Parent Teacher
2:00pm-3:00pm Conferences Conferences Conferences
4:00pm-6:00pm 4:00pm-6:00pm 4:00pm-6:00pm

26 27 28 29 30
LEGO Therapy: Finger Painting: LEGO Therapy: Finger Painting:
9:30am-10:30am 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm
Animal Therapy:
2:00pm-3:00pm
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December
Sunday Monday Tuesday Wednesday Thursday Friday Saturday

1 2
Animal Therapy:
10:00am -11:00am

3 4 5 6 7 8 9
LEGO Therapy: Orientation Training: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 10:00am-1:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy: Finger Painting: Speech Language Art Gallery
2:00pm-3:00pm 2:00pm-3:00pm Pathology In-service Fundraiser
3:00pm-4:00pm 5:00pm-8:00pm

10 11 12 13 14 15 16
LEGO Therapy: Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy: Department Meeting Interdisciplinary
2:00pm-3:00pm 2:00pm-3:00pm Staff Meeting
1:00pm-2:30pm

17 18 19 20 21 22 23
LEGO Therapy: Finger Painting: LEGO Therapy: Finger Painting: Animal Therapy:
9:30am-10:30am 2:00pm-3:00pm 9:30am-10:30am 2:00pm-3:00pm 10:00am -11:00am
Animal Therapy:
2:00pm-3:00pm

24 25 26 27 28 29 30
Winter Break Winter Break Winter Break Winter Break Winter Break
31 No School No School No School No School No School
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59

MARKETING AND ADVOCACY PLAN

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60

Intervention Program:

The RT program provides a plethora of programs which allow the clients to grow socially, cognitively, emotionally, and
physically. We provide an animal assisted therapy program, LEGO therapy program, and a finger painting intervention. Animal assisted
therapy is our most popular program and will be the focus of our marketing strategy this year. Our programs’ purpose is to improve the
wellbeing and quality of life for our clients. These programs will provide skills that will lead to higher levels of independence in
adulthood. By increasing their skills in the health domains, our clients will be able to achieve new levels of well-being and quality of life.
Animal Assisted Therapy:
This service is going to help students increase gross motor skills, communication skills, and help students with emotional
regulation. The students will get the opportunity to walk with, play with, talk to, read to, and brush/pet the animals. Interacting with an
animal can be less intimidating which can help the students open up more.

Marketing goal and objectives for this program:

Goal:
● To increase awareness and understanding of our animal assisted therapy program
Objectives:
● During the month of January, RTs will distribute 50 fliers about animal assisted therapy to local community sites including
recreation centers, doctors offices, and park billboards.
● During the month of January the RTs will host 1 in-service informational presentation and example animal therapy group for
Carmen B. Pingree staff members.
● Before the end of February, RTs will host 1 informational session and example animal therapy group for students and parents.

Clinical goal and objectives example:

Goal:
● To improve gross motor skills
Objectives:
● During Animal Assisted Therapy, the students will pet the animal 5-10 times, as judged by the CTRS.
● During Animal Assisted Therapy, the students will hold the brush and brush the animal, as judged by the CTRS.
● During Animal Assisted Therapy, the students will walk 2 laps with the animal, as judged by the CTRS.
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Evidenced-Based Literature:
Article 1: Abihsira, N., Brown, E., & Breslin, C.F. Therapeutic horseback riding and social independence in children with autism
spectrum disorder. Therapeutic Recreation: Practice and Research Journal of Therapeutic Recreation Ontario.
The study in this article looks at children, who are defined as 4 -17 years of age, who are diagnosed with autism spectrum
disorder. Specifically, these children have challenges in social interaction and social independence. The definition given by the authors
for social interaction includes verbal and non-verbal interactions in social settings without external support.
Results and conclusions in this study found that therapeutic horseback riding significantly improves social independence in
children and youth with social skill deficits. This was found in more long-term programs. In order to see if there is any significant
improvement in short term programs, more research would need to be provided.

Article 2: Avila, A.A., Alonso, B.M., De, R.I., Vizcaino, C.M., Larraneta, A.L., & Torres, T.G. Improving social participation of
children with autism spectrum disorder: Pilot testing of an early animal-assisted intervention in spain. University of A Coruna.
This pilot study aimed to explore the feasibility of an early intervention based on the use of therapy dogs and examine their
impact on communication and social skills. Although this was in an occupational therapy research unit, the findings are still relevant and
consistent with those in a therapeutic recreation unit. The researchers involved looked at child-dog relationships and how that correlated
with child-therapist relationships.
Findings were consistent with previous studies of improving social relationships. Some of their greatest gains were located in the
skills related to the use of the body in social interaction such as directing their head towards others, moving the bodies in relation to
others, and establishing physical contact. Eye contact and verbal communication increased significantly at the end of the program.

Article 3: Calcaterra V, Veggiotti P, Palestrini C, De Giorgis V, Raschetti R, et al. Post-operative benefits of animal-assisted therapy in
pediatric surgery: A randomized study. Journal Plos One.

The setting in this study was a post-care surgical pediatric unit. Their hypothesis is that animal-assisted therapy will increase
emotional regulation and decrease the perception of pain. The population was ages 3-17 and there were 40 participants who were
randomly assigned. Patients were assessed by physiological indicators such as heart rate, blood pressure, and cortisol levels. They also
look at the electroencephalogram activity as well as independent surveys before and after.
Conclusions were that the animal-assisted therapies facilitated a rapid recovery in vigilance and activity, modified pain
perception, and increased emotional prefrontal responses. Most patients had increased emotional response upon seeing the dog and better
 Carmen B. Pingree
62

attitudes were reported after the session was over. These findings are significant for justifying the use of animal-assisted therapy in a
recreational setting.
Client/participant Strategy:
To market our animal assisted therapy program to our current students and their families we plan to create an informational
digital flier that will be included in an email sent to all parents and guardians of students at Carmen B. Pingree. This flier will emphasize
the purpose and intended outcomes of the program as well as evidence that supports the use of the intervention with children with autism.
The flier will also inform parents that the program will be available to all students who through the RT assessment process demonstrate
that they would benefit from participation. It will also emphasize that participation in the program will occur during the school day and
on campus so parents and guardians do not have to make schedule changes around the program. Participation in the RT program will also
be included in annual tuition costs. The flier will additionally include an invitation for all parents and students to attend an informational
session about the program. At this event, the RTs and animal therapy volunteers will collaborate on a presentation about the program and
the purpose and benefits of animal assisted therapy. The volunteer will additionally bring their therapy animals to the presentation so that
parents and students can participate in an example animal therapy group session. We believe that experiencing recreational therapy is one
of the best ways for our students and their families to learn about its value and how it can contribute to positive outcomes. This event will
occur on February 13th from 4:00pm-6:00pm. The flier invitation via email will need to be sent out a minimum of 1 week prior.
Internal Strategy:
The animal-assisted program at Carmen B. Pingree will be promoted to other colleagues as all members of the school will attend
a Recreational Therapy workshop where they will learn the benefits and purpose of using animal therapy. By creating an environment
where all staff throughout the school has taken part in an animal-assisted therapy program, students will receive the greatest benefits.
When the program is offered at Carmen B. Pingree and staff will have the chance to take part in the intervention and offer feedback
before the students participate in any activities. The intervention of Animal Assisted Therapy, LEGO intervention, and the finger painting
interventions will be presented in January to the entire school staff before the students take part. These interventions will all take place
for staff on January 25th as an RT workshop from 12pm to 4pm. When new interventions are created for a new school year, school staff
will again take part in the new interventions before it is given to the students.
This advocates for the RT program at Carmen B. Pingree because by educating others on the benefits and possibilities that RT
creates is essential to spreading the word. Creating more awareness for the world of Recreational Therapy will create a stronger future for
what can be accomplished. Using the interventions that are performed, the CTRS or MTRS can take these to conferences and be used as
examples for others in the practice.
External Strategy:
 Carmen B. Pingree
63

The animal-assisted therapy program will be advertised through fliers and a social media post. The fliers will be hung at doctor
offices, parks, and community centers. The fliers will include general information about the animal-assisted program, including the
purpose of it, location, time, and how to contact Carmen B. Pingree. The program will also be advertised through social media, including
Facebook, Twitter, and Instagram. The social media post will include a caption to advertise the program. These physical and digital
marketing methods will help to target potential students and caregivers.

Flier:
 Carmen B. Pingree
64

Social media post:

This post will be added to the Carmen B. Pingree Facebook page, Instagram page, and Twitter page on February 1st, 2023 by the RT
manager. It will also be sent to the Utah Parent Center instagram account to be reposted as the manager of that page sees fit. Carmen B.
Pingree Instagram, Facebook, and Twitter can all be found at @carmenbpingree
- Caption: Carmen B. Pingree now offers an animal-assisted therapy program for individuals with autism. Individuals will have an
opportunity to interact with and take care of the animals. The program helps to improve fine motor and communication skills of
individuals. Register now for this amazing opportunity!
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65

Appendix A:

Carmen B. Pingree
Incident Report
Date of Incident:__________
Time:____________
Staff Name:_______________
Name of Staff Involved:____________
 Carmen B. Pingree
66

Name of Students Involved:_____________________

Description of Incident:________________________________________________________________
Was Law Enforcement Called?:____________
Were Emergency Services Called?:__________________
Resolving Action:________________________________________

Appendix B:
RT Client Satisfaction Survey:
Strongly Disagree Disagree Neutral Agree Strongly Agree

Me/my child experienced positive

outcomes through participation in
recreational therapy
 Carmen B. Pingree
67

Me/my child felt that goals and treatment

were individualized

Me/my child enjoyed participating in

recreational therapy programs

Me/my child felt that recreational therapy

was an important/valuable part of their
school day

Me/my child felt that recreational therapy

staff cared for students appropriately and
equitably

Me/my child would recommend the

recreational therapy services at Carmen
B. Pingree to a friend or family member

References:

Abihsira, N., Brown, E., & Breslin, C. F. (2020). Therapeutic Horseback Riding and Social Independence in Children with Autism

Spectrum Disorder. Therapeutic Recreation, Practice & Research, 14, 84–95.

 Carmen B. Pingree
68

Ávila, Á. A., Alonso, B. M., De, R. I., Vizcaíno, C. M., Larrañeta, A. L., & Torres, T. G. (2020). Improving social participation of

children with autism spectrum disorder: Pilot testing of an early animal‐assisted intervention in Spain. Health & Social Care in

the Community, 28(4), 1220–1229. https://doi.org/10.1111/hsc.12955

Andras, M. (2012). The value of LEGO® therapy in promoting social interaction in primary-aged children with autism. Good Autism

Practice, 13(2), 17-24. https://hacerlobien.net/lego/Ter-010-Social-Interaction-Autism.pdf

Calcaterra V, Veggiotti P, Palestrini C, De Giorgis V, Raschetti R, et al. (2015) Post-Operative Benefits of Animal-Assisted Therapy in

Pediatric Surgery: A Randomised Study. PLOS ONE 10(6): e0125813. https://doi.org/10.1371/journal.pone.0125813

London, M. D., Mackenzie, L., Lovarini, M., Dickson, C., & Alvarez-Campos, A. (2020). Animal Assisted Therapy for Children and

Adolescents with Autism Spectrum Disorder: Parent perspectives. Journal of Autism and Developmental Disorders, 50(12),

4492+. https://link.gale.com/apps/doc/A651154190/AONE?u=marriottlibrary&sid=bookmark-AONE&xid=4d5e2abb

Owens, G., Granader, Y., Humphrey, A., & Baron-Cohen, S. (2008). LEGO® Therapy and the Social Use of Language

Programme: An Evaluation of Two Social Skills Interventions for Children with High Functioning Autism and Asperger

Syndrome. Journal of Autism and Developmental Disorders, Vol.38, pp. 1944–1957. DOI 10.1007/s10803-008-0590-6

Tiara, O., Yusuf, A., & Tristiana, D. (2019). Fine Motor Skill and Cognition Development in Children with Autism Using Finger

Painting Method. Indian Journal of Public Health Research & Development, 10, 392–397.

https://www.researchgate.net/profile/Anaam-Alabbasy/publication/337670265_Isolation_Identification_and_Antibiotic_Suscepti

bility_Testing_of_Bacterial_Pathogens_causing_Seminal_Fluid_infection_in_Human_Males_Admitted_to_the_infertility_center
 Carmen B. Pingree
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s_in_Najaf_Province/links/5de4483092851c83645a056a/Isolation-Identification-and-Antibiotic-Susceptibility-Testing-of-

Bacterial-Pathogens-causing-Seminal-Fluid-infection-in-Human-Males-Admitted-to-the-infertility-centers-in-Najaf-

Province.pdf#page=401