1	Free-Time Freedom: Enhancing Leisure for the Frail Elderly Developed By: Dr. Janice Elich Monroe, CTRS Associate Professor Ithaca College Allied Health Geriatric Interdisciplinary Team Training Grant #6 D37HP00733 03 January 2002
2	Program Description Are your clients tired, bored, and lonely? This workshop will help you identify their leisure needs and interests. The role of caregivers in helping client choose and adapt activities will be explored, as will techniques that can be used to motivate individuals to take responsibility for their free time. Ownership of free-time enhances quality of life and independent functioning.
3	Outline Identifying Leisure Needs and Interests Role of Caregivers Motivation and Responsibility
4	What makes clients tired? Lack of activity Feeling of Worthlessness Lack of Control Medication Sadness Isolation
5	What makes clients bored? Lack of interests Decreased skill Decreased mobility Lack of resources Lack of control
6	What makes clients Lonely? Fast paced society/bore Afraid to go out (injury/assault) Decreased family support systems
7	Identifying Leisure Needs Cognitive Social Physical Emotional Spiritual
8	Identifying Leisure Interests Ask Watch Talk with family members Look through magazines Invite to programs Discuss work history/activities
9	The Role of Caregivers Provide resources Modify and adapt activities Provide opportunities for CHOICE Get on the eye level Motivation Humor
10	Resources Games Reading materials Yoga Music Relaxation Pets Creative expression
11	Modify and Adapt (Cunninghis, 1995) What do I have to know to make this move? (cognitive) What set of muscles do I need to use and/or coordinate? (physical) How and with whom do I need to interact? (social) How does it make me feel? (emotional)
12	Flow Balance between Skill level and challenge Boredom and anxiety
13	CHOICE Freedom to choose Increases locus of control Provides for satisfaction Enhances quality of life
14	Motivation (Adams, 1995) “A psychological condition in which the individual is oriented towards and tries to achieve some kind of fulfillment. The ability to initiate, direct and sustain behavior: Intrinsic Extrinsic Amotivated
15	Motivation Stages and Strategies Pre-contemplation Stage Contemplation Stage Determination Stage Action Stage Maintenance Stage Relapse Stage
16	Key Elements Know what they want Expect achievement Meaningful and timely rewards Consequences of behavior are not negative or substantial
17	Remember Promote choice Eliminate stereotypes Encourage accomplishments Encourage personal responsibility Provide success experiences Modify unreal goals Utilize communication skills that reinforce choice