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Introduction: Making Leisure Matter:
Multi-Tiered Framework Guiding Leisure Participation
Tier 3: Individual Leisure Coaching
Tier 2: Targeted Leisure Groups
Tier 1: Universal Leisure Promotion
Downloadable Materials
The following materials provide summary information about Making Leisure Matter.
Check it Out! Leisure Video Clips!
Video #1: Kelson's Story.Individual leisure coaching with David Weiss [OT], helped Kelson successfully play adapted sports despite his disability and behavioral challenges. Watch him experience joy during soccer practice and hear what his mother has to say about the benefits! [3 min.]
Video #2: Dori's Story.Meet Dori. Despite her developmental disability, she is a successful competitive swimmer and experiences joy in this pursuit. Hear what her parents and occupational therapist [Mary Louise Kennedy] have to say about the benefits. [4 min.]
Video #3: Game Break Group. Watch 2 OTs lead an after-school leisure group in a clinic setting with children who have a range of developmental disabilities [ADHD, autism] and mental health challenges [anxiety]. Listen to what a young boy, mother and OT say about the social and emotional benefits of the group!
Ultimately, leisure provides life with deeper meaning, opportunities for enjoyment, and connection with others and the world around them. It contributes to identity and self-efficacy and provides a way to cope with lifes challenges.22
Introduction
All children and youth have a right to participate in and enjoy healthy hobbies and interests in inclusive school and community settings.
This initiative is all about 'making leisure matter' for all children and youth!
Leisurecan be thought of as any out-of-school activity that is of personal interest to a young person. Examples include: sports, arts & crafts, games, music & theatre, outdoor activities, etc. Our aim is to help all youth explore, identify, and participate in healthy hobbies and interests.
The activities we engage in help define who we are, where we have been, and where we are going. We want to hear children say things like 'I love to draw' or 'I love basketball' or 'I love to do puzzles'.So, ask the question, "What do you like to do for fun after school?" and take an interest.
Benefits:Youth who engage in one or more structured leisure activities after school do better social, emotionally, and academically. Specifically, participation in out-of-school structured leisure activities is associated with improvements in:
- academic achievement1
- personal development [identity and skill development, development of hobbies & interests, development of initiative]2
- interpersonal development [social skills and friendships]2,3
- development of beginning work skills [time management, persistence, following directions]4
- social and emotional development [managing feelings, controlling impulses, improved self-esteem]3
The purpose of the Making Leisure Matter initiative is to:
1. Educate school personnel, youth workers, and parents about the physical and mental health benefits of out-of-school leisure participation; and
2. Promote leisure participation within a multi-tiered frameworkat the universal, targeted, and individualized levels.
Structured leisure activities [or organized] are associated with regular participation schedules, direction by one or more adult, rule-guided interaction, an emphasis on skill, and performance that requires sustained active attention and the provision of feedback. Higher social complexity involving peer cooperation, support from family members, and guidance from adult role models is also associated with structured leisure activities.
Unstructured leisure activities are generally spontaneous, occur without formal rules and adult direction, and include few opportunities for skill development [eg. watching television, listening to music, going out to eat, and hanging out with friends].
Remember that leisure activities come in many forms, such as:
- Sports [basketball, soccer, volleyball, football, track and field sports]
- Outdoor sports [archery, rock climbing, hiking, camping, walking]
- Art [painting, pottery, drawing]
- Crafts [needlework, knitting, decoupage, woodworking, mosaics, paper crafts]
- Music [playing an instrument, listening to music, singing, drumming circles]
- Games [board games, card games, Legos, puzzles]
- Mindfulness, martial arts, exercise [yoga, lifting weights, karate]
- Reading for pleasure
The home, school, and community environments may either support or undermine youths participation in leisure activities. Resources such as parks, organized sports, community programs, and competent adults to oversee the activities is essential.
Whos at-risk of limited leisure participation?
Children and youth living in low-income environments may have less access to leisure pursuits due to availability, affordability, and lack of transportation.13,14 Most structured leisure activities [organized sports, dance lessons, and Scouts] require some sort of transportation and fee for participation.
Youth experiencing mental health challenges [e.g. depression] and peer rejection are at higher risk of boredom and leisure deprivation.15
School providers and parents need to pay close attention to these at-risk groups and implement some of the Tier 1, 2, and 3 strategies outlined below.
Multi-Tiered Framework Guiding Leisure Participation
Applying a multi-tiered framework to address leisure expands our efforts beyond individual services to considering the benefits of small group interventions and universal whole school and community initiatives.6
The three major tiers of leisure promotion include:
Tier 2: Targeted Prevention efforts focus on reducing the occurrence of leisure deprivation by providing services such as small group interventions for youth at-risk [e.g. children with disabilities, social challenges, or those living in poverty].
Tier 1: Universal Whole School or Community-Based Strategies for promoting healthy leisure participation in all children and youth with and without leisure deficits. Leisure promotion emphasizes competence enhancement as well as environmental modifications to support leisure participation.
Key Approaches for Promoting Leisure Participation
Based on current literature on promoting enjoyable leisure, it is important to foster exploration and participation in a variety of structured activities within natural settings. A number of intervention approaches guide the Making Leisure Matter initiative and are described below.
Embed PLAYFULNESS:When promoting leisure, it is important to embed playful interactions to communicate having fun together. Playfulness, such as joking or using humor, can be used to diffuse tension and to move beyond resistance to participate. It can be powerful in building relationships between adults and youth. 7 It is also important to recognize and encourage a young persons playfulness by explicitly pointing it out as an important character strength to both the young person and parents. For example, Max has a great sense of humor. He makes us all laugh which adds to our fun and wanting to spend time together!
Apply ENVIRONMENT-FOCUSED SERVICES:This refers to intervention focusing on modifying environmental conditions and activity demands to foster leisure participation rather than focusing primarily on improving the young persons component skills. For example, in order to decrease the activity demands of independent performance during a dance class, a peer buddy [e.g. a child with higher skills and positive social interaction] may dance alongside a child with autism to provide the needed environmental supports [e.g. verbal and physical prompts] for successful participation. It is important to consider how changes in the physical, sensory, or social environment can improve participation.
Provide LEISURE COACHING:The coaching process combines the use of emotional support and encouragement, information exchange, and a structured process of planning for and participating in chosen activities. Details on leisure coaching is described under Tier 3 services.
[Tier 3] Individual Leisure Coaching
Evaluation: First, identify who may need leisure coaching by evaluating the young persons leisure participation.
Leisure Coaching: Then, use the leisure coaching process to foster the development of healthy hobbies and interests!
Success stories demonstrating leisure coaching outcomes in school and clinic settings are also provided.Details provided below!
Evaluation: An informal evaluation of leisure participation, opportunities, and barriers can be completed by an occupational therapy practitioner [OTP] or other school personnel [e.g. physical therapist, PE teacher] with expertise in physical and mental health. This information can easily be obtained with informal conversations using open-ended questions such as, what do you do for fun after school and on weekends?, tell me about a typical weekend, what are your favorite hobbies and interests?, what new leisure activity would are you like to learn and do? Such informal interviews with the young person are critical for gaining their perspectives. Interviewing the parents is also helpful to gain their insights about their childs leisure experiences and interests as well as their needs for assistance.
Interest Checklists: Consider using an informal leisure inventory or interest checklist as a part of your evaluation. Here are some easy-to-use options:
Child interests activity checklist1For parents to do with therapist.
When I Grow Up: Interest Survey2 This is kid-friendly.
Interest Survey UK [adapted version]3 Picture version to be completed with child.
The focus of Leisure Coaching is to help all children and youth explore, select and participate in extracurricular leisure activities in order to develop enjoyable hobbies and interests. Originally developed and implemented by OT practitioners, Leisure Coaching can be provided individually with a young person and family, within a small group context, or at a school-wide level. Other school personnel might want to serve as a leisure coach, such as PE teacher, art or music teacher, or other adults passionate about leisure promotion.
The Leisure Coach serves as an:
Educator, sharing information about the health benefits of participation in enjoyable hobbies and interests with children/youth, families and school personnel;
Facilitator of the change process, by working collaboratively with youth to help them explore and participate in enjoyable leisure activities; and
Advocate of inclusive leisure participation, by promoting involvement in integrated school and community-sponsored extracurricular activities.
Emotional Support and encouragement is provided to build trust and help the youth and family explore and pursue leisure participation. The leisure coach uses: listening, empathy, reframing abilities, guiding and encouraging
Information exchange with the youth and family. The leisure coach shares information about the health benefits of leisure participation. Child/youth shares information about potential leisure interests. Family shares information about available resources [financial, transportation, time, etc.] and values related to leisure participation.
Structured process involving identifying interests, exploring options, and planning for and engaging in the leisure activity [see OT Leisure Coaching process]. This process often involves: activity analysis, problem-solving and scaffolding the experience; advocating for the child/youth/family; and therapeutic use of self to enable successful participation.
6 Steps in Leisure Coaching
1. Start the conversation about the importance of leisure. Meet with child/youth and parents and educate them about the health benefits of participation in meaningful hobbies and interest during out-of- school time. Obtain parental buy-in and support. Begin to develop a trusting relationship.
2. Interest Inventory: Spark an interest. Complete an interest inventory with child/youth; provide education about a variety of creative arts, sports, and nature- based activities; help child/youth prioritize list of interests; share with caregivers.1,2,3
3. Explore school or community-sponsored options. Explore options for participation using the Internet based on the family resources; engage the child/youth and family in this process as much as possible. Know your community and venues for inclusive participation!
4. Make a match and a plan. Discuss school and/or community-sponsored options for participation with the child/youth and caregivers; plan for registration and entry into the activity. Contact the program instructor/coach [if necessary] to discuss relevant information regarding the child/youths strengths and needs related to accommodations and successful participation.
5. Just do it! Child/youth participates in the activity. Coaching is provided to
6. Occupational reflection and future plans. Following participation, talk with the child/youth and caregivers [separately] about the experience. Explore likes? Dislikes? Foster ongoing exploration and participation in a variety of healthy hobbies and interests.
Download the 2-page OT Leisure Coaching Information Brief
1Dunst, C. J., Raab, M., & Trivette, C. M. [2013]. Child interests activity checklist. In C. J. Dunst & M. Raab [2013]. Checklist and guidelines for identifying young childrens interests. Everyday Child Language Learning Tools, Number 3. 2 Career Wonders [2011]. When I Grow UP: Interest Survey. SD Dept. of Labor and Regulation 3 McCormack, A. [2014]. Interest Survey UK [adapted version]Why address leisure in schools?
What to do? Make a habit of discussing students' leisure participation at meetings [IEP, parent-teacher, etc.]. Share information about IDEA and student's right to have accommodations and supports needed to participate. Embed leisure coaching within therapy services [e.g. OT and OTA, PT and PTA]. Most leisure activities help develop skills [gross motor, fine motor, social] and, as such, can address IEP goals.
Read about more Tier 3 Success Stories here. [2-page table]
Dori participated in individual adapted aquatics lessons since she was five years old with her OT instructor, Mary Lou Kennedy, OTR/L. Because Dori struggled with self-esteem in groups and difficulty making friends, Mary Lou felt that she would benefit from being a part of a swim team, both socially and emotionally. Although Mary Lou found a local Paralympics swim team and had parental support, Dori was reluctant to joining. Mary Lou convinced Dori to observe a swim practice. Once Dori was there, she was decided to join. She swims 3X/week and completes in meets. Her circle of friends has expanded. Dori gained strength and coordination as a result of the increased amount of swimming per week which, in turn, decreased her need for OT and PT services to monthly consultation. View a short video of Dori.
[Tier 2] Targeted Leisure Groups
Leisure Groups can be an important strategy for fostering hobbies and interests in at-risk youth. Within small groups, youth can be exposed to a range of potential leisure activities giving them a change to try something new, identify hidden strengths, and develop new interests. There is strong evidence to support activity-based groups for enhancing childrens social participation and mental health.21 By doing together, activity-based groups help youth work together in a cooperative manner, experience group cohesion, and build friendships.
Why address leisure participation in school? It's the LAW! The Individuals With Disabilities Education Act [IDEA] [Pub. L. 108446] supports services that promote play and leisure in natural contexts throughout the day. IDEA mandates that schools must provide nonacademic and extracurricular services and activities in the manner necessary to afford students with disabilities an equal opportunity for participation in those services and activities [See Section 300. Nonacademic Services]. These services and activities may include athletics, recreational activities, special interest clubs, and recess activities. Also, schools must ensure that each student with a disability participates with non-disabled peers in the extracurricular services and activities to the maximum extent possible [least restrictive environment]. Further, supplementary aids and services deemed necessary by the IEP team need to be provided to help students participate in nonacademic settings.
School personnel need to promote leisure participation during recess and after-school. For example, small groups that integrate both students with and without disabilities can be offered during recess to enhance play, leisure, and social participation. Such recess groups, despite occurring over a short amount of time, can be effective in exposing youth to games [e.g. card games, board games, four square] or simple crafts [e.g. making friendship bracelets], building friendships, and reducing bullying.
Low income urban youth are at-risk of occupational deprivation in the area of leisure due to lack of family and financial resources. One way to meet the structured leisure and social and emotional needs of this population is through university-led service learning programs [e.g. OT or recreation therapy].
The Occupational Therapy Groups for HOPE [Healthy Occupations for Positive Emotions], embedded in an after-school program in Cleveland, Ohio, were developed to address the leisure, mental health, and social participation needs of low-income urban youth. Developed by Susan Bazyk, PhD, OTR/L, the HOPE groups have been offered by Cleveland State University [CSU] occupational therapy students since 2004.20
The groups promote:
Participation in Meaningful Leisure Occupations: The HOPE groups expose youth to a variety of structured leisure activities. Examples include: games, drumming, horticulture, and arts and crafts. Activities are selected with the goal of exposing them to new activities and the development of new hobbies and interests.
Group Process: Research suggests that children who demonstrate personal or social difficulties benefit more from small groups that provide a supportive environment and an opportunity to develop positive relationships with caring adults than those who receive individual interventions. Through doing together, the HOPE groups foster peer interaction and team work leading to a sense of group cohesion.
Mental health literacy: Youth learn about positive mental health [feeling good, doing well, coping with challenges] and strategies for managing stress. By participating in various leisure activities, they learn first-hand the relationship between enjoyable occupations and feeling good emotionally.
Organization of the Group Sessions
Group sessions are structured into three segments: conversation time, project activity, and closure. Conversation time focuses on introducing the social-emotional theme for the session, setting the emotional tone, and promoting group cohesion. The project activity is considered the heart of the group because it exposes the children to activities that may develop into long-term interests and allows them to practice the social-emotional skill introduced during conversation time. Examples of projects and activities include making greeting cards using rubber stamping, crocheting scarves, mosaic projects, and doing yoga. The activities focus on exposing children to structured leisure to promote the development of healthy hobbies. Closure involves revisiting the SEL theme and occupational reflection an opportunity to think about the influence of activity on emotional and physical health.
A phenomenology study, using a combination of in-depth interviews and participant observations, explored the meaning of the group participation from the youths perspective. Findings revealed that the youth perceive the groups to be fun because of engagement in novel and challenging projects and talking about feelings within a supportive group context. Participation in creative leisure occupations that allow for choice transforms moodyouth experience happiness and forget their problems [occupational function]. The children enjoy the projects and activities and express wanting to do more. Children are often heard saying what are we going to do today? or I wish you could come every day. They become hooked on doing and experience firsthand the power of occupationthat participating in creative occupations fosters positive feelings. In addition, as the weeks pass, the youth begin to interact as a cohesive groupsharing materials and praising each others accomplishments. Youth also indicated that they enjoy being able to talk about their feelings.
Given that youth with disabilities are at greater risk of leisure deprivation and being bullied, developing and providing occupation-based groups is an important service delivery option for outpatient clinic settings. Participation in groups provides opportunities to develop friendships. Having high-quality friendships, or at least one best friend, can help prevent youth from being a
Success Story: At Cleveland Clinics Outpatient Services, Jenny Negrey, MOT, OTR/L, noted that most of the youth on her caseload reported having few friends, limited leisure pursuits [with most being unstructured video gaming], and anxiety. With the realization that individual therapy sessions limit the ability to foster social interaction and friendship skills, Jenny and colleagues developed and implemented several theme-based leisure groups targeting at-risk youth and exposing them to a variety of activities. The first group, co-led with Julie Jesinski, MOT, OTR/L, focused on playing games and targeting youth on their caseloads with limited leisure participation, friendship challenges, and families with limited financial resources. Each week, a small group of seven youth learned and played one game [e.g. Uno, dominoes, Pictionary, Trivial Pursuits]. Families received an information sheet each week about the game at home. During the group, pro-social skills such
[Tier 1] Universal Leisure Promotion
At the universal level, school and community providers [OT, SLP, recreation therapists, PT, PE teachers] can make a point to know about school and community sponsored leisure activities. This information can be powerful in helping youth and families explore options and participate.
Consider completing a Leisure Environmental Scan. Identify where youth with and without disabilities can participate in a range of leisure activities including: sports, arts, theatre, music, and outdoor nature. Try and find out whether the program is open to including children and youth with special needs. Document a list of places and contact information in whatever form that allows you to add to and revise the information [e.g. googleform].
Success Story: Cleveland Municipal School District [CMSD] Eileen Dixson, MS, OTR/L completed a leisure environmental scan of low-cost activities requiring little or no transportation for the children and families. Most of the families have limited finances and transportation, so Eileen identified neighborhood activities that were feasible in terms of cost and that could be accessed by bus or on foot. She listed the activities on a handout as well as a neighborhood map which had push-pins identifying the community program.
Communities tend to be 'rich' in activities to do in places like libraries, recreation centers, and even churches.
Be informed and be a leisure advocate!
David Weiss, OTR/L, an OT at the Positive Education Program [PEP] Prentiss Autism Center, which is an alternative school for students with autism and significant developmental and emotional disabilities. A majority of the students have one or more co-morbid mental health challenges [e.g. anxiety, depression, severe behavioral disorders]. Because the school did not offer any extracurricular sports or leisure activities, with the support of the schools principal, David developed a number of whole school leisure promotion initiatives over the past 7 years. David is an advocate for social justice and inclusive leisure participation, for working collaboratively with all school personnel and families, and for making leisure an integral part of the schools curriculum throughout the day.
Special Olympics: In 2015, David developed an official school-wide Special Olympics program. He collaborated with the adaptive physical education teacher to embed sports training into the curriculum including basketball, football, soccer, cheerleading, and running. All students
Walking and Running Marathon Program: Autistic adolescents are less likely to be physically active leading to greater risk for other health problems such as overweight and obesity, diabetes, and poor physical endurance. In 2016, the walking/running club was initiated as a simple strategy to foster more movement throughout the day.
Why promote walking and running at school? Walking and running has little associated cost, can be done individually or as a group, and uses the strengths of people with autism [e.g. thrive on structure, routine, and repetition]. Many physical and emotional benefits are associated with walking and/or running such as decreasing anxiety and depression, elevating mood, and increasing physical fitness.
How? The walking club is built into the schools schedule after lunch for 30 minutes. The Walking/Running Marathon Program became an extension of the walking club.
Marathon Program participation has grown from 3 students in 2016 to 15 students in 2019.
Benefits: Leisure participation has results in numerous benefits for both the youth and families. Students demonstrate less aggressive behavior and improved self-regulation and social interactions with peers and adults. Students develop new friends and have opportunities to develop leadership skills. Parent are happy, proud, and more confident about their youths ability to engage in healthy leisure pursuits at school and in the community.
Zacharys success: Zachary is an adolescent with autism who struggles with prolonged engagement, sensory defensiveness, and verbal communication. He has participated in the Marathon Program for three years as well as Special Olympics and the schools football, soccer, and basketball competitions. Participation has resulted in improvements in affect, communication, and staying engaged in activities. He has completed six 5k races, two 10 k races, and a half marathon. In 2019, he received a Gold and Silver Medal in the Special Olympics Ohio Summer Games. Zacharys parents are thrilled about his success. Zachary is passionate about running and his parents, extended family, and friends enjoy going to see him race. Participation in running is an established and enjoyable leisure occupation for Zachary and his parents. It has resulted in improved mental and physical health and quality of life.
Here are two success stories involving the work of Maria Llerena, OTR/L - offering services at a local recreation center and bringing community recreation providers into school settings.
The KIDnections Group, LLC was developed by therapists [OT, SLP, ABA]1 with the purpose of offering cooking groups at a local recreation center and targeting children and youth with autism [www.thekidnectionsgroup.com]. Parents enjoy being able to drop their son or daughter off at a recreation center to engage in group activities under the skilled facilitation of therapists. Based on demand and parent feedback,The KIDnections Groups expanded to include other leisure activities [e.g. crafts, legos, games] and peers without disabilities. The benefits of this type of program is that the therapists do not have the added expenses of paying for clinic space and parents may prefer to have their youth participate at a recreation center instead of an out-patient clinic.
Success Story #2: Bring community leisure programs into school
Creative occupational therapy practitioners find ways to make leisure promotion an integral part of their everyday work. For example, Maria Llerena, OTR/L brought community-based leisure programs in as guest presenters at an autism school [Achievement Centers for Children]. The therapists found that an overwhelming
Jump to a Section
Introduction: Making Leisure Matter:
Multi-Tiered Framework Guiding Leisure Participation
Tier 3: Individual Leisure Coaching
Tier 2: Targeted Leisure Groups
Tier 1: Universal Leisure Promotion
Downloadable Materials
The following materials provide summary information about Making Leisure Matter.
Check it Out! Leisure Video Clips!
Video #1: Kelson's Story.Individual leisure coaching with David Weiss [OT], helped Kelson successfully play adapted sports despite his disability and behavioral challenges. Watch him experience joy during soccer practice and hear what his mother has to say about the benefits! [3 min.]
Video #2: Dori's Story.Meet Dori. Despite her developmental disability, she is a successful competitive swimmer and experiences joy in this pursuit. Hear what her parents and occupational therapist [Mary Louise Kennedy] have to say about the benefits. [4 min.]
Video #3: Game Break Group. Watch 2 OTs lead an after-school leisure group in a clinic setting with children who have a range of developmental disabilities [ADHD, autism] and mental health challenges [anxiety]. Listen to what a young boy, mother and OT say about the social and emotional benefits of the group!