1. Leisure Competence measure
Chapter 15 red book

2. Leisure Competence measure
Standardized instrument designed to measure outcomes related to therapeutic recreation
Contains eight sub-sections
Leisure Awareness
Leisure Attitude
Leisure Skills
Cultural/Social Behaviors
Interpersonal Skills
Community Integration Skills
Social Contact
Community Participation

3. LCM The LCM Assessment includes Definition of each of the eight areas
Detailed criteria that use the FIM scale to rank a client’s skill level in each of the eight areas
A model for decision making to help the CTRS score the tool
Necessary background information related to validity, reliability, theory, and linking scores to treatment decisions

4. Outcome measurement
LCM was designed to be an outcome measurement, not the sole testing tool used to measure the client’s status.
Intended to complement other TR tools and to categorize and summarize information gained through the assessment process
Intended to measure what the client actually does, not what she/he ought to be able to do

5. Population
Originally designed for use in adult rehab, geriatric, psych, and long-term care settings
Also found useful by practitioners working with young adults and adolescents

6. Additional benefits
Offers the profession a core set of leisure functioning measures, consistent definitions, and information related to leisure functioning that all professionals can interpret in a similar way
Offers a more accurate way of comparing intervention and program results among similar facilities and client populations
Provides the field with a means of establishing a scientific basis for our profession
It is one means of demonstrating the value of our contribution in an era of evidence based practice

7. Conceptualization of the LCM
LCM subscales were constructed according to
Rehabilitation theory, operationalized through the ICIDH, by the WHO
Behavioral constructs of competence outlined in social and gerontological literature
Leisure Education principles and the leisure-based philosophy for TR practice operationalized through the Leisure Ability Model

8. In-Class activity
On pages , the chapter goes into the concepts used to construct the subscales of the LCM.
Get into three groups
Summarize the following areas
Rehabilitation Theory and the LCM
Competence and the LCM
Leisure-Based Philosophy for practice and the LCM
Present your summary to the class

9. Relevance of the LCM LCM is consistent with the FIM
LCM complies with CARF, JCAHO, and CCHSA standards

10. Capabilities vs. Performance
Measuring a client’s individual capabilities is different than measuring their actual performance.
Measures of Capability
A rate documents the ability of the client to carry out a particular task in a specified environment
General capability is then inferred from specific examples of client performance, usually in simulated situations
Measures of Actual performance
Documents change in functioning from admission to discharge
Also provides evidence of the effectiveness or ineffectiveness of the intervention in enabling one’s client to live in the community independently

11. LCM measures both
The LCM is designed to measure leisure functioning in both real and simulated situations
The first five subscales measure a client’s capabilities or readiness for community reentry or optimal performance in leisure
The sixth scale examines the client’s ability to translate the skills learned into a real life setting
The remaining two subscales measure the client’s actual levels of engagement in social and leisure opportunities

12. Completing the LCM
The LCM is not an assessment tool, but rather a way of recording the outcome of an assessment
The contents of the LCM are themselves not intended to constitute a full assessment
Utilize other sources, and in some cases, other assessments
Once the assessment process has been completed and as much information as possible has been collected related to client abilities, needs, and interest, a summary score can then be assigned to the LCM sub-scales

13. When scoring the LCM
The client must fulfill all requirements of a level in its entirety.
Failure to meet any of the criteria moves the client to the level below
A client can not move to a higher level until all of those requirements are met
If in doubt, the client should be rated at the lower level.
Not all of the subscales of the LCM need to be completed for all clients, nor need all clients necessarily receive a full assessment.