tetrasomy 18p, therapeutic recreation, chromosomal disorder


Medicine and Health Sciences


Tetrasomy 18p is a rare chromosomal disorder that affects every aspect of an individual. Since tetrasomy 18p is uncommon, there is currently little, if any, research explaining benefits of Therapeutic Recreation (TR) specifically to those with the disorder, but TR is able to address specific symptoms of the disorder. This case study focuses on a 15-year-old girl named Emily who is diagnosed with mild cerebral palsy in addition to a diagnosis of tetrasomy 18p. Emily has very supportive parents who want her to succeed as well as a supportive step-sister. Current assessments conducted by the Colorado Springs Therapeutic Recreation Program (TRP) measure her physical, social, emotional, and cognitive skills as they relate the TR. Goals have been written for Emily the past eight years she has attended summer day camps with the TRP. This past year, Emily did not meet her goals at camp to follow multi-step directions with minimal to moderate assistance, or display socially appropriate behavior with 1-2 prompts. According to an assessment by the TRP, the Program Outcome Attainment Scale, Emily did not improve or decline in any areas over the summer of 2015. The TRP may need to refine some of their documentation to make it more standardized since they have many new staff members completing the forms each summer. It would be beneficial to ensuring participants are receiving accurate assessments. Further research should be conducted to find benefits of TR for individuals with tetrasomy 18p.