Measurable Assessment in Recreation
for Resident-Centered Care
(MARRCC)

Initial Assessment

Using the MARRCC can assist recreation professionals in making a transition from the traditional approach to recreation programming in LTC (i.e. long standing with past success, open to all, and primarily suited to residents with higher cognitive functioning levels) to a resident-centered approach. A resident-centered approach ensures that the unique and specialized needs of the cognitively impaired and physically frail residents are met. A critical component of the transition to a resident-centered approach is the ability to accurately assess residents' capabilities and needs. The MARRCC enables the recreation professional to measure the resident's functioning level in four domains as they relate to recreation.

Purpose
  1. Enable the recreation professional to place residents into appropriate recreation programs and/or groups based on their individual functioning levels within each domain.
  2. Enable the recreation professional to gather statistical information about the client population he serves, specifically the percentage of residents who fall into high, moderate, and low functioning levels within each domain.
  3. Acquire information about residents' past and present leisure attitudes, interests, and participation patterns.
  4. Assist the recreation professional in providing opportunities for the resident to continue to participate in recreation activities that he enjoyed prior to placement in a LTC facility.
  5. Assist the recreation professional in developing and writing appropriate goals and interventions for each resident.
  6. Enable the resident to continue to have choice, control, and, ultimately, empowerment in their leisure lifestyle.

When to Administer
The MARRCC-Initial Assessment should be initiated within seven days of the resident's admission and completed within 14 days of admission (per facility policy and state requirements).

Time Needed to Administer
Approximately 45 minutes.

Description
The following items are assessed on the Initial Assessment:
  1. Demographics
  2. Dietary as it relates to recreation
  3. Special considerations/safety issues as they relate to recreation
  4. Prior Life Roles and Routines
  5. Cognitive Domain
  6. Social Domain
  7. Physical Domain
  8. Emotional Domain
  9. Past and Present Leisure Interests
  10. Past Leisure Participation Patterns
  11. Present Leisure Participation Patterns
  12. Preferred Activity Settings
  13. Spirituality
  14. Emotional Response to Placement
  15. Checklist of Introduction to Recreation Program
Sample Copy
You can view a sample of a completed Initial Assessment by downloading the files below: