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More than ever, consumers and proponents of health care services are demanding greater accountability; more effective methods of service delivery (e.g., evidence-based practice); and a higher degree of reliable, proven client outcomes. The sixth edition of Therapeutic Recreation Program Design: Principles and Procedures includes new, important, and timely information for therapeutic recreation students and professionals. This textbook will help students and professionals meet those demands in the new and emerging health care and human service markets. Therapeutic Recreation Program Design: Principles and Procedures, Sixth Edition was written for students preparing for the field of therapeutic recreation and professionals providing services to clients. Therapeutic recreation is concerned with the direct delivery of services to clients with disabilities, illnesses, or special needs. Delivery of these services requires an in-depth understanding of both the procedures of delivering quality programs and the content to be addressed within the programs. This text addresses both areas (process and content), utilizing a comprehensive and integrated approach. Therapeutic Recreation Program Design: Principles and Procedures, Sixth Edition focuses on the design, development, and evaluation of therapeutic recreation services, using a systematic approach to program design and delivery. One major intention of the text is to draw the reader to understanding the connections among each task carried out through the design, implementation, and evaluation of therapeutic recreation programs. Significant changes have been included in this sixth edition, strengthening the relationships between theory, evidence-based practice, and client outcomes. Each chapter contains updated information reflecting the latest trends and nuances in health care and human services. This sixth edition is accompanied by an electronic Instructor’s Manual as well as a Student Manual, both containing a wealth of information for extracting the in-depth information from this book. The Instructor’s Manual includes chapter overviews, chapter outlines, important terms, sample test questions, student activities, and more for each chapter in the textbook. The Instructor’s Manual also includes electronic files of the illustrations, tables, and boxes from the textbook.