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Recreational Therapist

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Since childhood, Lisa Tomczak has had a passion for horses. It's not surprising, really, when you consider that her mother raised and bred Arabian horses. By her teens, Tomczak was showing horses herself.

But Tomczak also had a burning desire to belong to one of the healing professions. So when she attended a private college, she decided to major in recreation therapy. After graduation, Tomczak started working in a clinic, but it wasn't long before she realized that world wasn't for her.

By coincidence, Tomczak found her calling in the pages of a magazine. One day, while she was casually browsing through a horse journal, she spied an ad for a therapeutic riding instructor at the Cheff Therapeutic Riding Center in Augusta, Michigan -- one of the largest centers of its kind in the United States. Tomczak attended the training course that was advertised and ended up working as one of their instructors. Now she can't wait to get to work every day.

"It was perfect," Tomczak says. "It combined the things I really enjoy -- working with disabled people and horses. It couldn't have been more perfect!"

Tomczak has worked at the center for three years and helped people from the ages of three to 78 improve their sense of well-being.

"It's definitely a hands-on experience," she says. "You're working in a very relaxed environment and the horses are so good that they take the pressure off you as a therapist."

The horses help improve muscle tone, provide gentle stretching for the users and increase their range of motion. But even when there is a limit to the physical improvements, the emotional improvements can be remarkable.

"I worked with a teenage girl with cystic fibrosis who was on oxygen 24 hours a day," Tomczak says. "She didn't want to give up working with the horses. She was determined to come here and get her riding time in."

Over time, the girl learned to walk, trot and even canter with the horse, and eventually took part in some shows at the center. "She won a spirit award," Tomczak remembers. "It's these kids that really make the job worthwhile."

In the world of recreation therapists, Tomczak is a rare breed. Most therapists end up working in clinic settings, like Sue Heideman and Norm MacInnes.

MacInnes, one of a handful of men in a women-dominated profession, has returned to working as a hands-on therapist after spending years as a recreational manager. He prefers the one-to-one contact with clients to the number crunching and paper pushing of an administrator.

MacInnes finds the toughest part of the job is dealing with people who have given up on life. Rather than work for their own independence, they rely on the institution to do everything for them. Sometimes, that makes MacInnes feel more like an entertainment director than a recreation therapist.

Another challenge is meeting the needs of quiet patients. "There are the ones who bang on your door looking for things -- and you always hear them," MacInnes says. "But the difficult task is listening to the silent people, some with severe cognitive impairments, who still have a lot of the same needs but don't know how to articulate them."

But there are rewards, too -- like the time MacInnes encouraged a woman in her 80s to learn about computers. "I got her into playing solitaire and taught her how to start the computer up on her own," he says. "Within a few days she was borrowing books on word processing programs and calling up friends to chat about computers.

"I used this as a confidence builder. It's an excitement thing, and it got her motivated and less focused on her physical disabilities."

Sometimes that's not as easy as it sounds, admits Heideman. Elderly men in particular have a hard time replacing their former recreational passions with new loves.

"Often, work determined who they were and they never developed any outside interests," she says. "You see it a lot with men who have just retired. Leisure time can be very stressful."

Heideman recalls working with a very good photographer who believed his disability meant he could never take pictures again. "He kept saying, 'I don't want to do anything. I'm useless.'"

Undaunted, Heideman was convinced she could rig something up with his camera so the world would come alive for him once again.

"He was very, very reluctant," she remembers. After trying out a number of options, she was able to adapt the camera with an extension and add a tripod. "Now he could go out and take pictures in the park," she says. "It made him feel so good and gave him so much more quality of life and self-esteem."

It's witnessing that renewed connection with the world that keeps many recreation therapists hooked on their jobs. And that spark doesn't die when patients breathe their last breath.

"I feel like I'm able to contribute," says MacInnes. "Mostly we're dealing with people who have come to accept their place in the life cycle. You miss them. But you also remember that you had a positive effect on their life. And they continue to have a positive effect on yours."

Contact

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  • 1-800-GO-TO-XAP (1-800-468-6927)
    From outside the U.S., please call +1 (424) 750-3900
  • North Dakota Career Resource Network
    ndcrn@nd.gov | (701) 328-9733

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