The Activity Director's Office
About NAAP
Founded by Activity Professionals
for Activity Professionals...

NAAP is the only national group that
represents activity professionals in
geriatric settings exclusively. NAAP
serves as a catalyst for both professional
and personal growth and has come to
be recognized by government officials
as the voice of the activity profession on
national issues concerning long-term
care facilities, retirement living, assisted
living, adult day services, and senior
citizen centers. NAAP is nationwide in
scope with a growing membership in
Canada and Bermuda.

The National Association of Activity
Professionals recognizes the following

The quality of life of the
served is the primary reason for our

The strength of NAAP lies in the
diversity of its members.  NAAP
recognizes the rich cultural, and
educational backgrounds of its
members and values the variety of
resources represented.

The strength of NAAP also lies in the
development and promotion of
scientific research which further defines
and supports the activity profession.

NAAP values the development and
maintenance of coalitions with
organizations whose mission is similar to
that of NAAP's for the purposes of
advocacy, research, education, and
promotion of activity services and
activity professionals.

NAAP values members who become
involved at the state and national level
to promote professional standards as
well as encourage employers to
recognize them as professionals.

NAAP affords Activity Professionals
across the country the opportunity to
speak with a common voice...

NAAP successfully worked with
members of Congress to secure a
change in the nursing home reform title
of the 1987 Omnibus Budget
Reconciliation Act (OBRA). Through
our efforts, it became mandatory that an
activity program, directed by a qualified
professional, be provided in every
nursing home that receives Medicare
and/or Medicaid funds.

NAAP was the only professional activity
association to participate in HCFA's
workgroups that revised OBRA's
interpretive guidelines now in effect.

NAAP provides assistance at the state
level to promote certification of activity
professionals, working toward uniform
professional standards for activity
NAAP Mission Statement
To provide excellence in support services to activity
professionals through education, advocacy, technical
assistance, promotion of standards,
fostering of research,
and peer and industry relations.

There are so many benefits when you
belong to NAAP!  Each member will
receive a newsletter which will give the
updated reports on Government
Relations, Special Interests,
International Updates, Professional
Development, Nominations, Standards
of Practice, Financial Updates and a
Membership Report. Along with this
comes an update from our President,
Diane Mockbee, and our Executive
Director, Charles Taylor.

Members will also receive a discounted
rate at the Annual Conference which is
held in March/April of each year.

Effective JAN 1, 2006 membership dues
Active Membership = $75 US dollars
Associate Membership = $65 US dollars
International Membership (outside US)
= $65 USD
Student Membership = $55 US dollars
Supportive Membership = $99 US

Email us for more information at

Join Now!

You can download and mail in this
application with your payment or use
our new
online registration.
Providing Internet Resources
for Activity Professionals
in Long Term Care Settings

Copyright 2004-Present
The Activity Director's Office
All Rights Reserved

Incorporating The Six Dimensional Wellness Model
Into Your Nursing Home/Activity Program
Debbie R. Bera/ADC
NAAP Public Relations Trustee

I will be writing a two-part series about incorporating The Six Dimensional Wellness Model
into your nursing home/activity program.  Part 1 will cover an explanation and why you
should consider adding this to your programming.  Part 2 will provide you with information
on how to incorporate it and specific activity programming ideas.

Part 1

Dr. Bill Hettler, Cofounder and President of the Board of Directors of the National Wellness
Institute developed the Six Dimensional Wellness Model.    It is a total wellness concept.  
The model encourages people to become aware of the different areas in their lives and to
identify areas that need improvement.  Then choices can be made to help you achieve a
higher level of health and a more optimal existence.  It’s a holistic concept of optimal living.  
It’s finding personal satisfaction and a sense of purpose in life.  Complete well-being
encompasses wellness of the body, mind and spirit.  

The six dimensions model stresses the importance of creating balance in the areas that
make up your life – social, occupational, spiritual, physical, intellectual and emotional.  
These areas should all sound very familiar with Activity Professionals. These are the areas
we cover in our programming to some degree.  

Social – The social dimension encourages contributing to one’s environment and
community.  It emphasizes the interdependence between others and nature, being more
aware of society as well as the impact you have on the environment, preserving the beauty
and balance of nature, all as you discover the power to make willful choices to enhance
personal relationships, important friendships, and build a better living space and
community.  Social wellness follows these tenets:
~ It is better to contribute to the common welfare of our community than to think only of
~It is better to live in harmony with others and our environment than to live in conflict with

Occupational – The occupational dimension recognizes personal satisfaction and
enrichment in one’s life through work.  At the center of occupational wellness is the
premise that occupational development is related to one’s attitude about one’s work.  By
contributing your unique gifts, skills and talents to work, you find it personally meaningful
and rewarding.  We convey our values through our involvement in activities that are
gratifying to us.  Occupational wellness follows these tenets:
~It is better to choose a career which is consistent with our personal values, interests, and
beliefs than to select one that is unrewarding to us.
~It is better to develop functional, transferable skills through structured involvement
opportunities than to remain inactive and uninvolved.

Spiritual – The spiritual dimension recognizes our search for meaning and purpose in
human existence.  It includes development of a deep appreciation for the depth and
expanse of life and natural forces that exist in the universe.  It can include experiencing
many feelings of doubt, despair, fear, disappointment and dislocation as well as feelings of
pleasure, joy, happiness and discovery – which are the important experiences and
components to our search and are displayed in the value system we adapt to bring
meaning to our existence.  When you are spiritually well, your actions become more
consistent with your beliefs and values.  Spiritual wellness follows these tenets:
~It is better to ponder the meaning of life for ourselves and to be tolerant of the beliefs of
others than to close our minds and become intolerant.
~It is better to live each day in a way that is consistent with our values and beliefs than to
do otherwise and feel untrue to ourselves.

Physical – The physical dimension recognizes the need for regular physical activity.
Physical development encourages learning about diet and nutrition while discouraging the
use of tobacco, drugs and excessive alcohol consumption.  Optimal wellness is met
through the combination of good exercise and eating habits.  You strive to build physical
strength, flexibility and endurance while also taking care of your medical needs.  You
understand and appreciate the relationship between sound nutrition and how your body
performs.  The physical benefits of looking good and feeling terrific most often lead to the
psychological benefits of enhanced self-esteem, self-control, determination and a sense of
direction.  Physical wellness follows these tenets:
~It is better to consume foods and beverages that enhance good health rather than those
which impair it.
~It is better to be physically fit than out of shape.

Intellectual – The intellectual dimension recognizes one’s creative, stimulating mental
activities.  A well person expands their knowledge and skills while discovering the potential
for sharing their gifts with others.  Using intellectual and cultural activities combined with
human resources and learning resources, a well person cherishes intellectual growth and
stimulation.  It is important to explore issues related to problem solving, creativity and
learning.  Spend more time pursuing personal interests, reading books, magazines, and
newspapers, while keeping abreast of current issues and ideas.  Actively strive to expand
and challenge your mind with creative endeavors.  Intellectual wellness follows these tenets:
~It is better to stretch and challenge our minds with intellectual and creative pursuits than
to become self-satisfied and unproductive.
~It is better to identify potential problems and choose appropriate courses of action based
on available information than to wait, worry and contend with major concerns later.

Emotional – The emotional dimension recognizes awareness and acceptance of one’s
feelings.  Emotional wellness includes the degree to which one feels positive and
enthusiastic about oneself and life.  It includes the capacity to manage one’s feelings and
related behaviors including the realistic assessment of one’s limitations, development of
autonomy, and ability to cope effectively with stress.  The well person maintains satisfying
relationships with others.  It is essential to be aware of and accepting of a wide range of
feelings in yourself and others.  You are able to express feelings freely and manage
feelings effectively.  You are able to arrive at personal choices and decisions based upon
the synthesis of feelings, thoughts, philosophies, and behavior.  You can live and work
independently, yet realize the importance of seeking and appreciating the support and
assistance of others.  You are able to form interdependent relationships with others based
upon a foundation of mutual commitment, trust and respect.  You take on challenges, risks,
and recognize conflict as being potentially healthy.  By managing your life in personally
rewarding ways, and by taking responsibility for your actions, you see life as an exciting,
hopeful adventure.  Emotional wellness follows these tenets:
~It is better to be aware of and accept our feelings than to deny them.
~It is better to be optimistic in our approach to life than pessimistic.

That is the basic principles of the six dimensions of wellness model.  So why should you
incorporate these principles into the nursing home/activity program?  It improves the
quality of life for older adults by caring for the whole person within the six dimensions of
wellness.  With increasing life expectancy and the aging baby boomers, we see the need to
engage this generation into changing the way we age.  We can do this by staying active, to
the fullest extent possible, within all areas of life: emotional, intellectual, physical, spiritual,
social and occupational.  Aging within these dimensions of wellness keeps us involved,
alert, and enjoying a productive life.  The concept of Active Aging is summed up in the
phrase “engaged in life”.  Individuals can participate in life as fully as possible, regardless
of socioeconomic status or health conditions, within the wellness dimensions.  It empowers
older adults with prevention and wellness strategies.  Older adults have the capacity to
grow, develop, modify and change regardless of age!  As Activity Professionals we need to
provide opportunities that support active aging – so that those we serve can say “I am
engaged in life.”  (Do you see the similarities here between the six dimensions of wellness
and the rewrite of the interpretive guidelines for F248?  I certainly do!)

Of course there are many benefits of wellness.  These are some of the benefits:
•        Fall risk reduction
•        Balance and mobility
•        Range of motion in all joints
•        Muscle endurance and strength
•        Flexibility, fine motor skills, breath work
•        Visual, vestibular and somatosensory systems and
•        Participation, fulfillment and enjoyment

Being physically active is one of the most important things older adults can do to stay
healthy.  Wellness is maximizing potential, maintaining a continuum of balance and
purposeful direction within the environment and moving toward increased capability and

Part 2 will provide you with information on how to incorporate the six dimensional wellness
model and specific activity programming ideas.
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