National Association of Activity Professionals (NAAP)
Founded by Activity Professionals for Activity Professionals...
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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
client/resident/participant/patient served is
the primary reason for our services.

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

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

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 practice.
NAAP Mission
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 are:
  • Active Membership = $75 USD
  • Associate Membership = $65 USD
  • International Membership (outside
    US) = $65 USD
  • Student Membership = $55 USD
  • Supportive Membership = $99 USD

Email us for more information at

Join Now!
Click Here to Download a
Membership Application
National Association of Activity
P.O. Box 5530
Sevierville, TN 37864
phone (865) 429-0717        
fax (865) 453-9914        


PLEASE NOTE: Any opinion, advice,
statements, offers or other information or
contents expressed or made herein by third
parties is neither endorsed nor adopted by
the National Association of Activity
Professionals unless otherwise stated. NAAP
is neither responsible for nor warrants the
accuracy or reliability of any such opinion,
advice, information or statement made or
offered by third parties in this publication
(website). NAAP has the right, but not the
obligation, to monitor and review the
content that it feels violates the terms of its
understanding with the third party: violates
the policies and purposes of NAAP; or is
defamatory or otherwise deemed


PLEASE NOTE: The articles set forth in this
publication are for informational purposes
only. Nothing contained herein shall be
construed as legal advice. The statements
made herein are those of the respective
authors and are not necessarily an
expression of the views of NAAP.
Diane Mockbee, BS, ACC,
NAAP Past President

This program has been in force at Palm Valley Rehab & Care Center in Goodyear,
Arizona for 3 years.  Diane Mockbee, Activity Director and Chisa Stevenson, Rehab
Director developed this program to increase satisfaction in their rehab clients.  After two
years of programming they won “The Innovative Program Award” from the Arizona
Health Care Association at their annual conference in 2008.

Initially the Rehab Director and Activity Director met to determine how this program
should proceed and as they began to develop the program, other team members were
brought into the mix.

We began by meeting with the Sub-Acute staff for 30 minutes weekly (evening shift at 1:
30 p.m. and day shift at 2:15 p.m.).  We had them list the strengths and weaknesses of
the unit and had them grade the unit on customer service and other related needs.  
From that list, we developed weekly training sessions on Customer Service as it related
to their unit.  This included each department’s involvement.  We also provided
specialized training in Parkinson’s Care, Transfer Techniques, Dementia Training, Pain
Management and Relaxation, Infection Control, etc. We felt this was a special unit and
that each staff member should be educated to be successful in their positions.  Staff
attending the sessions were:  Rehab Team, Restorative Nursing Assistants, Activity
Staff, C.N.A.’s, Nurses, Unit Manager.  When the program began, the staff graded
themselves and awarded a D+ to the unit.  One year later we reviewed the strengths
and weaknesses and the staff gave the unit a B+.  What an improvement overall and the
attitude of the staff did a complete turn-around!

The Team members involved in weekly planning are as follows:  Activity Director, Rehab
Director, Social Worker, Nursing Case Manager or Director of Nursing, Dietary Manager.
This team also participates in the bi-weekly training of the new admissions on the Sub-
Acute Unit.  We meet with the new residents two times per week as a team.
The purpose of this team is to create an educational program for the Sub-Acute
Residents and their families.  The team will meet on a regular basis, but initially will
meet as needed to ensure the program is started with all of the players in place by a
certain date.

•        Each resident who is admitted from Friday through Sunday will meet for
approximately 30 minutes on Monday to learn who the key players are in the facility and
how each department works towards returning the client home safely and as soon as
possible. Those admitted on Monday and Tuesday will be educated on Wednesday and
those on Wednesday and Thursday will be educated on Friday.  This will help increase
satisfaction and understanding of how the facility operates and what is expected of
them in order to return home as quickly as possible. It will also decrease frustration.
•        Activities will help supplement some of the therapies through exercise, fine motor
skills and memory recall.  They will learn how keeping their minds active will help with
their overall wellness.  Also, by maintaining a positive attitude, not sleeping all the time
when not in therapy, will have a major role in their returning home sooner.
•        They will also learn about the dining experience and the need to take all three
meals in the dining room.  They will be told about alternate meals available and how to
take care of any dietary needs.  Eating in the dining room will help with conditioning,
strengthening and improve their socialization while at the facility.
•        Pain management will be discussed by Nursing, Rehab and Activities, educating
on the importance of maintaining pain control to enhance their rehab experience, to
learn relaxation techniques from activities and what P.R.N. vs. scheduled medications
•        Discharge planning will be discussed so  they know what to expect and what the
benefits of Medicare or H.M.O.’s actually are and how each operates. Each person’s
discharge planning begins on the day of admission.

Prior to these meetings, Admissions, Housekeeping, Medical Records and
Maintenance will play a major role in making sure the rooms are “ready” for our new

•        Admissions will assign the room and let nursing know.
•        Admissions will also tell Housekeeping , Maintenance and Nursing the
approximate arrival time
•        Maintenance will then check the room for working systems – remotes, air
conditioning, toilet, sinks, televisions, beds and call lights and make any repairs on
said items.
•        Maintenance will also check for holes in the walls and do repairs as needed.
•        Housekeeping staff will then go in and clean the room from top to bottom.
•        Following housekeeping, the C.N.A.’s will make the bed and make sure there are
clean linens in place on bed and in bathroom.
•        Activities will then place a welcoming gift on bedside table.
•        Admissions will then check the room again for completion of all of the above-
mentioned items just prior to resident’s arrival.
•        Medical Records will insure the new arrival’s name is on the door and the medical
chart is ready for the admission.  Remember – when they come to your facility, all they
are coming with is their name.  Make sure it is up and part of their welcome.
•        When the new patient arrives, they will be greeted and walked to their room and
introduced to their roommate if applicable.  This is usually done by a member of the
nursing team.

With this team approach in “caring”, customer satisfaction will increase and the rehab
experience will be a much more pleasant one for your residents.  

Some key suggestions to making this successful are:

•        Each staff person on the unit and off the unit plays an important role in making
your residents’ welcome.
•        No one should ever say “It’s not my job”.
•        Think about how you would want your loved one treated when they need to go to an
extended care facility.
•        Show patience and smile even though someone is being difficult.
•        Remember, the family can always care for their loved one better than you, but “we”
will always do our best.  
•        Reassure family members and praise them for “caring”
•        Each person is treated with dignity and respect
•        Keep lines of communication open with all departments.
•        Make customer service a #1 Priority.
•        Remember where they came from – home, to ambulance, to ER, to Emergency
Room, to another room in the hospital, to surgery with anesthesia, back to their room,
moving once again by stretcher or van to another strange place, to another strange
room, different roommates and new rules with more strangers.  Would you become
upset??  If the person has dementia, think 100x’s what a “so-called normal” person
would feel.
•        Take time to listen to resident and families and don’t just by-pass them or “blow”
them off.
•        Encourage activities, rehab, independence and praise for positive actions.

Remember – you are a team and the team is what will make your residents happy.  
When they are happy, they will tell others, including their doctor and that is one of the
best referral sources you can have.  They will also return to your facility should the need
arise.  Remember, one bad report will spread ten times faster so you have to put extra
effort into making the “good” happen!

Diane Mockbee, BS, ACC
Director of Activities
Palm Valley Rehabilitation and Care Center
13575 W. McDowell Road
Goodyear, AZ 85395
623-536-9911, Ext. 212