The second edition of "Professional Issues in Therapeutic Recreation: On Competence and Outcomes" is greatly expanded to include a wider variety of introductory materials and updates on current professional issues. The second edition represents a timely review of the state of affairs in the profession of therapeutic recreation. This book contains four sections. Section I, Introduction, includes: (1) On Competencies and Outcomes in Therapeutic Recreation (Norma J. Stumbo); (2) tr Past, Present, and Future: a Historical Analysis of Issues in Therapeutic Recreation (Kari Kensinger); (3) World Demographics and Their Implications for Therapeutic Recreation (Rebecca Genoe and Jerome Singleton); (4) The Role of the International Classification of Functioning, Disability, and Health (ifc) in Therapeutic Recreation Practice, Research, and Education (Marieke Van Puymbroeck, Heather R. Porter, Bryan P. McCormick, and Jerome Singleton); (5) Multicultural Diversity and Competence in Therapeutic Recreation (Charlsena F. Stone); and (6) International Perspectives of Therapeutic Recreation (Heewon Yang and Marjorie J. Malkin). Section ii, Education Issues, includes: (7) "Keynote": Perspectives on Therapeutic Recreation Education (Nancy H. Navar); (8) Profile of Undergraduate and Graduate Therapeutic Recreation Curricula (Norma J. Stumbo); (9) Accreditation: The Quest for Educational Quality (Marcia Jean Carter and Ramon B. Zabriskie); (10) Reconciling Different Professional Expectations of Student Internship (Peggy Holmes-Layman and John Henry Pommier); (11) "Perspective": The Value of Support Courses and Fieldwork in the Therapeutic Recreation Curricula (Jean E. Folkerth); and (12) "Perspective": Curricular Standardization in Therapeutic Recreation: Professional and University Implications (Jeffrey P. Witman, Walter B. (Terry) Kinney, Janet R. Sable, and Judy S. Kinney). Section iii, Practice Issues, includes: (13) "Keynote": Therapeutic Recreation Practice: Art, Science, or Magic? (Sharon Nichols); (14) Therapeutic Recreation Practice Models (Jo-Ellen Ross and Candace Ashton-Shaefer); (15) Integrating Evidence into Recreational Therapy Practice: An Important Focus for the Profession (Ray E. West); (16) Clinical Practice Guidelines: a Decision-Making Tool for Best Practice? (Nancy E. Richeson, Suzanne Fitzsimmons, and Linda L. Buettner); (17) Issues and Concerns in Therapeutic Recreation Assessment (Norma J. Stumbo); (18) Ethics and the ctrs (Sharon Nichols and Mary Ann Keogh Hoss); (19) Reimbursement: Surviving Prospective Payment as a Recreational Therapy Practitioner (G.T. Thompson); (20) Legislative and Regulatory Issues in Therapeutic Recreation (John W. Shank); (21) Certification and Licensure: Recognition and Oversight of the Profession (Peg Connolly); (22) Walking the Tightrope, Juggling, and Slow Dancing: Metaphors for Building Effective Therapeutic Relationships (Susan L. Hutchinson); (23) Higher Education and Healthcare: Parallel Issues of Quality, Cost, and Access (Norma J. Stumbo and Mary Ann Keogh Hoss); and (24) "Perspective": Facilitating the Transition from Student to Professional Through Internship (Charles W. Bloom). Section iv, Research Issues, includes: (25) Keynote: Status of Therapeutic Recreation Research (Leandra A. Bedini); (26) The Role of Theory in Therapeutic Recreation: a Practical Approach (Linda Caldwell); (27) Methods for Outcome Research in Therapeutic Recreation (Mark A. Widmer and Neil R. Lundberg); (28) Research into Practice: Building Knowing through Empirical Practice (Bryan P. McCormick, Youngkhill Lee, and Marieke Van Puymbroeck); and (29) "Perspective": Clinical Research: Methods and Mandates (George Patrick). An index is included.