Date of Award


Degree Type

Capstone Project

Degree Name

Doctor of Occupational Therapy (OTD)


Occupational Therapy

First Advisor

Jennifer White

Second Advisor

Holly Grieves


The purpose of this capstone paper is to promote Outdoor Community Based Rehabilitation (CBR) as an adjunctive therapeutic approach to traditional treatment for rehabilitation professionals working in outpatient settings. The primary objective of this project was to create a comprehensive program proposal for an Outdoor CBR program for patients receiving outpatient services at Oroville Hospital. It included creating program activities, a patient referral process, identifying possible community partners, locating applicable grants, determining program staffing, as well as creating a workable budget, which included overall activity costs, staffing costs, equipment costs and reimbursement procedures. (See appendix A and B) The program proposal for the Outdoor CBR program at Oroville Hospital was modeled after the Craig Hospital Adventure Alumni Program and the Casa Colina Hospital Adventure Program, which have both been in operation for over 30 years. The goal of this project as it relates to the field of occupational therapy was to develop a plan for a non-traditional program that utilized occupation as both a means of intervention and as a goal for treatment; as an intervention strategy it embodies physical, social, and mental health benefits through community re-integration and provides patients opportunities to practice learned skills in uncontrived environments. Outdoor and Natural environments are underutilized settings for the rehabilitation of individuals with injuries and or disabilities, despite evidence indicating their therapeutic benefit when compared to traditional practice settings alone. Natural environments provide innate opportunities and challenges that cannot be achieved in contrived indoor settings, and they allow patients to practice learned skills in real world contexts.