2025 ATRA Annual Conference – Session Descriptions
October 18–20, 2025 | San Antonio, TX
The following is the Session Descriptions for the 2025 ATRA Annual Conference in San Antonio, TX. All sessions, times, and presenter information have been confirmed, though final adjustments may occur due to unforeseen circumstances onsite.
For a visual Calendar view, please visit: Schedule at a Glance
For information on our Bonus Day at Morgan's Sports on Friday October 17th, please visit: ATRA San Antonio Bonus Day: Morgan's Sports
Continuing Education (CEUs):
NCTRC approval is currently pending. Please check back for updates prior to the conference.
Note: Poster presentations may be eligible for CEUs in 2025. Final determinations will be reflected once CEU approvals are finalized.
For questions related to specialty certification areas, please refer to the PDF version of the program for designation icons and CEU-eligible sessions.
Code of Conduct:
All attendees, speakers, exhibitors, and guests are expected to uphold the ATRA Conference Code of Conduct.
To review the Code, view it here.
Note on Non-ATRA Activities:
Please note that any events or activities not listed in the official ATRA San Antonio program are independently organized and not affiliated or sponsored by ATRA. ATRA is not responsible for independently coordinated events, meetups or activities not articulated in this program. Individuals interested in non-ATRA sponsored activities should contact their respective organizations directly for details.
Documenting the Dose of Therapeutic Recreation Services through FITT: Frequency, Intensity, Time and Type
Session Description
Imagine if therapy could be prescribed just like a medicine, with a specific dosage for each patient tailored to their needs. Dosage of rehabilitation is measured using four elements: frequency, intensity, time, and type (FITT). FITT documentation has been implemented across Nationwide Children's Hospital to better support our patients. This type of documentation allows TR teams to build evidence for our practice and support the transition of documentation from volume to value. FITT documentation seeks to modernize SOAP notes through flowsheets to better capture a child’s dosage of therapy. During this session, participants will learn the history of FITT documentation, how FITT was created through the lens of Therapeutic Recreation, and initial implementation and data reports. Following, participants will have the opportunity to explore several case study examples where FITT documentation was utilized and engage in a demonstration of FITT documentation considerations.
Learning Outcomes
Identify the definitions of frequency, intensity, time, and type of therapy as defined by FITT documentation
Explain focus areas, interventions, and uses as they relate to FITT documentation
Review at least two FITT documentation case studies
Practice Area: Select ALL that Apply
All
Target Audience
New Graduates/New Professionals
Educators/Researchers
Mid-Career Professionals
Seasoned Professionals
Primary Presenter
![[photo]](https://secure.gravatar.com/avatar/995d693d896f95afa07c6c3dbce179b8.png?d=https://proposalspace.com/images/no_photo.png&r=PG&s=50 "Kristin Greenlee, MA, CTRS, Specialization in Pediatrics, Nationwide Children's Hospital")
Kristin Greenlee, MA, CTRS, Specialization in Pediatrics, Nationwide Children's Hospital
Biographical Information
Graduate from Slippery Rock University
Certified Therapeutic Recreation Specialist since 2016
Designation in the specialization area of Pediatrics
Master’s degree at University of Minnesota in Infant and Early Childhood Mental Health
Completed internship in Early Childhood Mental Health (ECMH) for Clinical Therapies
Clinical Lead directly supervising inpatient acute care and outpatient Therapeutic Recreation
Currently provides TR services within acute care, intensive care units, dialysis, cardiopulmonary rehab, and adaptive equipment evaluations
Co-Presenter/panelists
![[photo]](https://secure.gravatar.com/avatar/b237af302a4e555653a23ba6adf2759c.png?d=https://proposalspace.com/images/no_photo.png&r=PG&s=50 "Jamie Sympson, Nationwide Children's Hospital")
Jamie Sympson, Nationwide Children's Hospital
Biographical Information
Jamie Sympson is a graduate of the University of Toledo and holds a bachelor’s degree in Recreational Therapy. Jamie has received her specialization designation in Behavioral Health for her field as of 2021. Jamie has worked at Nationwide Children’s Hospital (NCH) for 8 years in behavioral health and chronic pain settings. Jamie currently works as the Clinical Leader for Clinical Therapies Behavioral Health located at NCH in which she directly supervises Occupational Therapy (OT), Speech Language Pathology (SLP) and Therapeutic Recreation (TR) team members. Jamie directly manages team members and supports program development within the inpatient pediatric behavioral health units, the Youth Crisis Stabilization Unit, the Child and Adolescent Partial Hospitalization Program, the Psychiatric Crisis Department, and the Intensive Pain Rehabilitation and Education Program (IPREP). Jamie has participated as a HUB member for the NCH Pediatric Pain Extension for Community Healthcare Outcomes (ECHO) for the last three years and currently serves as the leader for Pain Foundations ECHO supporting a virtual learning network for medical providers and other allied disciplines that provide education to patients and/or caregivers about comprehensive treatment for pain management. Lastly, Jamie is a member of the Ohio Recreation Therapy Association (ORTA) and the American Therapeutic Recreation Association (ATRA).