An Exploration of Gender, Client History, and Functioning in Wilderness Therapy Participants

Bettmann, Joanna E.; Tucker, Anita Reithoffer; Tracy, Julie; Parry, Kimber J.

doi:10.1080/0886571x.2014.943554

Cited by 13 publications

(7 citation statements)

References 28 publications

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“…In the present study, it is unclear why parents of youth with substance abuse issues reported their children as less acute than parents of those without substance abuse issues. Often, substance abuse is only one of multiple presenting issues (Bettmann et al, 2014; Combs et al, 2015; Tucker et al, 2014), as was the case in our study. Previous research with wilderness therapy youth participants found that 77% of youth had three more presenting issues that led them to treatment (Tucker, Paul, et al, 2016).…”

Section: Discussion and Applications To Practicementioning

confidence: 57%

“…A different analysis of 473 youth in wilderness therapy programs revealed that female youth were more likely to have participated in outpatient treatment prior to the wilderness therapy program, more likely to engage in self-harming behaviors and suicide attempts, and significantly more likely to report experiences of sexual abuse, physical abuse, and emotional abuse (Bettmann, Tucker, Tracy, & Parry, 2014). Male youth were more likely to have been significantly involved in criminal activity prior to intake (Bettmann et al, 2014). Tucker, Zelov, and Young (2011) also investigated differences in treatment outcomes based on presenting issues, finding that youth who presented with depression at intake reported significantly more reduction in mental health symptomology than youth without depression.…”

Section: Beyond Transport: Outcomes Based On Gender and Diagnosismentioning

confidence: 99%

“…Notably, the girls reported high levels of emotional distress such as depression and anxiety, while boys had more inattention and inability to handle frustration as measured by these subscales. A different analysis of 473 youth in wilderness therapy programs revealed that female youth were more likely to have participated in outpatient treatment prior to the wilderness therapy program, more likely to engage in self-harming behaviors and suicide attempts, and significantly more likely to report experiences of sexual abuse, physical abuse, and emotional abuse (Bettmann, Tucker, Tracy, & Parry, 2014). Male youth were more likely to have been significantly involved in criminal activity prior to intake (Bettmann et al, 2014).…”

Section: Beyond Transport: Outcomes Based On Gender and Diagnosismentioning

confidence: 99%

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Longitudinal Outcomes for Youth Transported to Wilderness Therapy Programs

Tucker

Combs²,

Bettmann

et al. 2016

Research on Social Work Practice

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Due to the ethical concern around involuntary treatment, this study sought to investigate if youth participants in wilderness therapy who were transported to the program experienced different rates of change than those not transported. Methods: Multilevel modeling techniques were used to investigate rates of change for youth between transported and nontransported youth over 5 points until 6 months postdischarge. In addition, repeated measures analyses of variance investigated parent reports of change over time across transport status, gender, and diagnosis. Results: The findings showed no differences between transported and nontransported youth in changes over time. Overall, all youth improved significantly with changes maintained postdischarge regardless of transport status. Discussion: This study shows that transporting youth to treatment does not appear to interfere with the treatment outcome; however, more research is needed to understand clients' perception of the transport process.

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Section: Discussion and Applications To Practicementioning

confidence: 57%

Section: Beyond Transport: Outcomes Based On Gender and Diagnosismentioning

confidence: 99%

Section: Beyond Transport: Outcomes Based On Gender and Diagnosismentioning

confidence: 99%

See 1 more Smart Citation

Longitudinal Outcomes for Youth Transported to Wilderness Therapy Programs

Tucker

Combs²,

Bettmann

et al. 2016

Research on Social Work Practice

Self Cite

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“…In effect, how the treatment can be used more prescriptively for various populations of adolescents. However, more descriptive studies have recently started to investigate the demographics of wilderness therapy clients as well as the relation between patient and program characteristics and outcome (Bettmann, Lundahl, Wright, Jasperson, & McRoberts, 2011; Bettmann, Tucker, Tracy, & Parry, 2014; Tucker, Smith, & Gass, 2014). Still, more knowledge is needed regarding how wilderness therapy might work differently for various populations, such as males and females, different age groups, and different diagnoses, as well as across various programs, contexts, and cultures.…”

Section: Discussionmentioning

confidence: 99%

Unpacking the Black Box of Wilderness Therapy

et al. 2016

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Despite considerable progress within wilderness and adventure therapy research over the last decade, researchers are still unable to precisely answer why, how, and for whom this treatment modality works. There is also a need for more knowledge regarding the circumstances under which the treatment does not appear to be effective. In this realist synthesis, we attempt to unpack this "black box" of wilderness therapy more specifically, defined as a specialized approach to mental health treatment for adolescents. Through a focused review of the primary qualitative wilderness therapy studies, empirical findings are used to test and refine a key program theory. The synthesis results in a proposed wilderness therapy clinical model and offers informed implications for future theory development, research, and practice.

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“…From a clinical client-centered and ethical practice perspective, this suggests that adolescents should be admitted to the treatment which best suits their needs, highlighting the importance of further investigating client fit (Harper et al, 2019). Other researchers have identified the need to further investigate clinically meaningful differences between WT clients by, for example, considering the way in which the historical, familial, and social characteristics are related to WT outcomes (Bettmann et al, 2011;Bettmann et al, 2014).…”

Section: Client Fitmentioning

confidence: 99%

Readiness to Change, Trait Emotional Intelligence, and Client Fit in Wilderness Therapy

Mott

Zolotas

Harper

2023

Child & Youth Services

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Background: Wilderness therapy is one type of residential treatment that has been shown to successfully engage adolescents in mental health and substance use treatment. A growing body of wilderness therapy outcomes research supports this and wilderness therapy is being increasingly recognized as a legitimate intervention for adolescents experiencing challenges with mental health and substance use. Some evidence suggests that not all elements of wilderness therapy necessarily work the same for all clients. The question of client fit in wilderness therapy, or what works for whom, is one that has yet to receive much empirical attention in the literature. Purpose: The purpose of this study is to examine how participation in one Canadian wilderness therapy program effects two outcome variables, trait emotional intelligence and readiness to change, and how client fit moderates these relationship. Specifically, this research examines: (1) changes in clients' trait emotional intelligence from pre-to post-wilderness therapy, (2) changes in clients' readiness to change from pre-to post-wilderness therapy, and (3) if these changes differ by pre-treatment client-level variablessex, age, funding, digital interference in everyday life, or substance abuse severity. Methodology: Research was conducted with 48 participants ranging in age from 14 to 20 years. A longitudinal case study design was

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An Exploration of Gender, Client History, and Functioning in Wilderness Therapy Participants

Cited by 13 publications

References 28 publications

Longitudinal Outcomes for Youth Transported to Wilderness Therapy Programs

Longitudinal Outcomes for Youth Transported to Wilderness Therapy Programs

Unpacking the Black Box of Wilderness Therapy

Readiness to Change, Trait Emotional Intelligence, and Client Fit in Wilderness Therapy

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