Family Therapy in Outdoor Behavioral Healthcare: Current Practices and Future Possibilities

Tucker, Anita Reithoffer; Widmer, Mark A.; Faddis, Troy; Randolph, Bryan; Gass, Michael A.

doi:10.1007/s10591-015-9370-6

Cited by 11 publications

(16 citation statements)

References 40 publications

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“…According to Pernicano (2010), there is a strong relationship between family functioning and reduced childhood trauma symptomology, so there is a need for innovative familybased interventions to trauma. The role of outdoor recreation in family enrichment has been established (Freeman and Zabriskie 2002), and many agree that the use of outdoor, adventure-based activities used specifically for therapeutic purposes, can play a useful role in engaging the family in the treatment process (Tucker et al 2016;DeMille and Montgomery 2016). Current research on adventure therapy with families has also looked at the impact and role of family in treatment as well as impact of adventure therapy on attachment.…”

Section: Trauma-informed Adventure Therapy With Familiesmentioning

confidence: 99%

Family Enrichment Adventure Therapy: A Mixed Methods Study Examining the Impact of Trauma-Informed Adventure Therapy on Children and Families Affected by Abuse

Norton

Tucker

Farnham-Stratton³

et al. 2017

Journ Child Adol Trauma

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Child abuse is epidemic in the United States and has dire long-term consequences. Innovative interventions are needed to address the negative cognitive, affective and behavioral effects of child abuse. This mixed-method study examined if adventure therapy is 1) an effective mental health intervention for child and adolescent survivors of abuse and neglect, and 2) an effective intervention for families affected by abuse and neglect. The effectiveness of the adventure therapy intervention was measured by a reduction in child trauma symptoms and improved family functioning, as reported via the Trauma Symptom Checklist for Children (TSCC), the Family Assessment Device (FAD), as well as qualitative data gathered via family focus groups. Findings showed that trauma-informed adventure therapy with youth and families affected by abuse reduces trauma symptomology in youth and improves family functioning, particularly in the areas of communication, closeness and problem-solving skills.

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Section: Trauma-informed Adventure Therapy With Familiesmentioning

confidence: 99%

Family Enrichment Adventure Therapy: A Mixed Methods Study Examining the Impact of Trauma-Informed Adventure Therapy on Children and Families Affected by Abuse

Norton

Tucker

Farnham-Stratton³

et al. 2017

Journ Child Adol Trauma

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show abstract

“…For example, in the current study, harshness of parenting leads to membership in both groups with higher offending levels. Tucker, Widmer, Faddis, Randolph, and Gass (2016) found that families who are involved in family therapy and positive engagement have better long-term outcomes, compared with families who do not participate in family therapy and engagement treatment. This suggests that having family focused treatment programming may be useful to train parents about their parenting techniques to reduce harshness and hostility with children.…”

Section: Implications For Treatment and Programmingmentioning

confidence: 97%

African American Female Trajectories of Offending From Youth to Young Adulthood

Evans

Abderhalden

Simons

et al. 2018

Crime & Delinquency

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Using data from the Family and Community Health Survey, the current study explores developmental pathways from age 11 to 24 of African American males and females. This study describes the number and type of trajectories of offending for male and female African Americans, as much research in the past on trajectories has focused on White and/or male samples. We also investigate predictors of offending for the females both between and within trajectory groups. Results indicated that females who experienced higher levels of racial discrimination and greater parental hostility were more likely to be in a late bloomer group, compared with the low-level group. In addition, higher levels of racial discrimination and deviant peer affiliation were predictive of more offending.

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“…To date, research on the mental health benefits of nature has been conducted among the general population and individuals with dementia. Individuals with SUD often experience stress and negative emotions as part of the recovery process; however, research on the use of nature as a treatment with this population appears to be limited to wilderness-based SUD programs [46][47][48][49]. In one qualitative study conducted in a natural environment, individuals 20-50 years old reported enjoying the peace, quiet, and fresh air of being in nature, as opposed to the typical treatment environment which was perceived as chaotic and intense.…”

Section: Introductionmentioning

confidence: 99%

Virtual Nature as an Intervention for Reducing Stress and Improving Mood in People with Substance Use Disorder

Reynolds

Rogers²,

Benford

et al. 2020

Journal of Addiction

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Substance use disorder (SUD) afflicts a large percentage of the United States population, with negative implications that cost more than $420 billion annually. This population often experiences negative emotions throughout the recovery process, including anxiety, depression, stress, and negative affect. Currently, evidence-based treatment strategies for SUD include cognitive behavioral therapy, motivational interviewing, 12-step programs, and mindfulness-based treatment. One intervention that has not been studied at length among individuals with SUD is use of the natural environment as treatment. Among other patient populations, nature has been shown to reduce stress and anxiety by regulating autonomic nervous system function, reducing symptoms of depression, and improving mood. The purpose of this study was to investigate whether viewing nature videos could similarly reduce stress and improve mood in individuals with SUD. A crossover design was used to compare viewing a nature scene and practicing mindfulness-based activities for women with SUD at a residential treatment facility. Over four weeks, participants engaged in the two activities for the first 10 minutes of their daily program. Immediately before and after each 10 minute session, measures were taken for heart rate, in beats per minute (BPM); affect, using the Positive and Negative Affect Scale (PANAS); and overall mood, using a 10-point rating scale from “very unpleasant” to “pleasant.” Thirty-six women completed the study. For viewing a nature scene and practicing the mindfulness-based activities, there were statistically significant reductions in mean negative affect scores (p=0.001) and heart rate (p≤0.001). In addition, for participants in both conditions, overall mood improved significantly (p=0.030). The results from this study provide initial evidence that viewing nature has similar benefits to MBT in the treatment of stress and negative mood associated with the SUD recovery process and may be an additional, cost-effective treatment strategy for individuals with SUD.

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Family Therapy in Outdoor Behavioral Healthcare: Current Practices and Future Possibilities

Cited by 11 publications

References 40 publications

Family Enrichment Adventure Therapy: A Mixed Methods Study Examining the Impact of Trauma-Informed Adventure Therapy on Children and Families Affected by Abuse

Family Enrichment Adventure Therapy: A Mixed Methods Study Examining the Impact of Trauma-Informed Adventure Therapy on Children and Families Affected by Abuse

African American Female Trajectories of Offending From Youth to Young Adulthood

Virtual Nature as an Intervention for Reducing Stress and Improving Mood in People with Substance Use Disorder

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