How Substance Abuse Recovery Skills, Readiness to Change and Symptom Reduction Impact Change Processes in Wilderness Therapy Participants

Bettmann, Joanna E.; Russell, Keith; Parry, Kimber J.

doi:10.1007/s10826-012-9665-2

Cited by 51 publications

(43 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In terms of the Y-OQ changes, youth self-reported overall improvements across all the Y-OQ scores, which were below the clinical cut-offs at discharge and remained at levels below the clinical cut-off or within the normative range of functioning at six months discharge. This is similar to previous findings, which showed youth in OBH programs reporting sustained changes after discharge (Bettmann et al, 2012;Lewis, 2012;Zelov et al, 2013). Lewis (2012) looked at the impact of OBH programs on disruptive behavior disorder symptoms as well as substance abuse and dependence symptoms in 166 youth and found that youth reported significant improvements at discharge, changes that were maintained both at three months and twelve months post discharge.…”

Section: Y-oq Changes Over Timesupporting

confidence: 87%

“…Norton, & Hobson, in press) and/or single program evaluations (Bettmann et al, 2012;Lewis, 2013). In addition, there is limited data looking at if these changes are maintained once youth leave OBH programs (Zelov, Tucker, & Javorski, 2013).…”

mentioning

confidence: 99%

“…In addition, there is limited data looking at if these changes are maintained once youth leave OBH programs (Zelov, Tucker, & Javorski, 2013). Finally, it is also unclear what role OBH plays in the change of functioning in family systems even though data has been collected from parents reporting on the changes they see in their children (Bettmann et al, 2012;Zelov et al, 2013). Evidence supports including families in the traditional treatment process of adolescents as it can increase effectiveness compared to adolescent-only interventions (Diamond, Siqueland & Diamond, 2003;Harper & Russell, 2008).…”

mentioning

confidence: 99%

“…With the large number of adolescent participants who attend OBH programs and the recently noted successes in treatment (Bettmann et al, 2012;Lewis, 2013;Russell, 2003;Zelov et al, 2013) more information is needed looking at the longer term impact of OBH on participants both in terms of mental health and family functioning to better inform OBH programming and practices. In addition, since access to OBH can be expensive and often not covered by insurance, more research is needed to further develop and substantiate the field as an Evidence Based Practice (Zelov et al, 2013), with the hope of increasing accessibility for families and youth in need.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Outdoor Behavioral Healthcare: Its Impact on Family Functioning

Tucker¹,

Paul²,

Hobson³

et al. 2016

JTSP

View full text Add to dashboard Cite

The use of Outdoor Behavioral Healthcare (OBH) as a viable treatment modality for adolescents with behavioral, emotional, and substance use issues has been gaining increased attention. This research builds upon the literature by utilizing a longitudinal study to explore clinical changes, measured using the Youth Outcome Questionnaire (YOQ), and changes in family functioning as measured by the general functioning scale of the Family Assessment Device (FAD). Both clinically and statistically significant positive results with youth, mothers, and fathers at points of intake, discharge, and six months post discharge were found; however, parent and youth reports differed especially at six months post discharge. In addition, regression analyses showed that mothers and youth were more aligned than fathers in their perceptions of changes in family functioning post OBH treatment. This research fills a gap in the behavioral healthcare literature concerning the outcomes of using wilderness therapy and their association with family involvement in maintaining clinical change and improved family functioning.

show abstract

Section: Y-oq Changes Over Timesupporting

confidence: 87%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Outdoor Behavioral Healthcare: Its Impact on Family Functioning

Tucker¹,

Paul²,

Hobson³

et al. 2016

JTSP

View full text Add to dashboard Cite

show abstract

“…Further, this novel approach is focused on delivering therapeutic services to a high-risk population, young adults with SUDs. While some studies of wilderness therapy have explored reductions in substance abuse and dependence as an outcome of treatment (Bettmann, Russell, & Parry, 2014;Russell, 2007), this author is unaware of any prior investigation of therapeutic effectiveness of S-OBH specifically, in which participants with primary SUDs engage in treatment which includes components of both OBH and residential substance abuse treatment (i.e., drug and alcohol rehabilitation programming) and when recovery from substance dependence is the primary outcome of interest.…”

Section: Jtsp • 109mentioning

confidence: 99%

A Novel Investigation of Substance Use Outcomes in Substance-Specific Outdoor Behavioral Healthcare Programs

Lewis¹

2018

JTSP

View full text Add to dashboard Cite

Substance Use Disorders (SUDs) are one of the greatest public health burdens to date. Available evidence suggests that despite the availability of evidencebased therapeutic interventions, successful recovery from alcohol and drug dependence is hard to achieve and much harder to maintain over time. Further, young adults present with unique risk factors and tend to have a less optimal response to treatment. Consequently, a novel treatment has been developed in an effort to improve outcomes for young adults with SUDs. Substance-specific outdoor behavioral healthcare (S-OBH; term developed by the author for clarity herein) may be more appealing to young adults who have resisted or responded poorly to inpatient drug and alcohol treatment, which is identified as the standard of care. The current study sought to investigate whether S-OBH interventions are equivalent to the standard of care, using a non-inferiority design. The sample was 256 young adults (Mage = 25.8) presenting for treatment at one of two experimental treatment sites or the active comparison site, residential treatment for SUDs. Primary study hypotheses were that S-OBH treatment would be associated with similar symptomatic improvements, relative to the comparison condition, particularly relevant to symptoms of SUDs and overall quality of life. Secondly, S-OBH would be associated with the maintenance of the hypothesized treatment gains during the 12-month follow-up period. Findings were consistent with hypotheses, suggesting that participants evidenced significant symptomatic reductions and maintained these improvements over a 12-month follow-up period, regardless of treatment condition. Results are discussed in terms of better understanding factors associated with a positive response to SUD interventions.

show abstract

Wilderness Therapy

Becker¹,

Russell²

2016

Encyclopedia of Adolescence

View full text Add to dashboard Cite

How Substance Abuse Recovery Skills, Readiness to Change and Symptom Reduction Impact Change Processes in Wilderness Therapy Participants

Cited by 51 publications

References 52 publications

Outdoor Behavioral Healthcare: Its Impact on Family Functioning

Outdoor Behavioral Healthcare: Its Impact on Family Functioning

A Novel Investigation of Substance Use Outcomes in Substance-Specific Outdoor Behavioral Healthcare Programs

Wilderness Therapy

Contact Info

Product

Resources

About