The effectiveness of outdoor behavioral healthcare with struggling adolescents: A comparison group study a contribution for the special issue: Social innovation in child and youth services

DeMille, Steven M.; Tucker, Anita Reithoffer; Gass, Michael A.; Javorski, Steven; VanKanegan, Christie; Talbot, Brett; Karoff, Maggie

doi:10.1016/j.childyouth.2018.03.015

Cited by 24 publications

(11 citation statements)

References 39 publications

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“…Thus, if the cost of OBH was the same as TAU, the benefit would be equal to 2.75; if the cost of OBH was less than TAU, but benefit would be >2.75; conversely if the cost of OBH was greater than TAU, the benefit would be <2.75. 12…”

Section: Methodsmentioning

confidence: 99%

“…(2) Health benefits : Based on the findings from DeMille et al, 12 2.75 was indexed for OBH, 1.0 for TAU, and 0.0 for NST. Cost–benefit was indexed to TAU where the cost of TAU was expected to bring a benefit of 1.0; and the program cost of OBH would be indexed to the same value.…”

Section: Methodsmentioning

confidence: 99%

“…DeMille et al 12 examined the longitudinal impact of OBH on comorbid adolescents. Findings showed that comorbid adolescents who attended an Outdoor Behavioral Healthcare treatment program were functioning significantly better than the comparison group 1 year following the program as measured by the YOQ 2.01.…”

mentioning

confidence: 99%

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The Value of Outdoor Behavioral Healthcare for Adolescent Substance Users with Comorbid Conditions

Gass

Wilson²,

Talbot

et al. 2019

Subst�Abuse

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The damage inflicted on our society by mental health and substance use issues is reaching epidemic proportions with few signs of abating. One new and innovative strategy for addressing these comorbid issues has been the development of outdoor behavioral healthcare (OBH). This study compared the effectiveness of three post-acute adolescent substance use situations: OBH, treatment as usual (TAU), and no structured treatment (NST). The simulated target population was 13-17 years old with comorbid substance use and mental health issues. When costs were adjusted for actual completion rates of 94% in OBH, 37% in TAU, and $0 for NST, the actual treatment costs per person were $27 426 for OBH and $31 113 for TAU. OBH also had a cost–benefit ratio of 60.4% higher than TAU, an increased Quality in Life Years (QALY) life span, societal benefits of an additional $36 100, and 424% better treatment outcomes as measured by the Youth Outcome Questionnaire (YOQ) research instrument.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

The Value of Outdoor Behavioral Healthcare for Adolescent Substance Users with Comorbid Conditions

Gass

Wilson²,

Talbot

et al. 2019

Subst�Abuse

Self Cite

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show abstract

“…For example, DeMille et al (2018) compared the effects of participation in OBH programs, a form of AT using WT techniques from the United States to what the authors referred to as treatment as usual (TAU). In this study, clients ( n = 60, average age = 15.17 years) participated in a Utah-based, rolling-admission WT for young people who had not experienced significant symptoms reduction in previous forms of treatment.…”

Section: Moving Beyond Models In Atmentioning

confidence: 99%

Adventure Therapy and Routine Outcome Monitoring of Treatment: The Time Is Now

Dobud

Cavanaugh

Harper

2020

Journal of Experiential Education

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Background: Routine outcome monitoring (ROM) was popularized in the mid-1990s to improve client outcomes in psychotherapy, though implementation in clinical practice has been slow. Although increased outcome research in adventure therapy (AT) in the last decade has demonstrated AT as a viable treatment option, recent reviews have found worrying trends regarding research methodology and poorly substantiated claims of superiority. Purpose: The purpose of this article is to explore the potential for ROM in AT. Methodology/Approach: We conducted a brief review of the literature on ROM and offered a discussion that positions principles of ROM with the nascent knowledge base of AT. Findings/Conclusions: We propose ROM is a viable next step in AT research and practice. ROM can explore when change is likely to occur during an AT program and provide a platform for improving client engagement and outcomes. Implications: We recommend implementation of ROM in AT and that future AT research explore therapist effects and important therapeutic factors, such as the therapeutic alliance and deterioration.

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“…Adventure therapy and wilderness therapy are practiced in a number of countries around the world and represent a wide diversity in terms of philosophies and formats (Fernee et al, 2015; Norton, Carpenter, & Pryor, 2015). Recent publications continue to support its efficiency as being equivalent to that of other therapies for adolescents who struggle with social, emotional, and behavioral issues (e.g., DeMille et al, 2018; Dobud & Harper, 2018; Harper, 2017). However, despite recurring demonstrations of desirable outcomes in adventure therapy research, the understanding of the treatment process and the specific therapeutic factors involved is less clear and has been referred to as the “black box” in the literature (Norton et al, 2014, p. 51).…”

Section: Wilderness Therapymentioning

confidence: 99%

Therapy the Natural Way: A Realist Exploration of the Wilderness Therapy Treatment Process in Adolescent Mental Health Care in Norway

et al. 2018

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Wilderness therapy has the potential to meet the specific needs of the current adolescent population by providing a rather unique outdoor group treatment. Wilderness therapy is not a new approach to mental health treatment, but its theoretical basis is not yet clearly delineated, in part because of the diversity found across programs and contexts. This article presents a critical realist exploration of a wilderness therapy program that was recently implemented as part of adolescent mental health services in Southern Norway. In this study, we combine fieldwork and interviews for an in-depth investigation of the treatment process, where the objective was to acquire a deeper understanding of the opportunities that arise in the wilderness therapy setting. The therapeutic mechanisms and influential contextual premises found across the ecological, physical, and psychosocial factors of this multidimensional approach to treatment are presented, and their underlying conditions are briefly discussed.

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The effectiveness of outdoor behavioral healthcare with struggling adolescents: A comparison group study a contribution for the special issue: Social innovation in child and youth services

Cited by 24 publications

References 39 publications

The Value of Outdoor Behavioral Healthcare for Adolescent Substance Users with Comorbid Conditions

The Value of Outdoor Behavioral Healthcare for Adolescent Substance Users with Comorbid Conditions

Adventure Therapy and Routine Outcome Monitoring of Treatment: The Time Is Now

Therapy the Natural Way: A Realist Exploration of the Wilderness Therapy Treatment Process in Adolescent Mental Health Care in Norway

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