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

Fernee, Carina Ribe; Mesel, Terje; Andersen, Anders Johan W.; Gabrielsen, Leiv Einar

doi:10.1177/1049732318816301

Cited by 31 publications

(23 citation statements)

References 43 publications

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“…A growing approach to adolescent health promotion and disease prevention is participation in outdoor, nature-based, or “green” activities [ 11 ]. Although outdoor activity programs have been used for educational [ 12 ], therapeutic [ 13 ], and focused health targets (e.g., diabetes, asthma; [ 14 ]) the physical and mental health promotion and disease prevention benefits of outdoor, nature-based, or “green” activity programs for adolescents are promising but only now emerging [ 15 , 16 ]. The authors of one systematic review who extracted data from 84 publications, reported a 60% improvement across all (n = 56) health outcomes—physical, mental, and social, in children and adolescents participating in a nature-immersed experience [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Get Outside! Promoting Adolescent Health through Outdoor After-School Activity

Barfield

Ridder

Hughes

et al. 2021

IJERPH

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Background: The Get Outside: After School Activity Program (GO-ASAP) exemplifies how a rural community can utilize its natural resources and community partnerships to promote adolescent health. Methods: A qualitative descriptive inquiry was conducted using convenience sampling. Data were collected from students (n = 13/2018; n = 13/2019) via focus group and art-based method (2018 only) and parent (n = 6/2018) focus group. Data were analyzed via qualitative content analysis using the applied theoretical frameworks of Social Cognitive Theory and Social Determination Theory. Results: (1) Increasing Health-Related Competencies. Students increased their physical activity, improved their sleep, perceived less stress, and reported changes in dietary habits and electronic use. (2) Increasing Social Relatedness. Students made new friends, felt more connected, and spent less time home alone after school. (3) Increasing Autonomy and Intrinsic Motivation. Students recognized their emerging capabilities, and their increased confidence stimulated more action-oriented behavior. Parent-perceived changes support and mirror student reports. Conclusion: Outdoor, nature-based, activity programs are a novel upstream approach to promote adolescent health, especially in rural communities where natural resources often exceed health-service resources and community partnerships are a way of life.

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Section: Introductionmentioning

confidence: 99%

Get Outside! Promoting Adolescent Health through Outdoor After-School Activity

Barfield

Ridder

Hughes

et al. 2021

IJERPH

View full text Add to dashboard Cite

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“…The other element of the new pedagogy developed was outdoor immersion. A review of outdoor learning proposed eight themes relating to the learning outcomes and psychosocial benefits [22]. These included developing outdoor living skills, dealing with risk and challenge, gaining environmental knowledge and exploring nature and wild life, sustainability issues related to the natural environment, personal growth and leadership, self-awareness, building confidence, sense of community, building connections, having fun in nature and lasting impact.…”

Section: Immersive Experiential Teachingmentioning

confidence: 99%

A New Pedagogy to Enhance the Safety and Resilience of Journalists in Dangerous Environments Globally

2020

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Risks to journalists are rising with disasters, epidemics, physical, mental and digital harassment all increasing globally. Some 1382 journalists have been killed since 1992 and 246 are imprisoned. However, the threat type has been changing, with the majority of journalists killed annually being ones working in their own country, often who are targeted for assassination. In response, UNESCO and others have called for research into best practice for safety education to halt this and the consequential decline in global media freedom. This five-year award winning project, A Holistic Humanitarian Approach to Enhance the Safety and Resilience of Journalists Globally, tested the hypothesis that a new pedagogy based on a ‘holistic humanitarian’ philosophy would be more effective in protecting journalists working in dangerous domains globally than existing provisions. The little-changed 30-year-old dominant international provision, the ‘military battlefield’ pedagogy, is used by the world’s major news organizations like BBC, CNN and the New York Times. This new pedagogy adapted and customized best practice from other professions and used Taylor’s 2020 Competencies for Disaster Healthcare professionals. A new program was devised and the two international cohorts who took it in 2018 and 2019 judged that it ‘very significantly’ enhanced their resilience and safety skills. Its concentration on group and individual physical and mental resilience building, risk mitigation, psychology, communication, self-defence, and digital security skill acquisition was a paradigm shift in training internationally for news professionals in dangerous environments. The research, thus, proved the study’s hypotheses.

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“…An increasing number of initiatives are thus being developed that move psychotherapy into nature ( Cooley et al, 2020 ). For example, people with stress related mental health disorders receive treatment in a rehabilitation garden ( Adevi et al, 2018 ), adolescents with behavioral problems are taken on wilderness therapy camps ( Fernee et al, 2019 ), and person-centered therapy or cognitive behavioral therapy is provided while strolling through local parks resulting in “Walk and Talk” therapy in nature ( Revell and McCloud, 2017 ). The present paper focusses on the latter.…”

Section: Introductionmentioning

confidence: 99%

The Value of Nature During Psychotherapy: A Qualitative Study of Client Experiences

et al. 2021

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Nature is considered to have restorative qualities that can potentially improve psychotherapy success. However, little is known about how clients experience nature during psychotherapy. The research aim of this phenomenological qualitative study was to study how clients experience nature during individual outpatient psychotherapy that took place while walking in nature. More specifically we were interested in clients’ inner world experiences. All participants (N = 12) received treatment through licensed therapists for a DSM-5 classified disorder. Semi-structured interviews were conducted. To uncover true lived experiences during these interviews, participants were asked to close their eyes and envision themselves during a psychotherapy session in nature. The verbatim transcripts were coded by means of inductive thematic analysis and the results were member checked. Results showed that nature brings clients closer to their inner worlds. How nature brings this about is unfolded in a conceptual model of lived experience. We argue that psychotherapy can be enriched by considering nature as a supportive environment because bringing clients closer to their inner worlds is of essential value in facilitating successful treatment interventions.

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

Cited by 31 publications

References 43 publications

Get Outside! Promoting Adolescent Health through Outdoor After-School Activity

Get Outside! Promoting Adolescent Health through Outdoor After-School Activity

A New Pedagogy to Enhance the Safety and Resilience of Journalists in Dangerous Environments Globally

The Value of Nature During Psychotherapy: A Qualitative Study of Client Experiences

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