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Wilderness therapy is a subset of adventure-based therapy. It is the use of wilderness expeditions for the purpose of therapeutic intervention. There are a range of different types of wilderness therapy programs, with a range of models and approaches. Some grow out of a survival approach and some out of an Outward Bound approach. Their aim is to guide participants toward self-reliance and self-respect. Pioneers in the field of wilderness therapy include Larry D. Olsen and Ezekiel C. Sanchez at Brigham Young University; Nelson Chase, Steven Bacon, and others at the Colorado Outward Bound School; and Rocky Kimball at Santa Fe Mountain Center.
The New York Asylum and the San Francisco Agnew Asylum played an early role in the development of wilderness therapy, drawing upon the philosophies of Kurt Hahn. Although the therapy is often used for behavior modification by the families of young people, the aims and methods of wilderness therapy do not center on behavior modification. Many wilderness therapy programs avoid what they view as manipulations, contrived activities, psychological games, and contrived consequences. Most programs employ no force, confrontation, point or level systems, or other overt behavioral modification techniques or models, but stress assertiveness, open communication between staff and students, and are very group-oriented. There is no one standardized model for the therapy, since many models of wilderness therapy are reflective of different programs, although most usually contain the following principles: a series of tasks that are increasingly difficult in order to challenge the patients; teamwork activities for working together; the presence of a psychiatrist or therapist as a group leader; and the use of a therapeutic process such as a reflection journal or self-evaluation.
Michael G. Conner of the Mentor Research Institute states that "wilderness therapy programs trace their origins to outdoor survival programs that placed children in a challenging environment where determination, communication and team efforts were outcomes". Alternately, some programs are derived from a more ecopsychological perspective, according to the director of the wilderness therapy program at Naropa University, "through contemplative practice and the experiential outdoor classroom, students gain further self-awareness and the ability to respond to whatever arises in the moment." The founders of ANASAZI Foundation concluded that "we learned that whenever we adopted what we have come to call 'contrived' experiences, the overall impact often diminished for the participants."
Given the proliferation of such programs, lax regulation, and absence of research setting uniform standards of care across programs, advocates have called on increased accountability to ensure programs are capable of providing care that is consistent with their marketing claims.
Some programs which advertise as "wilderness therapy" are actually boot camps in a wilderness environment. These can sometimes be distinguished from other wilderness therapy by such programs promising behavior modification for troubled teens, but it is hard to tell just from the ads.
One of the major differences between boot camps and wilderness therapy is the underlying philosophical assumptions (wilderness therapy being driven by the philosophy of experiential education and theories of psychology and boot camps being informed by a military model). Additionally, most wilderness therapy programs have highly trained clinical staff either on the expedition or in active and ongoing consultation with the team. Boot camps may have no clinically trained staff working in the programs. Some staff members are from a correctional or military background. Among the most controversial programs[according to whom?] have been those run by Steve Cartisano. or former Cartisano associates. Nevertheless, incidents of alleged and confirmed abuse and death of youth, have been widely reported across many wilderness programs claiming to provide a less coercive environment than that of boot camps.
The industry reports that, as with any type of treatment program, abusive situations have been reported and accidental deaths have taken place in some of these programs, but that compared with similar outdoor adventure activities deaths are extremely rare. These assertions cannot be independently verified due to inadequate regulation, poor monitored and a pattern of unreported deaths and state failure to prosecute offenders.
There is also controversy over whether parents should be allowed make their child attend a wilderness therapy program by force, as is often the case. Apart from the thousands spent on the actual program (around $500/day), some parents pay a teen escort company thousands to ensure that their child gets to the program by any means necessary. Due to the unnecessary trauma and harm reported by former wilderness program residents with experience of having been forcibly escorted into placement, psychologists have heavily criticized this approach as inappropriate and grossly inconsistent with establishing between providers and youth the necessary trust upon which to build a therapeutic relationship.
October 2007 and April 2008, the United States Government Accountability Office convened hearings to address report of widespread and systemic abuse. In relationship with the hearing, they have issued a report about the wilderness therapy industry. In 2009, the Federal Trade Commission issue warning to consumer, stating the industry is a 'buyer beware' market.
After the program
The industry reports many teens in wilderness programs report the experience as being positive, beneficial, and enjoyable. They claim youth learn independence, patience, assertiveness, self-reliance, and maturity. Outcome studies have been completed and the industry reports they show continued improvement in behavior one year after attending wilderness therapy and new outcome studies are currently underway. However, independent researchers have called into questions such claims, criticizing the industries use of 'bad science' due to methodological flaws in the research and ethical concerns.
After a wilderness therapy program, students may return home or may be transferred to a therapeutic boarding school, Young Adult Program or an intensive residential treatment center. Research by the industry reveals an alarming 40% of children enrolled in wilderness programs are later sent to long-term residential behavioral care facilities, calling into question the modalities effectiveness.
- Davis-Berman, Jennifer; Berman, Dene S. (1 January 1993). "Therapeutic wilderness programs: Issues of professionalization in an emerging field". Journal of Contemporary Psychotherapy 23 (2): 127–134. doi:10.1007/BF00952173.
- "Outdoor Education for Troubled Teens – Wilderness Therapy Programs". Aspeneducation. Retrieved 2011-10-15.
- "What Is Wilderness Therapy?". Wildernesstherapyprograms.com. 2008-10-18. Archived from the original on 2012-01-04. Retrieved 2011-10-15.
- ANASAZI Foundation 1990[full citation needed]
- Conner, Michael. "Wilderness Therapy Programs and Boot Camps: Is there a Difference?". Retrieved 13 November 2010.
- Piranian 2006[full citation needed]
- GAO 2007
- Conner, Michael. "Wilderness Therapy Programs and Boot Camps: Is there a Difference?". www.wildernesstherapy.org. Retrieved 2009-04-12.
- Jeppson, Mayer (2008). "Characterization and Comparative Analysis of Adolescents Admitted to Therapeutic Wilderness Programs and More Traditional Treatment Settings". Retrieved 2009-04-12.
- High Country News 1996[full citation needed]
- Samoan Observer 2000[full citation needed]
- Smith, Christopher (1998-06-10). "The rise and fall of Steve Cartisano". High Country News. Retrieved 2009-04-12.
- "Wilderness School Counselor Charged in Death of Camper". The Oregonian. 2000. Retrieved 2013-08-15.
- "Loving Them to Death". Outside Magazine. 1995. Retrieved 2013-08-15.
- "The Problem". 2013. Retrieved 2013-08-15.
- Szalavitz, Maia (2008). "Under the Radar". Mother Jones. Retrieved 2013-08-15.
- "Investigation Suggests Boy’s Death a Homicide". KATU. 2009. Retrieved 2013-08-15.
- Pinto, Dr Alison. "Congressional Testimony: Hearings on Residential Treatment Programs: Concerns Regarding Abuse and Death in Certain Programs for Troubled Youth". Committee on Education and Labor, House of Representatives. Retrieved 2013-08-15.
- "Congressional Hearings on Child Abuse and Deceptive Marketing by Residential Programs for Teens". Committee on Education and Labor, House of Representatives. 2008. Retrieved 2013-08-15.
- "FTC". 2009. Retrieved 2013-08-15.
- FamilyFirstAid 2004[full citation needed]
- OBHRC 2001[full citation needed]
- "Dangers of Wilderness Programs". Retrieved 5 August 2013.
- Russell, Ph.D, Keith C. "Summary of Research from 1999 – 2006 and Update to 2000 Survey of Outdoor Behavioral Healthcare Programs in North America Outdoor Behavioral Healthcare Research Cooperative". ASTART. Retrieved 5 August 2013.
- GAO (2007). "Residential Treatment Programs - Concerns Regarding Abuse and Death in Certain Programs for Troubled Youth, Statement of Gregory D. Kutz, Managing Director Forensic Audits and Special Investigations and Andy O'Connell, Assistant Director Forensic Audits and Specials Investigations, October 10".
- ASTART. "Dangers of Wilderness Programs". Retrieved 5 August 2013.
- Keith C. Russell, Ph.D OBHRC="Outdoor Behavioral Healthcare Research Cooperative". "Summary of Research from 1999 – 2006 and Update to 2000 Survey of Outdoor Behavioral Healthcare Programs in North America Outdoor Behavioral Healthcare Research Cooperative". ASTART. Retrieved 5 August 2013.