Two Years Later: A Qualitative Assessment of Youth Well-Being and the Role of Aftercare in Outdoor Behavioral Healthcare Treatment Article DOI:
10.1007/s10566-005-3470-7 Cite this article as: Russell, K.C. Child Youth Care Forum (2005) 34: 209. doi:10.1007/s10566-005-3470-7 Abstract
This study evaluated youth well-being 24-months after the conclusion of outdoor behavioral healthcare (OBH) treatment and explored how youth transition to a variety of post-treatment settings. OBH treatment involves integrating clinical treatment approaches with wilderness expeditions that average over 50 days. Transition from OBH treatment often requires that youth and family utilize aftercare services, which are typically: (a) outpatient services, which are comprised of individualized, group or family therapy, or (b) residential services, which are comprised of residential treatment centers, therapeutic boarding schools, and others. The results suggest that 80% of parents and 95% of youths perceived OBH treatment as effective, the majority of clients were doing well in school, and family communication had improved. Aftercare was utilized by 85% of the youths and was perceived as a crucial component in facilitating the transition from an intensive wilderness experience to family, peer and school environments. Results also indicated that many continued to use alcohol and/or drugs to varying degrees, had legal problems, and still had issues forming friendships with peers. OBH treatment was perceived as being a necessary and effective step in helping youths address, and eventually overcome, emotional and psychological issues that were driving destructive behavior prior to OBH treatment.
Keywords adolescent treatment wilderness therapy outcome aftercare services References Bandoroff, S., Scherer, D.G. 1994 Wilderness family therapy: An innovative treatment approach for problem youth Journal of Child and Family Studies 3 175 191 Google Scholar Bennett, L., Cardone, S., Jarczyk, K. 1998 Effects of a therapeutic camping program on addiction recovery: The Algonquin Haymarket relapse prevention program Journal of Substance Abuse Treatment 15 469 474 PubMed Google Scholar Blanz, B., Schmidt, M.H. 2000 Preconditions and outcome of inpatient treatment in child and adolescent psychiatry Journal of Child Psychology & Psychiatry & Allied Disciplines 41 703 712 Google Scholar
Burlingame, G. M., Wells, M. G., Hoag, M. J., Hopc, C. A., Nebeker, R. S., Konkel, K., et al. (1996). Manual for youth outcome questionnaire (Y-OQ). Stevenson, MD: American Professional Credentialing Services.
Castellano, T.C.S. 1992 Therapeutic wilderness programs and juvenile recidivism: a program evaluation Journal of Offender Rehabilitation 17 19 46 Google Scholar Creswell, J.W. 1998Qualitative inquiry and research design: Choosing among five traditions Sage Publications Thousand Oaks, CA Google Scholar Edgmon, K.J. 2002 Therapeutic benefits of a wilderness therapy program and a therapeutic community program for troubled adolescents Dissertation Abstracts International: Section B: The Sciences & Engineering 62 4781 4966 Google Scholar Erlandson, D.A., Harris, E.L., Skipper, B.L., Allen, S.D. 1993Doing naturalistic inquiry —A guide to methods Sage Publications Newbury Park, CA Google Scholar Glaser, B.G., Strauss, A.L. 1967The discovery of grounded theory: Strategies for qualitative research Aldine Chicago, IL Google Scholar Grilo, C.M., Shiffman, S. 1994 Longitudinal investigation of the abstinence violation effect in binge eaters Journal of Consulting and Clinical Psychology 62 611 619 PubMed Google Scholar Guba, E., Lincoln, Y. 1993 Competing paradigms in qualitative research Denzin, N. Lincoln, Y. eds. Handbook of qualitative research Sage Publications Thousand Oaks, CA Google Scholar Hans, T.A. 2000 A meta-analysis of the effects of adventure programming on locus of control Journal of Contemporary Psychotherapy 30 33 60 Google Scholar Harmon, S., Lantinga, L., Costello, R. 1982 Aftercare in chemical dependence treatment Substance Abuse 1 107 109 Google Scholar Hattie, J., Marsh, H.W., Neill, J.T., Richards, G.E. 1997 Adventure education and Outward Bound: Out-of-class experiences that make a lasting difference Review of Educational Research 67 43 87 Google Scholar Kerns, K.A., Aspelmeier, J.E., Gentzler, A.L., Grabill, C.M. 2001 Parent-child attachment and monitoring in middle childhood Journal of Family Psychology 15 69 81 PubMed Google Scholar Lash, S., Blosser, S. 1999 Increasing adherence to substance abuse aftercare therapy Journal of Substance Abuse Treatment 16 55 61 PubMed Google Scholar Martin, D.J., Garske, J.P., Davis, M.K. 2000 Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review Journal of Consulting and Clinical Psychology 68 438 450 PubMed Google Scholar Merriam, S. 1988Case study research in education: A qualitative approach Jossey Bass San Francisco, CA Google Scholar Miles, M.B., Huberman, A.M. 1994Qualitative data analysis: A sourcebook for new methods2 Sage Publications Thousand Oaks, CA Google Scholar Pediatrics, A.A.O. 1996The classification of child and adolescent mental diagnoses in primary care (DSM-PC) American Academy of Pediatrics Elk Grove Village, IL Google Scholar Richards, T., Richards, L. 1994 Using computers in qualitative analysis Denzin, N. Lincoln, Y. eds. Handbook of qualitative research Sage Publications Thousand Oaks, CA Google Scholar Russell, K.C. 2003 An assessment of outcomes in outdoor behavioral healthcare treatment Child and Youth Care Forum 32 355 381 Google Scholar Russell, K.C., Dianne, P.-M. 2002 Perspectives on the wilderness therapy process and its relation to outcome Child and Youth Care Forum 31 415 437 Google Scholar Tatarsky, A. 2002Harm reduction psychotherapy A new treatment for drug and alcohol problems Jason Aronson Northvale, NJ Google Scholar
Winterdyk J., Griffiths C. (1984). Wilderness experience programs: reforming delinquents or beating around the bush?
Juvenile and Family Court Journal, Fall 35–44. Winters, K.C. 1999 Treating adolescents with substance use disorders: An overview of practice issues and outcomes Substance Abuse 20 203 225 PubMed Google Scholar Winters, K.C., Latimer, W.W., Stinchfield, R., Henley, G.A. 1999 Examining psychosocial correlates of drug involvement in clinic-referred youth Journal of Child and Adolescent Substance Abuse 9 1 17 Google Scholar Yin, R.K. 1993Applications of Case Study Research Sage Thousand Oaks, CA Google Scholar Copyright information
© Springer Science+Business Media, Inc. 2005