Many people have been turning towards Outdoor Wilderness Therapy programs in recent years. They prove an effective approach to treatment and offer a unique experience for many seeking outside-the-box treatment plans. But how does this work, and what can a participant expect? 

“Go outside” 

A phrase parents and guardians may be sick of saying at this point. But for those whose adolescents and young adults struggle with mental health, behavioral health, and substance abuse, this phrase takes on a new meaning. Outdoor Wilderness Therapy offers prolonged care through a group setting, ensuring that loved ones are safe and in good hands while also experiencing the wilderness and preserving a sense of adventure.

Researchers are working to provide clinical evidence of the effectiveness of outdoor and adventure therapy, and the results are promising. In a study commissioned by Redcliff Ascent, Dr. Steven Aldana cited that “91.4% experienced clinically significant improvement.” This study found the rate of recovery for Outdoor Wilderness Therapy programs to be twice that of other treatment methods.

This outdoor approach has been greatly effective, but it is important to know what this type of treatment really is. Wilderness Therapy is more than just the stereotypical campfire songs and s’mores. So, how are Wilderness therapies conducted?

Models

Two general models characterize the approaches to Wilderness Therapy- Contained and Continuous Flow. The contained flow model involves the same group of clients and guides living with and working together for up to three weeks during wilderness expeditions. In this model, the staff includes trained therapists and guides paired with a group of clients based on an assessment of the clients’ needs, concerns, and diagnoses.

On the other hand, the continuous flow model focuses on a rotation of therapy clients and staff members revolving around the readiness for discharge based on the therapeutic progress of clients. This method is similar to groups in psychiatric settings wherein the group continues to meet on a consistent basis, while participants in the group change over time as they make progress. The time frame for continuous flow groups may depend on the program, but typically lasts up to eight weeks. To promote safe care practices for staff, the continuous care model uses a rotation schedule of a number of days or weeks on and days or weeks off. 

Licensed therapists work with clients and staff in both contained and continuous flow models. Sessions are conducted either on-site (nomadically) or at “base camps” depending on how expeditions are conducted. Both contained and continuous flow models rely on patients’ interactions with each other and the wilderness to support and enhance their self-esteem, emotional regulation, positive mindsets, and communication skills.

Family Follow Through

A potentially overlooked portion of Wilderness Therapy is the necessary involvement of family or caregivers. While clients address their personal presenting concerns, these concerns often have roots in family relationships. In order for clients to make lasting progress, their loved ones must learn to make home a place to support the lasting care of the client through therapeutic intervention.

Often, clients cannot maintain positive changes unless their support system helps reinforce the changes made. This is especially true for the adolescent and young adult demographic who primarily frequent Wilderness Therapy. 

Difficulties

While evidence grows in support of Wilderness Therapy, challenges persist with funding, communication, and documentation in this outdoor setting. 

As with any therapeutic approach, funding may present a concern for practitioners, clients, families, and funding agencies. Families may find these programs quite difficult to afford if they are not covered by traditional insurance plans. Grants and scholarships may exist for these programs. However, acceptance for such funding options may be competitive. 

In addition, a common concern for therapy is the use of remote treatment teams to provide services. Wilderness Therapy presents the unique challenge of the treatment team being scattered throughout wilderness settings and having to provide for both the treatment and physical needs of patients. Consequently, therapists and expedition staff must stay in frequent communication about the strategies used in sessions and on the expeditions. 

Finally, the documentation of accurate records of client progress help justify the effectiveness of Wilderness Therapy. Documentation is critical because it helps assure that the methods of treatment on these expeditions are empirically based and effective.

The Solution

Although it may not seem so, advanced technology platforms can eliminate all of these concerns. Wilderness programs that have partnered with an EMR platform, such as Alleva, find it easier to keep track of clients, write and upload notes, engage with the team via the communication log, and access digital copies of all important documents. 

Through our commitment to being the friendliest EMR on the market, Alleva is changing the Wilderness Therapy game. Our versatility, state of the art cloud technology, and exceptional customer service make us the top choice for care providers and behavioral health facilities, no matter where they are located. Sleep soundly knowing that with Alleva on your team, you can get back to doing what you do best. Reach out today, and request a free demo!

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