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Gepubliceerd in: Journal of Child and Family Studies 9/2016

08-06-2016 | Original Paper

A Meta-analysis of Wilderness Therapy Outcomes for Private Pay Clients

Auteurs: Joanna E. Bettmann, H. L. Gillis, Elizabeth A. Speelman, Kimber J. Parry, Jonathan M. Case

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 9/2016

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Abstract

Wilderness therapy is becoming a more widely used intervention for adolescents, but there have not been any meta-analyses focused solely on its clinical effectiveness for private pay clients. This study’s objective was to conduct outcome-based meta-analyses of private-pay wilderness therapy programs, benchmark primary features of this approach, and educate the clinical community as to its effectiveness. The authors conducted a review of all available databases, as well as manual searches. Searches resulted in a meta-analysis based on 36 studies, totaling 2399 participants receiving wilderness therapy. Our meta-analyses found medium effect sizes for all six constructs assessed: self-esteem (g = 0.49), locus of control (g = 0.55), behavioral observations (g = 0.75), personal effectiveness (g = 0.46), clinical measures (g = 0.50) and interpersonal measures (g = 0.54). Subgroup analyses included age of participants, duration of program, open or closed model, presence of a mental health practitioner, and publication year.
vorige artikel The Cost of Oppositional Defiant Disorder and Disruptive Behavior: A Review of the Literature
volgende artikel The Role of Anger in the Relationship Between Internalising Symptoms and Aggression in Adolescents
Literatuur
*Anderson, A. L. (1995). Effect of a wilderness therapy program on youth-at-risk, as measured by locus of control and self concept (Master’s thesis). Brigham Young University, Provo, UT.
*Bandoroff, S. (1992). Wilderness family therapy: An innovative treatment approach for problem youth. University of South Carolina.
*Bateman, K. V. Jr. (1990). Changes in self-concept and behavior of adolescents in wilderness therapeutic camp (Doctoral dissertation). East Texas State University, Commerce, TX.
Beck, A. T., Ward, C. H., Mendleson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571. CrossRefPubMed
Becker, S. P. (2010). Wilderness therapy: Ethical considerations for mental health professionals. Child & Youth Care Forum, 39, 47–61. CrossRef
Bedard, R. M., Rosen, L. A., & Vacha-Haase, T. (2003). Wilderness therapy programs for juvenile delinquents: A meta-analysis. Journal of Therapeutic Wilderness Camping, 3, 7–13.
Behrens, E., & Satterfield, K. (2006, August). Report findings from a multi-center study of youth outcomes in private residential treatment. Report presented at the 114th annual convention of the American Psychological Association, New Orleans, LO.
Behrens, E., & Satterfield, K. (2008). Longitudinal family and academic outcomes in residential programs: How students function in two important areas of their lives. Journal of Therapeutic Schools and Programs, 2, 81–94.
*Bettmann, J. E. (2005). Shifts in attachment relationships: A quantitative study of adolescents in brief residential treatment (Doctoral dissertation). Smith College School for Social Work, Northampton, MA.
Bettmann, J. E., & Jasperson, R. A. (2007). Adults in wilderness treatment: A unique application of attachment theory and research. Clinical Social Work Journal, 36, 51–61. CrossRef
*Bettmann, J. E., Russell, K. C., & Parry, K. J. (2012). How substance abuse recovery skills, readiness to change and symptom reduction impact change processes in wilderness therapy participants. Journal of Child and Family Studies, 22, 1039–1050. doi: 10.​1007/​s10826-012-9665-2. CrossRef
Bickman, L., Vides de Andrade, A. R., Lambert, E. W., Doucette, A., Saptya, J., Boyd, A. S., et al. (2004). Youth therapeutic alliance in intensive treatment setting. Journal of Behavioral Health Services & Research, 31, 134–148. CrossRef
Borenstein, M., Hedges, L., Higgins, J., & Rothstein, H. (2005). Comprehensive meta-analysis [computer program], version 2. Englewood, NJ: Biostat.
Borenstein, M., Hedges, L., Higgins, J., & Rothstein, H. (2009). Introduction to meta-analysis. West Sussex: Wiley. CrossRef
Borenstein, M., Hedges, L., Higgins, J., & Rothstein, H. (2014). Comprehensive meta-analysis [computer program], version 3. Englewood, NJ: Biostat.
Bowen, D. J., & Neill, J. T. (2013). A meta-analysis of adventure therapy outcomes and moderators. The Open Psychology Journal, 6, 28–53. CrossRef
Burlingame, G. M., Wells, M. G., & Lambert, M. J. (1995). The youth outcome questionnaire. Stevenson, MD: American Professional Credentialing Services.
Card, N. A. (2012). Applied meta-analysis for social science research. New York, NY: The Guilford Press.
Cason, D., & Gillis, H. L. (1994). A meta-analysis of outdoor adventure programming with adolescents. Journal of Experiential Education, 17, 40–47. CrossRef
*Christensen, N. E. (2008). Effects of wilderness therapy on motivation and cognitive, emotional, and behavioral variables in adolescents (Doctoral dissertation). University of Kansas, Lawrence, KS.
*Clark, J. P., Marmol, L. M., Cooley, R., & Gathercoal, K. (2004). The effects of wilderness therapy on the clinical concerns (on axes I, II, and IV) of troubled adolescents. Journal of Experiential Education, 27, 213–232. CrossRef
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.
Crisp, S. (1996). International models of best practice in wilderness and adventure therapy: Implications for Australia (final report). Melbourne: Winston Churchill Fellowship.
*Davis-Berman, J., & Berman, D. S. (1989). The wilderness therapy program: An empirical study of its effects with adolescents in an outpatient setting. Journal of Contemporary Psychotherapy, 19, 270–281.
Duval, S., & Tweedie, R. (2000). Trim and fill: A simple funnel-plot–based method of testing and adjusting for publication bias in meta-analysis. Biometrics, 56, 455–463. CrossRefPubMed
*Eikenœs, I., Gude, T., & Hofart, A. (2006). Integrated wilderness therapy for avoidant personality disorder. Nordic Journal of Psychiatry, 60, 275–281. CrossRef
Ellis, P. D. (2010). The essential guide to effect sizes: An introduction to statistical power, meta-analysis and the interpretation of research results. Cambridge: Cambridge University Press. CrossRef
*Ganapol, D. S. (2008). The transformative effects of a three- week adventure therapy program with adolescents: An exploration of trauma and resiliency (Master’s thesis). Smith College School for Social Work, Northampton, MA.
Gass, M. A., Gillis, H. L., & Russell, K. E. (2012). Adventure therapy: Theory, research, & practice. New York, NY: Routledge.
Gerstein, D. R., & Harwood, H. J. (Eds.). (1990). Treating drug problems: A study of the evolution, effectiveness, and financing of public and private drug treatment systems. Washington, D.C.: National Academy Press.
*Hagan, J. D. (2002). An alternative therapy for the behaviorally challenged youth: The efficacy of wilderness therapy programs (Doctoral dissertation). The University of Toledo, OH.
Hair, H. J. (2005). Outcomes for children and adolescents after residential treatment: A review of research from 1993 to 2003. Journal of Child and Family Studies, 14, 551–575. CrossRef
*Harper, N. J. (2009). The relationship of therapeutic alliance to outcome in wilderness treatment. Journal of Adventure Education and Outdoor Learning, 9, 45–59. CrossRef
*Harper, N. J., & Russell, K. C. (2008). Family involvement and outcome in adolescent wilderness treatment: A mixed-methods evaluation. International Journal of Child & Family Welfare, 1, 19–36.
*Harper, N. J., Russell, K. C., Cooley, R., & Cupples, J. (2007). Catherine Freer wilderness therapy expeditions: An exploratory case study of adolescent wilderness therapy, family functioning, and the maintenance of change. Child & Youth Care Forum, 36, 111–129. CrossRef
*Harrison, M. M. (1999). Predictors of self- concept growth in youth at risk in wilderness therapy programs (Master’s thesis). Southern Illinois University at Corbondale, IL.
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. CrossRef
*Haywood, M. M. (2001). The effect of wilderness therapy on the self- concept of adolescents (Master’s thesis). California State University Hayward, CA.
*Herrity, G. C. (2009). A follow- up study exploring the transformative effects of wilderness therapy on adolescents with histories of trauma (Master’s thesis). Smith College of Social Work, Northampton, MA.
Higgins, J. P., & Green, S. (Eds.). (2008). Cochrane handbook for systematic reviews of interventions (Vol. 5). Chichester: Wiley-Blackwell.
Hooper, S. R., Murphy, J., Devaney, A., & Hultman, T. (2000). Ecological outcomes of adolescents in a psychoeducational residential treatment facility. American Journal of Orthopsychiatry, 70, 491–500. CrossRefPubMed
Jeppson, M. (2008). Characterization and comparative analysis of adolescents admitted to therapeutic wilderness programs and more traditional treatment settings (Doctoral dissertation). Retrieved from Proquest dissertations and theses database (AAT 3318622).
Kanas, N. (1988). Therapy groups for schizophrenic patients on acute care units. Hospital & Community Psychiatry, 39, 546–549.
Kimball, R. O., & Bacon, S. B. (1993). The wilderness challenge model. In M. Gass (Ed.), Adventure therapy: Therapeutic applications of adventure programming (pp. 11–41). Dubuque, IA: Kendall-Hunt Publishing.
*Kraus, I. W. (1982). The effectiveness of wilderness therapy with emotionally disturbed adolescents (Doctoral dissertation). Georgia State University, Atlanta, GA.
*Larson, B. A. (2007). Adventure camp programs, self-concept and their effects on behavioral problem adolescents. Journal of Experiential Education, 29, 313–330. CrossRef
*Lewis, B. A. (1994). The use of art and wilderness experience to increase hope in adolescents: An exploration of an intervention (Master’s thesis). College of Notre Dame, Belmont, CA.
Lorentzen, S., Høglend, P., & Ruud, T. (2008, June). The efficacy of short‐ and long‐term psychodynamic group psychotherapy. A Norwegian multi‐center study. Panel presentation at the annual meeting of the Society for Psychotherapy Research, Barcelona, Spain.
*Lowe, T. A. (2005). The effectiveness of Anasazi: A wilderness treatment program (Doctoral dissertation). Brigham Young University, Provo, UT.
Magle-Haberek, N., Tucker, A. R., & Gass, M. A. (2012). Effects of program differences with wilderness therapy and residential treatment center (RTC) programs. Residential Treatment for Children & Youth, 29, 202–218. CrossRef
*Martinez, M. C. (2002). A wilderness therapy program for a diverse group of at risk adolescent boys: Changes in self- esteem and locus of control and there relationship to group affiliation (Doctoral dissertation). The California School of Professional Psychology, San Francisco Bay Campus, San Francisco, CA.
Millon, T., Millon, C., & Davis, R. (1993). The Millon Adolescent Clinical Inventory. Minneapolis, MN: NGS Assessments.
Moses, T. (2000). Attachment theory and residential treatment: A study of staff–client relationships. American Journal of Orthopsychiatry, 70, 474–490. CrossRefPubMed
*Mulvaney, T. R. (2011). Efficacy of outdoor therapy interventions: Meeting life skills and well- being objectives for at- risk young people? A mixed methods evaluation. Bachelor of Science in Psychology (Honours), University of Canberra, Bruce, Australia.
Neill, J. T., Marsh, H. W., & Richards, G. E. (1997). Development and psychometrics of the Life Effectiveness Questionnaire. Sydney: University of Western Sydney.
Newes, S. L., & Doherty, T. J. (2007). Evaluating wilderness therapy as an option for treatment resistant adolescents. Paper presented at 2007 American Psychological Association Convention, San Francisco, CA.
Norcross, J. C. (2002). Empirically supported therapy relationships. In J. C. Norcross (Ed.), Psychotherapy relationships that work: Therapist contributions and responsiveness to patients (pp. 3–16). New York: Oxford University Press.
*Norton, C. L. (2007). Understanding the impact of wilderness therapy on adolescent depression and psychosocial development (Doctoral dissertation). Loyola University Chicago, Chicago, IL.
Norton, C., Tucker, A., Russell, K., Bettmann, J. E., Gass, M., Gillis, H. L., & Behrens, E. (2014). Adventure therapy with youth: A state of knowledge paper. Journal of Experiential Education, 37, 46–59. doi: 10.​1177/​1053825913518895​. CrossRef
Nowicki, S., & Strickland, B. (1973). A locus of control scale for children. Journal of Consulting and Clinical Psychology, 40, 148–154. CrossRef
*Nurenberg, S. J. G. (1985). Psychological development of borderline adolescents in wilderness therapy (Doctoral dissertation). Smith College, Northampton, MA.
*Pawlowski, M., Holme, G., & Hafner, R. J. (1993). Wilderness therapy for psychiatric disorder. Mental Health in Australia, 1, 8–14.
*Price, R., & DeBever, M. (1998). The windana therapeutic community’s action adventure program. In Exploring the boundaries of adventure therapy: International perspectives. Proceedings of the international adventure therapy conference (1st, Perth, Australia, July, 1997).
*Rice, S. (1988). A study of the impact of long- term therapeutic camping on self- concept development among troubled youth (Doctoral dissertation). University of South Florida, Tampa, FL.
Rodgers, J. H., & Barnett, P. G. (2000). Two separate tracks? A national multivariate analysis of differences between public and private substance abuse treatment programs. American Journal of Drug and Alcohol Abuse, 26, 429–442. CrossRefPubMed
*Romi, S., & Kohan, E. (2004). Wilderness programs: Principles, possibilities and opportunities for intervention with dropout adolescents. Child & Youth Care Forum, 33, 115–136. CrossRef
*Ronalds, L., & Allen-Craig, S. (2008). Preventing family and educational disconnection through wilderness-based therapy targeting youth at risk. ACHPER Healthy Lifestyles Journal, 55, 7–16.
Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press. CrossRef
Russell, K. C. (1999). Theoretical basis, process, and reported outcomes of wilderness therapy as an intervention and treatment for problem behavior in adolescents (Doctoral dissertation). Retrieved from Proquest dissertations and theses database (AAT 9954110).
Russell, K. C. (2000). Exploring how the wilderness therapy process relates to outcomes. Journal of Experiential Education, 23, 170–176. CrossRef
Russell, K. C. (2001). What is wilderness therapy? Journal of Experiential Education, 24, 70–79. CrossRef
*Russell, K. C. (2003). An assessment of outcomes in outdoor behavioral healthcare treatment. Child & Youth Care Forum, 32, 355–381. CrossRef
Russell, K. C. (2005). Two years later: A qualitative assessment of youth well-being and the role of aftercare in outdoor behavioral healthcare treatment. Child & Youth Care Forum, 34, 209–239. doi: 10.​1007/​s10566-005-3470-7. CrossRef
Russell, K. C. (2007). Adolescent substance-use treatment: Service delivery, research on effectiveness, and emerging treatment alternatives. Journal of Groups in Addiction & Recovery, 2, 68–96. CrossRef
Russell, K. C., Gillis, H. L., & Lewis, T. G. (2008). A five-year follow-up of a survey of north American outdoor behavioral healthcare programs. Journal of Experiential Education, 31, 55–77. CrossRef
Russell, K. C., Hendee, J. C., & Phillips-Miller, D. (1999). How wilderness therapy works: An evaluation of the wilderness therapy process to treat adolescents with behavioral problems and addictions. In D. N. Cole & S. F. McCool (Eds.), Proceedings: Wilderness science in a time of change (pp. 207–217). Ogden, UT: U.S. Department of Agriculture, Forrest Services, Rocky Mountain Research Station.
Russell, K. C., & Phillips-Miller, D. (2002). Perspectives on the wilderness therapy process and its relation to outcome. Child & Youth Care Forum, 31, 415–437. CrossRef
Steenbarger, B. N. (1994). Duration and outcome in psychotherapy: An integrative review. Professional Psychology: Research and Practice, 25, 111–119. CrossRef
Substance Abuse and Mental Health Services Administration, Office of Applied Studies. (2008). Mental health service use among youths aged 12 to 17: 2005 and 2006. Rockville, MD: Substance Abuse and Mental Health Services Administration, Office of Applied Studies.
Tourigny, M., & Hebert, M. (2007). Comparison of open versus closed group interventions for sexually abused adolescent girls. Violence and Victims, 22, 334–349. CrossRefPubMed
*Tucker, A., Bettmann, J. E., Norton, C., & Comart, C. (2015). The role of transport use in adolescent wilderness treatment: Its relationship to readiness to change and outcomes. Child & Youth Care Forum, 44, 671–686. doi: 10.​1007/​s10566-015-9301-6. CrossRef
U.S. Department of Health and Human Services. (1999). Mental health: A report of the Surgeon General. Rockville, MD: Author.
*Vissell, R. (2004). Effects of wilderness therapy on youth at risk’s concept of self and other: A deeper understanding of the journey (Doctoral dissertation). Institute of Transpersonal Psychology, Palo Alto, CA.
West, M., Rose, M. S., Spreng, S., Sheldon-Keller, A., & Adam, K. (1998). Adolescent attachment questionnaire: A brief assessment of attachment in adolescence. Journal of Youth and Adolescence, 27, 661–673. CrossRef
Wilson, S. J., & Lipsey, M. W. (2000). Wilderness challenge programs for delinquent youth: A meta-analysis of outcome evaluations. Evaluation and Program Planning, 23, 1–12. CrossRef
Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York: Basic Books.
Young, M. C., & Gass, M. (2010). Preliminary data from the NATSAP research and evaluation network: Client characteristics at admission. Journal of Therapeutic Schools and Programs, 4, 80–105.
Metagegevens
Titel
A Meta-analysis of Wilderness Therapy Outcomes for Private Pay Clients
Auteurs
Joanna E. Bettmann
H. L. Gillis
Elizabeth A. Speelman
Kimber J. Parry
Jonathan M. Case
Publicatiedatum
08-06-2016
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 9/2016
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-016-0439-0

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