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Gepubliceerd in: Journal of Child and Family Studies 8/2013

01-11-2013 | Original Paper

How Substance Abuse Recovery Skills, Readiness to Change and Symptom Reduction Impact Change Processes in Wilderness Therapy Participants

Auteurs: Joanna E. Bettmann, Keith C. Russell, Kimber J. Parry

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 8/2013

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Abstract

Previous research has demonstrated that wilderness therapy is effective, yet very few studies have attempted to discern quantitative factors responsible for change that occur during wilderness therapy. This study aimed to tease apart specific factors that impact client progress and outcome. A sample of 189 adolescent clients in a wilderness therapy program completed the Youth Outcome Questionnaire Self-Report, the University of Rhode Island Change Assessment (URICA), and the Adolescent Relapse Coping Questionnaire (ARCQ) at pre-treatment, post-treatment, and follow-up intervals. Analysis of the complete data sets of 41 adolescents indicated that client Y-OQ scores improved significantly at post and follow-up assessments. URICA scores were not significantly related to such changes, while the ARCQ subscale of abstinence-focused coping strategies accounted for a significant proportion of the variance in Y-OQ change. These results indicate that clients in wilderness therapy do not necessarily need to want to change in order to do so. Furthermore, helping adolescents in wilderness therapy settings gain abstinence-focused coping strategies may be the most effective tool to improve treatment outcomes.
Literatuur
go back to reference 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.CrossRef 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.CrossRef
go back to reference Becker, S. P. (2010). Wilderness therapy: Ethical considerations for mental health professionals. Child & Youth Care Forum, 39, 47–61.CrossRef Becker, S. P. (2010). Wilderness therapy: Ethical considerations for mental health professionals. Child & Youth Care Forum, 39, 47–61.CrossRef
go back to reference Belsley, D. A., Kuh, E., & Welsch, R. E. (1980). Regression diagnostics: Identifying influential data and sources of collinearity. New York: Wiley.CrossRef Belsley, D. A., Kuh, E., & Welsch, R. E. (1980). Regression diagnostics: Identifying influential data and sources of collinearity. New York: Wiley.CrossRef
go back to reference Bettmann, J. E., Demong, E., & Jasperson, R. A. (2008). Treating adolescents with adoption and attachment issues in wilderness therapy settings. Journal of Therapeutic Schools and Programs, 3, 116–136. Bettmann, J. E., Demong, E., & Jasperson, R. A. (2008). Treating adolescents with adoption and attachment issues in wilderness therapy settings. Journal of Therapeutic Schools and Programs, 3, 116–136.
go back to reference 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., & Jasperson, R. A. (2007). Adults in wilderness treatment: A unique application of attachment theory and research. Clinical Social Work Journal, 36, 51–61.CrossRef
go back to reference Bettmann, J. E., Lundahl, B. W., Wright, R., Jasperson, R. A., & McRoberts, C. H. (2011). Who are they? A descriptive study of adolescents in wilderness and residential programs. Residential Treatment for Children & Youth, 28, 192–210.CrossRef Bettmann, J. E., Lundahl, B. W., Wright, R., Jasperson, R. A., & McRoberts, C. H. (2011). Who are they? A descriptive study of adolescents in wilderness and residential programs. Residential Treatment for Children & Youth, 28, 192–210.CrossRef
go back to reference Biglan, A., Ary, D., & Wagennar, A. C. (2000). The value of time-series experiments for community intervention research. Prevention Science, 1, 31–50.PubMedCrossRef Biglan, A., Ary, D., & Wagennar, A. C. (2000). The value of time-series experiments for community intervention research. Prevention Science, 1, 31–50.PubMedCrossRef
go back to reference Brown, J. D., Barrett, K., Ireys, H. T., Allen, K., & Blau, G. (2011). Outcomes monitoring after discharge from residential treatment centers for children and youth. Residential Treatment for Children & Youth, 28, 303–310. doi:10.1080/0886571X.2011.615237.CrossRef Brown, J. D., Barrett, K., Ireys, H. T., Allen, K., & Blau, G. (2011). Outcomes monitoring after discharge from residential treatment centers for children and youth. Residential Treatment for Children & Youth, 28, 303–310. doi:10.​1080/​0886571X.​2011.​615237.CrossRef
go back to reference Burlingame, G. M., Wells, M. G., & Lambert, M. J. (1995). The Youth Outcome Questionnaire. Stevenson, MD: American Professional Credentialing Services. Burlingame, G. M., Wells, M. G., & Lambert, M. J. (1995). The Youth Outcome Questionnaire. Stevenson, MD: American Professional Credentialing Services.
go back to reference Callaghan, R. C., Hathaway, A., Cunningham, J. A., Vettese, l C, Wyatt, S., & Taylor, L. (2005). Does stage-of-change predict dropout in a culturally diverse sample of adolescents admitted to inpatient substance-abuse treatment? A test of the transtheoretical model. Addictive Behaviors, 30, 1834–1947. doi:10.1016/j.addbeh.2005.07.015.PubMedCrossRef Callaghan, R. C., Hathaway, A., Cunningham, J. A., Vettese, l C, Wyatt, S., & Taylor, L. (2005). Does stage-of-change predict dropout in a culturally diverse sample of adolescents admitted to inpatient substance-abuse treatment? A test of the transtheoretical model. Addictive Behaviors, 30, 1834–1947. doi:10.​1016/​j.​addbeh.​2005.​07.​015.PubMedCrossRef
go back to reference Carson, D., & Gillis, H. L. (1994). A meta-analysis of outdoor adventure programming with adolescents. The Journal of Experiential Education, 17, 40–47.CrossRef Carson, D., & Gillis, H. L. (1994). A meta-analysis of outdoor adventure programming with adolescents. The Journal of Experiential Education, 17, 40–47.CrossRef
go back to reference Cingolani, J. (1984). Social conflict perspective on work with involuntary clients. Social Work, 29, 442–446. Cingolani, J. (1984). Social conflict perspective on work with involuntary clients. Social Work, 29, 442–446.
go back to reference Clark, J., 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 Clark, J., 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
go back to reference Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.
go back to reference Cooper, L. M., Wood, P. K., Orcutt, H. K., & Albino, A. (2003). Personality and the predisposition to engage in risky or problem behaviors during adolescence. Journal of Personality and Social Psychology, 84, 390–410.PubMedCrossRef Cooper, L. M., Wood, P. K., Orcutt, H. K., & Albino, A. (2003). Personality and the predisposition to engage in risky or problem behaviors during adolescence. Journal of Personality and Social Psychology, 84, 390–410.PubMedCrossRef
go back to reference 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, 271–281. 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, 271–281.
go back to reference De Leon, G., Melnick, G., & Kressel, D. (1997). Motivation and readiness for therapeutic community treatment among cocaine and other drug abusers. American Journal of Drug and Alcohol Abuse, 23, 169–189.PubMedCrossRef De Leon, G., Melnick, G., & Kressel, D. (1997). Motivation and readiness for therapeutic community treatment among cocaine and other drug abusers. American Journal of Drug and Alcohol Abuse, 23, 169–189.PubMedCrossRef
go back to reference De Leon, G., Melnick, G., Kressel, D., & Jainchill, N. (1994). Circumstances, motivation, readiness and suitability (the CMRS scales): Predicting retention in therapeutic community treatment. American Journal of Drug and Alcohol Abuse, 20, 495–515.PubMedCrossRef De Leon, G., Melnick, G., Kressel, D., & Jainchill, N. (1994). Circumstances, motivation, readiness and suitability (the CMRS scales): Predicting retention in therapeutic community treatment. American Journal of Drug and Alcohol Abuse, 20, 495–515.PubMedCrossRef
go back to reference Eikenœs, I., Gude, T., & Hofart, A. (2006). Integrated wilderness therapy for avoidant personality disorder. Nordic Journal of Psychiatry, 60, 275–281.CrossRef Eikenœs, I., Gude, T., & Hofart, A. (2006). Integrated wilderness therapy for avoidant personality disorder. Nordic Journal of Psychiatry, 60, 275–281.CrossRef
go back to reference Gillespie, E., & Allen-Craig, S. (2009). The enhancement of resilience via a wilderness therapy program: A preliminary investigation. Australian Journal of Outdoor Education, 13, 39–49. Gillespie, E., & Allen-Craig, S. (2009). The enhancement of resilience via a wilderness therapy program: A preliminary investigation. Australian Journal of Outdoor Education, 13, 39–49.
go back to reference Graziano, A., & Raulin, M. (1997). Research methods: A process of inquiry (6th ed.). New York, Boston: Allyn and Bacon. Graziano, A., & Raulin, M. (1997). Research methods: A process of inquiry (6th ed.). New York, Boston: Allyn and Bacon.
go back to reference Greenstein, D. K., Franklin, M. E., & McGuffin, P. (1999). Measuring motivation to change: An examination of the University of Rhode Island Change Assessment Questionnaire (URICA) in an adolescent sample. Psychotherapy, 36, 47–55.CrossRef Greenstein, D. K., Franklin, M. E., & McGuffin, P. (1999). Measuring motivation to change: An examination of the University of Rhode Island Change Assessment Questionnaire (URICA) in an adolescent sample. Psychotherapy, 36, 47–55.CrossRef
go back to reference Gusella, J., Butler, G., Nichols, L., & Bird, D. (2003). A brief questionnaire to assess readiness to change in adolescents with eating disorders: Its applications to group therapy. European Eating Disorders Review, 11, 58–71.CrossRef Gusella, J., Butler, G., Nichols, L., & Bird, D. (2003). A brief questionnaire to assess readiness to change in adolescents with eating disorders: Its applications to group therapy. European Eating Disorders Review, 11, 58–71.CrossRef
go back to reference 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 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
go back to reference 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. (2009). The relationship of therapeutic alliance to outcome in wilderness treatment. Journal of Adventure Education and Outdoor Learning, 9, 45–59.CrossRef
go back to reference 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. (2008). Family involvement and outcome in adolescent wilderness treatment: A mixed-methods evaluation. International Journal of Child & Family Welfare, 1, 19–36.
go back to reference Harper, N., Russell, K., 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. doi:10.1007/s10566-007-9035-1.CrossRef Harper, N., Russell, K., 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. doi:10.​1007/​s10566-007-9035-1.CrossRef
go back to reference Hessler, D. M., & Katz, L. F. (2010). Brief report: Associations between emotional competence and adolescent risky behavior. Journal of Adolescence, 33, 241–246.PubMedCrossRef Hessler, D. M., & Katz, L. F. (2010). Brief report: Associations between emotional competence and adolescent risky behavior. Journal of Adolescence, 33, 241–246.PubMedCrossRef
go back to reference 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. 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.
go back to reference Martinez, E., Castro, J., Bigora, A., Morer, A., Calvo, R., Vila, M., et al. (2007). Assessing motivation to change in bulimia nervosa: The bulimia nervosa stages of change questionnaire. European Eating Disorders Review, 15, 13–23. doi:10.1002/erv.725.PubMedCrossRef Martinez, E., Castro, J., Bigora, A., Morer, A., Calvo, R., Vila, M., et al. (2007). Assessing motivation to change in bulimia nervosa: The bulimia nervosa stages of change questionnaire. European Eating Disorders Review, 15, 13–23. doi:10.​1002/​erv.​725.PubMedCrossRef
go back to reference McConnaughy, E. A., DiClementa, C. C., Prochaska, J. O., & Velicer, W. F. (1989). Stages of change in psychotherapy: A follow-up report. Psychotherapy, 26, 494–503. McConnaughy, E. A., DiClementa, C. C., Prochaska, J. O., & Velicer, W. F. (1989). Stages of change in psychotherapy: A follow-up report. Psychotherapy, 26, 494–503.
go back to reference Melnick, G., De Leon, G., Hawke, J., Jainchill, N., & Kressel, D. (1997). Motivation and readiness for therapeutic community treatment among adolescents and adult substance abusers. American Journal of Drug and Alcohol Abuse, 23, 485–506.PubMedCrossRef Melnick, G., De Leon, G., Hawke, J., Jainchill, N., & Kressel, D. (1997). Motivation and readiness for therapeutic community treatment among adolescents and adult substance abusers. American Journal of Drug and Alcohol Abuse, 23, 485–506.PubMedCrossRef
go back to reference Millon, T., Millon, C., & Davis, R. (1993). The millon adolescent clinical inventory. Minneapolis, MN: NGS Assessments. Millon, T., Millon, C., & Davis, R. (1993). The millon adolescent clinical inventory. Minneapolis, MN: NGS Assessments.
go back to reference Myers, M., & Brown, S. (1990). Coping and appraisal in potential relapse situations among adolescent substance abusers following treatment. Journal of Adolescent Chemical Dependency, 1, 105–115. Myers, M., & Brown, S. (1990). Coping and appraisal in potential relapse situations among adolescent substance abusers following treatment. Journal of Adolescent Chemical Dependency, 1, 105–115.
go back to reference Myers, M., & Brown, S. (1996). The Adolescent Relapse Coping Questionnaire: Psychometric validation. Journal of Studies on Alcohol, 57, 40–46.PubMed Myers, M., & Brown, S. (1996). The Adolescent Relapse Coping Questionnaire: Psychometric validation. Journal of Studies on Alcohol, 57, 40–46.PubMed
go back to reference 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. 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.
go back to reference Norton, C. L. (2010). Exploring the process of wilderness therapy: Key therapeutic components in the treatment of adolescent depression and psychosocial development. Journal of Therapeutic Schools and Programs, 4, 24–46. Norton, C. L. (2010). Exploring the process of wilderness therapy: Key therapeutic components in the treatment of adolescent depression and psychosocial development. Journal of Therapeutic Schools and Programs, 4, 24–46.
go back to reference Pawlowski, M., Holme, G., & Hafner, R. J. (1993). Wilderness therapy for psychiatric disorder. Mental health in Australia, 5, 8–14. Pawlowski, M., Holme, G., & Hafner, R. J. (1993). Wilderness therapy for psychiatric disorder. Mental health in Australia, 5, 8–14.
go back to reference Powch, I. (1994). Wilderness therapy: What makes it empowering for women? Women and Therapy, 15, 11–27.CrossRef Powch, I. (1994). Wilderness therapy: What makes it empowering for women? Women and Therapy, 15, 11–27.CrossRef
go back to reference Prochaska, J. O., & DiClemente, C. C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51, 390–395. Prochaska, J. O., & DiClemente, C. C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51, 390–395.
go back to reference Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992). In search of how people change: Applications to addictive behaviors. American Psychologist, 47, 1102–1114. Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992). In search of how people change: Applications to addictive behaviors. American Psychologist, 47, 1102–1114.
go back to reference Ronalds, L., & Allen-Craig, S. (2008). Preventing family and education disconnection through wilderness-based therapy targeting youth-at-risk. ACHPER Healthy Lifestyles Journal, 55, 7–16. Ronalds, L., & Allen-Craig, S. (2008). Preventing family and education disconnection through wilderness-based therapy targeting youth-at-risk. ACHPER Healthy Lifestyles Journal, 55, 7–16.
go back to reference Russell, K. C. (2000). Exploring how the wilderness therapy process relates to outcomes. The Journal of Experiential Education, 23, 170–176.CrossRef Russell, K. C. (2000). Exploring how the wilderness therapy process relates to outcomes. The Journal of Experiential Education, 23, 170–176.CrossRef
go back to reference Russell, K. C. (2001). What is wilderness therapy? The Journal of Experiential Education, 24, 70–79.CrossRef Russell, K. C. (2001). What is wilderness therapy? The Journal of Experiential Education, 24, 70–79.CrossRef
go back to reference Russell, K. C. (2003). An assessment of outcomes in outdoor behavioral healthcare treatment. Child & Youth Care Forum, 32, 355–381.CrossRef Russell, K. C. (2003). An assessment of outcomes in outdoor behavioral healthcare treatment. Child & Youth Care Forum, 32, 355–381.CrossRef
go back to reference Russell, K. C. (2005). Two years later: A qualitative assessment of youth wellbeing and he role of aftercare in outdoor behavioral healthcare treatment. Child & Youth Care Forum, 34, 209–239.CrossRef Russell, K. C. (2005). Two years later: A qualitative assessment of youth wellbeing and he role of aftercare in outdoor behavioral healthcare treatment. Child & Youth Care Forum, 34, 209–239.CrossRef
go back to reference 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. (2007). Adolescent substance-use treatment: Service delivery, research on effectiveness, and emerging treatment alternatives. Journal of Groups in Addiction & Recovery, 2, 68–96.CrossRef
go back to reference 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., 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
go back to reference 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. 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.
go back to reference Schottenfeld, R. S. (1989). Involuntary treatment of substance abuse disorders—impediments to success. Psychiatry, 52, 164–176.PubMed Schottenfeld, R. S. (1989). Involuntary treatment of substance abuse disorders—impediments to success. Psychiatry, 52, 164–176.PubMed
go back to reference Somervell, J., & Lambie, I. (2009). Wilderness therapy within an adolescent sexual offender treatment programme: A qualitative study. Journal of Sexual Aggression, 15, 161–177.CrossRef Somervell, J., & Lambie, I. (2009). Wilderness therapy within an adolescent sexual offender treatment programme: A qualitative study. Journal of Sexual Aggression, 15, 161–177.CrossRef
go back to reference Swales, M. A., & Kiehn, B. (1995). Evaluating adolescent units: Some considerations for research and clinical practice. Journal of Mental Health, 4, 227–242.CrossRef Swales, M. A., & Kiehn, B. (1995). Evaluating adolescent units: Some considerations for research and clinical practice. Journal of Mental Health, 4, 227–242.CrossRef
go back to reference Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics. Boston, MA: Allyn and Bacon. Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics. Boston, MA: Allyn and Bacon.
go back to reference Tapert, S. F., Brown, S. A., Myers, M. G., & Granholm, E. (1999). The role of neurocognitive abilities in coping with adolescent relapse to alcohol and drug use. Journal of Studies on Alcohol, 60, 500–508.PubMed Tapert, S. F., Brown, S. A., Myers, M. G., & Granholm, E. (1999). The role of neurocognitive abilities in coping with adolescent relapse to alcohol and drug use. Journal of Studies on Alcohol, 60, 500–508.PubMed
go back to reference Walsh, M., & Russell, K. C. (2011). An exploratory study of a wilderness adventure program for young offenders. Ecopsychology, 2, 211–229. Walsh, M., & Russell, K. C. (2011). An exploratory study of a wilderness adventure program for young offenders. Ecopsychology, 2, 211–229.
go back to reference Winters, K. C. (1999). Treating adolescents with substance use disorders: An overview of practice issues and outcomes. Substance Abuse, 20, 203–225.PubMed Winters, K. C. (1999). Treating adolescents with substance use disorders: An overview of practice issues and outcomes. Substance Abuse, 20, 203–225.PubMed
go back to reference Winters, K. C., & Henley, G. A. (1989). The personal experience inventory test and user’s manual. Los Angeles: Western Psychological Services. Winters, K. C., & Henley, G. A. (1989). The personal experience inventory test and user’s manual. Los Angeles: Western Psychological Services.
go back to reference Winters, K. C., Stinchfield, R. D., Opland, E., Weller, C., & Latimer, W. W. (2000). The effectiveness of the Minnesota Model approach in the treatment of adolescent drug abusers. Addiction, 95, 601–612.PubMedCrossRef Winters, K. C., Stinchfield, R. D., Opland, E., Weller, C., & Latimer, W. W. (2000). The effectiveness of the Minnesota Model approach in the treatment of adolescent drug abusers. Addiction, 95, 601–612.PubMedCrossRef
go back to reference 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. 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
How Substance Abuse Recovery Skills, Readiness to Change and Symptom Reduction Impact Change Processes in Wilderness Therapy Participants
Auteurs
Joanna E. Bettmann
Keith C. Russell
Kimber J. Parry
Publicatiedatum
01-11-2013
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 8/2013
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-012-9665-2

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