Though wilderness therapy programs are growing in number and popularity, the theoretical basis for distinguishing wilderness therapy from traditional therapeutic modalities is lacking. Existing models describing the wilderness therapy process have been stage-based, meaning the process has been conceptualized as sequential and discrete. Lost in…

A national survey of outdoor behavioral healthcare programs that annually serve over 10,000 clients and their families found that over 80 percent of programs were licensed by state agencies. Private placements outnumbered adjudicated programs by nearly five to one, and less than 25 percent of client treatment costs were covered by insurance…

Outdoor behavioral healthcare (OBH) is an emerging mental health intervention/treatment to help adolescents overcome emotional, psychological, and addiction problems. Currently, over 100 OBH programs in the United States use elements of wilderness therapy to address adolescents' problem behaviors and foster responsibility and personal growth.…

Case studies of four adolescent boys with behavioral disorders in four wilderness therapy programs identified time alone for reflection, a non-confrontive and caring approach by staff, and the role of wilderness as helpful common elements. Outcomes attributed to these elements included better family relationships, abstinence from drugs and…