Adolescents who are required to live away from their families of origin face many challenges that can affect mood and mental health. Milieu therapists (mental health associates) working with adolescents in a residential treatment center may be expected to provide group activities that promote mental health. It is important for new group leaders to…

Humans move through difficult transitions best when guided by ceremony and ritual. The components of traditional rites of passage mirror exactly many of today's most promising psychological theories. Four components of rites of passage that comprise life transitions are discussed: letting go of an old identity, the wandering, the new identity, and…

Three models of intentional therapeutic communities for troubled youth are described: psychiatric communities, communities with a spiritual orientation, and collectives inspired by A. Makarenko. Applications of the Makarenko model with adolescents having problems of substance abuse and serious social maladjustment in Sweden, Norway, and Denmark…

Authors explore the feasibility of camping programs for incorporation into the state hospital system of Texas. (CB)

A study combined group sweating and group counseling. Four adolescent boys with disruptive behavior disorders participated in 12 sweat therapy sessions. They reported the sessions useful for sharing personal concerns and receiving assistance with problem solving. Three boys showed improvement in self-esteem. Advantages of sweat therapy over other…

Reports experience with 14 adolescent cases of Obsessive Compulsive Disorder. Discusses adolescents' tendency not to cooperate with behavior therapy and medication, and the usefulness of psychotherapy in treating these patients. Concludes that non-specific milieu therapy leads to recovery in a majority of adolescent obsessive compulsives. Admits…

A study examining the effectiveness of wilderness therapy programs for rehabilitating delinquent adolescents analyzed 23 programs using meta-analysis. Moderate effect sizes in favor of wilderness therapy programs were found with respect to enhancing self-esteem/self-concept, improving interpersonal skills, and promoting behavior changes. A small…

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…

The eighth part of a 10-part series, this report was compiled by the Educational Development Center at Wilkes College. The series deals with various aspects of the treatment of delinquents and is intended as a summary of research findings in each of the areas treated. Each report was prepared by a scholar-practitioner and is presented in a way…

Describes a cognitively based environment treatment approach for group home juvenile delinquents based on Eliminating Self-Defeating Behavior Theory (ESDB). Outlines seven self-defeating behaviors initially developed as coping mechanisms. Discusses results of ESDB as a treatment milieu. (RC)

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.…

A study combined communication book training, a milieu approach, and systematic vocabulary selection to teach a nonspeaking adolescent with mental retardation to communicate in three settings. Results indicated rapid learning of communication book use in meal preparation and employment training and more delayed increased in small group…

Describes Project Adventure's Legacy program, a 12-bed, 10-month residential program for juvenile sex-offenders in Georgia. Most offenders started as victims, so the program must address their early sexual trauma. Adventure-based counseling, with its emphasis on the total mind-body experience, is especially suited for this. Sidebars present the…

A young man who completed Project Adventure's Legacy Program for young sex offenders in Georgia explains how group therapy and adventure programming help participants understand their behaviors and develop empathy for their victims. A follow-up program uses adventure to develop healthy living habits, requires completion of high school or GED, and…

The Sexual Abuse Counselling Service is a unit within the Department of Families, Youth, and Community Care in Queensland, Australia, that operates a counseling program for adolescent sexual offenders. Clients are expected to participate in individual and group counseling sessions, and family counseling sessions where appropriate. The group…