With roots in experiential education and Outward Bound, wilderness therapy (WT) is a growing field of mental health care for youth. WT uses outdoor modalities combined with therapeutic interventions to assist youth to promote clinical changes. Previous research has shown it to be effective in improving the mental health of clients; however, little research has looked at the impact of WT on physical outcomes as well. This study examined changes in the body composition and mental health outcomes of adolescents participating in one WT program. On average, youth in the sample moved to a more healthy weight and body mass index (BMI) or were able to maintain at a healthy level. Youth also experienced significant improvements in their mental health functioning. Given the adolescent obesity crisis along with adolescent female challenges with body image, these results show that WT could be a promising intervention for youth struggling with these issues.

American Psychological Association . (2015). APA members discuss benefits and implementation challenges of integrated health care. Retrieved from http://www.apa.org/pubs/newsletters/access/2014/11-12/integrated-care.aspx
Google Scholar
Arnow, B. A. (2004). Relationships between childhood maltreatment, adult health and psychiatric outcomes, and medical utilization. Journal of Clinical Psychiatry, 65, 10-15.
Google Scholar | Medline | ISI
BeLue, R., Francis, L. A., Colaco, B. (2009). Mental health problems and overweight in a nationally representative sample of adolescents: Effects of race and ethnicity. Pediatrics, 123, 697-702.
Google Scholar | Crossref | Medline | ISI
Bjornelv, S., Nordahl, H. M., Holmen, T. (2011). Psychological factors and weight problems in adolescents. The role of eating problems, emotional problems, and personality traits: The Young-HUNT study. Social Psychiatry and Psychiatric Epidemiology, 46, 353-362. doi:10.1007/s00127-010-0197-z
Google Scholar | Crossref | Medline | ISI
Burlingame, G. M., Wells, M. G., Cox, J. C., Lambert, M. J., Latkowski, M., Justice, D. (2005). Administration and scoring manual for the Y-OQ. Wharton, NJ: American Professional Credentialing Service.
Google Scholar
Centers for Disease Control and Prevention . (2013). Summary of health statistics for U.S. children: National health interview survey, 2012 (Vital and Health Statistics, Series 10, No. 258). Washington, DC: Author.
Google Scholar
Centers for Disease Control and Prevention . (2014). Violence prevention. Retrieved from http://www.cdc.gov/violenceprevention/acestudy/
Google Scholar
Cohen, S. (2004). Social relationships and health. American Psychologist, 59, 676-684.
Google Scholar | Crossref | Medline | ISI
DeMille, S. M., Burdick, M. (2015). A theoretically anchored and multi-modal treatment approach in an outdoor behavioral healthcare program. Journal of Therapeutic Schools & Programs, 7, 19-30.
Google Scholar | Crossref
DeMille, S. M., Comart, C., Tucker, A. (2014). Body composition changes in an outdoor behavioral healthcare program. Ecopsychology, 6, 174-182.
Google Scholar
Department of Health and Human Services . (2014). Mental health myths and facts. Retrieved from http://www.mentalhealth.gov/basics/myths-facts/
Google Scholar
Felitti, M. D., Vincent, J., Anda, M. D., Robert, F., Nordenberg, M. D., Williamson, M. S., James, S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14, 245-258.
Google Scholar | Crossref | Medline | ISI
Galper, D. I., Trivedi, M. H., Barlow, C. E., Dunn, A. L., Kampert, J. B. (2006). Inverse association between physical inactivity and mental health in men and women. Medicine & Science in Sports & Exercise, 38, 173-178.
Google Scholar | Crossref | Medline | ISI
Gass, M. A., Gillis, H. L., Russell, K. (2012). Adventure therapy: Theory, practice, and research. New York, NY: Routledge.
Google Scholar
Goodwin, R. D. (2003). Association between physical activity and mental disorders among adults in the United States. Preventive Medicine, 36, 698-703.
Google Scholar | Crossref | Medline | ISI
Herpertz-Dahlmann, B., Dempfle, A., Konrad, K., Klasen, F., Ravens-Sieberer, U. (2015). Eating disorder symptoms do not just disappear: The implications of adolescent eating disordered behaviour for body weight and mental health in young adulthood. European Child & Adolescent Psychiatry, 24, 675-684.
Google Scholar | Crossref | Medline | ISI
Hoag, M. J., Massey, K. E., Roberts, S. D., Logan, P. (2013). Efficacy of wilderness therapy for young adults: A first look. Residential Treatment for Children & Youth, 30, 294-305. doi:10.1080/0886571X.2013.852452
Google Scholar | Crossref
Huelsing, J., Kanafani, N., Mao, J., White, N. (2010). Camp jump start: Effects of a residential summer weight loss camp for older children and adolescents. Pediatrics, 125, e884-e890.
Google Scholar | Crossref | ISI
Jelalian, E. E., Mehlenbeck, R. R., Lloyd-Richardson, E. E., Birmaher, V. V., Wing, R. R. (2006). “AT” combined with cognitive-behavioral treatment for overweight adolescents. International Journal of Obesity, 30, 31-39. doi:10.1038/sj.ijo.0803069
Google Scholar | Crossref | ISI
Kodner, D. L. (2008). All together now: A conceptual exploration of integrated care. Healthcare Quarterly, 13, 6-15.
Google Scholar | Crossref
Kutcher, S., Davidson, S., Manion, I. (2009). Child and youth mental health: Integrated health care using contemporary competency-based teams. Pediatrics & Child Health, 14, 315-318.
Google Scholar | Medline | ISI
Lawrence, S., Hazlett, R., Hightower, P. (2010). Understanding and acting on the growing childhood and adolescent weight crisis: A role for social work. Health & Social Work, 35, 147-153. doi:10.1093/hsw/35.2.147
Google Scholar | Crossref | Medline | ISI
Norton, C. L., Tucker, A., Russell, K., Bettmann, J., Gass, M., Gillis, H. L., Behrens, E. (2014). Adventure therapy with youth. Journal of Experiential Education, 37, 46-59. doi:10.1177/1053825913518895
Google Scholar | SAGE Journals
O’Connell, M. E., Boat, T., Warner, K. E. (Eds.). (2009). Preventing mental, emotional, and behavioral disorders among young people: Progress and possibilities. Washington, DC: National Academies Press.
Google Scholar
Pasch, K. E., Velazquez, C. E., Cance, J., Moe, S. G., Lytle, L. A. (2012). Youth substance use and body composition: Does risk in one area predict risk in the other? Journal of Youth and Adolescence, 41, 14-26.
Google Scholar | Crossref | Medline | ISI
Peart, T., Velasco Mondragon, H. E., Rohm-Young, D., Bronner, Y., Hossain, M. B. (2011). Weight status in US youth: The role of activity, diet, and sedentary behaviors. American Journal of Health Behavior, 35, 756-764.
Google Scholar | Crossref | Medline | ISI
Quinlan, N., Kolotkin, R. L., Fuemmeler, B. F., Costanzo, P. R. (2009). Psychosocial outcomes in a weight loss camp for overweight youth. International Journal of Pediatric Obesity, 4, 134-142.
Google Scholar | Crossref | Medline
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.
Google Scholar | Crossref
Springer, K. W., Sheridan, J., Kuo, D., Carnes, M. (2007). Long-term physical and mental health consequences of childhood physical abuse: Results from a large population-based sample of men and women. Child Abuse & Neglect, 31, 517-530.
Google Scholar | Crossref | Medline | ISI
Substance Abuse and Mental Health Services Agency . (2014). SAMHSA-HRSA Center for Integrated Care Health Solutions: What is integrated care? Retrieved http://www.integration.samhsa.gov/resource/what-is-integrated-care
Google Scholar
Thompson Coon, J., Boddy, K., Stein, K., Whear, R., Barton, J., Depledge, M. H. (2011). Does participating in physical activity in outdoor natural environments have a greater effect on physical and mental wellbeing than physical activity indoors? A systematic review. Environmental Science & Technology, 45, 1761-1772.
Google Scholar | Crossref | Medline | ISI
Tiffin, P. A., Arnott, B., Moore, H. J., Summerbell, C. D. (2011). Modelling the relationship between obesity and mental health in children and adolescents: Findings from the Health Survey for England 2007. Child and Adolescent Psychiatry and Mental Health, 5, 31-41.
Google Scholar | Crossref | Medline
Tucker, A. R., Bettmann, J., Norton, C. L., Comart, C. (2015). The role of transport use in adolescent wilderness treatment: Its relationship to readiness to change and outcome. Child & Youth Care Forum, 44, 671-686. doi:10.1007/s10566-015-9301-6
Google Scholar | Crossref | ISI
Tucker, A. R., Norton, C., Itin, C., Hobson, J., Alvarez, M. A. (in press). Adventure therapy: Non-deliberative group therapy in action. Social Work with Groups
Google Scholar
Tucker, A. R., Zelov, R., Young, M. (2011). Four years along: Emerging traits of programs in the NATSAP Practice Research Network (PRN). Journal of Therapeutic Schools & Programs, 5, 10-28.
Google Scholar | Crossref
World Health Organization . (2006). BMI classifications. Retrieved from http://apps.who.int/bmi/index.jsp?introPage=intro_3.html
Google Scholar
View access options

My Account

Welcome
You do not have access to this content.



Chinese Institutions / 中国用户

Click the button below for the full-text content

请点击以下获取该全文

Institutional Access

does not have access to this content.

Purchase Content

24 hours online access to download content

Your Access Options


Purchase

JEE-article-ppv for $36.00