Integrating Narrative Family Therapy in an Outdoor Behavioral Healthcare Program: A Case Study

Adolescent mental health is a significant societal concern in the United States. Diagnosable mental health disorders have been reported at rates of 10–20 % among children and adolescents and this does not include adolescents experiencing personal and interpersonal distress not meeting diagnostic criteria. Adolescents who do not respond to traditional mental health services are often placed in residential treatment centers or other out-of-home treatment programs. Outdoor Behavioral Healthcare (OBH) is growing as a viable treatment option for adolescents who struggle with emotional, behavioral or substance related problems; however, questions have been raised about how to integrate the family into an OBH treatment setting. This article describes a case study illustrating how techniques from Narrative Family Therapy can be used to accomplish this integration, and offers a view of using Narrative Family Therapy to further involve families in the treatment and post-treatment process in an OBH program

Electric dipole moments and the search for new physics

Static electric dipole moments of nondegenerate systems probe mass scales for physics beyond the Standard Model well beyond those reached directly at high energy colliders. Discrimination between different physics models, however, requires complementary searches in atomic-molecular-and-optical, nuclear and particle physics. In this report, we discuss the current status and prospects in the near future for a compelling suite of such experiments, along with developments needed in the encompassing theoretical framework.Comment: Contribution to Snowmass 2021; updated with community edits and endorsement

Body composition changes in an Outdoor Behavioral Healthcare program

This study examined the body composition changes of adolescents participating in an outdoor behavioral healthcare program. The sample was grouped by body mass index (BMI) categories of underweight, normal weight, overweight, and obese to discern the physiological changes across these categories as a result of participation. In addition, this study tested for gender differences and differences based on season of enrollment (summer vs. winter). Paired samples t tests revealed that, on average, adolescent participants moved toward healthier body compositions from intake to discharge. Specifically, underweight participants gained a significant amount of weight, predominantly composed of lean mass. Normal-weight participants stayed at approximately the same weight but gained lean mass and lost fat mass. Overweight and obese participants lost significant amounts of weight. Two-way ANOVA analyses revealed gender differences in terms of weight loss within BMI categories, yet no differences by season or between the genders across seasons were found

The impact of wilderness therapy on physical and emotional health: Utilizing an integrated approach in Outdoor Behavioral Healthcare

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

The effectiveness of Outdoor Behavioral Healthcare with struggling adolescents: A comparison group study

This study examined the longitudinal impact of Outdoor Behavioral Healthcare on youth participants as reported by their parents. This analysis fills a critical gap in past research by including a Treatment as Usual (TAU) comparison group. Findings showed that youth participants who attended an Outdoor Behavioral Healthcare treatment program were, as reported by their parents, were functioning significantly better than the TAU group one year following the program as measured by the Youth Outcome Questionnaire 2.01. Youth who remained in their communities were still at acute levels of psychosocial dysfunction during the same time span. Despite some differences between the means of the treatment and TAU groups across time between gender and groups, a regression analysis revealed age and gender not to be significant predictors of improvement. The only significant predictor was participation in the treatment group