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Kostas Zolotas Thesis Mind Map, Todo, Methodology, Todo, The Gentle Thesis…
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Todo
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Harper et al 2021
Definition for WT
"Russell (2001) described WT as a range of therapeutic interventions utilizing remote tracts of land in which outdoor living and self-propelled travel are the primary day-to-day activities for groups of adolescents, along with individual and group therapy practices"
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Scott & Duerson 2010
OBHIC research done by single organization, with one principal investigator
Becker 2010
Issues w/ WT itself
Consent, confidentiality, professional boundaires
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Tucker 2015, 2018
In defence of transport use
- 65% involuntarily transported
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Gass et al 2019
"there is no doubt outcome studies have provided a robust and growing evidencebase for OBH (Gass et al., 2019)", from Dobud 2021
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Todo
Harper et al 2021
Definition for WT
"Russell (2001) described WT as a range of therapeutic interventions utilizing remote tracts of land in which outdoor living and self-propelled travel are the primary day-to-day activities for groups of adolescents, along with individual and group therapy practices"
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In a study attempting to define wt, Russel (2001) found that WT is a therapeutic practice that includes elements of outdoor environments, adventure activities, living in nature
Becker 2010
Another definition:
wilderness therapy broadly refers to various interventions that focus on using nature and the wilderness as a prominent aspect of treatment.
describes OBH as the “the prescriptive use of wilderness experiences by licensed mental health professionals to meet the therapeutic needs of clients” (Gass et al., 2014, p. 1)" From Demille et al 2018
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Gass 2017
YOQ done only after transport, not before. Therefore transport is in the measure, not a baseline before leaving home.
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Say OBH is US, WT is Canada & elsewhere.
The Gentle Thesis
Rationale
Rapid expansion of WT
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OBH "is growing as an innovative and growing therapeutic intervention for adolescents struggling with emotional, behavioral, relational, and substance use disorders (Norton et al., 2014)." as found in DeMille et al 2018
More research done in the not-for-profit WT organizations, in Canada, with youth that are voluntarily in treatment.
"Adolescents are often coerced into therapeutic interventions, and because international wilderness therapy practice is more diverse than OBH in the United States, an increase in international research on adolescent experiences in outdoor therapies is implicated to improve the ethics of service delivery." Dobud
2021
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Statement of purpose
I want to contribute to the literature regarding WT in Canada, and provide useful information to PRI to improve their assessment and treatment services.
Guiding Questions
What are the changes in participant’s Trait-Emotional Intelligence and presenting problems after six to eight weeks of wilderness therapy?
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How about
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Differences
Transport/consent
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Becker 2010
Issues w/ WT itself
Consent, confidentiality, professional boundaires
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Tucker 2015, 2018
In defence of transport use
- 65% involuntarily transported
Found no differences, However, Harper et al 2001 found otherwise
"Tucker and colleagues’ (2015, 2018) use of the transport question was an insufficient measure of clinical or practical significance in OBH treatment."
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As industry
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Russel et al 2008
$300,000,000 million dollar industry
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US
US research boo
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Aftercare
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Harper et al 2021
The overall proportions of youth who return home are remarkably low (from as low as 2% to a high of 42% and 21.1% on average)
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US research wow
Gass et al 2019
"there is no doubt outcome studies have provided a robust and growing evidencebase for OBH (Gass et al., 2019)", from Dobud 2021
94% completion rate, without taking into consideration they're not allowed to discharge themselves
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Gillis et al 2016
Not yet added, but is a meta-analysis of YOQ. Possibly worth adding
Randoms
Get rid of "WT on the rise", or research for source
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Subquestion A: About the literature, to inform
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