Author Topic: Wilderness program effectiveness  (Read 14348 times)

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Offline Anonymous

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Wilderness program effectiveness
« Reply #75 on: June 09, 2006, 04:34:00 PM »
And the name of this was...?

Because it's starting to sound more and more like summer camp than anything we'd refer to as a program.

If there really is a wilderness program that doesn't do the bullshit, fucking NAME IT.
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Offline Anonymous

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« Reply #76 on: June 09, 2006, 04:40:00 PM »
Quote
On 2006-06-09 11:43:00, Dysfunction Junction wrote:

"I will continue to refer to programs the way I do until I see evidence that there are indeed good ones.  I've never seen one and never heard of one, so it is absolute to me in that sense.
"


Unsurprising.  Your words in another thread asserted wilderness programs were harmful, and that was a proven fact.  You said such proof was available, yet posts here don't show any such proof.  Yes, one post did have a credible assessment of one program with outcomes worse than a like group treated differently (but also not provided follow-up that was to be part of the deal).  The same report had another program with positive outcomes.  The positive outcomes even in that report would seem to say that at least some wilderness programs are effective.

You've not given any of your so-called incontrovertable proof that wilderness programs are inherently harmful  You've not responded to the references, including links to evidence of positive effects.

That you've never seen one and never heard of one shows only that your eyes and ears, or is it mind, is closed.  So I imagine you will continue the same.
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Offline Anonymous

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« Reply #77 on: June 09, 2006, 04:46:00 PM »
Quote
On 2006-06-09 12:03:00, Dysfunction Junction wrote:

"It's not really a feeling, it's empiricism.  



I've yet to see any benefit to residential placement for anybody other than severely mentally ill and violent/suicidal clients.



Patients who aren't severely disturbed and suicidal/violent are best served in the community and all the research I've ever studied bears this out.  



Also, all treatment must take place in the least restrictive environment possible - this is a basic tenet of psychological treatment.  Programs, by definition, are not the least restrictive environment and also employ ineffective and damaging techniques.




"


A pity that you have focused on the LEAST RESTRICTIVE environment and not on the POSSIBLE.  If treatment in the least restrictive environment is not effective, then moving to a more restrictive one is often in order, and often works.  The same rules and same principal apply under the federal laws on special education, and the goal is all kids in regular classrooms, but they still have special ed classes, and even special ed schools.  You need something that WORKS, not just something least restrictive.

And, what do you do if "the community" doesn't have the resources needed for an individual?
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Offline Anonymous

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Wilderness program effectiveness
« Reply #78 on: June 09, 2006, 05:52:00 PM »
Quote
On 2006-06-09 13:46:00, Anonymous wrote:

"
Quote

On 2006-06-09 12:03:00, Dysfunction Junction wrote:


"It's not really a feeling, it's empiricism.  





I've yet to see any benefit to residential placement for anybody other than severely mentally ill and violent/suicidal clients.





Patients who aren't severely disturbed and suicidal/violent are best served in the community and all the research I've ever studied bears this out.  





Also, all treatment must take place in the least restrictive environment possible - this is a basic tenet of psychological treatment.  Programs, by definition, are not the least restrictive environment and also employ ineffective and damaging techniques.







"




A pity that you have focused on the LEAST RESTRICTIVE environment and not on the POSSIBLE.  If treatment in the least restrictive environment is not effective, then moving to a more restrictive one is often in order, and often works.  The same rules and same principal apply under the federal laws on special education, and the goal is all kids in regular classrooms, but they still have special ed classes, and even special ed schools.  You need something that WORKS, not just something least restrictive.



And, what do you do if "the community" doesn't have the resources needed for an individual?"


What evidence do you have that the more restrictive one often works besides parent testimonials? In fact the do nothing option with conduct disorder, which is a considerably worse prognosis than ODD has more successsful outcomes than residential treatment. Are you interested in the best odds?
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Offline Troll Control

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« Reply #79 on: June 09, 2006, 06:01:00 PM »
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A pity that you have focused on the LEAST RESTRICTIVE environment and not on the POSSIBLE. If treatment in the least restrictive environment is not effective, then moving to a more restrictive one is often in order, and often works. The same rules and same principal apply under the federal laws on special education, and the goal is all kids in regular classrooms, but they still have special ed classes, and even special ed schools. You need something that WORKS, not just something least restrictive.

OK, I can see you're not grasping the principle of the statement or you would agree with me.  Treatment must always be delivered in the least restrictive environment.  That is a basic fact of psychology.

The thing that you really missed is that it is the very job of the therapist to treat in the least restrictive environment which ranges from being on one's own to being locked involuntarily in a psychiatric ward.  You missed that entirely.  If a lockdown is the the least restrictive environment possible for a particular patient, then so be it.

It's your judgement about what the least restrictive environment is that is troubling.

The problem is that the kids that are forced involuntarily into these programs are not being treated correctly, nor is the treatment likely to work at all.  People can't be forced into treatment.  Treatment doesn't work unless it's voluntary.

So, you missed the argument entirely.

Quote
And, what do you do if "the community" doesn't have the resources needed for an individual?


I can almost guarantee you that if you can afford a program you can find quality, appropriate care within easy driving distance from wherever you live.  This concept is a non-starter entirely.  For what programs cost you can have the best and most reputable care - delivered.

_________________
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-Arnold Schopenhauer[ This Message was edited by: Dysfunction Junction on 2006-06-09 15:33 ]
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Offline Troll Control

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« Reply #80 on: June 09, 2006, 06:20:00 PM »
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You've not given any of your so-called incontrovertable proof that wilderness programs are inherently harmful You've not responded to the references, including links to evidence of positive effects.


You'll have to quote what you think I need to explain and I'll do it for you.  If you say that I said something you should at least provide the quote so I know what you're talking about.

I have not seen a single credible study of the so-called "wilderness therapy" programs' effectiveness.  Show me something tangible and I'll review it.  I'm not interested in shill pieces and industry literature - I already know better than that type of nonsense.  I've seen and studied the approach and I can't find any measurable benefit whatsover, but I can see a lot of serious problems.  I've also seen quite a few young adults with serious problems caused by this type of "help."

It is inherently harmful to place a child in a program unwillingly by coercion or force.  It is inherently harmful to make them stay by the same means.

I'm a rational human being.  I connect the dots - there's a clear pattern.  I have no idea in the world why this infuriates some people so badly.
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Offline Anonymous

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« Reply #81 on: June 09, 2006, 06:33:00 PM »
What makes a WWASP salesperson think they're qualified to determine what a Least Restrictive Environment is?  They NEVER suggest going home and trying something else.  They have little or no education or experience working with teens in effective settings.  

I would think that a good program would insist that parents implement at least three or four parenting strategies, giving each one at least a month to see if it might work, and then have parents work at home with a therapist before they dare imply that their jails are the "least restrictive environment".  You can't possibly spin a law intended to protect children as having anything to do with the child torture that occurs at WWASP.
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Offline Oz girl

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« Reply #82 on: June 09, 2006, 07:33:00 PM »
Quote
On 2006-06-09 07:32:00, TheWho wrote:

"
Quote

On 2006-06-09 07:21:00, Pls help wrote:


"I think that the great shame of it all is that the idea of Wilderness camps or outward bound programmes for older kids and teenagers is a good one in theory. It could do great things for kids and not just troubled kids.





When i was a recent uni grad (2000) I did the year off to do the back pack thing and worked in one of your American summer camps. Aside from the odd bout of home sickness the kids seemed to have a great time & be forever engaged in some kind of fun activity. They were too busy to get in trouble & the staff were mostly enthusiastic & idealistic 20 somethings who liked kids or wanted to see the world or both. The approach was about giving them a good time not punishment & it was a tradition that I always thought had a positive impact on kids.





With strict regulation & state govts to took duty of care laws seriously, & a culture which is not about being punitive but encouraging teenagers to try new things and push themselves this could be a really positive industry. What is so tragic is that most of the websites advertising these programmes (even the ones that look quite professional and safe) seem to talk about changing the way kids behave and think and in most cases this seems to involve the idea that kids are bad an so deserve to be stripped of all that they enjoy and then when they conform they can "earn" these rights back. Why emphasise a culture of treating kids as if they are irredeemable criminals when they are just young and bored and trying to figure out who they are and what they want out of life.





Why has no one just made Wilderness programmes about giving teenagers and their parents a break from each other & the stresses that are trying everybodies patience & encouraging the kids to have some fun & learn some new skills?














"




Good point ?Pls Help?.  I think many of the wilderness programs are just that, hiking in the woods and staying out of trouble with counselors who like kids.  But they are marketing to parents who are also looking to remove their kids from an unpleasant environment and get them back on track .  Many kids have a really good experience.  Like I have heard here many times ?Same place different packaging?"

This is just my point though. I have only just started to research this industry and i am sure that not every programme is designed to fail kids, but even the reputable looking ones place an emphasis on changing the kid and making the kid compliant. If a kid has a sever problem which requies clinical treatment i am flummoxed as to what a walk in the woods could do to help, but if your kid is just being adolescent & driving everone nuts in the process, there is no point in trying to change them. Sending them away for a few weeks in theory may just help everyone decompress though if it is not about the "troubled" label. But this is it. Wilderness programmes seem to push the idea that your kid is troubled or struggling.
Aaron Bacon's mother, for example, thought she was just sending him to get some exercise, talk things out with a caring adult & think things through. Because the industry markets the idea that your kid is bad & at risk of doing something criminal she sent him by escort ( i realise that the boy was experiencing some isues). How haunting must it have been for that poor woman to realise the last moments between her and her son were angry and negative. I am not suggesting that every progamme is abusive but they push the idea that your kid has something wrong with them instead of bringing out the best in the kid.
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Offline TheWho

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« Reply #83 on: June 10, 2006, 11:21:00 AM »
Quote
Dysfunction Junction Wrote:  OK, I can see you're not grasping the principle of the statement or you would agree with me. Treatment must always be delivered in the least restrictive environment. That is a basic fact of psychology.

The thing that you really missed is that it is the very job of the therapist to treat in the least restrictive environment which ranges from being on one's own to being locked involuntarily in a psychiatric ward. You missed that entirely. If a lockdown is the the least restrictive environment possible for a particular patient, then so be it.
I would like to jump in here if I may.
So continuing along the same line of thinking it seems you agree that ?Least restrictive? is a relative term depending on the individual.  Some respond on ones own while others require involuntary residency in a psychiatric ward.  You do not personally advocate placing a child in a TBS/wilderness, I know, but this does fall under the definition of ?Least restrictive?  if previous environments ?Less restrictive?  were found to be ineffective.

Quote
The problem is that the kids that are forced involuntarily into these programs are not being treated correctly, nor is the treatment likely to work at all. People can't be forced into treatment. Treatment doesn't work unless it's voluntary.

Again, I think, we need to define ?Forced?.  If a child is given an option to get on the school bus in the morning or stay home and play video games then which ever he choose would be considered voluntary.  If his mother said get dressed you are going to school.  This would be considered involuntary.  He may be forced to go, but most kids eventually accept their course and learning does take place.

I think your argument would hold up if we found these kids to be in a constant high level of distress and just wanting to run away, but this just isn?t true.  Many of the kids (not all) adjust well to being away from their old environment, feel safe and respond very well to therapy (if they are receiving any).


Quote
I can almost guarantee you that if you can afford a program you can find quality, appropriate care within easy driving distance from wherever you live. This concept is a non-starter entirely. For what programs cost you can have the best and most reputable care - delivered.


I think most parents try these options prior to choosing a TBS or wilderness, again starting with the least restrictive, a very small percentage fail to respond at the lesser restrictive levels and need residential treatment.

So just to recap, your arguments may apply to some situations/children but many of these schools/wilderness programs provide a safe, unrestrictive environment where they can grow and mature naturally.
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Offline TheWho

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« Reply #84 on: June 10, 2006, 11:41:00 AM »
Quote
Dysfunction Junction wrote:
I have not seen a single credible study of the so-called "wilderness therapy" programs' effectiveness.


Nor a credible one that states they are ineffective.  This is why it is important to review the statistics and success stories available.  We cannot discount the kids lives that have been positively impacted and were placed on the right course due to these programs and schools.

Its important for parents to see that these are very viable options for some kids and they do work very well.  Parents don?t need to just give up on their kids if local therapy/ counseling doesn?t take hold, these may be expensive decisions but the payoff can be enormous if the right school/programs is identified, but one needs to do their homework first, it is a big step and a commitment for your whole family.
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Offline Anonymous

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« Reply #85 on: June 10, 2006, 01:00:00 PM »
"Nor a credible one that states they are ineffective."

DEPARTMENT OF JUSTICE, LINKED TO RIGHT HERE ON THIS THREAD.

Your desperation is showing, Who.
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Offline TheWho

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« Reply #86 on: June 10, 2006, 01:14:00 PM »
Quote
On 2006-06-10 10:00:00, Anonymous wrote:

""Nor a credible one that states they are ineffective."



DEPARTMENT OF JUSTICE, LINKED TO RIGHT HERE ON THIS THREAD.



Your desperation is showing, Who."


Showing they are ineffective or ran out of deodorant?  I dont think they mentioned effectiveness; you might want to read it again.

What is it that I am so desperate to do?
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Offline Anonymous

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« Reply #87 on: June 10, 2006, 01:33:00 PM »
Right here, idiot.

You're so desperate to justify yourself that you don't even care about the evidence. You make up any kind of nonsense you can in order to hope to shove your bullshit down parents' throats. I got news for you Who- sane parents take one look at the horror stories on this site and they do the very logical action of running like fuck. Meanwhile you desperately try to convince yourself you did the right thing.

Your justfications are meaningless. You're still a failure as a parent, and you will die alone and unloved in a dilapidated nursing home.
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Offline TheWho

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« Reply #88 on: June 10, 2006, 02:09:00 PM »
Quote
You're so desperate to justify yourself that you don't even care about the evidence.

Okay calm down,  here is a summary quote from your article:

While the results appear positive, as noted on the table the research methodology makes it impossible to draw conclusions regarding the program's effectiveness

The reports are 10 ? 30 years old and not one addressed any of the wilderness programs like SUWS.  If you assume programs (businesses in general) grow and evolve over time, the scales are probably heavily in favor of the kids being successful.  It would be nice to see a more recent report.  But like I indicated earlier, we need to go by the data we have and the experiences of those that have been thru it.

Quote
You make up any kind of nonsense you can in order to hope to shove your bullshit down parents' throats. I got news for you Who- sane parents take one look at the horror stories on this site and they do the very logical action of running like fuck.

Hmmm? okay so if this is true, why are you so upset went I post my experiences.

Quote
Meanwhile you desperately try to convince yourself you did the right thing.
Your justfications are meaningless.

If my desperation is so obvious, this should make you happy.

 
Quote
You're still a failure as a parent, and you will die alone and unloved in a dilapidated nursing home.


Julie !!!  your back, thanks for making this so personal, I recognize your deep seated hatred of any parent who cares for their kids more than you do, how is your book coming along?

ps, If you are not Julie, you guys would get along well
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Offline AtomicAnt

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« Reply #89 on: June 10, 2006, 03:02:00 PM »
I have to give you credit, Who, no other poster can twist and spin and piss me off like you can. You could land a job in any oppressive government's propaganda department (or even our own government, for that matter) with ease. You should be in advertising.

In the reputable field of psychiatry, forced incarceration is reserved only for dangerous mental patients with a real, diagnosed, mental illness. It often requires a court order to enforce an involuntary commitment. It often requires periodic court hearings to keep them there. I know this. My ex-wife is a board-certified psychiatrist. She has worked in both State Hospitals and in prisons. There are some very seriously, disturbed and ill people in the world that require this kind of protection and treatment. I showed her your post about comparing putting kids onto a school bus with forced therapy. She has also worked with addicted teens in NYC. Her response was, "That is so wrong on so many levels that I won't even bother to address it." She went on to say that the only time a teenager would need a forced residential program would be if the kid were a hard core, living on the street, heroin addict. At that point she said what all you programmies say; "It's a last resort." She also said, "It almost never works."

My ex-wife is a very direct person. To your statement, "Many of the kids (not all) adjust well to being away from their old environment, feel safe and respond very well to therapy." She simply said, "Like he would know."

So I went on to mention we were discussing efficacy and studies on efficacy and she broke in, "I thought you were smarter than that." I asked her what she meant. She said, "You can't study the efficacy of a program like that. It isn't possible." "Why?" I asked. "Because you can't compare apples to oranges. You can't toss a bunch of random kids into the wilderness and then measure to see who gets arrested and who does not after the fact, then draw any kind of meaningful conclusions. That is why you can't find any good studies on this, they would never pass scrutiny, so you won't find them in the Journal of Medicine. It violates sound scientific practice."

She used an analogy where every patient who goes to a doctor is prescribed the same medicine regardless of what their complaint is. Then you measure to see whose symptoms were relieved. Some patients may have recovered from their illness on their own over time, for some it might randomly have been the right medicine and helped. Others might die. Any way you look at it, the doctor is irresponsible and there is no way to determine what the medicine does, or if it does anything at all.

"What about testimonials?" I asked. She said, "You could just watch infomercials where lots of people will praise some scam or other. We don't listen to them either, do we?"
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