In my experience shrinks are no better than programs. Programs like to market using very new-agey type of language, talking about the "healing properties of nature" and other bullshit like that. Sure, go sleep out in your backyard in the dirt and eat a can of beans, see how healing that is parents. The staff a lot of times will have fake names like "flower" or "butterfly" to enhance this natural aura they wish to present themselves in. It's laughable really, but parents fall for it hook line and sinker. "I would go if I didn't have to work! " they might say even. Well, they don't really understand the reality and our imaginations tend to imagine the good possibilities rather than the evil ones. Back to my point though, many programs seem to prefer to operate in the non-medical realm. They are not like medical psychiatric wards which take a different approach to "changing" the thinking of a "troubled" teen.
In a wilderness program, they use harsh physical means to enact change. In other words, they keep you so uncomfortable and miserable, you will say just about anything to regain your standard of living that you were brought up your entire life to be accustomed to. I wouldn't take this approach with a dog, let alone a human being, these people really are insane that pursue these theories but that's for another thread.
Shrinks on the other hand have a different theory. They think a kid acting "bad" is the result of a "chemical imbalance" in the brain. So they give you all sorts of experimental medication. They have no idea what exactly it's doing to your brain. They will just give you a bunch of different meds until you act different. It's still a program but just a different means of achieving the "change" in the mindset of the kid.
The sad part is they can convince people that they are "broken" and in need of their fixing, but most of their medicines are very harmful, and very expensive. They make a lot of money and live a good life off convincing other people they are in need of changing their brain chemicals. Also, some shrinks do refer to programs, I know that for a fact.