Overview of the evidence
Generally, there is a lack of empirical evidence to support long-term treatment effects. A meta-analysis done by Lipsey and Wilson in 1998. This study ?found weak or no significant effects for Wilderness Programs? (Tarolla et al., 2002).
Similar findings were found in a study by Pommier and Witt, in 1995, where ?the effects of traditional wilderness programs dissipate rather quickly?. This study included juveniles that had committed violent offenses prior to entering the Therapeutic Wilderness Program. The study evaluated the effectiveness of the addition of family training to the Outward Bound School (the Therapeutic Wilderness Program). Treatment groups were found to have an improved self-concept and family functioning, but after three months, there was a significant decline (Tarolla et al., 2002).
Deschenes and Greenwood?s studied the Nokomis Program. This program was a combination of a residential and an ?outdoor challenge?. The overall program lasted one year, which consisted of three months of residence and outdoor challenge, plus nine months of intensive community aftercare. The statistics are as follows; only 40% completed the twelve-month program, as compared to the traditional placement completion rate. Also, there were a great number of program participants that were referred to more traditional placements. The evaluation found that after two years, the two groups, traditional resident placement and Nokomis group displayed similar rates of drug abuse and criminal behaviors (Deschnes & Greenwood, 1998).
In conclusion, Therapeutic Wilderness Programs are not an effective treatment for conduct disordered youths. These types of programs lack emperical evidence to support both stable and long term treatment effects.
References
Deschenes, E.P.; Greenwood, P.W. (1998). Alternative Placements for Juvenile Offenders:
Results from the Evaluation of the Nokomis Challenge Program. Journal of Research in
Crime and Delinquency, 35(3), 267-294.
Romi, S.; Kohan, E. (2004). Wilderness Programs; Principles, Possibilites and Opportunities of
Intervention with Dropout Adolesents. Child & Youth Care Forum, 33(2), 115-136.
Shamsie, J. (2001). Conduct Disorder: A Challenge to Child Psychiatry. The Canadian Journal
of Psychiatry, 7, 593-594.
Tarolla, S.M.; Wagner, E.F.; Rabinowitz, J.; Tubman, J.G. (2002). Understanding and Treating
Juvenile Offenders: A Review of Current Knowledge and Future Directions. Aggression
and Violent Behavior, 7, 125-143.
Wilson, S.J.; Lipsey, M.W. (2000). Wilderness Challenge Programs for Delinquent Youth: A
Meta-analysis of Outcome Evaluations. Evaluation and Program Planning, 23, 1-12.