Therapeutic Approach: A Case Study

Improved Essays
After leaving basecamp, I spoke with people who were in my orientation about how their first shift went. I noticed they had responsibilities in different areas than mine, and maybe used more of the methods we learned during training. I was impressed that many of them remembered terms such as restructuring and redirecting, and although I believe I used these techniques, having the terms in mind would probably help me have a mental note for different options for how to respond to students’ behavior. Understanding more about the variance in our experiences leads me to want more feedback from our field managers so that I can start to do what my peers are if these components are expected of us.

The basecamp manager calls each team at Open
…show more content…
Russell (2001) believes that theoretical basis, practice, and expected outcomes are the three core components involved.
The first implies that therapy is integrated with traditional wilderness programing ideas that help clients find their emotions, and that they were previously inaccessible because of drugs, anger, or depression. Another important component of the therapeutic approach is the use of natural consequences as a way to change behavior without the usual authority figures giving consequences. This way, the staff can step back if a client is not ready to put effort in and let the situational factors be motivators.
Continuous evaluation of progress is important to the area of practice, where healthy diets, exercise, and using survival skills help move them along. The intense social setting, with constant interaction between small groups, adds to this, by making cooperation essential for comfort. Furthermore, clients meet with a therapist throughout their time in the programs to set goals and eventually make a behavior contract for how to follow them before
…show more content…
I felt silly for not thinking to research this concept before coming to CO to take the job and figured the most useful information would be on the website, so I studied that. My understanding about this has changed and I feel excited to research further on my own and find answers to the questions I had while reading.
The fact that Open Sky staff mentioned this article during training but didn’t place more emphasis on it is also surprising to me. The section on expected outcomes speaks to how during graduation, students leave wilderness therapy knowing they are embarking on a journey that have only just begun, and this is meaningful after seeing one of my students graduate. I found him very inspirational when observing his behaviors that exhibited strong communication skills and a sense of self-efficacy, and I wondered if he had learned about the idea of starting his journey that was mentioned in the

Related Documents

  • Great Essays

    Escape From Babel Summary

    • 1276 Words
    • 6 Pages

    Although not completely conceptualized until the concluding summary in the book, the title, Escape from Babel, is a biblical reference that alludes towards a characterization of the competing doctrines in psychotherapy at the twilight of 20th Century. Within the multitude of contending theories and models, each replete with their own distinctive verbiage and techniques, Scott D. Miller, Barry L. Duncan, and Mark A. Hubble suggest that a voice of unification can be found through focusing on the common factors that emanate from under each theories penumbra. Further, the already existent and thorough research literature on effective therapeutic approaches and outcomes provide the critical ingredients to efficiently and effectively work in the…

    • 1276 Words
    • 6 Pages
    Great Essays
  • Decent Essays

    Hello everyone, my name is Rachelle Mulles and nursing is my second degree. I pursued nursing after I felt I needed to know and do more while caring for my sick grandmother. I am currently training to become a skills laboratory coordinator in a career college and would like to teach full time once I receive my Master’s degree. Evidence based practice is a systematic method of finding a solution to health care problems through the integration of the best evidence from research and patient care data in combination with patient preferences and the clinical expertise of the nurse (Melnyk, Fineout-Overholt, Stillwell & Williamson, 2009).…

    • 299 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    The Canadian Armed Forces (CAF) Road to Mental Readiness (R2MR) Program is an evidence-based mental health training and education program. It provides the military personnel with tools for dealing with stressful situations and reduces the risk of developing mental illness (Surgeon General, 2013). In 2002 an Ombudsman report had identified the poor mental health system in support of soldiers returning from combat missions like those in the former Yugoslavia, Somalia, Rwanda, and Afghanistan. The psychological cost of returning soldiers had seriously impacted the operational capability of CAF.…

    • 924 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Residents are empowered by “Guided Group Interaction” therapy to make changes in their lives, by learning from each other. This improves social skills and helps them become positive leaders of their peers. Adolescents often listen to advice from peers more than that of adults. The Guided Group Interaction therapy promotes behavior modification wherein youth challenge and change each other with the supervision and guidance of program staff members. These new skills are practiced daily.…

    • 725 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Treatment services include individual and family sessions utilizing the selected Evidence-Based Practices. Case Management is also conducted by the treatment provider, social services staff and/or the Behavioral Health Administrative Assistant, and can include referrals to other tribal programs such as Victims of Crime (VOCA), Social Services, medical/dental/optical services, education programs, transportation, residential and aftercare services. Staff also report providing customized client services such as: providing assistance with student aid application(s), community college applications and enrollments, and referrals to Computer Corps. D. Use of Evidence-Based Practices. Under the project, two Evidence-Based Practices (EBPs) have…

    • 163 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Section D: Solution Description The proposed solution in the evidence-based practice (EBP) project is the plan to overcome an identified problem. It should be reasonable and accomplishable within the time frame and the budget constraints. The evaluation of the outcomes should be quantifiable by the empirical evidence (Roberts & Yeager, 2004).…

    • 1016 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Topic and Thesis Much attention is being paid to “evidenced-based practice” (EBP) in the health services (Duncan & Reese, 2012; Glasner-Edwards & Rawson, 2010; Wells, Kristman-Valente, Peavy, & Jackson, 2013), whether it be medical or psychosocial (Pedersen, 2007). The field of substance use treatment is no exception (Advisory Council on the Misuse of Drugs [ACMD], 2013; Buck, 2011; Gold & Brady, 2003). If an individual or a funder is going to pay for a treatment, so the logic goes, then the treatment should work (Glasner-Edwards & Rawson, 2010). Considering the enduring pervasiveness of treatments that have little evidence of working (National Center on Addiction and Substance Use at Columbia University [CASA], 2012), such a concerted effort…

    • 526 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Social Therapy Case Study

    • 1251 Words
    • 6 Pages

    Introduction Ian is an eighteen year old male, referred by the Juvenile Justice system for therapeutic counseling due to his conviction as a sexual offender. As a social worker reading Ian case file, Ian’s case history starts after his mother’s death when he was five-years old. Ian’s sister and her husband moved into the family home to assist Ian’s father with his care. While in the home, Ian’s brother-n-law murdered his 18-month old daughter, Ian’s niece. Ian mistakenly confessed to the crime because he hit his niece earlier with a toy.…

    • 1251 Words
    • 6 Pages
    Improved Essays
  • Great Essays

    1. Develops a therapeutic relationship with clients Therapeutic relationship is the special connection between the nurse and client that is based on trust, empathy, respect, and professional intimacy. On the afternoon shift the certified nursing assistant (CNA) reported to me that a client did not have dinner.…

    • 2145 Words
    • 9 Pages
    Great Essays
  • Improved Essays

    However, the results might be influenced by the luck of information, time, resources or when families are not willing to participate in collaboration. The practice method appropriate for this case could be brief solution-focused therapy, which relies on seeking positive changes with individuals and families moving away from a problem focused approach. This approach was influenced by Milton Erickson and De Shazer and is oriented on minimal intervention. Research rates effectiveness of this method in treatment of groups from 65% to 82%.…

    • 844 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Dialectical Behavior Therapy: Original Design Dialectical Behavior Therapy (DBT) was first developed by Marsha Linehan for the treatment of individuals suffering from Borderline Personality Disorder (BPD) and suicidal or self-injurious behavior (Swales, 2009). In her work with these individuals, Marsha noticed that many of them were not engaged in or collaborating with a therapeutic process based on change. She hypothesized that many of these individuals did not believe they had the ability to change, so a therapeutic method based on change was not going to work.…

    • 1118 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Humanistic Theory and Therapies Schneider and Krug (2015) report that therapeutic outcome studies are finding that the therapeutic environment, the relationship, and the personal styles of the therapist and client are essential features for all therapeutic modalities. These salient therapeutic features are parallel to the central qualities of humanistic therapy, including empathy, therapeutic alliance, enhancing and deepening emotions, the self of the therapist, and the therapeutic relationship (Angus, Watson, Elliot, Schneider, & Timulak, 2015). Moreover, research is demonstrating that it is not the theories and techniques that heal, but the human dimensions of therapy, like the relationship, which promote healing (Schneider & Krug, 2015).…

    • 996 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Evidence Based Practice Evidence-based practice (EBP) is best described by Hood (2014, p. 250) as “practice based on the best available evidence that also incorporates patient values and preferences and clinician judgement and expertise”. Nurses use evidence-based practice to improve and transform healthcare, by reforming care so that is more effective, safe, and efficient. The goal of most research utilization and evidence-based practice is to improve care delivery or client outcomes. Evaluation of evidence-based practice Bennett (2009) states that there are five key steps in the evidence-based process that include: “(1) formulation of a clinical question; (2) gathering the best evidence to answer the clinical question; (3) critical…

    • 583 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The client acts as his or her own interpreter and the therapist acknowledges that the client is the “expert” of their own life, with the assumption that they are capable of identifying dysfunctional beliefs clouding their awareness. The therapist refrains from interpreting the client’s behaviours and instead, may question as to why the client believes they are certain ways (Wagner-Moore, 2004). In this approach, a client may feel more in control of their awareness in the present, as they identify their experiences and behaviours, and makes decisions about how to alter them to positively affect their wellbeing (Yontef, 2002). This approach allows for a balanced therapeutic relationship to be formed, and the client may feel less dependent on the therapist. Additionally, a great level of trust is necessary in both approaches so that clients feel comfortable in participating and opening up to the…

    • 905 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    In looking at this theoretical approach, I found through reading that it shares important features with Carl Rogers’ person-centered therapy with the emphasis on facilitating the client’s ability to cope and to solve problems, long-term positive effects, and acceptance of the client’s internal frame of reference…

    • 1612 Words
    • 6 Pages
    Improved Essays