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Some programs report having no licensed mental health professionals on staff. [42] Some have argued that it is unethical for programs serving “high-risk” youth to deliver therapeutic services using less than professionally trained and credentialed mental health staff. [41]
A meta-analysis of 26 studies of psychological intervention programs for youth at risk which used a version of the Youth Outcomes Questionnaire found very large positive effect sizes for wilderness-based programs according to observers (g = 1.38), which was larger than the changes according to observers for non-wilderness programs (g = 0.74
The National Association of Therapeutic Schools and Programs (NATSAP) is a United States trade organization of therapeutic schools, residential treatment programs, wilderness programs, outdoor therapeutic programs, young adult programs, and home-based residential programs for adolescents and young adults with emotional and behavioral difficulties.
The troubled teen industry has a precursor in the drug rehabilitation program called Synanon, founded in 1958 by Charles Dederich. [11] By the late 1970s, Synanon had developed into a cult and adopted a resolution proclaiming the Synanon Religion, with Dederich as the highest spiritual authority, allowing the organization to qualify as tax-exempt under US law.
The Anneewakee Treatment Center was a Douglasville, Georgia, United States, based adolescent treatment center which changed name to the New Annewakee, Inner Harbour Hospital and now Inner Harbour, Ltd (DBA) Inner Harbour for Children and Families, after a major lawsuit by 110 former "patients" for $432M in 1990, represented by attorneys B. Randall Blackwood and Patricia Edelkind.
The ACWM version of the AWLS course has been recognized for its innovative use of high-technology medical simulation, using state of the art simulation mannequins in wilderness scenarios, [6] as well as its role in attracting healthcare professionals into the nascent profession of wilderness medicine. [7]
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Ramah Rockies opened in 2010 and is the first Ramah specialty camp, focusing its program on outdoors and environmental education, with a base camp covering 360 acres at 8,000 ft. elevation. In January 2018, BaMidbar Wilderness Therapy launched their 40-day-wilderness program for adults struggling with mental health. [22]