ABSTRACT

Adventure therapy (AT) interventions are being integrated with evidence-based treatment models for a variety of clients, including adolescents and young adults, for a wide range of presenting symptomology, including substance use disorders (SUD). Though some studies have explored longer term outcomes, little is known about the posttreatment experiences of clients. Clients from a 90-day AT treatment program were contacted approximately posttreatment and asked to assess their general well-being and current relationship with substance use. Results showed that clients were doing well evidenced by OQ-45 scores that were statistically similar at the discharge and follow-up period (t (92) = −1.693, p < .09; Cohen’s d = −.180). Clients also showed statistically significant increases in mindfulness skills. Results also showed that 70.8% of the participants indicated that they did relapse, while 29.2% indicated they did not. Of those that relapsed, 73.8% indicated the relapse was “severe,” while 26.3% believed their relapse was “not severe.” Clients reflected favorably on their treatment experience and desired more structured aftercare opportunities posttreatment. Implications for professional practice and research include the need to advance perspectives of recovery and develop aftercare support systems that can aid clients in the recovery process.

摘要

冒险疗法 (AT) 干预与基于证据的治疗模型相结合，适用于各种客户，包括青少年和年轻人，用于广泛的症状，包括物质使用障碍 (SUD)。尽管一些研究探索了长期结果，但对客户的治疗后体验知之甚少。大约在治疗后联系来自 90 天 AT 治疗计划的客户，并要求评估他们的总体健康状况和当前与物质使用的关系。结果表明，OQ-45 分数在出院和随访期间具有统计学相似性（t (92)  = −1.693，p < .09；Cohen's d= −.180)。客户在正念技能方面也表现出统计学上的显着提高。结果还显示，70.8% 的参与者表示他们确实复发了，而 29.2% 的参与者表示没有。在复发的人中，73.8%的人表示复发“严重”，而26.3%的人认为他们的复发“不严重”。客户积极评价他们的治疗体验，并希望在治疗后有更多结构化的善后护理机会。对专业实践和研究的影响包括需要推进康复的观点和开发可以在康复过程中帮助客户的善后支持系统。