Posted by Katelyn BeVard, Program Director at Entrada on October 16, 2017 | 0 comment(s)
It's a Wednesday afternoon and I'm already late to our weekly yoga class. Much like other people, I have tried to fit too many things into a short amount of time. After hosting a staff breakfast at my house I had decided to schedule a pest control appointment during a 10 minute window, I only sort of had, before I needed to head to yoga. You can imagine my added stress and frustration when the employee arrived late to my house. I hustled him as quickly as I could and rushed over to participate in yoga. We provide this class for our employees every Wednesday as an opportunity for them to engage in their own practice of health and wellness and bring that back into the field. After struggling to find where I needed to be, I wandered into class late and was warmly welcomed by our Health and Wellness Coordinator, Elise Mitchell, who has a phenomenal ability to incorporate inconveniences and distractions into her yoga and mindfulness classes.
Last week I received another call from a law office looking for background information about Evoke’s Wilderness Therapy Program. She let me know her client, a previous parent of our program, was bringing a suit against their family’s insurance company. As I got off the phone I noted this case would make 7 current cases I’m aware of just this year, and 3 more already settled in favor of the families. Wilderness Therapy is making significant headway in getting families insurance coverage.
Posted by Ellyn Zografi, MS, LMFT, Therapist at Entrada on September 27, 2017 | 0 comment(s)
Perspective from the Frontcountry
Several weeks ago I began a new job as a Wilderness Therapist at Evoke. Previous to my start date, I had been working as a psychotherapist in Madison, Wisconsin, working with individuals, couples, and families; all with issues and challenges not unlike the ones that present with clients coming to wilderness programs. How I came to Evoke and wilderness therapy is a story in itself, and relates directly to the amazing process wilderness therapy provides for hundreds of adolescents and young adults attending these programs year after year, with, from what I read in the research, high levels of success.
Posted by Oriana Korol, Field Instructor, Evoke Cascades on September 18, 2017 | 1 comment(s)
Last summer, I found a low nest in the tree near staff packs. Glancing around to make sure everyone was okay, that no one needed me, I slowly, quietly, pulled the branch down to peek inside. Momma, or daddy bird, jumped and chirped nearby, anxious. My curiosity overcame my hesitation. Inside, three tiny, alien-looking creatures, smaller than my pinky toe raised yellow yawning mouths, begging for food. Scattered fuzz, more like a boy’s first facial hair than like feathers, covered pink wrinkled skin. They were more fetuses than bird. I returned the branch to its natural resting place. I didn’t want to risk scaring off the parents. These chicks would not survive.
At the time I was working in group 1, one of our adolescent boys’ groups, as a lead field guide. I wasn’t sure whether showing them the nest was a good idea. Members of the group were there to work on emotional literacy, social interaction, and boundaries. I wasn’t sure what kind of reaction they would have to the vulnerable life forms in the nest, but my desire to share the perhaps once-in-a-lifetime sight overtook my hesitation.
We instinctively hushed and moved slowly. Anxiety washed over me as the member of the group who struggled most with boundaries and respect cried out sharply, “Let me look!” But even he was able to pull the branch down, peer in and not let his curiosity, his impulsivity or his desire for power and control cause any damage to the baby birds. In that brief moment, we became stewards of the Ochocos, protectors of the thrushes and sparrows and bluebirds.
Wildness surrounds us: coyotes sing us to sleep, flickers alarm about a passing hawk, ravens call and chat. One morning, I awoke to the piercing cries of elk. Out of sight but close enough to hear the distinct textures of sound, two bull elk crashed into one another; cows cried out. I snuggled into my sleeping bag (wig); the sun already splayed across my face.
Our society often associates wildness with freedom, unpredictability, or acting “uncivilized.” Working in the ebb and flow of life and death, weather and seasons, though, I have witnessed an order in the wildness. I feel a storm brewing at times days in advance. We put on rain gear and string up the large tarp. If I’m looking where I’m walking, a wasp nest is easily spotted and avoided. We hang our food at night and sleep away from camp. Of course, if these precautions are not followed, there are natural consequences: Mice chew through spoons and ziplock bags. Improper layering results in cold bodies, cold feet. We only let these natural consequences play out when not dangerous. When they can happen, though, they are the most powerful teachers.
Two months after finding the birds nest with G1, I found another nest at a different staff tree. Something swung from a low branch. It drew me closer. A ball of feathers was still attached to an abandoned nest. What could have caused this? I looked into the ball of feathers, and there in the mess of old feathers and dried up grass were two small bird skulls. I jumped back. The baby bird skeletons continued to swing unceremoniously.
Posted by John Tobias, MS, ACMHC, Therapist at Entrada on August 03, 2017 | 0 comment(s)
Without fail, my clients come to me having lost traction in the world. They are locked into patterns of behavioral stagnation (i.e., narrowed or limited behavioral repertoires), wherein they’ve become disconnected from what they want most in life, aside from relief from psychological pain. The reason most often given to explain this stagnation and paralysis is that they just don’t “feel” like they can move effectively in the world; their feelings of depression and/or anxiety dictate their behavior (or lack thereof). The implicit agreement they’ve made with themselves and the world is that they have to “feel” a certain way before they can act a certain way. “Once my depression/anxiety goes away, then I can live the life I want,” is the underlying agreement or assumption. It becomes an “if only…, then…” situation.“If only my depression would get better, then I could live the life that I want.” I’m reminded that my Zen teacher, Daniel Doen Silberberg, would often talk about this “If only…, then…” approach to the world. He would say, “We live our lives this way: ‘If only… If only… If only… If only….’ Dead.” Doen was referring to our relationships to both our external worlds (e.g., “If only I could have that house or car I want, then my life would be better.”) and our internal worlds (e.g., “If only I could make my depression go away, then I could live the life that I want.”), but it’s particularly poignant and pertinent when considering the impasse that many of my clients have come to in their young lives. Again, the implicit agreement they’ve made is “If only my bad feelings would go away, then I could live the life that I want.” It’s as though they’re waiting for the world-- someone or something--to come along and change their feelings so that they can begin living the lives they want. From this position, until their feelings change, they are doomed to lives of inertia and behavioral stagnation. The absence of “good” feelings (or the “right” feelings) becomes the reason for their paralysis.
Posted by Michael Griffin, LPC, CADC III, Therapist at Cascades on July 27, 2017 | 3 comment(s)
One of the most challenging aspects of my job is helping family members understand what it means to do their work. When working with chemical dependency/addiction, the problem is most often pretty clear. Typically, addicts have a slew of consequences and easily observable patterns. The problem is tangible. When it comes to co-addiction, co-dependency, parental anxiety, etc., the problem becomes much more difficult to define. During my first phone call with families of Evoke clients I will say, “The more you treat this as if it is YOUR treatment, the better off this goes. The best thing you can do to help your son is to do your own work.” A common response to this point, “Wait… What? My treatment!? I’m not the one with the problem!”
Posted by Mayer Jeppson, Ph.D., Therapist at Entrada on July 14, 2017 | 0 comment(s)
In an effort to meet clients with compassion and understanding, the mental health industry has made a shift and replaced the often negatively referred to term, Failure-to-Launch, with a more empathetic term, Emerging Adulthood.
Posted by Lauren Roberts, LPC, Therapist at Cascades on June 28, 2017 | 2 comment(s)
In 2003, I became a field instructor at Entrada. I could not have predicted that I would spend the next decade living in Southern Utah and working at the same company, first as an assistant therapist and then as a primary therapist. The truth is that I fell in love with the work and the company. On a weekly basis I had the honor of witnessing profound transformations for young people who initially showed up feeling angry, sad, depressed, anxious, hopeless and the list goes on. I had the privilege of sitting under the stars by a warm fire listening to people courageously tell their story and start to find healing. It often did not feel like work.
Posted by Ken Gilbert, Clinical Assistant at Cascades on June 12, 2017 | 1 comment(s)
As a Clinical Assistant for Michael Griffin in Group 3 at Evoke Cascades, I work primarily with young adult males with substance abuse and addiction issues through a 12-step lens.
Posted by Ariel Ford, Assistant Field Director at Entrada on June 07, 2017 | 1 comment(s)
Burnout! For employees, this is a hot topic in the Wilderness Therapy Industry. Although it is ever prevalent, it is often not given the attention it deserves. I was given the opportunity to address this topic head on at the 2017 OBH Regional Wilderness Symposium, in Asheville, NC, in April. This gathering allows an array of clinicians and other professionals to come together to share research, insights, and explore ideas for improvements industry wide.
The intention for the presentation was to provide an inclusive definition of burnout from both the field staff and management perspective, discuss signs and symptoms, as well as address tangible and intangible methods of employee support leading to staff longevity.
As former field instructors, it was important to myself and my co-presenters to address longevity, due to its prevalence, and the taboo that accompanies discussing the struggles that come with this line of work. So, out of support for our wilderness community, rose the topic of Burnout.
This topic hit close to home, as it was something I personally struggled with toward the end of my time as a field instructor, and more importantly, I struggled to understand the underlying causes. This added to my excitement for the opportunity to present, with my colleagues Mike and Katelyn, qualitative research on the topic gathered from current staff and exit interviews.
We opened with short filmed interview sessions of current field instructors that were asked to elaborate on their experiences in the industry and pinpoint the contributing factors to their feeling recharged or drained from time in the field. The definition of burnout; exhaustion of physical or emotional strength, or motivation usually as a result of prolonged stress of frustration, aligned closely with the responses from the field staff.
Themes that came from the interviews included, community and support, self-care, boundaries, feedback, and transparency. These themes were placed into two categories, Signs and Symptoms, and Hazards. The themes were re-framed as signs and symptoms to aid the prevention of burnout. Hazards, to identify the importance in being proactive with prevention.
Signs and Symptoms
If field staff are feeling “stuck”, "burnout”, or a lack of motivation to meet work related goals, and those feelings (and emotions) go unaddressed, it is likely that the feedback provided on performance evaluations will reflect this in the field.
Boundaries. Given the nature of the investment it takes to work in the therapeutic industry it is important for field staff to be able to work through their own struggles separately from work, as well as be able to hold firm boundaries with participants in the program. Fluctuation in an instructor’s ability to perform this task can be a sign of burnout. This can be measured through recorded feedback on evaluations and conversations with instructors regarding their practices in the field. How much vacation are staff taking? This may look different for each instructor, and a deficiency in personal time or excess in vacation requests can be a sign that an employee may have feelings of burnout. When employees are feeling burned out, who are they talking to? As part of feeling supported, field staff mentioned that being able to talk to their supervisors openly and honestly about their feelings of exhaustion, is helpful to their rejuvenation.
Community was mentioned in multiple interview responses. With the amount of time that field staff spend working together, it is almost inevitable that they form a close-knit community and use that as a resource for support. Each individual experience with the community will be different, and what has shown to be helpful in identifying a person’s struggle is a significant change in their interaction with their community, a change in their baseline.
It's a Wednesday afternoon and I'm already late to our weekly yoga class. Much like other people, I have tried to fit too many things into a short amount of time. After hosting a staff breakfast at my house I had decided to schedule a pest control appointment during a 10 minute window, I only sort of had, before I needed to head to yoga. You can imagine my added stress and frustration when the employee arrived late to my house. I hustled him as quickly as I could and rushed over to participate in yoga. We provide this class for our employees every Wednesday as an opportunity for them to engage in their own practice of health and wellness and bring that back into the field. After struggling to find where I needed to be, I wandered into class late and was warmly welcomed by our Health and Wellness Coordinator, Elise Mitchell, who has a phenomenal ability to incorporate inconveniences and distractions into her yoga and mindfulness classes.
Last week I received another call from a law office looking for background information about Evoke’s Wilderness Therapy Program. She let me know her client, a previous parent of our program, was bringing a suit against their family’s insurance company. As I got off the phone I noted this case would make 7 current cases I’m aware of just this year, and 3 more already settled in favor of the families. Wilderness Therapy is making significant headway in getting families insurance coverage.
Last summer, I found a low nest in the tree near staff packs. Glancing around to make sure everyone was okay, that no one needed me, I slowly, quietly, pulled the branch down to peek inside. Momma, or daddy bird, jumped and chirped nearby, anxious. My curiosity overcame my hesitation. Inside, three tiny, alien-looking creatures, smaller than my pinky toe raised yellow yawning mouths, begging for food. Scattered fuzz, more like a boy’s first facial hair than like feathers, covered pink wrinkled skin. They were more fetuses than bird. I returned the branch to its natural resting place. I didn’t want to risk scaring off the parents. These chicks would not survive.
In 2003, I became a field instructor at Entrada. I could not have predicted that I would spend the next decade living in Southern Utah and working at the same company, first as an assistant therapist and then as a primary therapist. The truth is that I fell in love with the work and the company. On a weekly basis I had the honor of witnessing profound transformations for young people who initially showed up feeling angry, sad, depressed, anxious, hopeless and the list goes on. I had the privilege of sitting under the stars by a warm fire listening to people courageously tell their story and start to find healing. It often did not feel like work.
As a Clinical Assistant for Michael Griffin in Group 3 at Evoke Cascades, I work primarily with young adult males with substance abuse and addiction issues through a 12-step lens.
Burnout! For employees, this is a hot topic in the Wilderness Therapy Industry. Although it is ever prevalent, it is often not given the attention it deserves. I was given the opportunity to address this topic head on at the 2017 OBH Regional Wilderness Symposium, in Asheville, NC, in April. This gathering allows an array of clinicians and other professionals to come together to share research, insights, and explore ideas for improvements industry wide.