Additional Evidence

The OBH Council and the Research Cooperative

Since its formation in 1997, the Outdoor Behavioral Healthcare Council (OBHC) has been a driving force for research and evaluation. Cascades joined the OBH Council in 2010 and Entrada joined in 2011.

In 1999 the OBH Council sponsored the creation of the Outdoor Behavioral Healthcare Research Cooperative (OBHRC). The purpose of OBHRC is to carry out comprehensive independent research and to provide credible, objective information to the field. Much of the research described below is a result of their work. Click to read more about OBHRC’s mission.

Safety of participants in OBH Programs

Public perception of outdoor behavioral healthcare programs often misconstrues “wilderness therapy” as potentially dangerous and unsafe. This perception can often be linked to a lack of knowledge regarding this innovative method of treatment, unfamiliarity with the extensive risk management techniques used in such programs, the inappropriate practices of less developed yet seemingly similar programs, and the vulnerable and problematic states of many of its clients.

While no treatment can guarantee the total safety of any child, adolescents participating in OBHC programs are actually at less risk than adolescents not participating in these programs. (Gass, Gillis, & Russell, 2012). In 2012, the average American adolescent was two times more likely to visit an emergency room than participants in OBH programs. OBH Council program injury rates are substantially lower than many common activities teens and young adults participate in. Most notably, injuries during high school football games are over 328 times more common than injuries experienced in OBH Council wilderness therapy programs.  And for a more similar comparison, teen backpacking is 20 times more likely to produce an injury than comparable activities in an OBH Council program.

From OBH is Safer than Being at Home for the Average Teen and OBHRC Risk Management

Outcomes in Outdoor Behavioral Healthcare

The research supports that OBH is effective at improving overall functioning of youth. The first major outcome study in OBH analyzed parent and youth YOQ assessments from 858 participants from seven different OBH programs. This foundational study showed that clinically and statistically significant improvements were made during treatment, and that clients maintained these positive results one year after discharge. The researchers interviewed a randomized selection of these participants two years after leaving their OBH program; in which, 83% reported to be doing better, 58% said they were doing well or very well, and 81% rated outdoor behavioral healthcare treatment as effective.

Continued research of OBH’s impact on youth well-being has affirmed these initial findings. Follow the links below to learn more about important studies that investigate the effectiveness of OBH programs.