Outdoor behavioral healthcare is the prescriptive use of wilderness experiences by licensed mental health professionals to meet the therapeutic needs of clients.
Outdoor Behavioral Healthcare (OBH) consists of:
• Extended back-country travel and wilderness living experiences long enough to allow for clinical assessment, establishment of treatment goals, and a reasonable course of treatment not to exceed the productive impact of the experience,
• Active and direct use of clients’ participation and responsibility in their therapeutic process,
• Continuous group-living and regular formal group therapy sessions to foster teamwork and social interactions (excluding solo experiences),
• Individual therapy sessions, which may be supported by the inclusion of family therapy,
• Adventure experiences utilized to appropriately enhance treatment by fostering the development of eustress (i.e., the positive use of stress) as a beneficial element in the therapeutic experience,
• The use of nature in reality as well as a metaphor within the therapeutic process, and
• A strong ethic of care and support throughout the therapeutic experience.
The Outdoor Behavioral Healthcare Council and its member programs have been instrumental in raising the bar for wilderness treatment, facilitating research on the efficacy of wilderness treatment for adolescents, and in promoting the industry. AEE OBH Accreditation is a requirement of all OBH Council member programs that must be attained within two years of their acceptance to membership.
As outdoor behavioral healthcare, also know as Wilderness Therapy, became more favored as a treatment option for troubled teens in the 1990’s (and later pre-adolescents and young adults), avoidable and sometimes fatal accidents occurred in the backcountry. As the field diversified, a newer cohort of treatment owners and researchers recognized that collaborating with state regulators and additional self-regulation through shared best practices, and scientific examination (outcome based research), would protect clients and families and improve long-term efficacy.
The OBH Center is a group of “... research scientists [who] are licensed clinicians who hold a faculty position at a university, possess a Ph.D, and have a minimum of two years of ‘mud on their boots’ from experience working in outdoor behavioral healthcare.”
An Obsessive-Compulsive Disorder diagnosis requires obsessions and compulsions that are "time-consuming" (take more than one hour each day) and are not explicable by other diagnosis, or by virtue of substance use or medical condition.
Obsessions are thoughts that are unwanted, intrusive and persistent and the patient seeks to cope by performing a compulsion.
Compulsions are unvaried, ritualized procedures (like excessive hand-washing, locking and unlocking and relocking of door; "irrational" behaviors like avoiding cracks in sidewalk; repetitively touching a shoe or hairpiece; fervent praying, rote recitations, etc) that are necessary to counteract the obsessive trigger.
"The Network/La Red is a survivor-led, social justice organization that works to end partner abuse in lesbian, gay, bisexual, transgender, S/M, polyamorous and queer communities. Rooted in anti-oppression principles, our work aims to create a world where all people are free from oppression. We strengthen our communities through organizing, education, and the provision of support services."
While the very role of children is to “individuate” from the parents, ODD is a pattern of persistent (more than 6 months) defiance and hostility toward authority figures and structure, and these people are aggressive toward peers, as well. Persons with ODD recognize the upset and annoyance in the family system, but are not accountable for this - in fact, they may complain of being unduly controlled and oppressed. “Treatment can help restore your child's self-esteem and rebuild a positive relationship between you and your child. Your child's relationships with other important adults in his or her life — such as teachers, clergy and care providers — also will benefit from early treatment.”
There have been four major changes to the ODD diagnosis in the DSM-5 & those can be viewed here.