Interpersonal Context of Therapy

This section addresses the application of adventure therapy within individual, group, and family contexts of treatment. There are a number of theories and models of treatment applicable to these interpersonal contexts, which are described in the Theory section. This section explores considerations regarding use of adventure therapy for different modalities of treatment, including explaining why the interpersonal context is an important consideration for treatment and to identify currently accepted best practices.

The decision to use a particular treatment modality is based on a clinical assessment of the client. Please refer to Operational Guidelines for Clinical Practice and Assessment for more information related to that assessment process. Adventure therapy can be successfully incorporated into any of the contexts referenced. As a starting point, it is assumed that the adventure therapist will have a working knowledge of the basic clinical skills inherent in more traditional applications of the interpersonal context as derived from social work, psychology, and counseling literature. Non-clinical staff involved in the process should also be provided with clinically-relevent training to increase their ability to effectively identify and address ongoing therapeutic issues. For example, it is assumed that a practitioner engaged in adventure-based individual therapy will understand the conventional clinical disorders his or her clients may present and that he or she will utilize accepted and applicable clinical methodology, such as clinical interviewing, to complement the use of adventure-based activities. Non-clinical staff are expected to be working as part of a treatment team which includes a clinician.

Specific interpersonal contexts are: