Operational Guidelines for Clinical Practice

Organizations, programs and practitioners of adventure therapy have significant decisions to make related to the guidelines for operating clinical services. Many aspects of providing AT services are addressed throughout this best practices document, but this section deals specifically with operational processes. For more information on standards related to operating adventure therapy programs, refer to the most current AEE Accreditation Manual. The sections addressed for operational guidelines are described below.

Client Transitions
Policies and procedures regarding the intake and discharge processes are described as they relate to adventure therapy. This section addresses operational standards that should be in place to support these processes to be as effective as possible. Clinical decisions about client intake and discharge are informed by operational procedures, which must take into account the need to accurately assess the appropriateness of a client for the services provided.

Clinical Quality Assurances
Clinical quality assurance refers to processes within an organization or practice that are in place to ensure the highest level of client care is provided to each client. In this section, expectations are described for having structured, formalized processes for the review of clinical services. Operational guidelines of an organization or practice support the process of assuring the best possible care for each client.

Risk Management in Adventure Therapy
The focus of this section is on operational standards for risk management as they relate to AT. Having an effective system in place for evaluating and managing risk is a central operational function for all levels of an organization. This section explores some clinical areas that may hold special significance with adventure therapy, including working with issues such as trauma, noncompliance, crisis situations, and program removal.