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Welcome to the Open Sky WebinarWe will begin at 6 pm- see you soon!
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The Continuum of Care: What Happens After Wilderness
Presented by Dr. Paul Case, PsyDOpen Sky’s Assistant Clinical DirectorClinical Psychologist Clinical Therapist, Team D
+Agenda Overview of the Continuum of Care and where Wilderness fits
in
The process of stepping down to an appropriate level of care
The critical role of an educational consultant
+Wilderness is the highest level of care Completely removed from distractions
Constant supervision
A simple and predictable routine
An interdependent social group, much like a family
Feedback, coaching, emotional awareness, and self-reflection are priorities throughout the experience, connecting therapeutic goals to daily experience
The profound changes that often occur in wilderness are a result of this high level of care
+Gains made in Wilderness Improved mental health symptomology
Sense of accomplishment
Increased self-esteem
Sense of empowerment
Better access to feelings
Improved relationships
Improved communication skills
Improved drug and alcohol awareness
Improved coping skills
Greater awareness of behaviors
Increased motivation for change
(Bettman, 2007; Russell, 2001, 2003, 2005)
+Maintaining wilderness gains The need for “aftercare”
Motivation for change and growth is very connected to the environment
Re-entry into the world of distractions and responsibilities with an appropriate level of supervision and support
Generalizing gains and allowing enough time and practice that healthy choices become internalized
+Risk Factors in returning home
Peer group
Entrenched problematic coping patterns
Substance Abuse or other addictive behaviors
Family environment that has not changed significantly
Relapse is expected
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ACTION
Pre-Contemplation
Contemplation
Preparation
ACTION
Maintenance
Relapse
Permanent Exit
Enter
+Wilderness as Assessment Necessary structure
Supervision and Accountability
Vulnerability to relapse
Motivation for change
Response to social support
Historical triggers and coping
patterns
+The Critical Role of an Educational Consultant
Expertise on specific programs
All therapeutic programs are NOT the same!
Advocate for family during the process
Ability to match child’s needs with specific program options
Therapists are not able to provide this kind of consultation
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Thank you for participating!
Dr. Paul [email protected]
970.382.8181
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