Solution-Focused Practice in Outdoor Therapy: Co-Adventuring for Change

Cover
Endorsement Page
Half Title
Title Page
Copyright page
Table of Contents
To Our Dearest Adventurous Reader
Foreword – H. Lee Gillis
The Great Horse Manure Crisis of 1894: A Shitty Preface
About the Authors
Part I: Co-Adventuring for Change
Chapter 1: Co-Adventuring for Change
Mission Statement: Making the Outdoors Count
Thinking Outside the Box Counseling Room
Who We Work With
Our Field Manual
Introducing Solution-Focused Brief Therapy
Solution-Focus in Outdoor Therapies
The “Medical Model” and What We Mean When We Talk about Therapy
Tenets of Solution-Focused Practice
What We Think about Clients
What We Think about Problems
What We Think about Change
What We Think about Practice
A Concluding Invitation
References
Chapter 2: On Becoming an Evidence-Informed Practitioner
Therapy (Indoors) Works
Dodo Bird Verdict
Practitioner Effects
Therapeutic Alliance
Therapeutic Alliance Outdoors
Improving Outcomes One Person at a Time
Vanity Metrics
Conclusion
References
Chapter 3: Tools for the Solution-Focused Practitioner
Getting Philosophical
Co-Adventuring for Co-Construction
Theoretical Assumptions
Do Unmotivated Clients Exist?
There Is No Such Thing as an Unmotivated Client
Resistance Is Not a Useful Concept
Creating a Culture of Competence
Provide Clients a Chance to See and Be Their Best Selves
Solution-Forced
Hope
Tools for the Solution-Focused Practitioner
First and Third Person Perspectives
Scaling Questions
Difference
The Great Instead
Powerful Suppose
The Tomorrow Question
Getting Stuck
Conclusion
References
Part II: Outdoor Solution-Focused Practice
Chapter 4: Being Solution-Focused Outdoors
Host Leadership
Reconceptualizing Success and Mastery
Experiential as Technique
McDonalds and the Disneyfication of Outdoor Experiences
Dignity of Risk
A Note on Ethics
Leave No Trace in Your Client’s Life
Conclusion
References
Chapter 5: Working with Individual Clients
Initial Sessions
Being a Good Host
Structuring the First Session
Pretreatment Changes
The Miracle or Tomorrow Question and the Client’s Best Hopes
Working with “Involuntary” Clients
Can Someone’s Best Hopes Be Unrealistic?
Do People Really Know What They Want?
Taking the Therapy Outside: Looking for Possibilities and Stretching the World
Subsequent Sessions
Things Are Better
No Change
Things Are Worse
Closing the Session
Appreciative Summarizing
Confidence
Eliciting Feedback
Planning Subsequent Sessions
Conclusion
References
Chapter 6: Expedition Settings and Group Work
Background to Therapy Expeditions
Hosting an Outdoor Therapy Expedition
Being a Solution-Focused Expedition Leader
The First Day
Agreeing on Expectations and Establishing Boundaries
Journeying
Food
Teaching Skills
Postcards from Home
Journaling
Aiding the Transfer of Learning
Aftercare and Follow-Up
Solution-Focused Group Work Outdoors
Conclusion
References
Chapter 7: Working with Parents and Referrers
Who is the Client?
Working with Parents
“Homework” Assignments for Parents
Working in School Settings
Working with Other Helping Professionals
Working with Problem-Focused Practitioners
Referrers as a Second Client
Conclusion
References
Part III: From Good Enough to Excellence
Chapter 8: Core Competencies and Professionalism
12 Keys of Proficiency
Burnout and Avoiding Burnout
How One Gets Their Groove Back
Conclusion: A Note on Professionalism in Outdoor Therapy
References
Chapter 9: Implementing Feedback-Informed Treatment Outdoors
Getting FIT
What We Value? Or What They Value?
FIT Measures
Seeking Feedback
Building the Culture of Feedback
Interpreting Intake Scores
ORS Scores above the Clinical Cutoff
Alliance Scores below the Clinical Cutoff
A Lack of Early Change
Conclusion: Failing Successfully
References
Chapter 10: Re-Igniting Supervision in Outdoor Therapy
If It’s Broken, Fix It
Client Voice
Being Driven by Data
Case Example
Some Theoretical Frameworks for Supervision Models
Supervision versus Counseling
Supervision versus Coaching
Supervisory Relationships
Conclusion
References
Chapter 11: Concluding Thoughts
Future Research
The Streetlight Effect
Adventure Therapy Outcome Monitoring (ATOM) Database
Predictors of Progress
Taking a Stand
Striving for Excellence
Conclusion (At the Time of Writing)
References
Appendix: Field Manual for Solution-
Focused Practice Outdoors
Appendix A – Outdoor Solution-Focused Field Manual
Outline
Appendix B – Tenets of Solution-Focused Practice
What We Think about Clients
What We Think about Problems
What We Think about Change
What We Think about Practice
Appendix C – Language Games
Appendix D – The Crucial C’s
Appendix E – Am I Being Solution-Forced?
Appendix F – Host Leadership Roles in Outdoor Therapy
Appendix G – Leave No Trace Ethics in Outdoor Therapy Practice
Appendix H – First Session Checklist for Practitioners
Appendix I – Guide for Expedition Reflection
Appendix J – Solution-Focused Journal Prompts
Best Hopes Questions
Exceptions Questions
Reflecting on Success and Mastery
Appendix K – Solution-Focused Referral Worksheet
Appendix L – Solution-Focused Exercises for Parents
Pretreatment Changes
Planning the Perfect Day
Heroic Parenting
Resource Audit for Your Child
Resource Audit for Parents
Confidence Test
Preparing for Returning Home
The Secret Surprise
Sherlock Holmes
Appendix M – 12 Keys to Proficiency in Outdoor Therapy
Appendix N – Feedback-Informed Treatment Measures
Appendix O – Interpreting Outcomes and Alliance Measures
Appendix P – Progress Report
Appendix Q – Feedback-Informed Supervision Table
Appendix R – Format for Evidence-Informed Supervision Outdoors
Appendix S – Questions for Solution-Focused Supervision
Appendix T – Striving for Excellence
Index