Within two months, our adolescent students will go from needing intensive inpatient treatment to returning to a normal community range. This research also shows that for more than a year after graduation from Open Sky, our students are able to maintain those gains made at Open Sky and to stay within the normal community range.
Using the Outcome Questionnaire, an adult version of the Y-OQ, we measured statistically substantial gains among our young adult students from arrival to graduation. These findings show a clinically significant improvement in mental health symptoms along with maintenance of this improvement for months after graduation.
Substance Abuse and Addiction Issues Improve
Using the Adolescent Relapse Coping Questionnaire, our adolescent students report significantly stronger skills to cope with substance abuse, relapse, and addictive behaviors. They report stronger abstinence-focused coping skills by the end of treatment, and maintain those gains for more than a year afterward.
According to Myers and Brown (1996), abstinence-focused coping is the best predictor of concurrent and future substance use. Notably, higher abstinence-focused coping scores correlate with lower drug/alcohol use at one year post-treatment (Myers & Brown, 1996). The higher abstinence-focused coping scores of our teen students one year after Open Sky indicate their greater resiliency to relapse. Higher scores also indicate Open Sky’s effectiveness in helping our students overcome their substance and addiction issues.
Problem Behaviors Decrease
Open Sky is effective at helping students begin the process of change and accept responsibility for their problems. On the University of Rhode Island Change Assessment, our adolescent and young adult students report significant increases from arrival to graduation (average 60-day stay at Open Sky) on their readiness to recognize and change their own problem behaviors. Further, our students report continued growth in openness to change for more than a year following treatment.
Summary of Open Sky Research
Most of our adolescent and young adult students make behavioral, interpersonal, and mental health gains while overcoming substance abuse and addiction issues. Our research shows that our students are getting better across multiple dimensions and maintaining these improvements well after departing Open Sky. We will continue to measure the impact of what we do and refine our program to best serve our students and their families.
In More Depth: Open Sky Research Rationale
Significant numbers of children spend their days and nights in residential and inpatient treatment, but estimates differ on the numbers. Smollar and Condelli (1990) found that in the United States in 1986, over 100,000 children and adolescents between the ages of 10 and 19 were admitted to psychiatric hospitals, while thousands of others were placed in other out-of-home treatment centers. Goodrich (1994, p. 277) asserts that “[t]he best estimates are that at least 50,000 adolescents are placed in residential treatment each year in the United States and perhaps a larger number in inpatient psychiatric hospital settings.” Between 1969 and 1981, the number of children under 18 in out-of-home placements doubled (Wells, 1991). Even in an age of managed care (Foster, 2002), the data seem to indicate a trend toward ever-increasing numbers of out-of-home placements for adolescents.
Even as the numbers of students in this type of treatment have increased (Edwards, 1994), research and understanding regarding children and adolescents in residential treatment has lagged (Curry, 1991). Since 1994, data are scarce regarding numbers in treatment and the efficacy of that treatment. Only one large-scale study of wilderness treatment has been published in the peer-reviewed press. This study, completed by Keith Russell (2003) examined the outcomes of 858 adolescents in a variety of different wilderness treatment programs. While his study contributed significantly to the literature, more research is needed to determine the continued effectiveness of this kind of treatment and for which types of students and families it is most effective.
Notably, there is little research investigating adults in wilderness programs, with most of the existing literature focusing on psychological gains through Outward Bound or other wilderness adventure programs that are not therapeutic (Asher, Huffaker & McNally, 1994; Goldenberg, McAvoy & Kenosky, 2005; Hyer, Boyd, Scurfield, Smith & Burke, 1996; Kelly, 2006; Paxton, 2000). While these studies consider the short-term gains of wilderness treatment, no significant research has investigated the therapeutic processes or long-term benefits of wilderness programs for adult students (Paxton, 2000). This is true even as adventure-based therapy programs continue to grow in popularity and size (Kelly, 2006). Wilderness and adventure therapies are increasingly used to treat adults with behavioral and substance abuse issues; however, scant literature addresses wilderness or outdoor therapy models with adults (Kelly, 2006).
Open Sky conducts research with both adolescent and young adult students.
Our adolescent study is a longitudinal one-group design, following every student and family for two years after graduation. We ask adolescents to complete four questionnaires six times: at arrival, graduation, three months after graduation, six months after graduation, 12 months after graduation, and 24 months after graduation.