1 / 16

Live Licensed or Die: The Why and the How

Live Licensed or Die: The Why and the How. UNH- TAPG Conference June 23, 2007 Will White LCSW, LADAC. Outline of the Talk. Welcome to New Hampshire- State Motto- Live Free or Die- Background Warm up activity Learning Style Whys HB 1738 Concerns

sawyer
Download Presentation

Live Licensed or Die: The Why and the How

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Live Licensed or Die: The Why and the How UNH- TAPG Conference June 23, 2007 Will White LCSW, LADAC

  2. Outline of the Talk • Welcome to New Hampshire- State Motto- Live Free or Die- • Background • Warm up activity • Learning Style • Whys • HB 1738 • Concerns • Avenues for Licensure- individual & program • Questions

  3. Why • Early history- • Growth of programs • Media exposure • Accidents and deaths in programs • Increase in licensed programs • Increase in licensed providers • Lack of research • The blurring of lines due to definitions of programs- Wilderness, Boot Camp, Emotional Growth, Outdoor Behavioral,… • Checks and balances

  4. Early History • The bad old days where, in some programs, punitive tactics where used. • Chronicled in “Loving them to Death” article in Outside Magazine, October 1995 by John Kauker. • Although these programs were the exception and not the rule. Programs need to be transparent, self-critical, licensed

  5. Growth of Programs • Adventure/wilderness/OBH programs have been around for fifty years. • There are over 116 OBH in existence. (Russell, 2007) • The majority of programs are less than twenty years old. • Models are various- Base Camp, expedition, residential, integrated expedition. • Of Outdoor Behavioral Programs identified by Russell 33.8% are owned by for profits.

  6. Media Exposure • When adventure therapy is shown on television or in magazines it is about what went wrong or what is funny. Some exceptions • Brat Camp- The good, the bad and the ugly • Books- :” Help at Any Cost” Maia Szalavitz, “Shouting at the Sky” Gary Ferguson.

  7. Incidents, accidents and fatalities in programs • From the years 2001-2004 the rate of therapeutic holds, runaways, injuries, and illness steadily declined. (Russell, 2007) • OBHIC related programs that 3.0 fatalities for every 1 million user days in the field. (Russell, 2007). • Yet fatalities happen. (As they do in RTC, boarding schools, high schools, etc..) • Wilderness is not safe • Population is a challenging one.

  8. Increase in licensed programs • More states have licenses for Adventure Therapy (Utah, Oregon) • Some states are developing them (Colorado, Montana) • New England programs tend to work under different license such as RTC or Inpatient. • National License available- JCOH, CARF • Of NATSAP members of the Adventure Therapy programs 87% are licensed by their state. • Study or 63 OBH programs 53 said they were licensed in the state they

  9. Why are some programs unlicensed? • Good question! Some Responses: • “Unavailable”- Solve it through being CARF, JCOH • “Do not want someone telling them how to do things.” • “Psychotherapist are “ruining” what we used to do”.

  10. Lack of research • “paucity of research” Russell, 2007 • Difficulty of research due to various models • Evidenced Based…. • Yet often the therapy used in conjunction with the outdoor experience is often researched including cognitive behavioral, Mutisystemic therapy, dialectical behavioral therapy.

  11. Blurring of lines • General public (and even people in the field) has a challenge in defining the difference between boot camp, wilderness, adventure therapy, outdoor behavioral, etc.. • General public may view us all as “like Outward Bound” or “boot camps” • There is consolidation of programs and many are owned by larger corporations who have varied levels of care.

  12. Checks and Balances • Having a license welcomes oversight • Having a licensed professionals working for your organization encourages dialogue when ineffective or questionable interventions are used. • Licenses for individuals and programs gives a clear line of responsibility for treatment methods.

  13. HB 1738 • Proposed by Congressman George Miller from California- • This bill is still in committee and is currently being investigated by the GAO. • Review of the bill.

  14. Concerns • Name of bill. • Needing to follow license regulations of program state and student state. This is very difficult in New England. Creates more bureaucracy.

  15. Avenues for licensure • Individuals- should be licensed by your state to the highest level possible. If you specialize than get the specialty license (for example substance abuse-Licensed Alcohol and Drug Abuse Counselor). • Programs should be licensed by the state the program is in. Should consider federal licensure by Joint Commission on Accreditation for Healthcare (JCOAH) or Commission of Accreditation of Rehabilitation facilities • AEE is a good accreditation but is not (at present) therapeutically focused.

  16. Questions???

More Related