Solution-Focused Practice in Outdoor Therapy: Co-Adventuring for Change
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Solution-Focused Practice in Outdoor Therapy presents a comprehensive model for working therapeutically with clients outdoors, with adventure, and in any outdoor setting – from a typical one-hour session to multi-day expeditions. Chapters lay out a robust and pragmatic model for opening the counseling room door using solution-focused methods. Dobud and Natynczuk bring together research on best practice in psychotherapy, monitoring therapeutic outcomes, safe and inclusive leadership, supervision, and self-care to present a robust framework for working therapeutically outdoors. Case vignettes are presented throughout the book, and a field manual is available for free download with purchase of the book. 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
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