Mental health outcomes of peer-led therapeutic adventure for military veterans
Research Report:
APA Citation:
Bettmann, J.E., Anderson, I., Makouske, J., & Hanley, A. (2022). Mental health outcomes of peer-led therapeutic adventure for military veterans. Journal of Experiential Education, 45(3), 295-315. https://doi.org/10.1177/10538259211049535
Abstract Created by REACH:
Longitudinal data were used to examine whether a brief (i.e., three-day, two-night), therapeutic, peer-led camping trip with the Sierra Club’s Military Outdoors program reduced mental health symptoms (i.e., stress, depression, anxiety, posttraumatic stress disorder [PTSD], alcohol misuse, and suicidality) among Veterans (N = 56). Veterans reported on their mental health symptoms at 5 points: pre-trip, post-trip (i.e., immediately following the trip), and at 1-, 6-, and 12-month follow-ups. In general, compared to pre-trip symptomatology, Veterans’ mental health symptoms decreased immediately following the trip. However, few sustained effects were observed over time (i.e., at 6- and 12-month follow-ups).
Focus:
Veterans
Mental health
Programming
Substance use
Branch of Service:
Multiple branches
Military Affiliation:
Veteran
Subject Affiliation:
Veteran
Population:
Young adulthood (18 - 29 yrs)
Adulthood (18 yrs & older)
Thirties (30 - 39 yrs)
Middle age (40 - 64 yrs)
Methodology:
Quantitative Study
Longitudinal Study
Authors:
Bettmann, Joanna Ellen, Anderson, Ileana, Makouske, Joe, Hanley, Adam
Abstract:
Background: Skepticism of therapy and stigma are significant barriers for veterans with mental health issues. Therapeutic adventure shows promise in addressing veterans’ mental health needs while circumventing the stigma many veterans face in initiating treatment. Purpose: Given the small group model of therapeutic adventure programs, such programs may be ideal to provide social support for veterans and reduce mental health symptomology. The present study investigated: can a brief peer-led therapeutic adventure program modify veterans’ mental health symptoms? Methodology/Approach: The study's sample included 56 participants attending one Sierra Club Military Outdoors trip lasting at least three days and two nights and involving camping. Participants completed study measurements assessing depression, anxiety, stress, Post-Traumatic Stress Disorder symptoms, substance misuse symptoms, and suicidality at pre-trip, post-trip, one-month post trip, six-months post trip, and 12-months post trip. Six-month and 12-month post-trip data was collected during the COVID-19 pandemic. Findings/Conclusions: Results indicated significant reduction in mental health symptomology from pre-trip to post-trip, but showed few longer-term changes in mental health symptomology. Implications: The present study's findings are consistent with research suggesting improvements in overall psychological well-being immediately following a nature-based intervention and suggest the need for on-going, community-based interventions to support optimally military veterans’ mental health.
Publisher/Sponsoring Organization:
Sage
Publication Type:
Article
REACH Publication
Author Affiliation:
University of Utah, Salt Lake City, JEB
University of Utah, Salt Lake City, IA
Westminster College, Salt Lake City, JM
University of Utah, Salt Lake City, AH
Keywords:
therapeutic adventure, outdoor, nature exposure
REACH Publication Type:
Research Summary
Sponsors:
Sierra Club (grant number 10050256)
REACH Newsletter: