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Guidance for Outdoor Mental Health Interventions

IOL Statements of Good Practice

Outdoor Mental Health Interventions and Outdoor Therapy

 

Health, well-being and self-development has been a cornerstone of the impact and value of outdoor learning practices for many decades. Over recent years, we have seen an exponential growth in therapeutic outdoor initiatives and programmes being developed and utilised for mental health and well-being benefits.

 

Traditional terms such as adventure therapy, wilderness therapy, nature therapy and outdoor counselling, have more recently been joined with a plethora of wider terms, such as eco-therapy, forest bathing, and a Natural Health Service, to name a few. All of these terms are taking claim to some kind of health benefit (physical or psychological) for getting outdoors.

 

This Institute for Outdoor Learning (IOL) statement purposefully sets out a view on competence when combining mental health and well-being interventions with outdoor learning.

  • The primary goal was to develop a model that could support organisations and individuals who provide and utilise services for mental health and well-being in an outdoor setting. The statement has been strongly informed by mapping current practice in the United Kingdom.
  • It has been created to ensure that those engaging outdoor learning services to improve mental health and well-being can do so with confidence and trust in what they are offered.

An introduction to Outdoor Therapy

 

Outdoor Mental Health Interventions

 

In Zone 1 individual or group experiences are enriched by adding an outdoor or psychotherapeutic dimension to a session or service. A psychologist offers a walk and talk session in a local park; an outdoor centre provides canoeing sessions for social support for people experiencing depression; an individual chooses to engage in activities and experiences in the outdoors to sustain or improve their own health & well-being.

 

In Zone 2 complimentary outdoor activities and psycho-therapeutic practices are used to enhance the approach and benefits offered. During a forest walk, a counsellor guides their client through a situation drawing on metaphors from the landscape; an outdoor professional uses a cognitive-behavioural technique to assist participants to practice emotional regulation when climbing.

 

In Zone 3 unique and dynamic integrated experiences draw on professional competence in both outdoor learning and psychological therapy. A progressive sequence of climbing and bushcraft activities is developed to address flashback triggers and heal displacement trauma for refugees.

 

Support for the Statement

Lifestyle Medicine
“First we change the environment, thereafter the environment changes us.” (Winston Churchill.)

BSLM believes that introducing the ‘greens and blues’ of outdoor environment can be life-changing. We interact with our microlevel environments or settings including schools, workplaces, homes and neighbourhoods. That interaction shapes our behaviour – sometimes adversely affecting aspects of our mental health. Creating healthy outdoor environments and interacting with them will lead to positive changes in our mental health.

Together with IOL we encourage this development by influencing not only the individual but also educational and health systems, the food industry and society’s attitudes. Outdoor Health as an intervention is at least as powerful as any other – and fun to boot!

Dr Rob Lawson, Chairman British Society of Lifestyle Medicine     https://bslm.org.uk

 

Calls to Action

  1. Use the model to better communicate and value different types of practice.
  2. Critically review delivery using the indicators of good practice.
  3. Use the model to enhance communication between participants, providers, managers and stakeholders.
  4. Improve pathways for people to access the benefits of the outdoors and outdoor therapy.
  5. Champion the wider adoption and development of a research informed approach.
  6. Contribute to the practical application and development of relevant resources, education, and training.
  7. Challenge behaviour and attitudes to create an accepting, inclusive and positive culture for mental health and wellbeing in our communities and workplaces.

 

Download the Model

The authors encourage widespread use of the model as a way to differentiate between three core zones of practice both outdoor professionals and psychological professionals may operate within whilst working outdoors.

Outdoor Mental Health Interventions Model

To reference this statement:

Richards, K., Hardie, A., & Anderson, N. (2020). Outdoor Mental Health Interventions and Outdoor Therapy. Institute for Outdoor Learning Statement of Good Practice. Carlisle: Institute for Outdoor Learning.

Research and Reports

A wide range of reports are referenced in the statement.

Journal of Adventure Education and Outdoor Learning

IOL Horizons Archive

IOL Supporting Evidence Base

IOL Research Reports

British Society of Lifestyle Medicine Evidence

To reference this statement:

Richards, K., Hardie, A., & Anderson, N. (2020. Outdoor Mental Health Interventions and Outdoor Therapy. Institute for Outdoor Learning Statement of Good Practice. Carlisle: Institute for Outdoor Learning.

Workforce Mental Health

t is essential that in the application of this model, mental health agendas are not simply seen from a beneficiary perspective. Mental health and well-being relates to all aspects of life and work, from the quality and safety of the physical environment, to how workers feel about the organisation and their work, the culture at work and their personal mental health, mental distress or mental illness. The model offers ways in which the mental health and well-being of the workforce can be supported using the benefits of the outdoors.

Psychological therapies have a longstanding commitment and requirement for reflective supervision of their practice with clients. This is personally supportive and protects the client by upholding high standards of effective, safe and ethical working. It has wider benefits for professionals, for example including the prevention of burnout. Engaging in regular supervision of practice with someone suitably experienced and competent is good practice for all roles and the benefits are a cornerstone to developing best practices in application of the model.

It is important that employees support those struggling with mental health or well-being, to remain in and ‘thrive at work’. So the model can offer ways in which the mental health and well-being of the workforce can be supported using the benefits of the outdoors; perhaps through self-care activities, or by engaging a professional therapeutic service. It also serves to remind us that as an outdoor workforce we are not exempt from the everyday stigma and challenges of mental health. So we need to approach and address our attitudes to across all aspects of the sector with the same care, concern and respect we aim to offer our clients.

'How to implement the Thriving At Work mental health standards in your workplace’ is an accessible guide designed by Mind to help all employers to understand and implement the six core standards recommended. The AAIAC document ‘Surviving a Career in Adventure Activities’ outlines some key working practices and practical steps instructors can take to look after their physical and emotional safety

Co-authors

Neal Anderson MSc QTLS UKCPReg POL is the Professional Standards Manager for the Institute of Outdoor Learning and a qualified teacher, a UKCP Registered Psychotherapist and Supervisor in private practice, and chair of the Neuro-Linguistic Psychotherapy and Counselling Association. He has been working in the outdoors with young people and adults since 1993 and has specialised in youth development and corporate leadership training. His experience includes environmental and adventure programmes, workforce education, and centre management. He currently leads several strategic developments projects for the sector.

Dr Kaye Richards (CPsychol) is a Chartered Psychologist of the British Psychological Society, qualified outdoor professional, experienced researcher, and Senior Lecturer in Psychology at Liverpool John Moores University. She is leading a new MA in Counselling & Outdoor Therapy, and previously led a BSc (Hons) in Outdoor Education. She has diverse experience of developing adventure and outdoor therapy, training outdoor professionals, and has worked at the British Association for Counselling and Psychotherapy facilitating national research activity in psychological therapies. She is the convenor of the academic Journal of Adventure Education & Outdoor Learning, and has published across associated interdisciplinary areas.

Andy Hardie BA (hons) PGDip MBACP(Accred) LPIOL is the Clinical Manager of an outdoor therapy service within Venture Trust. A Counsellor and Supervisor registered and accredited with the BACP, he has worked as a Therapist in the private, public and third sectors with groups, adults and young people. He has developed and delivered on undergraduate modules in adventure therapy and is a module leader on a MSc in Psychodynamic Counselling. He has worked extensively with a focus on personal development with youth and marginalised groups in the outdoors. Since 2015 he has been developing wilderness and outdoor therapy approaches in Scotland.

 

Acknowledgements

We would like to thank the following individuals and organisations for their recent dialogue, contribution, and support to some of the thinking and development of this statement:

  • Dr Alison Greenwood, Dose of Nature, London.
  • Dr Barbara Smith, CAMHS Alder Hey Children’s Hospital, Liverpool.
  • Chris Frampton, South Lakeland Mind Outdoor Counselling Service, Kendal Therapy.
  • Hayley Marshall, The Centre for Natural Reflection, Derbyshire.
  • Lesley Dougan, Liverpool John Moores University.
  • Mark de Bernhardt Lane, Aquafolium
  • Mike Strang, Venture Trust, Scotland.
  • Dr Neil Bindemann & Dr Rob Lawson, British Society of Lifestyle Medicine
  • Outdoor Therapy workshop participants at the 2018 UK Outdoor Learning Sector Conference
  • Outdoor Mental Health Interventions launch participants at the 2019 Sector Strategic Forum
  • Dr Steff Revell, Otago Polytechnic, New Zealand.
  • Stephan Natynczuk, Spare Crab Adventure.

Future Developments

Version 1.3 of the statement was issued in October 2020 and added “Outdoor Therapy” to the title; examples of the three zones of practice on page 5; and extra detail to the figures on page 7 to describe "Intentional Integration".

Version 1.2 of the statement was issued in January 2020 and added clearer guidance on applying the model on Page 11.

Version 1 of the statement was launched at the 2019 Sector Strategic Conference on October 3rd in Birmingham.

In recognising that this is work is ongoing and to support the building of communities of practice, it is important that the mapping of all types of practice is developed. Future versions and associated publications of this statement of good practice will be published. This will include further resources and CASE STUDIES across different types of outdoor mental health interventions to help support developments in good practice. If you have a case study of good practice that you would like to share then please contact the authors.

The authors welcome ongoing dialogue in developing this work, so please forward any wider comments and views to them at: neal.a@outdoor-learning.org

 

 

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