Clinton Hardy, University of Utah
Social and Behavioral Sciences
Coercive treatment practices, while controversial, are commonly employed (by mental health professionals and parents) when admitting adolescents into outdoor behavioral healthcare (OBH; e.g., outdoor/wilderness therapy) and residential-based treatment settings. While coercive practices have been investigated in various adult treatment contexts, to my knowledge no study has examined coercive practices or pressures among adolescent treatments. As the first of its kind, my report investigates the relationship between adolescent-perceived coercive treatment pressures (i.e., negative pressures) and their affective reactions reported when entering OBH treatment. Negative pressures, or the perceptions of “threat” and “force” during admissions, are measured via the Negative Pressures Subscale (NPS) of the MacArthur Admission Experience Survey (AES). Affective reactions to entering treatment are measured via the Positive and Negative Affect Schedule – Expanded Form (PANAS-X). Although this study is still taking place, my interim analysis (N = 36, age range: 14-17) has so far demonstrated the following predicted relationships between negative pressures and affective reactions in OBH treatment admissions: An adolescent’s increased perception of negative pressures significantly correlates with (a) increased affective distress (r = .377, p = .037), (b) decreased affective positivity (r = -.61, p < .001), and (c) increased affective hostility (r = .464, p = .003). Therefore, significant medium to large correlational effect sizes are reasoned to be imminent. In recognizing that negative pressures might not only relate to an aversive admissions experience, but also negatively impact or delay positive treatment outcomes, future research is concluded to be essential.