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CAT and Clinical Frame: A Love Story
Below, Program Coordinator Stephanie tells us about the CAT staff’s conceptualization of the Clinical Frame and how it came to exist over the course of several months. You can read the Clinical Frame by going to our About Us page, and clicking the links that correspond to each section of the Frame.
During a staff meeting, a few months ago, a discussion started on how we tell people about CAT, about what it is and what we do. Questions quickly arose such as, “What are all the components of CAT?”, “How do they relate and interact with one another?”, and “How do we talk about it in a way that makes sense to others not familiar with adventure therapy?” These questions ultimately started us on our path to the creation of CAT’s Clinical Framework. The reason for the creation of the framework quickly expanded beyond how we talk to others about it, but also included making sure we, as a staff, were all on the same page about what it is we really do and how exactly it works. It become a way for us to look at the results we desire to have compared to the actual outcomes we have seen in our program evaluation and ultimately be more intentional in our services.
At times the Framework seemed to take on a life of its own as we began to put the many, many pieces together. The pieces include the Chicago youth we work with, the environments and experiences that surround them, research on risk and protective factors of urban youth in general, clinical interventions traditionally used, the activities CAT uses (navigation, cycling, rock climbing, paddling, winter sports, and camping), research on brain development in relation to trauma, research on adventure therapy, and our own programming outcomes. One by one the staff created each component and every week we put each piece together and decided from there what else needed to be done. There were times when we realized we needed to change parts of it or that we needed to include more. We didn’t want to leave anything out and we wanted to be clear about the intricacies and complex relationships between the different components. Finally, we have completed what we like to call Phase 1 of the Clinical Framework. As both CAT and the field of adventure therapy continue to develop and evolve, so will our Clinical Framework. Until Phase 2…