The TurnAround Project- Phase 4 Dr Carly Wood, Rachel Bragg and Dr Jo Barton School of Biological Sciences University of Essex June 2013 Report for the Wilderness Foundation University of Essex, 2013 The TurnAround Project – Phase 4 (2012/13) Report for the Wilderness Foundation UK Dr Carly Wood*, Rachel Bragg and Dr Jo Barton Contents Executive Summary 5 1. Introduction 8 2. Aims of TurnAround 4 10 3. Structure of TurnAround 4 3.1 Recruitment and selection of participants 3.2 Mentor selection and training 3.3 Wilderness trail in Scotland 3.4 Monthly workshops 3.5 One-to-one mentoring 3.6 Sailing trip on the Morning Star 11 11 12 12 12 15 15 4. Methodology 4.1 Hope questionnaire 4.2 The Nature relatedness scale- Nature Experience 4.3 Well-being 4.4 Self-esteem 4.5 Behavioural Strengths and Difficulties 4.6 Qualitative Narrative 4.7 Statistical analysis 17 17 18 19 19 20 20 20 5. Generic Results- Hackney Group 5.1 TA4 Participants 5.2 Hackney analysis overview 5.3 Changes over the duration of the project 5.3.1 Participant perspectives at the start of the project 5.3.2 Hope 5.3.3 Nature experience 5.3.4 Well-being 5.3.5 Self-esteem 5.3.6 Strengths and Difficulties 5.3.7 Feedback about the project after wild camping 5.3.8 Feedback at the end of the project 5.4 Wilderness Trail to Scotland 5.4.1 Qualitative narrative prior to the trail 5.4.2 Hope 22 22 22 22 22 23 25 26 27 27 29 29 30 30 31 2 University of Essex, 2013 5.4.3 Nature Experience 5.4.4 Self-esteem 5.4.5 Qualitative Feedback 5.5 Hackney Key findings 32 33 34 35 6. Individual Case Studies- Hackney Group 6.1 Case of ‘John’ 6.2 Case of ‘Sam’ 6.3 Case of ‘Jodie’ 6.4 Case of ‘Shane’ 6.5 Case of ‘Liam’ 6.6 Case of ‘Charlie’ 6.7 Case Study Key Findings 36 36 40 43 48 49 52 56 7. Generic Results- Essex Group 7.1 TA4 Participants 7.2 Essex analysis overview 7.3 Changes over the duration of the project 7.3.1 Participant perspectives at the start of the project 7.3.2 Hope 7.3.3 Nature experience 7.3.4 Well-being 7.3.5 Self-esteem 7.3.6 Strengths and Difficulties 7.3.7 Feedback about the project after wild camping and cinema trip workshops 7.3.8 Feedback at the end of the project 7.4 Wilderness Trail to Scotland 7.4.1 Qualitative narrative prior to the trail 7.4.2 Hope 7.4.3 Nature Experience 7.4.4 Self-esteem 7.4.5 Qualitative narrative after the trail 7.5 Sailing on the Morning Star 7.5.1 Qualitative narrative prior to the trail 7.5.2 Hope 7.5.3 Nature Experience 7.5.4 Self-esteem 7.5.5 Qualitative narrative after the trail 7.6 Emotional Spectrum Weekend 7.6.1 Qualitative narrative prior to the emotional coaching 7.6.2 Hope 7.6.3 Nature Experience 7.6.4 Well-being 7.6.5 Self-esteem 7.6.6 Strengths and Difficulties 7.6.7 Feedback after the emotional coaching 7.7 Essex Key Findings 57 57 57 57 57 58 61 62 63 63 66 68 68 68 69 71 71 72 74 74 75 76 77 78 80 80 80 82 82 83 84 85 86 8. Individual Case Studies- Essex Group 8.1 Case of ‘Tom’ 8.2 Case of ‘Richard’ 88 88 93 3 University of Essex, 2013 8.3 8.4 8.5 8.6 8.7 8.8 Case of ‘Louise’ Case of ‘Rachel’ Case of ‘Andrew’ Case of ‘Nicola’ Case of ‘Danielle’ Case Study Key Findings 98 103 109 114 120 125 9. Comparing Outcomes from the Four Phases of TurnAround 127 10. Overall Key Findings 129 11. Conclusions 131 12. References 133 The research for this study was supported by the Wilderness Foundation UK who is indebted to all of their funders for their donations. Without these donations this research would not have been possible. Thanks also go to all Wilderness Foundation staff, young people and volunteer mentors who committed their time and energy to the project. *Correspondence contact: Dr Carly Wood, Research Officer, School of Biological Sciences, University of Essex, Wivenhoe Park, Colchester CO4 3SQ. [email protected] 4 University of Essex, 2013 Executive summary This report is a follow-on from three preceding TurnAround (TA) reports and should be read in conjunction with previous information. UK Youth crime and anti-social behaviour is a continuing problem; approximately one quarter of all crime in the UK is committed by young people, a figure which is disproportionate given that young people account for 1 in 10 of the population above the age of criminal responsibility. In the UK, the cost of youth crime is estimated at £4 billion per year. The annual cost of a place in a secure children’s home is approximately £120,000 per year, whilst the costs of a place in a secure training centre and young offender’s institution are £160,000 and £60,000 per year respectively. Due to the high costs associated with youth imprisonment, and the high reoffending rates of up to 38%, much attention has been placed on the use of alternative methods of tackling crime, reoffending and anti-social behaviour. Evidence suggests that therapeutic interventions providing skills and mentoring are effective at changing behaviour and protecting against risk factors such as low self-esteem and selfconfidence, mental illness and alcohol and substance abuse. Wilderness therapy programmes are also effective at reducing recidivism. Wilderness therapy programmes provide counselling, education, leadership training and primitive living conditions which aim to foster community and group working, honesty, awareness, openness and the ability of individuals to take responsibility for their actions. The TurnAround programme therefore uses skills workshops, mentoring and group activities combined with a number of wilderness trails, to target youth crime and anti-social behaviour. The aim of TA4 was to enable vulnerable young people to make positive changes in their lives through engagement in nature based activities. Two projects ran simultaneously, one in Essex and Hackney. The Hackney project ran from April 2012January 2013, whilst the Essex trail ran from April 2012- March 2013. Both programmes comprised of skills workshops and outdoor activity days, weekly one-to-one mentoring and two wilderness trails. The main objective of the programme was to intervene early preventing further criminal convictions, school exclusion and escalation of negative behaviour. The programme used outdoor activities and wilderness experiences to i) break down the physical and emotional barriers that inhibited social competence; ii) improve selfesteem, self-confidence, emotional regulation, communication and problem solving abilities; iii) instil a sense of accountability to themselves and others; iv) build trust and team-working skills; v) educate young people to make positive life choices; vi) generate employment and training opportunities and/or further education prospects. Each programme began with a 5-day wilderness trail to Scotland. The initial trail was central to the programme triggering an important internal selfdiscovery process and setting the foundation for work to follow. The sailing trip at the final stages of the programme was designed to re-affirm relationships, set goals and look towards the future and possible employment and education opportunities. In between the two trails were various activity days and skills 5 University of Essex, 2013 Six young people took part in the Hackney programme and seven young people took part in the Essex programme. Due to unforeseen circumstances questionnaires were only distributed at baseline, wild camping, pre and post wilderness trail and project end in the Hackney programme. In the Essex programme questionnaires were completed at baseline, wild camping, pre-post trail and sailing, at the cinema trip and the project end. The average age of the six young people from Hackney was 16.3±1.1 years, whilst the average age of the Essex participants was 17.3±1.5 years. 54% of participants were male and 46% were female. Due to low attendance at the Hackney project is was not possible to track changes in scores over the course of the project. However, several participants completed the questionnaires pre and post the wilderness trail, the scores were therefore compared across these two time points. Essex participants’ scores were tracked over time, involving project baseline and endpoint comparisons in addition to pre and post trail data. As a result of the wilderness trail, both the Essex and Hackney groups experienced improvements in all assessed parameters. In the Hackney group the total hope score increased by 8%, representing an improvement in the participants’ hope that goals could be met. Self-esteem also improved by 20% and a 2% increase in participants desire to be out in nature was reported. Similarly in the Essex group the total hope score increased by 7% and selfesteem improved by 14%. However increases in nature experience were larger in the Essex group, with a 12% increase in their desire to be out in nature. The Essex group also improved their scores throughout the course of the project. From project baseline to end hope scores increased by 28% (Figure A). Well-being scores significantly increased from project baseline to end (Z=-2.0; P<0.05), representing an improvement of 43% (Figure B). 60% of participants experienced changes so significant that they altered their well-being category. 40% of participants well-being moved from ‘low’ to ‘high’ and 20% moved from ‘low’ to ‘average’. 35 Figure A: Hope scores at project baseline and end in Essex participants 30 Hope score workshops and one-to-one mentoring sessions. A mixed methods approach was used to assess changes in hope, nature experience, self-esteem, well-being and behavioural strengths and difficulties throughout the duration of the project. Internationally standardised instruments were used to capture key evidence alongside qualitative feedback providing rich narrative. 25 20 15 10 Baseline End A high score=greater hope that goals can be met. The self-esteem score also improved from project baseline to end by 10%. Emotional symptoms decreased by 17%, peer problems by 19% and hyperactivity by 16%. Pro-social behaviour improved by 10% and overall behavioural difficulties saw a reduction of 10% from project baseline to end (Figure C). 6 University of Essex, 2013 Figure B: Well-being scores at project baseline and end in Essex 70 participants * 65 Well-being Score 60 55 50 45 40 35 30 25 20 Baseline End High scores=better well-being. * indicates an improvement in well-being at project end (P<0.05) 28 Strengths and difficultie score excluded. Furthermore the improvements in self-esteem experienced could help participants to place more value on themselves and thus not want to engage in behaviours which will jeopardise their future and potentially cause them to be imprisoned. 26 Figure C: Strengths and difficutlies scores at project baseline and end in Essex participants 24 22 20 18 16 14 12 10 8 Baseline As well as improving well-being, selfesteem, hope, behaviour and increasing participants desire to be in nature, the project helped participants’ to develop new skills through engaging in new activities, work as a team, communicate effectively with others, develop coping mechanisms, become self-aware and confident and develop a willingness to change. Participants enjoyed the experience and liked “interacting with new people”. They “became more open, confident and trusting” and learnt to “never give up”. Participants felt that participating in the project would help them to “try harder to achieve what they want in life” and “be more positive, set goals and talk to and give people a chance more”. End A high score=more difficulties. Whilst the mean scores in the assessed parameters showed a general trend for improvement, individual experiences of the project varied. Some participants responded more positively and enjoyed the experience more than others; this was to be expected given that everyone had a differing relationship with nature. However, overall the project was successful at targeting youth at risk of developing further behavioural problems, being excluded from school, partaking in criminal activity or anti-social behaviour. For example, the reductions in behavioural difficulties identified could stop the young people from being disruptive at school and therefore being The findings of this report suggest that projects like TA4 should be used as a tool to prevent the increasing trend for youth anti-social behaviour and crime. Therapeutic and wilderness projects should be considered as an alternative to discipline, deterrence and imprisonment in the battle against youth crime. The TurnAround project is a scheme which is successful at targeting the risk factors and causes of youth crime. Correspondence contact: Dr Carly Wood, Research Officer, School of Biological Sciences, University of Essex, Wivenhoe Park, Colchester, CO43SQ. [email protected] 7 1. Introduction This report is a follow on from three preceding TurnAround reports [1-3] and should be read in conjunction with previous information. Youth crime and anti-social behaviour is an increasing problem in the UK. Approximately one quarter of all recorded crime is committed by young people aged 10-17 years; with young men being responsible for 20% of all recorded crime and young women being responsible for approximately 4% [4]. Furthermore approximately 375 antisocial behaviour orders were given to young people in 2011/12 and 16% of all people arrested were aged 10-17 years. [5]. Whilst a minority of all crimes in the UK are committed by young people, the figures are disproportionate given that young people only account for 1 in 10 of the population above the criminal age of responsibility (aged 10 years) [4,5]. Risk factors for youth crime and antisocial behaviour include a low IQ, hyperactivity, family conflict, low academic achievement or self-esteem, substance addictions, poor mental health, domestic violence and low income or poor social circumstance [6, 7]. The cost of youth crime is approximately £4 billion per year, with 70% of this figure being spent on policing, 17% on punishment and 13% on trials [8, 9]. For young people who are imprisoned for the crimes they commit, the annual cost of a place in a secure children’s home is approximately £120,000 per year, whilst the costs of a place in a secure training centre and young offender’s institution are £160,000 and £60,000 per year respectively [6]. In addition to increasing crime rates, a high number of young people are excluded from school each year. In 2010/11, 5080 young people were permanently excluded from school and 324,110 young people were excluded for a fixed period [10]. Over one third of permanent exclusions and one quarter of fixed period exclusions were due to persistent disruptive behaviour and young men were more likely to be excluded than young women [10]. Furthermore, young people who are excluded from school are more likely to be involved in criminal activity or anti-social behaviour [7]. Due to the high costs associated with imprisonment of young people and the high reoffending rates of 38% [5], much attention has been placed on the use of alternative methods of tackling crime, reoffending and anti-social behaviour. Interventions that embody therapeutic philosophies have been demonstrated to be more effective than control or coercion strategies such as discipline, deterrence and surveillance, all of which may lead to increased criminal behaviour [7]. The aim of therapeutic interventions is to bring about behavioural change by University of Essex, 2013 facilitating personal development through improved skills, relationships’ and insight [11]. Programmes therefore tend to include opportunities for restoration and reflection, skill building and counselling or mentoring [11]. Mentoring alone has been demonstrated to reduce recidivism rates by 20% [7]. Wilderness therapy, a programme that takes place in a wilderness or remote outdoor environment, is also used to tackle youth crime and anti-social behaviour [12, 13]. Wilderness therapy programmes provide counselling, education, leadership training and primitive living conditions which aim to foster community and group working, honesty, awareness, openness and the ability of individuals to take responsibility for their actions [12]. Wilderness therapy programmes have been demonstrated to reduce recidivism by as much as 29% and are thus a successful programme for targeting antisocial behaviour and crime in young people [13]. The TurnAround programme uses skills workshops, mentoring and group activities combined with a number of wilderness trails, to target youth crime and anti-social behaviour. The cost of running the programme is £7,000 per participant. This report provides evidence for the effects of the TurnAround programme in a group of youth at risk of crime and anti-social behaviour. 9 University of Essex, 2013 2. Aims of TurnAround 4 The aim of TA4 was to enable vulnerable young people to make positive changes in their lives through engagement in nature based activities. The project was designed to use the power of nature as a catalyst for change. Natural outdoor settings were used as therapeutic places to facilitate discussion and reflection amongst the young people and to create a safe environment whereby they could make connections with each other, their mentors, nature and others involved in the programme. It also provided the young people with an opportunity to reflect on their life choices and the current destructive pathway many of them were heading down. The main objective of the programme was to intervene early preventing further criminal convictions, school exclusion and escalation of negative behaviour. The aim of the outdoor activities and wilderness experiences were to: 1. Break down the physical and emotional barriers that inhibited social competence; 2. Improve self-esteem, self-confidence, emotional regulation, communication and problem solving abilities; 3. Instil a sense of accountability to themselves and others; 4. Build trust and team-working skills; 5. Educate young people to make positive life choices; 6. Generate employment and training opportunities and/or further education prospects. Two projects ran simultaneously, one in Essex and one in Hackney, each of which targeted young people aged 15-20 years who share a variety of social and personal problems including alcohol and drug abuse, family breakdown, criminal offences, school exclusion and low self-esteem and selfconfidence. The Hackney project ran from April 2012 - January 2013, whilst the Essex trail ran from April 2012 - March 2013. Both projects included one-to-one mentoring, skills workshops and outdoor activity days and two wilderness trails (camping and sailing). Mentoring was conducted by community volunteers, who were asked to engage in weekly face-to-face meetings with their mentee, and contact via telephone and email throughout the project if required. 10 University of Essex, 2013 3. Structure of TurnAround 4 The structure of the TurnAround 4 project for Hackney and Essex participants is displayed in Table 1. The timetable of activities varied slightly for both Essex and Hackney participants, the activities are therefore separated for each subset of participants. Table 1. Phases of the TurnAround 4 project for Essex and Hackney participants. Activity type Activity description Recruitment Selection Participant and mentor recruitment Young people interviewed for programme, invited to an introductory day and places on the programme confirmed Wild camping, sailing, trail preparation, personal development sessions and transition and graduation planning* Art therapy, horse riding and stable management, , theatre trip** First aid training, cinema, trail celebration, tree planting, open fire cooking*** 7 day trail to Scotland Activity days Wilderness trail Sailing trip Graduation Hackney Essex Month (2012) Jan - Mar Mar Apr Apr - Dec Apr- Jan Jul Aug 5 day Sailing on the Morning Star Oct Celebration event Jan 2013 *All groups; **Hackney group only; ***Essex group only Nov Mar 2013 3.1 Recruitment and Selection of Participants Information on TurnAround procedures for recruitment and selection of participants can be located in the ‘Standard Information for TurnAround’ document. For the current cohort of participants outreach and engagement with referral agencies took place in January/February 2012 with all referrals required by the end of February 2012. Following interviews with referred young people, seven young people were selected to take part in the Essex programme and six young people were selected to take part in the Hackney programme. On entry all young people were required to sign a ‘contract of entry’ and complete a number of different tasks. A description of these can also be found in the standard information document. 11 University of Essex, 2013 3.2 Mentor Selection and Training Information about mentor selection and training can be located in the ‘Standard Information for TurnAround’ document. A total of 13 mentors were recruited for the TurnAround 4 project, six for the Hackney group and seven for the Essex group. Each participant was therefore allocated one mentor. 3.3 Wilderness Trail to Scotland General information about the purpose of the first wilderness trail can be found in the standard information document. For TurnAround 4 the Hackney and Essex groups took part in separate wilderness trails, both of which were in Scotland. The Hackney group trail took place from 27th July to 2nd of August 2012, whilst the Essex trail took place from the 08th-15th of August 2012. The area was remote and uninhabited, providing an escape from the young people’s everyday urban settings. The young people were accompanied on the trail by Wilderness Foundation staff and trained mountain leaders. Throughout the wilderness trail the young people were involved in a number of activities such as hiking, wild camping, camp craft activities, wildlife observation, food preparation, swimming and fire making and also solo time for the young people to reflect on their lives and their wilderness experience. Participants learnt basic camping skills and were exposed to simple living in tune with all elements of nature, such as the weather, terrain and lack of home comforts. The young people on TurnAround 4 also completed the John Muir Award environmental award. In order to receive the award the young people had to complete four challenges: i) discover a wild place; ii) explore its wilderness; iii) conserve- take personal responsibility for the place and; iv) share their experiences with others. The young people also had to complete daily journals documenting their thoughts and feelings and the activities which had taken place each day. 3.4 Monthly Workshops Each of the Turnaround 4 workshops was based on the four disciplines of the Circle of Courage, as described in the ‘Standard Information for TurnAround’ document. Workshops for the Essex and Hackney groups were run separately and varied slightly in content and timing. The workshop outlines are displayed in Table 2 (Hackney) and 3 (Essex). 12 University of Essex, 2013 Table 2. Description of Hackney monthly workshops and associated disciplines of circle of courage Month Workshop Activities May Wild camping weekend (midpoint 1 ) Meeting of young people and mentors, to develop skills and familiarity with camping such as tent and shelter construction and cooking on a fire. Leave no trace training June Art Therapy July Trial preparation September /October Sailing November Orienteering Personal development session to help participants to express themselves through painting or drawing Planning and distribution of equipment list, reaffirmation of rules, Description of trail, explanation of “leave no trace” and WF ethics Development of sailing skills to prepare for future sailing trip. Team work. Knowledge and skill development, preparation for sailing trip. Development of orienteering skills and teamwork December Horse Riding December Circle of Courage Focus B M I G Physical/ outdoor activity. To experience something new. Theatre Trip Trip to theatre to see Chariots of Fire January Graduation and transition planning Prepare for graduation ceremony and future after TurnAround January Graduation ceremony Celebration of programme completion Outcomes To develop connections with the mentors and bond with the group, improve self-confidence and self-esteem, develop camping and communication skills, begin journey to selfawareness. Self-expression, development of new skills. Developments of skills e.g. map reading, orienteering, using camping equipment. Skills development, improving self-esteem and self-confidence. New skills and knowledge, teamwork, attended to safety of self and colleagues. Learning of new skill, confidence and team building, knowledge development, improved self-esteem Cultural development, group bonding Young people working as a team to plan graduation ceremony, looking to the futureplanning for after TurnAround. To celebrate the success and achievements with family and friends, award certificates, reflect on what has been achieved. 13 University of Essex, 2013 Table 3. Description of Essex monthly workshops and associated disciplines of circle of courage Month Workshop Activities Circle of Courage Focus B M June Wild camping weekend (midpoint 1 ) Meeting of young people and mentors, to develop skills and familiarity with camping such as tent and shelter construction and cooking on a fire. Leave no trace training July Sailing July First aid training Development of sailing skills to prepare for future sailing trip. Team work. Knowledge and skill development, preparation for sailing trip. To learn basic first aid skills. August Trial preparation September Cinema and dinner Planning and distribution of equipment list, reaffirmation of rules, Description of trail, explanation of “leave no trace” and WF ethics Trip to the cinema and out for dinner December Tree planting Physical/ outdoor activity. To learn about gardening/horticultural activities January Cinema trip (midpoint 2) Trip to cinema to see Les Miserable March Open fire cooking Learning how to cook on an open fire March Graduation and transition planning Prepare for graduation ceremony and future after TurnAround March Graduation ceremony Celebration of programme completion I G Outcomes To develop connections with the mentors and bond with the group, improve self-confidence and self-esteem, develop camping and communication skills, begin journey to selfawareness. Skills development, improving self-esteem and self-confidence. Developments of skills. Developments of skills e.g. map reading, orienteering, using camping equipment. Reflection, group boding, Learning of new skill, confidence and team building, knowledge development, improved self-esteem Cultural and personal development, group bonding Skill development and teamwork. Young people working as a team to plan graduation ceremony, looking to the futureplanning for after TurnAround. To celebrate the success and achievements with family and friends, award certificates, reflect on what has been achieved. 14 University of Essex, 2013 3.5 One-to-One Mentoring In order for mentoring to work effectively, successful pairing of an adult and young person was required. This pairing was performed at the Wild Camping weekend for both the Essex and Hackney groups. Pairing was based upon personalities and geographical location. All Hackney participants were paired with a mentor from the Hackney region, whilst all Essex participants were paired with a mentor from the Essex region. An outline of mentoring strategies and aims can be found in the standard information document. Due to unforeseen programme circumstances, mismatching of personalities and a lack of engagement in mentoring from some participants, the mentoring on the whole was largely unsuccessful when compared to the previous TurnAround phases. Very few mentors and young people had regular weekly meetings and some mentors found it very challenging to agree a time and location for the meeting or to even establish contact. In some cases, particularly where personalities clashed or the young people were experiencing additional needs, Wilderness Foundation staff took over the mentoring role. However, in many cases mentors persisted in trying to meet with mentees. Indeed, some mentoring partnerships were successful, however there were some young people who had very little, if any mentoring throughout the programme. During the project there were also problems experienced with staffing, whereby a key member of project staff had to suddenly leave the Wilderness Foundation. This was outside of the control of the Wilderness Foundation but appeared to have a significant impact on participants, particularly those in the Essex group, as the participants had developed strong relationships with the member of staff. The departure occurred after the initial wilderness trail, reductions in parameters immediately after this point could therefore be attributed to this unfortunate event. However, Wilderness Foundation staff did put procedures in place to support the young people and help them to deal with any emotional difficulties they were experiencing after this event. 3.6 Sailing Trip on the Morning Star For their second wilderness trail the young people also took part in a sailing trip. The sailing trip lasted for five days, with the Essex group sailing from the 24th-28th October 2012 and the Hackney group sailing from the 29th October – 2nd of November 2013. The aims and purpose of the final trail can be found in the standard information document. 15 University of Essex, 2013 Throughout the sailing the young people were taught how to sail, building on skills they had previously learnt from attending day sailing activities. Each young person took on a role within the boat, such roles included radio communication, cooking and pulling on the ropes. The young people also developed navigational skills, explored and observed natural areas from the water and worked as a team to ensure that safety standards were adhered to. The young people also had to adhere to the rules of the boat, which were to: i) abide by the skippers decisions and to carry out the duties assigned on board the boat; ii) be involved in all tasks that need to be carried out on board; iii) smoke only on the deck; iv) not drink alcohol or consume illegal drugs; v) inform the skipper of any prescription medication which is being taken; vi) follow mobile phone usage rules; vii) only listen to music on personal stereos and viii) not leave the boat without the skippers permission. 16 University of Essex, 2013 4. Methodology The Green Exercise Research Team at the University of Essex provided an independent evaluation of the outcomes of the Wilderness Foundations TurnAround 4 project. A mixed methods approach was used to assess participant changes in self-esteem, well-being, relatedness to nature, behavioural strengths and difficulties and hope. A composite questionnaire was developed incorporating internationally standardised questionnaires alongside qualitative narrative, in order to capture the key outcomes of the project. The questionnaires were distributed at set time points throughout the project in order to determine changes in participants’ scores, over time. However, these time points varied for the Hackney (Table 4) and Essex (Table 5) groups due to differences in scheduled sessions and the extension of the Essex group programme. Project outcomes and information were also obtained via participant documentation, including shield drawings, and other artwork. The self-esteem scale has been used in all three previous TurnAround phases, allowing comparisons between the TurnAround phases to be made. Table 4: Timetable of Data Collection for Hackney Group Baseline Hope Nature Relatedness Well-being Self-esteem Strengths and Difficulties Qualitative Narrative April Wild Camping Weekend May Pre Wilderness Trail Post Wilderness Trail End July August January *Questionnaires were unfortunately not completed by the Hackney group on the sailing trip or final workshop. At the wild camping weekend (midpoint 1) questionnaires were completed at the end of the first day of camping. 4.1 Hope Questionnaire Hope is as “an overall perception that one’s goals can be met” and consists of two interrelated subscale components: agency and pathway [14]. The agency sub-scale is concerned with an individual’s perceived capacity for commencing and maintaining the actions required to meet a goal, whilst the 17 University of Essex, 2013 pathway sub-scale focuses on the ability of the individual to generate routes to their goals [14]. Hope is related to coping ability, where a state measure of ‘hope’ provides a snap-shot of a person’s goal directed thinking. The Children’s Hope Scale is designed for children and young people aged 8-16 years [15]. The scale consists of six items, three for the agency sub-scale and three for the pathway sub-scale. Each item is responded to on a six point likert scale from one (none of the time) to six (all of the time) and a total scale score ranging from six to 36 is derived by summing the items. Scores for the two sub-scales are also generated, ranging from three to 18. A higher score represents a greater perception that goals can be met. The Children’s hope scale was used in the current study despite participants having a mean age of above 16 years, as many of the young people were illiterate. The mean hope score on the child questionnaire is 25.89. Table 5: Timetable of Data Collection for Essex Group Baseline Hope Nature Relatedness Well-being Self-esteem Strengths and Difficulties Qualitative Narrative April Wild Camping Weekend (midpoint 1 ) June Pre and post Wilderness Trail August Pre and post sailing Cinema Trip (midpoint 2) End October January March *The Essex group programme was extended by 3 months due to unforeseen delays. At the wild camping weekend (midpoint 1) questionnaires were completed at the end of the first day of camping. 4.2 The Nature Relatedness Scale- Nature Experience Nature relatedness describes an individual’s level of connectedness with the natural world and comprises the cognitive, affective and physical connection with nature [16, 17]. The Nature Relatedness Scale consists of three sub-scales; self, perspective and experience. The experience subscale measures “physical familiarity with the natural world and the level of comfort with and desire to be out in nature”. As experience of nature is a key aspect of the TurnAround project, the subscale was incorporated into the composite questionnaire. The scale consists of 6 items, responded to 18 University of Essex, 2013 on a five point likert scale from one (disagree strongly) to five (agree strongly). Two of the items are reverse scored and a total sub-scale score is generated by totalling the scores for the six items and dividing by six. A high score indicates a high level of experience, comfort and desire to be in nature. 4.3 Well-being Well-being is an important contributor to health and is defined as “a positive physical, social and mental state and not just the absence of pain, discomfort or incapacity” [18]. Well-being was assessed using the Warwick Edinburgh Mental Well-being Scale (WEMWBS). The scale comprises a global well-being measure including affective-emotional aspects, cognitive-evaluative dimensions and psychological functioning and is short enough to be used in population-level surveys [19]. The scale is validated for use in adults and adolescents in the UK [19-21] and consists of 14 items, all of which are worded positively and address positive aspects of positive mental health [20, 22]. The scale is scored by summing responses to each item which are scored on a five point likert scale from one (none of the time) to five (all of the time). The minimum score is 14 whilst the maximum score is 70. A higher score represents a better well-being. The well-being scale is not designed to identify individuals who have especially high or low levels of well-being; therefore no cut points have been developed (23). However, other research tends to classify well-being as either ‘low’, ‘average’ or ‘high’ using the mean and standard deviation (SD) of the data (24). A ‘low’ well-being is classed as more than one SD below the population mean score, ‘average’ within one SD of the population mean and ‘high’ as more than one SD above the population mean. The mean and SD used to classify well-being scores in this study were national averages from the recent Scottish health survey for 16-24 year olds (51.7±7.26) (25). 4.4 Self-esteem Self-esteem is defined as “a person’s positive or negative attitude towards the self in totality”, with low self-esteem being a common occurrence in many forms of mental ill health [26]. Self-esteem 19 University of Essex, 2013 was assessed using the one page 10-item Rosenberg’s Self-esteem Scale (RSE), which is considered to be the most widely-used and popular self-esteem measure in health psychology and social science research [27]. RSE provides a one-dimensional, global measure [28], each of the 10 items on the scale are scored on a four point likert scale from one (strongly disagree) to four (strongly agree). An overall self-esteem score between 10 and 40 is generated, with a high score representing a better self-esteem. In previous TA reports a lower score has represented a better self-esteem; scores in the current report should therefore be interpreted in the opposite direction. 4.5 Behavioural Strengths and Difficulties Behavioural strengths and difficulties were assessed using the Strengths and Difficulties Questionnaire (SDQ). The SDQ is a 25-item behavioural screening questionnaire that assesses both positive and negative behaviours [29]. The items are equally divided into five scales addressing varying aspects of behaviour and behavioural problems including conduct problems; hyperactivity; emotional symptoms; peer problems and pro-social behaviour. Each item is scored on a three point likert scale from zero (not true) to two (certainly true). Scores are generated for each of the five subscales, by summing the scores for the five items within that scale. Each sub-scale score ranges from zero to ten, with a higher score representing greater conduct problems, hyperactivity, emotions or peer problems and a more pro-social behaviour. An overall SDQ score is generated by summing the items for each scale, except pro-social behaviour. The minimum SDQ score is zero whilst the maximum score is 40; a higher score represents a greater number of behavioural difficulties [30]. The scores for each sub-scale and the overall SDQ can be placed into categories which represent either ‘normal’, ‘borderline’ or ‘abnormal’ behaviour [29]. 4.6 Qualitative Narrative Qualitative narrative was collected to compliment quantitative data. Participants were asked openended questions to determine what they were hoping to gain from the programme; what they were excited and nervous about; what they enjoyed most and least, what they learnt about themselves, nature and other people and what they would do differently in the future as a result of the programme. 4.7 Statistical Analysis All questionnaire data was entered into SPSS (v18) statistical analysis software to assist in manipulating data, detecting inconsistencies and statistically analysing results. Due to small sample sizes statistical analysis was performed using non‐parametric tests. Where statistical analysis results 20 University of Essex, 2013 are not reported, no statistically significant changes were identified. Statistical analysis was generally limited due to missing data and the low number of participants completing the questionnaires at all time points. Descriptive data is reported in all cases to provide insights into any trends or patterns in results. Baseline data should be interpreted with caution as participants often provide scores that they perceive to be socially desirable at the start of the project as opposed to an honest reflection of their thoughts and feelings. Deterioration in scores from baseline could therefore be attributed to unreliable baseline data. 21 University of Essex, 2013 5. Generic Results- Hackney Group 5.1 TA4 Participants Six youth at-risk from Hackney were selected to take part in the project. Participants’ ages ranged from 15-17 years, with an average age of 16.3±1.1 years. Four of the participants were male (67%) and two of the participants were female (33%). The young people were experiencing a variety of issues including low self-confidence and self-esteem, anger issues and a lack of trust in other people. Many of the young people were living in foster care and had unstable family backgrounds, with a need for security and belonging. Some participants also had criminal convictions. Participant attendance at the project varied, with some participants only completing two questionnaires and one participant completing all five. All data was included in the analysis. 5.2 Hackney Analysis Overview Hackney participants were evaluated at baseline, wild camping weekend (midpoint 1), pre and post wilderness trail and the project end. Only one participant completed the questionnaires at all time points, changes over time cannot therefore be tracked. However, several participants completed the questionnaires pre and post the wilderness trail; so comparisons between these two time points were analysed. Only descriptive data is reported for baseline, wild camping weekend and end of project evaluation time points, statistical analysis will not be performed due to low participant numbers. Within subjects statistical analysis will be performed on pre and post wilderness trail data to determine any changes due to the trail. 5.3 Changes over the duration of the project 5.3.1 Participant Perspectives at the Start of the Project At the start of the TA project participants were asked a number of questions about the programme, including what they were hoping to get out of it and what they were nervous or excited about. The responses to these questions are displayed in Box 1. Participants were hoping to learn how to camp and live outdoors and to trust and communicate with other people. The most exciting aspects of the project were identified as the activities, camping and seeing new places and making new friends. 22 University of Essex, 2013 Box 1: Hackney Participant hopes and aspirations for the TurnAround project. Question Comments from Young People What do you “Learn how to camp, wood cutting skills.... Make friends. How to cook in the hope to get out wilderness, outside the house, outdoors” of this “Hope to gain more trust from other people and to overcome my fear programme? (water)” “Good communication skills, how to survive in the wild, god techniques” “Confidence and to make my own choices. Also learning new things”. What are you “Nothing” (X2) most nervous “I am nervous about sailing because of my fear of water” about? “Sleeping in the dark” What are most “Achieving, seeing new people, making new friends, excited about coming excited about? from London to Colchester” “I am most excited about going to Scotland and camping in the real wilderness. Getting to know my mentor more” “Camping outside” “I am excited about the activities and trying new things” 5.3.2 Hope Figure 1 displays changes in agency sub-scale scores over the course of the project for participants who completed the scale at each of the time points. Scores increased from baseline to wild camping by an index of 1.25, representing an 8% improvement in the perceived capacity for commencing and maintaining the actions required to meet goals. Scores decreased from wild camping to the end of the project; however the scores remained slightly elevated from baseline. From baseline to project end scores increased by an index of 0.75, equivalent to a 5% improvement. Figure 2 displays changes in pathway sub-scale scores for participants who completed the scale at each of the time points. Scores increased from baseline to wild camping by an index of 2.5, equating to a 16% improvement in perceived ability to generate routes to goals. Scores decreased from wild camping to the end of the project, where they fell below baseline levels. Overall participants perceived ability to generate routes to their goals decreased by approximately 8% (an index of 1.25). 23 University of Essex, 2013 18 Figure 1: Changes in Hackney group agency subscale scores over the course of the project Agency Sub-scale Score 17 16 15 14 13 12 11 10 9 8 Baseline Wild Camping End Note: A higher score= greater hope that goals can be met. Error bars represent ±1SD; N=4 at baseline and wild camping and n=2 at the end. Pathway Sub-scale Score 19 Figure 2: Changes in Hackney group pathway sub-scale scores over the course of the project 18 17 16 15 14 13 12 11 10 Baseline Wild Camping End Note: A higher score= greater hope that goals can be met. Error bars represent ±1SD; N=4 at baseline, and wild camping; n=2 at the end. The changes in total hope scores for participants who completed the scale at each time point are displayed in Figure 3. The ‘Hope’ scores increased continuously from baseline to wild camping by an index of 3.75, equivalent to a 13% improvement. This improvement represents an increase in the perception that the participants can achieve their goals. The scores decreased from wild camping to the end of the project, where scores fell slightly below those achieved at baseline. The index of decrease from start to end was 0.5; scores therefore experienced a slight deterioration of 3%. At 24 University of Essex, 2013 baseline and project end scores were slightly below the average score of 25.89, whilst at wild camping the score was greater than this average value. Hope scores might have reduced due to unreliable baseline data. Given that the scores seemed to decline after the wilderness trail, the reduction might also be a reflection of the staffing circumstances mentioned previously. 36 Figure 3: Changes in Hackney group Hope scores over the course of the project 34 Hope Score 32 30 28 26 24 22 20 Baseline Wild Camping End Note: A higher score= greater hope that goals can be met. Error bars represent ±1SD; N=4 at baseline, and wild camping and n=2 at the end. 5.3.3 Nature Experience The nature experience scores at each of the data collection time points can be found in Figure 4. Scores declined from baseline to wild camping, but increased by an index of 0.5 from baseline to project end, representing a 10% increase in the desire of the participants to be out in nature. 25 University of Essex, 2013 Nature ExperienceScore 5.5 Figure 4: Nature Experience scores in Hackney participants over the course of the project 5 4.5 4 3.5 3 2.5 2 Baseline Wild Camping End Note: A higher score= greater experience of nature. Error bars represent ±1SD; N=4 at baseline and wild camping; n=3 at the end. 5.3.4 Well-being Well-being scores decreased from baseline to wild camping, but increased from wild camping to the end of the project (Figure 5). From baseline to the end scores increased by an index of 7.6, representing an overall improvement in well-being of 14%. Well-being scores were above the normative value of 51.7 at all time points. At baseline and wild camping scores were classified as being ‘average’; by the end of the project the mean score was classified as ‘high’. 75 Figure 5: Well-being scores in Hackney participants over the course of the project Well-being Score 70 65 60 55 50 45 40 Baseline Wild Camping End Note: A higher score= greater well-being. Error bars represent ±1SD; N=4 at baseline and wild camping; n=3 at the end. 26 University of Essex, 2013 5.3.5 Self-esteem Figure 6 displays self-esteem scores at each of the data collection time points. Scores decreased from baseline to wild camping, but increased from wild camping to the end of the project by an index of 12.1. The overall change from the start to the end of the project was 1.3, representing a slight improvement in self-esteem of 4%. 40 Figure 6: Self-esteem scores in Hackney participants over the course of the project Self-esteem Score 35 30 25 20 15 10 Baseline Wild Camping End Note: A higher score= greater self-esteem. Error bars represent ±1SD; N=4 at baseline and wild camping; n=3 at project end. 5.3.6 Strengths and Difficulties Table 6 displays the strengths and difficulties sub-scale scores at each of the three time points. Emotional symptoms decreased from baseline to wild camping and from baseline to end, but increased slightly from wild camping to end. From baseline to end scores decreased by an index of 0.3; representing a 3% reduction in emotional difficulties. For conduct problems, scores increased from baseline to wild camping, but decreased from wild camping to end and baseline to end. Conduct problems reduced by 5% overall. Symptoms of hyperactivity also decreased from baseline to wild camping and baseline to end. From baseline to end the index of decrease was 2.5, representing a 25% reduction in hyperactivity. Peer problems increased from baseline to wild camping, but decreased from wild camping to the end of the project. However scores at baseline and the end of the project were identical, meaning that peer problems were similar at both the start and end of the project. Pro-social behaviour increased over the course of the project, both from baseline to wild camping and wild camping to end. Pro-social 27 University of Essex, 2013 behaviour increased by an index of 0.4 or 4%. At baseline, wild camping and project end all mean sub-scale scores were classified as normal. Participants were experiencing few behavioural issues at the project baseline, proving little opportunity for changes in behavioural scores. Table 6: Strengths and difficulties sub-scale scores in Hackney participants over the course of the project Baseline Wild camping End Emotional Symptoms Conduct Problems Hyperactivity Peer Problems Pro-social behaviour (n=4) (n=4 for all except peer problems (n=3)) (n=3) 2.3±0.5 2.8±2.2 4.8±2.6 2.3±0.5 7.3±1.0 1.8±1.5 3.3±1.3 2.0±1.8 3.3±3.2 7.5±1.9 2.0±2.0 2.3±1.5 2.3±2.5 2.3±0.6 7.7±2.1 Scores represent mean±SD, a higher score= greater conduct problems, hyperactivity, emotions or peer problems and a more pro-social behaviour The total SDQ score at the data collection time points is displayed in Figure 7. The score decreased over the course of the project. The end of project score was lower than the baseline score by 3.1 representing an 8% reduction in behavioural difficulties. At all three time points total scores were classified as normal. Total Strengths and Difficulties Score 18 16 Figure 7: Total Strengths and Difficulties score in Hackney participants over the course of the project 14 12 10 8 6 Start Wild Camping End Note: A higher score= greater behavioural difficulties. Error bars represent ±1SD; N=4 at baseline and; n=3 at the wild camping and project end. 28 University of Essex, 2013 5.3.7 Feedback about the project after Wild Camping At the end of the wild camping participants were asked to give feedback about their experience of the project so far. Participants were asked to reveal what they were enjoying most and least and what they were learning about themselves through involvement in TurnAround. Participants were most enjoying making friends and cooking, whilst one participant said that they liked “everything” about the programme. Participants learnt that they can do things like sleep outside and that they can “make up their own mind” about things (Box 2). Box 2: Young people’s feedback about the project after Wild Camping (Hackney). Question Comments from Young People What are you “ Meeting new people and making new friends” enjoying most “Meeting new people and playing games” about being on “I like everything in this programme” the programme? “Going out and cooking with.....because me and him would cook using our hands in the kitchen….” “I am enjoying the food and the fact that I can take pictures with the staff so that one day I would remember.......” What are you “Stinging nettles” enjoying least? “Waking up early in the morning and sleeping outside” What are you “The wildlife and things to do with the world” learning about “That I can sleep outside, I am good at saying no and I can make up my own yourself? mind” “Everything” “I have learned that life is not as hard as its seems because the wilderness project is meant to help me build a tent to survive elsewhere” 5.3.8 Feedback at the end of the project At the end of the project participants were asked to identify what they felt they had got out of the TurnAround project, what they had learnt about themselves and what they thought they would do differently in future. The responses to these questions are displayed in Box 3. 29 University of Essex, 2013 Box 3: Young people’s feedback at the end of the project (Hackney) Question Comments from Young People What have you got out “ I am a nice person sometimes” of the TurnAround “I have learnt many things about myself and I feel good what I am programme and what doing. I would like to come again next year” have you learnt about “I learnt about myself that I can do a lot of new things and to never yourself? give up” What do you think you “I will try to meet more people. I have enjoyed making lots of new will do differently after friends” taking part in this “I will use everything that I learnt from this programme” programme? “I think I am not going to do anything differently” 5.4 Wilderness Trail to Scotland Five Hackney participants completed the composite questionnaire pre- and post the Wilderness trail, however not all five participants completed all aspects of the questionnaire. For each of the assessed measures between three and five participants completed the relevant scales. Changes in group means between the two time points can therefore be generated and compared. 5.4.1 Qualitative Narrative prior to the trail Participants completed questionnaires at the start and end of the wilderness trail. At the start of the trail they were asked what they were nervous and excited about and what they hoped to get out of the trip. The responses are displayed in Box 4. Young people were most nervous about sleeping outside and not having their home comforts such as mobile phones. However, they were excited about camping, seeing new things and taking part in activities and were hoping to make friends and develop communication skills. 30 University of Essex, 2013 Box 4: Young people’s hopes and concerns about the Wilderness Trail (Hackney) Question Comments from Young People What do you hope “ I hope to get good communication skills” to get out of this “Friends” trip? “I want to learn more about camping and to learn English communication with the people” “A good experience What are you most “Well I was nervous about getting on the plane, but now I ain’t nervous nervous about? about anything” “Sleeping outside in the middle of nowhere and going to the toilet outside” “Nothing” “I need my phone” What are you most “Camping for the week” excited about? “Doing activities with everyone” “I am happy. For camping, for my friends and here in Scotland” “I want to see something that I have never saw before” 5.4.2 Hope Four Hackney participants completed the hope questionnaire pre and post the Wilderness Trail, whilst four participants completed the pathway sub-scale questions and five completed the agency sub-scale questions. For both the agency and pathway sub-scales, scores increased from pre to post wilderness trail, meaning that overall hope also increased (Figures 8-9). Agency scores increased by an index of 1.6 representing a 10% improvement; whilst pathway scores increased by an index of 0.5 or 3%. Of the five participants who completed the agency sub-scale, 40% increased their scores, of the four who completed the pathway sub-scale 50% improved their scores. Overall hope scores also increased. The scores increased by an index of 2.25, meaning that participants’ hope of meeting their goals increased by 8% due to the wilderness experience. Scores were above average at both time points and half of participants increased their hope scores. 31 University of Essex, 2013 19 Figure 8: Changes in Hope sub-scale scores from pre to post Wilderness trail 18.5 Sub-scale Score 18 Agency 17.5 Pathway 17 16.5 16 15.5 15 14.5 14 Pre Trail Post Trail Note: A higher score= greater hope that goals can be met. Error bars represent ±1SD; N=4 for pathway; N=5 for agency 37 Figure 9: Changes in Hackney participants Hope scores from pre to post wilderness trail 36 Hope Score 35 34 33 32 31 30 29 28 27 Pre Trail Post Trail Note: A higher score= greater hope that goals can be met. Error bars represent ±1SD; N=4. 5.4.3 Nature Experience Four Hackney participants also completed the Nature Experience scale pre- and post- the wilderness trail. Mean scores were similar at both time points, with only a slight increase in participants’ nature experience occurring at the post trail time point (Figure 10). The score increased by an index of 0.1, representing a small increase of 2%. Approximately 25% of participants increased their scores, whilst 50% of participants’ scores remained unchanged. 32 University of Essex, 2013 Nature Rexperience Score 4.8 Figure 10: Changes in Hackney participants Nature Experience scores from pre to post wilderness trail 4.6 4.4 4.2 4 3.8 3.6 3.4 3.2 3 Pre Trail Post Trail Note: A higher score= greater relatedness to nature. Error bars represent ±1SD; N=4. 5.4.4 Self-esteem Three Hackney participants completed the self-esteem scale before and after the wilderness trail. Participants mean scores increased by an index of 6.0, representing a 20% improvement in selfesteem as a result of the wilderness trail (Figure 11). All participants (100%) improved their selfesteem. 41 Figure 11: Changes in Hackney participants selfesteem from pre- to post wilderness trail Self-esteem Score 39 37 35 33 31 29 27 25 Pre Trail Post Trail Note: A higher score= better self-esteem. Error bars represent ±1SD; N=3. 33 University of Essex, 2013 5.4.5 Qualitative Feedback At the end of the Wilderness trail participants were asked a number of questions about their experience, including what they enjoyed most and least, what they would change and what the trail had taught them about themselves; nature and other people. Participants’ responses to these questions can be found in Box 5. Participants enjoyed the camping, learning new things and making friends, but didn’t like aspects of the trip such as the long walks and poor weather. Participants learnt that they could make friends, that there are good people out there and that nature is a beautiful thing. Box 5: Young people’s feedback about the Wilderness Trail (Hackney) Question Comments from Young People What do you “ I enjoyed camping in the wilderness because it was fun and I was able to meet enjoy most about new friends” your experience? “Getting to know the guys a bit more and learning the good and bad stuff about people because it is good to know the good and bad cos then you know what they don’t like and like” “I enjoyed meeting new people and becoming friends with everyone. Also looking at the animals and the rivers, sitting around the fire with everyone” “I enjoyed meeting new friends, learning new things, walking, nature, sheep, river, jumping salmon and fire”. “The Fire, nature and new friends” What didn’t you ”I didn’t enjoy the fitness level in some of the people, they could improve” enjoy? “The walking” “I didn’t enjoy walking long distances with a heavy bag on my back. I didn’t enjoy the cold rain and the weather. I didn’t enjoy the mosquitoes and midges because they left spots on my face” “Nothing” “Food” What would you “The people that came on the trip” have changed? “My fitness level” “I would change the walking to riding a bike instead. I would change the weight of the bag and make it less heavy” “More nights out camping” “More food, more young people. To be allowed my phone”. 34 University of Essex, 2013 What has this “It has taught me that I can make friends quickly and how much I like the trip taught you wilderness” about yourself? “I am normal” “Nothing” “I am a strong person working in a group” What has this “That some people ain’t got the fitness level I have” trip taught you “They are good people, they are funny people, for me they are my best friends” about other “Funny people, I had a good time. Responsible, good friends” people? What has this “That it is beautiful and how much I can learn and like nature” trip taught you “Everything” about nature? “Green, amazing mountain” 5.4 Hackney Key Findings The key findings of the analysis of Hackney data revealed that over the course of the project: Agency hope scores increased by 6%; Well-being scores increased by 13%, with the average well-being score moving from a classification of ‘average’ to ‘high’; Self-esteem improved by 4%; Emotional symptoms, conduct problems and hyperactivity reduced by 13%, 18% and 52% respectively; Pro-social behaviour increased by 56%; Total strengths and difficulties reduced by 26%. As a result of the wilderness trail: Agency hope scores increased by 11%, pathway by 3% and total hope scores by 7%; 50% of participants increased their hope that they could meet their goals; Nature experience increased by 3%, with 25% of participants increasing their familiarity and desire to be out in nature; Self-esteem scores increased by 21%; 100% of participants improved their self-esteem. 35 University of Essex, 2013 6. Individual Case studies- Hackney Group This section uses a case study approach to provide individual overviews for each person. It plots changes in individual parameters over the course of the programme and uses a combination of qualitative and quantitative data. Pseudo names are used at all times and any missing data is due to absence. Provision of background information for each individual case study helps to build the participants profile. 6.1 Case of ‘John’ John was 17 ¼ years old at the start of the TurnAround project. He spoke very little English and had no self-confidence. He lacked a strong family unit and was just leaving care. He had a need for belonging and security and had received little education. John attended all but one (baseline) of the data collection sessions. John’s sub-scale hope scores for the sessions he attended are displayed in Figure 12. The agency score remained stable from wild camping to pre-trail, but decreased after the trail and at the project end. The pathway score decreased at wild camping, but increased post trail. The score increased by an index of 3.0, equivalent to a 19% improvement in John’s perceived ability to generate routes to his goals, following the wilderness experience. Both subscale scores decreased by the end of the project; however, John’s lack of attendance after the trail in July until the end of the project in December is likely to have contributed to this decline. Figure 12: John's hope sub-scale scores over the course of the project 19 18 Hope sub-scale score 17 16 15 14 13 12 11 10 Wild Camping Pre trail Post trail End Note: Blue= Agency; Green= Pathway; A higher score= greater hope that goals can be met 36 University of Essex, 2013 The total hope score from wild camping to post trail remained relatively stable, with a decline at pretrail but increase after (Figure 13). The score increased by 7% after the wilderness event. The score then decreased at the project end, perhaps as a result of low levels of engagement. This score was below the baseline level. At all time points except the project end, hope scores were above the normative value of 25.89. 38 36 Figure 13: John's hope score over the course of the project Hope score 34 32 30 28 26 24 22 Wild Camping Pre trail Post trail End Note: A higher score= greater hope that goals can be met John’s nature experience scores are displayed in Figure 14. Scores increased from wild camping to the end of the project, remaining stable before and after the wilderness trail. The index of increase from wild camping to project end was 1.33, representing a 27% increase in nature experience. At the end of TurnAround John’s score was the maximum that could be achieved on the nature experience scale. 37 University of Essex, 2013 Figure 14: John's nature experience scores over the course of the project 5.1 Nature Experience score 4.9 4.7 4.5 4.3 4.1 3.9 3.7 3.5 Wild Camping Pre trail Post trail End Note: A higher score= greater nature experience The well-being scale was not completed pre- and post- the wilderness trail. Scores after wild camping and at the project end are therefore displayed. The score increased by an index of 6.0 between the two time points, representing an 11% increase in well-being (Figure 15). The score reached the maximum possible score at the end of the project and was above the normative value at both time points. Overall John had a ‘high’ perceived level of well-being. 71 Figure 15: John's well-being score at workshop 1 70 and project end 69 Well-being score 68 67 66 65 64 63 62 61 Wild Camping End Note: A higher score= greater nature experience 38 University of Essex, 2013 John’s self-esteem consistently improved over the course of the project. The increase as a result of the wilderness trail was 17%, whilst from wild camping to the end of the project the score increased by an index of 22, representing a 73% improvement in self-esteem over the course of the project (Figure 16). However, the level of self-esteem reported on John’s initial questionnaire (wild camping) was very low, perhaps questioning the reliability of either the WB or self-esteem data. 40 Figure 16: John's self-esteem scores over the course of the project Self-esteem score 35 30 25 20 15 10 Wild Camping Pre trail Post trail End Note: A higher score= better self-esteem The changes in John’s strengths and difficulties’ sub-scale scores are displayed in Table 7. Like with well-being, strengths and difficulties questionnaires were not completed at the wilderness trail. Emotional symptoms worsened slightly from wild camping to project end, as did hyperactivity. However, conduct problems declined by 10% and peer problems and social behaviour remained stable. All scores were classed as ‘normal’. Table 7: John’s Strengths and difficulties sub-scale scores over the course of the programme Emotional Symptoms Conduct Problems Hyperactivity Peer Problems Pro-social behaviour Wild camping 3 3 0 1 10 End 4 2 2 1 10 Note: a higher score= greater conduct problems, hyperactivity, emotions or peer problems and an improved pro-social behaviour. A decrease in sub-scale score= improvement (except pro-social behaviour) 39 University of Essex, 2013 John’s total strengths and difficulties score increased from a score of 7.0 at wild camping to a score of 11 by the end of the project, representing an increase by an index of 4.0. John’s behavioural difficulties therefore worsened. However, due to the large time interval between the two questionnaires being completed it is not possible to decipher what might have caused the changes in behavioural difficulties. By the end of the TurnAround project John felt that he had learnt a lot from the project and was feeling good about himself. He felt that he would use all that he had learnt to help him in the future. 6.2 Case of ‘Sam’ Sam was 15 years old at the start of the TurnAround project. She was in foster care and lacked selfesteem and self-confidence. She was very shy and had a number of anger issues. By taking part in the project she was hoping to develop confidence, independence and ability to make her own choices and learn new skills. Sam attended the baseline, wild camping and trail data collection sessions, but was not present at the project end. Sam’s sub-scale hope scores are displayed in Figure 17. The agency sub-scale score remained stable until wild camping, but then continued to increase. The index of increase from baseline to post trail was 3.0, equivalent to a 19% improvement. The pathway score increased at wild camping, but remained stable and decreased thereafter. Overall the pathway score decreased by an index of 1.0. The total hope score increased up until the post trail time point, where the score decreased (Figure 18). However the score did improve from baseline to post wilderness trail by an index of 2.0, representing a 13% increase in Sam’s hope that she could meet her goals. At baseline Sam’s score was similar to the average value; throughout the rest of the project scores exceeded 25.89. 40 University of Essex, 2013 15.5 Figure 17: Sam's hope sub-scale scores over the course of the project 15 Hope sub-scale score 14.5 14 13.5 13 12.5 12 11.5 11 Baseline Wild Camping Pre trail Post trail Note: Blue= Agency; Green= Pathway; A higher score= greater hope that goals can be met 29.5 Figure 18: Sam's hope scores over the course of the project 29 28.5 Hope score 28 27.5 27 26.5 26 25.5 25 Baseline Wild Camping Pre trail Post trail Note: A higher score= greater hope that goals can be met Sam’s nature experience scores increased at the wild camping weekend. However, the scores returned to baseline values pre- and post-trail. The scores at baseline and post wilderness trail were identical, meaning that Sam’s desire to be out in nature did not change over the course of the project (Figure 19). 41 University of Essex, 2013 2.9 Figure 19: Sam's nature experience scores over the course of the project Nature experience score 2.85 2.8 2.75 2.7 2.65 2.6 2.55 2.5 2.45 2.4 Baseline Wild Camping Pre trail Post trail Note: A higher score= greater nature experience The well-being questionnaire was not completed at the wilderness trail. Between baseline and wild camping the well-being score decreased from 52 to 50, representing a reduction in well-being. However both scores were close to the normative value of 51.7 and classified as ‘average’. Sam’s self-esteem score decreased from baseline up until pre-wilderness trail, but improved following the trail. The index of increase due to the trail was 3.0, representing a 10% improvement in self-esteem. From baseline to the end of the trail the score improved by an index of 1.0, representing an overall improvement in self-esteem of 3% (Figure 20). 33.5 Figure 20: Sam's self-esteem score over the course of the project 33 Self-esteem score 32.5 32 31.5 31 30.5 30 29.5 29 Baseline Wild Camping Pre trail Post trail Note: A higher score= better self-esteem 42 University of Essex, 2013 Similarly to well-being, the strengths and difficulties questionnaire was only completed at baseline and wild camping. The changes in the sub-scale and total score can be found in Table 8. Emotional symptoms, conduct problems, hyperactivity and the total score all improved by an index of 1.0, representing improvements of 7%. Peer problems increased slightly and pro-social behaviour reduced. At baseline all scores were ‘normal’ except conduct problems which were ‘borderline’. At the end of the project the conduct problems score had become ‘normal’. Table 8: Sam’s Strengths and difficulties sub-scale scores over the course of the programme Emotional Symptoms Conduct Problems Hyperactivity Peer Problems Pro-social behaviour Total Score Baseline Wild camping 2 4 5 2 7 13 1 3 4 4 6 12 Note: a higher score= greater conduct problems, hyperactivity, emotions or peer problems and an improved pro-social behaviour. A decrease in sub-scale score= improvement (except pro-social behaviour) At the start of the project Sam completed a shield. She said that she viewed herself as shy, kind and talented, but sometimes stupid and felt that other people felt she was shy, kind, helpful, but perhaps rude. In the future she wanted to be seen as a kind, talented girl, teach dancing and working as a hair dresser. During her time on the project Sam made friends and interacted with others, whilst also developing team work and communication skills, as well as activity specific skills such as sailing and camping. 6.3 Case of ‘Jodie’ Jodie was 15 years old at the start of the TurnAround project. She was in foster care and struggling with education. She needed security, was lacking independence and had very little self-confidence. From engaging in the project Jodie was hoping to develop communication skills, survival skills and good camping techniques. Jodie engaged with the project well, attending all time points where data was collected. Jodie’s sub-scale hope scores are displayed in Figure 21. Agency sub-scale scores increased from baseline to post wilderness trail, but decreased slightly at the project end. However, the overall score increased from baseline to end by an index of 13%. The pathway sub-scale score increased 43 University of Essex, 2013 from baseline to post wilderness and decreased at the project end. The baseline and end score were the same, representing no overall change. 18 Figure 21: Jodie's sub-scale hope scores over the course of the project 17 Sub-scale hope score 16 15 14 13 12 11 10 Baseline Wild Camping Post trail End Note: Blue= Agency; Green= Pathway; A higher score= greater hope that goals can be met The total hope score again increased up to the post trail time point but decreased at the project end. The overall change from baseline to end was 2.0, representing an improvement in Jodie’s hope that her goals can be met by 7% (Figure 22). The score at baseline was below average (25.89), but above average at wild camping and post trail. At the end of the project the score fell slightly below the normative value. 36 Figure 22: Jodie's hope score over the course of the project 34 Hope score 32 30 28 26 24 22 Baseline Wild Camping Post trail End Note: A higher score= greater hope that goals can be met 44 University of Essex, 2013 Jodie’s nature experience score remained stable from baseline to pre-wilderness trail. The score however decreased after trail. There was a slight increase from post trail to the project end, but the score at the end remained below that at baseline (Figure 23). Figure 23: Jodie's nature experience score over the course of the project 4.4 Nature experience score 4.3 4.2 4.1 4 3.9 3.8 3.7 Baseline Wild Camping Pre trail Post trail End Note: A higher score= greater experience of nature Jodie’s well-being consistently improved over the course of the project, with scores at all points being above the normative value of 51.7 (Figure 24). The index of increase from baseline to end was 9.0, representing an improvement in well-being of 16%. The start of project score was classified as ‘average’, whilst the score at wild camping and project end was classified as ‘high’. 67 Figure 24: Jodie's well-being scores over the course of the project Well-being score 65 63 61 59 57 55 Baseline Wild Camping End Note: A higher score= greater well-being 45 University of Essex, 2013 Jodie’s self-esteem declined from baseline to wild camping, but increased post wilderness (Figure 25). The score also increased at the end of the project but did not reach the baseline level at any time. Overall self-esteem therefore worsened. 40 Figure 25: Jodie's self-esteem score over the course of the project Self-esteem score 35 30 25 20 15 Baseline Wild Camping Post trail End Note: A higher score= better self-esteem The changes in Jodie’s strengths and difficulties’ sub-scale scores are displayed in Table 9. Emotional symptoms and hyperactivity improved by an index of 2.0, representing improvements of 20%, whilst conduct problems improved by an index of 1.0 (10%). However, peer problems remained stable from start to end and pro-social behaviour declined. At the start of the project hyperactivity and conduct problems were classified as ‘abnormal’. By the end conduct problems were ‘borderline’ and hyperactivity ‘normal’. Table 9: Jodie’s Strengths and difficulties sub-scale scores over the course of the programme Baseline Emotional Symptoms Conduct Problems Hyperactivity Peer Problems Pro-social behaviour 2 5 7 2 8 Wild camping 3 5 1 2 8 End 0 4 5 2 6 Note: a higher score= greater conduct problems, hyperactivity, emotions or peer problems and an improved pro-social behaviour. A decrease in sub-scale score= improvement (except pro-social behaviour) 46 University of Essex, 2013 Jodie’s total strengths and difficulties score decreased from baseline to wild camping and remained stable from wild camping to the end of the project. The index of decrease was 5.0, representing a 13% reduction in behavioural problems (See Figure 26). Strengths and difficulties score 17 Figure 26: Jodie's strengths and difficulties score over the course of the project 16 15 14 13 12 11 10 Baseline Wild Camping End Note: A higher score= more difficulties At the start of TurnAround Jodie completed a shield detailing how she saw herself, how others saw her, what she would like in her future and how she would like others to see her. She viewed herself as normal, caring and unemotional, and thought that others viewed her in a similar way. She wanted people to see her as normal and helpful and hoped to go to university and start her own business. During her time on the project she met new people, made friends and developed some key skills such as communication, camping and sailing skills. 47 University of Essex, 2013 6.4 Case of ‘Shane’ Shane was almost 17 when he joined the programme. He was in a residential placement and had no family unit. He spoke little English and lacked trust in other people. He was vulnerable to negative influences and needed to learn how to work in a team. Shane only completed questionnaires pre and post the wilderness trail and at the project end. His engagement with the project was therefore relatively poor. Since well-being and strengths and difficulties questionnaires were not completed pre and post trail, these questionnaires were only completed at the project end. Furthermore, the nature experience scale was not completed by Shane at any time point and the self-esteem scale was only completed at the project end. Shane’s sub-scale hope scores are displayed in Figure 27. The scale was not fully completed at the project end; the data is therefore not included. The agency score remained identical pre- and posttrail and the pathway score declined. The overall hope score also decreased from pre trail (34) to post trail (32), but was above average at both time points. Figure 27: Shane's hope sub-scale scores pre and post the wilderness trail 17.5 Hope sub-scale score 17 16.5 16 Agency Pathway 15.5 15 14.5 14 Pre Trail Post Trail Note: Blue= Agency; Green= Pathway; A higher score= greater hope that goals can be met Shane’s well-being, self-esteem and nature experience scores at the end of the project were 60, 36 and 3.83 respectively. The nature experience and self-esteem scores were relatively high in relation to the maximum score that can be achieved on each scale, however changes in these parameters over the course of the project cannot be determined. The well-being score was above the normative value of 51.7 and classified as ‘high’. Shane’s strengths and difficulties scores at the end of the 48 University of Essex, 2013 project are displayed in Table 10. Scores on all sub-scales and the total score were classified as being ‘normal’. Table 10: Shane’s strengths and difficulties scores at the end of the programme End Emotional Symptoms Conduct Problems Hyperactivity Peer Problems Pro-social behaviour Total Strengths and Difficulties 2 1 0 2 7 5 Note: a higher score= greater conduct problems, hyperactivity, emotions or peer problems and an improved pro-social behaviour. A decrease in sub-scale score= improvement (except pro-social behaviour) 6.5 Case of ‘Liam’ Liam was 17 ½ years old at the start of the TurnAround project. He lived in a residential unit, had anger problems, low self-esteem and a lack of key life skills. He suffered from Asperger’s syndrome and mild autism and had a history of criminal convictions. During his time on the project he was hoping to develop new skills, such as camping and cooking, and also make new friends. However, Liam was only present at baseline and wild camping time points, after which time he was arrested and unfortunately imprisoned. Liam therefore only attended the project for 2 months. The changes in Liam’s sub-scale hope scores between baseline and wild camping are displayed in Figure 28. The agency score remained stable, whilst the pathway score decreased by an index of one. This equated to an overall decline in the total hope score of 1.0 (Figure 29), representing a slight reduction in Liam’s hope that he can meet his goals. At both time points Liam’s total hope score was below average. 49 University of Essex, 2013 14 Figure 28: Liam's sub-scale hope scores at project baseline and midpoint 1. Hope sub-scale score 13 12 11 10 9 8 Baseline Wild Camping Note: Blue= Agency; Green= Pathway; A higher score= greater hope that goals can be met 22.5 Figure 29: Liams hope scores at project baseline and midpoint1 22 Hope score 21.5 21 20.5 20 Baseline Wild Camping Note: A higher score= greater hope that goals can be met Liam’s nature experience, self-esteem and well-being scores at baseline and wild camping are displayed in Table 11. The nature experience score decreased between baseline and wild camping by an index of 1.34, representing a 27% reduction in nature experience. Well-being and self-esteem scores also decreased between baseline and wild camping by indexes of 12.0 and 2.0 respectively. The well-being score at the start of the project was slightly above the normative value of 51.7, and classified as ‘average’. However, at the end of his involvement in the project (wild camping) the score was below the normative value and classified as ‘low’. 50 University of Essex, 2013 Table 11: Liam’s nature experience, self-esteem and well-being sores at baseline and wild camping Nature Experience Self-esteem Well-being Baseline Wild camping 3.67 28 52 2.33 26 40 Note: a higher score= greater nature experience, better self-esteem and well-being Liam’s strengths and difficulties sub-scale scores are displayed in Table 12. Emotional symptoms and hyperactivity reduced by indexes of 3.0, representing improvements of 30%. Conduct problems and peer problems increased slightly, whilst pro-social behaviour remained stable. At the start of the project all sub-scale scores were ‘normal’, except from hyperactivity which was ‘borderline’. By the wild camping the hyperactivity score improved to reach a classification of ‘normal’. Table 12: Liam’s strengths and difficulties scores at baseline and the end of his involvement in the programme (wild camping) Emotional Symptoms Conduct Problems Hyperactivity Peer problems Pro-social behaviour Baseline Wild camping 3 0 6 3 6 0 2 3 7 6 Note: a higher score= greater conduct problems, hyperactivity, emotions or peer problems and an improved pro-social behaviour. A decrease in sub-scale score= improvement (except pro-social behaviour) The total strengths and difficulties score remained unchanged between baseline and wild camping, with scores of 12.0 being achieved at both time points. Behavioural difficulties therefore remained constant. However, at both time points the score was classified as ‘normal’. At the start of the project Liam completed a shield. He said that he saw himself as normal, kind and helpful. However, he felt that some people might see him as bad. He wanted to be viewed as a nice person and go to university, have a family and act responsibly. A shield was not completed later in the project due to Liam’s departure. The general trend for deterioration in Liam’s results may be directly related to his eventual imprisonment, as poor mental well-being is a risk factor for antisocial behaviour. Participants who attended the project for the duration improved their mental wellbeing. 51 University of Essex, 2013 6.6 Case of ‘Charlie’ Charlie was just over 15 ½ years old when he joined the TurnAround project. He was living in foster care and had very low self-esteem and anger management issues. He had an unstable family background and experienced strong feelings of rejection. From participating in the TurnAround project Charlie was hoping to gain trust in other people and overcome his fear of water. Charlie did not engage in all aspects of the project, only completing questionnaires at baseline and pre and post the wilderness trail. Participants were not asked to complete strengths and difficulties and wellbeing data before or after the trail, therefore this information was only collected at baseline. Charlie’s sub-scale hope scores are displayed in Figure 30. The agency sub-scale score decreased from baseline to pre wilderness trail, but increased after the wilderness trail. The index of increase due to the wilderness trail was 7.0, representing a 44% improvement. The increase from baseline to post wilderness was 2.0, representing an overall increase in the agency sub-scale score of 13%. The pathway sub-scale score increased at all points. The increase due to the wilderness trail was by an index of 3.0 (19%), whilst the change from baseline to after the trail was 5.0, representing a 31% increase in the pathway sub-scale score. 52 University of Essex, 2013 19 Figure 30: Charlie's sub-scale hope scores over the course of the project 18 Hope sub-scale score 17 16 15 14 13 12 11 10 Baseline Pre Trail Post Trail Note: Blue= Agency; Green= Pathway; A higher score= greater hope that goals can be met The total hope score increased from baseline to pre- trail, but remained stable thereafter. The index of increase over the course of Charlie’s participation in the project was 7.0, representing a 23% increase in hope that goals could be met (Figure 31). At all time points at which Charlie completed a questionnaire, his hope score was above the average value of 25.89. Figure 31: Charlie's hope score over the course of the project 37 36 35 Hope score 34 33 32 31 30 29 28 Baseline Pre Trail Post Trail Note: A higher score= greater hope that goals can be met 53 University of Essex, 2013 Charlie’s nature experience scores declined from baseline to pre-trail, but increased after the wilderness trail. The wilderness trail led to a 0.83 increase in the nature experience score, representing an increased desire to be in nature of 17%. However, from baseline to post trail the overall score decreased by 0.33 (Figure 32). Figure 32: Charlie's nature experience score over the course of the project 5 Nature Experience score 4.8 4.6 4.4 4.2 4 3.8 3.6 3.4 Baseline Pre Trail Post Trail Note: A higher score= greater experience of nature Charlie’s self-esteem scores over the course of the project are displayed in Figure 33. The score decreased from baseline to pre- trail, but increased after the wilderness trail. The index of increase from pre- to post- trail was 10.0, representing a 33% improvement in self-esteem. Overall selfesteem improved by an index of 3.0, equivalent to a 10% improvement in self-esteem. 41 Figure 33: Charlie's self-esteem scores over the course of the project Self-esteem score 39 37 35 33 31 29 Baseline Pre Trail Post Trail Note: A higher score= greater experience of nature 54 University of Essex, 2013 At baseline Charlie’s well-being score was 70. This was the maximum score that could be achieved on the well-being scale and was above the normative value of 51.7. Charlie’s well-being was classified as being ‘high’. The strengths and difficulties scores at baseline are displayed in Table 13. All scores, including the total score, were classified as ‘normal’. Table 13: Charlie’s strengths and difficulties scores at the end of the programme End Emotional Symptoms Conduct Problems Hyperactivity Peer Problems Pro-social behaviour Total Strengths and Difficulties 2 2 1 2 8 7 Note: a higher score= greater conduct problems, hyperactivity, emotions or peer problems and an improved pro-social behaviour. A decrease in sub-scale score= improvement (except pro-social behaviour) At the start of the project Charlie completed a shield. He felt that he wanted to be able to complete and achieve something and thought that other people saw him as brave and loyal and friendly. In the future he wanted to be seen as a person that people can trust. He said that he wanted to be a mechanic and also help people to choose the right path. A shield was not completed later in the project, comparisons cannot therefore be made. 55 University of Essex, 2013 6.7 Case Study Key Findings The case study findings indicate that there was much variation in the response of participants to the TurnAround project. Overall: John improved his nature experience, well-being and self-esteem scores from the start to end of his involvement; Sam improved her hope, self-esteem and behaviour, with the hope score being above average by the end of her involvement in the project; Jodie improved her hope and well-being and reduced her behavioural problems, with her hope scores being above average by the end of her involvement and the well-being score moving from a classification of ‘average’ to ‘high’. The total strengths and difficulties score also moved from a classification of ‘borderline’ to ‘normal’; Shane failed to complete well-being, self-esteem, nature experience or strengths and difficulties questionnaires at more than one time point, however hope decreased from pre to post wilderness trail; Charlie improved his hope and selfesteem scores over the duration of his time on the project. 56 University of Essex, 2013 7. Generic Results- Essex Group 7.1 Participants Seven youth at-risk from Essex were selected to take part in the project. Participants’ ages ranged from 15-20 years, with an average age of 17.3±1.5. Four of the participants were male (50%) and four of the participants were female (50%). The young people involved in the project were experiencing a variety of problems including low self-esteem, anxiety and self-confidence, anger and behavioural problems and a lack of motivation. Several of the participants had also been subjected to abuse, bullying or traumatic events, and were living in foster care. Participants had a lack of trust and ability to make friends and often abused alcohol or drugs. 7.2 Essex Analysis Overview For hope and well-being there were two participants who completed the questionnaires at all data collection time points. Furthermore, for all parameters there were at least four participants who completed questionnaires at baseline and end. Changes in group means over time can therefore be tracked and compared in these participants (Section 7.3). There were also several participants who completed the questionnaires pre and post the wilderness trail and sailing events. Changes in means scores between pre and post wilderness trail and sailing can therefore be tracked and compared in these participants (Sections 7.4-7.5). 7.3 Changes over the course of the project 7.3.1 Participant Perspectives at the Start of the Project At the start of the project participants were asked open-ended questions regarding what they were hoping to get out of the project and what they were nervous and excited about. The responses to these questions are displayed in Box 6. Participants were hoping to have new experiences, make friends, gain confidence and qualifications and feel better about themselves. They were nervous about not having their home comforts such as phones and hair accessories and sleeping in tents with bugs, but were excited to meet new people and travel. 57 University of Essex, 2013 Box 6: Essex Participant hopes and aspirations for the TurnAround project. Question Comments from Young People What do you “For people to listen to what I want to get out of life” hope to get out “New experiences” of this “Fun, friends” programme? “Feel better in myself” “More confidence, less hate. Different skills, more English experiences. Have my love, attitude and faith revived” “I want a qualification” “I want to be a music photographer and help bands. I want to be smarter, I am dumb. Develop skills and confidence” What are you “Not a lot, just not having my phone” most nervous “Not being able to have my hair strengtheners” about? “Nothing” (X2) “Change and bad situations” “About my future and myself. I feel not so good about my life or about my opinion of myself and other people” “Sleeping in a tent and there are creatures” “Bugs. I feel good and I feel comfortable with people” What are most “Meeting new people” excited about?- “All of it” “Everything” “Home time” “Leaving England, being alone and seeing my family” “Going to Scotland” “Seeing plans on the boat trip…..Travelling- I hate where I live. Wandering in the woods, learning new things about people and what they are interested in” “Nothing” 7.3.2 Hope Two Essex participants completed the hope questionnaire and sub-scales at all eight data collection time points. The mean changes in the agency sub-scale scores can be found in Figure 34 and the pathway sub-scale scores in Figure 35. Agency scores declined from baseline all the way through to 58 University of Essex, 2013 the pre-sailing time point, but increased post-sailing. Scores then declined again at the cinema trip in January, but increased at the end of the project. The index of increase from baseline to end was 1.5, representing a 10% improvement in participants’ perceived capacity for commencing and maintaining the actions required to meet goals. Pathway sub-scale scores fluctuated over the project, with increases following the wilderness trail, sailing and cinema trip. The score at the end of the project was higher than baseline by an index of 1.5, representing a 10% increase in participants’ perceived ability to generate routes to their goals. Agency Sub-scale score 15 Figure 34: Agency sub-scale scores in Essex participants over the course of the project 14 13 12 11 10 9 8 7 End Cinema Trip Post Sailing Pre Sailing Post Trail Pre Trail Wild Camping Baseline 6 Note: A higher score= greater hope that goals can be met. Error bars represent ±1SD; N=2 Figure 35: Pathway sub-scale scores in Essex participants over the course of the project Pathway Sub-scale score 18 16 14 12 10 8 End Cinema Trip Post Sailing Pre Sailing Post Trail Pre Trail Wild Camping Baseline 6 Note: A higher score= greater hope that goals can be met. Error bars represent ±1SD; N=2 59 University of Essex, 2013 The total hope score in the two participants steadily decreased form baseline to pre sailing, but increased at the post sailing time point and end of the project (Figure 36). Up until the end of the project scores were consistently lower than at baseline. From baseline to project end scores increased by an index of 3.0, representing a 10% increase in participants hope that they can meet their goals. At all time points except the project end, the hope scores were below average. At the project end the mean score exceeded the normative hope value. 32 Figure 36: Hope scores in Essex participants over the course of the project 30 Hope Score 28 26 24 22 20 18 16 End Cinema Trip Post Sailing Pre Sailing Post Trail Pre Trail Wild Camping Baseline 14 Note: A higher score= greater hope that goals can be met. Error bars represent ±1SD; N=2 Six Essex participants completed the hope questionnaire and sub-scales at project baseline and end. Both the sub-scale scores and total hope scores increased from the start to the end of the project. Agency sub-scale scores were 10.0±4.9 at baseline and 13.2±6 at the project end, representing a 3.2 increase, equivalent to a 21% improvement. Approximately 83% of participants increased their agency sub-scale scores, whilst 17% decreased. Pathway sub-scale scores increased from 9.0±4.0 at baseline to 14.0±1.8 at the project end, representing a 33% increase in participant’s perceived ability to generate routes to their goals. 83% increased their scores and 17% of participants scores decreased. The total hope score increased from project baseline (19.3±8.3) to end (27.5±3.8) by an index of 8.5, thus overall hope that participants could meet their goals increased by 28%. The score was below average at project baseline but increased to be above average by the end of the project. Overall 67% of participants increased their total hope score, 17% remained constant and 17% decreased (Figure 37). 60 University of Essex, 2013 35 Figure 37: Hope scores in Essex participants at project baseline and end Hope Score 30 25 20 15 10 Baseline End Note: A higher score= greater hope that goals can be met 7.3.3 Nature Experience Two Essex participants completed the nature experience questionnaire at all eight data collection time points. The mean changes in scores can be found in Figure 38. Scores decreased immediately after baseline, but increased post wilderness trail and sailing. Scores at the end of the project were slightly lower than at baseline (by an index of 0.8), representing a 16% decrease in experience of nature. However, in the six participants who completed the scale at both the project baseline and end, scores increased from 3.1±0.7 to 3.5±0.5. This represents an increase of 0.4, equivalent to an 8% increase in participants’ experience of nature by the end of the project. 4.5 4.3 Figure 38: Nature relatedness scores in Essex participants over the course of the project Nature Relatedness Score 4.1 3.9 3.7 3.5 3.3 3.1 2.9 2.7 End Cinema Trip Post Sailing Pre Sailing Post Trail Pre Trail Wild Camping Baseline 2.5 Note: A higher score= greater experience of nature. Error bars represent ±1SD; N=2 61 University of Essex, 2013 Six Essex participants completed the nature experience questionnaire at the project baseline and end. The score increased from baseline to end by an index of 0.35, representing a 7% increase in participants’ experience and desire to be out in nature. 83% of participants increased their experience of nature score, whilst 17% of participants’ scores decreased. 7.3.4 Well-being Well-being questionnaires were completed at baseline, wild camping, Cinema trip and project end. Only one participant completed the scale at all four time points; this data can be located in the case study section. However five participants completed the scale at baseline and end. A Wilcoxon Signed Rank Test revealed a significant difference between the baseline and end point scores (Z=2.0; P<0.05), with well-being improving at the end of the project. The average well-being score at baseline was 35.8±12.3, whilst the average score at the project end was 59.6±7.9. Well-being increased by an index of 23.8, representing a 43% improvement in well-being. All participants improved their well-being. According to the Scottish population survey the average well-being score is 51.7±7.26. Prior to the TA project scores were below this level, indicating a below average well-being score. However after the project Essex participants’ scores had far exceeded this normative value. Figure 39 displays’ the classification of scores at the start and end of the project. At the start of the project several participants had low well-being, however by the end of the project no participants’ well-being was classified as low. Three participants experienced changes in well-being so significant that they changed their well-being category. Two participants (40% of those who completed baseline and end questionnaires) moved from having low to high well-being and one participants (20%) well-being moved from low to average. 62 University of Essex, 2013 Percentage of participants (%) 70 Figure 39: Essex participants well-being classifications at project baseline and end 60 Baseline 50 End 40 30 20 10 0 Low well-being Average well-being High well-being 7.3.5 Self-esteem No participants completed the self-esteem scale at all eight data collection time points; however four participants completed the scale at project baseline and end. The mean score at project baseline was 24.3±3.9, increasing to 27.3±2.5 at the end of the project. Scores increased by an index of 3.0, representing a 10% improvement in self-esteem. 75% of participants increased their selfesteem score and 25% remained constant. 7.3.6 Strengths and Difficulties The SDQ was completed at baseline, wild camping, cinema trip and the end of the project. Three participants completed the questionnaire at each of the four data collection time points. Table 14 displays the five sub-scale scores at each of the time points in the three participants. Emotional symptoms and peer problems decreased over the course of the programme. Emotional symptoms decreased by an index of 1.7 (10%), whilst peer problems decreased by an index of 1.3 (13%). Conduct problems increased form baseline to wild camping and cinema trip, but decreased from cinema trip to the end. However, overall scores increased by an index of 0.3 (3%). Hyperactivity increased from baseline to wild camping, but decreased thereafter, with a total decrease of 1.4 (14%) from baseline to end. Pro-social behaviour remained stable from baseline to wild camping, increased to cinema trip, but decreased slightly at the end. There was an overall increase in prosocial behaviour of 0.7 (7%). The changes in the total strengths and difficulties score over the programme are displayed in Figure 40. The score worsened from baseline to wild camping, but decreased at midpoint 2 and the project 63 University of Essex, 2013 end. Scores from baseline to end decreased by an index of 4.0, representing a 13% reduction in behavioural difficulties. Table 14: Strengths and difficulties sub-scale scores in Essex participants over the course of the project Emotional Symptoms Conduct Problems Hyperactivity Peer Problems Pro-social behaviour Baseline Wild camping Cinema Trip End 5.7±3.2 2.7±0.6 6.7±1.2 5.3±1.2 7.0±2.7 5.0±1.0 4.0±2.7 7.3±1.5 5.7±2.5 7.0±2.7 5.0±1.7 5.0±3.0 6.7±2.5 5.0±3.5 8.0±2.6 4.0±1.0 3.0±1.0 5.3±1.2 4.0±4.0 7.7±2.5 Scores represent mean±SD, a higher score= greater conduct problems, hyperactivity, emotions or peer problems and a more pro-social behaviour Strengths and Difficutlies Score Figure 40: Strengths and Difficutlies score in Essex participants over the course of the project 26 24 22 20 18 16 14 12 10 Baseline Wild Camping Cinema Trip End Note: A higher score= greater behavioural difficulties. Error bars represent ±1SD; N=3 In addition to three participants who completed the strengths and difficulties questionnaire at all four time points, six participants completed the questionnaire at baseline and end. The mean score for each of the sub-scales at baseline and end are displayed in Table 15. By the end of the programme participants had fewer emotional difficulties and peer problems and reduced levels of hyperactivity. Scores decreased by indexes of 1.7, 1.9 and 1.6 respectively, representing improvements of 17%, 19% and 16%. Conduct problems increased from baseline to end by an index of 1.4. However pro-social behaviour increased by an index of 1.0, equivalent to a 10% 64 University of Essex, 2013 improvement. The total strengths and difficulties score also decreased from a mean of 21.0±4.4 at baseline to 17.2±8.3 at the project end. This represents a reduction in behavioural difficulties of 10%. Overall 50% of participants increased their total score and 50% decreased their total score. Table 15: Strengths and difficulties sub-scale scores in Essex participants at project baseline and end Baseline End Score Change Emotional Symptoms 5.7±2.7 4.0±2.0 Conduct Problems 3.3±0.8 4.7±3.6 Hyperactivity 6.8±0.8 5.2±2.9 Peer Problems 5.2±1.8 3.3±2.7 Pro-social behaviour 6.5±2.6 7.5±2.1 33% increase, 50% decrease, 17% constant 67% increase, 33% decrease 17% increase, 33% decrease, 50% constant 17% increase, 50% decrease, 33% constant 50% increase, 33% decrease, 17% constant. Scores represent mean±SD, a higher score= greater conduct problems, hyperactivity, emotions or peer problems and a more pro-social behaviour. A decrease in sub-scale score= improvement. The classification of strengths and difficulties scores also changed. At the start of the project mean conduct problems and pro-social behaviour were classed as ‘normal’, whist mean emotional symptoms and peer problems scores were ‘borderline’ and hyperactivity and the total score were deemed to be ‘abnormal’. By the end of the project emotional symptoms, hyperactivity, peer problem and pro-social behaviour scores were ‘normal’, whilst the total score was ‘borderline’ and conduct problems ‘abnormal’. Changes in the percentage of participants in each category were notable from the start to end of the project (See Table 16 and Figure 41), with a trend towards more participants displaying ‘normal’ levels of behavioural difficulties. 65 University of Essex, 2013 Percentage of participants (%) 80 70 Figure 41: The classification of total strengths and difficutlies scores in Essex participants atthe start and end of the project 60 Baseline 50 End 40 30 20 10 0 Normal Abnormal Borderline Table 16: Strengths and difficulties sub-scale classifications in Essex participants at project baseline and end Baseline End Normal Borderline Abnormal Emotional symptoms 67% 0% 33% Conduct problems 50% 50% Hyperactivity 0% Peer problems Pro-social behaviour Normal Borderline Abnormal 83% 0% 17% 0% 50% 17% 33% 33% 67% 33% 33% 33% 17% 17% 67% 50% 33% 17% 67% 17% 17% 67% 33% 0% 7.3.7 Feedback about the Project after Wild Camping and Cinema workshops After the Wild Camping and Cinema workshops participants were asked to give feedback about their experience of the project so far. Participants were asked to reveal what they were enjoying most and least and what they were learning about themselves through involvement in TurnAround. Participants were most enjoying making friends, getting together as a group and the trips and outings, but did not enjoy the camping or being outside for too long. The participants learnt to respect themselves that they can work well with others and are worthy (Box 7). 66 University of Essex, 2013 Box 7: Young people’s feedback about the project after the workshops (Essex). Question Comments from Young People What are you “ Everything” enjoying most “I enjoy the outings most and when people are nice to me. It also gives me about being on something useful to do, I generally feel very happy after meetings” the programme? “Getting together as a group” “I get to go on a boat and see dolphins, I will meet new people and achieve to be a better person and confident” “Making new friends” “All of it, the trips and support given” “Activities and outings. Doing fun things and nice meetings” What are you “Nothing” enjoying least? “Meeting up with my mentor, I thoroughly dislike talking to and being vulnerable in from of a male, to get welled up and start getting very upset which then turns me to start thinking violent thoughts and getting very tense and angry” “Camping scares me in the wilderness” “Being outside for too long” “Not meeting up all the time” “Train journey” What are you “Who I am” learning about “I am learning that I am evil and sadistic at heart, but the pain that I have yourself? received and the effects I have seen and the scars I have seen left on people, helped me to be a better person. The experiences I have had have helped me to mature early and I have a lack of trust….And when in a situation with men I get myself tense and ready to fight” “I can be who I want to be” “I moan a lot about nothing….Also I need to respect myself” “can work well with others” “That I am a worthy person” “I have learned to look after the people that matter to me most” 67 University of Essex, 2013 7.3.8 Feedback at the End of the Project At the end of the project Essex participants were asked a number of questions about their experience. The responses to these questions are displayed in Box 8. Participants felt that they had developed confidence and a new outlook and would try harder to achieve what they wanted in life. Box 8: Essex participants’ feedback at the end of the project Question Comments from Young People What have you “Outlook- interacting with new people who are in the same position as me. got out of the Know how to deal with different people with different characters” TurnAround “I have become more confident, open and trusting” programme and “Lots of fun. Learnt to be who I am and how to look after the people that what have you matter to me” learnt about “Learned that I love Star Wars, that I am an alright guy, I can accomplish yourself? goals, I have a future. I can make a difference” “I’m more confident, like myself a lot more” “Future, feel more confident in myself” What do you “Continue as I am” think you will do “Try harder to achieve what I want in life” differently after “Be more punctual , smoke less weed, be less self-conscious, tell truth more taking part in this often” programme? Be more positive, set goals, talk and give people a chance more. Come out of my shell” “Be more positive” “Concentrate on my future and getting in to university” 7.4 Wilderness Trail to Scotland Six Essex participants completed the composite questionnaire pre- and post the Wilderness trail, however not all six participants completed all aspects of the questionnaire. For each of the assessed measures between four and six participants completed the scales. 7.4.1 Qualitative Narrative prior to the trail At the start of the trail Essex participants were asked what they were nervous and excited about and what they hoped to get out of the trip. The responses are displayed in Box 9. Young people were most nervous about sleeping outside and things not changing at home. However, they were excited 68 University of Essex, 2013 about the scenery, the wildlife, having time alone and experiencing the wilderness. From attending the wilderness trail participants were hoping to get a new outlook on life and improve how they feel about themselves. Box 9: Essex participants’ hopes and concerns about the Wilderness Trail Question Comments from Young People What do you hope “ A new outlook on life” to get out of this “To feel more respect and take time out” trip? “Experience” “Independence, mostly feeling happy” “More self-confidence, more ability to be with other people” “For my self-esteem, communication” What are you most “Sleeping out in the tent” nervous about? “Going home knowing things will be just the same” “Nothing” “Life, being alone, broken promises, how I feel” “What people here think about me” “Don’t like being outdoors, scared to camp, scared of failure” What are you most “The scenery” excited about? “Tasting food that I haven’t tried before and to experience the wilderness” “Thinking and doing things alone and being alone in the wilderness” “Going home, shopping in the airport, wildlife, owls” 7.4.2 Hope Four Essex participants completed the entire hope questionnaire before and after the wilderness trail, whilst four participants completed the agency sub-scale and six completed the pathway subscale pre and post the trail. Scores for both the agency and pathway sub-scale increased from pre to post wilderness (Figure 42). The agency score increased by an index of 0.8, equating to a 5% improvement in participants perception of their perceived capacity for commencing and maintaining the actions required to meet goals. The pathway sub-scale score increased by an index of 0.6, representing a 4% increase in participants’ belief that they can generate routes to their goals. Of the four participants who completed the agency scale 75% increased their score, whilst 25% decreased their score. For the pathway sub-scale 67% increased their score, whilst 17% of participants’ scores 69 University of Essex, 2013 both decreased and/or remained unchanged. Overall hope scores increased by an index of 2.0 (Figure 43), meaning that participants’ hope of meeting their goals increased by 7% due to the wilderness experience. 75% of participants increased their hope that they could meet their goals, whilst 25% of participants decreased their score. However, total hope scores were below the normative value of 25.89 both pre and post trail. 12 Figure 42: Essex participants hope sub-scale scores pre and post wilderness trail 11 Agency Pathway Sub-scale score 10 9 8 7 6 5 4 Pre trail Post trail Note: A higher score= greater hope that goals can be met. Error bars represent ±1SD; N=4 for agency and 6 for pathway. 22 Figure 43: Hope score in Essex participants pre and post wilderness trail 21 20 Hope score 19 18 17 16 15 14 13 12 Pre trail Post trail Note: A higher score= greater hope that goals can be met. Error bars represent ±1SD; N=4 70 University of Essex, 2013 7.4.3 Nature Experience Six Essex participants completed the nature experience scale pre- and post- the wilderness trail. The mean score increased by an index of 0.6, representing a 12% increase in participants desire to be out in nature (Figure 44). 67% of participants increased their nature experience score, 17% remained unchanged and/or decreased their score. 4.5 Figure 44: Nature experience scores in Essex participants pre and post wilderness trail Nature experience score 4 3.5 3 2.5 2 1.5 Pre trail Post trail Note: A higher score= greater relatedness to nature. Error bars represent ±1SD; N=6 7.4.4 Self-esteem Five Essex participants completed the self-esteem scale at the start and end of the wilderness trail. The mean self-esteem score increased from pre- to post- trail by an index 4.2, representing an improvement in self-esteem of 14% (Figure 45). Overall 60% of participants improved their selfesteem, whilst 40% of participants’ self-esteem declined. 71 University of Essex, 2013 32 30 Figure 45: Self-esteem scores in Essex participants pre and post wilderness trail Self-esteem score 28 26 24 22 20 18 16 14 Pre trail Post trail Note: A higher score= greater self-esteem. Error bars represent ±1SD; N=5 7.4.5 Qualitative Narrative after the trail At the end of the Wilderness trail participants were asked several questions about their wilderness experience. The responses to these questions are displayed in Box 10. The participants enjoyed meeting new people, the wildlife and working as a team, but did not enjoy sleeping outside, the rain or the heavy bags that they were required to carry during the walks. However participants learnt that they can work well with others, that other people are nice and that no two people are the same. They also learnt that you do not have to go far to access lovely scenery. Box 10: Essex participants’ feedback about the Wilderness Trail Question Comments from Young People What did you “ Meeting new people, living differently outside my comfort zone” enjoy most? “I enjoyed the wildlife, working as a team to prepare food and clean up. I also enjoyed going for a swim in the waterfall….I liked the fact that when I was feeling down I could talk to…..and they listened to me and helped me realise that there are better things in life” “Being outdoors away from civilisation” “Making new friends and seeing sights in Scotland” “Having a laugh with everyone and sitting in a waterfall a couple of hundred metres above sea level. I enjoyed doing once in a lifetime things” “The waterfalls and scenery were nice and I liked being in the waterfall” 72 University of Essex, 2013 What did you not “Sleeping at night” enjoy? “Sometimes when people didn’t want to help that irritated me because we are all a team” “The walking” “The rain and heavy bags” “Being around so many people……Not being able to wash all the time and keep everything clean. Sleeping just very uncomfortable …..” “Staying in tents overnight” What would you “King-sized beds with en-suite” have changed? “Not sleeping under mole hills, to bring a portable toilet and my hair straighteners were needed” “Less walking” “The river temperature” “The midges” “Would have stayed out in the cabin and gone out in the day to do things” What has the trip “Can work well with others and can pull my own weight” taught you about “That no countryside will ever judge me or look down at me” yourself? “To trust others and not to think that people judge me” “I can cheer people up and feel good about helping others” “I am a likeable person and that some of the things I have done in the past have been forgiven and are justified” “I am very lucky to have what I have and many people are going through worse and I will appreciate what I have more….. What has this trip “When everyone became comfortable with each other people start coming taught you about out of their shells” other people? “That even people that are shy or not confident all chipped in” “That they aren’t as bad as I thought” “All their personalities are not the same” “Can be nice and not all people are the same. The people don’t judge me here” “They have it harder than I do. People can be nice” What has this trip “Learned that you don’t have to go far to see lovely scenery, because its taught you about everywhere” nature? “That wildlife is beautiful and so peaceful, I can really think about life when 73 University of Essex, 2013 I am in the wilderness” “To respect it” “……the wilderness can make you feel all different emotions” “Nature can be beneficial” “It can be very different in different parts of the world…….” 7.5 Sailing on the Morning Star Five Essex participants completed the composite questionnaire pre- and post the sailing trip, however not all five participants completed all aspects of the questionnaire. For each of the assessed measures between two and five participants completed the scales. 7.5.1 Qualitative Narrative prior to the trail Prior to the sailing trip the Essex participants were asked the same questions as before the wilderness trail to Scotland. The responses on this occasion are displayed in Box 11. Similarly, young people were most nervous about sleeping and not getting on with everyone. However, they were excited about getting away, having a good time and fixing their problems. After the sailing trip participants were hoping to have a better outlook on life and get on better with people. Box 11: Essex participants’ Hopes and Concerns about the Sailing Trip Question Comments from Young People What do you hope “Better outlook on life-scenery on water. Better understanding of sailing. to get out of this Socialising- getting on better with people” trip? “To prove to myself that I can handle being in small places with others and that I can control myself in situations” “New experience. Find something I want to do again and again. Get away from Colchester and do something that is legal. Have a good time without breaking the law” “Confidence, be able to rely on myself” “Self-confidence, self-respect, involvement with others, get out some of my problems” What are you most “Sleeping in general- everything to do with sleep” nervous about? “Not being able to do what people want me to do” “Not getting on with everyone. Don’t see myself as social/with friends” 74 University of Essex, 2013 “Always being let down, accidents” “Other people, being out, not having my own space” What are you most “Concept of sailing on the water. Learning to sail” excited about? “To have a good, once in a lifetime experience” “Getting away. Being out in the open. At one with myself” “More trips and gaining experience. Cooking for everyone and liking it. New experience on the boat” “Fixing myself and my problems. The special trips and feeling better” 7.5.2 Hope Five Essex participants completed the hope questionnaire before and after sailing. Agency sub-scale scores increased by an index of 1.0 from the start to the end of the sailing trip (Figure 44), representing a 7% improvement in participants perception that they have the capacity for maintaining the actions required to meet their goals. 60% of participants improved their agency score, whilst 40% of participants’ scores decreased. Pathway sub-scale scores also improved after the sailing trip (Figure 46) by an index of 2.0, equivalent to 13% improvement in participants’ belief that they can generate routes to their goals. 80% of participants increased their pathway score and 20% remained constant. Figure 46: Essex participants hope sub-scale scores pre and post sailing 13 Hope sub-scale score Agency 12 Pathway 11 10 9 8 7 6 Pre sailing Post sailing Note: A higher score= greater hope that goals can be met. Error bars represent ±1SD; N=5 75 University of Essex, 2013 Overall hope scores increased from pre- to post sailing by an index of 3.0 (Figure 47), meaning that participants’ hope of meeting their goals increased by 10% due to the sailing trip. Wilcoxon signed rank tests revealed a significant increase in hope scores from pre to post sailing (Z=-2.03; P<0.05). All participants increased their hope score, however scores were below average both pre- and postsailing. 24 Figure 47: Essex participants hope scores pre and post sailing * 22 Hope score 20 18 16 14 12 Pre sailing Post sailing Note: A higher score= greater hope that goals can be met. Error bars represent ±1SD; N=5. * indicates a significant improvement in hope (P<0.05). 7.5.3 Nature Experience Five Essex participants completed the nature experience scale pre- and post- the sailing trip. The nature experience score decreased by an index of 0.13, representing a 3% reduction in participants desire to be out in nature (Figure 48). 40% of participants increased their nature experience score and 60% of participants scores decreased. 76 University of Essex, 2013 3.8 Figure 48: Nature experience scores in Essex participants pre and post sailing Nature experience score 3.6 3.4 3.2 3 2.8 2.6 2.4 2.2 2 Pre sailing Post sailing Note: A higher score= greater experience of nature. Error bars represent ±1SD; N=5 7.5.4 Self-esteem Only two Essex participants completed the self-esteem scale at the start and end of the sailing. The mean self-esteem score decreased from pre- to post- sailing by an index of 1.0, representing a reduction in self-esteem of 3% (Figure 49). One participants’ self-esteem remained constant and one decreased. 24 Figure 49: Self-esteem scores in Essex participants pre and post sailing 23.5 Self-esteem score 23 22.5 22 21.5 21 20.5 20 19.5 19 Pre sailing Post sailing Note: A higher score= greater self-esteem. Error bars represent ±1SD; N=2 77 University of Essex, 2013 7.5.5 Qualitative narrative after the trail At the end of the sailing trip participants were asked about their experience. The responses to these questions are displayed in Box 12. The participants enjoyed the sailing, cooking and being around people, but not the weather, sea sickness or cold. Participants learned that they can do things that they put their mind to, that everyone is different and the weather and elements can be a challenge. Box 12: Essex participants’ feedback about the Sailing trip Question Comments from Young People What did you “Doing the sailing, not sitting about. Company, socialising” enjoy most? “Cooking food because I made the best banoffee pie and it made me feel useful because others liked it” “Steering the boat because it made me realise that I could be good at something I have never done before” “Escaping everything at home, ideal opportunity to get space, going to London by boat, being part of a team, food” “Being around nice people and cooking. Joking around with everyone. Learned how to make new food. Having a break” “Sleeping whilst sea bound, team had to sail in the rain and storm. Steering the boat. Having a laugh and trying new things that I probably wouldn’t have tried” What did you not “Weather, washing up, other people not pulling their weight” enjoy? “The weather because it put a downer on things. I struggled living with lots of others in a small space as I get very claustrophobic” “Too much noise at night from crew members” “Feeling ill, weather being cold, knowing that I am going back because I don’t like who I am. Sometimes when we go on a trip it makes it harder because I want to keep going and not go back” “Sea Sickness, super cold (actually didn’t bother me that much). Not having my own space when I need it”. What would you “Doing trip insurance, warmer, more space, sleeping arrangements” have changed? “The time of year we left” “Nothing” “Not gone back. Bought more warm clothes. Shower and having a hot water bottle” 78 University of Essex, 2013 “Own space. Having more fun things to do at night” What has the trip “Enjoy sailing” taught you about “If I put my mind to it I can do things. I can wake up early. I can get on with yourself? different types of people” “Self-respect, better preparation, packing the correct stuff” “Trying to change my attitude towards people because I don’t want them to think I am horrible because I don’t actually mean it. Making up with people who I despise has been the hardest thing for me, to be a stronger person. Knowing who I want to tell about bad situations” “Took more pictures this trip-far more than usual. My strength was needed to do things others couldn’t. Stamina was important. Coped with OCD very well and being in a confined space. Put my problems aside to help others and kept a cool head” What has this trip “Sometimes people will not pull weight, disappointed” taught you about “Everyone is different but when you pull together you are a team” other people? “Respecting others” “I thought I would argue with everyone and not like it but I tried to get on with people. People are really nice when you get to know them. I don’t usually get this because I push them away…….” “Kept a cool head even when provoked. Worked together-mostly. More considerate. Didn’t feel like I was a big part of the group, would have liked to be. Didn’t feel needed. Felt left in the shadows” What has this trip “Saw effect of waves, wind and tides” taught you about “When at sea you feel more wind and coldness. Weather is a challenge nature? sometimes” “Didn’t notice much wildlife- there wasn’t much about. Enjoyed the wavesdidn’t feel scared. Didn’t like the cold” “Really cold, nothing easy, excited when it started to slow a little” “Cold, sea sickness. Battling against the elements. Humans were not meant to travel the waters. Beauty is everywhere in nature, at all times. Liked all weather, whether it was good or not” 79 University of Essex, 2013 7.6 Emotional Spectrum Weekend In addition to the set programme of activities on the TA4 project, some of the Essex participants also attended an emotional spectrum weekend held in May 2013. Spectrum Emotional coaching is aimed at working with people who are experiencing emotional problems, are stressed from the rigours of life or have past issues which are holding them back from achieving in life. The origin of emotional coaching lies within therapy and uses a talking approach. It helps the participant to revisit life experiences and facilitates personal learning and lasting change before emotions take over. During the spectrum emotional coaching weekend participants took part in one-to-one sessions with coaches, working through emotional triggers and responses from their past and deciding how they could move forward in a more positive light in the future. They also played team games designed to enhance team work, cooperation and leadership, trust and listening skills. Questionnaires were completed at the start and end of the weekend in order to determine if there were any changes in the assessed measures as a result of the weekend. Four out of the five participants who attended completed questionnaires at the start and end of the weekend, however not all aspects were completed by all participants. 7.6.1 Qualitative narrative prior to the emotional coaching Prior to the emotional coaching weekend participants were asked what they were hoping to get out of the weekend, and what they were both nervous and excited about. Participants commented that they were hoping to “spend time with other Turnaround participants” and “to be able to deal with things that happened in the past” and “feel better about the past” after taking part in the weekend. They were nervous about talking about their feelings, leaving home and “going home feeling depressed”. However the participants said that they were excited about “meeting and getting to know new people” and “gaining positive emotions”. One participant also commented that they were excited to help other people. 7.6.2 Hope Four Essex participants completed the agency hope sub-scale, whilst three completed the pathway sub-scale and thus the complete questionnaire. Agency sub-scale scores increased by an index of 3.5, representing a 23% improvement in participants’ perceived capacity for commencing and maintaining the actions required to meet their goals (Figure 48). 75% of participants increased their scores and 25% of participants scores decreased. Pathway sub-scale scores also increased by an 80 University of Essex, 2013 index of 5.3, equivalent to a 35% improvement (Figure 50). All participants increased their pathway score. 21 Figure 50: Hope sub-scale scores in Essex participants pre and post the emotional coaching weekend Agency Hope sub-scale score 19 Pathway 17 15 13 11 9 7 5 Pre emotional coaching Post emotional coaching Note: A higher score= greater hope that goals can be met. Error bars represent ±1SD; N=4 for agency, n=3 for pathway. Overall hope scores also improved. Scores increased by an index of 9.33, representing a 31% improvement in participants’ perception that they can meet their goals. All participants increased their hope that they could meet their goals (Figure 51). The mean score was below average and project baseline, but increased to be above average at the project end. 37 Figure 51: Hope scores in Essex participants pre and post the emotional coaching weekend 32 Hope score 27 22 17 12 7 Pre emotional coaching Post emotional coaching Note: A higher score= greater hope that goals can be met. Error bars represent ±1SD; N=3 81 University of Essex, 2013 7.6.3 Nature Experience Two participants completed the nature experience scale pre- and post- the emotional coaching weekend. As displayed in Figure 52 mean scores increased over the weekend by an index of 0.17. This 0.17 increase is equivalent to a 3% improvement in nature experience. One participant increased their scores, whilst one remained constant. Figure 52: Nature experience scores in Essex participants pre and post the emotional coaching weekend 4 Nature experience score 3.9 3.8 3.7 3.6 3.5 3.4 3.3 3.2 Pre emotional coaching Post emotional coaching Note: A higher score= greater experience of nature. Error bars represent ±1SD; N=3 7.6.4 Well-being Three participants completed the well-being scale pre and post the emotional coaching weekend. Scores increased by an index of 18.7 from the start to the end of the weekend, representing a 33% improvement in well-being (Figure 53). All participants increased their well-being scores. At the start of the weekend the mean score was below the national average (51.7±7.26). However by the end of the weekend scores were notably greater than this value, representing an above average well-being. Well-being classifications also shifted (Figure 54). At the start of the weekend the majority of participants’ well-being was classified as ‘low’. However, by the end of the weekend this had altered with the majority of participants having ‘high’ well-being. One participants score moved from ‘low’ to ‘high’, one from ‘average’ to ‘high’ and one from ‘low’ to ‘average’. 82 University of Essex, 2013 Figure 53: Well-being scores in Essex participants pre and post emotional coaching weekend 80 Well-being score 70 60 50 40 30 20 Pre emotional coaching Post emotional coaching Note: A higher score= greater well-being. Error bars represent ±1SD; N=3 80 Percentage of participanrs (%) 70 Figure 54: Percentage of Essex participants in each well-being category pre and post the emotional spectrum weekend 60 Pre emotional coaching 50 Post emotional coaching 40 30 20 10 0 Low well-being Average well-being High well-being 7.6.5 Self-esteem Two young people from the Essex group completed the self-esteem scale pre and post the emotional coaching weekend. The mean self-esteem score increased by an index of 9.5, equivalent to a 32% improvement in self-esteem (Figure 55). Both participants improved their self-esteem over the course of the weekend. 83 University of Essex, 2013 45 Figure 55: Self-esteem scores in Essex participants pre and post emotional spectrum weekend Self-esteem score 40 35 30 25 20 15 10 Pre emotional coaching Post emotional coaching Note: A higher score= better self-esteem. Error bars represent ±1SD; N=2 7.6.6 Strengths and Difficulties Three participants completed the strengths and difficulties questionnaire pre and post the emotional coaching weekend. The mean score for each of the sub-scales at the start and end of the weekend are displayed in Table 17. By the end of the programme participants had fewer emotional difficulties, conduct and peer problems. Hyperactivity remained stable and pro-social behaviour decreased slightly. Emotional difficulties, conduct and peer problems reduced by indexes of 2.0, 1.3 and 0.6 respectively, representing reductions of 20%, 13% and 6%. Pro-social behaviour reduced by an index of 0.7, representing a 7% reduction in pro-social behaviour. Table 17: Strengths and difficulties sub-scale scores in Essex participants at baseline and end Baseline End Score Change Emotional Symptoms 5.0±3.6 3.0±1.7 Conduct Problems 2.0±1.0 0.7±0.6 Hyperactivity 4.7±4.2 4.7±4.2 Peer Problems 4.3±3.2 3.7±3.1 Pro-social behaviour 10±0.0 9.3±1.2 67% decrease, 33% constant 67% decrease, 33% constant 33% increase, 33% decrease, 33% constant 33% increase, 67% decrease 33% decrease, 67% constant. Scores represent mean±SD, a higher score= greater conduct problems, hyperactivity, emotions or peer problems and improved pro-social behaviour. A decrease in sub-scale score= improvement. 84 University of Essex, 2013 The overall strengths and difficulties score reduced by an index of 4.0 over the emotional coaching weekend, representing a 25% reduction in behavioural difficulties (figure 56). 67% of participants reduced their total score and one participant increased their score. Strengths and difficulties score 30 Figure 56: Strengths and difficulties scores in Essex participants pre and post emotional coaching weekend 25 20 15 10 5 0 Pre emotional coaching Post emotional coaching Note: A lower score= fewer behavioural difficulties. Error bars represent ±1SD; N=3 Emotional symptoms, conduct problems, hyperactivity and pro-social scores were ‘normal’ at both the start and end of the weekend, and peer problem scores were classified as ‘borderline’. The total score moved from ‘borderline’ at the start of the weekend to a classification of ‘normal’ at the end. Changes in the percentage of participants in each category were notable for hyperactivity and the total score. At the start of the weekend 33% of participants had ‘normal’, ‘borderline’ and ‘abnormal’ hyperactivity scores, whilst at the end of the weekend 67% had normal scores and only 33% abnormal. For the total score 67% had ‘abnormal’ scores at the start and 33% ‘normal’, this trend was reversed by the end of the weekend. 7.6.7 Feedback after the emotional coaching weekend At the end of the weekend participants were asked to provide feedback about their experience of the emotional coaching. The responses to the questions asked to participants can be found in Box 13. Participants learnt to respect other people’s feelings and felt that they would be considerate of other people’s feelings and react to situations better in the future. 85 University of Essex, 2013 Box 13: Essex Participants’ Feedback about Emotional Coaching Weekend Question Comments from Young People What have you learned “That I am not as ugly as I think and that I need to respect other from participating in the people’s feelings more” emotional coaching “That I am in control of me” weekend? What did you think you “React to situations better” will do differently after “Look how my actions are affecting others” attending this weekend? “Put myself first and love myself” What did you enjoy “The nice weather and all the wilderness” most? “Spectrum” [the coaching] “Getting away from home” What didn’t you enjoy? “Being cold” “Getting upset and feeling vulnerable” “I enjoyed it all” How do you think the “Check how we are doing more often” weekend could be “More outdoor activities” improved? “Not to camp” 7.7 Essex Key Findings Overall the analysis of Essex data revealed that over the course of the project: Agency and pathway hope scores increased by 32% and 56% respectively; 83% of participants improved their hope sub-scale scores; Total hope scores increased by 45%, with 67% of participants increasing the hope that they could meet their goals; Nature experience increased by 11%; 83% of participants increased their familiarity and desire to be out in nature; There were statistically significant improvements in well-being, with indices improving by 67%; 60% of participants experienced improvements in well-being so significant that they changed their well-being classification; Self-esteem improved by 12%, with 75% of participants increasing their self-esteem score 86 University of Essex, 2013 Emotional symptoms, peer problems and hyperactivity reduced by 30%, 37% and 24% respectively; Pro-social behaviour improved by 15% Overall behavioural difficulties reduced by 18%, with 50% of participants improving their behaviour. Furthermore: Agency, pathway and total hope scores increased by 10%, 7% and 12% respectively after the wilderness trail Agency and pathway scores increased by 12% and 23% after the sailing, with a significant improvement in the total hope score (18% increase). 75% of participants increased their hope scores after the wilderness trail and 100% after sailing; Nature experience increased by 25% after the wilderness trail, with 67% of participants making improvements; Self-esteem improved by 21% after the wilderness trail; 60% of participants improved their self-esteem as a result of the wilderness trail. As a result of the emotional coaching weekend: Participants experienced improvements in agency and pathway hope scores by 36% and 47% respectively; Total hope scores increased by 49%, with 100% of participants being more hopeful that they can meet their goals; Nature experience improved by 5%, with 50% feeling more desire to be in nature; Self-esteem improved by 32%, with all participants improving their self-esteem; Well-being improved by 46%, with a trend for well-being being classified as ‘high’ as opposed to ‘low’; Emotional symptoms, conduct problems and peer problems decreased by 40%, 65% and 14% respectively Total behavioural difficulties reduced by 25%. 87 University of Essex, 2013 8. Individual Case Studies- Essex Group The following section uses a case study approach to provide an overview of the TurnAround experience for each participant. It plots individual changes in parameters over the course of the project using both quantitative and qualitative data. Pseudo names are used at all times and any missing data is due to absence. Background information is provided for each individual to build on participant profiles. 8.1 Case of ‘Tom’ Tom was almost 17 years old at the start of the project and moving between living with his mother and father. He had drug problems, anger issues and displayed erratic behaviour that his parents found increasingly difficult to deal with. Tom also suffered from low self-esteem and self-confidence and was traumatised after witnessing the murder of his step- father. During his time on TurnAround, Tom wanted to make new friends and get a better outlook on life. Tom engaged well with the programme and was in attendance at all but one of the data collection time points. Tom seemed to engage relatively well with his mentor, who helped him to obtain some work experience at a record store. Tom seemed to learn how to effectively deal with his anger issues over the course of the project. Figure 57 plots the changes in Tom’s sub-scale hope scores over the course of the programme, whilst Figure 58 plots the changes in the total scores. Both sub-scale and total scores fluctuated over the course of the programme, with the agency sub-scale scores increasing from project baseline to end by an index of 5.0, representing a 33% improvement. Both the pathway and total scores were slightly reduced from baseline at the end of the project. At all points Tom’s total hope score was below average. 88 University of Essex, 2013 18 Figure 57: Tom's Hope scores over the course of the programme 16 14 Hope Score 12 10 8 6 4 2 Baseline Pre Trail Post Trail Pre Sailing Post Cinema Sailing Trip End Note: Blue= Agency; Green= Pathway; A higher score= greater hope that goals can be met 30 Figure 58: Tom's hope scores over the course of the programme Hope Score 25 20 15 10 5 Baseline Pre Trail Post Trail Pre SailingPost SailingCinema Trip End A higher score= greater hope that goals can be met Tom’s nature experience scores also fluctuated over the course of the programme (Figure 59). Scores peaked after the wilderness trail, increasing by 79% over the course of the trail itself. Scores increased from the start to the end of the project, with the end score being higher by 0.83, equivalent to a 17% improvement. 89 University of Essex, 2013 Figure 59: Toms nature experience scores over the course of the programme 4.5 4 3.5 3 2.5 2 Baseline Pre Trail Post Trail Pre Post Cinema Sailing Sailing Trip End Note: A higher score= greater experience of nature Figure 60 displays well-being scores over the programme. Tom’s well-being consistently increased over the course of the programme. Scores increased by an index of 27 from the start to the end of the project, equivalent to a 48% improvement in well-being. At the start and wild camping Tom’s well-being was below the national average of 51.7, however at the end of the programme Tom’s score was above this average score. At baseline Tom’s scores was classified as ‘low’, at wild camping this improved to ‘average’ and at the end of the programme his score was classed as being ‘high’. 70 Figure 60: Tom's well-being scores over the course of the programme Well-being score 65 60 55 50 45 40 35 Baseline Cinema Trip End Note: A higher score= better well-being 90 University of Essex, 2013 Tom’s self-esteem scores peaked after the wilderness trail, where they increased by an index of 7.0, equivalent to a 23% improvement (Figure 61). Scores decreased from pre- to post- sailing, but increased at the cinema trip and project end, where they were above the baseline score. From project baseline to end scores increased by an index of 2.0; equivalent to a 7% improvement in selfesteem. Tom’s background information indicated that he suffered from low self-esteem. However, a self-esteem score of 24 is not particularly low; thus the reliability of this baseline score might be questioned. 29 Figure 61: Tom's Self-esteem scores over the course of the programme 28 Self-esteem Score 27 26 25 24 23 22 21 20 Baseline Pre Trail Post Trail Pre Sailing Post Sailing Cinema Trip End Note: A higher score= better self-esteem The changes in Toms’ strengths and difficulties sub-scale scores can be found in Table 18. Emotional symptoms remained stable, whilst conduct problems and hyperactivity showed an increasing trend. Peer problems decreased from baseline to end, by an index of 4.0, representing a 40% reduction in peer problems. Pro-social behaviour improved by an index of 2.0, equivalent to a 20% improvement. Peer problem scores moved from being ‘abnormal’ at the start of the project, to ‘borderline’ at the cinema trip and ‘normal’ at the project end. Table 18: Tom’s Strengths and difficulties sub-scale scores over the course of the programme Emotional Symptoms Conduct Problems Hyperactivity Peer Problems Pro-social behaviour Baseline Cinema Trip End 4 4 7 6 6 4 7 9 5 6 4 8 8 2 8 Note: a higher score= greater conduct problems, hyperactivity, emotions or peer problems and improved pro-social behaviour. A decrease in sub-scale score= improvement. 91 University of Essex, 2013 The total strengths and difficulties’ score increased from baseline to cinema trip and decreased from cinema trip to end (Figure 62). However the score at the end of the project was higher than at baseline by an index of 1.0, meaning that behavioural difficulties worsened slightly by the end of the project. Figure 62: Tom's total strengths and difficulties scores over the course of the programme Strengths and difficulties score 26 25 24 23 22 21 20 Baseline Cinema Trip End Note: A higher score= greater behavioural difficulties’ At the start of the project Tom completed a shield drawing detailing how he viewed himself, how he thought others viewed him and how he would like to be seen and what he wants for himself in the future. Tom commented that in the future he wanted to build up his DJ job, build relationships with others and ‘mix’ in different countries. He wanted to be seen as funny, generous and kind. During his time on the project Tom gained work experience directly relevant to his hope of being a DJ and built relationships with Wilderness Foundation staff and participants. 92 University of Essex, 2013 8.2 Case of ‘Richard’ Richard was 15 and ½ years old at the start of the project. He had been living in the UK for 12 months after moving here from South Africa and was living with his mother, as his father was deceased. Richard had spent time living in a women’s refuge and suffered from Obsessive Compulsive Disorder (OCD), low self-esteem and difficutly being around others. His school attendance was poor and he suffered abuse and truama whilst living in South Africa. During his time on the programme Richard was hoping to develop confidence, hate people less, gain a variety of different skills and English experieces and have his “love, attitude and faith revived”. Richards attendance at the programme was the highest of all participants, with Richard being present on all data collection time points and also at the additional emotional spectrum weekend offered to Essex participants. For Richard, who rarely attended school, this was a positive achievement. However, Richard did not regularly attend mentoring and did not develop a relationship with his mentor. Richard did however develop a strong relationship with Wilderness Foundation staff and they therefore carried out his mentoring. Throughout the programme Richard went through a great degree of emotional upheaval and had a difficult time dealing with things that had happened in the past. Figure 63 plots the changes in Richard’s sub-scale hope scores over the course of the programme, whilst Figure 64 plots the changes in total scores. Both sub-scale scores fluctuated over the course of the programme, but peaked at the project end. Agency and pathway scores increased by an index of 2.0 from start to end, representing a 13% improvement. Scores dropped at the start of the emotional coaching, but increased at the end. The agency sub-scale score at the end of the coaching matched that at the end of the project. The total hope score also fluctuated over the course of the programme. Scores increased after both the wilderness trail and sailing, but peaked at the end of the programme, representing an increase of 6.0, equivalent to 20%. Scores decreased pre- emotional coaching but increased thereafter, to just slightly below the end of project score, but above the score at baseline. At both the project end and post emotional coaching, Richard’s hope scores were above average. 93 University of Essex, 2013 15 Figure 63: Richard's sub-scale hope scores over the course of the programme Hope sub-scale score 14 13 12 11 10 9 8 7 Post coaching Pre coaching End Cinema Trip Post Sailing Pre Sailing Post Trail Pre Trail Wild Camping Baseline 6 Note: Blue= Agency; Green= Pathway; A higher score= greater hope that goals can be met 29 Figure 64: Richard's hope scores over the course of the programme 27 Hope score 25 23 21 19 17 Post coaching Pre coaching End Cinema Trip Post Sailing Pre Sailing Post Trail Pre Trail Wild Camping Baseline 15 Note: A higher score= greater hope that goals can be met Richard’s nature experience scores also fluctuated over the programme (Figure 65). Scores decreased from baseline to wild camping, but increased due to the wilderness trail and sailing. Scores peaked at the end of the project, with an increase of 0.34 or 7%. Scores declined slightly at the pre emotional coaching time point, but increased after to slightly below the end point score. 94 University of Essex, 2013 Nature Experience score 4.3 Figure 65: Richard's nature experience scores over the course of the programme 4.1 3.9 3.7 3.5 3.3 3.1 2.9 2.7 Post coaching Pre coaching End Cinema Trip Post Sailing Pre Sailing Post Trail Pre Trail Wild Camping Baseline 2.5 Note: A higher score= greater nature experience Figure 66 shows the changes in Richard’s well-being scores over time. Richard did not complete the entire well-being questionnaire at baseline and this is therefore not included in the analysis. Scores decreased from wild camping to the cinema trip, but increased at the end of the project. From the wild camping to the project end scores increased by an index of 20, representing a 36% improvement in well-being. At the pre- emotional coaching time point scores were slightly decreased from project end, but increased by the end of the weekend. At all time points Richards well-being was below the average score (51.7); however at the project end the score was approaching one which is deemed to be ‘normal’. Figure 66: Richard's well-being scores over the course of the programme 50 Well-being score 45 40 35 30 25 20 Wild Camping Cinema Trip End Pre coaching Post coaching Note: A higher score= greater well-being 95 University of Essex, 2013 Richard did not complete the self-esteem scale at baseline, or at the emotional spectrum weekend. Figure 67 displays the changes in self-esteem scores at the time points the questionnaire was completed. Self-esteem was relatively stable from wild camping to pre sailing, decreased at the cinema trip, but increased at the end of the programme. From wild camping (when the first selfesteem questionnaire was completed) to the project end self-esteem increased by an index of 11, representing a 37% improvement in self-esteem. 30 28 Figure 67: Richard's self-esteem scores over the course of the programme Self-esteem score 26 24 22 20 18 16 14 12 10 Wild Camping Pre Trail Pre Sailing Cinema Trip End Note: A higher score= better self-esteem Table 19 displays the changes in strengths and difficutlies sub-scale scores over the duration of the programme. Emotional symptoms and hyperactivity decreased from baseline to end by 30% and 40% respectively. Conduct problems and peer problems increased slightly, whilst pro-social behaviour remained constant. Emotional symptoms decreased further at the end of the coaching weekend and conduct problems decreased from baseline (by 10%). By the end of the project emotional symptoms and hyperactivity had moved from ‘abnormal’ to ‘normal’. Conduct problems and pro-social behaviour were ‘normal’ throughout the programme and peer problems were ‘abnormal’. The total strengths and diffuclties scores over the programme are displayed in Figure 68. The total score decreased from baseline to end by an index of 4.0, equivalent to a 10% reduction in behavioural difficulties. The score increased slightly pre-coaching but increased thereafter to just above the end of the project score. 96 University of Essex, 2013 Table 19: Richard’s Strengths and difficulties sub-scale scores over the course of the programme Baseline Wild Cinema Trip End Pre Post camping Coaching Coaching Emotional Symptoms 8 5 6 5 6 4 Conduct Problems 2 1 2 3 3 1 Hyperactivity 8 6 4 4 6 9 Peer Problems 6 8 9 8 8 7 Pro-social behaviour 10 10 9 10 10 10 Note: a higher score= greater conduct problems, hyperactivity, emotions or peer problems and an improved pro-social behaviour. A decrease in sub-scale score= improvement (except pro-social behaviour) Strengths and difficulties score 25 Figure 68: Richard's strengths and difficutlies score over the course of the programme. 24 23 22 21 20 19 18 Baseline Wild Camping Cinema Trip End Pre Post coaching coaching Note: A higher score= more difficulties At the start of the project Richard completed a shield drawing detailing how he viewed himself, how he thought others viewed him and how he would like to be seen and what he wants for himself in the future. Richard commented that in the future he wanted to feel better about himself, speak to people and trust people. He wanted to be seen as funny, kind, respectful and warm hearted. During his time on the project Richard learnt that he is a nice guy and that he can make a difference and have a future. He made friends and worked with other people and felt better about himself in general. 97 University of Essex, 2013 8.3 Case of ‘Louise’ Louise was almost 16 years old at the start of the project. She was living with her mum but not attending school. She suffered from low self-esteem, anxiety and confidence and was bullied at school. She was fearful of different places and often had depressive thoughts. During her time on the programme she was hoping to gain skills and confidence, feel smarter and feel comfortable around people. Louise’s attendance to the programme was relatively good, however she did not attend the sailing trip. Louise engaged relatively well with her mentor at the start of the project, but meetings and conversations tended to reduce as the programme progressed. However, Louise’s mentor did help to get her enrolled on a college course. Changes in hope scores are displayed in Figure 69. Louise did not complete the hope questionnaire at the pre trail time point. Both agency and pathway scores increased from baseline to wild camping and decreased slightly post trail. Scores increased at the end of the programme by indexes of 12 and 14 respectively. These increases are equivalent to 80% and 93% improvements. The total hope scores are displayed in Figure 70. Total hope scores increased by an index of 26, representing an increase in Louise’s hope that she can meet her goals by 87%. By the end of the project Louise’s hope score was above the average value of 25.89. 98 University of Essex, 2013 18 Figure 69: Louise's hope sub-scale scores over the course of the programme 16 Hope sub-scale score 14 12 10 8 6 4 2 Baseline Wild Camping Post trail Cinema Trip End Note: Blue= Agency; Green= Pathway; A higher score= greater hope that goals can be met 35 Figure 70: Louise's hope scores over the course of the programme 30 Hope score 25 20 15 10 5 Baseline Wild Camping Post trail Cinema Trip End Note: A higher score= greater hope that goals can be met Louise’s nature experience scores increased from baseline to wild camping, but decreased at pre trail and remained stable at the end of the trail (Figure 71). Scores then increased at the cinema trip and the project end, where they peaked. The index of increase from baseline to end was 0.66, representing a 13% increase in nature experience. 99 University of Essex, 2013 Figure 71: Louise's nature experience scores over the course of the programme 2.9 Nature Experience Score 2.7 2.5 2.3 2.1 1.9 1.7 1.5 Baseline Wild Camping Pre trail Post trail Cinema Trip End Note: A higher score= greater nature experience Louise’s well-being was very low at the start of the programme (Figure 72). Her score increased at wild camping but fell back to baseline levels at the cinema trip. However by the end of the project well-being had increased to its highest level. From start to end of the project her score increased by an index of 50, representing an 89% improvement in well-being. Scores at baseline, wild camping and cinema trip were below the normative value and classified as ‘low’. By the end of the project the score was above the average value of 51.7 and was classified as high. 80 70 Figure 72: Louise's well-being scores over the course of the programme Well-being score 60 50 40 30 20 10 0 Baseline Wild Camping Cinema Trip End Note: A higher score= greater well-being 100 University of Essex, 2013 The self-esteem questionnaire was not fully completed at the end of the programme and a score could therefore not be generated. However scores increased from baseline to wild camping, where they peaked, but decreased from there onwards. The score at the last point of completion was higher than baseline by an index of 1.0, or a 3% improvement in self-esteem. From baseline to wild camping self-esteem scores increased by 14, equivalent to 47% (Figure 73). 26 Figure 73: Louise's self-esteem scores over the course of the programme 24 Self-esteem score 22 20 18 16 14 12 10 Baseline Wild Camping Pre trail Post trail Cinema Trip Note: A higher score= better self-esteem The changes in Louise’s strengths and difficulties’ sub-scale scores are displayed in Table 20. Scores for emotional symptoms, conduct problems, hyperactivity and peer problems and pro-social behaviour all improved by the end of the project. The scores improved by indexes of 7, 3, 7, 5 and 6 respectively, representing improvements in behaviour of 70%, 30%, 70%, 50% and 60% respectively. At the start of the project emotional symptoms, hyperactivity, peer problems and pro-social behaviour were all classified as ‘abnormal’. By the end of the project all scores had altered to a classification of ‘normal’. Changes in Louise’s total strengths and difficulties score are displayed in Figure 74. Scores decreased continuously throughout the project. The change from baseline to end was by an index of 23, representing a 58% reduction in behavioural problems. Scores at baseline and wild camping were ‘abnormal’. At the end of the project scores were classified as ‘normal’. 101 University of Essex, 2013 Table 20: Louise’s Strengths and difficulties sub-scale scores over the course of the programme Baseline Emotional Symptoms Conduct Problems Hyperactivity Peer Problems Pro-social behaviour 9 4 7 7 3 Wild camping 9 3 5 8 8 End 1 1 0 2 9 Note: a higher score= greater conduct problems, hyperactivity, emotions or peer problems and an improved pro-social behaviour. A decrease in sub-scale score= improvement (except pro-social behaviour Figure 74: Louise's strengths and difficulties score over the course of the programme Strengths and difficulties score 30 25 20 15 10 5 0 Baseline Wild Camping End Note: A higher score= greater behavioural difficulties’ Louise completed shields at two time points throughout the project. On the first shield Louise said that she saw herself as being low in confidence, awkward and felt that she didn’t fit in. She thought that other people saw her as being different and said that she would like people to see her as being friendly. When she completed the second shield she felt that she was a good communicator and listener and that other people thought she was fun, witty and trustworthy. She felt that the project had helped her to feel more confident and focus on her future. 102 University of Essex, 2013 Louise’s first shield Louise’s second shield 8.4 Case of ‘Rachel’ Rachel was just over 18 years old when she joined the TurnAround project. She had been a victim of domestic abuse, was suffering from low self-esteem and drug and alcohol problems. She had a lack of motivation, was not in education or employment. She was just leaving care and on probation. During her time in the project Rachel was hoping for people to listen to what she wants to get out of life. 103 University of Essex, 2013 Rachel’s attendance was high, with all data collection time points being attended. However Rachel did not engage well with her mentor and requested that Wilderness Foundation staff mentor her instead. Rachel was also offered some councelling (with the help of her mentor and wilderness foundation staff) to address the feelings of depression that she was expeirencing. Rachel’s sub-scale hope scores over the course of the programme are displayed in Figure 75. Both agency and pathway scores fluctuated over the course of the programme, increasing as a result of the wilderness trail and pathway scores increasing due to the sailing. Both agency and pathway scores increased from baseline to end by an index of 2.0 and 4.0 respectively, representing 13% and 27% improvements. 16 Hope sub-scale score 15 Figure 75: Rachel's hope sub-scale scores over the course of the programme 14 13 12 11 10 9 8 7 End Cinema Trip Post Sailing Pre Sailing Post-trail Pre-trail Baseline 6 Note: Blue= Agency; Green= Pathway; A higher score= greater hope that goals can be met Overall hope scores also tended to fluctuate over the course of the programme (Figure 76). However scores increased as a result of both the wilderness trail and sailing trip and also increased from the project start to end. The overall index of improvement was 6.0, equivalent to 20% and by the end of the project the score was above average. 104 University of Essex, 2013 35 Figure 76: Rachel's hope scores over the course of the programme Hope score 30 25 20 15 10 Baseline Pre-trail Post-trail Pre Sailing Post Sailing Cinema Trip End Note: A higher score= greater hope that goals can be met Figure 77 displays Rachel’s nature experience scores over the course of the programme. Her nature experience score peaked following the wilderness trail, but decreased thereafter up until the cinema trip and project end where scores increased. The index of increase from pre to post wilderness trail was 0.83 (17%), whilst the increase from start to end was 0.2 (4%). Figure 77: Rachel's nature experience scores over the course of the programme 3.9 Nature experience score 3.7 3.5 3.3 3.1 2.9 2.7 2.5 Baseline Pre-trail Post-trail Pre Sailing Post Cinema Sailing Trip End Note: A higher score= greater nature experience 105 University of Essex, 2013 Rachel’s well-being scores are displayed in Figure 78. Scores decreased from baseline to the cinema trip, but increased at the programme end. The index of increase from baseline to end was 12, representing a 21% improvement in well-being. At baseline and cinema trip scores were below the normative value of 51.7 and classified as ‘low’. At the project end scores were above the national average score and classified as ‘average’. 60 Figure 78: Rachel's well-being score over the course of the programme Well-being score 55 50 45 40 35 30 25 Baseline Cinema Trip End Note: A higher score= better well-being Rachel’s self-esteem fluctuated over the course of the programme, decreasing post wilderness trail. The scores at baseline and end were identical, representing no overall change in self-esteem (Figure 79). However, Rachel’s initial self-esteem value was relatively good for someone who suffers from low self-esteem; the accuracy of this value could therefore be questioned. 106 University of Essex, 2013 Figure 79: Rachel's self-esteem scores over the course of the programme 28 27 Self-esteem score 26 25 24 23 22 21 20 Baseline Pre-trail Post-trail Pre Sailing End Note: A higher score= better self-esteem The changes in Rachel’s strengths and difficulties’ sub-scale scores are displayed in Table 21. Scores for conduct problems improved from the start to the end of the project, whilst emotional symptoms increased, pro-social behaviour reduced and hyperactivity and peer problems remained stable. Conduct problems reduced by 10%. At the start of the project hyperactivity and peer problems were classified as ‘borderline’ and emotional, conduct problems and pro-social behaviour ‘normal’. By the end of the project all sub-scale scores remained the same. Changes in Rachel’s total strengths and difficulties score are displayed in Figure 80. Scores increased continuously throughout the project, until the end where they decreased. However the end score was higher than baseline by 1.0, representing an overall increase in behavioural difficulties. Table 21: Rachel’s Strengths and difficulties sub-scale scores over the course of the programme Baseline Emotional Symptoms Conduct Problems Hyperactivity Peer Problems Pro-social behaviour 2 3 6 4 6 Wild camping 6 5 7 3 5 Cinema Trip End 6 5 7 3 5 4 2 6 4 5 Note: a higher score= greater conduct problems, hyperactivity, emotions or peer problems and an improved pro-social behaviour. A decrease in sub-scale score= improvement (except pro-social behaviour 107 University of Essex, 2013 Figure 80: Rachel's strengths and difficutlies score over the course of the programme Strengths and difficulties score 28 26 24 22 20 18 16 14 Baseline Wild Camping Cinema Trip End Note: A higher score= more behavioural difficulties Rachel completed several shields during her time on the TurnAround project. Initially Rachel felt that she was easily led and didn’t let people in and that other people viewed her as ‘trouble’. In her future she wanted a better life for her, to help others and get a career. In her second shield she still held some negative opinions about herself but also felt that she was caring, talkative, fun and helpful and that other people viewed her as fun, unique and loving. Rachel’s shield at the end of the project 108 University of Essex, 2013 8.5 Case of ‘Andrew’ Andrew was 16 ¾ years old at the start of the TurnAround project. He was in trouble with the police, experiencing drug and alcohol problems and low self-confidence and esteem. He was in foster care due to the breakdown of his relationship with his adoptive parents. During his time on the project Andrew was hoping to gain a variety of new experiences. Andrew’s attendance was high, with all data collection time points being attended. He also attended the emotional coaching weekend and completed a questionnaire at the end of the weekend. However, Andrew did not engage well with his mentor and had very little contact with them throughout the project. This lack of engagement is likely to have been due to a clash of personalities and also because Andrew secured a weekend job which therefore made it more difficult for him to meet with his mentor. Andrew’s sub-scale hope scores are displayed in Figure 81. The agency sub-scale score fluctuated over the project but peaked at the project end point, where it had increased by an index of 1.0 (7%) from baseline. The pathway score also fluctuated, increasing at wild camping, decreasing over the trails and sailing and increasing again at the cinema trip. The score decreased from baseline to end (and post coaching) by an index of 1.0, representing an overall reduction in hope. Hope sub-scale score Figure 81: Andrews sub-scale hope scores over the course of the project 18 16 14 12 10 8 6 4 2 Post coaching End Cinema Trip Post sailing Pre sailing Post trail Pre trail Wild Camping Baseline 0 Note: Blue= Agency; Green= Pathway; A higher score= greater hope that goals can be met 109 University of Essex, 2013 The total hope score also fluctuated, decreasing from wild camping to pre sailing and increasing thereafter. The score at the end of the project was identical to that at baseline, representing no overall change in Andrew’s hope that he can meet his goals. The score decreased slightly from end to post coaching (Figure 82). Scores were above average from baseline to wild camping, but below average thereafter. 29 Figure 82: Andrew's hope scores over the course of the project 27 Hope score 25 23 21 19 17 Post coaching End Cinema Trip Post sailing Pre sailing Post trail Pre trail Wild Camping Baseline 15 Note: A higher score= greater hope that goals can be met Andrew’s nature experience score was highest at baseline and decreased and fluctuated thereafter. The sailing trip increased Andrew’s nature experience score by an index of 0.47 (1%), however from the start to end of the project there was a decline in Andrew’s desire to be out in nature (Figure 83). Figure 83: Andrew's nature experience scores over the course of the project 3.9 3.5 3.3 3.1 2.9 2.7 Post coaching End Cinema Trip Post sailing Pre sailing Post trail Pre trail Wild Camping 2.5 Baseline Nature Experience score 3.7 Note: A higher score= greater nature experience 110 University of Essex, 2013 Andrew’s well-being scores are displayed in Figure 84. Andrew did not complete the entire questionnaire at wild camping; the data is therefore not included. The well-being score remained stable from baseline to the cinema trip, but increased at the project end. The index of increase was 3.0, representing a 5% improvement in well-being. The score decreased slightly at the end of the emotional coaching weekend. At baseline and cinema trip the score was close to the average value of 51.7 and classified as ‘average. At the end of the project the score was above the national average for Scotland. 54 Figure 84: Andrew's well-being scores over the course of the project 53 52 Well-being scorw 51 50 49 48 47 46 45 44 Baseline Cinema Trip End Post coaching Note: A higher score= greater well-being Andrew did not complete the self-esteem scale at wild camping. His score decreased from baseline to pre- trail, but increased to its highest level post trail (Figure 85). The scores then fluctuated up until the end of the project, where they returned to their post trail value. The index of increase from start to end was 3.0, representing a 10% improvement in self-esteem. The score decreased slightly from end to post coaching, but remained above the baseline value. Andrew’s baseline self-esteem value was relatively high, given that he suffers from low self-esteem. The reliability of this data might therefore be questioned in terms of its reliability. 111 University of Essex, 2013 33 Figure 85: Andrew's self-esteem scores over the course of the project Self-esteem score 31 29 27 25 23 21 19 17 Post coaching End Cinema Trip Post sailing Pre sailing Post trail Pre trail Baseline 15 Note: A higher score= better self-esteem The changes in Andrew’s strengths and difficulties’ sub-scale scores are displayed in Table 22. Scores for emotional symptoms, peer problems and pro-social behaviour improved from that start to the end of the project (and post coaching), whilst hyperactivity remained stable and conduct problems increased. However both of these improved from baseline to post coaching. The total indexes of change from baseline to post coaching are 50% (emotional symptoms), 30% (conduct problems), 10% (hyperactivity), 10% (peer problems) and 10% (pro-social behaviour). At the start of the project emotional symptoms and peer problems scores were ‘abnormal’; hyperactivity and pro-social behaviour ‘borderline’ and conduct problems ‘normal’. By the end of the coaching all sub-scales were normal, except peer problems which had moved from ‘abnormal’ to ‘borderline’. Table 22: Andrew’s Strengths and difficulties sub-scale scores over the course of the programme Baseline Emotional Symptoms Conduct Problems Hyperactivity Peer Problems Pro-social behaviour 7 3 6 6 5 Wild camping 4 6 9 6 6 Cinema Trip End Post coaching 3 8 9 3 10 3 4 6 0 8 2 0 5 4 6 Note: a higher score= greater conduct problems, hyperactivity, emotions or peer problems and an improved pro-social behaviour. A decrease in sub-scale score= improvement (except pro-social behaviour) 112 University of Essex, 2013 Changes in Andrew’s total strengths and difficulties score are displayed in Figure 86. Scores increased continuously from baseline to wild camping, but decreased thereafter right up until the last data collection point. The index of decrease from start to end was 9.0, representing a 23% reduction in behavioural difficulties. Overall, from project baseline to end of the coaching weekend Andrew’s behavioural difficulties decreased by 50%. Strengths and difficulties score 26 Figure 86: Andrew's strengths and difficutlies score over the course of the project 24 22 20 18 16 14 12 10 Baseline Wild Camping Cinema Trip End Post coaching Note: A higher score= greater behavioural difficulties During his time on TurnAround Andrew completed two shields. On his first shield Andrew said that he felt he was not good at socialising, not always reliable, but fun, loving and confident. He felt that other people saw him as lazy and daring and that some people didn’t like him. In the future he wanted a career, family and mortgage and wanted to be seen as trustworthy and hard working. On his second shield Andrew thought he was helpful and active and that other people saw him as friendly. 113 University of Essex, 2013 Andrew’s first shield Andrew’s second shield 8.6 Case of ‘Nicola’ Nicola was almost 18 years old at the start of the TurnAround project. She was lacking self-esteem and self-confidence and was lacking the ability to make friends and form relationships. She was living in foster care and had been subjected to abuse. Nicola was also in the early stages of pregnancy. By taking part in the project she was hoping to feel better about herself and develop some independence. 114 University of Essex, 2013 Nicola engaged relatively well with the project and was present at all data collection time points except the end. However, Nicola did complete an end point questionnaire a little after the other participants. She also attended the emotional coaching weekend and completed a questionnaire at the end. Throughout the project Nicola had a good relationship with her mentor and often went to her for advice and support. Nicola’s mentor supported her through a variety of situations and offered help and guidance where necessary. Nicola’s sub-scale hope scores over the duration of the project are displayed in Figure 87. Nicola did not complete all questions pre trail; this data is therefore not included. Both agency and sub-scale scores increased over the course of the project, with fluctuations throughout. The end of project agency and pathway scores increased by indexes 2.0 and 4.0 respectively, representing 20% and 40% improvements in hope. Scores further increased after the emotional coaching. From baseline to post coaching agency scores improved by 4.0 (40%) and pathway scores increased by 8.0 (80%). 14 13 Figure 87: Nicola's sub-scale hope scores over the course of the project Hope sub-scale score 12 11 10 9 8 7 6 5 Post Coaching end cinema trip Post Sailing Pre Sailing Post Trail Wild Camping Baseline 4 Note: Blue= Agency; Green= Pathway; A higher score= greater hope that goals can be met The total hope score also showed a general trend for increasing over the course of the programme, with fluctuations over time. Like with the sub-scales the score peaked after the emotional coaching weekend, but also increased from baseline to project end (Figure 88). The index of increase from baseline to end was 6.0, representing a 20% improvement in Nicola’s hope that she can meet her goals. The index of increase from baseline to post emotional coaching was 12, representing an 115 University of Essex, 2013 increase in hope of 40%. However, Nicola’s hope score was below average for the duration of the project. 23 Figure 88: Nicola's hope scores over the course of the project 21 Hope score 19 17 15 13 11 Post Coaching end cinema trip Post Sailing Pre Sailing Post Trail Wild Camping Baseline 9 Note: A higher score= greater hope that goals can be met Nicola’s nature relatedness scores remained relatively stable, with increases following the wilderness trail and at the project end (Figure 89). Her score peaked at the end of the TurnAround, with an index of increase 1.0 from start to end, representing a 20% increase in her desire to be in nature. Nicola’s score decreased slightly after the emotional coaching, but remained elevated from baseline. 3.4 Figure 89: Nicola's nature experience scores over the course of the project 3 2.8 2.6 2.4 2.2 Post Coaching end cinema trip Post Sailing Pre Sailing Post Trail Pre Trail Wild Camping 2 Baseline Nature Experience score 3.2 Note: A higher score= greater experience of nature 116 University of Essex, 2013 Nicola’s well-being scores are displayed in Figure 90. Her score increased immediately from baseline to wild camping, and fluctuated thereafter. However scores never returned to baseline level and by the end of the project her well-being had improved by 16%. From baseline to after the emotional coaching weekend, well-being improved by 27%. Nicola’s well-being was below the national average of 51.7 at all time points; and was classified as ‘low’. However her end of project scores was approaching normative values. 50 Figure 90: Nicola's well-being scores over the course of the project Well-being score 45 40 35 30 25 Baseline Wild Camping Cinema Trip End Post coaching Note: A higher score= better well-being Nicola did not complete the entire self-esteem questionnaire at wild camping, or emotional coaching time points, the data is therefore not included. Nicola’s self-esteem decreased from baseline to pretrail, but increased after the wilderness trail and at the cinema trip, where the score peaked. From baseline to end there was a slight (index of 1.0) decrease in self-esteem of 3%. However from baseline to the cinema trip scores increased by 10% (Figure 91). Like several participants, Nicola’s self-esteem score at baseline was high given that she had admitted to suffering from low selfesteem indicating that the baseline data may not be totally reliable. 117 University of Essex, 2013 Figure 91: Nicola's self-esteem scores over the course of the project 28 30 Self-esteem score 26 24 22 20 18 16 14 12 10 Baseline Pre trail Post trail Post sailing Cinema Trip End Note: A higher score= better self-esteem The changes in Nicola’s strengths and difficulties’ sub-scale scores are displayed in Table 23. Scores for conduct problems improved from the start to the end of the project, whilst emotional problems and pro-social behaviour remained stable and hyperactivity and peer problems increased slightly. The conduct problem score reduced by an index of 2.0, equivalent to a 20% reduction. At the start of the project emotional symptoms, hyperactivity and peer problems were classed as ‘borderline’, conduct problems ‘abnormal’ and pro-social behaviour ‘normal’. At the end of the project the conduct problem score had moved to ‘normal’. Table 23: Nicola’s Strengths and difficulties sub-scale scores over the course of the programme Baseline Emotional Symptoms Conduct Problems Hyperactivity Peer Problems Pro-social behaviour 6 5 6 5 7 Wild camping 8 1 10 5 10 Cinema Trip End 7 6 7 5 6 6 3 7 6 7 Note: a higher score= greater conduct problems, hyperactivity, emotions or peer problems and an improved pro-social behaviour. A decrease in sub-scale score= improvement (except pro-social behaviour) Changes in Nicola’s total strengths and difficulties score are displayed in Figure 92. Scores increased continuously until cinema trip, but decreased at the end of the project. There was no overall change in the strengths and difficulties score from the start of the project to the end. 118 University of Essex, 2013 25.5 Figure 92: Nicola's total strengths and difficulties scores over the course of the project Strengths and difficutlies score 25 24.5 24 23.5 23 22.5 22 21.5 21 Baseline Wild Camping Cinema Trip End Note: A higher score= greater behavioural difficulties Nicola completed a shield at the start of the project. She highlighted that she saw herself as confused, anxious and someone who does stupid things, and that in the future she wants to be happy and not to feel scared or labelled. She said that she wants other people to see her as confident, happy and a nice person. At the end of the project Nicola said that she had gained confidence, made friends and developed “a second family”. She felt that she was going to be happy and “live happily”. 119 University of Essex, 2013 8.7 Case of ‘Danielle’ Danielle was almost 20 years old at the start of the TurnAround project. She had a chaotic lifestyle and lacked stability and direction in life. She was living in hostels and had been the victim of many different forms of abuse. Danielle also had drug problems and suffered from mental ill health. By taking part in the project she was hoping to gain a qualification that would help her to progress in life. Danielle’s attendance at the project was relatively low, so data was only collected at baseline, wild camping and the end point. However Danielle did also attend the emotional coaching weekend. Her low attendance might have been due to mental health problems and other issues which prevented her from attending. Danielle’s sub-scale hope scores are displayed in Figure 93. Both agency and pathway scores increased from baseline to end by 7.0, representing improvements of 70%. Scores decreased prior to the coaching weekend but increased after the weekend to a similar level to the project end. 14 Figure 93: Danielle's sub-scale hope scores over the course of the project Hope sub-scale score 12 10 8 6 4 2 0 Baseline Wild Camping End Pre coaching Post coaching Note: Blue= Agency; Green= Pathway; A higher score= greater hope that goals can be met Danielle’s total hope score also increased from baseline to end by an index of 14.0, representing a 47% increase in hope. The score decreased prior to the coaching but increased to a similar level post coaching as at the project end (Figure 94). The total hope score was below the average value of 25.89 throughout the project. 120 University of Essex, 2013 25 Figure 94: Danielle's hope scores over the course of the project 23 Hope Score 21 19 17 15 13 11 9 7 5 Baseline Wild Camping End Pre coachingPost coaching Note: A higher score= greater hope that goals can be met Danielle’s nature experience increased and peaked after the wild camping. The score decreased at the project end, but remained elevated above baseline (Figure 95). The change from baseline to end was 0.5, equivalent to a 10% improvement. The score after the coaching weekend was higher than the project end by 0.33, representing an improvement from baseline to post coaching of 7%. 4.4 Figure 95: Danielle's nature experience scores over the course of the project Nature Experience Score 4.2 4 3.8 3.6 3.4 3.2 3 2.8 Baseline Wild Camping End Pre coaching Post coaching Note: A higher score= greater nature experience 121 University of Essex, 2013 Danielle’s well-being scores increased continuously from the project baseline to end (Figure 96). The index of increase from baseline to end was 29, representing a 46% improvement in well-being. Prior to the emotional coaching the well-being score decreased from baseline. However post- coaching the score increased to a higher level than the project end. The change from baseline to after the emotional coaching was 40; this represents a 71% increase in well-being. At all-time points except the project end and after the coaching, well-being scores were below the normative value of 51.7. The baseline score was classified as ‘low’, as was the score at wild camping and pre coaching. The end of project score was classed as ‘average, whilst the score after the coaching weekend was ‘high’. 70 Figure 96: Danielle's well-being scores over the course of the project 65 Well-being score 60 55 50 45 40 35 30 25 20 Baseline Wild Camping End Pre coaching Post coaching Note: A higher score= better well-being Self-esteem scores over the project are displayed in Figure 97. Scores increased from baseline to the project end by an index of 7.0 (23%). Scores decreased before the coaching weekend but improved thereafter to be above the end of project level. The self-esteem score was doubled after the coaching and the change from baseline to the end of the coaching was an improvement in wellbeing of 30%. 122 University of Essex, 2013 35 Figure 97: Danielle's self-esteem scores over the course of the project 33 Self-esteem score 31 29 27 25 23 21 19 17 15 Baseline Wild Camping End Pre coachingPost coaching Note: A higher score= better self-esteem The changes in Danielle’s strengths and difficulties’ sub-scale scores are displayed in Table 24. Emotional symptoms conduct problems and peer problems worsened by the end of the project, whilst pro-social behaviour reduced and hyperactivity remained constant. However, from baseline to post coaching scores on all sub-scales improved, except hyperactivity which remained constant. Conduct problems improved by 40%, hyperactivity by 20%, peer problems by 10% and pro-social behaviour by 10%. At the start of the project the conduct problem score was ‘borderline’, hyperactivity score ‘abnormal’ and the remainder ‘normal’. After the coaching weekend all scores were classified as ‘normal’. Table 24: Danielle’s Strengths and difficulties sub-scale scores over the course of the programme Baseline Emotional Symptoms Conduct Problems Hyperactivity Peer Problems Pro-social behaviour 4 4 7 2 9 Wild camping 6 4 10 4 9 End Pre Coaching Post Coaching 7 10 7 4 5 8 2 8 3 10 4 0 5 1 10 Note: a higher score= greater conduct problems, hyperactivity, emotions or peer problems and an improved pro-social behaviour. A decrease in sub-scale score= improvement (except pro-social behaviour) 123 University of Essex, 2013 Changes in Danielle’s total strengths and difficulties score are displayed in Figure 98. Scores were elevated from baseline at all data collection points except after the emotional coaching weekend. The improvement from baseline to after the coaching weekend was an index of 7.0, representing an 18% reduction in behavioural difficulties. The coaching weekend alone reduced behavioural difficulties by 28%. The score at baseline was classified as ‘borderline’ but worsened to become ‘abnormal’, except after the coaching when the score was ‘normal’. Strengths and difficulties score 39 Figure 98: Danielle's strengths and difficulties score over the course of the project 34 29 24 19 14 9 Baseline Wild Camping End Pre coachingPost coaching Note: A higher score= more behavioural difficulties Danielle created a shield at the start and end of her time on the project. At the start of the project she was not positive, cared for other people rather than herself and felt pretty low. She also felt that people took advantage of her, which she did not want. In the future she hoped to perform, see her family and get a house. On her second shield Danielle had a much more positive view of herself, writing that she felt she was loving; funny and bubbly and that other people also felt so. She learned to put herself before others and have a more positive outlook on life. 124 University of Essex, 2013 Danielle’s first shield Danielle’s second shield 8.8 Case Study Key Findings The Essex participants responded to the TurnAround project in a number of different ways. Overall: Tom increased his nature experience score and also improved his self-esteem and well-being, with well-being moving from ‘low’ to ‘high’ over the course of his involvement in the project; 125 University of Essex, 2013 Richard improved his hope, well-being and self-esteem scores, with the hope score moving to above the average value by the end of his time on the project; Louise improved her hope, nature experience and well-being scores over her time in the project, with the hope score increasing to above the average score by the end of her involvement and well-being moving from ‘low’ to ‘high’. Louise also improved her self-esteem and reduced her behavioural difficulties, with the score moving from ‘abnormal’ to ‘normal’; Rachel improved her nature experience, self-esteem, well-being and hope scores with the hope score being above the average at the end of her involvement in the project and the well-being score moving from ‘low’ to ‘average’; Andrew improved his well-being and self-esteem and also reduced his behavioural difficulties with the score moving from ‘abnormal’ at the start of his involvement to ‘normal’ at the end; Nicola improved her hope, nature experience and well-being scores over the course of her involvement in the project; Danielle increased her hope and nature experience score and also improved her self-esteem and well-being. The well-being score moved from ‘low’ to ‘high’. Danielle’s behavioural difficulties score also reduced, with the score moving from ‘borderline’ to ‘normal’ by the end of her involvement in the project. 126 University of Essex, 2013 9. Comparing Outcomes from the Four TurnAround Phases Self-esteem has been consistently assessed in all four phases of TurnAround, as low self-esteem has been strongly linked to anti-social behaviour. A comparative analysis has therefore been performed on this data. For the purposes of this comparison the Essex and Hackney group data is combined. Self-esteem was assessed pre- and post- the first wilderness trail in all four phases. Self-esteem was also assessed 3 months after the wilderness trial in all four phases. However for TA4 only half of the participants (Essex group) completed the questionnaire three months after the trail; two analyses have therefore been performed. One analysis was done on pre- and post- trail data and one on preand post-trail data with the 3 month follow-up. A mixed ANOVA was used to compare self-esteem scores before and after the wilderness trail in the four TurnAround phases. The ANOVA revealed a significant main effect for pre- to post- the wilderness trail (F(1,19)= 6.388; P<0.05), meaning that irrespective of which TurnAround phase participants were in, their self-esteem improved (Figure 99). There was no significant difference between the four phases of TurnAround (P>0.05) and no interaction effect (P>0.05), indicating that changes in self-esteem were similar across all TurnAround phases. 40 Figure 99: Pre and post wilderness trail selfesteem scores over the four TurnAround phases Pre trail 35 * Self-esteem score Post Trail 30 25 20 15 TA1 TA2 TA3 TA4 Note: A higher score= better self-esteem, * indicates a significant difference between pre and post self-esteem scores (P<0.05). To analyse changes over the three time points and between the four TurnAround phases, a mixed ANOVA was also performed. Analysis revealed a significant effect for time (F(2,22)= 5.50; P<0.05), with scores increasing over the course of the project irrespective of which TurnAround group 127 University of Essex, 2013 participants were in (Figure 100). There was no significant difference between the four phases of TA (P>0.05), indicating similar changes over time in all phases. Over four years the TurnAround project has consistently improved participants’ self-esteem. Very few studies compare self-esteem over a long term period or between projects; the data presented therefore provides novel information in relation to interventions aimed at improving self-esteem. 31 Figure 100: Changes in Self-esteem in the Four Phases of TurnAround Self-esteem score 29 27 TA1 25 TA2 TA3 23 TA4 21 19 17 Pre Trail Post Trail Month 3 Note: A higher score= better self-esteem 128 University of Essex, 2013 10. Overall Key Findings Group Key Findings In the Hackney group there were 14% improvements in well-being, 4% improvements in selfesteem and 4% increases in pro-social behaviour over the course of the project; There were also 3% reductions in emotional symptoms, a 5% reduction in conduct problems, hyperactivity problems reduced by 25% and overall behavioural difficulties reduced by 8%; The wilderness trail increased Hackney participants’ hope that they could meet their goals by 8%, experience and desire to be out in nature by 2% and self-esteem by 20%; In the Essex group there were 28% improvements in participants hope that they could meet their goals, 7% increases in participants’ desire to be in nature and 10% improvements in selfesteem. There were also significant improvements in well-being by 43% over the course of the project. Emotional symptoms , peer problems and hyperactivity reduced by 17%, 19% and 16% respectively, whilst pro-social behaviour increased by 10% and overall behavioural difficulties reduced by 10%. The wilderness trail to Scotland improved Essex participants’ hope that they could meet their goals by 7%, nature experience by 12% and self-esteem by 14%; The emotional coaching weekend also improved Essex participants’ hope that they could meet their goals by 31% and desire to be in nature by 3%, whilst also leading to 33% improvements in well-being and reducing emotional symptoms, conduction problems, peer problems and total behavioural difficulties by 20%, 13%, 16% and 25% respectively. Individual Key Findings Individual experiences of the project varied between participants; Over the time that they were involved in the project, improvements in hope were experienced by Sam, Jodie and Charlie from the Hackney group; Sam, John and Charlie from the Hackney group also improved their self-esteem during their time on the project, whilst John increased his desire to be in nature; John and Jodie also enhanced their well-being, whilst Sam and Jodie saw a reduction in the number of behavioural difficulties they were experiencing; Both Danielle and Louise from the Essex group experienced improvements in all assessed parameters over their time in the project; All Essex participants improved their well-being over their time on the TurnAround project; 129 University of Essex, 2013 Additionally Richard, Rachel, Danielle, Louise and Nicola improved their hope that they could meet their goals; Desire to be out in nature increased in Tom, Rachel and Nicola, whilst Andrew, Louise and Danielle reduced their behavioural difficulties. Self-esteem improved in Tom, Rachel, Louise, Richard, Andrew and Danielle. 130 University of Essex, 2013 11. Conclusions The aim of the TurnAround 4 project was to enable vulnerable young people to make positive changes in their lives through engagement in nature based activities. The project successfully engaged young people at ‘risk’ of anti-social behaviour, crime or school exclusion who were suffering from issues such as low self-esteem and self-confidence, a lack of trust, drug and alcohol abuse and were in need of a strong support network. The wilderness trail at the start of the programme was a fundamental part of the programme, designed to encourage the young people to start making changes to their previously destructive behaviour. It set the foundation for all the work to come and separated the young people from the negative influences in their lives. For the Hackney group, the trail led to an 8% improvement in hope, a 20% improvement in self-esteem and 2% increase in nature experience. In the Essex group the trail improved hope by 7%, nature experience by 12% and self-esteem by 14%. Participants enjoyed the experience of the trail and commented that they liked meeting new people, camping, seeing sights and making new friends. It also gave the participants’ time to reflect on their lives and behaviour and think about what they would like to change when they returned home. Due to low participant numbers for the Hackney group it was not possible to track changes in the measured parameters over time. However as can be seen in the case study section, individual scores tended to fluctuate over the programme, with improvements occurring at different time points depending on participants individual project attendance levels. In the Essex group scores could however be compared over the course of the project. Improvements in all parameters took place, with hope improving by 28%, nature experience by 17%, well-being by 43%, self-esteem by 10% and behavioural problems by 10% from the start to end of the project. The biggest improvements occurred for well-being, where scores significantly improved and 60% of participants experienced improvements so significant that they completely altered their well-being classification. Several of the Essex participants also attended an additional weekend, two months after the end of the project. This weekend was designed to help young people more effectively deal with their emotions and in particular past issues that are holding them back in life. This weekend was a new addition to the TurnAround programme of activities and successfully led to improvements in hope, nature experience, well-being and behaviour. The most significant improvement occurred for wellbeing, whereby more participants’ well-being was classified as ‘high’ as opposed to ‘low’. Participants commented that the emotional coaching weekend helped them to realise how to “deal 131 University of Essex, 2013 better with situations” and think about how their actions are affecting other people. At both the wilderness trail and emotional coaching weekend questionnaires for hope, self-esteem and nature experience were completed. The results indicate that the emotional coaching weekend was actually more effective than the wilderness trail at improving both self-esteem and hope. Thus, the emotional coaching weekend seemed to be an effective addition to TurnAround which participants found useful and received great benefit from. It would be beneficial for the emotional coaching to be incorporated into future TurnAround phases. In addition to promoting improvements in wellbeing, self-esteem, behaviour, nature experience and hope of meeting goals, the TurnAround project also helped participants’ to make new friends, develop a variety of new skills and develop communication, confidence, social skills and the ability to adapt their behaviour and make positive changes in their lives. Through mentoring participants could seek advice and support on a variety of issues and develop potential routes for employment and education. In fact, several mentors successfully helped their mentee to get enrolled on a course or secure employment. Through their time on the project participants learnt to communicate with others and developed a sense of achievement from successfully engaging in a variety of activities. The findings of this programme indicate that wilderness programmes may be a successful tool for addressing the growing number of young people at ‘risk’ of crime and anti-social behaviour and should therefore be considered as an alternative option to strategies such as discipline, deterrence, surveillance or imprisonment. In fact, compared to imprisonment costs which vary from £60,000-£120,000 per person per year, the TurnAround project which only costs £7,000 per participant, represents a significant saving to the UK economy. 132 University of Essex, 2013 11. References 1. Peacock J, Hine R and Pretty J. (2008). The TurnAround 2007 Project. Report for the Wilderness Foundation by University of Essex. 2. Barton J, Hine R and Pretty J. (2010). The TurnAround Project- Phase 2. Follow on from the TurnAround 2007 Project- Phase 1. Report for the Wilderness Foundation by University of Essex. 3. Wood C, Bragg R, Pretty J and Barton J. (2012). The TurnAround Project- Phase 3. Report for the Wilderness Foundation by the University of Essex. 4. Home Office (2012). An estimate of youth crime in England and Wales. Police recorded crime committed by young people in 2009/2010. Report by the Home Office. 5. Home Office (2013). Youth Justice Statistics 2011/12. England and Wales. Report by the Home Office. 6. The Princes Trust (2010). The cost of exclusion: Counting the cost of Youth disadvantage in the UK. 7. Department for Education (2010). Prevention and reduction: A review of strategies for intervening early to prevent or reduce youth crime and anti-social behaviour. Centre for Analysis of Youth Transitions. 8. Independent Commission on Youth Crime and Anti-social Behaviour (2010). Time for a fresh start: The report of the Independent Commission on Youth Crime and Antisocial Behaviour. 9. Institute for the Study of Civil Society (2010). Youth Crime in England and Wales. Website: http://www.civitas.org.uk/crime/factsheet-youthoffending.pdf. Last accessed 27/03/13. 10. Department for Education (2012). Permanent and fixed period exclusions from schools and exclusion appeals in England, 2010/2011. National Statistics. 11. Centre for Juvenile Justice Reform (2010). Improving the effectiveness of Juvenile Justice Reforms: A new perspective on evidence based practice. Centre for Juvenile Justice Reform. 12. Conner M. (2009). What is Wilderness Therapy? Princeton Online Article: http://www.princetonol.com/summercamps/polArticles.cfm?doc_id=1175 13. Wilson, J. and Lipsey, M. (2009). Wilderness challenge programs for delinquent youth: a metaanalysis of outcome evaluations. Evaluation and Program Planning, 23(1): 1-12. 14. Snyder C, Sympson S, Ybasco F, Borders T, Babyak M and Higgins R (1996). Development and Validation of the State Hope Scale. Journal of Personality and Social Psychology, 70(2): 321-335 15. Snyder C, Hoza B, Pelham W, Rapoff M, Ware L, Danovsky M, Highberger L, Rubinstein H and Stahl K. (1997). The Development and Validation of the Children’s Hope Scale. Journal of Paediatric Psychology, 22(3): 399-421. 133 University of Essex, 2013 16. Nisbet E, Zelenski J and Murphy S. (2009). The Nature Relatedness Scale: Linking individual’s connection with nature to environmental concern and behaviour. Environment and Behaviour, 41: 715-740 17. Nisbet E and Zelenski J. (2011). Happiness in in our nature: Exploring Nature Relatedness as a contributor to subjective well-being. Journal of Happiness Studies, 12: 303-322. 18. DEFRA (2007). Sustainable development indicators in your pocket: An update of the UK government strategy indicators. London: DEFRA. 19. Tennant R, Hiller L, Fishwick H, Platt S, Joseph S and Weich S. (2007). The Warwick Edinburgh Mental Well-being Scale: Development and UK validation. Health and Quality of Life Outcomes, 5:63 20. Stewart-Brown S and Janmohamed K (2008). Warwick Edinburgh Mental Well-being Scale. User guide. Version 1. 21. Clarke A, Friede T, Putz R, Ashdown J, Martin S, Blake A, Adi Y, Parkinson J, Flynn P, Platt S and Stewart-Brown S (2011). Warwick Edinburgh Mental Well-being Scale: Validated for teenage students in England and Scotland. A mixed methods assessment. BMC Public Health, 11:487. 22. Parkinson J (2006). Measuring positive health: developing a new scale. In: Scottish executives National Programme for Improving Mental Health and Well-being. NHS Scotland Briefing Paper. 23. Health Scotland. (2009). FAQ document. Available at: http://www.healthscotland.com/uploads/documents/10172WEMWBS%20FAQ%20july%202009.pdf 24. Braunholtz S, Davidson S, Myant R and O’Connor R. (2007). Well? What do you think? (2006): The third national Scottish survey of public attitudes to mental health, mental well-being and mental health problems. Scottish Government, Edinburgh. Available at: http://www.scotland.gov.uk/publications/2007/09/11092351/0 25. Rutherford L, Sharp C and Bromley C (Eds). (2012). The Scottish health survey 2011: Volume 1. A national statistics publication for Scotland. Available at: http://www.scotland.gov.uk/Publications/2011/09/27084018/0 26. Bagley, C. (2001). Normative data and mental health constuct validity for the Rosenberg selfesteem scale in British adolescents. International Journal of Adolescence and Youth, 9: 117-126. 27. Rosenberg M. (1965). Society and the Adolescent Self-image. Princeton, New Jersey: Princeton University Press. 28. Rosenberg M. (1989). Society and the Adolescent Self-image. Revised Edition. Middleton, Cape Town: Wesleyan University Press. 134 University of Essex, 2013 29. Goodman R, Meltzer H and Bailey V. (1998). The Strengths and Difficulties Questionnaire: A pilot study on the validity of the self-report version. European Child and Adolescent Psychiatry, 7: 125130. 135
© Copyright 2026 Paperzz