256: Inside Elements: New Models, Neurodiverse Focus, and the Future of Wilderness Therapy

In this episode Will talks with John Karren, co-founder of Elements Programs. John reflects on how Elements has evolved over its 17-year history, moving from a strictly nomadic wilderness model to more flexible, tailored programs, including a new "Eclipse" option designed for neurodiverse adolescents. He explains the behind-the-scenes decisions that led them to integrate adventure activities, introduce heated tents, and adopt family-centric approaches, all while maintaining a commitment to the transformative power of the outdoors. John also discusses the critical role of collaboration with partners and clinical team members in shaping Elements' ongoing adaptations, from digital media overuse interventions to specialized programming for different client profiles. Beyond the Elements model, John and Will touch on broader challenges facing the outdoor behavioral healthcare field, particularly the recent industry contractions and heightened public scrutiny. John shares how being a small, owner-operated program with dedicated clinical professionals has enabled Elements to stay resilient. He speaks passionately about the need to eliminate outdated practices, embrace ethical oversight, and remain agile in responding to ever-changing mental health needs. This conversation offers a candid look at how one wilderness therapy program continues to innovate while retaining a deep respect for the outdoors as a powerful catalyst for growth and healing. Other podcast episodes related to Elements mentioned in this episode: Episode 44: Karen Scrafford, Co-founder of Elements Wilderness Therapy Episode 17: Lynn Smith, Co-founder of Elements Wilderness Program 98: Vicenzo Narciso, Undergraduate Student at San Diego Mesa College and Former Wilderness Therapy Student