Adolescent and Family Health Center’s therapeutic wilderness program, Blackwater Outdoor Experiences (BOE), is one of the pioneer therapeutic wilderness programs in the United States and has been treating children, teens, and young adults since 1980. BOE offers 22-day rehabilitative wilderness expeditions that combine wilderness living and adventure-based activities with individual, group, and family therapy to create a positive environment for personal growth and development. Therapeutic wilderness programs offer an alternative approach to traditional, office-based “talk therapy.” Although access to the outdoors is receding rapidly in today’s world, clinical research has repeatedly demonstrated the therapeutic benefits of nature, wilderness settings, and adventure-based activities on children, teens, and young adults suffering from depression, mood disorders, self-esteem issues, substance abuse issues, and the effects of autism or ADHD.