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Cason and Gillis (1994) report that 62.2% of adolescents who participated in an adventure therapy group are at an advantage for coping with adolescent issues than adolescents that did not. They also report that there is a 12.2% improvement in self concept for adolescents who participate in adventure therapy. Cason and Gillis (1994) likened their findings to a study by Smith, Glass and Miller (1980) who report that adolescents are approximately 30% better off in their ability to cope with mental health issues than those that do not participate in a psychotherapeutic treatment making the implication that adventure therapy effectiveness is comparable to the effectiveness of psychotherapeutic treatment. The reported concepts contributing to adventure therapy effectiveness are: increases in self esteem, self concept, self efficacy, self perceptions, problem solving, locus of control, behavioral and cognitive development, decreases in depression, decrease in conduct disordered behaviors, overall positive behavioral changes, improved attitude, and that adventure therapy generates a sense of individual reward. Further aspects that contribute to adventure therapy’s effectiveness are that it: increases group cohesion, aids in diagnosing conduct disorders in adolescents, improves psychosocial related difficulties, is effective in treating drug addicted and juvenile youth, treats sensation seeking behaviors, improves clinical functioning, facilitates connecting participants with their therapist and treatment issues, and increases interpersonal relatedness (Baucom, Gillis, Durden, Bloom & Thomsen, 1996; Gillis 1992; Burney 1992; Blanchard 1993; Dickens 1999; Gillis and Simpson 1992; Gillis, Simpson, Thomsen & Martin 1995; Gillis without year; Glass 1999; Moote & Woodarski 1997; Newberry & Lindsay 2000; Parker 1992; Simpson & Gillis, without year; Teaff & Kablach 1987; Ziven 1988). Berman & Davis-Berman (1995) compared the reduction in recidivism rates with traditional programs and programs with adventure therapy. They reported that programs using adventure therapy have lower recidivism. Lastly Blanchard (1993) and Ziven (1988) report increases in interpersonal relatedness, which they describe as the most important factor for improving mental health issues.