Alexa Ambrosino is an occupational therapy doctorate student at Duquesne University. As part of her capstone project, she requested an interview with me to discuss nature-based practice and advocacy…and I agreed on the condition that we could have the conversation publicly on the podcast to share with all of you! So this was a reverse interview where Alexa became the host and I had to answer all the questions. Here’s everything we covered in this interview:
0:00 Introducing Alexa & her capstone project work
1:20 What is my professional background? (Summing up 23 years in 1 minute!)
4:20 How is nature-based therapy different than outdoor play?
6:05 How Alexa structured her social groups using her OT knowledge
6:36 What is the process for starting a nature-based business?
8:35 What are the benefits (& challenges) of nature-based therapy for children?
11:30 Alexa shares a great story about a real-life challenge that happened during one of her camp groups
12:31 Does my nature-based practice offer individual or only groups?
13:15 Why a group is not always best for a child & why it is hard for Americans to understand a group therapy model
12:15 What diagnoses does my practice see most often?
16:53 Would my practice ever expand to seeing adults in nature? (And why I said “Nope” really quickly.)
18:22 Have I noticed a difference in kids who spend more time outdoors? What about technology? (And my embarrassing confession)
22:40 Can nature-based therapy be covered by insurance in the US? Does my practice take insurance? What about other nature-based practices? Challenges of insurance reimbursement & different funding sources to consider in a cash-pay practice.
30:00 What does my practice charge for nature-based sessions? + Ways to price services using an equity-based pricing model.
34:30 What do I think deserves the most advocacy in nature-based practice?
37:47 What have I done to advocate for nature-based programming? (Here I admit something I'm kind of insecure about.)
41:33 How do I recommend promoting nature-based therapy to parents and other people who aren’t therapists?
47:00 What do I think are the drawbacks or negatives of nature-based therapy?
51:22 Do parents ever worry about safety in nature-based therapy?
52:30 What is my biggest piece of advice for new nature-based therapists?
📖 Want help as you start or grow your nature-based practice? Get my free e-book: The Nature-Based Practice Roadmap. It is a guide to help you focus and avoid costly mistakes as you start or grow your outdoor work with children. In it, I share the four stages of nature-based practice, plus a checklist of specific action steps for you to take at each stage in the process. Get it at therapyinthegreatoutdoors.com/roadmap