Advances in psychopharmacology improve symptom outcomes for young adults with mental illness. However, functioning and social participation can remain impaired. Alternative models, including outdoor adventure camping programs, encourage social and practical engagement and increase functioning, providing promise as adjuncts to traditional therapeutic treatments. Adventure therapy promotes positive changes through therapeutic group activities. The adventure component allows clients to engage in appropriate risk-taking behaviors, and the group context closely approximates social situations that may be encountered outside the program and support the premise that skills learned in this manner may be generalized beyond the program setting.