It isn’t a matter of luck, it’s a matter of 30 years of experience that makes for success in designing the individual therapeutic goal with the right therapist’s skills and approach. After conducting our own psychological assessment analysis, this individual was not prepared for a more physically rigorous wilderness expedition making the Hawaii choice the right one. Dr Burdick never sends an individual out to a setting he hasn’t visited or plans to visit in the immediate future. The staff are those with whom he is always familiar, and generally long standing secure relationships are the norm. In the case of Hawaii, he has known the owners since day one, and in fact helped engineer the cultural therapeutic approach used today by the program. In using native culture motifs, vocabulary, philosophy, and values the Pacific Quest program has thrived on the south end of the Big Island of Hawaii since it’s inception. Mike and Suzanne McKinney have done outstanding work, and have allowed us to even have a voice in the hiring of therapists for the program. This is what collaboration is all about to bring about success for families in ways unseen in the private therapy world in working with adolescents and young adults.