“We Are Human Before We Are Labels”—Transfiguring Testimonios With Adventure Therapy: An Exploratory Study to Re-shape Mental Health Stories With Hispanic Women in Residential Treatment

Abstract

Background: Latina women face mental health disparities, often exacerbated by cultural stigma and systemic barriers. Eurocentric therapeutic models frequently overlook the collectivist values and cultural nuances central to Latina identity, leading to ineffective or alienating treatment. There is a growing need for culturally relevant interventions that address trauma holistically and empower marginalized voices. Adventure therapy (AT), an experiential, nature-based approach, and testimonio, a method rooted in Latinx traditions, offer promising alternatives but remain underexplored within clinical mental health settings for Latina populations. Purpose: This study investigates the integration of AT and testimonio as a culturally adapted intervention for Latina women in residential treatment with co-occurring mental health and substance use disorders. It aims to explore how these methods support empowerment, resilience, and healing. Methodology: Using a qualitative, phenomenological design, data were collected from 11 Latina women and program staff through interviews, focus groups, and participant observation. Analysis was conducted using inductive thematic coding via NVivo 12. Findings: Four themes emerged: trauma and coping, holistic wellness, empowerment through AT, and reclaiming self-love through narrative. Participants emphasized the importance of cultural relevance and collective healing. Implications: The findings advocate for integrating culturally responsive, narrative-based interventions into mental health treatment and training programs.