Wilderness therapy programs continue to be a possible treatment modality for at-risk youth who require out-of-home care. Issues associated with wilderness therapy also continue to be a spirited topic with professionals in the field and the general public. This commentary will add additional considerations, and continue the discussion concerning wilderness therapy not addressed in the Becker article. Issues related to cost, safety of clients, effectiveness of programs and proper training of staff will be discussed. Ethical issues faced by mental health providers working with wilderness therapy programs, as discussed in Becker's article, will also be reviewed.