Chapter 12 – Therapeutic Milieu – Flashcards

refers to socioenvirnmental therapy that is structured and maintained as an ideal, dynamic setting in which to work with clients.

the environment in which the treatment service is delivered. It is structured to control, stabilize, and improve problematic emotions and behavior and enables the client to use problem solving skills to cope with self, others, and environmental stressors.

Milieu therapy promotes empowerment through personal growth and client interactions, The focus is on social relationships as well as occupational and recreational activities.

Deinstitutionalization the use of psychotropic agents, respect for client rights, creation to the multidisciplinary treatment team, and the use of therapeutic groups have contributed to the development of a therapeutic milieu or environment for individuals with psychiatric mental health disorders.

Therapeutic milieu refers to an environment that is structured to provide clients with the opportunity to interact with staff and other clients.

Deinstitutionalization the use of psychotropic agents, respect for client rights, creation to the multidisciplinary treatment team, and the use of therapeutic groups have contributed to the development of a therapeutic milieu or environment for individuals with psychiatric mental health disorders.

1. Be purposeful and planned to provide safety from physical danger and emotional trauma. It should have furniture to facilitate ahomelike atmosphere. Provisions for privacy and physical needs are necessary.

2. Promote interaction and communication among clients and personnel and provide safety from emotional trauma.

3. Provide a testing ground for new patterns of behavior while clients take responsibly for their actions, Behavioral expectations - including the existing rules, regulations, and policies should be explained to clients.

4. provide for consistent limit setting. This criterion reflects aspects of a democratic society, All clients are treated as equally as possible with respect to restrictions, rules, and policies.

5. Encourage participation in group activities and free flowing communication in which clients are free to express themselves in a socially acceptable manner.

6. Provide client respect and dignity. Adult-adult interaction should prevail when appropriate, promoting = status among the parties involved, exchange of interpersonal information, & avoidance of any "power plays." Encouraged to use personal resources to resolve problems or conflicts.

7. convey an attitude of overall acceptance and optimism. Conflict among staff members must be handled and resolved in some manner to maintain a therapeutic milieu. Clients are perceptive of such reactions and may feel that they are the cause of conflicts among personnel.

8. Allow for continual assessment and evaluation of clients progress, with modifications in treatment and nursing interventions as needed.