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    Milieu Therapy (1) FINAL)

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    Marie Nelle Escriba Limpoco
    Milieu therapy, also known as therapeutic community, aims to structure the treatment environment to promote behavioral change and psychological well-being. The goals are to manipulate the environment so that all aspects of a client's hospital experience are therapeutic, to help clients learn adaptive coping and social skills, and achieve autonomy. Key aspects of milieu therapy include distributing power, open communication, structured interactions, work activities, and involving family/community in treatment. The treatment program is directed by an interdisciplinary team that develops a comprehensive treatment plan and monitors progress.

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    Milieu Therapy (1) FINAL)

    Uploaded by

    Marie Nelle Escriba Limpoco
    172 views10 pages
    Milieu therapy, also known as therapeutic community, aims to structure the treatment environment to promote behavioral change and psychological well-being. The goals are to manipulate the environment so that all aspects of a client's hospital experience are therapeutic, to help clients learn adaptive coping and social skills, and achieve autonomy. Key aspects of milieu therapy include distributing power, open communication, structured interactions, work activities, and involving family/community in treatment. The treatment program is directed by an interdisciplinary team that develops a comprehensive treatment plan and monitors progress.

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    Millieu Therapy for

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    Milieu Therapy (1) FINAL]

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    Milieu therapy, also known as therapeutic community, aims to structure the treatment environment to promote behavioral change and psychological well-being. The goals are to manipulate the environment so that all aspects of a client's hospital experience are therapeutic, to help clients learn adaptive coping and social skills, and achieve autonomy. Key aspects of milieu therapy include distributing power, open communication, structured interactions, work activities, and involving family/community in treatment. The treatment program is directed by an interdisciplinary team that develops a comprehensive treatment plan and monitors progress.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    172 views10 pages

    Milieu Therapy (1) FINAL)

    Uploaded by

    Marie Nelle Escriba Limpoco
    Milieu therapy, also known as therapeutic community, aims to structure the treatment environment to promote behavioral change and psychological well-being. The goals are to manipulate the environment so that all aspects of a client's hospital experience are therapeutic, to help clients learn adaptive coping and social skills, and achieve autonomy. Key aspects of milieu therapy include distributing power, open communication, structured interactions, work activities, and involving family/community in treatment. The treatment program is directed by an interdisciplinary team that develops a comprehensive treatment plan and monitors progress.

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    of 10

    Chapter 12

    MILIEU THERAPY

    THE THERAPEUTIC COMMUNITY

    Milieu

    therapy, or therapeutic
    community, is defined as
    a scientific structuring of the
    environment to effect behavioral
    changes and to improve the
    psychological health and functioning of
    the individual
    Within the therapeutic community setting,
    the client is expected to learn adaptive
    coping, interaction, and relationship skills
    that can be generalized to other aspects
    of his or her life.

    Basic Assumptions of Milieu


    Therapy
    The

    health in each individual is to be


    realized and encouraged to grow.
    Every interaction is an opportunity for
    therapeutic intervention.
    The client owns his or her own environment.
    Each client owns his or her own behavior.
    Peer pressure is a useful and powerful tool.
    Inappropriate behaviors are dealt with as
    they occur.
    Restrictions and punishment are to be
    avoided.

    Goals of milieu
    therapy:
    Manipulate the environment so that all
    aspects of clients hospital experience
    are considered therapeutic.
    Client

    is expected to learn adaptive


    coping, interaction and relationship
    skills that can be generalized to other
    aspects of his or her life.

    Achieving

    client autonomy

    Conditions That Promote a


    Therapeutic Community
    Basic

    physiological needs are fulfilled.


    The physical facilities are conducive to
    achievement of the goals of therapy.
    A democratic form of self-government
    exists.
    Responsibilities are assigned according to
    client capabilities.
    A structured program of social and workrelated activities is scheduled as part of the
    treatment program.
    Community and family are included in the
    program of therapy in an effort to facilitate
    discharge from treatment.

    The Program of Therapeutic


    Community
    Care

    is directed by an interdisciplinary team.


    A comprehensive treatment plan is
    formulated by the team.
    Team members of all disciplines sign the
    plan and meet regularly to update the plan
    as needed.
    Disciplines may include psychiatry,
    psychology, nursing, social work,
    occupational therapy, recreational therapy,
    art therapy, music therapy, dietetics, and
    the chaplains service.

    Characteristics of milieu therapy:


    The concept of milieu therapy developed from a desire to
    counteract the negative, regressive effects of institutionalization:
    reduced ability to think and actindependently, an adoption of
    institutional values and attitudes, and loss of commitments in the
    outside world.
    Several strategieshave been developed to counter these
    negative effects. They include:
    Distribution
    Open

    communication

    Structured
    Work-

    of power

    interactions

    related activities.

    Community
    Adaptation

    and family involvement in the treatment process

    of the environment to meet developmental needs.

    Progressive levels of responsibility


    according to clients self care capacity:
    Level I:Displays a destructive behavior to self, others, or
    the environment.
    Disoriented
    Unable

    to time, place and person.

    to function in group therapy.

    Exhibits

    poor personal hygiene.

    Level II:Does not display destructive behavior.


    Knows

    the current time, date and place.

    Attends

    at least one therapeutic group daily.

    Attempts

    to maintain good personal hygiene

    Level III: Attends All Therapeutic Activities.


    Participates actively in the Community Meetings and serves
    on at least one client committee.
    Develops a self-directed behavior plans to change or
    resolve a personal problem.
    Knows the names of all medications and the times they are
    to be taken.
    Participates in a family session.
    Level IV: Takes an active role in assisting other clients to
    gain level changes.
    Demonstrates willingness to serve as an officer on the
    client committee.
    Assumes a leadership role in the community, acts as a
    positive role model, and ensures that other clients are
    prompt in their attendance of regularly scheduled activities
    and group meetings.
    Initiates discussions with the mental health team
    concerning discharge planning.

    tenchoo

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