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Therapeutic Milieu
Mental Health
| Question | Answer |
|---|---|
| Milieu | 1.) Surroundings 2.) Environment |
| Milieu Therapy | Scientific structuring of the ENVIRONMENT in order to effect behavioral changes and improve the psychological health and functioning of the individual. This is considered the goal |
| Skinner (1979) 7 Basic Assumptions | 1)encourage to grow 2)Every thing is considered treatment 3)Decisions made r/t government on unit 4)Responsibility for their behavior 5)Peer pressure is useful tool 6)bad behavior is dealt w/ as they occur 7) no restrictions or punishments |
| Therapeutic Community | The setting is the foundation for the program of treatment. |
| Negative responses from the client | May be caused by community factors such as: 1.) social interactions 2.) physical structure on the unit 3.) schedule of activities. Are used to HELP the client to learn how to manage STRESS in real life situations. |
| Psychiatrist | Diagnoses mental disorders, conducts psychotherapy, and perscribes somatic therapies. |
| Clinical psychologist | Conducts group therapies and provides consultation and education to staff nurses |
| Psychiatric social worker | Locates halfway house and arrages living conditions for client being discharge from the hospital. |
| Psychiatric clinical nurse specialist | Conducts group therapies and provides consultation and education to staff nurses. |
| Psychiatric Nurse | Manages the therapeutic milieu on a 24-hr basis |
| Mental Health Technician | Assist staff nurses in the management of the milieu. |
| Occupational therapist | Helps clients plan, shop for, and cook a meal. |
| Recreational therapist | Accompanies clients on community trip to the zoo |
| Music therapist | Encourages clients in self-expression through music. |
| Art therapist | Uses the client's creative abilities to encourage expression of emotions and feelings through artwork. |
| Psychodramatist | Directs a group of clients in acting out a situation that is otherwise too painful for a client to discuss openly |
| Dietitian | Assesses needs, establishes, monitors, and evaluates a nutritional program for a client with an eating disorder. |
| Chapalin | Helps clients to recognize their own beliefs so that they may draw comfort form those beliefs in time of spiritual need |