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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 |