Mental Health- Chapter 12: Milieu Therapy

What are the 6 basic assumptions of milieu therapy?
1. The health in each individual is to be realized and encouraged to grow.
2. Every interaction is an opportunity for therapeutic intervention.
3. The client owns his or her own environment.
4. Peer pressure is a useful and powerful tool.
5. Inappropriate behaviors are dealt with as they occur.
6. Restrictions and punishment are to be avoided.
What are the 6 conditions that promote a therapeutic community?
1. Basic physiological needs are fulfilled.
2. The physical facilities are conducive to achievement of the goals of therapy.
3. A democratic form of self-government exists.
4. Responsibilities are assigned according to client capabilities
5. A structured program of social and work-related activities is scheduled as part of the treatment program.
6. Community and family are included in the program of therapy in an effort to facilitate discharge from treatment.
What are the responsibilities of the psychiatrists?
– Leader of the team.
– Responsible for dx and tx of mental disorders
– Performs psychotherapy.
– Prescribes medication and other somatic therapies.
What are the responsibilities of the Clinical psychologist?
– Conducts individual, group, and family therapy.
– Presents educational programs for nursing staff
– Provides consultation services to nurses who require assistance in the planning
and implementation of care for pts.
What are the responsibilities of the psychiatric clinical nurse specialist?
– Conducts individual, group, and family therapy.
– Presents educational programs for nursing staff.
– Provides consultation services to nurses who require assistance in the planning and implementation of care for individual care.
What are the responsibilities of the psychiatric nurse?
– Provides ongoing assessment of client condition, both mentally and physically.
– Manages the therapeutic milieu on a 24 hour basis.
– Administers medications.
– Assists clients w/ all therapeutic activities as required.
– Focus is on 1:1 relationship development.
What are the responsibilities of the Mental Health Tech (aka psychiatric aide/ assistant or psychiatric technician)?
– Functions under the supervision of the psychiatric nurse.
– Provides assistance to clients in the fulfillment of their activities of daily living.
– Assists activity therapists as required in conducting their group.
– May also participate in 1:1 relationship development.
What are the responsibilities of the psychiatric social worker?
– Conducts individual, group, and family therapy.
– Is concerned with client’s social needs, such as placement, financial support, and community requirements.
– Conducts in-depth psychosocial hx on which the needs assessment is based.
– Works w/ client and family to ensure that requirements for discharge are fulfilled and needs can be met by appropriate community resources.
What are the responsibilities of the OT?
– Helps develop (or redevelop) independence in ADLs.
– Focus is in rehab and vocational training in which the client learn to be productive, which increases self-esteem.
What are the responsibilities of the Rec Therapist?
– Uses rec activities to promote clients to redirect their thinking or to rechannel destructive energy in an appropriate manner.
– Teach skills that can be used during leisure time and times of stress after D/C.
What are the responsibilities of the Music Therapist?
– Encourages client in self-expression through music
– The music (written by self or others) helps them get in touch with feelings and emotions that they may not be able to experience in any other way.
What are the responsibilities of the Art therapist?
– The art (done by self or others) helps them get in touch with feelings and emotions that they may not be able to experience in any other way.
– Helps clients to analyze their own work in an effort to recognize and resolve underlying conflict.
What are the responsibilities of the psychodramatist?
– Directs client in the creation for a “drama” that portrays real-life situations.
– Directs discussion afterward.
What are the responsibilities of the dietitian?
– Plans nutritious meals for all clients.
– Consults w/ clients who have specific disorders (e.g. anorexia, bulimia, obesity).
What are the responsibilities of the Chaplain?
– Assesses, identifies, and attends to the spiritual needs of clients and family.
– Provides spiritual support and comfort as requested.
– May provide educational background if included in this type of preparation.
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