The Therapeutic Milieu: Changing Themes and Theories
Abstract
Since its development close to 40 years ago in England, the therapeutic milieu, or therapeutic community, has undergone significant alteration and corruption by the emphasis on community care, increased use of pharmacotherapy, quick staff turnover, and lack of psychoanalytically trained staff. The halmarks of milieu therapy, howeven, such as patients' participation in decision-making, collective responsibility for ward events, a multidisciplinary staff, and a belief in the rehabilitative potential of the environment, remain a part of many modern inpatient settings. The author believes that milieu therapy remains a viable treatment modality, and he offers guidelines for optimizing its potential.
Access content
To read the fulltext, please use one of the options below to sign in or purchase access.- Personal login
- Institutional Login
- Sign in via OpenAthens
- Register for access
-
Please login/register if you wish to pair your device and check access availability.
Not a subscriber?
PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.
Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).