Principles of Therapeutic Milieu with Children

Thus, the term "therapeutic environment" is intended to encompass all types of psychiatric hospitals, hospitalized patients or inpatient services, professional specialists and secondary experts specializing in diagnosis and full-time diagnosis of pre- and adolescent children Refers to a facility or facility. I will treat serious mental illness. The term "major mental disorder" includes both psychiatric disorders and severe conditions, regardless of the symptoms that occur. Regardless of the presence of major "functional" disorders and symptoms, other special housing settings are necessary except for children with mental retardation or brain injury, and their characteristics are not explained here.

Group psychotherapy is an important element in the treatment of local environmental therapy. The overall environment or environment is considered a treatment medium and all interactions and activities are considered potential treatments and need to be examined, explained and discussed at daily or weekly community meetings. However, the interaction between the culture of the collective psychotherapeutic environment and the management regulations of the external authorities can create "organizational confusion", which means that the ability of a group to maintain a safe but challenging "forming space" It can be seriously compromised. Academics at Oxford University studied dynamics between the democratic therapeutic communities across the country over the course of four years; they found that external guidance from the authorities eroded community treatment, triggered a crisis and became a community It led to a difficult confrontation to guide. close up

Thus, the term "therapeutic environment" is intended to encompass all types of psychiatric hospitals, hospitalized patients or inpatient services, professional specialists and secondary experts specializing in diagnosis and full-time diagnosis of pre- and adolescent children Refers to a facility or facility. I will treat serious mental illness. The term "major mental disorder" includes both psychiatric disorders and severe conditions, regardless of the symptoms that occur. Regardless of the presence of major "functional" disorders and symptoms, other special housing settings are necessary except for children with mental retardation or brain injury, and their characteristics are not explained here.

A breakthrough contribution to the concept of the treatment environment is related to Henderson (1978) cited by Stuart 2009. He explained the framework of five specific elements of the treatment environment, including containment, support, structure, participation, and verification. Containment provides physical health to the patient, including food, evacuation centers, creation of medical access, and taking necessary measures to ensure that the patient does not hurt himself or others. Practice of containment therapy tells the patient to implement external controls to support employees, including conscious efforts to help patients feel better and increase their self-esteem in order to maintain patients and the environment I will. Supported environments also provide child rearing and encourage patients to join other actions. This structure represents every aspect of the environment, people's predictable time, place, organization.