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Current Status of the Therapeutic Community Milieu therapy came into its own during the 1960s through early 1980s.Hall (1995) stated: Care in inpatient psychiatric facilities can now be characterized as short and biologically based.The current focus of inpatient psychiatric care has changed.Some programs (e.g., those for children and adolescents, clients with substance ad?dictions, and geriatric clients) have successfully adapted the concepts of milieu treatment to their spe?cialty needsPatients were encouraged to be active participants in their therapy, and individual autonomy was emphasized.
Current Status of the Therapeutic
Community
Milieu therapy came into its own during the 1960s
through early 1980s. During this period, psychiatric
inpatient treatment provided sufficient time to implement programs of therapy that were aimed at social
rehabilitation. Nursing’s focus of establishing interpersonal relationships with clients fit well within this
concept of therapy. Patients were encouraged to be
active participants in their therapy, and individual
autonomy was emphasized.
The current focus of inpatient psychiatric care has
changed. Hall (1995) stated:
Care in inpatient psychiatric facilities can now
be characterized as short and biologically based. By
the time patients have stabilized enough to benefit
from the socialization that would take place in a
milieu as treatment program, they [often] have been
discharged. (p. 51)
Although strategies for milieu therapy are still
used, they have been modified to conform to the
short-term approach to care or to outpatient treatment programs. Some programs (e.g., those for
children and adolescents, clients with substance addictions, and geriatric clients) have successfully
adapted the concepts of milieu treatment to their specialty needs
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