1. developed by Tim Corbett RN, MA, LMHC
MILIEU THERAPY
developed by Tim Corbett RN, MA, LMHC

2. DEFINITION milieu therapy or therapeutic community
is the structuring of the environment in order to effect behavioral change & improve the level of functioning of
the patient

3. DEFINITION
within this setting, the patient is expected to learn adaptive coping, interaction, and relationship skills that can be generalized to other aspects of his or her life

4. Basic Assumptions
Skinner (1970) named seven assumptions on which a therapeutic community
is based
Know these assumptions in depth

5. Conditions That Promote a Therapeutic Community
Basic physiological needs are fulfilled
The physical facilities are conducive to achievement of the goals of therapy
A democratic form of self-government exists
Unit responsibilities are assigned according to patient capabilities
A structured program of activities is scheduled as part of the treatment program
Community and family are included

6. Interdisciplinary Treatment Team
Know Table 7-1 in depth

7. Case Scenario-Feedback
Madalyn, a 25y/o patient on the inpatient psych unit, is observed to be frequently interrupting Jack, the chairperson, at the daily community meeting. This has been going on for the last few days.
Today Jack decides to confront Madalyn on her behavior and give her feedback.

8. Assignment
In small groups, you are to take a turn portraying Jack while a peer takes the role of Madalyn
In giving feedback to Madalyn, provide one example of appropriate feedback and one example of inappropriate feedback