S TIME SPECIFIC CONTENTS LEARNING TEACHING A.V.

AIDS EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY
1. INTRODUCTION :-
The milieu therapy in that word milieu is the French for Listening Lecture LCD
1 2 min Introduce the “Middle”. method presentation
term milieu The English translation of word is surrounding or
therapy
environment.
The therapeutic milieu is an environment that is
1. structured & maintained as ideal, dynamic settings in
which to work client.
The milieu therapies include safe physical surrounding,
all the treatment team members & other client.
Define the Listening By LCD
2 2 min term the explaining presentation
2. DEFINITION:- Define milieu
milieu A scientific structuring of environment in order to effect
therapy therapy
behavioural changes & to improve the psychological
health & functioning of individual.
Listening By LCD
3 Basic BASIC ASSUMPTION:- List out the basic
2 min discussion presentation
assumption Skinner(1979) outlined 7 basic therapy assumption on assumption of
of which milieu therapy is based
therapeutic therapeutic
1) Health in each individual is to be realised and
therapy community
encouraged to grow.
2) Every interaction is an opportunity for therapeutic
interventions
3) Client owns his or her own environment.
4) Each client owns his or her behaviour.
5) Peer pressure is a useful & a powerful tool,
6) Inappropriate behaviour is dealt with as they
occur.
7) Restrictions & punishment are to be avoided.
 S TIME SPECIFIC CONTENTS LEARNING TEACHING A.V. AIDS EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY
4 5min Enlist the PURPOSES OF MILIEU THERAPY:- Listening Lecture Chalk board
3. purpose of 1) Correct the redefine perception of stressors. method Enumerate the
milieu 2) Correct the maladaptive behaviour purpose of milieu
therapy 3) Define adaptive coping. therapy
4) Acquire interpersonal & stress management skill.
5) Manipulate the environment so that all aspects of
client’s hospital experiences are considered
therapeutic.
6) Client is expected to learn adaptive coping,
interaction and relationship skill that can be
generalised to other aspects of his/her life.
7) Achieving client autonomy.

PRINCIPLES OF MILIEU THERAPY:- LCD

5 5 min Enlist the Discuss the
1. To promote a fundamental respect for Listening By presentation
principles of principles of
individual. explaining
milieu
2. To use the opportunities for communication the topic milieu therapy
therapy
client and staff for maximum therapeutic
benefit.
3. To encourage client to cut at a level equal to
their ability and to enhance their self-esteem.
4. To promote the opportunities for clients to be
part of unit management.
5. To promote socialisation.
6. Client is expected to learn adaptive coping
interaction and relationship skill that can be
generalised to other aspects of his/her life
 S TIME SPECIFIC CONTENTS LEARNING TEACHING A.V. AIDS EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY
7. Individual are held responsible for own action.
8. Achieving client autonomy
9. Group discussions and temporary seclusions
are favoured approaches for acting our
behaviour
10. The nurses function is to act in way that
consistently promote these goals
6 Explain the By
10 min Listening Flash cards
characteristi CHARACTERISTICS OF MILEU THERAPY:- questioning Discuss the
cs of milieu characteristics of
1) DISTRIBUTION OF POWER
therapy milieu therapy
 Milieu therapy approach involves
‘flattening’ the control hierarchy so all
participant have a voice in decision
making.
 This process may include the whole
population of treatment unit, or a
governing council may take the final
discussion based on input from various
smaller groups of clients and staff
members.

2) OPEN COMMUNICATION
 In the therapy, treatment decisions are
often made by client themselves who
therefore need information to make
effective decision.
 It is not necessary to communicate
personal information but clients and staffs
need to be aware of individuals treatment
 S TIME SPECIFIC CONTENTS LEARNING TEACHING A.V. AIDS EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY
Goals to ensure everyone are working towards the same
goal.

3) STRUCTURED INTERACTION:-
 It’s a interaction approach is that all staff
members approach the client in a
consistent manners, acknowledging
specific diagnostic areas, therapy
shortening treatment time.

4) WORK RELATED ACTIVITES:-

 Client need to choose type of work they
wish to perform
 Work activity should be geared towards
developing kills that will be useful in
actual job situations.
 A variety of activities provide the
opportunities to test different areas for
future job interest.

5) COMMUNITY & FAMILY INVOLVEMENT IN

TREATMENT PROCESS:-
 Clients are kept in their usual environment
.for ex-a day treatment centre, or half way
house and continue most of their routine
activities while receiving treatment.
.
 S TIME SPECIFIC CONTENTS LEARNING TEACHING A.V. AIDS EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY
6) ADAPTATIONS OF THE ENVIRONMENT TO
MEET THE DEVELOPMENTAL NEED
 To develop his full potential an individual
must have an environment adapted to his
current need

Explain the Listening Lecture

7
10 min
component
COMPONENTS OF MILIEU THERAPY Charts
Enlist the
1. MAINTAINING SAFE ENVIRONMENT method
of milieu components of
therapy  Dispose of all needles safely and out of
milieu therapy
reach of client.
 Do not allow smoking.
 Restrict or monitor the the use of matches
and lighters.
 Keep away sharp instrument from patient.
 Identify potential weapons e.g. mop
handles, hammers.
 Do not leave medicines unattended or
unlocked.
 Be aware of items that are harmful if
ingested, e.g. mercury in monometer.

2. THE TRUST RELATIONSHIP

 One of the key to therapeutic environment
is the establishment of trust.
 Trust is the foundation of therapeutic
relationship, and limit settings and
consistency are its building blocks.
 S TIME SPECIFIC CONTENTS LEARNING TEACHING A.V. AIDS EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY

3) BUILDING SELF-ESTEEM
 Set and maintain limits.
 Accepts the clients as a person.
 Be non-judgmental at all times.
 Structures the clients time and activities.
 Initially provide the client with task,
responsibility and activities.
 Allow the client to make his own
decisions whenever possible

4) LIMIT SETTINGS
 State the expectation or limits as clearly,
directly and simply as possible.
 The consequence that will allow the clients
exceeding the limits also must be clearly
stated at the outset.
 The consequence should immediately
follow the clients exceeding's the limits
and must be the consistent, both over time
and among staff
Listening By Flip book
ADVANTAGES OF MILIEU THERAPY:-
8 Enlist the explaining
5 min 1. Its create different type and attitude and List out the
advantages
behaviour of client because the environment like advantages of
of milieu
therapy home. milieu therapy
2. Patient learn the making decisions which
improve his self confidence
 S TIME SPECIFIC CONTENTS LEARNING TEACHING A.V. AIDS EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY
3. Its develop a leadership skill.
4. It becomes the sociocentric.
5. Its help to learns the live and think collectively
with the members of the community.
9 Listening Enumerate the
5 min DISADVANTAGES OF MILIEU THERAPY :- Lecture Flip book
Enlist the disadvantage of
1. Role blurring between staff and patient. method
disadvantage milieu therapy
of milieu 2. Milieu therapy is limited to only hospitalise
therapy patient.
3. Requires continuous open communication among
all staff and clients.
4. Group responsibility can easily become nobody’s
responsibility.
5. Low client-to-staff ratio.

ROLE OF NURSE IN MILIEU THERAPY:- Listening Lecture LCD

10 5 min Explain the State the role of
role of nurse 1. A nurse participates in the design and or method presentation nurse in milieu
in milieu renovation of the settings can greatly affect the
therapy
therapy therapeutic physical environment.
2. The nurse responsible for making the referrals,
encouraging client’s participation.
3. The coordinate all team member is involve in
team
4. The nurse may interpret the need of the client
population for design expert with knowledge of
colour.
5. Nurses must work with the clients to determine
methods that result in achievement and provide
 S TIME SPECIFIC CONTENTS LEARNING TEACHING A.V. AIDS EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY
Positive feedback for successes.
6. Nursing in the therapeutic milieu is the one-to-
one relationship that grows out of a developing
trust between client and nurse.
7. Many clients with psychiatric disorders have
never achieved the ability to trust.
8. If this can be accomplished in a relationship with
the nurse, the trust may be generalized to other
relationships in the client’s life.
9. Within an atmosphere of trust, the client is
encouraged to express feelings and emotions and
to discuss unresolved issues that are creating
problems in his or her life.
10. Nurses must be able to assess learning readiness
in individual clients. Some topics must be
individualized for specific clients, whereas others
may be taught in group situations.

CONCLUSION:-
In psychiatry, milieu therapy constitutes a manipulation
of environment in an effort behavioural changes and to
improve the psychological health and functioning of
individual. the goal for therapeutic community is for
client to learn adaptive coping, interaction and
relationship skills that can be generalised to other aspects
of his/her life
 S TIME SPECIFIC CONTENTS LEARNING TEACHING A.V. AIDS EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY
RECAPTULIZATION:-
o Define milieu therapy
o List out the basic assumption of therapeutic
community
o Enumerate the purpose of milieu therapy
o Discuss the principles of milieu therapy
o Discuss the characteristics of milieu therapy
o Enlist the components of milieu therapy
o List out the advantages of milieu therapy
o Enumerate the disadvantage of milieu therapy
o State the role of nurse in milieu therapy
 S TIME SPECIFIC CONTENTS LEARNING TEACHING A.V. AIDS EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY
 S TIME SPECIFIC CONTENTS LEARNING TEACHING A.V. AIDS EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY
 S TIME SPECIFIC CONTENTS LEARNING TEACHING A.V. AIDS EVALUATION
NO. OBJECTIVE ACTIVITY ACTIVITY