Milieu therapy is a scientific approach to structuring the environment to effect behavioral changes and improve psychological health. It involves manipulating aspects of a client's surroundings, like their hospital experience, to be therapeutic. The goal is for clients to learn adaptive coping skills, interpersonal skills, and stress management techniques that can generalize to other areas of their lives, ultimately achieving autonomy. Nurses play an important role in milieu therapy by helping design therapeutic physical environments, coordinating teams, and facilitating trust-building discussions.

3. MILIEU THERAPY
 PRESENTED BY- DISHA SINHA
M.SC. NURSING 1ST YR
ROLL- 2088011

6.  Milieu Therapy: A scientific structuring of the
environment in order to effect behavioural changes and to
improve the psychological health and functioning of the
individual
(Skinner, 1979)
 The word milieu is French for “middle.”
 The English translation of the word is “surroundings, or
environment.”

8.  Correct the redefined perception of stressors.
 Correct the maladaptive behaviour.
 Develop adaptive coping.
 Acquire interpersonal and stress-management skill.
 Manipulate the environment so that all aspects of clients
hospital experiences are considered therapeutic.
 Client is expected to learn adaptive coping, interaction
and relationship skill that can be generalized to other
aspects of his or her life.
 Achieving client autonomy.

9. PRINCIPLES
 To promote a fundamental respect for individual.
 To use the opportunities for communication between
client and staff for maximum therapeutic benefit.
 To encourage client to come at a level equal to their
ability and to enhance their self-esteem.
 To promote socialization.
 To provide the opportunities for clients to be part of unit
management.
 Individuals are held responsible for own action.

10. CONTD.
 Client is expected to learn adaptive coping, interaction
and relationship skill that can be generalized to other
aspects of his or her life.
 Achieving client autonomy.
 Peer pressure is utilized to reinforce rules and
regulations.
 Team approach is used.
 Group discussions and temporary seclusions are favoured
approaches for acting out behaviour.
 The nurses, function is to act in way that consistently
promote these goals.

12. MAINTAINING SAFE ENVIRONMENT

13. THE TRUST RELATIONSHIP

14. BUILDING SELF ESTEEM

15. LIMIT SETTINGS

17.  Its create different type and attitude and behaviour of client
because the environment is like home.
 Patient learn to make decisions which improve his self-
confidence.
 It develops leadership skill.
 It becomes the socio-centric.
 It helps to learn and think collectively with the members of
the community.

19.  Role blurring between staff and patient.
 Milieu therapy is limited to only hospitalise patient.
 Requires continuous open communication among all staff
and clients.
 Group responsibility can easily become nobody’s
responsibility.
 Low client-to-staff ratio.

20. ROLE OF NURSE
 A nurse participates in the design and or renovation of
the settings can greatly affect the therapeutic physical
environment.
 The nurse is responsible for making the referrals,
encouraging clients’ participation.
 To coordinate all team member is involved in team
 The nurse may interpret the need of the client population
for design expert with knowledge of colour.

21. CONTD.
 The nursing care plan must reflect diagnoses that are specific to
nursing and include problems and interventions from the IDT plan
that have been assigned specifically to the discipline of nursing.
 Some topics must be individualized for specific clients, whereas
others may be taught in group situations.
 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

24. Milieu therapy has been described as an excellent framework
for operationalizing [Hildegard] Peplau’s interpretation and
extension of Harry Stack Sullivan’s Interpersonal Theory for
use in nursing practice. Therapeutic milieu concept and to
reclaim nursing’s traditional milieu intervention functions.
Nurses need to identify the number of registered nurses
necessary to carry out structured and unstructured milieu
functions consistent with their Standards of Practice.

25. REFERENCES
 Gunderson, J. G. (1981). Principles and practice of milieu therapy.
Northvale, NJ: Jason Aronson.
 Sanders, J., & Goldsmith, J. M. (1993). Milieu therapy: Significant issues
and innovative applications. New York, NY: Routledge Member of the Taylor
and Francis Group.
 Kulthe, V. (n.d.). Milieu therapy. Retrieved October 29, 2021, from
Slideshare.net website: https://www.slideshare.net/kulthevikrant/milieu-
therapy-111938631
 Roy, D. (n.d.). Milieu therapy or therapeutic community. Retrieved October
29, 2021, from Slideshare.net website:
https://www.slideshare.net/KittuRoy/milieu-therapy-or-therapeutic-
community
 Wikipedia contributors. (2021, March 16). Milieu therapy. Retrieved October
29, 2021, from Wikipedia, The Free Encyclopedia website:
https://en.wikipedia.org/w/index.php?title=Milieu_therapy&oldid=1012463
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