Therapeutic Milieu And Mental Health Nursing Nursing Essay. – Assignment Help

Therapeutic Milieu And Mental Health Nursing Nursing Essay.


Therapeutic milieu is “the controlled environment of treatment facilities that shelters patients from what they perceive to be painful and frightening stressors, thus providing them with a stable and coherent social environment that facilitates the development and implementation of treatment.” (Stuart, 2009)Therapeutic Milieu And Mental Health Nursing Nursing Essay.


The chief purpose of selecting this topic is that it is an exclusive way of dealing with patients problems, it offers chance to acquire adaptive coping skills and lets the patient to try these new coping skills in a protected, comfortable environment as well as it provides recreational, occupational, social, psychiatric, medical and nursing therapies. Secondly in Karwan-e-Hayat during my clinical I witnessed that a woman of middle age had an interfering attitude and used to force others for the activities that were held there. She used to get aggressive on every small thing and now and then becomes difficult to control. She was incapable of differentiating between acceptable and unacceptable behaviors in the hospital setting.Therapeutic Milieu And Mental Health Nursing Nursing Essay.

In Stuart 2009 it is cited that the idea of therapeutic milieu was coined by Abroms, 1969, which served the two main purposes. The first objective is setting limits on disturbed and maladaptive behavior. The intervention that could be helpful for patients for keeping maladaptive behavior under control and allowing treatment to progress includes the goal to control or setting limit on the maladaptive response but supporting the feeling that underlines the behavior, examining the behavior with the patient and identifying the consequences and convenient substitute approach, establishing a therapeutic association and working with patient to draw on any remaining parts of independence and strengths. Secondly it aims to teach patient the psychosocial skills.Therapeutic Milieu And Mental Health Nursing Nursing Essay. It comprises of orientation i.e. the patient has the knowledge and has understanding of the time, place, person and the purpose. For instance, introducing oneself, one’s role, and the rationale for an interaction helps in disoriented patients to have the mindfulness about their surroundings, Assertion i.e. supporting patients in expressing themselves effectively and in a socially acknowledged way over a specific topic or an issue.Therapeutic Milieu And Mental Health Nursing Nursing Essay. Some interventions includes assertiveness training groups, focus groups for lower functioning patients and interactive patients groups, Occupation i.e. the patient can feel confidence and success through the productive activity. Some interventions include individual or group hands-on-activities, jigsaw puzzles, physical skill development etc., Recreation i.e. providing patients a diversity of recreational opportunities and assisting patients to apply their learnt skills, comprising orientation, assertion, social interaction and physical dexterity. Some examples include informal games, brief outdoor walks etc. Thibeault CA in his article Understanding the milieu experiences of patients on an acute inpatient psychiatric units states that the inpatient milieu remains an important but often neglected component of psychiatric treatment as patients with acute and severe mental illness are admitted for short periods of intense treatment and are discharged quickly to community based care.Therapeutic Milieu And Mental Health Nursing Nursing Essay.

The milestone contribution in the concept of therapeutic milieu is associated with Henderson (1978) that was cited in Stuart 2009; he described the framework that have the five specific components of a therapeutic milieu that includes containment, support, structure, involvement and validation. Containment offers for the physical wellbeing of patients, it includes making the food, shelter, medical attention accessible and taking the necessary steps for averting the patient harming self or others.Therapeutic Milieu And Mental Health Nursing Nursing Essay. Therapeutic practice of containment communicates to patient that for keeping them and the environment safe the nurse will impose external controls, support includes the staff’s conscious efforts to help patients in feeling better and enhancing their self-esteem. It can be communicated through empathy, being available, offering encouragement and reassurance, giving helpful directions and engaging patients in doings that they are reluctant to do, promoting reality testing, and modeling healthy relationships.Therapeutic Milieu And Mental Health Nursing Nursing Essay. Milieu that offers support also provides nurturance and encourages patients in engaging in other therapeutic efforts. Structure denotes to all the aspects of milieu that is a predictable organization of time, place, and person. It helps patients to feel safe. Some features of structures includes having a predictable timetable of meetings, groups sessions, setting limits and use of contracts, token economies, and expectation of attendance of meetings and groups. The further these uses are planned with the patient according to the shared ideas of what is adaptive and maladaptive, the more the structure grows into therapeutic itself. Involvement refers to the course that helps the patient to enthusiastically attend to their social environment and interact with it.Therapeutic Milieu And Mental Health Nursing Nursing Essay. The chief purpose is to strengthen a patient’s ego and modify the maladaptive interpersonal patterns. Nursing interventions includes practice of open door and open rounds, facilitating patient-led-groups, activities and self-assertive experiences. Through this patients learn appropriate interaction patterns and experience the consequences of unacceptable behavior. It strengthens the patient’s sense of self, behavioral control, and social interactive skills. Validation means that the individuality and value of each patient are recognized. It helps patients to develop greater capacity for closeness and a more consolidated identity. Nursing examples includes individualized treatment planning, showing respect for a patient’s rights, and providing opportunities for the patient to fail as well as succeed.Therapeutic Milieu And Mental Health Nursing Nursing Essay.

One of the ancient advocates of the importance of the environment for nursing care was Florence Nightangle. Since that time the inpatient environment and milieu management have continued to be important aspects of the role of all nurses. It is essential that psychiatric nurses working in structured setting realizes the potential impact that the environment can have on the patient. Milieu management has been described as environmental manipulation that minimizes stress and results in optimal benefit to the majority of patients (Benson and Briscoe, 2003).Therapeutic Milieu And Mental Health Nursing Nursing Essay. The nurse can engage aspects of the therapeutic milieu to meet the patient’s needs by providing physical safety and wellbeing (containment), education about the patient’s illness and treatment plan (support), therapeutic and predictable activity schedules (structure), opportunities for social interaction (involvement), and acknowledge the patient’s feelings (validation). According to (Delaney and Johnson, 2007)” nurses face the challenge of better articulating the nursing component of the inpatient treatment program and what specifically they contribute to improving patient outcomes.”Therapeutic Milieu And Mental Health Nursing Nursing Essay.

Safety, Structure, Support, and Symptom management are clinical functions that help to organize nursing practice from individual and environment perspectives (Delaney et al, 2000).Therapeutic Milieu And Mental Health Nursing Nursing Essay.

In hospital based psychiatric nursing it is anticipated that nurses must have clinical knowledge and skills are capable to apply them for the wellbeing of patients and families. The milieu created by the psychiatric nurse’s struggles to provide patients with activities and interactions prudently planned to encounter their needs. This includes both direct and indirect psychiatric nursing care functions as well as dependent, independent, and interdependent features of psychiatric nursing practice. The ultimate goal of the milieu setting is to provide patients with a stable and coherent social environment that creates a safe and therapeutic space by which healing, recovery and growth can occur.Therapeutic Milieu And Mental Health Nursing Nursing Essay.

Calculate the price of your order

The price of a paper depends on the number of pages, academic level and the urgency. Our prices are discounted and start from as low as $10 per page. To know how much you would pay for an order, fill in the basic paper details.

Confidentiality and Security

We take confidentially of our customers seriously. This is the reason we use only PayPal to make payments that require only an email. This means you can order and pay for your order without disclosing your full identity and with no trace to you or your credit/debit card details as this information is only shared with PayPal, a trusted international payment system. Our website is also encrypted to ensure additional security. In addition, we never sell your paper nor divulge the paper or client details to anyone.


We write all our papers from scratch and never plagiarize at all. Our papers are 100% original with no plagiarism element even when many students place a similar order with us. You are guaranteed of a custom-made non-plagiarized paper that you cannot find anywhere else even in part whenever you order from us.


Professional writers in the various fields who have a wealth of experience in academia write all your papers. You are, therefore, guaranteed of a well-researched paper with the right content and in the correct structure. All our papers are properly referenced and any sources used are correctly cited using your preferred referencing styles such as APA, MLA, OSCOLA, Harvard, Chicago/Turabian, Vancouver, or any other referencing style you prefer.

Our services are legal and acceptable

Do you know that it is legal to seek our academic writing services and is not against the policies of your university, college or any other learning institution?
You are not prohibited from getting our custom-made papers if you use them in any of the following ways;

  1. As a source for additional understanding of the subject
  2. As a source of ideas for your research, in this case, it should be properly referenced
  3. For proper paraphrasing as per your schools plagiarism definition and acceptable paraphrase
  4. Direct citing in your work, when properly referenced.


Place your order
(550 words)

Approximate price: $22

Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more