Milieu Management and Therapeutic Groups in Inpatient Child and Adolescent Psychiatry Units.

Autor:	Hodgson C; Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University Wexner College of Medicine, 444 Butterfly Gardens Drive, Columbus, OH 43215, USA. Electronic address: caroline.hodgson@nationwidechildrens.org., Krishna R; Department of Psychiatry and Behavioral Health, Nationwide Children's Hospital, The Ohio State University Wexner College of Medicine, 444 Butterfly Gardens Drive, Columbus, OH 43215, USA., Akasaka K; Department of Psychiatry and Behavioral Health, Nationwide Children's Hospital, The Ohio State University Wexner College of Medicine, 444 Butterfly Gardens Drive, Columbus, OH 43215, USA.
Jazyk:	angličtina
Zdroj:	Child and adolescent psychiatric clinics of North America [Child Adolesc Psychiatr Clin N Am] 2025 Jan; Vol. 34 (1), pp. 13-23. Date of Electronic Publication: 2024 Apr 27.
DOI:	10.1016/j.chc.2024.03.019
Abstrakt:	The therapeutic milieu has long been considered an essential mechanism of recovery for youth requiring inpatient psychiatric admissions. However, with increasing demand for crisis services, shrinking length of stay, rising patient acuity, and critical workforce shortages, innovation is necessary to maintain the goals of the therapeutic milieu (and equip the workforce to meet this challenge). This review surveys the evolution of the goals of milieu therapy over time, evidence for increasing challenges, and initial evidence for possible solutions. The study concludes with a case example detailing efforts to improve milieu therapy and empower frontline staff at a Midwestern pediatric hospital. Competing Interests: Disclosure The authors have no conflicts to disclose. (Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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