Settings for Mental Health Care
Elder, Ruth L. (2005) Settings for Mental Health Care. In Elder, Ruth L., Evans, Katie, & Nizette, Debra (Eds.) Psychiatric and mental health nursing. Elsevier, Marrickville, N.S.W., pp. 342-358.
Key Points • The quality of the environment is important to client recovery and rehabilitation. • The preferred environment for the care of the mentally ill across time has been the home. • Environmental strategies in the care of the mentally ill became more important in the eighteenth century when it was noticed that patients were more manageable in a pleasant environment. • Confinement of the mentally ill in large public asylums was largely an innovation of the 19th century. • The Therapeutic Milieu is a consciously organised environment. • Maxwell Jones in the USA and Thomas Main in the UK pioneered the concept of the hospital and environment as treatment tools. • The goals of the therapeutic milieu are containment, structure, support, involvement, validation, symptom management, and maintaining links with family and the community. • The principles on which the therapeutic milieu is based include: open communication; democratization; reality confrontation; permissiveness; group cohesion, and the multidisciplinary team. • The principle guiding the care of clients in the community is that of the least restrictive alternative. • The therapeutic community residence is an environment that encourages the development of the client as a person in interaction with others, rather than as someone suffering from a health problem or disability. • The preferred contemporary setting for the provision of mental health care is the community. • The predominant form of service delivery in the community is case management, which has been found to be most effective for people with severe mental illnesses. • The principles of caring in the community are self-determination, normalisation, a focus on client strengths and the community as a resource.
Impact and interest:
Citation counts are sourced monthly from and citation databases.
These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards.
Citations counts from theindexing service can be viewed at the linked Google Scholar™ search.
|Item Type:||Book Chapter|
|Additional Information:||For more information about this book please refer to the publisher's website (see link) or contact the author . Author contact details : r.elder @qut.edu.au|
|Keywords:||Case Management, Community Care Community Integration Community Meeting Continuity of Care Custodial Care Democratization Deinstitutionalisation Empowerment Group Cohesion Least Restrictive Alternative Milieu Milieu Therapy Moral Treatment Multidisciplinary team Normalisa|
|Subjects:||Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Mental Health Nursing (111005)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
|Divisions:||Current > QUT Faculties and Divisions > Faculty of Health|
|Copyright Owner:||Copyright 2005 Elsevier|
|Deposited On:||07 Nov 2005 00:00|
|Last Modified:||03 Mar 2011 05:33|
Repository Staff Only: item control page