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.

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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.

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ID Code: 2401
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
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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
ISBN: 9780729537292
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

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