title: Defining the therapeutic processes in psychiatric milieus.
abstract: Clinicians are increasingly required to justify the costs of milieu  therapy. The current variety of milieu types and their competing claims of efficacy can make this a vexsome problem. This paper attempts to conceptualize five major therapeutic processes which commonly exist in a broad range of milieus, independent of size, length of stay, staffing and philosophy. It is hoped these will help provide a reasonable and clear means of developing and explaining therapeutic milieu programs.
mesh_terms: D006778:Hospitals, Psychiatric; D006801:Humans; D008884:Milieu Therapy / Q000379:methods*; D011369:Professional-Patient Relations; D011618:Psychotic Disorders / Q000628:therapy; D012649:Self Concept; D012917:Social Adjustment