title: Forensic psychiatric inpatient treatment: creating a therapeutic milieu.
abstract: A functional therapeutic milieu in an adolescent forensic unit comprises far more elements than effective psychosocial treatments alone. In the psychosocial domain, this article discusses principles of therapeutic community, structure, predictability, therapeutic aggression management, and family work. A core element in all activities of an adolescent forensic unit is finding a balance between security and age-appropriate support for adolescent development.
authors.affiliation: Psychiatric Treatment and Research Unit for Adolescent Intensive Care (EVA), Tampere University Hospital, 33380 Pitkäniemi, Tampere, Finland. riittakerttu.kaltiala-heino@pshp.fi
authors.forename: Riittakerttu
authors.initials: R
authors.lastname: Kaltiala-Heino
authors.forename: Kristina
authors.initials: K
authors.lastname: Kahila
mesh_terms: D005555:Forensic Psychiatry / Q000379:methods*; D006282:Health Personnel; D006760:Hospitalization; D006778:Hospitals, Psychiatric; D006801:Humans; D007857:Leadership; D001523:Mental Disorders / Q000534:rehabilitation / Q000628:therapy*; D011330:Prisons; D011369:Professional-Patient Relations; D012931:Social Environment