title: The therapeutic milieu reconceptualized for the 21st century.
abstract: The notion of the therapeutic milieu has come under fire for lack of relevance to current inpatient psychiatric care environments. Yet, in different fields of health care, scholars are suggesting a need to build healing environments. A view of the therapeutic milieu as an optimal healing environment based on continuous healing relationships, patient-centered care, safety as a systems priority, and cooperation among clinicians provides a framework to organize care in a holistic manner that supports positive health outcomes. This approach provides a platform for nurses and other clinicians to expand the view of a milieu traditionally limited to the unit environment to one that includes a broad systems context.
authors.affiliation: Menninger Clinic, Baylor College of Medicine, Houston, TX 77080, USA. jmahoney@menninger.edu
authors.forename: Jane S
authors.initials: JS
authors.lastname: Mahoney
authors.forename: Nancy
authors.initials: N
authors.lastname: Palyo
authors.forename: Gary
authors.initials: G
authors.lastname: Napier
authors.forename: James
authors.initials: J
authors.lastname: Giordano
mesh_terms: D006272:Health Facility Environment / Q000592:standards / Q000639:trends; D006801:Humans; D007297:Inpatients; D001523:Mental Disorders / Q000451:nursing / Q000628:therapy*; D008605:Mental Health Services / Q000592:standards / Q000639:trends; D018802:Patient-Centered Care; D011568:Psychiatric Nursing / Q000639:trends