Nanda Books

Milieu Therapy has been around since the late 1800's, when the moral care and therapeutic environment to psychiatric nursing major problem. Milieu Therapy can be a powerful therapeutic tool when dynamic individual and social systems can be combined in a planning and meaningful ways to organize and change the behavior and social relations.

Milieu Therapy is a treatment in which the planning of events and interactions every day therapeutic designed with the goal of improving social skills and build self-esteem of patients. Meanwhile, according to Wilson (1992) Mileu Therapy is the use of the environment for therapeutic purposes. Every interaction with a patient is considered to provide beneficial results in improving function optimally.

The Purpose of Milieu Therapy,  include:

• Improving patient experience positive mental / psychological.
• Assist individuals in improving self-esteem.
• Improving the ability to interact with others.
• Cultivating an attitude trust others.
• Prepare yourself back into society and achieve positive health changes / optimal.

Characteristics of Milieu Therapy

Characteristics of Milieu Therapy include:

• familiar
• cozy
• physically and psychologically safe
• ease of access to basic needs
• staff appreciate the client
• accept the client's behavior in response to stress
• respect the rights and opinions of clients
• right to informed choice
• easy supervision 24 hours
• there is a process of information exchange
• there are socialization, group interaction, and therapeutic communication
• share responsibility and client engagement

Milieu Therapy for Low Self-Esteem, Depression and Suicide

The physical environment:

• The room is comfortable and safe.
• Protected from tools that could be used to injure themselves or others.
• Medical devices, pharmaceuticals and medical fluid type, locked closet.
• The room should be placed on the floor of the entire room easily monitored and health workers.
• The room interesting by placing a bright posters and increase the excitement of life of patients, bright wall colors.
• The existence of easy reading, humorous and motivating life.
• Presents cheerful music, TV and movie comedy.
• Cabinets to store personal belongings of patients.

Social environment:

• Therapeutic communication, by all officers greet patients as often as possible.
• Provide an explanation of each will conduct nursing or other medical activities.
• Receiving the patient's presence.
• Do not ridicule, belittle.
• Improving self-esteem of patients
• Help assess and improve social relationships gradually.
• Helping patients to interact with his family.
• Include the family in the plan of nursing
• Do not leave the patient alone for too long.