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  • Title: The therapeutic milieu reconceptualized for the 21st century.
    Author: Mahoney JS, Palyo N, Napier G, Giordano J.
    Journal: Arch Psychiatr Nurs; 2009 Dec; 23(6):423-9. PubMed ID: 19926024.
    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.
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