Commentary:Recognizing the value of the milieu in therapeutic residential care for children and youth

Jonathan Huefner, Frank Ainsworth

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Therapeutic residential care differs markedly from other forms of out-of-home care for children and youth. Support for the view that therapeutic residential care needs to be a milieu approach that leverages all interactions in the living environment to achieve a beneficial emotional and behavioral experience for children and youth is presented. A therapeutic milieu has the advantage of maintaining focus on what is in the best clinical interest for a child by aligning and coordinating all interactions and activities. We provide a rationale for a milieu-based foundation for therapeutic residential care that consists of five elements: care, treatment, nurturing, teaching, and order. Attending to milieu as defined will provide a sound foundation upon which effective and well-implemented treatment can be fully expressed.

Original languageEnglish (US)
Pages (from-to)324-335
Number of pages12
JournalResidential Treatment for Children and Youth
Volume38
Issue number3
DOIs
StatePublished - 2021
Externally publishedYes

Keywords

  • Therapeutic residential care
  • children and youth
  • therapeutic milieu

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Law

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