Milieu Treatment: Introduction | Historical Context | Common Issues | Residential Treatment Centers | Inpatient Hospitalization | Partial Hospitalization and Day Treatment | Research Directions | Summary Points | References
Inpatient hospital units (IU), partial hospital
(PH) or day treatment (DT) programs, and residential treatment centers
(RTCs) (sometimes grouped as "restrictive" or "intensive" services)
play a critical role for children and adolescents (youth) with severe
and/or persistent mental illness requiring extensive or
intensive health and psychiatric services. Federal reports sometimes
combine residential and inpatient statistics, while PH/DT
is now pooled with outpatient treatments. A common set of values
and expectations allows these programs to be considered together.
A therapeutic milieu is central to each. This chapter describes
common features across these milieu treatments (MTs) and considers
each modality by defining the intervention and describing its structure,
clinical role, and related issues.