The recreation therapist and the pediatric therapeutic milieu

Authors

  • Rebecca Gilbert, MS
  • Marieke Van Puymbroeck, PhD, CTRS, CRC

DOI:

https://doi.org/10.5055/ajrt.2008.0019

Keywords:

inpatient, acute, child, therapeutic milieu, milieu therapy, therapeutic recreation, recreation therapy

Abstract

Many recreation therapists on inpatient psychiatric units are familiar with the term therapeutic milieu. The meaning of the phrase is often vague and defined differently by each institution. The purpose of this article is to examine the literature on the therapeutic milieu and present possible methods of supporting the therapeutic milieu given the unique challenges of the pediatric acute inpatient unit. The role of the recreation therapist in creating and supporting a therapeutic milieu is described along with the suggestions for future research needs.

Author Biographies

Rebecca Gilbert, MS

Department of Recreation, Park, and Tourism Studies, Indiana University, Bloomington, Indiana.

Marieke Van Puymbroeck, PhD, CTRS, CRC

Department of Recreation, Park, and Tourism Studies, Indiana University, Bloomington, Indiana.

References

Austin DR: Therapeutic Recreation Processes and Techniques. Champaign, IL: Sagamore Publishing, 2004.

Thomas SP, Shattell M, Martin T: What’s therapeutic about the therapeutic milieu? Arch Psychiatr Nurs. 2002; 16(3); 99-107.

American Academy of Child & Adolescent Psychiatry: Model for minimum staffing patterns for hospitals providing acute inpatient treatment for children and adolescents with psychiatric illnesses. Available at http://www.aacap.org/cs/root/policy_statements/model_for_minimum_staffing_patterns_for_hospitals_providing_acute_inpatient_treatment_for_children_and_adolescents_with_psychiatric_illnesses. Accessed October 24, 2007, from Policy Statements.

Gunderson JG: Defining the psychiatric processes in psychiatric milieus. Psychiatry. 1978; 41; 327-355.

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Webb NB: Play Therapy with Children in Crisis. New York: The Guilford Press, 1991.

Published

07/01/2008

How to Cite

Gilbert, MS, R., & Van Puymbroeck, PhD, CTRS, CRC, M. (2008). The recreation therapist and the pediatric therapeutic milieu. American Journal of Recreation Therapy, 7(3), 35–39. https://doi.org/10.5055/ajrt.2008.0019

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