tc-150907080458-lva1-app6892 (1).pdf cdsrf

The therapeutic communication

1. -Mr. ANEEZ. K
Istyear M.Sc. Nursing
EMCH CON

2. The concept of therapeutic community
was first developed by Maxwell in1953.
He wrote a book entitled “ social
psychiatry” which was first published in
England.
Later on when it was published in the
United states, its title was changed to
“Therapeutic Community.”

3. Small cohesive communities where
patients have a significant
involvement in decision-making and
the practicalities of running the
unit.

4. Collective responsibility
Citizenship
Empowerment
Encourages personal responsibility
Avoids unhelpful
dependency on professionals

5. To use patient’s social environment to
provide a therapeutic experience for
him.
To enable the patient to be an active
participant in his own care and become
involved in daily activities of his
community.

6. To help patients to solve problems plan
activities and to develop the necessary
rules and regulations for the
community
To increase their independence and
gain control over many of their own
personal activities.

7. To enable the patients to become
aware of how their behavior affects
others.

8. Dependence syndrome
Depressive disorders
Neurosis
Somatoform disorder
Personality disorder

9. Self harming nature
Drug abuse
Violent patients
Schizophrenia
Enduring mental illness

10. Size of the unit
Duration of treatment
Relationship with the parents,
organizations and wider community

11. Free communication
Shared responsibilities
Active participation
Involvement in decision making
Understanding of roles, responsibilities,
limitations and authorities

12. 1.Daily Community meetings
composed of 60-90 patients.
All levels of unit staff are involved
including administrative personnel
acute patients are not involved in the meetings.
Discussion should focus mainly on day to day life in
the unit.

13. 1.Daily Community meetings
During discussions patient’s feelings and behaviors
are examined by other members.
Frank discussions are encouraged
much outpouring of emotions and anger.

14. 2.Patient Government or Ward council
to deal with practical unit details
A group of 5-6 patients will have specific
responsibilities , such as
house keeping
physical exercise
personal hygiene
meal distribution
a group to observe suicidal patients

15. 2.Patient Government or Ward council
staff members should be available always.
All decisions should be feedback to the
community through the community meetings.

16. 3.Staff Meetings or Review
A staff meetings should be held following each
community meetings
patients are excluded and only staff are present
In this meeting the staff would examine their own
responses, expectations and prejudices.

17. 4.Living and learning Opportunities
provided within the social milieu
provide realistic learning experiences for the
patients.

18. Psychiatrist
Psychiatric nurse
Clinical psychologist
Psychiatric social function

19. Occupational therapist
Recreational therapist
Art therapist
Music therapist
Dietician

20. Psychiatric nurse
Authoritarian role
Social role
Therapeutic role
Psychiatrist
Leader
Diagnose and treatment

21. Clinical psychologist
Assist to diagnose by psychological
test
Psychiatric social worker
Concerned with client need
Fulfil family and community
requirement
Assist in conduction of therapeutic
skill

22. Recreational therapist
Encourage to express their feeling
Occupational therapist
Develop independent skill
Assist to productive
Creative activities and skills are
developed

23. Patient develop harmonious relationships with
other members in the community.
Gains self confidence
Develops Leadership skills.
Learns to understand and solve problems of
self and others.
Becomes Socio-Centric.

24. Learns to live and think collectively with the
members of the community
provides opportunities to participate in the
formulation of hospital rules and regulations
that affect patient’s personal liberties like
bedtime , meal time, weekend permission,
control of radio or T.V, Social activities, late
night privileges, etc.

25. Role blurring between staff and patients
Group responsibility can easily become
nobody’s responsibility.
Individual needs and concerns may not be
met.
Patient may find the transition to community
difficult.

26. Identify the difference between
therapeutic community and milieu
therapy in detail and submit it on
21.8.2015 before 4 pm. Total mark is
20

27. Townsend M C. Psychiatric Mental Health
Nursing-concepts of care. (3 rd edition).
F.H Davis Publishers; Philadelphia: 2000.
Pg.No. 158-160.
KapoorB. Text book of psychiatric
nursing. Publishers of medical and
nursing books; Delhi: 2006.Pg.No. 12-57.

28. Sreevani R.A guide to mental health
and psychiatric nursing. Jaypee
Brothers Medical Publishers; New
Delhi: (2006). Pg.No. 148-149.
Stuart gail.w. principles & practices
of Psychiatric Nursing. (9
th
edition).
Elsevier publishers: 2011. Pg. No.
115-120.
www.austinecc.edu/richb/thercom.
html
http//nursing.planet.com/pn/thera
peutic-communication.html

29. ANY DOUBT