thera.comm..pptx on therapeutic communication

Therapeutic communication on ppt of therapeutic communication

1. Therapeutic Community -Mr. ANEEZ. K Ist year 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. Therapeutic community Small cohesive communities where patients have a significant involvement in decision-making and the practicalities of running the unit.

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

5. Objectives T o 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. Objectives 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. Objectives To enable the patients to become aware of how their behavior affects others.

8. INDICATION OF TC Dependence syndrome Depressive disorders Neurosis Somatoform disorder Personality disorder

9. Sel f harming nature Drug abuse Violent patients Schizophrenia Enduring mental illness

10. Key parameter in setting of TC Size of the unit Duration of treatment Relationship with the parents, organizations and wider community

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

12. Components of therapeutic community 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. Components of therapeutic community 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. Components of therapeutic community 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. Components of therapeutic community Patient Government or Ward council staff members should be available always. All decisions should be feedback to the community through the community meetings.

16. Components of therapeutic community 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. Components of therapeutic community Living and learning Opportunities provided within the social milieu provide realistic learning experiences for the patients.

18. Staff in TC Psychiatrist Psychiatric nurse Clinical psychologist Psychiatric social function

19. Occupational therapist Recreational therapist Art therapist Music therapist Dietician

20. Role of Staff 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. Advantages Of Therapeutic Community 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. Advantages Of Therapeutic Community

25. Disadvantages of Therapeutic Community 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. ASSIGNMENT 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. References Townsend M C. Psychiatric Mental Health Nursing-concepts of care. (3 rd edition). F.H Davis Publishers; Philadelphia: 2000. Pg.No . 158-160. Kapoor B. 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 /therapeutic-communication.html

29. ANY DOUBT