Program Milieu Management

BHT Department

Overview and Objective

1. Corporate values

2. Understanding the nature of treatment3. Our philosophy to build that milieu

4. Understanding the structure and routine

5. Skills and tools necessary for all staff

Mission Statement

To develop and maintain a team of committed professionals, passionate about identifying human service needs and creating solutions for individuals and families that result in positive growth and a better quality of life.

Vision

A system of treatment in behavioral healthcare with groundbreaking results in the treatment of adults, children and families.

Therapeutic Milieu

Since milieu gives details of the atmosphere of events, the term can pertain to any feature that one wishes to describe. Thus, a milieu can be physical, cultural, emotional, or any other quality.

Relationship Building

Structured Environment

Program Organization

Boundaries and Ethics

Boundaries

Understanding Our Clients: Addiction as a Disease

Progressive

Chronic

Terminal

Fatal

Understanding Our Clients: Trauma Informed Care

Communication

Barriers to Communication

Physical barriers- yelling across the hall, communicating from different locations

Perceptual barriers- we all see the world differently

Emotional barriers- withholding thoughts and feelings

Cultural barriers- group behaviors

Language barriers- not everyone is familiar with all languages or jargon

Barriers to Effective Communication

Distractions

Differences in background Poor timing

Emotions

Personality differences

Prejudice

Differences in knowledge and assumptions Stress

Active Listening Skills

Recognizing emotional and behavioral escalation

Talking Tips and Techniques

Do: Listen Talk less Speak softly Respect privacy Remain calm

Do not: Embarrass Call out in front of others Criticize Over-react Use sarcasm Fake attention

Rational Detachment

Definition: The ability to stay in control of one’s own behavior and not take acting-out personally.

After the Storm – Process and Learn

C - ControlO- OrientP- PatternsI- Investigate and ImprovementN- NegotiateG- Give

Takeaways