Milieu Therapy

Milieu therapy is a form of psychotherapy that involves the use of therapeutic communities. Patients join a group of around 30 for between 9 and 18 months, during which they are encouraged to take responsibility for themselves and others in the unit under a hierarchy of collective consequences, with more senior patients expected to model appropriate behavior for newer ones and accountability extending to those who witness a rule violation without intervening. It is thought valuable in treating personality disorders and behavioral problems, and can also be used to stimulate a patient's remaining cognitive-communicative abilities. Organizations known to use milieu therapy include Cassel Hospital in London, Forest Heights Lodge in Evergreen, Colorado, the United States Veterans Administration, and the Kansas Industrial School for Girls in Beloit, Kansas.