2.50
Hdl Handle:
http://hdl.handle.net/10755/160927
Type:
Presentation
Title:
Creating a therapeutic milieu within the retirement communities
Abstract:
Creating a therapeutic milieu within the retirement communities
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2010
Author:Bekhet, Abir, PhD, RN
P.I. Institution Name:Marquette University College of Nursing
Title:Nursing
Contact Address:530 North 16th Street, Milwaukee, WI, 53233, USA
Contact Telephone:1.12019E+12
Co-Authors:A.K. Bekhet, Nursing, Marquette University College of Nursing, Milwaukee, WI; J.A. Zauszniewski, Nursing, Case Western Reserve University, Cleveland, OH;
As the elderly population grows, their inevitable relocation to a retirement community presents a stressful event that involves person-milieu adjustment. Empirical findings have demonstrated the presence of differential effects in relocation adjustment for elders residing in certain retirement communities. Purpose: This study re-examined data from a larger study of relocated elders to determine whether certain therapeutic factors were present in retirement communities where elders relocated more successfully and lacking in those where elders had more difficulty in adjusting. Theoretical framework: Green's model, which proposes that a therapeutic milieu is characterized by individual treatment programs, self-governance, progressive levels of responsibility, meaningful activities, family involvement, community integration, effective working relationships among mental health team members, and humanistic mental health care, guided the translation of the findings for clinical relevance. Subjects: Study participants were 104 elders who relocated to six retirement communities in Northeast Ohio. Methods: The study involved analysis of qualitative data from the researcher's observations and field notes and narratives from the relocated elders. Of specific interest was data describing the environmental characteristics of retirement communities where elders reported less successful adjustment. The environmental characteristics of these retirement communities were evaluated for consistency with Green's characteristics of a therapeutic milieu. Results: Most of the retirement communities were found to fall short of fulfilling all eight dimensions of a therapeutic milieu as defined by Green's model. For example, individualized treatment programs were not found in most retirement communities and the activities that were offered were not tailored to meet individual needs or to contribute to their personal growth. Family therapy, family education programs, and visitation privileges were rarely observed within the retirement communities. Conclusions: The results highlight an opportunity for implementing Green's model to create a more therapeutic milieu within retirement communities in order to facilitate successful readjustment for relocated elders.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleCreating a therapeutic milieu within the retirement communitiesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160927-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Creating a therapeutic milieu within the retirement communities</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Bekhet, Abir, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Marquette University College of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">530 North 16th Street, Milwaukee, WI, 53233, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">1.12019E+12</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">siha9@hotmail.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">A.K. Bekhet, Nursing, Marquette University College of Nursing, Milwaukee, WI; J.A. Zauszniewski, Nursing, Case Western Reserve University, Cleveland, OH;</td></tr><tr><td colspan="2" class="item-abstract">As the elderly population grows, their inevitable relocation to a retirement community presents a stressful event that involves person-milieu adjustment. Empirical findings have demonstrated the presence of differential effects in relocation adjustment for elders residing in certain retirement communities. Purpose: This study re-examined data from a larger study of relocated elders to determine whether certain therapeutic factors were present in retirement communities where elders relocated more successfully and lacking in those where elders had more difficulty in adjusting. Theoretical framework: Green's model, which proposes that a therapeutic milieu is characterized by individual treatment programs, self-governance, progressive levels of responsibility, meaningful activities, family involvement, community integration, effective working relationships among mental health team members, and humanistic mental health care, guided the translation of the findings for clinical relevance. Subjects: Study participants were 104 elders who relocated to six retirement communities in Northeast Ohio. Methods: The study involved analysis of qualitative data from the researcher's observations and field notes and narratives from the relocated elders. Of specific interest was data describing the environmental characteristics of retirement communities where elders reported less successful adjustment. The environmental characteristics of these retirement communities were evaluated for consistency with Green's characteristics of a therapeutic milieu. Results: Most of the retirement communities were found to fall short of fulfilling all eight dimensions of a therapeutic milieu as defined by Green's model. For example, individualized treatment programs were not found in most retirement communities and the activities that were offered were not tailored to meet individual needs or to contribute to their personal growth. Family therapy, family education programs, and visitation privileges were rarely observed within the retirement communities. Conclusions: The results highlight an opportunity for implementing Green's model to create a more therapeutic milieu within retirement communities in order to facilitate successful readjustment for relocated elders.</td></tr></table>en_GB
dc.date.available2011-10-26T23:13:02Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:13:02Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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