Effectiveness of therapeutic milieu intervention on inpatients with depressive disorder: A feasibility study from North India. Issue 4 (21st January 2021)

• Record Type: Journal Article
• Authors: Belsiyal Chellappan, Xavier; Rentala, Sreevani; Das, Anindya
• Is Part Of: Perspectives in psychiatric care. Volume 57:Issue 4(2021)
• Page Start: 1604
• Page End: 1615
• Publication Date: 2021-01-21
• Subjects: depression -- milieu therapy -- self‐esteem -- socio‐occupational functioning; Psychiatric nursing -- Periodicals; Psychiatric nursing -- Research -- Periodicals; 616.890231
• DOI: 10.1111/ppc.12725
• Languages: English
• ISSNs: 0031-5990

Abstract

Abstract: Purpose: This study examined therapeutic milieu interventions on self‐esteem, socio‐occupational functioning, and depressive symptoms among inpatients with depressive disorders. Methods: A pretest–posttest nonequivalent control group quasi‐experimental design was adopted. Sixty participants with depression who got admitted to the general hospital psychiatric ward were assigned to a control (Treatment as Usual) group and an experimental (therapeutic milieu intervention) group nonrandomly using a convenience sampling technique. We evaluated the following outcome measures: self‐esteem, socio‐occupational functioning, and depressive symptoms for both groups at baseline, 4th, 8th, and 12th weeks. Results: Therapeutic milieu interventions improved self‐esteem, socio‐occupational functioning, and reduced depressive symptoms. The findings provided initial evidence for practice. Implications: Psychiatric nurses can implement simple, milieu therapy interventions in any setting, which will enhance the clinical outcomes and socio‐occupational functioning of depressive patients. Highlights: Therapeutic milieu interventions are simple strategies to use in daily mental health nursing practice, and it is quite easy for nurses to implement. These interventions are applied mostly in a long‐term care facility for psychosis‐related illnesses. Nurse‐led therapeutic milieu intervention is effective in reducing depressive symptoms and improving self‐esteem and participants' social and occupational functioning.