(^300) Long-term GoalClient will be able to cope more adaptively by delaying gratifition of own desires and following rules and regulations of the treatment setting by time of discharge.Interventions with 1. From the onset, client should be made aware of which be- 2. Do not attempt to coax or convince client to do the “right 3. Provide positive feedback or reward for acceptable behaviors. Positive reinforcement enhances self-esteem and encourages ity for misinterpretation.ning with this step-by-step, “either/or” approach on the unit (haviors will not be accepted in the treatment setting. Explain consequences of violation of the limits. Consequences must involve something of value to the client. All staff must be consistent in enforcing these limits. Consequences should be administered in a matter-of-fact manner immediately after the infraction. for this client to eventually internalize societal norms, begin-limits on maladaptive behaviors, these behaviors must be delineated and enforced by staff. Undesirable consequences may help to decrease repetition of these behaviors.must be concise, concrete, and clear, with little or no capac-thing.” Do not use the words “You should (or shouldn’t)...”; instead, use “You will be expected to... .” The ideal would be^ either●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATION you do [don’t do] this, Because client cannot (or will not) impose own Selected Rationalesor t his will occur). Explanations ca-
- A milieu unit provides an appropriate environment for the 4. 6. Help client gain insight into own behavior. Often, these indi-with specifiincrease the length of time requirement for acceptable be-havior in order to achieve the reward. For example, 2 hours of acceptable behavior may be exchanged for a telephone call; 4 hours of acceptable behavior for 2 hours of television; 1 day of acceptable behavior for a recreational therapy bowl-ing activity; 5 days of acceptable behavior for a weekend pass.repetition of desirable behaviors.client with antisocial personality. In an attempt to assist client to delay gratifibehavior is inappropriate. (For example, “The owner of this viduals rationalize to such an extent that they deny that their and group therapy sessions, emulates the type of societal situation in which the client must learn to live. Feedback from peers is often more effective than confrontation from an authority finalizing the rules of society.the group as a positive step in the progression toward inter-store has so much money, he’ll never miss the little bit I take. c rules and regulations, community meetings, gure. The client learns to follow the rules of The democratic approach, cation, begin to
2 2506_Ch16_275-309.indd 0300 506 Ch 16 275 - 309 .indd 0300 1 10/1/10 9:37:03 AM 0 / 1 / 10 9 : 37 : 03 AM