Therapeutic Milieu Day Program
The holistic, therapeutic milieu approach provides a conceptual as well as practical setting for meeting the complex and multifaceted remedial and therapeutic challenges encountered in postacute neuropsychological rehabilitation of the brain-injured adult. The conceptual underpinnings of the approach have been articulated by Ben-Yishay in a companion chapter in this volume (see Chapter 8). It is the aim of this chapter to describe the practical implementation of the holistic approach, as represented by the New York University Medical Center, Rusk Institute Brain Injury Day Treatment Program. It explains how the structural, programmatic, and specialized cognitive—psychotherapeutic elements, combine and reinforce one another to foster the levels of awareness, malleability, compensation, appropriateness of interpersonal behaviors, and acceptance of the consequences of the brain injury, which are essential for achieving optimal rehabilitation outcomes.
KeywordsTraumatic Brain Injury Brain Injury Therapeutic Community Cognitive Remediation Clinical Objective
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- Ben-Yishay, Y. (1975). An outline of a comprehensive theoretical framework for the rehabilitation of persons with severe head trauma. Keynote Address, Sixth Annual Rehabilitation Symposium, Sheba Medical Center, TelHashomer, Israel.Google Scholar
- Ben-Yishay, Y. (1976). Setting up a therapeutic community for the rehabilitation of Israeli out-patient war casualties with severe head injuries: Structure and remedial systems. Invited expert panelist, the 13th World Congress of Rehabilitation, Tel-Aviv, Israel.Google Scholar
- Ben-Yishay, Y., and Diller, L. (1976). A multi-impact clinical experiment in rehabilitation of problematic brain injured war veterans. Presented at the 13th World Congress of Rehabilitation, Tel-Aviv, Israel.Google Scholar
- Ben-Yishay, Y., and Diller, L. (1983). Cognitive remediation. In M. Rosenthal, E. R. Griffith, M. R. Bond, and J. D. Miller (Eds.), Rehabilitation of the head injured adult (pp. 367–380 ). Philadelphia: F.A. Davis.Google Scholar
- Ben-Yishay, Y., and Gold, J. (1990). Therapeutic millieu approach to neuropsychological rehabilitation. In R. L. Wood (Ed.), Neurobehavioral sequelae of traumatic brain injury (pp. 194–215 ). London: Taylor and Francis.Google Scholar
- Ben-Yishay, Y., and Prigatano, G. (1990). Cognitive remediation. In M. Rosenthal, E. R. Griffith, M. R. Bond, J. D. Miller (Eds.), Rehabilitation of the adult and child with traumatic brain injury ( 2nd ed., pp. 393–408 ). Philadelphia: F. A. Davis.Google Scholar
- Ben-Yishay, Ben-Nachuni, Z., Cohen, A., Gross, Y., Hoofien, D., Rattok, J., and Diller, L. (1978). Digest of a two-year comprehensive clinical research program for out-patient head injured Israeli veterans. In Y. Ben-Yishay (Ed.) New York University Medical Center Rehabilitation Monograph No. 59 (pp. 1–61 ).Google Scholar
- Ross, B., Ben-Yishay, Y., Lakin, P., Rattok, J., Silver, S. L., Thomas, J. L., and Diller (1982). Using a “therapeutic community” to modify the behavior of head trauma patients in rehabilitation. In Y. Ben-Yishay (Ed.), New York University Medical Center, Rehabilitation Monograph No. 64 (pp. 57–91 ).Google Scholar