Which of the following is a characteristic of a therapeutic milieu?

• A. Only a select few interactions arte an opportunity for therapeutic intervention.
• B. Problem solving is achieved by discussion, negotiation, and consensus.
• C. Peer pressure is not effective and not encouraged.
• D. Decision making and treatment are directed from the psychiatrist.

Answer: (B)

In a therapeutic milieu, problem solving happens through discussion, negotiation, and consensus among residents and staff within a structured, supportive environment. This collaborative approach uses everyday interactions as opportunities for learning, accountability, and growth, rather than relying on formal therapy alone. Positive peer influence is a feature, with constructive pressure encouraging participation, adherence to norms, and the development of social skills. Decisions about daily activities and treatment are shared, not dictated solely by a psychiatrist, reflecting a democratic, community-based approach to care.