Abstract
The use of a developmental framework enabled milieu staff and psychotherapists to view the child from a multiaxial developmental framework and so gear each aspect of the therapeutic work in the milieu, individual therapy, and work with parents to each child and family's unique needs. A high level of parent participation in the milieu led to earlier identification of parental resistances and parent-staff conflicts. Such rapid problem indentification and confrontation leads to earlier effective parent-staff collaboration and a more rapid involvement of parents in the treatment process. Milieu day treatment can provide high quality intensive treatment of psychotic children and their families at much less cost than residential or inpatient treatment.
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