Topic: Traumatized youngsters are disproportionately represented in out-of-home treatment facilities. Conceptual models that guide treatment of traumatized youngsters are not well integrated with models that guide milieu management.
Purpose: To describe a milieu management approach for treatment of traumatized youngsters.
Sources: Clinical experience with hospital and residential treatment facilities and therapeutic foster homes, as well as literature support.
Conclusions: Familiar treatment strategies take on an additional meaning when they are implemented in the context of the children's histories of exposure to traumatic events.