This is created by interpersonal communication, provision of structure, setting of limits, use of the physical environment and participation in daily programmes.

Patients are exposed to continuous supportive therapy and crisis intervention as needed. Admission to Vista Clinic is not merely for safe admission, but it is aimed at facilitating constructive change, growth and personal development.

It is the philosophy at Vista Clinic to provide a therapeutic milieu conducive to promotion of mental health. This involves a homely atmosphere with tranquil gardens and enough living space for patients in order to prevent institutionalisation.

The 24-hour psychiatric nursing care and contact with the patient affords a unique opportunity to provide the creation and management of the therapeutic milieu.

The professional nurses individually influence the milieu through their therapeutic use of self by providing support and direction for the patients in their quest for mental health.