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Milieu therapy is most likely to be used in:

  1. An adolescent group focusing on truancy

  2. Family treatment

  3. Individual casework treatment

  4. Residential treatment

The correct answer is: An adolescent group focusing on truancy

Milieu therapy is primarily utilized in residential treatment settings, where the therapeutic environment plays a crucial role in the healing process. It involves creating a supportive, structured environment that fosters relationships and social interaction among individuals seeking mental health treatment. In this context, the entire living situation becomes part of the treatment and helps individuals learn and practice social skills in a safe atmosphere. While adolescent groups focusing on truancy may benefit from various therapeutic approaches, milieu therapy specifically emphasizes the integration of therapeutic components within a residential setting, where individuals can experience a 24/7 supportive environment. This approach is less applicable in family treatment or individual casework, where the focus is on interpersonal dynamics in different settings rather than the therapeutic environment itself.