Architecture for Psychiatric Environments and Therapeutic Spaces.
Title:
Architecture for Psychiatric Environments and Therapeutic Spaces.
Author:
Chrysikou, E.
ISBN:
9781614994602
Personal Author:
Physical Description:
1 online resource (208 pages)
Contents:
Title Page -- Acknowledgements -- Table of Contents -- Part 1 -- 1 Introduction -- 1.1 Care in the Community -- 1.2 Design for Domesticity -- 1.3 Mental health service users and their needs -- 1.4 Towards a Model for Rehabilitation -- 1.5 Structure of the Book and Presentation of Ideas -- 2 History of mental health and its expression in architecture -- 2.1 The onset of psychiatry: from God-given medicine to the deep roots of Western psychiatry and "back" to the Great Confinement -- 2.2 From the ideals of the French Revolution to the asylums -- 2.3 The transition from the "second Age of Confinement" to social psychiatry -- 2.4 Social psychiatry and the return of the mentally ill into the community -- 2.5 The rationalisation of mental health care under the managerial perspective and the involvement of social services -- 2.6 Community Care in the UK and France from the Eighties on -- 2.7 Key messages regarding Community Care -- 3 My view: the SCP model -- 3.1 Opposing frameworks for the planning of mental health services -- 3.1.1 Specialists' concepts -- 3.1.2 Normalisation theory -- 3.1.3 Social exclusion in the community -- 3.1.4 From exclusion to social valorization -- 3.1.5 What lies between the asylum and the misinterpretation of domesticity: the need for a new paradigm -- 3.1.6 Safety and security -- 3.1.7 Competence -- 3.1.8 Personalisation and choice -- 3.2 The physical milieu of the psychiatric units -- 3.2.1 The interface with the community: location, scale and external appearance -- 3.2.2 Outdoor areas -- 3.2.3 Internal organisation of facilities -- 3.2.4 Decoration of facilities -- 3.2.5 Patterns -- 3.2.6 Colour -- 3.2.7 Light -- 3.2.8 Furniture and fittings -- 3.2.9 Dealing with tough budgets: small changes -- 3.3 Need for research -- 4 The physical context -- 4.1 The selection of cases.
4.2 The SCP model': towards a critical scoping of the concept of Domesticity -- 4.3 The design of the user-centred questionnaires -- 4.4 The conduct of the fieldwork -- 4.5 The need for an architectural checklist -- 4.6 The detailed design of the Checklist -- 4.7 Advantages and limitations of the methodology -- Part 2 -- 5 The physical milieu of research: the unit buildings -- 5.1 The care regimes -- 5.2 Building descriptions -- 5.2.1 Bois St Joseph -- 5.2.2 Elan Retrouve -- 5.2.3 Francois Tosquelles -- 5.2.4 Geraniums -- 5.2.5 Rene Capitant -- 5.2.6 Albany Lodge -- 5.2.7 Forest Lodge -- 5.2.8 Lakeside -- 5.2.9 New Bridges -- 5.2.10 Small Heath -- 5.3 Qualitative Evaluation of Case Studies -- 5.3.1 Safety and security -- 5.3.2 Competence -- 5.3.3 Personalisation and choice -- 5.3.4 Does size matter? -- 6 Architectural Checklist analysis -- 6.1 Overall performance according to the checklist -- 6.1.1 The foyers'/wards' performance according to the checklist -- 6.1.2 The Context and Site features -- 6.1.3 The "Building" group of features -- 6.1.4 The Space and Room Group of features -- 6.2 Overall Frequencies of Institutional features -- 7 The users' perspectives -- 7.1 Safety and security -- 7.1.1 Staff -- 7.1.2 General organisation of the building and building features mentioned by staff -- 7.1.3 Service users' concerns on safety related issues -- 7.1.4 Issues related to safety and security that could be connected to design implications -- 7.1.5 Staff and service user perspective on the safety and the security of the facilities -- 7.2 Competence -- 7.2.1 Staff views on service users' competence -- 7.2.2 Spatial organisation issues related to service users competence according to staff -- 7.2.3 Service users' concerns regarding competence -- 7.2.4 Spatial organisation issues related to service users competence according to service users.
7.2.5 Main findings related to competence for staff and service users -- 7.3 Issues related to personalisation and choice -- 7.3.1 Staff on issues regarding psychosocial aspects of care -- 7.3.2 Staff on personalisation and choice design features -- 7.3.3 Service users on personalisation and choice regime related issues -- 7.3.4 Service users on personalisation and choice issues that were relevant to the space of the foyers/wards -- 7.3.5 Main findings on personalisation and choice -- 8 Conclusions -- 8.1 The cross cultural comparison -- 8.1.1 Safety and security -- 8.1.2 Competence -- 8.1.3 Personalisation and Choice -- 8.2 Further research -- 8.3 The significance of architecture and design -- References.
Abstract:
Therapeutic architecture can be described as the people-centered, evidence-based discipline of the built environment, which aims to identify and support ways of incorporating those spatial elements that interact with people physiologically and psychologically into design. Architecture is an important factor in people's lives when they are well; when they experience ill-health and are less able to cope it becomes even more important.This book explores the design of specialized residential architecture for people with mental health problems. It sets out to show how building design can support medical and health related procedures and practices, leading to better therapeutic outcomes and an enhanced quality of life. Based on almost two decades of research, it aims to understand how architectural design interacts with the therapeutic milieu, the care programs, and actually living in the spaces.The book is divided into two main parts covering theory and research. Part one consists of three chapters: a brief introduction to old practices, current medical psychosocial and architectural thinking, and alternative thinking. Part two explores the research and conclusions derived from fieldwork.This book provides a fascinating insight into the effect that architectural design can have on all of us, but particularly on those with mental health problems."Dr. Evangelia Chrysikou explains the many aspects of mental health and its relation to the quality of the built environment and I strongly recommend this very enjoyable book to anyone who would like to find out more about this important topic." - Prof. Alan Dilani, Ph.D., International Academy for Design and Health "This book provides important, evidence-based data that will help to drive the design of new and refurbished psychiatric facilities and will no doubt become a highly-regarded resource for medical
planners and architects." - Jo Makosinski , Editor, Building Better Healthcare.
Local Note:
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2017. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.
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