Journal article
Psychiatric Institutions and the Physical Environment: Combining Medical Architecture Methodologies and Architectural Morphology to Increase Our Understanding
Journal of healthcare engineering, v 2019, pp 4076259-16
01 Jan 2019
PMID: 30723538
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The pluralism that characterized the development of psychiatric services around the world created a variety of policies, care models and building types, and fostered experimental approaches. Increased complexities of care, institutional remnants, stigma, and the limited diagnostic and interventional accuracy of psychiatric treatments resulted in institutional behaviors surviving, even in newly built facilities. This was raised by research on awarded psychiatric buildings. The locus of the research comprised two acute psychiatric wards in London. Each was evaluated using the SCP model, a tool specifically developed for the evaluation of mental health facilities, identifying the relation between policy, care regime, and patient-focused environment. Data were derived from plans, visits, and staff and patient interviews. Findings were juxtaposed to those of an earlier study using the same methodology. Also, a syntactic analysis was conducted, to identify the social logic of ward layouts. There were potential connections between regimes, spatial configuration, and the social fabric. Methodologies of architectural morphologies indicated areas that would attract people because of the layout rather than function. However, insights into medical architecture outlined institutional undercurrents and provided alternative interpretation to spatial analysis. Comprehending the social fabric of psychiatric facilities could challenge the current surveillance-led model, as psychosocial rehabilitation uses could be encouraged at points of higher integration.
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Details
- Title
- Psychiatric Institutions and the Physical Environment: Combining Medical Architecture Methodologies and Architectural Morphology to Increase Our Understanding
- Creators
- Evangelia Chrysikou - The Bartlett Real Estate Institute, UCL, London WC1E 7HB, UK
- Publication Details
- Journal of healthcare engineering, v 2019, pp 4076259-16
- Publisher
- Hindawi Publishing Group
- Number of pages
- 16
- Grant note
- 658244 / European Union's Horizon 2020 Research and Innovation Programme under the Marie Sklodowska-Curie Grant; European Commission; European Commission Joint Research Centre
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Arts and Sciences
- Web of Science ID
- WOS:000459251000001
- Scopus ID
- 2-s2.0-85060527300
- Other Identifier
- 991020531991404721
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- Web of Science research areas
- Health Care Sciences & Services