Creating ‘therapeutic landscapes’ for mental health carers in inpatient settings: A dynamic perspective on permeability and inclusivity

Abstract

(2013) 'Creating 'therapeutic landscapes' for mental health carers in inpatient settings : a dynamic perspective on permeability and inclusivity.', Social science medicine., 91 . pp. 122-129. Further information on publisher's website:http://dx.doi.org/10. 1016/j.socscimed.2012.09.045 Publisher's copyright statement: NOTICE: this is the author's version of a work that was accepted for publication in Social Science Medicine. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be re ected in this document. Changes may have been made to this work since it was submitted for publication. A de nitive version was subsequently published in Social Science Medicine, 91, 2013Medicine, 91, , 10.1016Medicine, 91, /j.socscimed.2012 Additional information: Use policyThe full-text may be used and/or reproduced, and given to third parties in any format or medium, without prior permission or charge, for personal research or study, educational, or not-for-pro t purposes provided that:• a full bibliographic reference is made to the original source • a link is made to the metadata record in DRO • the full-text is not changed in any way The full-text must not be sold in any format or medium without the formal permission of the copyright holders.Please consult the full DRO policy for further details. Creating 'therapeutic landscapes' for mental health carers in inpatient settings: a dynamic perspective on permeability and inclusivity. Authors and affiliations:Dr ABSTRACT: Although there has been a shift toward treatment in the home and the community, in the UK inpatient facilities are still important in modern mental health care.'Informal carers', including family members, often play an essential role, not only in providing care in the community but also in care of patients during periods of hospitalisation. UK National Health Service policies increasingly consider the position of these carers as 'partners' in the care process, but relatively little attention has been paid to their position within the hospital settings where treatment is provided for inpatients. This paper contributes to geographical work on carers' experiences, by reporting how this issue emerged through a study focused on perceptions of a newly built hospital, compared with the inpatient facilities it replaced. We draw on qualitative research findings from discussion groups and interviews with informal carers. The material considered here focused especially on carers' views of aspects of the hospital environment that were important for wellbeing of carers and the people they look after. The carers' views were supplemented by relevant material drawn from other interviews from our wider study, which included service users and members of hospital staff. These accounts revealed how informal carers experienced the hospital environment; we interpret our findings through a conceptual framework that emphasises carers' experiences of a 'journey' along a 'caring ...

Smoking Cessation Care for People with a Mental Illness: Family Carer Expectations of Health and Community Services

“…This approach is in keeping with the central role that family carers (individuals who provide care and assistance without payment (NSW Department of Health, 2007)) are considered to play in the lives of people with a mental illness (Wood et al, 2013). A large proportion of people in developed countries have such a role (Collings, 2009;Sinha, 2013), with approximately 9 million people in the United States caring for a person with a mental illness (AARP Public Policy Institute, 2015).…”

Orchestrating home

“…The notion of therapeutic landscape has since been employed to study experiences of healing, recovery, health, and well-being across a variety of settings (Gesler 2005;Williams 1999Williams , 2007, including hospitals and clinics (Curtis et al 2007;Wood et al 2013), respite centres (Conradson 2005), hospice day care locations (Moore et al 2013), community gardens (Milligan et al 2004), yoga studios (Hoyez 2007), and places of day-to-day routines such as home (Dyck and Dossa 2007;English et al 2008;Martin et al 2005;Williams 2002). These studies highlight how 'physical and built environments, social conditions and human perceptions combine to produce a [therapeutic] atmosphere' (Gesler 1996, 96).…”

“…Individual settings may be therapeutic or detrimental depending on the person's relationship with the particular site, the others present, and the objects that occupy the space (Conradson 2005;Donovan and Williams 2007;Milligan and Bingley 2007;Wakefield and McMullan 2005). This relational aspect of therapeutic landscapes means that they are actively produced through their physical design (see for example Curtis et al 2007;Wood et al 2013), discursive construction (for example, Hoyez 2007), and/or situated activities and practices (see for example Dyck and Dossa 2007;Laws 2009). How these social processes interact with the physical, social, affective, or symbolic properties of a place dictates whether or not the place is experienced as a therapeutic landscape (Conradson 2005;English et al 2008;Martin et al 2005).…”

Constructing landscapes

“…This trend has produced studies that attend to where hospitals and other health centers are located, and to the physical experience for patients within a clinical setting (see, for example, Wood et al 2013).…”

“…Anthropological notions of landscape and space are generally what geographers would refer to as humanistic or symbolic, emphasizing human interaction in particular locations, rather than physical features of the landscape (Foley 2011;Hampshire et al 2011;Low 2009Low , 2011McLean 2007;Pranikoff and Low 2007;Wood et al 2013). However, the physical landscape remains important, particularly in settings where natural resources are central to rural livelihoods.…”