Social climate in forensic mental health settings: A systematic review of qualitative studies

Doyle, Patrick J.; Quayle, Ethel; Newman, Emily

doi:10.1016/j.avb.2017.06.008

Cited by 32 publications

(36 citation statements)

References 84 publications

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“…The link between the physical environment and climate has been noticed by Friis (1986), who claims that a therapeutic environment needs to be designed to address patients' needs as this in fact enhances treatment efficacy. This finding aligns well with the review of Doyle et al (2017), which stresses the relationship between design and the quality of the physical and social climate. Their findings that patients' preferences for less institutionalized and more homelike environments show strong similarities with the strive for normality expressed by the patients in our study.…”

Section: Discussionsupporting

confidence: 90%

“…This finding aligns well with the review of Doyle et al . (), which stresses the relationship between design and the quality of the physical and social climate. Their findings that patients’ preferences for less institutionalized and more home‐like environments show strong similarities with the strive for normality expressed by the patients in our study.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, a ‘less‐sterile’ or more home‐like environment was preferred (Doyle et al . ). Likewise, in a literature review by Vischer (), it is reported that more personalized and home‐like caring environments promote well‐being among patients and these are believed to improve the functionality of individuals affected by mental illnesses as well as to improve their perceptions of quality of care.…”

Section: Introductionmentioning

confidence: 97%

“…This was also elaborated by Doyle et al . () in a systematic review of qualitative studies, on the concept of social climate in forensic care settings. The aim of the review was to develop a model describing the aspects that constitute social climate and the impact of a shared environment on social climate from the perspective of staff and patients.…”

Section: Introductionmentioning

confidence: 99%

“…From the patients' perspective, security, privacy, and access to personal space emerged as being vital for promoting a positive social climate for those being treated in a mental forensic ward. In addition, a 'less-sterile' or more home-like environment was preferred (Doyle et al 2017). Likewise, in a literature review by Vischer (2008), it is reported that more personalized and home-like caring environments promote well-being among patients and these are believed to improve the functionality of individuals affected by mental illnesses as well as to improve their perceptions of quality of care.…”

Section: Introductionmentioning

confidence: 99%

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The meanings of place and space in forensic psychiatric care – A qualitative study reflecting patients’ point of view

Olausson

Danielson

Johansson

et al. 2018

Int J Mental Health Nurs

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The outcome of care for patients sentenced to forensic psychiatric care is of importance not only for the patient but also for society, in preventing new crimes. In recent years, a person‐centered perspective is influencing the care, recognizing the design of the physical environment as a therapeutic resource. To capture the complexity of patients’ experience of the physical environment, a qualitative approach is needed. The aim of this study was to investigate the meanings of the patient room as a place and space in forensic psychiatric in‐patient care from the patients’ perspective. An explorative qualitative design was chosen, data were collected by photovoice; a combination of photographs, taken by the patients, followed by interviews. Eleven (N = 11) patients were interviewed. The interviews were analysed by a thematic analysis method. Four themes emerged from the data revealing the meanings of the patient room as a place and space: (i) striving towards normality; (ii) being anchored and protected; (iii) being at‐home and homeness; and (iv) being in communion and meaningfulness. The findings show that the physical environment has a say in patients’ basic needs and a role in maintaining normality. Substandard reveals a lack of respect and dignity towards this patient group. Involving patients in the design process of new facilities can be a way to make progress.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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