The Impact of a Changed Environment on Arousal Levels of Patients in a Secure Extended Rehabilitation Facility

Olver, James S; Love, Mervyn; Daniel, Jeffrey; Norman, Trevor R.; Nicholls, Daniel

doi:10.1080/10398560902839473

Cited by 15 publications

(11 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A lack of personal space has been perceived by patients as an incident antecedent (Hallet et al, 2014;Johnson et al, 1997;Meehan et al, 2006). Sub-optimal architecture referred to reductions in violent incidents noted when residents were moved to facilities characterised as having large outdoor areas, large windows and a greater amount of light (Olver et al, 2009).…”

Section: Theme 3: Inadequate Physical Environmentmentioning

confidence: 99%

Predicting security incidents in high secure male psychiatric care

Ireland

Jones

et al. 2019

International Journal of Law and Psychiatry

View full text Add to dashboard Cite

Section: Theme 3: Inadequate Physical Environmentmentioning

confidence: 99%

Predicting security incidents in high secure male psychiatric care

Ireland

Jones

et al. 2019

International Journal of Law and Psychiatry

View full text Add to dashboard Cite

“…Our results are in line with a Danish study on Crisis houses also offering single room [ 13 ] where patients’ experienced that they lived a normal life and were seen as humans – not patients. Previous studies have found that overcrowding in psychiatric wards may be associated with increased risk of anxiety and aggression in patients with SMI [ 34 ] and that a single room and fewer patients in common rooms in wards lead to reduced levels of stress, pain, and anxiety [ 35 , 36 ]. Further, our results are keeping with a narrative review [ 37 ] that found that well-designed interior settings play an important role in the healing process of patients in health care facilities.…”

Section: Discussionmentioning

confidence: 99%

Like a hotel, but boring: users’ experience with short-time community-based residential aftercare

Roos

Bjerkeset

Svavarsdóttir

et al. 2017

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundThe discharge process from hospital to home for patients with severe mental illness (SMI) is often complex, and most are in need of tailored and coordinated community services at home. One solution is to discharge patients to inpatient short-stay community residential aftercare (CRA). The aim of this study was to explore how patients with SMI experience a stay in CRA established in a City in Central Norway.MethodsA descriptive qualitative study with individual interviews and a group interview with 13 persons. The CRA aims to improve the discharge process from hospital to independent supported living by facilitating the establishment of health and social services and preparing the patients. The philosophy is to help patients use community resources by e.g. not offering any organized in-house activities. The main question in the interviews was “How have you experienced the stay at the CRA?” The interviews were analyzed with a thematic approach using systematic text condensation.ResultsThe participants experienced the stay at the CRA “Like a hotel” but also boring, due to the lack of organized in-house activities. The patients generally said they were not informed about the philosophy of the CRA before the stay. The participants had to come up with activities outside the CRA and said they got active help from the staff to do so; some experienced this as positive, whereas others wanted more organized in-house activities like they were used to from mental health hospital stays. Participants described the staff in the CRA to be helpful and forthcoming, but they did not notice the staff being active in organizing the aftercare.ConclusionsThe stay at the CRA was experienced as different from other services, with more freedom and focus on self-care, and lack of in-house activities. This led to increased self-activity among the patients, but some wanted more in-house activities. To prepare the patients better for the stay at the CRA, more information about the philosophy is needed in the pre-admission process.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-2777-z) contains supplementary material, which is available to authorized users.

show abstract

“…Building/architectural features Architectural typology that resembles hotel/hostel/bungalow-type with external image blended with the neighbourhood scale and building forms is preferred by patients, staff, and carers. Six studies showed that relocating patients from asylums to new, smaller, homelike, purpose-built facilities was beneficial for social interaction [4,20,21,[29][30][31]Á Seven studies showed that renovation [41,57,62] or relocation of patients to a new, purpose build facility [63][64][65][66] was associated with reduction in violent incidents, seclusion or restraint.…”

Section: Location/sitementioning

confidence: 99%

How to design psychiatric facilities to foster positive social interaction – A systematic review

2019

View full text Add to dashboard Cite

Psychiatric facilities are often criticised of being poorly designed which may contribute to violent incidents and patients’ complaints of feeling bored and lacking meaningful interactions with peers and staff. There is a lack of understanding how to design environments for staff, patients and visitors to engage in positive social interactions (e.g. conversation, sharing, peer support). We conducted a systematic literature review on which architectural typologies and design solutions facilitate helpful social interactions between users of psychiatric facilities. Several interventions were identified such as choosing a community location; building smaller (up to 20 beds) homelike and well integrated facilities with single/double bedrooms and wide range of communal areas; provision of open nursing stations; ensuring good balance between private and shared spaces for patients and staff; and specific interior design interventions such as arranging furniture in small, flexible groupings, introduction of plants on wards, and installing private conversation booths. These interventions range from simple and non-costly to very complex ones. The evidence should inform the design of new hospitals and the retrofitting of existing ones.

show abstract

The Impact of a Changed Environment on Arousal Levels of Patients in a Secure Extended Rehabilitation Facility

Abstract: The physical environment of long-stay rehabilitation wards may influence aggressive behaviour and arousal in chronically ill patients.

Cited by 15 publications

References 24 publications

Predicting security incidents in high secure male psychiatric care

Predicting security incidents in high secure male psychiatric care

Like a hotel, but boring: users’ experience with short-time community-based residential aftercare

How to design psychiatric facilities to foster positive social interaction – A systematic review

Contact Info

Product

Resources

About