The psychiatric ward as a therapeutic space: systematic
                        review

Papoulias, Constantina; Csipke, Emese; Rose, Diana; McKellar, Susan; Wykes, Til

doi:10.1192/bjp.bp.114.144873

Cited by 77 publications

(89 citation statements)

References 30 publications

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“…The patient's room was portrayed as a safe and private zone as the patients could at any time enter their room and be alone. This has also been proven by previous research; access to private spaces to withdraw is associated with less stress and aggression and an increased sense of security (Papoulias et al 2014). However, control and security were aspects that emerged in this study.…”

Section: Discussionsupporting

confidence: 74%

“…This has also been proven by previous research; access to private spaces to withdraw is associated with less stress and aggression and an increased sense of security (Papoulias et al . ). However, control and security were aspects that emerged in this study.…”

Section: Discussionmentioning

confidence: 97%

“…Using photographs as a research tool in describing and in representing patients’ experiences of the psychiatric ward is also encouraged by Papoulias et al . ().…”

Section: Discussionmentioning

confidence: 97%

“…Moreover, using photographs in combination with interviews generates rich data, particularly in relation to the physical environment (Catalani & Minkler 2010;Lal et al 2012). Using photographs as a research tool in describing and in representing patients' experiences of the psychiatric ward is also encouraged by Papoulias et al (2014).…”

Section: Methodological Reflectionsmentioning

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: 74%

Section: Discussionmentioning

confidence: 97%

“…Using photographs as a research tool in describing and in representing patients’ experiences of the psychiatric ward is also encouraged by Papoulias et al . ().…”

Section: Discussionmentioning

confidence: 97%

Section: Methodological Reflectionsmentioning

confidence: 99%

See 2 more Smart Citations

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

View full text Add to dashboard Cite

show abstract

“…However, this remains inconclusive. 37 While there are arguments for psychiatric wards to maintain shared rooms, paradoxically, individual rooms have already been associated with improved social behavior. 38 This is because patients can opt for a private space, and yet they can also often leave the room, unlike patients staying in rooms with other patients who may isolate themselves searching for privacy.…”

Section: Discussionmentioning

confidence: 99%

Satisfaction with care in a Brazilian psychiatric inpatient unit: differences in perceptions among patients according to type of health insurance

Godoy

Pavan

Monteiro

et al. 2019

Trends Psychiatry Psychother.

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Introduction User satisfaction assessment in mental health services is an important indicator of treatment quality. The objective of this study was to evaluate treatment satisfaction in a sample of inpatients with mental disorders and the associations between levels of satisfaction and clinical/sociodemographic variables. Methods This exploratory study investigated 227 psychiatric inpatients who answered the Patient Satisfaction with Mental Health Services Scale (SATIS-BR) and the Perception of Change Scale (EMP). SATIS scores were analyzed according to associations with clinical and sociodemographic data. Pearson correlations were used to correlate SATIS scores with other variables. Results We found a high degree of satisfaction with care at the psychiatric inpatient unit assessed. In general, patients rated maximum satisfaction for most items. The highest satisfaction scores were associated with patients receiving treatment through the Brazilian Unified Health System (SUS) and with less education. SATIS showed a moderate positive correlation with EMP. The worst evaluated dimension was physical facilities and comfort of the ward. Conclusion Patients treated via SUS may be more satisfied than patients with private health insurance when treated in the same facility. The evaluation of treatment satisfaction can be used to reorganize services at psychiatric inpatient units.

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What claims are made about clients and therapists’ experiences of psychotherapy environments in empirical research? A systematic mixed‐studies review and narrative synthesis

Morrey

Larkin

Rolfe

2020

Couns and Psychother Res

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Experiences of the therapy environment are rarely studied empirically, but a 'good' environment may contribute to health and well-being (Fenner, 2011; Pressly & Heesacker, 2001). The way in which the environment is experienced in therapy may also have an impact on other aspects of therapy, such as therapeutic relationship and process (Bondi & Fewell, 2003; Fenner, 2011). Both the therapeutic process and relationship are explored in contemporary psycho

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The psychiatric ward as a therapeutic space: systematic review

Abstract: Data on the impact of design on treatment outcomes are inconclusive. Rigorous randomised controlled trials, qualitative studies and novel methods are called for. Different stakeholders' responses to the ward as a symbolic environment merit further investigation.

Cited by 77 publications

References 30 publications

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

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

Satisfaction with care in a Brazilian psychiatric inpatient unit: differences in perceptions among patients according to type of health insurance

What claims are made about clients and therapists’ experiences of psychotherapy environments in empirical research? A systematic mixed‐studies review and narrative synthesis

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