Toward a Framework for Designing Person–Centered Mental Health Interiors for Veterans

Platt, Lisa Sundahl; Bosch, Sheila J.; Kim, Daejin

doi:10.1111/joid.12095

Cited by 11 publications

(12 citation statements)

References 60 publications

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“…In behavioral health facilities, there has been much debate about whether care team stations should be enclosed for safety or open and accessible, providing a more human-centered environment (Platt et al, 2017). Staff members sometimes perceive that open workstations make them more vulnerable by permitting angry patients and companions to enter their “territory,” trapping them behind the desk.…”

Section: Resultsmentioning

confidence: 99%

Investigating the Impact of Healthcare Environmental Design on Staff Security: A Systematic Review

MohammadiGorji

Bosch

Valipoor

et al. 2020

HERD

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Objective: To systematically review the literature regarding the role of the physical environment in preventing or mitigating aggressive behavior toward healthcare professionals in acute care, outpatient, and psychiatric/behavioral health facilities. Background: Globally, the incidence of violence against healthcare professionals is alarming. Poor environmental design has been identified as a risk factor of violence toward employees. The design of the physical setting in which healthcare is provided may moderate the incidence and severity of violence against healthcare workers. Methods: We conducted electronic database searches of PubMed and CINAHL through November 2018. Result: Findings were organized according to four categories identified in the literature regarding crime prevention through environmental design (CPTED) including natural surveillance, access control, territoriality, and other CPTED elements. Fifteen studies (published between 1991 and 2017) met the inclusion criteria. Of the 15 studies, 4 incorporated environmental interventions. In the 11 remaining studies, physical environment attributes (i.e., layout, location, ambient conditions, equipment) were among the factors affecting violent incidents and staff security. Most study settings were hospital-based (11, with 10 of those specifically focused on emergency departments), followed by behavioral health facilities (4 studies). Design-focused recommendations, such as providing a second door in a triage room and a sub-waiting area inside the treatment zone, were summarized according to CPTED categories. Conclusion: This review suggests that the physical environment in healthcare facilities may affect the incidence of violence by patients or visitors against staff. Further research is needed to identify environmental design strategies that may protect the safety of healthcare professionals.

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Section: Resultsmentioning

confidence: 99%

Investigating the Impact of Healthcare Environmental Design on Staff Security: A Systematic Review

MohammadiGorji

Bosch

Valipoor

et al. 2020

HERD

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“…In summary, there are multiple ( 18 ) pathology-unspecific studies that indicate a relationship between environmental characteristics and well-being outcomes. However, none of them provide robust evidence.…”

Section: Resultsmentioning

confidence: 99%

“…In this patient group, this was associated with reduced aggression, agitation and nervousness, and better sleep [e.g., (101)]. Given that psychiatric patients have been described as vulnerable to social (over) stimulation [e.g., (33)], require an environment providing dignity (7), and have particular needs due to their trauma-history, single patient rooms that allow privacy and regulated social interaction have been widely encouraged by researchers (18,21,29,31,39,58,(101)(102)(103). Single patient rooms have been widely used in new inpatient units in, for example, Australia [cf.…”

Section: Social Stimulationmentioning

confidence: 99%

“…Although awareness of the relationship between the quality of the physical environment and healthcare delivery and recovery has increased over recent decades, heuristic guidance documents and frameworks for mental healthcare facilities, or the study thereof, tend to incorporate evidence of the effects of the physical environment on patients with physiological ill-health [e.g., (18)(19)(20)(21)(22)(23)(24)(25)]. This is problematic, since the evidence from generic healthcare settings of treating patients with physiological ill-health has been considered poor (12,26).…”

Section: Introductionmentioning

confidence: 99%

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Patients' Health & Well-Being in Inpatient Mental Health-Care Facilities: A Systematic Review

et al. 2022

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Background: Previous research indicates that the physical environment of healthcare facilities plays an important role in the health, well-being, and recovery outcomes of patients. However, prior works on mental healthcare facilities have incorporated physical environment effects from general healthcare settings and patient groups, which cannot be readily transferred to mental healthcare settings or its patients. There appears to be a specific need for evidence synthesis of physical environmental effects in mental healthcare settings by psychopathology.Purpose: This review evaluates the state (in terms of extent, nature and quality) of the current empirical evidence of physical environmental on mental health, well-being, and recovery outcomes in mental healthcare inpatients by psychopathology.Method: A systematic review (PRISMA guidelines) was performed of studies published in English, German, Dutch, Swedish, and Spanish, of all available years until September 2020, searched in Cochrane, Ovid Index, PsycINFO, PubMed, and Web of Science and identified through extensive hand-picking. Inclusion criteria were: Adult patients being treated for mental ill-health (common mental health and mood disorders, Cochrane frame); inpatient mental health care facilities; specifications of the physical and socio-physical environment (e.g., design features, ambient conditions, privacy); all types of empirical study designs. Quality assessment and data synthesis were undertaken.Results: The search retrieved 1,068 titles of which 26 met the inclusion criteria. Findings suggest that there is only indicative evidence of the impact of the physical healthcare environment on patients' mental health, well-being, and recovery outcomes. There is significant lack of pathology-specific evidence. Methodological shortcomings and empirical scarcity account for the poor evidence.Conclusion: This review highlights the need for more research using advanced study designs.

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“…, and from iving en or many might d take off these hijabs only if they felt they were in a private and protected environment, and there was no risk of men seeing them. Physical and mental safety and protection can be emphasized in the furnishings and ambiance of the environment (Platt et al, 2017), directly affecting the design of an environment that inspires comfort.…”

Section: Yes I Need 33%mentioning

confidence: 99%

Achieving ‘Good Health and Well-Being’ for Women in Diverse Socio-Economic Neighbourhoods

Lee¹

2020

JSD

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Designing a place for women facing daily hardships often demands a distinct set of interventions that often bring unique challenges to designers. The Northside neighborhood is a poor and racially tensioned neighborhood with a lack of opportunity and social support. Many families in this neighborhood experiencing economic difficulties rising from such inequality and inadequate provision of opportunity, have raised concerns for no or limited access to basic necessities such as housing and healthcare. Particularly women in the Northside neighborhood raised their concerns about not a having socially and culturally safe environment in which they can engage in wellness activities (Stasya Erickson and Jonathan Logan, Personal Communication, June 18, 2018). Having daily challenges with childcare, financial hardship, accessibility, communication, cultural traditions that prevent them from taking care of their mental and physical wellness, these women do not have the luxury to concern about their health and wellbeing. Besides, conventional health facilities have been designed rather emphasizing the functional delivery of the space, which often lacked or unsuited to satisfy the psychological or social needs. This paper discusses the processes and results of three community design charrettes conducted to gather information on the need for women's fitness center with an aim to promote holistic means of wellness. The three design charrettes were organized with a) residents from the Northside community (n=15); b) local organizational stakeholders and community leaders (n=7), and c) potential wellness center partners (n=2). In conjunction with the design charrettes, an alternative market study survey (n=108) was conducted to learn about people’s opinions and views on the community’s primary interests and the needs for the women-focused health system in the Northside neighborhood. Both charrettes and survey discovered that women’s immense needs for childcare, sense of community, security, and privacy can be pursued through their participation to participate in the wellness activities. This research posits that design based on community’s voices would help designers, educators, and policymakers to produce a realistic and impactful design that responds to the needs of women in diverse socio-economic neighborhoods.

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Toward a Framework for Designing Person–Centered Mental Health Interiors for Veterans

Cited by 11 publications

References 60 publications

Investigating the Impact of Healthcare Environmental Design on Staff Security: A Systematic Review

Investigating the Impact of Healthcare Environmental Design on Staff Security: A Systematic Review

Patients' Health & Well-Being in Inpatient Mental Health-Care Facilities: A Systematic Review

Achieving ‘Good Health and Well-Being’ for Women in Diverse Socio-Economic Neighbourhoods

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