Architecture for Psychiatric Environments and Therapeutic Spaces.

Title Page -- Acknowledgements -- Table of Contents -- Part 1 -- 1 Introduction -- 1.1 Care in the Community -- 1.2 Design for Domesticity -- 1.3 Mental health service users and their needs -- 1.4 Towards a Model for Rehabilitation -- 1.5 Structure of the Book and Presentation of Ideas -- 2 History of mental health and its expression in architecture -- 2.1 The onset of psychiatry: from God-given medicine to the deep roots of Western psychiatry and "back" to the Great Confinement -- 2.2 From the ideals of the French Revolution to the asylums -- 2.3 The transition from the "second Age of Confinement" to social psychiatry -- 2.4 Social psychiatry and the return of the mentally ill into the community -- 2.5 The rationalisation of mental health care under the managerial perspective and the involvement of social services -- 2.6 Community Care in the UK and France from the Eighties on -- 2.7 Key messages regarding Community Care -- 3 My view: the SCP model -- 3.1 Opposing frameworks for the planning of mental health services -- 3.1.1 Specialists' concepts -- 3.1.2 Normalisation theory -- 3.1.3 Social exclusion in the community -- 3.1.4 From exclusion to social valorization -- 3.1.5 What lies between the asylum and the misinterpretation of domesticity: the need for a new paradigm -- 3.1.6 Safety and security -- 3.1.7 Competence -- 3.1.8 Personalisation and choice -- 3.2 The physical milieu of the psychiatric units -- 3.2.1 The interface with the community: location, scale and external appearance -- 3.2.2 Outdoor areas -- 3.2.3 Internal organisation of facilities -- 3.2.4 Decoration of facilities -- 3.2.5 Patterns -- 3.2.6 Colour -- 3.2.7 Light -- 3.2.8 Furniture and fittings -- 3.2.9 Dealing with tough budgets: small changes -- 3.3 Need for research -- 4 The physical context -- 4.1 The selection of cases.

4.2 The SCP model': towards a critical scoping of the concept of Domesticity -- 4.3 The design of the user-centred questionnaires -- 4.4 The conduct of the fieldwork -- 4.5 The need for an architectural checklist -- 4.6 The detailed design of the Checklist -- 4.7 Advantages and limitations of the methodology -- Part 2 -- 5 The physical milieu of research: the unit buildings -- 5.1 The care regimes -- 5.2 Building descriptions -- 5.2.1 Bois St Joseph -- 5.2.2 Elan Retrouve -- 5.2.3 Francois Tosquelles -- 5.2.4 Geraniums -- 5.2.5 Rene Capitant -- 5.2.6 Albany Lodge -- 5.2.7 Forest Lodge -- 5.2.8 Lakeside -- 5.2.9 New Bridges -- 5.2.10 Small Heath -- 5.3 Qualitative Evaluation of Case Studies -- 5.3.1 Safety and security -- 5.3.2 Competence -- 5.3.3 Personalisation and choice -- 5.3.4 Does size matter? -- 6 Architectural Checklist analysis -- 6.1 Overall performance according to the checklist -- 6.1.1 The foyers'/wards' performance according to the checklist -- 6.1.2 The Context and Site features -- 6.1.3 The "Building" group of features -- 6.1.4 The Space and Room Group of features -- 6.2 Overall Frequencies of Institutional features -- 7 The users' perspectives -- 7.1 Safety and security -- 7.1.1 Staff -- 7.1.2 General organisation of the building and building features mentioned by staff -- 7.1.3 Service users' concerns on safety related issues -- 7.1.4 Issues related to safety and security that could be connected to design implications -- 7.1.5 Staff and service user perspective on the safety and the security of the facilities -- 7.2 Competence -- 7.2.1 Staff views on service users' competence -- 7.2.2 Spatial organisation issues related to service users competence according to staff -- 7.2.3 Service users' concerns regarding competence -- 7.2.4 Spatial organisation issues related to service users competence according to service users.

7.2.5 Main findings related to competence for staff and service users -- 7.3 Issues related to personalisation and choice -- 7.3.1 Staff on issues regarding psychosocial aspects of care -- 7.3.2 Staff on personalisation and choice design features -- 7.3.3 Service users on personalisation and choice regime related issues -- 7.3.4 Service users on personalisation and choice issues that were relevant to the space of the foyers/wards -- 7.3.5 Main findings on personalisation and choice -- 8 Conclusions -- 8.1 The cross cultural comparison -- 8.1.1 Safety and security -- 8.1.2 Competence -- 8.1.3 Personalisation and Choice -- 8.2 Further research -- 8.3 The significance of architecture and design -- References.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.