Housing design and people with severe mental illness: An observational approach to the investigation of supported housing facilities
Corresponding Author
Elizabeth Marcheschi
Department of Architecture and Built Environment, Lund University, Lund, Sweden
Elizabeth Marcheschi, Department of Architecture and Built Environment, Lund University, PO Box 118, SE-221 00 Lund, Sweden. E-mail: [email protected]Search for more papers by this authorMaria Johansson
Department of Architecture and Built Environment, Lund University, Lund, Sweden
Search for more papers by this authorThorbjörn Laike
Department of Architecture and Built Environment, Lund University, Lund, Sweden
Search for more papers by this authorDavid Brunt
School of Health and Caring Science, Linnaeus University, Växjö, Sweden
Search for more papers by this authorCorresponding Author
Elizabeth Marcheschi
Department of Architecture and Built Environment, Lund University, Lund, Sweden
Elizabeth Marcheschi, Department of Architecture and Built Environment, Lund University, PO Box 118, SE-221 00 Lund, Sweden. E-mail: [email protected]Search for more papers by this authorMaria Johansson
Department of Architecture and Built Environment, Lund University, Lund, Sweden
Search for more papers by this authorThorbjörn Laike
Department of Architecture and Built Environment, Lund University, Lund, Sweden
Search for more papers by this authorDavid Brunt
School of Health and Caring Science, Linnaeus University, Växjö, Sweden
Search for more papers by this authorAbstract
An observational approach was employed to investigate the role played by architectural characteristics of supported housing facilities (SHF) in sustaining interactional behavior among people with severe mental illness (SMI) (N = 29) and staff (N = 27). The observations were carried out in dining areas, corridors and outdoor environments of SHF (N = 4). In order to test differences in the observed behaviors two SHFs with high physical-environment quality (HQ) and two with low physical-environment quality (LQ) according to the perception of people with SMI were chosen. Results showed that the dining areas of HQ better support social interactions between SHF users. No differences between the housing facilities were found concerning corridors areas, while housing facilities that provided proximity and accessibility to outdoor environments, such as those with HQ, were significantly more supportive for social interactional behavior than LQ housing. These results corroborate previous findings from this project and suggest that the characteristics of the housing design have a significant impact on the use of the environment and on the behavior patterns in the setting.
References
- Algar, K., Woods, R. T. & Windle, G. (2014). Measuring the quality of life and well-being of people with dementia. A review of observational measures. Dementia, doi:10.1177/1471301214540163.
- Altman, D. G. (1991). Some common problems in medical research. In Practical statistics for medical research. London, England: Chapman & Hall, pp. 396–439.
- Anderson, R. A., Issel, L. M. & McDaniel, R. R. (2003). Nursing homes as complex adaptive systems: Relationship between management practice and resident outcomes. Nursing Research, 52, 12–21.
- Annersted, M. & Währborg, P. (2011). Nature assisted therapy. Systematic review of controlled and observational study. Scandinavian Journal of Public Health, 39, 371–388.
- Antonovsky, A. (1996). The salutogenic model as a theory to guide health promotion. Health Promotion International, 11, 11–18.
- Baroni, M. R. (1998). Environmental Psychology [in Italian]. Bologna, Il Mulino.
- Bechtel, R. & Churchman, A. (2002). Handbook of environmental psychology. New York, John Wiley & Sons.
- Bringslimark, T., Bysheim, K. & Nyrud, A. Q. (2009). Design and health. Evidence based biophilic design. Conference paper. Oslo, Norway.
- Clark, P. & Bowling, A. (1989). Observational study of quality of life in NHS nursing homes and long-stay ward for the elderly. Ageing and Society, 9, 123–148.
10.1017/S0144686X00013520 Google Scholar
- Clark, P. & Bowling, A. (1990). Quality of everyday life in long stay institutions for the elderly. An observational study of long stay hospital and nursing home care. Social Science & Medicine, 30, 1201–1210.
- Cosco, N., Moor, R. & Islam, M. (2010). Behavior mapping. A method for linking preschool physical activity and outdoor design. Medicine & Science in Sports & Exercise, 42, 513–519.
- Curtis, S., Gesler, W., Fabian, K., Francis, S. & Priebe, S. (2007). Therapeutic landscapes in hospitals design: A qualitative assessment by staff and service users of the design of a new mental health in-patient unit. Environment and Planning C Government and Policy, 25, 591–610.
- Daykin, N., Byrne, E., Soteriou, T. & O'Connor, S. (2010). Using arts to enhance mental healthcare environments: Findings from qualitative research. Arts & Health, 2, 33–46.
10.1080/17533010903031408 Google Scholar
- Dean, R., Briggs, K. & Lindesay, J. (1993a). The docus philosophy. A prospective evaluation of two residential units for the elderly mentally ill. International Journal of Geriatric Psychiatry, 8, 807–817.
- Dean, R., Proundfoot, R. & Lindesay, J. (1993b). The quality of interactions schedule (QUIS). Development reliability and use in the evaluation of two domus units. International Journal of Geriatric Psychiatry, 8, 819–826.
- Devlin, A. S. (1992). Psychiatric ward renovation. Staff perception and patient behavior. Environment and Behavior, 24, 66–84.
- Dijkstra, K. (2009). Understanding healing environments. Effects of physical environmental stimuli on patients’ health and well-being. Enschede: Gildeprint Drukkerijen BV.
10.3990/1.9789036527958 Google Scholar
- Drageset, L., Eide, G. E., Nygaard, H. A., Bondevik, M., Nortvedt, M. W. & Natvig, G. K. (2009). The impact of social support and sense of coherence on health-related quality of life among nursing home residents. A questionnaire survey in Bergen. Norway. International Journal of Nursing Studies, 46, 66–76.
- Duxbury, J. A., Wright, K. M., Hart, A., Bradley, D., Roach, P., Harris, N. & Carter, B. (2010). A structured observation of the interaction between nurses and patients during the administration of medication in an acute mental health unit. Journal of Clinical Nursing, 19, 2481–2492.
- Evans, G. W. (2003). The built environment and mental health. Journal of Urban Health, 80, 536–541.
- Fakhoury, W., Murray, A., Shepherd, G. & Priebe, S. (2002). Research in supported housing. Social Psychiatry and Psychiatric Epidemiology, 37, 301–315.
- Falabella, M. (2007). ABC of psychopathology ( 2nd edn.) [in Italian]. Rome: Magi.
- Ferdous, F. & Moore, D. K. (2014). Field observation into the environmental soul spatial configuration and social life for people experiencing dementia. Alzheimer's Disease and other Dementias, 22, 1–10.
- Field, A. (2009). Discovering Statistics using SPSS ( 3rd edn). London: Sage.
- Franz, G. & Wiener, J. M. (2008). From space syntax to space semantics. A behaviorally and perceptually oriented methodology for the efficient description of the geometry and topology of environments. Environment and Planning, 35, 574–592.
- Harris, P. B., McBride, G., Ross, C. & Curtis, L. (2002). A place to heal. Environmental sources of satisfaction among hospital patients. Journal of Applied Social Psychology, 32, 1276–1299.
- Holahan, C. J. (1972). Sitting patterns and patient behaviors in an experimental dayroom. Journal of Abnormal Psychology, 80, 115–124.
- Holahan, C. J. & Saegert, S. (1973). Behavioral and attitudinal effects of a large-scale variation in the psychical environment of psychiatric wards. Journal of Abnormal Psychology, 82, 454–462.
- Horne-Martin, H. S. (2002). The classroom environment and its effects on the practice of teachers. Journal of Environmental Psychology, 22, 139–156.
- Ittelson, W. H. & Proshansky, H. M. (1970). Bedroom size and social interaction of the psychiatric ward. Environment and Behavior, 2, 255–270.
- Ivarsson, C. T. (2011). On the use and experience of a health garden. Exploring the design of the Alnarp rehabilitation garden. Alnarp: SLU Repro.
- Kloos, B. & Shah, S. (2009). A Social ecological approach to investigating relationships between housing and adaptive functioning for persons with serious mental illness. American Journal of Community Psychology, 44, 316–326.
- Küller, R. (1991). Environmental assessment from a neuropsychological perspective. In T. Gärling, & G. W. Evans (Eds.), Environment, cognition, and action (pp. 78–95). New York: Oxford University Press.
- Lawton, P. M. (1983). Environment and other determinants of well-being in older people. The Gerontologist, 23, 349–357.
- Lawton, P. M. (2010). The physical environment of the person with Alzheimer's disease. Aging & Mental Health, 5, 56–64.
10.1080/713650004 Google Scholar
- Johansson, M. & Brunt, D. (2012). Physical environment in supported housing for people with severe mental illness. Issues in Mental Health Nursing, 33, 223–235.
- Marcheschi, E., Brunt, D., Hansson, L. & Johansson, M. (2013). The influence of physical environmental qualities on the social climate of supported housing facilities for people with severe mental illness. Issues in Mental Health Nursing, 34, 117–123.
- Marcheschi, E., Johansson, M., Brunt, D. & Laike, T. (2014). Physical-environment qualities of supported-housing facilities for people with severe mental illness. Journal of Architectural and Planning Research, 32, 128–142.
- Marcheschi, E., Laike, T., Brunt, D., Hansson, L. & Johansson, M. (2016). Quality of life and place attachment among people with severe mental illness. Journal of Environmental Psychology, 41, 145–154.
- MacDonald, A. J. D., Craig, T. K. J. & Warner, L. A. R. (1985). The development of a short observation method for the study of the activities and contacts of old people in residential settings. Psychological Medicine, 15, 167–172.
- Moore, D. K. & Verhoef, R. (1999). Special care units as places for social interaction. Evaluating an SCU's social affordance. American Journal of Alzheimer's Disease and Other Dementias, 14, 217–229.
10.1177/153331759901400406 Google Scholar
- Moore, D. K. (2004). Interpreting the hidden program of a place. An example from dementia day care. Journal of Aging Studies, 18, 297–320.
- Moos, R. H. & Houts, P. S. (1968). Assessment of the social atmospheres of psychiatric wards. Journal of Abnormal Psychology, 73, 595–604.
- Papoulias, C., Csipke, E., Rose, D., Mckellar, S. & Wykes, T. (2014). The psychiatric ward as a therapeutic space: systemic review. The British Journal of Psychiatry, 205, 171–176.
- Proctor, R., Powell, H. S., Burns, A., Tarrier, N., Reeves, D., Emerson, E. & Hatton, C. (1998). An observational study to evaluate the impact of a specialist outreach team on the quality of care in nursing and residential homes. Aging & Mental Health, 2, 232–238.
- Shepley, M. M. & Pasha, S. (2013). Design research and behavioral health facilities. Retrieved 14 May 2014 from http://thecenterforhealthdesign.com.
- Sloane, P. D., Mitchell, C. M., Weisman, G., Zimmerman, S., Foley, K. M. L., Lynn, M., et al. (2002). The therapeutic environment screening survey for nursing homes (TESS-NH). An observational instrument for assessing the physical environment of institutional settings for person with dementia. Journal of Gerontology, 57, 69–78.
10.1093/geronb/57.2.S69 Google Scholar
- Schwarz, B., Chaudhury, H. & Tofle, R. B. (2004). Effect of design interventions on a dementia care setting. American Journal of Alzheimer's Disease and Other Dementias, 19, 172–176.
- Swedish National Board of Health and Welfare (2003). Housing for people with psychiatric disabilities. A national evaluation of housing types in the municipalities’ social services [in Swedish]. Stockholm: National Board of Health and Welfare.
- Tyson, G. A., Lambert, G. & Beattie, L. (2002). The impact of ward design on the behaviour, occupational satisfaction and well-being of psychiatric nurses. International Journal of Mental Health Nursing, 11, 94–102.
- Ulrich, R. S. (1999). Effects of gardens on health outcomes: Theory and Research. In C. C: Marcus & M. Barnes. (Eds.), Healing gardens: Therapeutic benefits and design recommendations (pp. 27–86). New York: John Wiley.
- Ulrich, R. S. (2002). Health benefits of gardens in hospitals. Conference paper, Plants for People. International Exhibition Floriade.
- Wright, P. A. & Kloos, B. (2007). Housing environment and mental health outcomes: A levels of analysis perspective. Journal of Environmental Psychology, 27, 79–89.