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Design for Mental and Behavioral Health [Pehme köide]

(CallisonRTKL, Washington DC, USA), (Cornell University, USA)
  • Formaat: Paperback / softback, 282 pages, kõrgus x laius: 246x189 mm, kaal: 756 g, 15 Tables, black and white; 72 Line drawings, color; 61 Halftones, color; 133 Illustrations, color
  • Ilmumisaeg: 16-May-2017
  • Kirjastus: Routledge
  • ISBN-10: 1138126365
  • ISBN-13: 9781138126367
  • Formaat: Paperback / softback, 282 pages, kõrgus x laius: 246x189 mm, kaal: 756 g, 15 Tables, black and white; 72 Line drawings, color; 61 Halftones, color; 133 Illustrations, color
  • Ilmumisaeg: 16-May-2017
  • Kirjastus: Routledge
  • ISBN-10: 1138126365
  • ISBN-13: 9781138126367

Studies confirm that the physical environment influences health outcomes, emotional state, preference, satisfaction and orientation, but very little research has focused on mental and behavioural health settings. This book summarizes design principles and design research for individuals who are intending to design new mental and behavioural health facilities and those wishing to evaluate the quality of their existing facilities. The authors discuss mental and behavioural health systems, design guidelines, design research and existing standards, and provide examples of best practice. As behavioural and mental health populations vary in their needs, the primary focus is limited to environments that support acute care, outpatient and emergency care, residential care, veterans, pediatric patients, and the treatment of chemical dependency.

List of figures xi
Acknowledgements xv
Introduction xvii
Part One: Mental and behavioral health context 1(66)
1 Mental and behavioral health history and context
3(18)
1.1 Historical perspective
3(7)
1.1.1 History of psychiatric care
3(1)
1.1.2 History of psychiatric facilities
3(4)
1.1.3 Post-nineteenth-century history of legislation
7(3)
1.2 Challenges to mental and behavioral health research and design
10(2)
1.2.1 Variety of settings
10(1)
1.2.2 Variety of diagnoses
10(2)
1.3 Global issues
12(4)
1.3.1 North American context
12(1)
1.3.2 European context
13(1)
1.3.3 Middle Eastern context
13(1)
1.3.4 Asian context
14(1)
1.3.5 Central and South American context
14(1)
1.3.6 African context
14(1)
1.3.7 General international challenges
15(7)
1.3.7.1 Impact of natural disasters and emergency situations on care providers
15(1)
1.3.7.2 Scarcity of resources and economic instability
15(1)
1.3.7.3 War, conflicts, and human rights violations
15(1)
1.3.7.4 Forced displacement and migration
15(1)
1.4 Mental and behavioral health context summary
16(5)
2 General design considerations
21(46)
2.1 Theories behind psychiatric facility design
22(4)
2.1.1 Anthroposophy
22(1)
2.1.2 Evidence-based design and research-informed design
22(1)
2.1.3 Generative design
23(1)
2.1.4 Planetree and the Institute for Patient-Centered Design
23(2)
2.1.5 Salutogenic design
25(1)
2.1.6 Specialist versus generalist
25(1)
2.2 Planning and programming considerations
26(1)
2.3 Transdisciplinary collaboration
26(1)
2.4 Design considerations
27(1)
2.5 Environmental psychology issues
28(10)
2.5.1 Personal space and density
28(1)
2.5.2 Choice and control
29(1)
2.5.3 Sensory considerations
30(1)
2.5.4 Spatial clarity and organization
31(1)
2.5.5 Comfortable and homelike surroundings
31(1)
2.5.6 High-quality, well-maintained environment
32(1)
2.5.7 Positive distraction
33(1)
2.5.8 Social interaction
34(1)
2.5.9 Access to nature and daylight
35(1)
2.5.10 Safety
36(1)
2.5.11 Supervision
37(1)
2.6 Specific setting issues
38(4)
2.6.1 Inpatient common areas, inpatient patient spaces, and overall recommendations
38(2)
2.6.2 Outpatient settings
40(1)
2.6.3 Staff spaces
40(1)
2.6.4 Finishes, furniture, and equipment
40(2)
2.7 Site and building envelope and configuration
42(1)
2.8 Case studies
43(26)
2.8.1 Dandenong Hospital
43(5)
2.8.2 Psychiatric hospital in Slagelse
48(4)
2.8.3 Southwest Centre for Forensic Mental Health Care
52(5)
2.8.4 Vermont Psychiatric Care Hospital
57(10)
Part Two: The settings 67(132)
3 Outpatient facilities
69(18)
3.1 Introduction to outpatient facilities
69(3)
3.1.1 History of outpatient psychiatric care
69(1)
3.1.2 Data regarding the outpatient psychiatric population
70(2)
3.2 Characteristics of outpatient psychiatric facilities
72(2)
3.2.1 Frequency and duration of visitations
72(1)
3.2.2 Number of psychiatric outpatient facilities
73(1)
3.3 Outpatient psychiatric facility design
74(5)
3.3.1 Research on ambulatory psychiatric care design
74(1)
3.3.2 Outpatient psychiatric care design recommendations and features
75(4)
3.3.2.1 Fountain House
76(1)
3.3.2.2 Service Integration
76(1)
3.3.2.3 Design strategies
77(2)
3.4 Case study
79(8)
3.4.1 The Peter B. Lewis and Adam Lewis Wellness Center
79(8)
4 Emergency psychiatric facilities
87(20)
4.1 Introduction to emergency facilities
87(4)
4.1.1 History of psychiatric emergency care in the United States
87(1)
4.1.2 Data regarding the psychiatric emergency population
87(4)
4.2 Characteristics of emergency psychiatric facilities
91(3)
4.2.1 Frequency and duration of visitations
91(2)
4.2.2 Number of emergency facilities
93(1)
4.3 Emergency psychiatric facility design
94(5)
4.3.1 Research on emergency psychiatric care design
94(1)
4.3.1.1 Dedicated spaces
94(1)
4.3.1.2 Regional services
94(1)
4.3.1.3 Collocation
94(1)
4.3.2 Emergency psychiatric care design recommendations and features
95(4)
4.3.2.1 General recommendations
95(1)
4.3.2.2 Entry
96(1)
4.3.2.3 Waiting areas
96(1)
4.3.2.4 Assessment rooms
97(1)
4.3.2.5 Seclusion rooms
98(1)
4.3.2.6 Public and private space
98(1)
4.4 Case studies
99(8)
4.4.1 Behavioral Healthcare Center of Excellence - Erie County Medical Center
99(3)
4.4.2 Emergency Department at Kings County Behavioral Health Center
102(5)
5 Substance use disorder treatment settings
107(22)
5.1 Introduction
107(3)
5.1.1 History of facilities for treatment of substance use disorders in the United States
107(1)
5.1.2 Characteristics and needs of substance use disorder patients
107(3)
5.2 Characteristics of facilities for persons with substance use disorders
110(2)
5.3 Research on facilities for persons with substance use disorders
112(3)
5.4 Substance use disorder facility design goals
115(3)
5.4.1 Inpatient environments
115(1)
5.4.2 Outpatient environments
116(2)
5.5 Case studies
118(11)
5.5.1 Margaret and Charles Juravinski Centre for Integrated Care
118(3)
5.5.2 Worcester Recovery Center and Hospital
121(8)
6 Mental health facilities for veterans of war
129(22)
6.1 Introduction
129(4)
6.1.1 History of mental and behavioral health facilities for veterans in the United States
129(1)
6.1.2 Data regarding war veterans population
130(1)
6.1.3 Characteristics and needs of war veterans
131(2)
6.2 Characteristics of residential mental health facilities for war veterans
133(3)
6.2.1 Length of stay
134(1)
6.2.2 Average daily census
135(1)
6.2.3 Number of beds and facilities
136(1)
6.3 Research on mental and behavioral health facilities for war veterans
136(4)
6.4 Design goals for facilities for war veterans
140(5)
6.4.1 Inpatient environments
140(2)
6.4.2 Outpatient environments
142(3)
6.5 Case study
145(6)
6.5.1 Acute Inpatient Psychiatric Replacement Facility Palo Alto, Veterans Affairs
145(6)
7 Child and adolescent psychiatric care
151(28)
7.1 Introduction
151(3)
7.1.1 History of child and adolescent care in the United States
151(1)
7.1.2 Data regarding the pediatric psychiatric population
152(2)
7.1.3 Characteristics and needs of children
154(1)
7.2 Characteristics of residential pediatric mental healthcare facilities
154(4)
7.2.1 Length of stay
155(1)
7.2.2 Average daily census
156(1)
7.2.3 Number of beds and facilities
156(2)
7.3 Characteristics of outpatient and emergency room pediatric mental healthcare facilities
158(2)
7.3.1 Pediatric outpatient data
158(2)
7.3.2 Pediatric emergency department data
160(1)
7.4 Pediatric inpatient, outpatient and emergency room design goals
160(6)
7.4.1 Pediatric inpatient environments
160(5)
7.4.1.1 Research on pediatric inpatient design
160(1)
7.4.1.2 Pediatric inpatient design recommendations and features
161(4)
7.4.2 Pediatric outpatient environments
165(1)
7.4.3 Pediatric emergency department environments
165(1)
7.5 Case studies
166(13)
7.5.1 Mary Graham Children's Shelter
166(5)
7.5.2 Placer County Children's Emergency Shelter
171(8)
8 Mental and behavioral health community residential settings
179(20)
8.1 Introduction
179(2)
8.1.1 History of residential facilities in the United States
179(1)
8.1.2 Data regarding residential facility population
180(1)
8.2 Characteristics of residential facilities
181(4)
8.2.1 Types of programs and settings
181(1)
8.2.2 Number of facilities and participation rates
182(3)
8.3 Mental and behavioral health design goals
185(3)
8.3.1 Recommendations by designers
186(1)
8.3.2 Psychological factors influencing the effectiveness of community facilities
187(1)
8.4 Case studies
188(13)
8.4.1 The Next Door
188(5)
8.4.2 Tiny Homes at the Farm at Penny Lane
193(6)
Part Three: The research 199(30)
9 The role of the physical environment in mental and behavioral health research
201(28)
9.1 History and status of research
201(1)
9.2 Methodology for literature review
201(1)
9.3 Challenges to data collection involving patients
202(1)
9.4 Behavioral health facility evaluation tools
203(2)
9.5 Linking research to design
205(3)
9.5.1 Strong evidence and emerging evidence
205(2)
9.5.2 Studies requiring additional corroboration
207(1)
9.6 Research summary
208(11)
9.6.1 Physical environment and social behavior
209(3)
9.6.2 Pre- and post-occupancy evaluations
212(3)
9.6.2.1 Multiple facility studies
213(1)
9.6.2.2 Satisfaction
213(2)
9.6.2.3 Staff behavior
215(1)
9.6.3 Harmful behavior and stress
215(16)
9.6.3.1 Suicide
216(1)
9.6.3.2 Stress
216(1)
9.6.3.3 Pathological behavior
216(1)
9.6.3.4 Aggression and violence
217(1)
9.6.3.5 Issues regarding smoking
218(1)
9.7 Trends
219(10)
Part Four: Guidelines and future directions 229(22)
10 Guidelines
231(14)
10.1 Introduction
231(1)
10.2 Organizations providing standards and guidelines
231(9)
10.2.1 Australasian Health Infrastructure Alliance & New South Wales Health
232(1)
10.2.2 Canadian Standards Association
232(1)
10.2.3 Military Health Services System (MHSS): Department of Defense
232(1)
10.2.4 Facility Guidelines Institute (FGI) and the American Institute of Architects
233(1)
10.2.5 National Association of Psychiatric Health Systems
234(1)
10.2.6 New York State Office of Mental Health
234(1)
10.2.7 Royal College of Psychiatrists
234(1)
10.2.8 Veterans Affairs
235(5)
10.3 Challenges to development of guidelines and standards
240(1)
10.4 Differences between guidelines and standards
241(1)
10.5 Guideline research agenda
241(4)
11 Conclusion
245(6)
11.1 Where we've been
245(1)
11.2 Where we're headed
246(5)
11.2.1 Transitions in mental and behavioral health practice
246(1)
11.2.2 Trends in behavioral health environments
247(4)
Glossary 251(2)
Index 253
Mardelle McCuskey Shepley, M.Arch., M.A., D.Arch., EDAC, FAIA, FACHA, LEED BD+C is a professor in the Department of Design & Environmental Analysis and associate director of the Healthy Futures Institute at Cornell University. Dr. Shepley has authored/co-authored five books, most recently Design for Critical Care (2009), Health Facility Evaluation for Design Practitioners (2010) and Design for Pediatric and Neonatal Critical Care (2014). To enhance the link between research and practice, Dr. Shepley has worked in professional practice, full-time and part-time, for 25 years. She is founder of ART+Science, design research consultants.

Samira Pasha, M.Arch., Ph.D., AIA, LSSGB, EDAC, LEED BD+C, is an architect and researcher at CallisonRTKL, Washington DC. As part of the healthcare studio team, her work includes programming, planning, and evaluation of healthcare environments ranging from small unit renovations to health campus master plans, including domestic and international projects. Since 2012 Samira has been involved with NCARB intern think tank, AIAS, and District Architecture Center (DAC) as an advocate for integrating research into practice of architecture.