The psychiatric facility: how patients with schizophrenia respond to place

Majd, Narges Farahnak; Golembiewski, Jan A.; Tarkashvand, Abbas

doi:10.1080/24735132.2020.1846849

Cited by 4 publications

(3 citation statements)

References 32 publications

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“…This review examined the extent, nature, and quality of the current empirical evidence of the physical environment on mental health, well-being, and recovery outcomes in mental healthcare inpatients by psychopathology. Contrary to other reviews of the literature [e.g., ( 7 , 94 , 134 )], our results indicate that the research, particularly regarding pathology, is generally not well developed, with studies only offering indicative effects, a consequence of non-robust study designs and methodological shortcomings. The majority do not focus on psychopathologies and their spatial requirements, nor specific environmental features, rather assessing many simultaneously.…”

Section: Discussioncontrasting

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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Section: Discussioncontrasting

confidence: 99%

“…This review shows that it is not possible to draw firm conclusions about the impact of specific physical or socio-environmental characteristics on psychiatric inpatients, especially not by pathology. This is surprising, given that previous literature reviews position the general evidencebase as reasonably strong [e.g., (94)].…”

Section: Discussionmentioning

confidence: 90%

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

et al. 2022

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“…Over the last decade, the application of design approaches in mental health care services has increased and has shown to accelerate innovation [6][7][8]. For example, design or co-design has been effective in designing or redesigning psychiatric facilities [9][10][11] and has proven successful in engaging end users in the design process of novel therapies [12][13][14]. The integration of design into mental health services is a logical continuation of the existing solutions to the challenges of the sector.…”

Section: Introductionmentioning

confidence: 99%

The Involvement of Service Users and People With Lived Experience in Mental Health Care Innovation Through Design: Systematic Review

Veldmeijer¹,

Terlouw²,

Os³

et al. 2023

JMIR Ment Health

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Background Mental health care faces challenges that not only necessitate innovation but also require the involvement of service users and people with lived experience in developing and evaluating mental health care services. As the development of digital interventions is becoming more prevalent, design approaches are increasingly finding their way into mental health. There is evidence that these approaches can successfully integrate user experience into mental health services. However, there is no clear overview of the studies conducted and the lessons learned concerning the involvement of service users and people with lived experience. Objective In this systematic review, we aimed to provide an overview of the involvement of service users and people with lived experience in mental health care services through design approaches and to synthesize the advantages of design approaches in mental health care. Methods The following 5 databases were searched for relevant abstracts: PsycINFO, PubMed, Web of Science, Scopus, and Embase. In addition, 2 health design journal archives, Design for Health and The Journal of Health Design, were searched. To categorize the results, we collected the reported added value from the included articles and conducted a thematic synthesis in which the themes were developed from the retrieved data. The themes were discussed, revised, and checked until saturation was achieved. Results We included and categorized 33 papers. Most studies involved service users, primarily adults, and used various design approaches. Most of these studies aimed to design or evaluate digital interventions. Service users and people with lived experience were involved in different roles but never as decision makers. Studies that used co-design approaches exhibited the highest levels of involvement. Various added values were reported, including tailoring and testing interventions and digital interventions, improving engagement and collaboration, gathering the needs of stakeholders, and empowering participants as resourceful actors. The challenges reported were maintaining participants’ continued participation throughout the study, managing the iterative nature of design, providing a safe space, balancing insights from design and medical science, and navigating design processes in medical environments. Conclusions This systematic review provides an overview of the studies that used design approaches to involve service users and people with lived experience in mental health care innovation. Design approaches have advantages in mental health care innovation, offering added value and having manageable challenges. Future studies using design approaches in mental health care should involve participants as partners and decision makers and report on collaboration in a systematic and clear manner.

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