Design approach to challenging architectural facilities Perception of psychiatric treatment of adolescents in Poland and quality of hospital space from the perspective of potential patients
Agata Gawlak
agata.gawlak@put.poznan.plFaculty of Architecture, Poznan University of Technology (Poland)
https://orcid.org/0000-0002-6234-7953
Daria Smyl
Instytut Architektury, Urbanistyki i Ochrony Dziedzictwa, Wydział Architektury, Politechnika Poznańska (Poland)
Abstract
Specific Polish conditions of paediatric psychiatry and insufficient supply of medical services in view of social demand for paediatric psychiatric consultancy have motivated us to research the issue and to conduct an original qualitative study within the framework of an interdisciplinary approach. The issue has been presented from the point of view of an architectural design of space dedicated to mental treatment of adolescents. The purpose hereof was to analyse social perception of psychiatric treatment on the basis of surveys conducted on a sample of 300 respondents. Based and quantitative method and the survey, it was diagnosed the social perception of psychiatric treatment in Poland among young potential patients, taking into account the local context. The research was preceded with an in situ study in three randomly selected psychiatric hospitals in Poland in order to verify the quality of hospital space intended for therapy of patients and to identify the areas in which architecture might facilitate patients’ well-being and improve work organisation of the medical staff. This type of research studies is relatively rare, whereas social perception of the psychiatric treatment and quality of healing space plays an important role in prophylaxis, especially in view of a rising number of children and adolescents in need of psychiatric consultancy not only in Poland but also worldwide. The article presents the role of healing space as a vital part of mental treatment, in compliance with the assumptions of such concepts as: healing environment, patient-centred care, patient-centred design and co-design. Centres in Poland are irregularly distributed, waiting time for admission often exceeds several months. At the same time the specific nature of psychiatric treatment fails to be adequately reflected in functional designs of hospitals. They lack space dedicated to alternative forms of therapies, patient activities, including outdoor activities. Moreover, the research also shows that the quality of the built environment is directly correlated with therapy accessibility and social perception. This topic is also extremely important for adolescents globally and should be reviewed on regular basis via interdisciplinary research.
Keywords:
architectural design, participation, mental health, psychiatric hospital, adolescents, childrenReferences
Inchley J, Currie D, Budisavljevic S, Torsheim T, Jåstad A, Cosma A et al., editors. Spotlight on adolescent health and well-being. Findings from the 2017/2018 Health Behaviour in School-aged Children (HBSC) survey in Europe and Canada. International report. Volume 1. Key findings. Copenhagen: WHO Regional Office for Europe; 2020.
Google Scholar
Sagan, A.; Kowalska-Bobko, I.; Biechowska, D.; Rogala, M.; Gałązka-Sobotka, M. Implementation of Mental Health Centres Pilots in Poland since 2018: A Chance to Move towards Community-Based Mental Health Services. Int. J. Environ. Res. Public Health 2022, 19, 5774. https://doi.org/10.3390/ijerph19095774.
DOI: https://doi.org/10.3390/ijerph19095774
Google Scholar
Raport Dzieci się liczą 2022 – Raport o zagrożeniach bezpieczeństwa i rozwoju dzieci w Polsce, źródło: https://fdds.pl/co-robimy/raporty-z-badan/2022/dzieci-sie-licza-2022.html (dostęp: 28.12.2022).
Google Scholar
Kiejna A, Adamowski T, Piotrowski P, Moskalewicz J, Wojtyniak B, Świątkiewicz G, Stokwiszewski J, Kantorska-Janiec M, Zagdańska M, Kessler R. „Epidemiologia zaburzeń psychiatrycznych i dostępność psychiatrycznej opieki zdrowotnej. EZOP – Polska” – metodologia badania [“Epidemiology of mental disorders and access to mental health care. EZOP – Poland” – research methodology]. Psychiatr Pol. 2015 Jan-Feb;49(1):5−13. Polish. doi: 10.12740/PP/30810. PMID: 25844406.
DOI: https://doi.org/10.12740/PP/30810
Google Scholar
Najwyższa Izba Kontroli: https://www.nik.gov.pl/aktualnosci/lecznictwo-psychiatryczne-dzieci-i-mlodziezy.html (dostęp: 10.10.2022).
Google Scholar
Besch, V.; Greiner, C.; Magnin, C.; Néris, M.D.; Ambrosetti, J.; Perroud, N.; Poulet, E.; Debbané, M.; Prada, P. Clinical Characteristics of Suicidal Youths and Adults: A One-Year Retrospective Study. Int. J. Environ. Res. Public Health 2020, 17, 8733. https://doi.org/10.3390/ijerph17238733.
DOI: https://doi.org/10.3390/ijerph17238733
Google Scholar
McGorry, P., Bates, T., & Birchwood, M. (2013). Designing youth mental health services for the 21st century: Examples from Australia, Ireland and the UK. British Journal of Psychiatry, 202(S54), S30-S35. doi:10.1192/bjp.bp.112.119214.
DOI: https://doi.org/10.1192/bjp.bp.112.119214
Google Scholar
Lucyna Kicińska, Jolanta Palma, Raport „Zachowania samobójcze wśród dzieci i młodzieży. Raport za lata 2012−2021” na podstawie danych Komendy Głównej Policji.
Google Scholar
https://statystyka.policja.pl/st/wybrane-statystyki/zamachy-samobojcze.
Google Scholar
Główny Urząd Statystyczny, Polska.
Google Scholar
Najwyższa Izba Kontroli, źródło: https://www.nik.gov.pl/aktualnosci/lecznictwo-psychiatryczne-dzieci-i-mlodziezy.html.
Google Scholar
basiw.mz.gov.pl. (dostęp: 10.10.2022).
Google Scholar
Matłacz A., NIK: Leczenie psychiatryczne dzieci i młodzieży wymaga zmian, źródło: https://www.prawo.pl/zdrowie/dostepnosc-lecznictwa-psychiatrycznego-dla-dzieci-i-mlodziezy,503080.html (dostęp: 10.10.2022).
Google Scholar
Nęcki T., Psychiatria dziecięca w Polsce – jaki jest jej stan i potrzeby?, źródło: https://www.poradnikzdrowie.pl/zdrowie/psychiatria/psychiatria-dziecieca-w-polsce-jaki-jest-jej-stan-i-potrzeby-aa-SkY1-i3zH-NEHm.html (dostęp: 10.10.2022).
Google Scholar
Raport Psychiatria dzieci i młodzieży w Polsce, Roksana Maślankiewicz, Martyna Bójko Sieć Obywatelska Watchdog Polska, Menedżer zdrowia, wrzesień/październik 5−6/2019.
Google Scholar
https://www.termedia.pl/mz/Smutny-obraz-psychiatrii-dzieci-i-mlodziezy,36336.html.
Google Scholar
Szpital w Kocborowie, źródło: https://kocborowo.pl (dostęp: 10.10.2022).
Google Scholar
Blouin D. Health professions education as a discipline: Evidence based on Krishnan’s framework. Med Teach. 2022 Apr; 44(4):445−449. doi: 10.1080/0142159X.2021.2020233. Epub 2021 Dec 29. PMID: 34965185.
DOI: https://doi.org/10.1080/0142159X.2021.2020233
Google Scholar
Andrade C, Menon V, Ameen S, Kumar Praharaj S. Designing and Conducting Knowledge, Attitude, and Practice Surveys in Psychiatry: Practical Guidance. Indian Journal of Psychological Medicine. 2020;42(5):478−481. doi:10.1177/0253717620946111.
DOI: https://doi.org/10.1177/0253717620946111
Google Scholar
Ulrich, Roger S., and P. Wilson. “Evidence-based design.” Public Service Review: Health 8 (2006).
Google Scholar
Curtis, S., Gesler, W., Fabian, K., Francis, S., & Priebe, S. (2007). Therapeutic Landscapes in Hospital Design: A Qualitative Assessment by Staff and Service Users of the Design of a New Mental Health Inpatient Unit. Environment and Planning C: Government and Policy, 25(4), 591−610. https://doi.org/10.1068/c1312r.
DOI: https://doi.org/10.1068/c1312r
Google Scholar
Connellan K, Gaardboe M, Riggs D, Due C, Reinschmidt A, Mustillo L. Stressed Spaces: Mental Health and Architecture. HERD: Health Environments Research & Design Journal. 2013;6(4):127−168. doi:10.1177/193758671300600408.
DOI: https://doi.org/10.1177/193758671300600408
Google Scholar
Liu, Z.; Yang, Z.; Osmani, M. The Relationship between Sustainable Built Environment, Art Therapy and Therapeutic Design in Promoting Health and Well-Being. Int. J. Environ. Res. Public Health 2021, 18, 10906. https://doi.org/10.3390/ijerph182010906.
DOI: https://doi.org/10.3390/ijerph182010906
Google Scholar
Staniewska A., Obłędne ogrody, Wyd. Politechniki Krakowskiej, Kraków 2020.
Google Scholar
World Health Organization (WHO). Comprehensive Mental Health Action Plan 2013−2030. 2021. Available online: https: //www.who.int/publications/i/item/9789240031029 (accessed on 16 January 2022).
Google Scholar
Viktorsson L, To ̈rnvall E, Falk M, Wåhlin I,Yngman-Uhlin P (2022) Young adults’ needs when seeking first-line healthcare: A grounded theory design. PLoS ONE 17(2): e0263963. https://doi.org/10.1371/journal.pone.0263963.
DOI: https://doi.org/10.1371/journal.pone.0263963
Google Scholar
Douglas CH, Douglas MR. Patient-friendly hospital environments: exploring the patients’ perspective. Health Expectations : an International Journal of Public Participation in Health Care and Health Policy. 2004 Mar;7(1):61−73. DOI: 10.1046/j.1369−6513.2003.00251.x. PMID: 14982500; PMCID: PMC5060211.
DOI: https://doi.org/10.1046/j.1369-6513.2003.00251.x
Google Scholar
Shepley M., Pasha S., Design for Mental and Behavioral Health, Routledge 2017.
DOI: https://doi.org/10.4324/9781315646916
Google Scholar
Authors
Agata Gawlakagata.gawlak@put.poznan.pl
Faculty of Architecture, Poznan University of Technology Poland
https://orcid.org/0000-0002-6234-7953
Authors
Daria SmylInstytut Architektury, Urbanistyki i Ochrony Dziedzictwa, Wydział Architektury, Politechnika Poznańska Poland
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