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.pl
Faculty 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, children

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


Published
2023-12-30

Cited by

Gawlak, A., & Smyl, D. (2023). 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. Teka Komisji Architektury, Urbanistyki I Studiów Krajobrazowych, 19(2), 106–123. https://doi.org/10.35784/teka.3712

Authors

Agata Gawlak 
agata.gawlak@put.poznan.pl
Faculty of Architecture, Poznan University of Technology Poland
https://orcid.org/0000-0002-6234-7953

Authors

Daria Smyl 

Instytut Architektury, Urbanistyki i Ochrony Dziedzictwa, Wydział Architektury, Politechnika Poznańska Poland

Statistics

Abstract views: 136
PDF downloads: 85