The psychiatric ward as a therapeutic space: systematic review
Open accessAbstract
Background: Hospital care is still an integral part of mental healthcare services. But the impact of ward design on treatment outcomes is unclear. Aims: To review the effects of ward design on patient outcomes and patient and staff well-being. Method: A systematic review of literature was carried out on Medline, Embase and PsycINFO. Papers on psychogeriatric and child and adolescent wards were excluded as these necessitate specific safety features. Results: Twenty-three papers were identified. No strong causal links between design and clinical outcomes were found. Private spaces and a homely environment may contribute to patient well-being. Different stakeholders may experience ward design in conflicting ways; design has a symbolic and social dimension for patients. Conclusions: Data on the impact of design on treatment outcomes are inconclusive. Rigorous randomised controlled trials, qualitative studies and novel methods are called for. Different stakeholders' responses to the ward as a symbolic environment merit further investigation.
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Es besteht eine Korrelation zwischen dem Umfang der Privatatmosphäre und einer Zunahme sozialer Interaktionen und dem Wohlbefinden.
“Sie finden vor allem eine Korrelation zwischen dem Umfang der Privatatmosphäre und einer Zunahme sozialer Interaktionen und dem Wohlbefinden.”
From Burg Lino – Ein innenarchitektonisches Konzept zur Verbesserung der stationären Behandlung in der Kinder- und Jugendpsychiatrie (2019) · cites this paper as Papoulias, Csipke, Rose, McKellar und Wykes (2014)
The Discussion reports that several studies suggested a correlation between private or semiprivate spaces and more social interaction. It says increased interaction and reduced violence relate to well-being, but does not report a direct correlation between privacy and increased well-being. (LLM, conf=0.84)
Experimental — accuracy not yet measuredEs gibt nur wenige Daten über Krankenhausarchitektur in psychiatrischen Kliniken.
“Es gibt nur wenige Daten über Krankenhausarchitektur in psychiatrischen Kliniken.”
From Burg Lino – Ein innenarchitektonisches Konzept zur Verbesserung der stationären Behandlung in der Kinder- und Jugendpsychiatrie (2019) · cites this paper as Papoulias, Csipke, Rose, McKellar und Wykes (2014)
Architektonische Gestaltung ist wichtig für den therapeutischen Prozess in der Psychiatrie.
“Papoulias, Csipke, Rose, McKellar und Wykes (2014) kommen in ihrem Review zu dem Schluss, dass architektonische Gestaltung für den therapeutischen Prozess in der Psychiatrie wichtig, jedoch die Datenlage hierzu noch sehr gering ist.”
From Burg Lino – Ein innenarchitektonisches Konzept zur Verbesserung der stationären Behandlung in der Kinder- und Jugendpsychiatrie (2019) · cites this paper as Papoulias, Csipke, Rose, McKellar und Wykes (2014)
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Liu, Z., Yang, Z., & Osmani, M. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182010906 · Cited by 23 · see citing works
Wöckel, L., Rung, D., Bachmann, S., Dietschi, H., & Wild, D. (2019) · Zeitschrift fur Kinder- und Jugendpsychiatrie und Psychotherapie · doi:10.1024/1422-4917/a000641 · Cited by 5 · see citing works
- Authors
- Papoulias, C., Csipke, E., Rose, D., McKellar, S., & Wykes, T.
- Affiliations
- King's College London (GB)
- Corresponding author
- Csipke, Emese
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2014-09
- Volume
- 205
- Issue
- 3
- Pages
- 171-176
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2048833918
- Cited by
- 89
- References
- 0
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 11 · 2023: 7 · 2022: 14 · 2021: 9 · 2020: 10 · 2019: 8 · 2018: 8 · 2017: 6 · 2016: 4 · 2015: 3
- FWCI
- 0.66
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- South London and Maudsley NHS Foundation Trust
- National Institute for Health and Care Research (NF-SI-0509-10023, RP-PG-0606-1050)
- King's College London
- Programme Grants for Applied Research
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Urban Studies › Healthcare Facilities Design and Sustainability
- Social Sciences › Psychology › Clinical Psychology › Historical Psychiatry and Medical Practices
- Keywords
- therapeutic environment, hospital architecture, patient outcomes, patient well-being, employee well-being, private space, symbolic environment, mental health services
- MeSH terms
- Mental Disorders, Humans, Mental Health Services, Psychiatric Department, Hospital, Treatment Outcome
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