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User involvement in the design of outdoor environments to support mental health recovery—From reflection to action

Mikkel Hjort, Michaela Høj, Sandra Weber, Kirsten K. Roessler

Article ID: 2158
Vol 9, Issue 4, 2024, Article identifier:

VIEWS - 90 (Abstract) 42 (PDF)

Abstract

One out of eight people worldwide struggles with mental health illnesses. The treatment is slowly shifting from a biomedical perspective, primarily paying attention to symptom reduction and medicine, towards a more holistic and recovery-oriented perspective. At the same time research shows that the outdoor environment can help relieve pain and stress and improve mental well-being. The study presents a practice-oriented method, inspired by evidence-based design, for developing a master plan for two outdoor gardens at a Mental Health Center in the Capital Region of Denmark. We aimed to provide guidelines for how to set up and perform a flexible design process that combines established knowledge with the needs of the patients and staff. The empirical data were collected through a systematic literature review, semi-structured interviews with patients and staff, workshops and presentations at two different mental health units. The two case studies showed good results in involving patients and staff in the design process and based on the findings of our study involving users. In conclusion, it was apparent that the use of interdisciplinary collaboration informed the design outcome. Based on the two cases, the following advice can be given to the architectural profession: Architects should integrate interdisciplinary knowledge into the design process of outdoor facilities for people with special needs. Interdisciplinary knowledge and user involvement complement each other by adding important site-specific details from the user to the more general design guidelines. This way, the design becomes more nuanced and customized to the users of a specific site. The study showed how architects can import knowledge, skills and values from other disciplines such as environmental psychology to improve the decision-making process of future projects for the benefits of mental patients.


Keywords

recovery; CHIME (Connectedness, Hope, Identity, Meaning, Empowerment); mental health; environmental psychology; evidence-based design; interdisciplinary knowledge

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References

1. WHO. Available online: https://www.who.int/newsroom/factsheets/detail/mental-disorders (accessed on 17 July 2023).

2. Hummelvol K, Karlsson B, Borg M. Recovery and person-centredness in mental health services: roots of the concepts and implications for practice. International Practice Development Journal. 2015, 5(Suppl): 1-7. doi: 10.19043/ipdj.5sp.009

3. Slade M, Amering M, Farkas M, et al. Uses and abuses of recovery: implementing recovery-oriented practices in mental health systems. World Psychiatry. 2014, 13(1): 12-20. doi: 10.1002/wps.20084

4. Connellan K, Gaardboe M, Riggs D, et al. Stressed Spaces: Mental Health and Architecture. HERD: Health Environments Research & Design Journal. 2013, 6(4): 127-168. doi: 10.1177/193758671300600408

5. Roessler KK. Healthy Architecture! Can Environments Evoke Emotional Responses? Global Journal of Health Science. 2012, 4(4). doi: 10.5539/gjhs.v4n4p83

6. Corazon S, Nyed P, Sidenius U, et al. A Long-Term Follow-Up of the Efficacy of Nature-Based Therapy for Adults Suffering from Stress-Related Illnesses on Levels of Healthcare Consumption and Sick-Leave Absence: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health. 2018, 15(1): 137. doi: 10.3390/ijerph15010137

7. Sallis JF, Floyd MF, Rodríguez DA, et al. Role of Built Environments in Physical Activity, Obesity, and Cardiovascular Disease. Circulation. 2012, 125(5): 729-737. doi: 10.1161/circulationaha.110.969022

8. Bechtel RB, Churchman A. Handbook of environmental psychology. John Wiley & Sons. 2003.

9. Sallis JF, Cerin E, Conway TL, et al. Physical activity in relation to urban environments in 14 cities worldwide: a cross-sectional study. The Lancet. 2016, 387(10034): 2207-2217. doi: 10.1016/s0140-6736(15)01284-2

10. Kaplan S, Kaplan R. The Visual Environment: Public Participation in Design and Planning. Journal of Social Issues. 1989, 45(1): 59-86. doi: 10.1111/j.1540-4560.1989.tb01533.x

11. Appleton J. Landscape Evaluation: The Theoretical Vacuum. Transactions of the Institute of British Geographers. 1975, (66): 120. doi: 10.2307/621625

12. Ingold T. Being Alive. Published online October 22, 2021. doi: 10.4324/9781003196679

13. Gibson, James J. 1979, The Theory of Affordances. The Ecological Approach to Visual Perception. Boston: Houghton Mifflin

14. Zimring C, Augenbroe GL, Malone EB, et al. Implementing Healthcare Excellence: The Vital Role of the CEO in Evidence-Based Design. HERD: Health Environments Research & Design Journal. 2008, 1(3): 7-21. doi: 10.1177/193758670800100303

15. Cushing DF, Renata A. Themes in Landscape Architecture Publishing: Past Trends, Future Needs. Landscape Journal. 2015, 34(1): 15-36. doi: 10.3368/lj.34.1.15

16. Mullins MF, Fich LB, Folmer MB. Evidence Based Knowledge: Towards architecture that supports the healing process in health-care buildings, In: Kirsten K Roessler. Arkitektur og Psykologi. Casestudier i sygehuse, arbejdspladser og byrum, Movements 2015:2, Syddansk Universitet

17. Ulrich R, Zimring C, Quan X, et al. The role of the physical environment in the hospital of the 21st century: A once-in-a-lifetime opportunity. Concord CA Cent. Health Des. 2004. 3.

18. Lawson B. Healing architecture. Arts & Health. 2010, 2(2): 95-108. doi: 10.1080/17533010903488517

19. Brown RD, Corry RC. Evidence-based landscape architecture: The maturing of a profession. Landscape and Urban Planning. 2011, 100(4): 327-329. doi: 10.1016/j.landurbplan.2011.01.017

20. Gramkow MC, Sidenius U, Zhang G, et al. From Evidence to Design Solution—On How to Handle Evidence in the Design Process of Sustainable, Accessible and Health-Promoting Landscapes. Sustainability. 2021, 13(6): 3249. doi: 10.3390/su13063249

21. Hjort M, Mau M, Høj M, et al. The Importance of the Outdoor Environment for the Recovery of Psychiatric Patients: A Scoping Review. International Journal of Environmental Research and Public Health. 2023, 20(3): 2240. doi: 10.3390/ijerph20032240

22. Ulrich RS, Simons RF, Losito BD, et al. Stress recovery during exposure to natural and urban environments. Journal of Environmental Psychology. 1991, 11(3): 201-230. doi: 10.1016/s0272-4944(05)80184-7

23. Brinkmann S, Kvale S. Interviews: learning the craft of qualitative research interviewing, 3rd ed. Sage, Los Angeles, Calif. 2014.

24. Denzin NK, Lincoln YS. Introduction: The discipline and practice of qualitative research. 2008.

25. Brandt RM, Chong GH, Martin WM. Design informed: driving innovation with evidence-based design. John Wiley & Sons, Hoboken, N.J. 2010.

26. Brooks J, Horrocks C, King N. Interviews in qualitative research. Interviews Qual. Res. 2018. pp. 1–360.

27. Leamy M, Bird V, Boutillier CL, et al. Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis. British Journal of Psychiatry. 2011, 199(6): 445-452. doi: 10.1192/bjp.bp.110.083733

28. Santini ZI, Koyanagi A, Tyrovolas S, et al. The protective properties of Act-Belong-Commit indicators against incident depression, anxiety, and cognitive impairment among older Irish adults: Findings from a prospective community-based study. Experimental Gerontology. 2017, 91: 79-87. doi: 10.1016/j.exger.2017.02.074

29. Corazon SS, Sidenius U, Poulsen DV, et al. Psycho-Physiological Stress Recovery in Outdoor Nature-Based Interventions: A Systematic Review of the Past Eight Years of Research. International Journal of Environmental Research and Public Health. 2019, 16(10): 1711. doi: 10.3390/ijerph16101711

30. Hjort M, Mike Martin W, Troelsen J. Is the use of evidence by designers evident in their outcomes—And how does evidence inform design decisions? 2018.


DOI: https://doi.org/10.54517/esp.v9i4.2158
(90 Abstract Views, 42 PDF Downloads)

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Copyright (c) 2024 Mikkel Hjort, Michaela Høj, Sandra Weber, Kirsten K. Roessler

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