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1 results

  • The psychiatric ward as a therapeutic space: systematicreview

  • Constantina Papoulias, Emese Csipke, Diana Rose, Susie McKellar, Til Wykes
  • Journal:
    The British Journal of Psychiatry / Volume 205 / Issue 3 / September 2014
    Published online by Cambridge University Press:
    02 January 2018, pp. 171-176
    Print publication:
    September 2014
    • Article
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  • 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.