![]() ![]() Psychiatric de-institutionalisation was characterised by the shift to community-based facilities. Originality/value – This paper readdresses the traditional view of accessibility, Furthermore, more research is needed to address the ways that accessibility devices need to be altered to comply with the psychosocial elements. Research limitations/implications – Models of care, management and staffing requirements, therapeutic needs of patients and interpersonal relationships should be considered for accessibility during planning, in addition to traditional accessibility devices and design. Outdoor access, vertical circulation and the accessibility of bathrooms are particularly affected. This discordance between the physical and organizational milieu inevitably compromises accessibility, even though patients tend to be physically able. Findings – Mental health facilities are rarely designed for the model of care and staffing regimes which they will house. The data are part of a broader exploratory study of facilities for mental healthcare, which used empirical, comparative and user inclusive methods. The focus of the study is on restrictions of movement and the use of universal accessibility devices. Design/methodology/approach – Several community mental healthcare units (in both Great Britain and France) are reviewed and analysed while they are occupied and running. The purpose of this paper is to critically question the adequacy of universal design aids as the main way to deal with accessibility in facilities for the adult mentally ill in the community. ![]() Accessibility within mental healthcare facilities is a more complex issue than universal accessibility standards generically allow for. Purpose – Patients’ movement in mental health facilities is frequently compromised for reasons quite apart from real physical incompetence. This book provides a fascinating insight into the effect that architectural design can have on all of us, but particularly on those with mental health problems. Part two explores the research and conclusions derived from fieldwork. Part one consists of three chapters: a brief introduction to old practices, current medical psychosocial and architectural thinking, and alternative thinking. ![]() The book is divided into two main parts covering theory and research. Based on almost two decades of research, it aims to understand how architectural design interacts with the therapeutic milieu, the care programs, and actually living in the spaces. It sets out to show how building design can support medical and health related procedures and practices, leading to better therapeutic outcomes and an enhanced quality of life. This book explores the design of specialized residential architecture for people with mental health problems. Architecture is an important factor in people's lives when they are well when they experience ill-health and are less able to cope it becomes even more important. Therapeutic architecture can be described as the people-centered, evidence-based discipline of the built environment, which aims to identify and support ways of incorporating those spatial elements that interact with people physiologically and psychologically into design. ![]()
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