NEW CONCEPTS FOR PSYCHIATRIC CLINICS EuHPN 2013 Workshop , Budapest 7-9 October
Cristiana Caira Arkitekt SAR MSA/ Partner Director International Heal...
NEW CONCEPTS FOR PSYCHIATRIC CLINICS EuHPN 2013 Workshop , Budapest 7-9 October
Cristiana Caira Arkitekt SAR MSA/ Partner Director International Healthcare
2 december 2013
TODAY’S AGENDA – About White
– New concepts for Psychiatric Clinics
the ideas
the projects the outcomes
ABOUT WHITE
2 december 2013
WHITE - established 1951 - largest architectural firm in Scandinavia, third largest in Europe - ca 700 employees - offices in Sweden, Denmark, Norway and UK - healthcare projects : 20%
2 december 2013
THIS IS WHAT WE DO Sustainable architecture & urban design
- Healthcare - Residential - Education - Commercial - Office - Culture, sport and leisure - Masterplanning & Landscape
Stockholm Globe arena
HEALTHCARE DESIGN General and flexible buildings Attractive environments Sustainable and holistic solutions: - urban planning - technical solutions - organisation - flows - environmental program
NYA KAROLINSKA SOLNA
2 december 2013
NEW CONCEPTS FOR PSYCHIATRIC CLINICS
2 december 2013
We don´t believe that architecture can cure people BUT we believe that attractive environments can enhance the healing process
– the ideas – the building – the outcomes
2 december 2013
NORMALITY- AWAY FROM INSTITUTION - integrate psychiatry and somatic care - look for normality, avoid the institution
DIGNITY - support
the patient’s self-image - an overall good concept, well executed in detail - single rooms and professional treatment areas - avoid “provocations”, you act as you are supposed to
SAFETY AND BEAUTY - the issue of safety, “a faithful friend” through the project - looking for a pleasant care environment
ACCESS TO NATURE - give direct access to a garden within the ward - support views towards the garden and the surrounding landscape - use ”natural” materials - give the patient the possibility to open their own “bedroom window”
A FREE AND OPEN ATMOSPHERE - avoid associations to power and force - replace the fence and walls by embracing buildings - support good overview without that “watchtower feeling” - the staff should be together with the patients
ACTIVITY AND SOCIALIZATION - place all the patient areas in” the very middle”, in the heart - create “safe” and intimate seats outside of the public areas - design the non-corridor ward - make it possible to stroll around in different ways and without “dead ends”
SOCIALIZATION STEP BY STEP - get out of bed and out of the room - socialize, being on your own is often a part of the disease - different places with different degrees of privacy; from private to public - create safe and intimate places on the outskirts of the public areas
SMALL UNITS WITHIN THE WARD - units for 3-5 patients - promotes increased interactivity - each unit has a small “social corner” - patients with the same diagnoses might be gathered - permits the separation of patients from each other
ROOMS ON PATIENTS TERMS - the patient’s desires and requests should be met as far as possible - the possibility of seclusion improves the patient's social skills - special action must bee taken to prevent suicide and self harm - do not plan for a patient in bed
ON NEUTRAL GROUND - neutral rooms for consultation - cross-disciplinary team for care and treatment - get away from patriarchal and authoritative tradition - support an equal conversation on a neutral ground - encourage the patients and relatives to take part in the care process
– the ideas – the buildings – the outcomes
2 december 2013
– the buildings 1. Östra Psychiatric Clinic Gothenburg (SE) Completed 2009 Forum's Healthcare Building Award 2007 2nd prize – WAN Healthcare Building of the Year Award
care unit
4 8 9 care unit
1 5
care unit
2 6
care unit
3 7
entrance
” on neutral ground” administration
staff utility treatment restraint
TV
TV
avdunit station care station
kök kitchen
matplats dining
vardag living
aktiv activity
hhj jäär rt taat t
g a r d e n
4x1 bed
3x1 bed + 1x2 beds
3x1 bed + 1x2 beds
Total: 14 beds
– the buildings 2. New Psychiatric Department of Aabenraa Hospital (DK) 1st prize architectural competition 2011 Ongoing Project
2 december 2013
2 december 2013
2 december 2013
2 december 2013
–
the buildings
3. New Psychiatric Clinic Borås (SE) 1st prize architectural competition 2011 ongoing project 1st prize – WAN Healthcare Award 2013
AKUT
VUP
BUP
ÖPPENVÅRD
Brief
Y- Model
Place
The Ward
Entré mitt i avdelningen
team
Vårdmodul 3x6(7) vpl God överblick
atrium
1
2 Gård 1-2 vån ner
Dagrum+balkong
Atrium
Vårdrum i bra vädersträck Utblickar mot natur
The ”Hearth”
The Patientroom
From the jury evaluation:
"Simply spectacular. The use of natural light and its surroundings will
provide patients with an experience that will aid significantly in the healing process. They have achieved a ‘non-institutional’ feel (…). The patient room has no design clutter, rather, it has a soothing, monastic feel, focussing on the natural surrounds. A cerebral solution to a mental problem."
– the buildings 4. Sonnenberg Clinic Stuttgart, DE 3rd prize architectural competition 2013
From the competition jury evaluation:
” Due to the special architecture and the landscape design, the proposal stands out of average hospital buildings and represents a good approach for the renewal of the Sonnenberg Clinic "
– the ideas – the buildings – the outcomes
2 december 2013
Lillhagsparken, the old clinic
2 december 2013
Östra Psychiatric Clinic, the new clinic
Outcome for the staff
2005- 2007
Sickness absence decreased from 9 to 6%
The staff perceived that threat and violence from patients had decreased
75-80% of the staff meant that the new building with single bed rooms, its nice milieu, and gardens had had an positive influence on threat and violence situation
Outcome for patients
2005- 2007
The number of patient sedations at Östra Clinic was 21 % lower than at Lillhagen, and the use of physical restraints fell by 44 %. (Dr Lennart Bogren, Sahlgrenska University Hospital)
