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. 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. This book explores the design of specialized residential architecture for people with mental health problems. 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. 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. The book is divided into two main parts covering theory and research. Part one consists of three chapters: a brief introduction to old practices, current medical psychosocial and architectural thinking, and alternative thinking. Part two explores the research and conclusions derived from fieldwork. 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. "Dr. Evangelia Chrysikou explains the many aspects of mental health and its relation to the quality of the built environment and I strongly recommend this very enjoyable book to anyone who would like to find out more about this important topic." - Prof. Alan Dilani, Ph.D. , International Academy for Design and Health "This book provides important, evidence-based data that will help to drive the design of new and refurbished psychiatric facilities and will no doubt become a highly-regarded resource for medical planners and architects." - Jo Makosinski , Editor, Building Better Healthcare

This book provides an overview of a diverse array of preventive strategies relating to mental illness, and identifies their achievements and shortcomings. The chapters in this collection illustrate how researchers, clinicians and policy makers drew inspiration from divergent fields of knowledge and practice: from eugenics, genetics and medication to mental hygiene, child guidance, social welfare, public health and education; from risk management to radical and social psychiatry, architectural design and environmental psychology. It highlights the shifting patterns of biological, social and psychodynamic models, while adopting a gender perspective and considering professional developments as well as changing social and legal contexts, including deinstitutionalisation and social movements. Through vigorous research, the contributors demonstrate that preventive approaches to mental health have a long history, and point to the conclusion that it might well be possible to learn from such historical attempts. The book also explores which of these approaches are worth considering in future and which are best confined to the past. Within this context, the book aims at stoking and informing debate and conversation about how to prevent mental illness and improve mental health in the years to come. Chapters 3, 10, and 12 of this book are available open access under a CC BY 4.0 license at link.springer.com

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Spurred by ideals of individual liberty that took hold in the Western world in the late nineteenth century, psychiatrists and public officials sought to reinvent asylums as large-scale, totally designed institutions that offered a level of freedom and normality impossible in the outside world. This volume explores the “caged freedom” that this new psychiatric ethos represented by analyzing seven such buildings established in the Austro-Hungarian monarchy between the late 1890s and World War I. In the last two decades of the Habsburg Empire, architects of asylums began to abandon traditional corridor-based plans in favor of looser formations of connected villas, echoing through design the urban- and freedom-oriented impulse of the progressive architecture of the time. Leslie Topp considers the paradoxical position of designs that promoted an illusion of freedom even as they exercised careful social and spatial control over patients. In addition to discussing the physical and social aspects of these institutions, Topp shows how the commissioned buildings were symptomatic of larger cultural changes and of the modern asylum’s straining against its ideological anchorage in a premodern past of “unenlightened” restraint on human liberty. Working at the intersection of the history of architecture and the history of psychiatry, Freedom and the Cage broadens our understanding of the complexity and fluidity of modern architecture’s engagement with the state, with social and medical projects, and with mental health, psychiatry, and psychology.

***WINNER OF A NAUTILUS 2018 SILVER MEDAL BOOK AWARD*** Innovations in Behavioural Health Architecture is the most comprehensive book written on this topic in more than 40 years. It examines the ways in which healthcare architecture can contribute, as a highly valued informational and reference source, to the provision of psychiatric and addictive disorder treatment in communities around the world. It provides an overview of the need for a new generation of progressively planned and designed treatment centres – both inpatient and outpatient care environments – and the advantages, challenges, and opportunities associated with meeting the burgeoning need for treatment settings of this type. Additional chapters address the specifics of geriatric psychiatry and its architectural ramifications in light of the rapid aging of societies globally and provide a comprehensive compendium of planning and design considerations for these places in both inpatient and outpatient care contexts. Finally, the book presents an expansive and fully illustrated set of international case studies that express state-of-the-art advancements in architecture for behavioural healthcare.

This is the first volume of papers devoted to an examination of the relationship between mental health/illness and the construction and experience of space. This historical analysis with contributions from leading experts will enlighten and intrigue in equal measure. The first rigorous scholarly analysis of its kind in book form, it will be of particular interest to the history, psychiatry and architecture communities.

Studies confirm that the physical environment influences health outcomes, emotional state, preference, satisfaction and orientation, but very little research has focused on mental and behavioural health settings. This book summarizes design principles and design research for individuals who are intending to design new mental and behavioural health facilities and those wishing to evaluate the quality of their existing facilities. The authors discuss mental and behavioural health systems, design guidelines, design research and existing standards, and provide examples of best practice. As behavioural and mental health populations vary in their needs, the primary focus is limited to environments that support acute care, outpatient and emergency care, residential care, veterans, pediatric patients, and the treatment of chemical dependency.

Can good design truly make us happier? Given that we spend over 80% of our time in buildings, shouldn't we have a better understanding of how they make us feel? Happy by Design explores the ways in which buildings, spaces and cities affect our moods. It reveals how architecture and design can make us happy and support mental health, and explains how poor design can have the opposite effect. Presented through a series of easy-to-understand design tips and accompanied by beautiful diagrams and illustrations, Happy by Design is a fantastic resource for architects, designers and students, or for anybody who would like to better understand the relationship between buildings and happiness. With the pandemic and cost-of-living crisis, the importance of designing for mental wellbeing has never been higher on the agenda. Whether through low-energy design, designing in better ventilation to avoid passing on pathogens or the realisation of the importance of accessing nature within an environment, this revised edition has been updated to reflect a changed world.

With decreases in lengths of hospital stay and increases in alternatives to inpatient treatments, the field of hospital psychiatry has changed dramatically over the past 20 years. As the first comprehensive guide to be published in more than a decade, the Textbook of Hospital Psychiatry is a compilation of the latest trends, issues, and developments in the field. The textbook, written by 70 national experts and clinical specialists, covers a wide range of clinical and administrative topics that are central to today's practice of hospital psychiatry. This is the only textbook on the market today that provides information for psychiatric hospital clinicians and administrators in a single all-inclusive volume. It covers information not generally available in other textbooks and medical journals, touching on a variety of cutting-edge issues, such as safety improvement, use of seclusion and restraint, suicide prevention, and culturally competent psychiatric care. The book's 35 chapters are divided into four parts: Part I, Inpatient Practice -- focuses on specialty psychiatric units (e.g., acute stabilization unit, eating disorders unit, forensic unit, child unit), including the many psychopharmacological and psychosocial treatments used within each. This section also touches on specialized treatment for patients with co-occurring problems, such as substance abuse, developmental disabilities, and legal difficulties. Part II, Special Clinical Issues -- covers clinical issues from the perspective of different populations (consumers, families, suicidal patients). This section also examines the recent trend toward patient-centered care. Part III, The Continuum of Care -- addresses psychiatric services within the community, such as rehabilitation programs, day hospitals, and emergency services. It discusses the importance of understanding hospital-based treatment within the broader perspective of patients' lives. Part IV, Structure and Infrastructure -- focuses on such often-overlooked topics as financing of care, risk management, electronic medical records, and the actual architecture of psychiatric hospitals, as well as the roles of psychiatric hospital administrators, psychiatric nurses, and psychiatrists and psychologists. An invaluable resource for both clinicians and administrators, as well as a comprehensive teaching tool for residents, the Textbook of Hospital Psychiatry is a must-have for all professionals who work in psychiatric settings.

Inspired by the rise of environmental psychology and increasing support for behavioral research after the Second World War, new initiatives at the federal, state, and local levels looked to influence the human psyche through form, or elicit desired behaviors with environmental incentives, implementing what Joy Knoblauch calls “psychological functionalism.” Recruited by federal construction and research programs for institutional reform and expansion—which included hospitals, mental health centers, prisons, and public housing—architects theorized new ways to control behavior and make it more functional by exercising soft power, or power through persuasion, with their designs. In the 1960s –1970s era of anti-institutional sentiment, they hoped to offer an enlightened, palatable, more humane solution to larger social problems related to health, mental health, justice, and security of the population by applying psychological expertise to institutional design. In turn, Knoblauch argues, architects gained new roles as researchers, organizers, and writers while theories of confinement, territory, and surveillance proliferated. The Architecture of Good Behavior explores psychological functionalism as a political tool and the architectural projects funded by a postwar nation in its efforts to govern, exert control over, and ultimately pacify its patients, prisoners, and residents.