New spaces of inpatient care for people with mental illness: a complex 'rebirth' of the clinic?
This paper examines the implications for design of inpatient settings of community-based models of care and treatment of mental illness. The study draws on ideas from relational geographies and expands interpretations based on Foucault's writing. We analyse material from a case study which explored the views of patients, consultants, and other staff from a new Psychiatric Inpatient Unit in a deprived area of East London, UK. We discuss in particular: the tension between providing a caring and supportive institutional environment and ensuring that patients are returned to the community when they are ready; the links between an acute inpatient facility and its local community; the potential significance of the psychiatric hospital as a relatively stable feature in the otherwise insecure and unpredictable geographical experience of people with long-term mental illnesses. We discuss the relevance of these issues for design of new psychiatric inpatient facilities.
Curtis
Sarah
S
Durham University, South Road, Durham DH1 3LE, UK. s.e.curtis@durham.ac.uk
Gesler
W
W
Priebe
Stefan
S
Francis
Susan
S
D006749:Hospital Design and Construction; D006778:Hospitals, Psychiatric; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D008131:London; D001523:Mental Disorders / Q000628:therapy*