Wöckel Lars, Rung Dieter, Bachmann Silke, Dietschi Hubert, Wild Daniel
1 Clienia Littenheid AG, Privatklinik für Psychiatrie und Psychotherapie, Littenheid, Schweiz.
2 Universitäre Psychiatrische Kliniken Basel, Klinik für Kinder- und Jugendpsychiatrie, Basel, Schweiz.
Z Kinder Jugendpsychiatr Psychother. 2019 Jan;47(1):19-26. doi: 10.1024/1422-4917/a000641. Epub 2018 Dec 18.
Lino Castle - An interior design concept to improve inpatient treatment in child and adolescent psychiatry Abstract. Only very few data exist concerning hospital architecture in psychiatry/child and adolescent psychiatry. Previous data suggest that architectural improvements do reduce the application of coercive measures as well as reducing aggressive behavior, endangerment of self and others, and provoking changes in the kind and frequency of medication. In order to improve the overall hospital environment of inpatient treatment, the Center for Child and Adolescent Psychiatry and Psychotherapy of Clienia Littenheid AG developed a spatial and communication concept named "Lino Castle." In cooperation with patients, their parents as well as members of the multidisciplinary team, we implemented a concept that serves to ameliorate the recovery process of the children and adolescents. "Lino Castle" is deeply rooted in the history of the local village and aims to allow patients to feel at ease for the duration of their stay. It hosts seven characters that serve as guardians and protectors of the individual wards and represent various types of disorders and emotional states. The respective architectural concept grew out of the storyline of "Lino Castle" and combines colors, forms, materials, graphics, and furniture to ensure an environment conducive to healing and reduced anxiety. With the implementation of "Lino Castle," we observed that the number of admissions and hospital occupancy increased significantly, whereas the length of stay and the ratio of involuntary admissions in closed wards decreased. We presume that this turn of events is due to higher commitment, acceptance, and less aggressive behavior in the patients, and to higher motivation and work satisfaction in the staff.
利诺城堡——改善儿童和青少年精神病住院治疗的室内设计理念 摘要。关于精神病学/儿童和青少年精神病学领域的医院建筑，现有数据极少。先前的数据表明，建筑方面的改进确实能减少强制措施的使用，同时减少攻击行为、对自身及他人的危害以及引发用药种类和频率的变化。为了改善住院治疗的整体医院环境，利滕海德临床股份公司儿童和青少年精神病学与心理治疗中心开发了一种名为“利诺城堡”的空间与交流理念。我们与患者、他们的父母以及多学科团队成员合作，实施了一个有助于改善儿童和青少年康复过程的理念。“利诺城堡”深深扎根于当地村庄的历史，旨在让患者在住院期间感到安心。它有七个角色，作为各个病房的守护者和保护者，代表着各种类型的疾病和情绪状态。各自的建筑理念源于“利诺城堡”的故事情节，并将颜色、形状、材料、图形和家具结合起来，以确保营造一个有利于康复且能减轻焦虑的环境。随着“利诺城堡”的实施，我们观察到住院人数和医院床位占用率显著增加，而封闭病房的住院时间和非自愿住院比例下降。我们推测，这种情况的转变是由于患者更高的投入度、接受度以及更少的攻击行为，以及工作人员更高的积极性和工作满意度。
