Department of Psychological Medicine, University of Otago, Wellington 23A Mein St., Wellington 6021, New Zealand.
School of Architecture, Victoria University of Wellington, 139 Vivian Street, Wellington 6011, New Zealand.
Int J Environ Res Public Health. 2021 Feb 27;18(5):2343. doi: 10.3390/ijerph18052343.
Acute mental health care facilities have become the modern equivalent to the old asylum, designed to provide emergency and temporary care for the acutely mentally unwell. These facilities require a model of mental health care, whether very basic or highly advanced, and an appropriately designed building facility within which to operate. Drawing on interview data from our four-year research project to examine the architectural design and social milieu of adult acute mental health wards in Aotearoa New Zealand, official documents, philosophies and models of mental health care, this paper asks what is the purpose of the adult inpatient mental health ward in a bicultural country and how can we determine the degree to which they are fit for purpose. Although we found an important lack of clarity and agreement around the purpose of the acute mental health facility, the general underpinning philosophy of mental health care in Aotearoa New Zealand was that of recovery, and the CHIME principles of recovery, with some modifications, could be translated into design principles for an architectural brief. However, further work is required to align staff, service users and official health understandings of the purpose of the acute mental health facility and the means for achieving recovery goals in a bicultural context.
急性精神卫生保健机构已成为现代版的旧收容所，旨在为急性精神不适者提供紧急和临时护理。这些设施需要一种心理健康护理模式，无论是非常基础的还是高度先进的，以及一个适当设计的建筑设施来运作。本文通过对我们为期四年的研究项目中检查新西兰奥塔哥成人急性精神卫生病房的建筑设计和社会环境的采访数据、官方文件、心理健康护理理念和模式，探讨了在一个多元文化国家中成人住院精神卫生病房的目的是什么，以及我们如何确定它们在多大程度上符合目的。尽管我们发现对急性精神卫生设施的目的缺乏明确和一致的认识，但新西兰心理健康护理的总体基础理念是康复，而 CHIME 康复原则可以稍加修改，转化为建筑设计原则。然而，还需要进一步的工作来协调工作人员、服务使用者和官方卫生部门对急性精神卫生设施的目的以及在多元文化背景下实现康复目标的手段的理解。
