Research relating environment and behaviour indicates that relatively minor changes in the environment, such as restructuring a dayroom, can result in significantly improved psychosocial functioning in psychogeriatric patients. A project introducing multiple changes designed to improve the quality of life on a geriatric ward in a provincial mental hospital is described and discussed in the light of that research and suggestions are made regarding its replication under more rigorous experimental conditions.
References
1.
OsmondH.Function as the basis of psychiatric ward design.Ment Hosp1957; 8: 23–30.
2.
BowkerL.H.The humanization of geriatric facilities.Int J Rehab Res1981; 4(4): 553–554.
3.
LawtonM.P.Sensory deprivation and the effect of the environment on management of the patient with senile demetia. In: MillerN.E., CohenG.D., eds. Clinical aspects of Alzheimer's disease and senile dementia. Aging, Volume 15.New York: Raven Press,1981.
4.
SutcliffeB.J.Improving quality of life: psychogeriatric units. In: DenhamM.J., ed. Care of the long-stay elderly patient.London: Croom Helm,1983.
5.
ForbesW.F., JacksonJ.A., KrausA.S.Institutionalization of the elderly in Canada.Toronto: Butterworths,1987.
6.
U.S. Congress. Office of Technology.Losing a million minds: confronting the tragedy of Alzheimer's disease and other dementias.Washington DC: U.S. Government Printing Office,1987.
7.
HolahanC.Seating patterns and patient behavior in an experimental dayroom.J Abnorm Psychol1972; 80(2): 115–124.
8.
SommerR., RossH.Social interaction on a geriatric ward.Int J Soc Psychiatry1958; 4: 128–133.
9.
PetersonR.F., KnappT.J., RosenJ.C.The effects of furniture arrangement on the behavior of geriatric patients.Behav Ther1977; 8: 464–467.
10.
StahlerG.J., FrazerD., RappaportH.The evaluation of an environmental remodeling program on a psychiatric geriatric ward.J Soc Psychol1984; 123: 101–113.
11.
MacDonaldM.L., DavidowitzJ.J., GimbelB.Physical and social environmental reprogramming as treatment for psychogeriatric patients.Int J Behav Geriatrics1982; 1(1): 15–32.
12.
BakosM., BozicR., ChapinD.Effects of environmental changes on elderly residents' behavior.Hosp Community Psychiatry1980; 31(10): 677–682.
13.
LawtonM.P., FùlcomerM., KlebanM.H.Architecture for the mentally impaired elderly.Environ Behavior1984; 16(6): 730–757.
14.
HolahanC.J.Environmental psychology in psychiatric hospital settings. In: CanterD., CanterS., eds. Designing for therapeutic environments.New York: John Wiley & Sons,1979.