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Improving the home environment of people living with mental illness in the community

Chrysikou, Evangelia; Igoumenou, Artemis; Cadar, Dorina; Hernandez Garcia, Eva; Savvopoulou, Eletfheria; Davelaar, Eddy; (2025) Improving the home environment of people living with mental illness in the community. Presented at: European Healthcare Design Conference 2025, London, UK. Green open access

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Abstract

People living with mental illness (PLWMI) discharged from wards often move to inadequate homes, with poor conditions affecting their health and leading to re-hospitalisations. Despite research on psychiatric wards and the central role of the built environment (BE) to deinstitutionalisation and social reintegration, little is known about the BE after the discharge from the psychiatric ward and how PLWMI’s living conditions affect their health, including clinical outcomes, wellbeing, and social reintegration. This cross-disciplinary research brings healthcare architects, clinicians and psychologists, aiming to highlight the importance of the BE as an integral part of a comprehensive rehabilitation plan. The research is examining the home environment needs of post-hospitalised PLWMI in independent living accommodation in the community, to prevent relapse and encourage psychosocial reintegration. Methodology includes a systematic review on the needs of PLWMI related to their home BE and the development of a checklist for evaluating the home BE to support PLWMI. To validate the checklist we employ site visits to recently discharged PLWM living in the community to perform the checklist and conduct semi-structured interviews. The research is underpinned by the SCP model theoretical model of environmental provision. By adopting this cross-disciplinary approach, this research is addressing the issue from a 360 perspective, both from the built environment and psycho-social aspect. Findings comprise improvements for the living conditions and support the psychosocial re-integration of PLWMI into the community, targeting social services and government policies on housing and facility conditions for social care, strengthen social workers' skills to assess premises in an informed way and evaluate living conditions, especially in reaction to the environment. This research project supports that psychosocially supportive environments promote independence for PLWMI. The project findings and validated checklist could be used to inform policy makers, urban planners and housing providers, enabling them to make more informed decisions and develop policies and design guidelines that prioritise the needs of PLWMI. This will help create more supportive and inclusive home BEs, to improve community integration and improved health and well-being. Lastly, benefits PLWMI, carers, health authorities, and health and social policies.

Type: Poster
Title: Improving the home environment of people living with mental illness in the community
Event: European Healthcare Design Conference 2025
Location: London, UK
Dates: 09 - 11 June 2025
Open access status: An open access version is available from UCL Discovery
Publisher version: https://www.europeanhealthcaredesign.eu/
Language: English
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of the Built Environment
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of the Built Environment > The Bartlett Sch of Const and Proj Mgt > Bartlett Real Estate Institute
URI: https://discovery.ucl.ac.uk/id/eprint/10209586
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