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Biomedical subjects

S Gutkowski

Publications and source records attributed to S Gutkowski.

4 recordsLinked to original sources
PubMed2000

The wandering psychiatric emergency room--design, location and transformations.

We describe the changes in location and philosophy of a psychiatric emergency room over a period of 20 years. Four phases are described in which location, size, modes of access as well as internal and external boundaries reflect philosophies of treatment and the evolving identity of a psychiatric emergency room. The four phases include an early embryonic stage, a second stage involving rapid development of services, a third stage involving regression and consolidation and a fourth stage representing a fully developed independent service. The authors stress both external and rational considerations, such as mental health policies and budget, as well as unconscious irrational processes, which reflect the dynamic forces within the organization.

Emergency Services, Psychiatric↗
PubMed1992

Improving psychiatric environments through minimal architectural change.

Minimal architectural changes in a treatment environment can lead to significant improvements in how the setting functions, with positive effects for staff, patients, and families. When a mental health center located in an antiquated hospital in Jerusalem added five additional entrances, the change improved accessibility, increased the sense of freedom, and helped define the identity of the units. Other therapeutic effects were obtained from minimal modifications in a day hospital unit, including brightening paint and changing lighting, reopening a separate stairway for use by patients not enrolled in the day unit, and defining separate living, dining, and personal-expression areas within the common room. The authors note that cooperation between the disciplines of architecture and psychiatry is essential and that the idea of change as a continuous process should be incorporated into an organization's culture.

Architecture↗
PubMed1992

Program and process: designing the physical space of a day hospital.

Programmatic changes in the delivery of mental health services demand a reevaluation of the space devoted to those services. A growing body of mental health literature has been reported concerning the need to involve multidisciplinary teams in the design of mental health facilities. The development of Day Hospitalization Units offers a team the professional challenge of dealing with the physical environment. The following case study describes a given physical space and the process of change therein; based on this study and other relevant examples, we will discuss the relationship between physical space and the process of change.

Architecture↗