CONTENTS


Philip Ross Chair pross@dimhn.org


Jonathan Campbell Vice-Chair


jcampbell@dimhn.org


Philip Barsby Treasurer pbarsby@dimhn.org


Membership admin@dimhn.org


Professor Paula Reavey Research Lead preavey@dimhn.org


www.dimhn.org NETWORK NETWORK


Welcome to the latest issue of The Network. I have attended a number of international mental health design conferences recently, and, just as in the UK, the complex issues around Seclusion are being widely discussed among professionals in the US and Australia. Professors Reavey and Brown – both DiMHN Board members – have looked very closely at all the evidence from hundreds of studies as they address the historical paradox of staff safety and patient recovery, and the use of seclusion (see pages 10-13). How, for instance, can patients calm down


Journal of the Design in Mental Health Network


Getting acoustics right can be calming Seclusion environments and their impact Catering for the ‘Baby Boom’ generation


www.dimhn.org November 2022


COVER PICTURE: A family-run business, Tough Furniture claims to be unique in having over 25 years’ experience in designing and manufacturing exclusively for the challenging behaviour furniture market, giving it ‘an unmatched level of evidence- based experience and track record’ in this field. The company said: “We offer a uniquely flexible level of bespoke design.”


Published quarterly on behalf of DiMHN by: Step Communications Ltd Step House, North Farm Road, Tunbridge Wells, Kent TN2 3DR Tel: 01892 779999 Fax: 01892 616177


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The Publisher is unable to take any responsibility for views expressed by contributors. Editorial views are not necessarily shared by the Design in Mental Health Network. Readers are expressly advised that while the contents of this publication are believed to be accurate, correct and complete, no reliance should be placed upon its contents as being applicable to any particular circumstances. Any advice, opinion or information contained is published only on the footing that the Design in Mental Health Network, its servants or agents and all contributors to this publication shall be under no liability whatsoever in respect of its contents.


THE NETWORK | NOVEMBER 2022


if they’re isolated in small rooms? ‘How can staff members feel safe with when a person’s mental distress presents as aggressive behaviour on the ward?’, ‘What specific aspects of the environment are related to aggression, and how do they become relevant in the process of escalation, where various restrictive interventions are then introduced?’, ‘Which techniques could be used, and with what sequencing’, and ‘How is it that people go through a pathway of those techniques that culminates in them being put in seclusion?’ The evidential case for seclusion rooms is limited, and then one also reflects on the recent BBC Panorama programme on the misuse of seclusion rooms, to be reminded of the very real challenges around this space. Thus far, the evidence from our research points more to the positive effects of a well-designed environment, with a flow from inside to out, as the optimal setting for both staff and service-users to de-escalate situations. Seclusion is a subject close to all


5 News


10 Stopping seclusion from creating a lasting barrier In a joint DiMH 2022 Conference address in June, two leading academics – from London South Bank University, and Nottingham Trent University – discussed a study examining the impact of the environment on service-users during de-escalation and seclusion.


15 Pears Maudsley Centre to ‘put young people first’ David Bradley, CEO of the South London and Maudsley NHS Foundation Trust, explains the design principles behind the Pears Maudsley Centre for Children and Young People, which is set to open in London in 2023.


21 ‘Baby Boom’ generation will redefine ‘old age’ Highly experienced architect, and founder of IBI TH!NK, Richard Mazuch, argues that architects, designers, and planners, need to tailor their thinking on the optimal living and care environments to the needs and wants of the so-called ‘Baby Boomer’ generation.


26 Making sound choices for the benefit of all users Andrea Harman, Concept developer for Healthcare at Saint-Gobain Ecophon, discusses some of the key steps to create a quieter, more calming, recovery environment for service-users in mental healthcare settings, and some of the things to avoid.


30 Paving the way for future rehabilitation services The award-winning redevelopment of an unused site in Wesham has created a modern new rehabilitation facility for Lancashire and South Cumbria NHS Foundation Trust.


3


Journal of the Design in Mental Health Network Time for a re-think on seclusion and its value


of us at DiMHN, and one we will continue to research and examine looking ahead. Grateful appreciation to both Paula and Steve for their outstanding work. Read about their research at www.dimhn.org/resources In other news, we are actively seeking our


first salaried position for the charity: Chief Executive, and at the time of writing, are really excited by the calibre of candidates who have already submitted applications. It’s a key role that will accelerate the Network’s growth and development in the months and years ahead. We are also seeking new Associates.


Buoyed by the impact of our recent appointments – thanks to Jen Aspinal, Lianne Knotts, and Karen Howell in particular – we’re looking for professionals with clinical backgrounds and Experts-by Experience. We will announce our 2022/23 line-up very soon. The Board and Associates all came together


for our annual Strategy Day on 19 October, to reflect on the year past, and agree for the year ahead where our resources should focus, and our priorities. The Design in Mental Health Network continues to expand and develop, as we take on new challenges and new members. DiMHN Vice-Chair, Jonathan Campbell, and I would like to thank all who support our work. We look forward to seeing and speaking to many of you soon.


Philip Ross, Chair, Design in Mental Health Network


THE


THE


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