To my parents, Haroun and Rehana Kajee, for your constant love, support and the countless sacrifices you had to make along the way. Cumulatively, these constitute design guidelines that offer ways in which health care settings can consider the physical, social, and psychological needs of the adolescent patient, versus a youth and community health center.
INTRODUCTION
Background
According to Cooper, Goswami and Sahakian (2009), the built environment plays an important role in contributing to mental capacity, well-being and overall health, as well-being is strongly linked to sensory stimuli. Because the built environment, according to Pallasmaa (2012), has the ability to stimulate sensory systems, the aim of this thesis is therefore to further investigate how adolescent care environments that respond to the needs of the adolescent patient can create an environment that and promotes healing and holistic well-being.
Motivation
As adolescents are at a stage of development where their needs may differ from those of a child or adult patient, providing healthcare environments that respond to their specific needs is therefore necessary to maximize healing and ensure quality healthcare. The study is motivated by the need to explore how architecture can be fully utilized to create healthcare environments that promote healing.
DEFINITION OF THE PROBLEM AND OBJECTIVES
Definition of the Problem
This is of particular concern to adolescent patients as they fall into a transitional stage of development between that of a child and an adult. It is also motivated by the need for healing environments focused on the needs of adolescent patients as the period of adolescence is one of great importance which can serve as a stepping stone for children to become healthy adults.
Aim of the study
3 However, the importance of architecture beyond facilitating functional spaces is often overlooked and has resulted in many of Durban's health care facilities lacking their ability to promote healing through the health care environment. The consequences of this are that patients tend to feel more miserable and uncomfortable in these environments, and as a result hinder their healing processes (Bell, Greene, Fisher, & Baum, 1978).
Objectives of the study
SETTING OUT THE SCOPE
- Delimitation of the Research Parameters
- Definition of Terms
- Stating the Assumptions
- Key Questions
Psychological - of, affecting, or arising in the mind; related to a person's mental and emotional state. If addressed, it would make a valuable contribution to research on healthcare architecture, which is lacking in the exploration of architecture's responsiveness to the needs of young patients.
CONCEPTS AND THEORIES
- Introduction
- Healing Architecture
- Socio-Developmental Theory
- Environmental Psychology Theory
- Place Theory
Primary question: How can architecture respond to the adolescent patient to generate a healing health care environment. After understanding the relationships between the adolescent and their many environments and influencers, environmental psychology theory will be explored to understand how the environment can be manipulated to enhance and maintain positive relationships between the adolescent patient and their physical environment, in order to promote health and well-being. -be.
RESEARCH METHODS AND MATERIALS
- Approach
- Unit of Analysis
- Primary Data Collection: Interviews and Case Studies
- Secondary Data Collection: Literature and Precedent Studies
- Analysis of Research Findings
The private facility, which has been asked not to be named and is therefore referred to as 'the private facility', was selected as, whilst being a general facility, it provides a local example of a facility striving to create a healing environment through a built environment response. Socio-developmental theories have been discussed to explore young people's social development, contexts and environments and the relationships between these components.
CONCLUSION
ǀ THEORETICAL FRAMEWORK
- INTRODUCTION
- HEALING ARCHITECTURE
- Symbiotic Architecture
- Responsive Architecture
- Generative Architecture
- SOCIO-DEVELOPMENTAL THEORY
- Ecology of Human Development Theory
- Psychosocial Development Theory
- ENVIRONMENTAL PSYCHOLOGY THEORY
- Nightingale’s Environmental Theory
- Therapeutic Environment Theory and Supportive Design Theory
- PLACE THEORY
- Sense of Place
- Sensory Design
- CONCLUSION
Environmental psychology theory can be applied to the concept of "responsiveness", with the view that. Place theory can be applied to the concept of "generation", with the notion that both a "Sense of Place".
ǀ ADDRESSING ADOLESCENT HEALTHCARE ENVIRONMENTS
INTRODUCTION
SYMBIOTIC ARCHITECTURE: Adolescents, their environments and healing
- Introduction
- Adolescents’ connection to their built and spatial environments
- Adolescents’ connection to their social environments
- Adolescents’ connection to their personal environments
- Adolescent healthcare staff and their working environments
- Conclusion
In the youth room in the healthcare system, this is done by using magazines, posters and other personal belongings. By reducing stress, anxiety and self-consciousness in the youth health environment, a major obstacle to healing will be resolved (Ulrich, 1991).
RESPONSIVE ARCHITECTURE
- Introduction
- De-stressors
- Organisation, Proportion, Perception
- Colour, Materials and Mood
- Lighting
- Temperature
- Air Quality and Ventilation
- Noise Control
- Nature and Healing Gardens
- Personal Space and Privacy
- Control and Individuality
- Social Spaces
- Conclusion
Additionally, indoor vegetation can be used to purify air as well as provide visual interest (Ulrich, 2006). In the healthcare environment, nature can be made present both inside and outside. By using different gardens, different experiences can be created according to the patient's needs.
GENERATIVE ARCHITECTURE
- Introduction
- Sensory Healthcare Design and Place
- Materiality and Place
- Enlivening Surroundings and Place
- Conclusion
By using ventilation systems, unpleasant odors can be removed and pleasant odors can be diffused (Mazuch and Stephen, 2005). Regarding the experience in and through a place, the use of natural materials rich in the senses connects the user to his surroundings and creates a refreshing experience. Through the use of the physical and natural environment, a place can be developed that heals the mind, body and soul.
CONCLUSION
Rather than creating spaces that you can only pass through, an enlivened environment creates a journey through that space, enabling an engaging experience through the building that uplifts the mind, body and soul. This is done through the rhythm and fluidity of the environment, creating spaces that accelerate and decelerate, spaces of expansion and contraction, spaces that vary in light and darkness, spaces that alternate spatial openings, present views and interesting activities and that change axis when appropriate. This journey through the physical environment begins to nourish itself emotionally, psychologically and spiritually, all of which contributes to the healing process (Day, 2002).
ǀ PRECEDENT STUDIES
- INTRODUCTION
- TRILLIUM SECURE ADOLESCENT INPATIENT FACILITY
- Motivation
- Symbiotic Architecture
- Responsive Architecture
- Generative Architecture
- Summary
- THE NELSON MANDELA CHILDREN’S HOSPITAL
- Motivation
- Symbiotic Architecture
- Responsive Architecture
- Generative Architecture
- Summary
- BALLARAT COMMUNITY HEALTH PRIMARY CARE CENTRE
- Motivation
- Symbiotic Architecture
- Responsive Architecture
- Generative Architecture
- Summary
- CONCLUSION
As mentioned above, the institution took into account the psychological and social needs of the patient's child. This spine serves as the heart of the building, encouraging social interaction by housing a café and dining area as shown in Figure 32, performance stairs and a playground. The exterior of the building, as shown in Figure 36, seeks to unite space and community through the use of roof silhouettes that meet the surrounding landscape and echo the contextual forms.
ǀ CASE STUDIES
- INTRODUCTION
- KWA-ZULU NATAL CHILDREN’S HOSPITAL
- Motivation
- Symbiotic Architecture
- Responsive Architecture
- Generative Architecture
- Interviews
- Summary
- THE PRIVATE HOSPITAL
- Motivation
- Symbiotic Architecture
- Responsive Architecture
- Generative Architecture
- Interviews
- Summary
- CONCLUSION
It was conveyed that the facility was still under development, so it was a work in progress. The participants expressed that the facility was too small and needed more consultation rooms and an isolation room. Interviews with staff show that staff have also noticed and identified that the facility is not responding to the needs of patients and staff.
ǀ RESEARCH FINDINGS
- INTRODUCTION
- FINDINGS
- Evaluation of Built Environment Professionals Interviews
- Evaluation of Young Adult and Adolescent Interviews
- DISCUSSION AND THEORETICAL IMPLICATIONS
- Symbiotic Architecture
- Responsive Architecture
- Generative Architecture
- CONCLUSION
Young adults: Ross suggested the facility have gardens, courtyards and outdoor seating for patients. As the participants also expressed that the spaces between the beds in the wards were too small, it can be assumed that the surroundings were not a suitable environment. From the discussion above, it can be determined that the relationship between the adolescent and the existing health care environment was not positive as the environment ignored the physical, social and personal needs of the adolescent.
CONCLUSIONS AND RECOMMENDATIONS
INTRODUCTION
CONCLUSIONS
82 Erikson's (1994) psychosocial development theory expands on the period of adolescence and the importance of development during this stage as well as the crises and insecurities of the adolescent in having to fit themselves into society. The literature was discussed through the lens of the sub-concepts of symbiotic architecture, responsive architecture and generative architecture, all of which fall under the overall concept of healing. The literature has focused in detail on the built, spatial, social and personal environments of the adolescent as well as the relationship between healthcare professionals and their environments.
DESIGN RECOMMENDATIONS
In rooms where patients need to be calm and relaxed, soothing blue and green colors can be used, while rooms such as common spaces can be more vibrant in colour. Connecting with nature: Nature can be used to reduce stress and anxiety, provide positive distractions, purify the air, and serve as a wayfinding indicator. This can be done by including indoor vegetation, having large window areas where appropriate to create a visual connection to nature and to provide garden spaces where patients, staff and family can relax, play and meditate.
CONCLUSION
The meaning of the built environment: a nonverbal communication approach: The University of Arizona Press, Tucson. An investigation into the relationships between architectural environments and human well-being: a proposed health and healing center for Durban. The outcome of the study describes how a built environment response to the primarily social and psychological needs of adolescents has the potential to create a healthcare environment that could be healing, beyond that of reactive healthcare.
PROJECT DESCRIPTION
The purpose of the dissertation paper was to describe the benefits of responsive architecture by focusing on the physical, social, and psychological needs of the adolescent patient and how the healthcare environment might respond to these needs to create a treatment architecture. By responding to the needs of patients, an opportunity was offered for a healthcare environment that also provided preventive and preventive healthcare.
THE NOTIONAL CLIENT
- The Client’s Requirements
- Detailed Client Brief
To provide facilities for activities in which the adolescent can engage, which are considered enjoyable, but which nevertheless provide physical, psychological and social benefits. And finally, provide health care facilities related to the adolescent patient, such as: consultation and examination rooms for sexual and reproductive health checkups (ie abortions, STIs, antenatal checkups, HIV testing, etc.), monitoring of growth and development. and assessment, facilities for speech and hearing therapy, physical therapy, occupational therapy, dermatology, dietetics, audiology, individual and family counseling, and social services. 2 Storage room for environmental services 1 14 23 Room for storing sanitary supplies and trolley for cleaning the facility.
CONCLUSION
ǀ SITE SELECTION, SURVEY AND ANALYSIS
SITE OPTIONS
While close to urban landscapes, the area is far from dense urban forms as it is located between gardens and a field. TOPOGRAPHY The location is a straight area which is gently sloping and has many trees of different sizes. ACCESSIBILITY The site is accessible by both vehicles and pedestrians with public transport nearby.
SELECTED SITE
- Historical Background
- Description of existing site conditions
- Site Analysis
The existing site is an uninhabited, green field site, which is generally flat with small banks along the sides of the site. There are low shrubs and some trees on the edge of the site, while the rest of the site is grassy. The site is a linear, rectangular site with the longest sides facing northwest and southeast.
CONCLUSION
ǀ DESIGN DEVELOPMENT AND RESOLUTION
DESIGN PRINCIPLES
CONCEPTUAL SPATIAL DIAGRAM
THE YOUTH'S SOCIAL NEEDS have been met through the strong focus on community and interaction within the facility. THE YOUTH'S PSYCHOLOGICAL NEEDS have been met through the low scale facility which is not overbearing, the use of soothing interior colors of blue and green and natural materials such as wood. Needs have also been met through the inclusion of nature and vegetation indoors as well as through the therapeutic garden that provides opportunities.