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Therapeutic Landscapes and Psychiatric Care Facilities: A Qualitative Meta-Analysis

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  • Lydia Oeljeklaus

    (Medical School OWL, Bielefeld University, 33615 Bielefeld, Germany
    Department of General Internal Medicine and Psychosomatics, Heidelberg University Hospital, 69120 Heidelberg, Germany)

  • Hannah-Lea Schmid

    (Medical School OWL, Bielefeld University, 33615 Bielefeld, Germany)

  • Zachary Kornfeld

    (LWL-Hospital Paderborn, Psychiatry Psychotherapy Psychosomatic, 33098 Paderborn, Germany
    Medical Faculty, Ruhr University Bochum, 44801 Bochum, Germany)

  • Claudia Hornberg

    (Medical School OWL, Bielefeld University, 33615 Bielefeld, Germany)

  • Christine Norra

    (LWL-Hospital Paderborn, Psychiatry Psychotherapy Psychosomatic, 33098 Paderborn, Germany
    Medical Faculty, Ruhr University Bochum, 44801 Bochum, Germany)

  • Stefan Zerbe

    (Faculty of Science and Technology, Free University of Bozen-Bolzano, 39100 Bolzano, Italy)

  • Timothy McCall

    (Medical School OWL, Bielefeld University, 33615 Bielefeld, Germany)

Abstract

The environment in healthcare facilities can influence health and recovery of service users and furthermore contribute to healthy workplaces for staff. The concept of therapeutic landscapes seems to be a promising approach in this context. The aim of this qualitative meta-analysis is to review the effects of therapeutic landscapes for different stakeholders in psychiatric care facilities. A systematic literature search was conducted in the four data bases PubMed, PsycInfo, CINAHL, and Web of Science. Thirteen predominately qualitative studies were included in this qualitative meta-analysis. The methodological quality of these qualitative studies was assessed, using an adapted version of the Journal Article Reporting Standards for Qualitative Research, and a thematic analysis was conducted. The results were categorised into the three main themes of the physical (built and natural), social, and symbolic dimensions of the therapeutic landscape. Given the heterogeneity of the summarised data and an overall methodological quality of the included studies that can be rated as medium, the results should be interpreted with caution. Current findings are based almost exclusively on qualitative studies. Therefore, there is a need for quantitative study designs that investigate the relationship between specific environmental elements and mental health outcomes for different stakeholders in psychiatric facilities.

Suggested Citation

  • Lydia Oeljeklaus & Hannah-Lea Schmid & Zachary Kornfeld & Claudia Hornberg & Christine Norra & Stefan Zerbe & Timothy McCall, 2022. "Therapeutic Landscapes and Psychiatric Care Facilities: A Qualitative Meta-Analysis," IJERPH, MDPI, vol. 19(3), pages 1-25, January.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:3:p:1490-:d:736987
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    References listed on IDEAS

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    1. Daniela Haluza & Regina Schönbauer & Renate Cervinka, 2014. "Green Perspectives for Public Health: A Narrative Review on the Physiological Effects of Experiencing Outdoor Nature," IJERPH, MDPI, vol. 11(5), pages 1-17, May.
    2. Mireia Gascon & Margarita Triguero-Mas & David Martínez & Payam Dadvand & Joan Forns & Antoni Plasència & Mark J. Nieuwenhuijsen, 2015. "Mental Health Benefits of Long-Term Exposure to Residential Green and Blue Spaces: A Systematic Review," IJERPH, MDPI, vol. 12(4), pages 1-26, April.
    3. Gesler, Wilbert M., 1992. "Therapeutic landscapes: Medical issues in light of the new cultural geography," Social Science & Medicine, Elsevier, vol. 34(7), pages 735-746, April.
    4. Bell, Sarah L. & Foley, Ronan & Houghton, Frank & Maddrell, Avril & Williams, Allison M., 2018. "From therapeutic landscapes to healthy spaces, places and practices: A scoping review," Social Science & Medicine, Elsevier, vol. 196(C), pages 123-130.
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    Cited by:

    1. Mads Bank & Kirsten K. Roessler, 2022. "Therapeutic Environments in Drug Treatment: From Stigmatising Spaces to Enabling Places. A Theory-Based Qualitative Analysis," IJERPH, MDPI, vol. 19(9), pages 1-11, April.
    2. Minjung Cho, 2023. "Evaluating Therapeutic Healthcare Environmental Criteria: Architectural Designers’ Perspectives," IJERPH, MDPI, vol. 20(2), pages 1-34, January.

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