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Children’s Spaces of Mental Health: The Built Environment as Places of Meaning

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Play, Recreation, Health and Well Being

Part of the book series: Geographies of Children and Young People ((GCYP,volume 9))

Abstract

This chapter will look at the role of the built environment and space in children and young people’s mental health settings. In particular, the chapter will focus on the internal and external space of the Child and Adolescent Mental Health Service (CAMHS) outpatients’ setting. Since work on the built environment and space in children’s mental health settings is so sparse, the chapter draws on commentaries from psychological and sociological studies on children’s space and place, adult mental health settings, and research examining the internal and external spaces of children’s hospitals. As well as providing some context-setting for why the child and adolescent mental health services offer an informative site for studying spaces of mental health, this chapter attempts to theorize how different meanings around “childhood” and the “child” are enacted through the built environment. In essence, there will be an examination of what meanings are developed through children and young people’s interactions with CAMHS. Notably, how specific features of the built environment, symbolic associations with other types of buildings and past memories, serve as the frame of reference for understanding the role of place. Discussions about the construction of the “normal” childhood will show how features of the built environment in children’s mental health settings position the child as “dangerous.” As an example, the building façade of children’s mental health settings is so discreet that they perpetuate the stigma associated with children’s mental health. CAMHS therefore becomes a “hidden” service, rather than a service developed for children, by children. The chapter will conclude by using some empirical data from a study of the CAMHS built environment, collated with parents and children and young people, to act as exemplars for the phenomena discussed.

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References

  • Aitkin, S. C. (2001). Geographies of young people: The morally contested spaces of identity. London: Routledge.

    Google Scholar 

  • Baum, A., & Paulus, P. B. (1987). Crowding. In S. D. Altman (Ed.), Handbook of environmental psychology (pp. 533–570). New York: Wiley.

    Google Scholar 

  • Birch, J., Curtis, P., & James, A. (2007). Sense and sensibilities: In search of the child-friendly hospital. Built Environment, 33, 405–416.

    Article  Google Scholar 

  • Board of Science. (2006). Child and adolescent mental health: A guide for healthcare professionals. London: BMA.

    Google Scholar 

  • Burman, E. (2008). Deconstructing developmental psychology. Hove: Routledge.

    Google Scholar 

  • Chawla, L., Keena, K., Pevec, I., & Stanley, E. (2014). Green schoolyards as havens from stress and resources for resilience in childhood and adolescence. Health & Place, 28, 1–13.

    Article  Google Scholar 

  • Clarke, A. (2010). Transforming children’s spaces: Children’s and adult’s participation in designing learning environments. Abingdon: Routledge.

    Google Scholar 

  • Cottrell, D., & Kraam, A. (2005). Growing up? A history of CAMHS (1987–2005). Child and Adolescent Mental Health, 10, 111–117.

    Article  Google Scholar 

  • Crafter, S., Prokopiou, E., & Stein, S. (2010). Exploring the build and space environment for users of the Child and Adolescent Mental Health Service. London: National Institute for Health Research, Department of Health.

    Google Scholar 

  • Crossley, N. (2006). Contesting psychiatry: Social movements in mental health. London: Routledge.

    Google Scholar 

  • Curtis, P. (2007). Space to care: Children’s perceptions of spatial aspects of hospitals. Full Research Report. ESRC End of Award Report, RES-000-23-0765.

    Google Scholar 

  • Department for Education and Skills. (2004). The mental health and psychological well-being of children and young people. London: National Service Framework for Children, Young People and Maternity Service.

    Google Scholar 

  • Evans, G. W. (2003). The built environment and mental health. Journal of Urban Health, 80, 536–555.

    Article  Google Scholar 

  • Evans, G. W., Wells, N. M., & Moch, A. (2003). Housing and mental health: A review of the evidence and a methodological and conceptual critique. Journal of Sociological Issues, 59, 475–500.

    Article  Google Scholar 

  • Faris, R. E., & Dunham, H. W. (1939). Mental disorders in urban areas: An ecological study of schizophrenia and other psychoses. Chicago/London: The University of Chicago Press.

    Google Scholar 

  • Gislason, N. (2010). Architectural design and the learning environment: A framework for school design research. Learning Environments Research, 13, 127–145.

    Article  Google Scholar 

  • Green, H., McGinnity, A., Meltzer, H., Ford, T., & Goodman, R. (2005). Mental health of children and young people in Great Britain. Norwich: Office for National Statistics.

    Google Scholar 

  • Halpern, D. (1995). More than bricks and mortar? Mental health and the built environment. London: Taylor Francis.

    Google Scholar 

  • Hart, R. (1979). Children’s experience of place. New York: Irvington Publishers.

    Google Scholar 

  • Hartig, T. (2007). Three steps to understanding restorative environments as health resources. In C. Ward Thompson & P. Tavlou (Eds.), Open spaces: People spaces (pp. 163–179). Abingdon: Taylor Francis.

    Google Scholar 

  • Health Advisory Service. (1995). Together we stand. London: HMSO.

    Google Scholar 

  • Hutton, A. (2002). The private adolescent: Privacy needs of adolescents in hospitals. Journal of Pediatric Nursing, 17, 67–72.

    Article  Google Scholar 

  • James, A., & Curtis, P. (2012). Constructing the sick child: The cultural politics of children's hospitals. The Sociological Review, 60, 754–772.

    Article  Google Scholar 

  • James, A., Jenks, C., & Prout, A. (1998). Theorizing childhood. Cambridge: Polity Press.

    Google Scholar 

  • Johnston, J. R., Gregory, D., Pratt, G., & Watts, M. (2000). The dictionary of human geography. Oxford: Blackwell Publishing.

    Google Scholar 

  • Jones, O. (2000). Melting geography: Purity, disorder, childhood and space. In S. L. Holloway & G. Valentine (Eds.), Children’s geographies: Playing, living, learning (pp. 29–47). Abingdon: Routledge.

    Google Scholar 

  • Knight, A. (2013). Young people travelling to school, social lives and local connections: Constraints or opportunities? Unpublished Doctoral Dissertation, Institute of Education.

    Google Scholar 

  • Kraftl, P. (2006). Building an idea: The material construction on an ideal childhood. Transactions of the Institute of British Geographers, 31, 488–504.

    Article  Google Scholar 

  • Lambert, V., Coad, J., Hicks, P., & Glacken, M. (2013). Young children’s perspectives of ideal physical design features for hospital-built environments. Journal of Child Health Care, 18, 57–71.

    Article  Google Scholar 

  • Lawson, B., & Phiri, M. (2003). The architectural healthcare environment of its effects of patient health outcomes: A report on an NHS Estates funded research project. Norwich: The Stationary Office.

    Google Scholar 

  • Leventhal, T., & Brooks-Gunn, J. (2000). Neighborhoods they life in: The effective of neighbourhood residence on child and adolescent outcomes. Psychology Bulletin, 126, 309–337.

    Article  Google Scholar 

  • Lucas, T. (1998). Youth gangs and moral panics in Santa Cruz, California. In T. Skelton & G. Valentine (Eds.), Cool places: Geographies of youth cultures (pp. 145–160). London: Routledge.

    Google Scholar 

  • Marcus, C. C., & Sachs, N. A. (2013). Therapeutic landscapes: An evidence-based approach to designing healing gardens and restorative outdoor spaces. Hoboken: Wiley.

    Google Scholar 

  • NHS Estates. (2003). Improving the patient experience – Friendly healthcare environments for children and young people. Norwich: The Stationery Office.

    Google Scholar 

  • O’Brien, M., Jones, D., Sloan, D., & Rustin, M. (2000). Children’s independent spatial mobility in the urban public realm. Childhood, 7, 257–277.

    Article  Google Scholar 

  • O’Campo, P., Salmon, C., & Burke, J. (2009). Neighbourhoods and mental well-being: What are the pathways? Health and Place, 15, 56–68.

    Article  Google Scholar 

  • O’Dell, L. (2008). Representations of the ‘damaged’ child: ‘Child saving’ in a British children’s chart ad campaign. Children & Society, 22, 383–392.

    Article  Google Scholar 

  • Parr, H. (2000). Interpreting the ‘hidden social geographies’ of mental health: Ethnographies of inclusion and exclusion in semi-institutional places. Health & Place, 6, 225–237.

    Article  Google Scholar 

  • Parr, H. (2008). Mental health and social space: Towards inclusionary geographies? Malden: Blackwell Publishing.

    Book  Google Scholar 

  • Parr, H., Philo, C., & Burns, N. (2003). ‘That awful place was home’: Reflections of the contested meaning of Craig Dunain asylum. Scottish Geographical Journal, 199, 341–360.

    Google Scholar 

  • Philo, C. (1992). Neglected rural geographies: A review. Journal of Rural Studies, 8, 193–207.

    Article  Google Scholar 

  • Philo, C. (2000). The corner-stones of my world: Editorial introduction to special issue on spaces of childhood. Childhood, 7, 243–256.

    Article  Google Scholar 

  • Philo, C., & Pickstone, J. (2009). Unpromising configurations: Towards local historical geographies of psychiatry. Health & Place, 15, 649–656.

    Article  Google Scholar 

  • Radley, A. (1997). Artefacts, memory and a sense of the past. In D. Middleton & D. Edwards (Eds.), Collective remembering (pp. 46–59). London: Sage Publications.

    Google Scholar 

  • Ross, C. E., Reynolds, J. R., & Geis, K. T. (2000). The contingent meaning of neighbourhood stability for residents’ psychological well-being. American Sociological Review, 65, 581–597.

    Article  Google Scholar 

  • Silver, E., Mulvey, E. P., & Swanson, J. W. (2002). Neighborhood structural characteristics and mental disorder: Faris and Dunham revisited. Social Science & Medicine, 55, 1457–1470.

    Article  Google Scholar 

  • Smith, L.-A. (2012). Mad, bad and dangerous to know: Exploring the everyday spaces of older, mental health service users. Unpublished Doctoral Thesis: University of Northampton.

    Google Scholar 

  • Taylor, S. (2010). Narratives of identity and place. Hove: Routledge.

    Google Scholar 

  • Tucker, I., & Smith, L.-A. (2014). Topology and mental distress: Self-care in the life spaces of home. Journal of Health Psychology, 23, 176–183.

    Article  Google Scholar 

  • Ulrich, R. S. (1991). Effects of health facility interior design on wellness: Theory and scientific research. Journal of Health Care Design, 3, 97–109.

    Google Scholar 

  • Ulrich, R. S., Zimring, C., Quan, X., Joseph, A., & Choudhary, R. (2004). The role of the physical environment in the hospital of the 21st century. Concord: The Centre for Health Design and the Robert Wood Johnson Foundation.

    Google Scholar 

  • Valentine, G. (2001). Social geographies: Space and society. Harlow: Prentice Hall.

    Google Scholar 

  • Valentine, G. (2004). Public space and the culture of childhood. Aldershot: Ashgate Publishing.

    Google Scholar 

  • Valetine, G., Skelton, T., & Chambers, D. (1998). Cool places: An introduction to youth and youth cultures. In T. Skelton & G. Valentine (Eds.), Cool places: Geographies of youth cultures (pp. 1–32). London: Routledge.

    Google Scholar 

  • Wake, S. J. (2007). Children’s gardens: Answering ‘the call of the child’? Built Environment, 33, 441–451.

    Article  Google Scholar 

  • Ward, C. (1988). The child in the country. London: Bedford Square Press.

    Google Scholar 

  • Wenger, E. (1998). Communities of Practice: Learning, meaning, and identity. Cambridge: Cambridge University Press.

    Book  Google Scholar 

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Correspondence to Sarah Crafter .

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Crafter, S., Prokopiou, E., Stein, S. (2015). Children’s Spaces of Mental Health: The Built Environment as Places of Meaning. In: Evans, B., Horton, J., Skelton, T. (eds) Play, Recreation, Health and Well Being. Geographies of Children and Young People, vol 9. Springer, Singapore. https://doi.org/10.1007/978-981-4585-96-5_29-1

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  • DOI: https://doi.org/10.1007/978-981-4585-96-5_29-1

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