Post-occupancy evaluation and codesign in mental healthcare buildings: User’s input as a driver for functional and technical adaptations in post COVID-19 reality

During the COVID-19 pandemic, social distancing protocols imposed the suspension of many activities in mental healthcare facilities, limiting the use of the facility to people in comprehensive care. With the advancement of vaccination, these buildings are gradually reopening for community use. Howev...

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Main Authors: Fernanda de Moraes Goulart, Rosaria Ono
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Built Environment
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fbuil.2022.962940/full
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author Fernanda de Moraes Goulart
Rosaria Ono
author_facet Fernanda de Moraes Goulart
Rosaria Ono
author_sort Fernanda de Moraes Goulart
collection DOAJ
description During the COVID-19 pandemic, social distancing protocols imposed the suspension of many activities in mental healthcare facilities, limiting the use of the facility to people in comprehensive care. With the advancement of vaccination, these buildings are gradually reopening for community use. However, managers and workers now face challenges in accommodating new design demands related to reducing the risk of contamination by COVID-19 within the building. This research adopted a multi-method approach in two phases, combining a post-occupancy evaluation with a cocreation activity to help mental healthcare workers and patients to suggest design changes in their environment. Three Psychosocial Care Centers (CAPS) in São Paulo were selected as case-study buildings. The first phase was the Post-Occupancy Evaluation (POE), in which the lead researcher conducted a walkthrough with the facility administrator, applied questionnaires to 100 employees, and conducted a walking interview with 12 patients. During Phase 02, a codesign activity entitled “Dream CAPS” was conducted with 25 healthcare workers and 12 patients. In this activity, participants were asked to customize a physical model of a mental healthcare facility, choosing the wall and floor finishings, the types of openings (windows, doors), furniture, and ornaments. Afterward, they participated in an interview with illustrated cards. All activities were audio-recorded and textual analysis qualified and categorized the content. Objective and subjective data analysis identified five characteristics of the built environment that prevented or increased risk of COVID-19 spread: Places that support risk mitigation procedures, access and circulation control, extended use of outdoor spaces, natural and artificial air renovation systems, and materials resistant to terminal cleaning. Patients participated in the activities but did not express opinions on the impact of architecture on airborne disease prevention. Healthcare workers claimed that environments that improve mental health must be attractive and prone to social interaction and relaxation without compromising biological safety. The combination of post-occupancy evaluation and codesign proved an excellent tool to identify the demands of mental healthcare buildings and discuss the solutions that must be implemented to deal with contemporary and future crises in a pandemic context.
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spelling doaj.art-333b710960724892a26b8317a349459b2022-12-22T04:29:29ZengFrontiers Media S.A.Frontiers in Built Environment2297-33622022-10-01810.3389/fbuil.2022.962940962940Post-occupancy evaluation and codesign in mental healthcare buildings: User’s input as a driver for functional and technical adaptations in post COVID-19 realityFernanda de Moraes GoulartRosaria OnoDuring the COVID-19 pandemic, social distancing protocols imposed the suspension of many activities in mental healthcare facilities, limiting the use of the facility to people in comprehensive care. With the advancement of vaccination, these buildings are gradually reopening for community use. However, managers and workers now face challenges in accommodating new design demands related to reducing the risk of contamination by COVID-19 within the building. This research adopted a multi-method approach in two phases, combining a post-occupancy evaluation with a cocreation activity to help mental healthcare workers and patients to suggest design changes in their environment. Three Psychosocial Care Centers (CAPS) in São Paulo were selected as case-study buildings. The first phase was the Post-Occupancy Evaluation (POE), in which the lead researcher conducted a walkthrough with the facility administrator, applied questionnaires to 100 employees, and conducted a walking interview with 12 patients. During Phase 02, a codesign activity entitled “Dream CAPS” was conducted with 25 healthcare workers and 12 patients. In this activity, participants were asked to customize a physical model of a mental healthcare facility, choosing the wall and floor finishings, the types of openings (windows, doors), furniture, and ornaments. Afterward, they participated in an interview with illustrated cards. All activities were audio-recorded and textual analysis qualified and categorized the content. Objective and subjective data analysis identified five characteristics of the built environment that prevented or increased risk of COVID-19 spread: Places that support risk mitigation procedures, access and circulation control, extended use of outdoor spaces, natural and artificial air renovation systems, and materials resistant to terminal cleaning. Patients participated in the activities but did not express opinions on the impact of architecture on airborne disease prevention. Healthcare workers claimed that environments that improve mental health must be attractive and prone to social interaction and relaxation without compromising biological safety. The combination of post-occupancy evaluation and codesign proved an excellent tool to identify the demands of mental healthcare buildings and discuss the solutions that must be implemented to deal with contemporary and future crises in a pandemic context.https://www.frontiersin.org/articles/10.3389/fbuil.2022.962940/fullcodesignenvironmental qualitypost-occupancy building evaluationmental healthcare facilitiesuser-centered design
spellingShingle Fernanda de Moraes Goulart
Rosaria Ono
Post-occupancy evaluation and codesign in mental healthcare buildings: User’s input as a driver for functional and technical adaptations in post COVID-19 reality
Frontiers in Built Environment
codesign
environmental quality
post-occupancy building evaluation
mental healthcare facilities
user-centered design
title Post-occupancy evaluation and codesign in mental healthcare buildings: User’s input as a driver for functional and technical adaptations in post COVID-19 reality
title_full Post-occupancy evaluation and codesign in mental healthcare buildings: User’s input as a driver for functional and technical adaptations in post COVID-19 reality
title_fullStr Post-occupancy evaluation and codesign in mental healthcare buildings: User’s input as a driver for functional and technical adaptations in post COVID-19 reality
title_full_unstemmed Post-occupancy evaluation and codesign in mental healthcare buildings: User’s input as a driver for functional and technical adaptations in post COVID-19 reality
title_short Post-occupancy evaluation and codesign in mental healthcare buildings: User’s input as a driver for functional and technical adaptations in post COVID-19 reality
title_sort post occupancy evaluation and codesign in mental healthcare buildings user s input as a driver for functional and technical adaptations in post covid 19 reality
topic codesign
environmental quality
post-occupancy building evaluation
mental healthcare facilities
user-centered design
url https://www.frontiersin.org/articles/10.3389/fbuil.2022.962940/full
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