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4 STATE OF THE ART 4.3 Danish psychiatric hospitals and specialised facilities New national objectives in psychiatric treatment include better quality, co- herence and geographical equality alongside more patient involvement, more effective health care systems and shorter stays. (‘HEALTHCARE IN DENMARK AN OVERVIEW’, 2017) As evidence based design became con- nected to shorter hospitalisation, less prescription medicine and stress, more current hospital buildings are based on this line of thinking. This approach demands for high levels of openness and knowledge sharing, as evidence based design demands for knowledge from finished buildings. (Arkitek- terne, 2013, pp. 28–35) Resent psychiatric buildings in Denmark, have re- cently been designed with the concept of healing architecture in mind. With the architectural focus on daylight, materiality and human scale in mind, engineers work with indoor climate and air for thermal comfort, landscape architects are in charge of surrounding landscapes and lighting profession- als to design and implement state of the art lighting design for healing and meet the standards of modern health care architecture. (Arkitekterne, 2013, pp. 54–57) Experts and knowledge drives the design, and puts everything but the atmosphere into high priority in new hospitals, buildings for elderly and psychiatric facilities. Modern psychiatric hospitals are no longer permanent places of resi- dence, as somatic and psychical treatment of patients have been integrated in the same buildings. Patients are the centre of treatment, taking person- ality and resources. Current psychiatric treatment focusses on healing and getting the patient home. Compared to the common belief in the days of the psychiatric asylums, where a psychiatric stay was considered permanent, the current average stay at a psychiatric hospital is 17 days. (Arkitekterne, 2013, pp. 47–49) 4.4 Light in new Danish psychiatric buildings The health sector in Denmark started in the forming of an interest in daylight and how daylight intake can affect long term-committed patients within the health sector, and about five years ago the scene was set for implementa- tion of dynamic lighting systems. First movers in Denmark included the new regions and especially Region Nordjylland and Region Syd. Access to daylight equals satisfaction, daily rhythm and sleep, and shows significant effects on levels of depression, hospitalisation time, recovery and stress connected to hospitalisation. (Frandsen et al., 2009, pp. 23–59) At night time, artificial light from surrounding gardens and parking lots can be troubling for patients. (From and Lundin, 2010, p. 157) Master thesis · MSc Lighting Design · Pernille Bech-Larsen · Fall 2017 58PDF Image | Healing with light
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