REHABILITATION CENTRE FOR PSYCHIATRIC PEOPLE

facilitate the integration of recovered mental patients into the community

How rehabilitation centre help people to come out to society with good mental-health and wellbeing

source: https://www.eurodiaconia.org/

synopsis Report

course name: AR 7.6 Pre - Thesis Seminar

Year/ Semester : IV Year (7th semester)

Candidate

Full Name : DEVALARAJU ROSHINI NAGA SRIDEVI

Roll No : 17C11C4020

Guide

Full Name : Ar. B. Vimal.

Designation – Asst. Professor

Vaishnavi School of Architecture and Planning – Vijayawada

 Date of Submission :

Abstract/ Preface:
In developing countries like India, more importance is given to
physical health than mental health. It is therefore difficult for people
to immediately decide what to do when a person is suffering from
mental illness because of the myth surrounding it. Instead of
reporting mental illness to the hospital for early treatment, people
prefer to take them to churches, prayer camps and shrines to seek
spiritual healing. Over 90 million Indians, or 7.5 percent of the
country's population of 1.3 billion, suffer from some form of mental
disorder, according to the World Health Organization (WHO).
The goal of this psychiatric rehabilitation centre is to help patients to
develop the emotional, social, vocational and intellectual skills
needed to live, learn and work in the community .Not only all
recovered patients currently in the psychiatric hospitals should be
able to fit well and play their role in the society, future mental
patients will also benefit from the rehabilitation centre.
 1. INTRODUCTION

The overall aim of this research is to help integrate recovered mental patients from the psychiatric
hospitals back into society through the use of a psychiatric rehabilitation centre. The goal of the
psychiatric rehabilitation centre is to help patients develop their emotional, social, vocational and
intellectual skills needed to live, learn and work in the community with the least amount of
professional support. Mental health care features at two levels, the institutional care and community
mental health care popularly known as community psychiatry. The institutional care takes place in
psychiatric hospitals whereas the community psychiatry occurs in the community in which patients
reside. Psychiatrists and nurses offer treatment at the institutional care level and community
psychiatry nurses administer care at the community psychiatry level.

The psychiatric rehabilitation centre will serve as a transitional zone between the hospital and the
community where patients are taught the requisite skills needed to be reintegrated into the
community. The rehabilitation centre will seek to accomplish two main purposes. They are 1) to help
train recovered patients in skills acquisition for gainful employment and 2) to help provide the
opportunity for patients to gradually acquire socialization skills through their supervised contact with
some members of the community. The idea of trying to include the public into this proposed design is
to help patients learn how to live with people upon getting back into the community and also to help
break down the wall of prejudice the public has concerning mental illness.

Despite popular notions of stigma, records has it that most people who come in close contact with
recovered mental patients who have gone through rehabilitation successfully are always full of praise
on how magnificent these patients have been transformed .According to World Health Organization
(2006), 80% of treated mental patients who are rehabilitated get better and fit so well into society
with no traits of the person ever having experience such trauma. Recovered mental patients desire to
participate in family life, community life and in a meaningful occupation.

 How many people suffering from mental illness in india

 How many are using these rehabilitation centres
 Sex ratio of people suffering from mental illness
 What type of mental illness mostly found in the people
 Recovery rate through this center

Tamil Nadu, Kerala, Telangana, Karnataka and Andhra Pradesh account for a higher prevalence
of mental disorders that manifest primarily during adulthood in depression and anxiety, according
to the first comprehensive estimates of disease burden attributable to mental health from 1990
prepared by the India State-Level Disease Burden Initiative and published in the Lancet
Psychiatry.
The study finds that roughly one in seven Indians, or 197 million persons, suffered from mental
disorders of varying severity in 2017. These include depression, anxiety disorders, schizophrenia,
bipolar disorders, idiopathic developmental intellectual disability, conduct disorders, and autism.
In its State-wise analysis, the study divides different States into three categories on the basis of
their socio-demographic index (SDI), i.e low, medium and high SDI States. The SDI is a
composite measure of per-capita income, mean education, and fertility rate in women younger
than 25 years and is calculated on a scale of one.
Prevalence of depressive disorders was highest in Tamil Nadu (loss of 836 years per 1 lakh
population ), Kerala (loss of 641 years), Goa (loss of 626 years) and Telangana (loss of 756years)
in the high SDI State group and Andhra Pradesh (loss of 793 years) in the middle SDI State
group.

Similarly, anxiety disorders were found to be more common in

 Kerala (loss of 383 years per 1 lakh population),
 Himachal Pradesh (loss of 329 years),
 Tamil Nadu (loss of 325 years),
 Karnataka (loss of 324 years),
 Telangana (loss of 324 years),
 Maharashtra (loss of 324 years) in the high SDI State group

 Andhra Pradesh (loss of 328 years)

 Manipur (loss of 360 years),
 West Bengal (loss of 331 years) in the middle SDI State group. 

 The study also found that more women than men suffered from depression (3.9% women
vs 2.7% men),
 anxiety (3.9% of women vs 2.7% men)
 eating disorders (0.3% in women vs 0.1% in men), while the
 prevalence of conduct disorder (1% men vs 0.6% women),
 autism spectrum disorders (0.5% in men vs 0.2 in women),
 Attention-Deficit Hyperactivity Disorder (0.6% in men and 0.2% in women) were
substantially higher in males than in females.

Site selection: kerala, Kozhikode

Andhra Pradesh
Telegana
Area expected: 3 to 4 acres
2. Aim and Objectives

Aim: To provide a rehabilitation centre for mental illness people who are
facing problems in the society through an architectural exposure in the
surrounding ,Which can help the people to overcome the problems which they
are facing and to rule they life as a common man in the society.

Objectives: The main objective of the research is to propose a model

psychiatric rehabilitation centre design to help restore patients to their roles
within the family and community. The design will also engage the people
around them to support this process. This will be achieved through two main
functions;
1. Creating a built environment for treated mental patients to engage in
community interaction, receive continuous counseling and expose patients
to a well designed environment where they come in tune with nature.

2. Occupational therapy to help patients in skills obtained which is valuable

in their recovery process

3. Methodology:
Literature study:

information through net books

requirments standards magazines

Case studies:
- Desktop case study

site plan space requirments

studying divisons taken

study of
study of
building
plans,sections
material

- Live case study:

site
requirments
site details surrounding
taken
s

questioning study of
study of plans
the staff connectivities

study of
questioning
building
the patients
materials
 - Design

site selection site study site analysis

conceptual
plans zoning
drawings

details

4. Need/ Relevance of the study

Case studies:
 Primary case study :
 MS CHELLAMTHU TRUST AND RESEARCH FOUNDATION
643, K.K.Nagar, Madurai – 625 020, TamilNadu, India

 CADABAM’S AMITHA REHABILITATION CENTER

Gulakamale Village, Near Kaggalipura, 17th Mile Post Taralu, Kanakapura Rd,
Bengaluru, Karnataka 560082
secondary case study :
 Centre for psychosocial rehabilitation , Alicante, spain.
https://www.archdaily.com/512803/center-for-psychosocial-rehabilitation-
otxotorena-arquitectos?ad_medium=widget&ad_name=recommendation

 Psychiatric centre Navarre,spain

https://www.archdaily.com/885453/psychiatric-center-vaillo-plus-irigaray-
architects?ad_source=search&ad_medium=search_result_all

Scope and Limitations

Scope: This thesis proposes a psychiatric rehabilitation centre where recovered

patients are taught the required skills needed to facilitate their integration into
society. The research intends to improve the psychiatric situation concerning
recovered mental patients in India. It focuses on how best to integrate these
recovered mental patients back into society through the use of a rehabilitation
centre to enable them have control over their lives and contribute meaningfully
to economic development. The research will focus on recovered mental
patients in the three main psychiatric hospitals in India

Limitations :
 Details of Spa in a Rehabilitation centre.
 Details of all open spaces expect open spaces use for rehabilitation centre