Craig Driver & Ross Warren (architects) will present examples of an innovative waymaking (wayfinding) concept from a current development in Norwich, UK

Abstract A new interpretation of the normalised “Wayfinding” design task offers the opportunity to become an important element of the larger clinical and architectural project for a new “core” expansion of a large regional psychiatric hospital in the South-East of the UK. We call this new approach Waymaking, as it goes beyond signage, leveraging our deep-set knowledge and understanding of the entire project at all scales. Waymaking at the Rivers Centre for Mental Health (Rivers) begins with the exploration of movement narratives into and around its larger site. It turns a classic design task into a design opportunity on all scales, starting with an urban design and planning perspective, through to the architectural and landscape design decisions outside of the building and into the specific on-ward atmospheres in a manner integrated with the detail interior design decisions of colour, built-in-furniture and others. Rivers has been carefully composed out of existing structures as well as smaller new-build and extension buildings. These are all set within a large, sloping site of noteworthy natural beauty. As such, Rivers can well be understood as a hillside village or campus of health - rather than as a traditional “hospital.” As a health village, Rivers provides spatial sequencing as the landscape design directly introduces a series of smaller, more human scale spaces built and natural all of which together aid in orientation and identity across the site. This will help support the daily use of the buildings by all stakeholders. This strategy has been “baked-in“ to the architectural design as well, strategically distributed retreat/recovery spaces allow for space for de-escalation or relaxation. These can be found in the form of regular niches in the hallways and “porch” entrance spaces, usually with built-in benches and bespoke lighting elements. In addition to creating orientation affordances, these also provide opportunities for neurodivergent persons (ie. ASD, learning disabilities, etc.) to better understand and master independent movement around the Centre. Disclosure of Interest None Declared

Abstract: Sociopetal design methods can offer interesting means to support therapeutic concepts within ward environments.They can help to forge group identities through offering patients, staff and visitors opportunities to identify with the spaces they inhabit."Sociopetal space" has been defined as "spaces which help bring people together"; but how does this actually work and what role can these types of spaces play in a hospital ward setting?Some of these elements operate at a detail level and can be rather simple to deploy.Normalising the environment by making "regular" design decisions such as by using real rather then simulated materials (ie., actual wood rather then "wood patterned" furniture); or through offering a mix of lighting (ie., artificial and natural sources in variation) can create more homely spaces for patients and staff alike.Ultimately, design decisions at the detail scale can create phenomenal elements which can play a large role towards generating a favorable atmospheric experience on the ward.It is also possible to explore how specific moments or places within a psychiatric ward might be designed to support patient agency, even on a closed ward.Sociopetal elements such as well-sited sitting spaces can offer moments of safety or retreat, leading to a greater sense of control.This can help patients feel more open to positive interactions with their colleagues and staff because they can safely observe or choose less committed ways of participation in daily or group activities.Zooming out from these details, we will also look at the layout of a psychiatric ward (ie.accommodations) to help identify where opportunities such as those listed can be found.Simple gestures such as a slight widening of the corridor leading to important shared areas or better access to light or views of nature have been shown to improve outcomes for patients.What other design elements can be placed on or within wards to further this approach?Recent and ongoing projects within our practice will be shared to help workshop participants gather literacy in case they may be involved in future design projects.Abstract: I will point out the important role of a thorough planning process in which all stakeholders work together starting in early phases of the design process ("phase 0") and engage in a truly interdisciplinary and iterative process throughout the entire planning phase as well as the building phase (where often ad hoc decisions have to be made in order to adjust to unforeseen circumstances).I will examine the terms "Consensus Design" and "Evidence-Based Design" and relate them to lived reality by giving a number of examples from own experience.Here I will contrast different approaches in carrying out the planning process and demonstrate how only a truly interdisciplinary and iterative process can result in individualised and optimised therapeutic environments, strengthen identity and reduce stigmatisation.As a support to future projects which workshop participants may be involved in, I will share some of the basic methods and tools which I have seen or used to help build and maintain this type of collaborative conversations throughout project phases.

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Craig Driver & Ross Warren (architects) will present examples of an innovative waymaking (wayfinding) concept from a current development in Norwich, UK of the larger clinical and architectural project for a new "core" expansion of a large regional psychiatric hospital in the South-East of the UK.We call this new approach Waymaking, as it goes beyond signage, leveraging our deep-set knowledge and understanding of the entire project at all scales.Waymaking at the Rivers Centre for Mental Health (Rivers) begins with the exploration of movement narratives into and around its larger site.It turns a classic design task into a design opportunity on all scales, starting with an urban design and planning perspective, through to the architectural and landscape design decisions outside of the building and into the specific on-ward atmospheres in a manner integrated with the detail interior design decisions of colour, built-in-furniture and others.Rivers has been carefully composed out of existing structures as well as smaller new-build and extension buildings.These are all set within a large, sloping site of noteworthy natural beauty.As such, Rivers can well be understood as a hillside village or campus of health -rather than as a traditional "hospital."As a health village, Rivers provides spatial sequencing as the landscape design directly introduces a series of smaller, more human scale spaces built and natural all of which together aid in orientation and identity across the site.This will help support the daily use of the buildings by all stakeholders.This strategy has been "baked-in" to the architectural design as well, strategically distributed retreat/recovery spaces allow for space for de-escalation or relaxation.These can be found in the form of regular niches in the hallways and "porch" entrance spaces, usually with built-in benches and bespoke lighting elements.In addition to creating orientation affordances, these also provide opportunities for neurodivergent persons (ie.ASD, learning disabilities, etc.) to better understand and master independent movement around the Centre.

W0020 Menthal health of internally and externally displaced persons in war period
The presentation also provided a system of therapy and rehabilitation for internally and externally displaced persons, as well as an evaluation of their effectiveness.

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The involvement of Croatian psychiatrists in helping the displaced persons from Ukraine M. Rojnic Kuzman 1,2 Abstract: After two years of pandemic with COVID-19 Europe is facing a war, which has already caused numerous death and injuries, mass displacement, and aggravated the economic and energy crisis and has left most countries completely unprepared and created a humanitarian crisis.The COVID-19 pandemics crisis pointed out the unpreparedness of the health (including mental health) sectors for the emergency situations.However, we also learnt some of the practices that proved effectiveincluding the fast creation of collaborative networks on a larger scale that also allowed fast spread of good practices and practical organisation of help.The European Psychiatric Association as well as individual national psychiatric association have started an informal network of solidarity for Ukraine on February 28 th , 2022 to respond to the needs of people in Ukraine as verbalized by the Ukrainian mental health professionals, but also to the need of surrounding countries where people from Ukraine fled to.Through this network several actions, including financial support, medical donations and education.The Croatian Psychiatric Association took the lead in the organisation of education for first line helpers and volunteers from Ukraine and countries surrounding Ukraine where displaced persons fled to, in collaboration with many partners.

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High number of refugees in Germany -how is the mental health care dealing with this major challenge?Abstract: Europe is again confronted with a new dramatic emergency, a war which has already caused civil victims, mass displacement and even fear about a nuclear war and energy crisis.Again, Europe is facing new waves of war refugees, forcibly displaced people.There is increasing evidence that a large proportion of refugees or forcibly displaced persons suffer from the consequences of traumatic events and exhibit psychological problems or develop mental disorders, including post-traumatic stress disorder, depressive and anxiety disorders, and relapses in psychotic episodes.European countries are trying to face with an extraordinary surge Interest: None Declared W0018 Applying "Consensus Design" in the Development of Psychiatric Facilities M. Voss Department of Psychiatry and Psychotherapy, Charité University Medicine & St. Hedwig Hospital, Berlin, Germany doi: 10.1192/j.eurpsy.2023.173