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Related Experiment Video

Updated: Aug 20, 2025

Wheel Running and Environmental Complexity as a Therapeutic Intervention in an Animal Model of FASD

Wheel Running and Environmental Complexity as a Therapeutic Intervention in an Animal Model of FASD

Published on: February 2, 2017

Do improved structural surroundings reduce restrictive practices in psychiatry?

Astrid Harpøth¹, Harry Kennedy^2,3,4, Morten Deleuran Terkildsen^1,5

¹Department of Forensic Psychiatry, Aarhus University Hospital Psychiatry, Skejby, Denmark.

International Journal of Mental Health Systems

|November 20, 2022

Summary

Relocating a psychiatric hospital to a modern building reduced restrictive practices (RPs). While the decline continued an existing trend, the new environment sustained the reduction in RPs, especially mechanical restraint and involuntary medication.

Keywords:

Coercion Mechanical restraint Psychiatry Restrictive practices Structural safety

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Area of Science:

Psychiatry
Hospital Architecture
Public Health

Background:

Limited evidence exists on modern hospital architecture's impact on preventing restrictive practices (RPs).
This study investigates the effect of relocating a psychiatric university hospital (UH) to a new, purpose-built facility on RP usage.

Purpose of the Study:

To determine if relocating a psychiatric university hospital to a modern facility reduced the use of restrictive practices.
To analyze trends in RPs before and after the relocation.

Main Methods:

A retrospective analysis of all admissions and RPs at the Central Denmark Region (CDR) psychiatric university hospital (UH) one year before and after its relocation.
Comparison of RP data between the relocated UH and other psychiatric hospitals (RH) in the CDR.
Linear regression analysis to assess monthly RP frequency trends pre- and post-relocation.

Main Results:

At the UH, RPs decreased from 4073 to 2585 post-relocation, while remaining stable at RH (3676 to 3631).
A significant monthly decrease of -9.1 RPs was observed at the UH, aligning with a pre-existing downward trend.
Mechanical restraint and involuntary acute medication use showed similar trends at both UH and RH.

Conclusions:

The study cannot definitively attribute the reduction in RPs solely to the new hospital architecture.
However, the improved structural environment at the UH appears to have sustained the declining trend in RPs.
The findings suggest that environmental improvements may positively influence the reduction of restrictive practices in psychiatric settings.