would be appropriate to systematically create living areas of this kind. These meetings constitute a
working tool for the educational team, which can have a sufficiently long period of time at its
disposal to conduct sustained actions with young people and their families.
Catering for families in this manner is also perceived by the young people as a break in
the supervision imposed by the young offenders’ institution, which is based on collective life
from dawn till dusk.
In hospital, the necessity of confining the patient for a certain period needs to be reconciled
with that of maintaining the latter’s contacts with the outside and preparing for their
discharge. It is necessary to make several places available, within the hospital, for meetings
between patients and their friends and family.
When there is only one reception room, it is indeed possible for several families to be
inside it at the same time; the level of noise is often high, peace and privacy are not respected.
Conversely, in one hospital visited by the inspectors, two reception rooms had been created, of
which one was reserved for families with children, “more intimate and convivial”.
The visiting rooms should be accessible from outside, without going through the unit.
Thus, in one hospital inspected, in order to reach the entrance door to the closed unit it was
necessary to go through a security entrance, which was used as a waiting room. In this security
entrance, a staircase enabled visitors to have direct access to the first floor, which was reserved
for families. “As in an intensive care ward, why should it be any different?” it was pointed out to
the inspectors.
For hospitals that possess green areas, it would be appropriate to make provision for
picnicking facilities and play facilities for the children of patients who are mothers and
fathers, who would thus be able to welcome their children under pleasant conditions and
engage in activities with them. This conviviality is likely to encourage willingness to accept
treatment and proper progress of the course of hospitalisation. A system of hotel rooms for
visitors needs to be thought up.
Spouses/family members sometimes travel long distances in order to reach the hospital,
they work and are not always able to take days of leave or reduction in the number of their
working hours. These rooms should be made available in hospitals, already equipped with a
necessary and sufficient hotel system, which would enable families to spend time with patients in
the evening. Indeed, between 5 p.m. and 9 o’clock the following morning, there are no medical or
psychological consultations for patients and, generally speaking, neither are there any visits, since
the latter finish at the end of the day.
Hospitals need to provide areas suitable for external actors such as associations involved
in cultural, leisure and sports activities etc., which would make it possible to offer patients leisure
activities other than salt dough, petanque and belote [card game], without any need for additional
staff or for training the latter in activities. Patients justifiably complain of boredom. Hospitals and
collective areas therefore need to be arranged in order to actively encourage cultural associations
to come.
In order for psychiatric hospitals to no longer remain on the fringes of civil society, an
institutionalised place needs to be given to families, associations and other actors by means
of suitable premises.
2.2
Architecture in Support of Personal Autonomy
The objective of the enforcement of any sentence is aimed at the social reintegration of the person deprived of
liberty, which presupposes an environment protecting their autonomy or enabling them to recover it. Access to
autonomy constitutes an essential issue in psychiatric hospitals, in particular for patients suffering from chronic
143
Select target paragraph3
Connect to a paragraph
Connect to an entity
Disable highlights
Add to table of contents