Designing Cultures of Care Patient-Centered Care and the Design of a Psychiatric Care Facility 6 Patient-Centered Care and the Design of a Psychiatric Care Facility Laurene Vaughan, Shanti Sumartojo and Sarah Pink abstract Within contemporary discourses on design and care, considerable bodies of literature have been developing that propose care as a design paradigm for the health sector. From the global challenges of aging communities to the particularities of specific health and medical facilities, there has been a growing focus on human-centered design methods and approaches and their potential to provide particular and location-specific ways to design into this domain. The ambition of researchers and practitioners has been to identify ways to align the physical experiences of being in a state of institutional care, with new paradigms of patient-centered care as realized within the medical services that hospitals and other such care facilities provide. Key Words: patient-centered care, design, hospital, therapeutic landscapes This shift to a patient-centered care paradigm has implications not only for how hospitals provide care but also for how they are experienced and perceived by patients and communities more broadly. It confronts the traditional and outdated perceptions of hospitals as sites of authority and manifestations of power relations, a phenomenon prevalent in psychiatric facilities in particular (Foucault 1982. p. 790). In the past power has been realized through structures of authority, hierarchy and expertise, the allocation of treatment modalities, and inclusion or exclusion of patient families and carers from the care process through simple things such as visitation access or participating in treatment decisions. Contemporary models of health care have begun to challenge this perception and enactment of power that has been prevalent in the past. The evolution to new models of care within medical contexts, and particularly nursing (Curtis et al. 2013, and Wagner 2010), marks a shift from power realized through a “treatment” relationship, to one of patient care and the provision of health services. In this chapter we reflect on what this transition from treatment to care means for designers and their approaches to the design of contemporary psychiatric care facilities through a focus on the design approaches to one facility in particular. The project context: Bendigo Hospital The site of the research (Design for Wellbeing Project) is the Bendigo Hospital located in regional Victoria, Australia (Figure 6.1), and the design and development of new psychiatric facilities in the hospital during a major redevelopment. The methodology for the research is design ethnography and the research is being undertaken over a three-year time span (2016–2018) by an interdisciplinary team of researchers. This discussion focuses on insights from interviews with the architects and landscape designers of the new facility that were undertaken in Year One of the study. The new hospital development has resulted in the psychiatric care unit physically moving from three discrete locations that focused on different needs, to one integrated psychiatric facility within the new hospital complex. This transition has resulted in the establishment of new contexts for care in the new facilities; the upgrade of facilities; the integration of current discoveries from research on the relationship between environments and health and well-being through spatial design; and the integration of digital technologies for care and safety. The aim of the chapter is to begin to draw insights about the