Abstract

A model of person-environment interaction was used to help explain the impact of an intra-institutional relocation on the behavior of residents who varied in mobility and mental status. Environmental measures indicated that the new building provided more prosthetic features, fewer orientational aids, a more complex floorplan, and increased distance between the social areas and the nurses' stations. Behavioral observations of a sample of 17 residents showed varying adaptations to these environmental changes. Wheelchair-mobile residents benefited from the improved accessibility, whereas immobile residents experienced reduced stimulation and further restriction of their spatial range. High mental status residents were drawn out of their bedrooms into social spaces. while low mental status residents spent less time in social areas and more in the halls near the nurses' stations, where they could maintain contact with the staff. Information such as this on the differential impact of a new building can contribute to the design process and to program modification aimed at optimizing resident functioning.

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