TY - JOUR AB - Purpose– The purpose of this paper is to describe the architectural design considerations and effects of moving patients from an adapted Victorian medium secure unit to a purpose built facility.Design/methodology/approach– Patients and staff views of the old and new unit environments were compared in terms of homeliness, architectural features, ward atmosphere (WAS) and patient satisfaction.Findings– The new unit was rated as more homely. The change of environment did not increase risk behaviours and was associated with a reduction in symptomatology.Research limitations/implications– Limitations of the study include the small‐sample size and choice of measure of WAS. More research is needed into the constituents of “planned” environments where the physical environment is the primary intervention.Practical implications– These include the need for close collaboration among architects, clinicians and patients in order to maximise the therapeutic benefit of the built environment.Originality/value– This paper contributes to a small literature that “bridges” architectural, psychiatric and environmental domains. VL - 13 IS - 3 SN - 1463-6646 DO - 10.1108/14636641111157850 UR - https://doi.org/10.1108/14636641111157850 AU - Long Clive G. AU - Langford Vikki AU - Clay Rebecca AU - Craig Lorraine AU - Hollin Clive R. PY - 2011 Y1 - 2011/01/01 TI - Architectural change and the effects on the perceptions of the ward environment in a medium secure unit for women T2 - The British Journal of Forensic Practice PB - Emerald Group Publishing Limited SP - 205 EP - 212 Y2 - 2024/05/07 ER -