This thesis states the current urgent problem in the global context where the prevalence of depression among university students is increasing. Most of the university students who suffer from depression due to peer competition, high demands on themselves, inability to handle relationships well and other problems leading them to feel helpless, upset and anxious. In the Netherlands, even with a complete psychiatric care system, depressed patients still have to face a lot of problems in terms of treatment, such as long waiting lists and expensive treatment. Therefore, an increasing number of people are motivated to concentrate on depression prevention.

About depression prevention, there have been some research and measures at the social level and psychological level. At the architectural level, most of the mental-related research has focused on medical buildings, with limited research on daily living environments. It is relevant
to combine depression prevention measures and architectural design measures for university students to research and design their daily living environment to positively support depression prevention. The targeted group is healthy university students. For these university students living in student residences on campus, campus and residence are the places that they spend much time. In order to investigate how the design of campus and residential spaces can support depression prevention, the design guidelines are generated through four research methods: literature research, observation, interview and case studies. The design guidelines are categorised into three levels of importance and two scales. Based on the design guidelines, the design (including campus scale and residence scale) will be done.

Overall, through the research process, the design guidelines relate to the three aspects of physical, social and mental health. This research argues that promoting these three aspects of healthy lifestyles among university students can contribute to depression prevention for them.

The Dutch elderly housing system has a gap for vulnerable elderly. The Dutch policy on elderly care is to continue living at home for as long as possible and moving into a nursing home with 24h care when living at home is not possible anymore. However, a large group of elderly is not served by this policy. This group is the group of so called vulnerable elderly. Living at home might be tough for them because of the incidental care they need, but moving into a nursing home is unnecessary. For these groups of elderly a new housing form is needed. In order to create this new housing types, transformation of existing vacant buildings could be a solution. Empty plots to build on are become increasingly more scarce and with the climate crisis the existing building in The Netherlands should be renovated in order to improve their sustainability. In this thesis research was done on what design guidelines would be needed in order to create a new social housing complex out of an existing building. The results show that a form of co-housing with mixed living for elderly could be a solution. In these co-housing complexes the emphasis lies on creating social connections through shared spaces. These social connections improve both mental and physical health, whilst at the same time relieving pressure on the Dutch care system by increasing informal care between resident. The results of this investigation are a number of design guidelines which need to be implemented in an existing utility building for transforming this building into a succesfull co-housing for elderly. These desgin guidelines are combined into a building concept showing the basic design ideas for creating a senior co-housing complex with mixed living.

This research is about designing for people with dementia. The Dutch population is aging and
double aging, causing an increase of people with dementia. This also causes a growing imbalance between people who need care and people who can provide care. Adding to this are the current living arrangements for people with dementia not sufficient. Therefore the central question in this research is: what living environment features can contribute to the quality of life of people with dementia, and provide them with the care they need.

The aim of this research is to define design guidelines that provide people with dementia with sufficient housing and a qualitative living environment through all stages of dementia. And to see if this can contribute to the efficiency in care, so that people with dementia can still get the care they need.

This research obtains information through literature study, case studies and a fieldwork in an elderly care home to provide an answer to the main question. This research defines four main topics that contribute to the quality of life of people with dementia: distinctiveness, familiarity, independence and biophilic. This research investigates these topics on different scales. First the scale of the dwelling, than the building, and at last the near surroundings. Finally, this research has a chapter from the perspective of the caregiver on the living environment for people with dementia. This results in design guidelines.

It can be concluded from this research that by bringing together the fields of dementia,
dementia care and architecture, a qualitative living environment can be created for people
with dementia with a high quality of life. A higher quality of life will contribute to the efficiency of care and a decrease in the demand for care.

With a growing elderly population in the Netherlands, this also challenges our existing housing options and the care system. In particular, the risk of dementia significantly increases with age. About 68 percent of people with dementia in the Netherlands live at home and get care from their family or close social network; often their partner. When an informal caregiver can no longer manage the care of someone with dementia, it becomes a significant reason for considering admission to a nursing home or an assisted living facility. There are currently few options for both partners to continue living together when they wish to do so.
To explore the collective requirements of both partners, the following research question was answered; ‘What living environmental features can support elderly couples who wish to live together while one of them experiences dementia, to maintain their shared living arrangements?’.
Literature research, fieldwork, interviews and case studies show several design guidelines that can be considered when designing for people with dementia, as well as their unaffected partner. For the partner with dementia, ‘wayfinding’, ‘accessibility’, and creating a ‘home-like small-scale environment’ were found to be important to consider while designing for them. For the ‘healthy’ partner, it was found that it is important for them to be able to ‘live a normal life’, to ‘take some pressure off’ of them, to ‘ensure the safety of their partner with dementia’, and to ‘be able to do things together with their partner and separately’.
As the elderly population continues to expand, it is crucial to explore innovative living alternatives to ease the strain on informal caregivers and the healthcare system.

The ageing population in the Netherlands presents challenges in elderly care, including rising health issues, a shortage of healthcare staff, and escalating costs. This study explores the association between healthy ageing and Blue Zones, regions in the world where long and healthy lives are common. Genetic factors contribute to 25% of lifespan variations, while non-genetic elements, such as unhealthy habits and social conditions, play significant roles. Environmental factors also impact the ageing process. The research aims to create a healthy urban living environment in the Netherlands, drawing inspiration from the lifestyle lessons in the Blue Zones. The main research question delves into how Dutch living environments can promote healthy ageing and assist the elderly in maintaining vitality. Sub-questions explore the key elements contributing to healthy ageing, the implementation of the Blue Zone concept in the living environment on the scale of the neighbourhood, street and building, and how the concept can be applied within Dutch urban living environments. Building on the principles of Blue Zones, the study focuses on three key spatial domains within the living environment: Physical Activity, Green/Blue Spaces, and Social Connection. The research goal is to provide practical design guidelines for architects and urban planners, aiming to reduce healthcare costs and chronic diseases in the ageing population. Implementing these guidelines in Dutch urban environments enhance the overall health of the elderly, maintaining their vitality and independence for as long as possible. To achieve the best health benefits, a societal shift towards proactive engagement and inhabitants’ responsibility for their living environment and health is needed to create a healthy living environment.

The Dementia Art Academy is an integral part of the expansion of the TU Delft and is situated next to the new Delft Campus train station on Tanthofdreef. The design serves as a cultural hub for the neighborhood where various art forms, students, artists, but above all, individuals with dementia come together within one building. The design stands out as a pioneer in contemporary dementia care. The academy offers respite care, including guest rooms for individuals with dementia, providing temporary relief for caregivers at home, ultimately enabling those with dementia to remain living at home longer. Its design pushes the boundaries of dementia care by adopting a fresh approach in its architectural layout. Throughout the day, individuals are free to roam the grounds and move wherever they please, without constraints on their freedom in the form of fences or locks. The design facilitates this concept with the use of rounded shapes in its interior and exterior, guiding the way and minimizing the risk of getting lost. The building provides a warm inner world contrasted against a harsh outside world, encouraging its visitors to linger within the complex and is distinguished by its recognizable red color, making it easily recognizable in its urban setting. The academy features an auditorium, dance studios, music rooms, lecture halls, an exhibition space, and a cinema. Shared artistic facilities, including art forms like visual arts, music, dance, and gardening, where the guests can participate in daily activities, are spread across the ground floor and 1st floor. Through a long organic corridor traversing the building, the various art forms are interconnected, with art serving as a guiding (red) thread throughout the structure. The complex is characterized by a green inner courtyard featuring a centrally covered stage, vegetable gardens, a terrace, and various organic pathways.The academy encourages independance, autonomy and improves the overall well-being of people suffering from dementia. It is a place where individuals with dementia are integrated into society and treated as ordinary people, where students and individuals with dementia can learn from and with each other.

Under the influence of negative experiences, childbirth can be harmful and have negative effects on women’s (mental) health. One of the factors affecting women’s experience of childbirth is the physical environment. Unfortunately, contemporary maternal healthcare facilities are often designed from a highly-regulated and medicalized maternity care perspective, instead of a woman-centered design approach. In order to comply with women’s (environmental) needs and to create a more women-centered design approach, design guidelines have been formed based on literature study, fieldwork including semistructured interviews, and case studies. Using these guidelines, the architectural environment could contribute to a positive experience, improving health & well-being, for women during the stage of LDRP* in a maternal healthcare facility.

*an acronym for labor, delivery, recovery, and postpartum

A person with a physical disability often has no choice but to rely on their families. Between the physically disabled and the family caregiver, there is a co-dependence which affects both sides and how they live their individual daily lives. It is reported that this co-dependence creates feelings of burden and stress, social isolation and emotional loneliness for both the people with disabilities and their family caregivers.

There has been a good number of policies issued in the Netherlands with the aim of allowing as many people as possible to participate fully in society. The main aim is to help people with disabilities to live as they wish through changes in the social domain that will lead to noticeably fewer barriers. However, when it comes to participation and “barriers”, the first thing that comes to mind is the physical barriers that make access challenging. But accessibility and participation are also about the experiences people have once they access a particular environment. In other words, accessible and inclusive spaces are spaces that not only people can get into, but that they also feel welcome to be into. In the end, when we talk about an accessible society, we are talking about more than just the physical or practical barriers - the social barriers that are part of the social structure and the way the society and living environments are organized.

In this research, the question "What kind of architectural and urban living environments can be integrated in the daily lives of the physically disabled adults (PDA) and their family caregivers (FC) to reduce their social isolation?" is explored through interviews, observations and literature study. The findings are then organized into a set of design guidelines and design applications in an effort to create an inclusive living environment.

The main design concept as a result of the research suggests the design of an “Incluive Living Environment“ which offers public functions, social amenities and housing which are all available for everyone - regardless of their age, ability or family configuration - where a healthy environment of interaction and understanding can be created. A living environment where a strong community and social network can be formed where disabilities and care is not a burden or something to be ashamed of, but it is accepted, understood, and shared. A living environment where the care is shared by forming healthy communities where social bonds are formed between individuals that live in proximity to one another, light care can easily become a “shared value“. This helps to release the pressure, burden and shame that is primarily experienced by physically disabled adults and their families, and reduce their social isolation.

This research addresses the pressing question: ‘How can the architectural design of elderly independent living facilities enhance well-being by promoting social connections amongst the elderly?‘. The aim is to generate guiding principles for socially connected independent living facilities, specifically targetting elderly suffering from social isolation seeking an alternative to aging at home. This research identifies a crucial gap between aging at home and relocating to a care facility, emphasizing the need for a new option. This intermediary option aims to provide elderly individuals with the opportunity to age independently in an ideal living environment with the possibility to foster social connections that further enhance their well-being.
The methodology employs a hybrid approach, combining top-down and bottom-up methodologies. The top-down component extracts archetypal principles primarily from literature and case studies, providing universal design guidelines. Simultaneously, the bottom up aspect centers on understanding the unique needs of the elderly through primary research, ensuring a responsive and context-specific.
The resulting design guidelines are organized across various scales, addressing the intricate needs of the elderly and fostering well-being. The study not only contributes to architectural endeavours but also addresses societal challenges associated with an ageing demographic. In a world predominantly focused on environmental challenges, this research emphasizes the urgency of addressing societal issues, particularly the challenges associated with an aging demographic.
The scope of the study is delineated by a theoretical framework integrating key theories from architectural design, well-being, social connection, and elderly wants/needs. These theories collectively guide the research’s ambition, providing a comprehensive foundation for the proposed design guidelines.
In conclusion, the study culminates in 16 Design guidelines meticulously organized across dwelling, communal space, building program, and site conditions. These guidelines offer a nuanced and multi-faceted approach to architectural design, addressing the intricate needs of the elderly, fostering well-being, and alleviating loneliness. The proposed guidelines serve as a holistic blueprint for architects, ensuring the creation of socially connected and well-supported environments for the elderly in response to the challenges posed by the aging population and the identified gap in existing options.

The modern healthcare system’s focus on treatment, rather than prevention, has failed to make progress against age-related chronic diseases like dementia. Our global world population is increasing as well as our lifespan, however, our healthspan (time free of diseases) has not followed these increases. Dementia, now a leading cause of death as it is affecting 15% of our world population, is considered a significant challenge as it increases healthcare costs and putting pressure on our systems. With the anticipated rise in dementia cases, it is crucial to explore non-pharmaceutical strategies. This research aims to address this gap by exploring how architecture and the built environment can contribute to dementia prevention through the development of design guidelines that promote healthy living strategies and raise awareness to work towards a health-oriented society

Health Creation as a holistic approach towards health – This new perspective on people's health aims to overcome the purely physical view of health and emphasize the importance of mental and social health. In this respect, the elderly and the socio-economically disadvantaged have been identified as target groups that require increased accessibility and awareness in the areas of health and social inclusion.
This led to the main question of this research: How can the principles of Health Creation be embedded into architecture that supports (elderly) people in remaining both physically and mentally active as well as socially integrated?
To answer this question, fieldwork investigations, conversations with experts in the field of healthcare as well as people from the target group, literature studies, documentaries, and case studies were involved.
These investigations showed that the existing health environment in the form of hospitals and general practitioners is not suitable for making people aware of their health. By integrating health-creating methods into a community setting, the institutional character can be eliminated, overcoming psychological barriers and positioning itself as an antithesis to the existing health environment. Elements of human-centered architecture, intergenerational interactions, nearby care, and the Blue Zones have proven to be pioneering approaches and can be implemented to generate a health-creating environment!

Late life depression is a common problem among seniors. It is estimated that up to 25% of people over 75 experience depression. The consequences are not limited to a having a worse mental state, but include a variety of physical comorbidities. Therefore countering late life depression will not only help the individual, but it will also reduce pressure on the healthcare system. Depression should be treated with medication and psychotherapy, but since many seniors spend the majority of their day at home, their moods will be affected by their living environments. Currently senior housing typologies are notorious for being somber and institutional. Therefore this thesis aims to establish which design factors can contribute to the alleviation of late life depression in senior living environments? The factors have been derived through an interdisciplinary approach; findings from a literature review of Evidence Based Design were combined with psychiatric perspectives on late life depression. Finally housing preferences of Dutch seniors were considered, since meeting their needs might contribute to feelings of life satisfaction. In order to illustrate how these design factors could be implemented in architectural design, case studies have been performed of state-of-the-art psychiatric hospitals and retirement homes. From these methods eighteen mental health-promoting Design Factors have been derived. These Design Factors can be categorized into three groups:

1)Environmental Design Factors include: Central Location, Views of Nature, (Morning) Light, Noise and Air Quality.
2)Building Design Factors are comprised of: Social Spaces, Intergenerational Relationships, Physical Activity, Dementia Spaces, Positive Distractions, Staff Spaces, Appropriate Size, Outdoor Spaces and Home Ownership.
3)Finishing Factors include: Accessibility, Privacy, Control and Homelike Environment.
Integrating these factors into the designs of senior living environments might contribute to the prevention or alleviation of late life depression.

The amount of elderly people in the Netherlands is increasing rapidly. In conjunction with the individualization of the population, this has led to a number of problems. There is a lack of suitable houses for the elderly, a lack of money and nursing staff in the health care sector and a high rate of loneliness among the population. New housing forms for elderly cannot be omitted and having social interaction and taking a moment to help your neighbours should become normal again. This research aims to find new ways in which architecture could contribute to a living environment where elderly in need of light care live together with people of different ages and households. The main question that is addressed in this research is: “What architecture and built environment features can encourage social interaction in a living environment between elderly in need of light care and their neighbours?”. To conduct this research, the most commonly used method is anthropological research. This is supplemented by literature research and case studies. The results of this study are a wide range of architectural aspects, on different scales (dwelling, building block, neighbourhood), that stimulate interaction between elderly in need of light care and their neighbours. These aspects are translated in design guidelines.

Caring for the elderly has always been a topic of great discussion. Demographic changes in an aging society have resulted in the growing phenomenon of the Sandwich Generation. The middle-aged generation cares for their aging parents and children and is usually one of the groups providing informal care. The burden of caregiving gradually harms their health and eventually leads to a decline in the quality of care and life for both the caregiver and the elderly. In order to realize aging in place and solve the problem of insufficient nursing homes in Dutch society due to the shortage of healthcare professionals and the reduction of healthcare budgets by the government, it is necessary to focus on the needs of these informal caregivers, who are sandwiched between two generations, in addition to the elderly. Furthermore, to solve the problem of housing for the elderly, apart from intergenerational cohabitation (for people without blood ties), retirement housing, and kangaroo houses, which have been highly discussed in recent years, research has found that living together with family members who are related by blood may be one of the options.

This thesis aims to develop housing design principles that can meet the needs of caregiving and sandwich generation living together. Based on the spatial and neighborhood context of the home, the study investigates how to support the quality of life of the caregiver and the care recipient to achieve the possibility of aging in place. The research method comprises fieldwork, interviews, literature research, and case studies. The fieldwork and interviews are conducted to understand the needs of the elderly, literature research is done to obtain further objective knowledge, and case studies are used to analyze the spatial configurations, dimensions, and areas. From the results of the research methods described above, the findings show that for caregivers, adequate operating space and assistive aid help reduce the risk of injury, spatial proximity minimizes moving distances, sufficient light contributes to caregiving and health, reduced noise disturbance helps the quality of caregiver’s sleep, and good ventilation prevents deterioration of indoor air quality. The most important thing for seniors is preventing falls from prolonging mobility. Toilets must be visible and easily accessible, the threshold on the floor and the intersection of different floor materials must be no high difference, and adequate lighting and easy-to-reach light switches can reduce the risk of falls.

The study of neighborhood facilities found that easily accessible facilities (e.g., public transportation, supermarkets, a library, a community center), friendly walking spaces, and adequate seating along walking routes can increase the willingness and opportunities for seniors to socialize and thus maintain mobility. Furthermore, social interaction can improve the mental health of both target groups. In terms of facilitating social interaction, increasing the number of route intersections, atrium spaces, and communal spaces in the neighborhood is possible. Lastly, for families to live together while maintaining their independence and privacy, each person must have their room, and separate entrances and adjacent kitchens and doors can mitigate disruptions due to different routines. Apart from that, the vertical and horizontal spatial arrangement can also achieve spatial independence. Furthermore, in order to avoid being forced to move out from the original home because the space cannot meet the needs of the stage of aging, the generality of spatial adaptability provides the freedom to arrange the functions of the rooms, the flexibility can change the way the space is used through simple movable partitions and moving furniture, and finally, the elasticity can expand the size of the original dwelling unit.

Families of young people with intellectual and/or developmental disabilities (YAIDD) reported that poor safety, social skills training and the un-readiness of the parents delay YAIDD from becoming autonomous adults. This research is based on literature study, fieldwork, site visits and interviews; and it is aimed to improve Independence, Social participation and Wellbeing of the target group, to create a stimulating and welcoming environments specific to IDD. The study offers a recommended framework that could prepare YAIDD for autonomous living and the design for a Youth Development Hub facility in Laakkwartier (The Hague, Netherlands). The main functions that are present in the project are: short-stay residences, classrooms, community center and recreational areas. The following design concepts are addressed in detail through literature study and applied to the design at varying scales: Legibility and wayfinding, Prospect and refuge, Territoriality and control, Privacy and choice, Design for senses, Design for routine.

Due to the numerous problems families with chronically ill and/or disabled (CID) children encounter in their daily lives, taking a break from the ongoing care and worries becomes even more important for them than for “typical” families. However, travelling is related to many more complex difficulties since their sick child is usually reliant on very specific equipment. So far, the literature focuses on the consequence of the high care needs on the family system, the development of Dutch holiday parks and the spatial needs for the target group, but the combination of these elements has not been analysed in the architectural context before. Thus, this project’s goal is to provide caregivers with relief by creating an opportunity of real recess from constant care for the child, through architectural solutions and thereby improving their well-being.
This thesis investigates how the architectural environment of a retreat for families with disabled and/or chronically ill (CID) children can provide relaxing time together while supplying a potential benefit for the child.
To determine what a potential recess environment for families with CID children should look like, special attention is paid to the analysis of past architectural solutions, the spatial needs of the target group and on analysing how the architectural environment can provide a benefit for the child and its entourage. To that end, several methods were used. First and foremost, observations were made during a fieldwork at a daycare facility for disabled children in Luxembourg. During this fieldwork, the possibility was given to talk to staff members like therapists and nurses and see several treatment rooms for the children. Furthermore, talking to parents of CID children provided valuable knowledge and insights to their lives. Lastly through the use of surveys additional information for example regarding the well siblings needs were gathered.
The outcome of these investigations shows that several design guidelines can be developed. Those can be classified into different levels of detail, such as guidelines on an urban level, for the neighbourhood’s design and focussing on the interior, and they offer insights into the ideal architectural setting for a recess centre for families with CID children.

Despite the predicted increase in the number of dementia patients, the Dutch government has opted against building any extra nursing facilities in the future. Individuals, families, healthcare institutions, and society as a whole may suffer as a result of persons with dementia remaining in their homes or neighborhoods that are unsuitable for their needs.

Making existing neighborhoods dementia-friendly will result in a safe and inclusive living environment, which is required to accommodate the rising number of dementia patients and avoid future issues. Architectural solutions and small-scale initiatives can help reduce the progression of dementia and enhance the quality of life. Meaningful and supportive settings in neighborhoods or households improve health. Giving people environmental control and fostering strong communal bonds positively impacts their well-being. Implementing these procedures guarantees that the elderly with dementia can live in their own homes for as long as possible.

Many people with an addiction do not receive the care they need. Addiction carries a negative stigma, admitting to addiction is seen as a sign of weakness. Especially among adolescents, who would benefit the most from early treatment. If they are treated, they end up in outdated facilities isolated from society. Hence the following research question: How can building design support adolescents with addiction problems with recovery and re-socialisation in the Netherlands? This research question will be answered using literature research and architectural research with the aim of formulating architectural guide lines that can be applied to a design for addicted adolescents.

People with Down Syndrome are growing older but, at the same time, are still disconnected from the world. Their needs change as they age, which is researched in this thesis. Can the design of their living environment simplify their daily activities? Guidelines are conducted from different fieldwork observations and interviews in which multiple aspects come across. These guidelines give a general overview of the requirements on two scales; the location and the building. Using these guidelines, people with Down Syndrome get a home within society for the rest of their lives.

Palliative care is an interdisciplinary approach, aiming to improve patient’s social, physical and psychological comfort. Its paediatric branch (CPC) is an ever developing discipline in the Netherlands. With more children predicted to develop chronic conditions and diseases in the upcoming decades, Dutch CPC is expanding its structure. Because the CPC targets a large age group, some patients needs’ are not adequately met. Research shows that adolescents are a group continuously under served under CPC, due to their unique developmental and psychosocial needs.
This research explores what design interventions improve social interactions and wellbeing in adolescents palliative facilities. Using literature review, case studies, participatory workshops and observation, this paper will identify design guidelines for the site, private spaces and communal areas of the facility.