City Know-hows

Manageable slices through the city: walkable space supporting mobile, democratic and dynamic clinics

Example of the feathered edge to the walk along Bristol Floating Harbour. These stationary railway wagons provide gentle surprises which start conversations that help people with psychosis shift attention to the external world. Image: Singleton, 2023

How do concepts from Kevin Lynch’s ‘The Image of the City’ (1960) help to explore the qualities of urban public spaces used to support recovery from psychosis? This paper offers a reflection on paths with feathered edges, vistas and nodes.

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Target audience

This research is aimed at two broad groups of professionals who have a stake in the city. Firstly, people who plan, design, develop, and manage city spaces; secondly, public health professionals who need to contribute to the design of places and planning process.

The problem

Mental health needs are poorly understood in the development and management of public space. However, people recovering from health issues such as psychosis need to use city space in their everyday lives. We note that large sites in city centres continue to be made available. As such their redesign and management needs to factor in these broader needs. There will be further benefits to people with conditions such as anxiety, depression and autism.

What we did and why

This work is the product of a three-year-long evaluation of NHS-led group walks in public space, designed to aid recovery from early psychosis. The study includes sat-down interviews and walks outside with service users. Our work harnesses the knowledge and experience of the two authors: the first author has spent over 12 years managing place-making and regeneration initiatives, and the second author is a mental health nurse with a master’s degree in urban planning.

Our study’s contribution

This study provides an appraisal of two cities in England, UK. We use concepts from the influential work ‘The Image of the City’ to present the experience of researchers and service users. The urban fringe of Bath and Bristol Floating Harbour offer different qualities. For example, a stark difference is how Bristol has been reshaped around its history since the 1980s and continues to evolve. However, the experience of Bath seems constrained by its heritage protection.

Impacts for city policy and practice

Our paper offers approaches for city managers and wider stakeholders to engage with marginalised voices. Whilst the walking group is a mobile, democratic and dynamic way of exploring cities, we show how the city can have such qualities itself. For example, walking Bristol’s Spike Island offers feathered edges to explore varied land uses (public art, boat yards and leisure), which allow people recovering from health issues, like psychosis, to gradually (re)gain confidence in public space.

  • We invite people who plan, design, develop, and manage city spaces to reflect on the experience of mental ill-health. There is scope to build their needs into cities and transportation, much as the former have embraced the requirements of children, parents with pushchairs and those with physical impairments.
  • We want to inform public health professionals as they contribute to the design of places and planning process. In this article we have considered questions they can ask regarding master planning, land ownership and access to space. In particular, the edges of the walking route are important.

Further information

Full research article:

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