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Private spaces fit new designs: 2016 Design Showcase projects recognize the need to offer patients a variety of options.

Among the trends noted by the Behavioral Healthcare Design Showcase jury this year was the shift among some residential treatment centers to place three beds in a single room. During a longer discussion to review the projects submitted to the 2016 showcase, jurors questioned whether three's a crowd and noted how the space can be scaled effectively.

"The three-bed concept was a shocker for me," one juror commented.

Another noted that architects and designers have been creating one- and two-bed spaces for so long, the three-bed space was surprising but not concerning. In some ways, it can optimize the floorplan and offer opportunities for additional admissions.

Among the submitted projects, allocated spaces with three-bed designs were large enough to accommodate the patients and offer adequate privacy, especially considering patients likely don't spend much time in the bedroom outside of getting a good night's sleep. Partial walls or design elements to separate the individual bed areas within the room were considered a positive.

"A lot of private sector programs, like eating disorders, substance use disorders and especially veterans' care or senior living might use the three-bed concept because it can build comradery," a juror said. "Some people just don't like to be by themselves."

All the experts agreed that in the case of larger bedrooms with more patients, the counterbalance must be adequate private spaces throughout the facility for clients to escape and have quiet reflection time. Reading nooks, window seats and meditation spaces might offer the alternative while allowing staff to know where the clients are hanging out.

Some caution that certain populations and comprehensive levels of care aren't an ideal fit for three-bed designs because of the increase in the risk of spreading infection, for example. The solution might be to design facilities with options for smaller or larger bed spaces, assigning patients to the best fit on a case-by-case basis.

Small, private spaces

Projects are also offering small spaces for clients to be alone and have the perception of separation from the treatment or high-traffic public areas. For example, a cutout along the hallway creates a resting spot when a bench or window seat is added.

"That's an important trend," said a juror. "If it's not a trend yet, it should be. And it goes back to dignity and the sense of self preservation. Instead of staff intervening with clients, they can intervene for themselves by having a place to go for a while, even it's just a nook in a corridor or a small space that is still open to staff to make sure they're okay."

Jurors agreed that more successful projects include a range of spaces that are flexible enough to allow for a variety of activities. However, the caution remains that noise and traffic can interrupt patients, so designs must consider where group activities make the most sense and where downtime spaces should be introduced, allowing for transitional areas between them.

"It's good to mix up spaces, and you see a lot of that with spaces for kids, but it's just as important for adults to have that variety, too," a juror said.

Courtyard trends

Jurors noted that several projects were configured with secure courtyards that open the facility to outdoor activity and natural light. It's not only beneficial for patients to access outdoor spaces, it can provide staff with a welcome respite as well.

The key to a successful courtyard is to visually extend the look of the interior, preventing a hard line between inside and outside. Such integration can be achieved by considering courtyards as part of the overall design and not just as leftover spaces.

Color and theme can be incorporated in the landscape and designed structures, such as planters, fencing and seating areas. Courtyards do not have to be cement blocks that are hemmed in by the main buildings, but rather, they can offer warmth with simple palettes and parklike attributes that help negate any institutional feelings around the buildings.

"You see a lot of that in European design: the use of the courtyard as an extension of the built environment and having doors open and not so restricted, as we have in the United States," a juror said.

Principled design

The 2016 Design Showcase projects included an Award of Merit and two Honorable Mentions as chosen by the jury.

The Virginia Commonwealth University's Virginia Treatment Center for Children was chosen for an Award of Merit, based on its operational flexibility and therapeutic environment. Jurors said the project, which is a mental health facility, was well laid out and took architecture into consideration. Interior colors are balanced with intense vibrant applications as well as soothing pallets.

An Honorable Mention was given to the Cordilleras Mental Health Center because of its space allocation for greater community involvement and partnership with local resources as well as its use of scale and proportion to integrate and co-locate services. The City Center Campus of Hazelden Betty Ford was given an Honorable Mention because of its fresh, modern aesthetics and the sensitive use of space in the addiction treatment facility. Jurors commented on the beauty of the millwork and the furniture. ?

Julie Miller is Editor in Chief of Behavioral Healthcare.

The Design Showcase Jury

The Behavioral Healthcare team would like to thank our five distinguished panelists:

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Hilary Bales-Morales, AIA, ACHA, EDAC

Page

As a senior designer and healthcare planning specialist with Page, Bales-Morales works closely with clinicians, patients and family members in creating unique healing environments. Drawing from the latest techniques in evidence-based design, best clinical practice, LEED, and Planetree principles, she actively leads planning and design efforts on a variety of healthcare projects. She received a Bachelor of Environmental Design from Texas A&M University with a minor in business. Registered to practice architecture in Texas, she is a member of the American Institute of Architects (AIA), is accredited through the American College of Healthcare Architects (ACHA) and has received her Evidence-Based Design Accreditation and Certification (EDAC).

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Brenda Jentink, IIDA, EDAC, NCIDQ

PFB Architects

Jentink is a Registered Interior Designer with 20 years of healthcare experience. She is a professional member of IIDA, an affiliate member of the Center for Healthcare Design, and a new member of the Caritas Project, a professional learning collaborative. She is an adjunct faculty member with William Rainey Harper College in Palatine, Ill., and a fulltime employee with PFB Architects, LLC. After graduating from the University of Wisconsin, Jentink participated in countless projects, many of which have been published. In the past 12 years, working with PFB, she continues to work in healthcare and has grown to specialize in the planning and design of behavior health and memory care.

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Jack O'Donnell

Sabino Recovery

O'Donnell and his wife, Nancy, currently own and operate Sabino Recovery, a facility that treats individuals suffering from trauma and resulting symptoms such as addiction, depression, PTSD and grief. The center was created after a personal event drew attention to the need for behavioral health services. Before working in behavioral health, he spent his career in casino gaming and managed his own casino company, with projects in five states and in Greece.

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Jennifer M. Satterfield, IIDA, ASID, LEED AP ID+C, EDAC

ESa

Satterfield joined ESa in 2001 and has served as an interior designer for a wide range of healthcare projects nationwide, in which she is involved from the schematic phase and design development through the installation phase. Her responsibilities include, space planning, finish and furniture specification and signage. Satterfield's expertise includes Building Information Modeling (BIM) in the design process utilizing Revit Architecture on various projects. She earned a bachelor's degree in Interior Design from O'More College of Design, Franklin, Tenn. (1992), and a bachelor's of Business Administration from Carson Newman College, Jefferson City, Tenn.

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Cameron Shantz, OAA, SAA, NCARB, Intl. Assoc. AIA

Parkin Architects Limited

Through his 25 years of healthcare planning and project delivery, Shantz has developed expertise with healthcare environments ranging from citywide health service delivery and hospital master plans to replacement hospitals and renovation projects. He has specialized In cardiac care, surgical and imaging environments as well as mental health facilities. Additionally, he is Lean healthcare certified and a member of the Canadian Standards Association Technical Committee on Perioperative Safety. Recently he has been project team lead and clinical planner for a number of new hospital projects delivered as public private partnerships.

Behavioral Healthcare Design Showcase projects are chosen for inclusion by a jury of behavioral healthcare industry professionals, based on a rigorous review of detailed submissions that discuss innovation, community collaboration, aesthetics, operational performance, and other key factors to support each firm's photos and floor plans. Firms pay a small entry fee for consideration, and those that are accepted pay an additional publication fee based on the number of pages they wish to use to present their project. These project pages are not vetted by the editors of Behavioral Healthcare. Projects not accepted by the jury are not published.

PSYCHIATRIC HOSPITAL FOR CHILDREN AND ADOLESCENTS

Virginia Commonwealth University Medical Center, Virginia Treatment Center for Children RICHMOND, VA.

CannonDesign GRAND ISLAND, N.Y.

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Facing a shortage of inpatient beds and long wait times for outpatient appointments, Virginia Commonwealth University Medical Center is working with CannonDesign to replace its 50-year-old Virginia Treatment Center for Children (VTCC) with a new facility that promotes the latest models in pediatric behavioral care and draws a connection back to the larger community. Home to clinical care, research and teaching programs, the VTCC provides a calm, inviting environment to children and adolescents. The facility has 32 inpatient beds, with future expansion capacity to 48 beds. Twenty outpatient consult/exam rooms more than triple the center's previous outpatient capacity, and universal design principles ensure flexibility of spaces based on day-to-day needs. Non-patient-encounter areas occupy the second floor, including offices for administrative staff, physicians, psychologists, fellows and students, conference areas, and a designated research component.

Conceived as a "pavilion in the park," the VTCC creates a secure, non-institutional environment with abundant daylight and strong ties to nature. Public program components--outpatient clinics, admitting, main lobby, gymnasium, and educational spaces--face the community, while inpatient wings overlook the natural landscape and offer more privacy. The design solution includes five secure landscapes (three courtyards and two backyards) to provide ample outdoor recreational space for patients and staff, and a simple materials palette of stone, wood and glass provides comfort upon arrival and views to the colorful, light-filled interior space. Interior design strategies took into account the unique profile of the pediatric psychiatric patient and embraced warm, calming colors and comforting, home-like furnishings. Inpatient units are organized to provide a central nurses' team center with direct sight lines to each bedroom corridor and surrounding activity spaces where patients participate in treatment, therapy, and recreation. The facility is scheduled to open In fall 2017.

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Project Category: New construction

Chief Administrator: Bob Reardon, Chief Facilities Officer

Firm: CannonDesign, (716) 774-3252

Design Team: Engineering Mechanical, Electrical, Plumbing, Fire Protection (Leach Wallace Associates); Civil Engineering (Draper Aden Associates); Landscape Architecture (Mahan Rykiel Associates); Medical Equipment Planning (Mitchell Planning Associates); Food Service Consultant (Roth Consulting Group); Code/Life Safety Consultant (Koffel Associates)

Photography: [C]2016 CannonDesign

Total Area (Sq. Ft.): 118,800

Total Construction Cost (excluding land): $48,500,000

Construction Cost/Sq. Ft.: $411

Completion: September 2017

ADDICTION TREATMENT CENTER

Project Turnabout GRANITE FALLS, MINN.

Engan Associates WILLMAR, MINN

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Behavioral healthcare patients are unique. They are often socially marginalized, on the fringes of the communities they live in. Through recovery, they learn how to create a new life for themselves.

Recovery Is most successful when people feel good about themselves, respected and valued. The experience at a recovery center is unique in a patient's life. So, too, Is the design of a successful behavioral healthcare facility.

At Project Turnabout, the natural environment, residential scale and lifestyle environmental details enhance feelings of self-esteem and well-being In the individual. The population is divided into "houses," which operate as a unit during treatment. These areas have a homey, comfortable atmosphere filled with areas for conversation and personal reflection, allowing clients to support one another during recovery. Circulation and scheduling in the campus is designed to allow each "house" to move between dining, activity and recreation areas without encountering residents from other houses. This helps maintain the residential scale of the facility.

In recovering from addiction, residents must learn to build a new world for themselves. Likewise, the design of Project Turnabout provides a physical environment that's new and different, surprising In its contrast with the grid of surrounding rural farmland.

This project Included new construction as well as an addition and renovation. New construction added a women's unit and new spaces for administration and education. The renovation moved administration to the new addition, allowing health services to expand to meet the needs of a larger population and residents with higher medical needs.

Project Category: New construction and remodel/renovation

Chief Administrator: Mike Schiks, Executive Director

Firm: Engan Associates, (320) 235-0860

Design Team: Richard Engan, Principal; Andy Engan, Principal; Barbara Midgarden Marks, Designer; Dawn Engstrom, Interior Designer

Photography: [C]2015 Saari Forrai

Total Area (Sq. Ft.): 22,996 (new); 11,755 (renovation)

Total Construction Cost (excluding land): $4,446,347 (new); $622,088 (renovation)

Construction Cost/Sq. Ft.: $193 (new); $53 (renovation)

Completion: December 2014

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ADDICTION TREATMENT CENTER

Silkworth &Tiebout Building | Hazelden Betty Ford Foundation CENTER CITY, MINN.

HGA Architects and Engineers MINNEAPOLIS, MINN

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The Center City campus of Hazelden Betty Ford is nestled among the forest an hour northeast of Minneapolis-Saint Paul. The campus has a full range of addiction treatment and mental health programs, including 175 inpatient treatment beds. Many of these Inpatient beds date to the mid-1960s when the campus embarked on a significant expansion. The client enlisted the design team to do a master plan that rethinks the future of the Inpatient men's units. The first phase Is presented here In the Silkworth & Tiebout project.

Creating a calming journey while navigating through the campus is important, however, the principal design goal of the building is to create a facility that aids In the journey of recovery. To be successful, the building needs to have intimate spaces for Individual reflection as well as communal spaces for group Interaction. Intimacy is created In the three-bed rooms with room dividers, while the community and dining areas are designed to naturally foster gathering.

The two-story building Is comprised of three-bed rooms and single-bed rooms totaling 23 beds per floor. The bedrooms flank a central core with a group room and support spaces. There are also counselor offices to allow support staff to be on the unit throughout the day. At the end of the primary corridor are the community and dining rooms that maximize the views to the lake and the surrounding nature. The finishes throughout the facility are warm, calming, and Intended to Invoke a sense of home.

Project Category: New construction

Chief Administrator: Mark Mishek, President and CEO

Firm: HGA Architects and Engineers, (612) 758-4000

Design Team: Rebecca Klelnbaum Sanders, AIA, NCARB, Principal in Charge/ Project Manager; Donovan Nelson, AIA, LEEP AP BD+C, Project Designer; Amanda Clements, PE, Structural Engineer (HGA Architects and Engineers); Rodney Sessing, Superintendent (Knutson Construction); Mechanical & Plumbing Design/Build (Horwitz Mechanical Construction); Electrical Design/Build (Parsons Electric)

Photography: Paul Crosby Photography

Total Area (Sq. Ft.): 26,080

Total Construction Cost (excluding land): $8,255,000

Construction Cost/Sq. Ft.: $316

Completion: January 2015

COMMUNITY MENTAL HEALTH CENTER

Cordilleras Mentai Health Center Replacement Project SAN MATEO COUNTY, CALIF.

HGA Architects and Engineers SAN FRANCISCO, CALIF.

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The San Mateo County Department of Public Works and County Health System commissioned a feasibility study and conceptual design to replace the existing Cordilleras Mental Health Center--a county-owned adult psychiatric facility currently housed in a former tuberculosis hospital. This large institutional structure does not support current treatment practices, effective in promoting recovery from serious mental illness. The best practice for treating persons whose mental Illness requires a locked level of care is in smaller home-like settings. The conceptual design for the replacement proposes a campus of smaller independently operated 16-bed facilities to provide more effective programs for mentally ill consumers to successfully transition back to living in the community.

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The project site is ideally located in a semi-rural area, a short drive from a residential and commercial district. Nestled into a small canyon, the site features steep wooded hills and a seasonal creek. This serene natural setting, combined with a strong sustainable design approach, provides an opportunity to create a model for environmentally sensitive residential campus planning. Supporting the county's goal of conserving resources and healing through nature, the design proposes a Zero Net Energy solution.

The project goal is to transform the Cordilleras Mental Health Center--one of the County's most Important resources for Its most vulnerable consumers--Into multiple centers of wellness, rehabilitation, and recovery. The new facilities will leverage every aspect of the built and natural environment, the best practices for treatment, and the expertise of providers, family members, and community.

Project Category: Unbuilt/conceptual design

Chief Administrator: Louise Rogers, Chief, San Mateo County Health System

Firm: HGA, (415) 814-6910

Design Team: Kevin Day, Lead Designer; Kathy Lee, Interior Designer; Kirsten Zobel, Healthcare Planner; Cameron Hempstead, Designer; Bob Myers, Structural Engineer (HGA); Joel Cruz, Mechanical / Electrical / Plumbing Engineer (Interface Engineering)

Photography: HGA Architects and Engineers

Total Area (Sq. Ft.): 117,000

Total Construction Cost (excluding land): $71,000,000

Construction Cost/Sq. Ft.: $606

Completion: Estimated June 2020

PSYCHIATRIC EMERGENCY SERVICES ZONE

Nanaimo Regional General Hospital Emergency and Psychiatric Emergency Services NANAIMO, BRITISH COLUMBIA, CANADA

Stantec VANCOUVER, BRITISH COLUMBIA, CANADA

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Nanaimo Regional General Hospital serves a region of 300,000 residents, and the hospital's emergency department is the busiest on Vancouver Island, serving approximately 60,000 patients per year. The new emergency department with a dedicated psychiatric emergency services zone and a six-bed psychiatric intensive care unit, opened In the fall of 2012.

The ED emerged from an intensely collaborative design process between the design team and ED staff. A spirit of innovation developed around the project, inspired by the early decision to focus each patient care zone, five in all, around plan-enclosed courtyards. The courtyards transform the phenomenology of the interior experience from that of nature available from the perimeter to that of nature Infusing the interior, providing a continuous 24/7/365 life/world connection for both patients and staff.

Merely having a dedicated zone for emergency psychiatric patients has been cited by ED leadership as the single biggest win of the new ED.

Psychiatric emergency patients would spend most of their time and have most of their interaction with care team members in a large patient lounge. A courtyard had been programmed for the psychiatric emergency services zones, recognizing the particular benefit of access to the outdoors for the patients it would serve. To encourage patient use, a glass panel wall--like those used in restaurants in the region to take advantage of a temperate climate-folds wide open to erase the boundary between lounge and courtyard.

The psychiatric intensive care lounge has a similar folding glass panel wall opening to its own dedicated courtyard.

Project Category: New Construction

Chief Administrator: Drew Digney, Site Chief for Emergency and Trauma Services, Nanaimo Regional General Hospital

Firm: Stantec, (604) 696-8000

Design Team: Ray Pradinuk, Senior Architect; Bruce Raber, Principal In Charge

Photography: Bob Matheson; Artez Photography

Total Area (Sq. Ft.): 68,850

Total Construction Cost (excluding land): $34,000,000

Construction Cost/Sq. Ft.: $490

Completion: November 2012

PSYCHIATRIC HOSPITAL

Red River Hospital WICHITA FALLS, TEXAS

Johnson Johnson Crabtree Architects, PC (JJCA) NASHVILLE, TENN.

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Red River, an Acadia-owned behavioral healthcare hospital in Wichita Falls, Texas, simply couldn't accommodate the community's growing need for services in its existing facility. Red River provides a full array of behavioral health and substance abuse services to patients of all ages and also caters to a very special clientele with its Military Heroes Unit. Programmatic elements including a gym and outpatient spaces would be critical to providing the desired quality and scope of services to the community, Including its military population.

Once it was confirmed that a renovation/expansion of the existing facility wasn't a feasible solution, a site adjacent to the hospital became the best option. But the site was not without challenges. Its small footprint and relatively steep grade required a creative design solution to house a parking garage, administrative space, outpatient therapy area, inpatient treatment space, and a recreational gym. The result is an Interesting three-story, nearly 32,000 square-foot, L-shaped building with massing that Is playful, functional and visually appealing. The strategically located third story gym and fitness space addresses physical therapy, exercise and yoga needs, particularly for patients In the Military Heroes Unit who no longer have to travel across town to access a gym.

Inpatient and outpatient clients are able to access the outdoors In a safe, contained environment, Terraced exterior areas make effective use of the steep grade, providing intimate spaces on each level. Both natural and borrowed light are abundant. Most hallways and corridors have direct outside views, generating a natural "guiding light" to support wayfinding. A rhythm of glazing enhances the exterior elevation and provides zones throughout the building where natural light flows into interior spaces such as the administrative area, group rooms and inpatient spaces. A mix of brick, metal panels, glazing, and top-floor clerestory windows work together to create a welcoming exterior.

Patient and staff safety is at the heart of the design. A centralized nurse station "hub" backs up to a charting area, resulting in efficient on/off work areas and visual control of both corridors. Additionally, this project provided an opportunity to Incorporate newly developed safety standards designed to maximize safety within a healing environment. Collaboratively developed by JJCA and Acadia, these new standards will be used nationwide in Acadia facilities and Include layouts for patient rooms, tollet/shower rooms, seclusion room, activity room and overall security provisions.

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Project Category: New construction

Chief Administrator: Jack Warburton, CEO

Firm: Johnson Johnson Crabtree Architects, PC (JJCA), (615) 837-0656

Design Team: Owner (Acadia Healthcare, Inc.), Architect (Johnson Johnson Crabtree Architects, PC); Program Manager (The NoliWhite Group); MPE Engineers (Envision Advantage, LLC); Civil Engineer (Ingram Civil Engineering Group, LLC); Structural Engineer (EMC Structural Engineers, PC); Interior Design (Inner Design Studio); General Contractor (Lott Brothers Construction Company)

Photography: [C]2016 Ken West Photography

Total Area (Sq. Ft.): 32,000

Total Construction Cost (excluding land): $10,252,000

Construction Cost/Sq. Ft.: $320

Completion: March 2016

PSYCHIATRIC HOSPITAL

Sharp Mesa Vista Hospital SAN DIEGO, CALIF.

Cuningham Group Architecture SAN DIEGO, CALIF., AND Sharp Healthcare SAN DIEGO, CALIF.

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Sharp Mesa Vista Hospital's (SMV) expansion and modernization project was born out of a passion to enhance and expand care for some of SMV's most fragile patients. In order to achieve this objective, additional square footage had to be added to the facility. This additional space would allow for the much needed reactivation of seven licensed beds and expansion and improvement of a number of critical service areas Including pharmacy, electroconvulsive therapy (ECT) and outpatient programs. Originally constructed In the early 1960s, and having undergone only minor renovations since the early 1970s, Sharp Mesa Vista Hospital had many spaces that were bleak, unwelcoming and lacked the most current technology. Since SMV is San Diego County's largest privately operated psychiatric hospital and provider of treatment for mental health, chemical dependency, and substance abuse, Sharp felt it was Imperative that the facility be upgraded and enlarged to better serve the community.

The project transformed roughly 30% of the three story building and 25% of the main hospital Including the front entrance. The primary goals were to Improve the delivery of care, enrich the patient experience and enhance safety and security. The additional square footage aided in improving the delivery of care by allowing the reactivation of seven beds and the addition of nine beds to the hospital license. This was possible through the addition of a second floor to the multipurpose /gym building that now serves as administration offices. Additional beds were added to the east wing increasing the bed count from 16 to 25. The project also enlarged the space for ECT, pharmacy, and outpatient programs and modernized the second floor of the three story building to serve as a new 23 bed Senior Behavioral Health Center.

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Technology improvements such as nurse call, security cameras and dedicated and expanded communications rooms were implemented throughout the project. These enhancements not only enriched the patient experience, but also improved safety and security for patients, staff and visitors. The thoughtful utilization of the most currently available anti-ligature products also greatly improved patient safety. Perhaps the greatest Impact to the enrichment of the patient experience was realized through the implementation of new space layouts, finishes, furniture and artwork. The newly created spaces transform the patient experience and create a serene healing environment that patients find inviting, comforting and empowering.

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Project Category: New construction and remodel/renovation

Chief Administrator: Trisha Khaleghi, CEO, Sharp Healthcare Specialty Hospitals

Firm: Cuningham Group Architecture, (619) 849-1084, Sharp Healthcare, (800) 827-4277

Design Team: Architect (Cuningham Group Architecture); Contractor (Swinteron Builders); Clinical Liaison (Sharp Mesa Vista Hospital); Owner's Project Management (Sharp Healthcare, Facilities Management & Development)

Photography: [C] Joel Zwink

Total Area (Sq. Ft.): 2,000 (new), 24,200 (renovation)

Total Construction Cost (excluding land): $11,987,436 (renovation)

Construction Cost/Sq. Ft.: $447 (renovation)

Completion: December 2015

PSYCHIATRIC HOSPITAL

PrairieCare Child Psychiatric Hospital BROOKLYN PARK, MINN. Pope Architects, Inc. ST. PAUL MINN., PrairieCare BROOKLYN PARK, MINN. AND R.J. Ryan Construction MENDOTA HEIGHTS, MINN.

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The new PrairieCare Child Psychiatric Hospital fills the state of Minnesota's large void of specialized psychiatric services for children and adolescents. PrairieCare's facilities offer safe and supportive healing environments for school-aged children and adolescents, and break down typical barriers between patients and staff. The hospital serves 1,500 youth annually, positively impacting families and children through mental health resources and compassionate healthcare.

The 50-bed children's mental health hospital challenges the stigmas surrounding typical sterile, secure institutions. The warmth created by blending wood and stone at the entry offers a familiar, comfortable north woods destination. Families and visitors are put at ease as they enter the serene two-story lobby with the open reception desk and unobtrusive security elements. From their first step into the space, visitors feel confident that this is where healing happens. The lobby, treatment and inpatient areas feature large windows of specialty glass applicable to psychiatric environments. Patients are connected to the natural surroundings and sunlight despite Minnesota's long winter months.

Patient care stations, day rooms and therapy spaces act as the heart of the building, connecting staff and patients with settings that encourage active healing. Inpatient wings and private bedrooms are used as restful places only during sleeping hours and are shut down during the daytime. The core becomes the pulse of the building.

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The building creates strong bonds between patients and staff by removing traditional physical barriers and increasing observation opportunities for staff. The wings are spokes off of the central activity core, offering staff direct sight lines to the entire inpatient area. Staff can actively observe patients without intruding on their personal space.

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Instead of making patients feel enclosed within the space, the architecture provides open, supportive destinations. By creating a supportive building core that inspires active healing, even young patients can feel engaged in their environment. The variety of spaces offer patients choices in their healing process. Fun colors and open doorways invite children in to play, explore and become comfortable in their surroundings. The quiet day rooms are an oasis, offering a meditative place for individual retreat. The space is enhanced with a 22-foot high, angled acoustical wood ceiling and large windows with views of surrounding treetops.

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Playful design elements reference nature in pattern and form and create an aesthetically approachable environment. Color patterns support wayfinding and identity, and chalkboard paint lends to self-expression. Children feel comfortable and safe while receiving transformative mental healthcare.

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Project Category: New construction

Chief Administrator: Joel Oberstar, MD, CEO, Child and Adolescent Psychiatrist

Firms: Pope Architects, Inc., (651) 642-9200; PrairieCare, (763) 762-8800; R.J. Ryan Construction, (651) 681-0200

Design Team: Erica Larson, Principal/Project Manager; Tom Kuck, Principal / Medical Planner; Allison Eckert, Interior Designer; Jim Kampmann, Job Captain (Pope Architects, Inc.); Rob Stenger, Construction Project Manager (R.J. Ryan Construction); John Ryan, Project Manager (PrairieCare)

Photography: [C]Philip Prowse Photography; [C]Matt Schmitt Photography

Total Area (Sq. Ft.): 72,588

Total Construction Cost (excluding land): $19,942,227

Construction Cost/Sq. Ft.: $275

Completion: August 2015

Northcoast Behavioral Healthcare Hospital NORTHFIELD, OHIO

Hasenstab Architects, Inc. AKRON, OHIO

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After consolidating patients and merging services from other campuses to the existing Northfield Campus, a new 200,000 gross square feet addition was designed and constructed. Located in a treed setting, the design incorporated patient access to fresh air, natural light and secure landscaped spaces.

All patient rooms have a view of nature and are designed with patient and staff safety in mind. Out swinging doors, wide entrance area, site lines, minimized blind spots, open bathroom concept, ligature resistant features, institutional/security grade fixtures, screening for patient privacy and artwork/activity wall were all considerations thoroughly reviewed by the design team.

Visual observation, safety and site lines to all areas of the patient unit are key elements. From the nurse stations, the staff is able to observe patient wings, open area/day room, dining area, entrance corridor, visitation room and the intensive care unit to ensure optimal patient care and safety.

Visitation areas were carefully planned to meet safety and security needs while creating low stress interactive spaces.

After completing the addition, patients were relocated from the existing facility into the new units so the renovation could begin in the older portions of the building.

The renovation concentrated on improved patient safety elements such as plumbing fixtures, beds, wardrobes, and freshening the spaces with paint, flooring and ceiling systems including updating door hardware and security systems. Lighting and HVAC mechanical systems were upgraded.

LEED / sustainable improvements were made to the site for water management and green space reclamation.

Project Category: New construction and remodel/ renovation

Chief Administrator: Doug Kern, Chief Executive Officer

Firm: Hasenstab Architects, Inc., (330) 434-4464

Design Team: Bob Medzluch, AIA, ACHA, NCARB, CSI/CCI, Principal in Charge; Dan Herstine, AIA, LEED AP, Project Manager; Eric Droll, AIA, NCARB, Project Architect; Chitra Matthai, ASID, CHID, LEED AP (Hasenstab Architects, Inc.); Robin Cox, Project Manager (Ohio Dept, of Mental Health & Addiction Services); Tom Leibham, Contract Manager (OFCC); Jim Kulick, Mechanical / Electrical Engineers (Scheeser Buckley Mayfield); Mike Thorson, Structural Engineering / Landscape Architecture (Thorson Baker + Associates); Bob Tucci, LLC, Civil Engineering (Bedell Tucci); Todd Libengood, Security Consultant (TranSystems)

Photography: [C]Scott Pease/Pease Photography, 2015

Total Area (Sq. Ft.): 200,000 (new); 97,000 (renovation)

Total Construction Cost (excluding land): $63,000,000

Construction Cost/Sq. Ft.: $212

Completion: July 2016
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Title Annotation:DESIGN SHOWCASE
Author:Miller, Julie
Publication:Behavioral Healthcare
Geographic Code:1U4MN
Date:Jun 22, 2016
Words:5246
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