ikm behavioral health design

Creating Safe Environments for Behavioral Health Facilities

William R. Sharpe, Jr. Hospital50 Bed Addition

August 12, 2014

slides © IKM Incorporated 2014

Presenters:

Jonathan Lusin, AIA, LEED APMr. Lusin joined IKM in 2008 as a registered project architect/manager. With more than 15 years experience, Mr. Lusin has been elevated to the level of Associate with the firm. He has a diverse portfolio of project-types; a knowledge of the latest software tools for design and documentation; and, an appreciation of the value of sustainable design. As project manager, Mr. Lusin applies his attention to detail, ability to manage staff and fiscal resources, and knowledge of construction administration toward the successful delivery of multi-million dollar projects. Mr. Lusin served as the project manager for the William Sharpe Hospital Addition project.

Jason Hindes, Assoc. AIAMr. Hindes joined IKM in 2011 as a graduate architect working toward his architectural license. Mr. Hindes’ skills with technology allow him to execute design documentation in Revit/BIM. Mr. Hindes has developed the ability to work quickly, accurately and independently making him a valuable member of the IKM team. He served as the Job Captain for the William Sharpe Hospital Addition project participating in design meetings, executing the construction documentation, and assisting in the bidding and construction administration phases of the project.


Presentation Learning Objectives

Learn the two key issues (Safety & Visual Control) impacting behavioral

health design at this facility;

Understand how the healthcare “hospitality approach” impacts this

population;

The importance of outdoor space to this population’s care and treatment

and the challenges and solutions this case study presents.


Presentation Summary

Program Description

Key Concepts

Design / Collaboration

Construction

Results


Project Team


PROGRAM DESCRIPTION


P R O G R A MWilliam R. Sharpe, Jr. Hospital

Existing State Behavioral Health Facility

Constructed in early 1990’s

Patient Wings with integrated Courtyards

Central Dining and Recreation Facilities


P R O G R A MExisting Facility


P R O G R A MExisting Facility

Parcel 1Parcel

2Parcel

3

Parcel 4


P R O G R A MExisting Facility - Plan


P R O G R A MExisting Facility – Functional Issues

Civil vs. Forensic Population

Staff and Clients spaces mix (no separation)

Nurse Stations

Office Areas

Outdoor Courtyards visually separated from Staff areas

Ligature issues

Moving Patients to Dining and other recreation facilities

Visual control in Patient Rooms


P R O G R A MExisting Facility – Patient Room


P R O G R A MExisting Facility – Dining


P R O G R A MProject Site


P R O G R A MNew 50 Bed Addition

Add new Nursing Units to support 50 Client Beds

New Sallyport for Admission of new Clients

Office/Support Space

Replace existing outdoor Recreation Space for Facility

Replacing Sanitary Line in Existing Kitchen

Expand Existing Parking Lot

$11.8 Million Construction Budget


KEY CONCEPTS


C O N C E P TNew 50 Bed Addition

Evidence-Based Research as foundation for Creative Exploration

Improve Safety (both Client and Staff)

Promote Humane Delivery of Client Care



Evidence-Based Research as foundation for Creative Exploration




“…staff supervision and visibility generally help to

reduce patients' risk of self-harm.”Doherty, Joseph, AIA, and Jon E. Sell. "Deinstitutionalizing Design." Editorial. Behavioral Healthcare 11 Jan. 2011: n. pag. Deinstitutionalizing Design. Vendome Healthcare

Media. Web. 01 Aug. 2014. < http://www.behavioral.net/article/deinstitutionalizing-design >.


http://www.behavioral.net/article/deinstitutionalizing-design


Case Study

Image: BIG, Helsingor Psychiatric Hospital;

Helsingor, Denmark.




“…there can’t be any way for people to hang themselves…there can be no way for them to

create weapons…you must eliminate things that can be thrown.”

"Humanizing Behavioral Healthcare Design." Humanizing Behavioral Healthcare Design. Ed. Jay W. Schneider. Building Design + Construction, 01 Feb. 2008. Web. 07 Aug.

2014. <http://www.bdcnetwork.com/print/16006>




Image: Mental Health Design 201;

AIA Academy of Architecture for Health;

4, June 2012; Francis Pitts, FAIA, FACHA, OAA




“…design preference is driven by the demand for natural light – a light, airy environment is

calming to patients – and the desire to have direct access to the outdoors – visual and

physical contact with the outside world is hugely important…”

"Humanizing Behavioral Healthcare Design." Humanizing Behavioral Healthcare Design. Ed. Jay W. Schneider. Building Design + Construction, 01 Feb. 2008. Web. 07 Aug.

2014. <http://www.bdcnetwork.com/print/16006>




Image: Cannon Design, Lindner Center of HOPE;

Cincinnati , OH. Photo by Tim Wilkes Photographyslides © IKM Incorporated 2014



Image: Peter Zumthor , Serpentin e Pavilion . Photo by Hufton + Crow


DESIGN EXPLORATION / TEAM COLLABORATION


D E S I G N50 Bed Addition: Design Tools

Visual Control of Nursing Unit

Eliminate Blind areas

Nurse Station as focal point of Unit

Secure Area for Staff

Integrate Exterior Courtyards into Unit Plan

Freedom with Control


D E S I G NNew 50 Bed Addition - Diagram


D E S I G NNew 50 Bed Addition - Site


D E S I G NNew 50 Bed Addition – Floor Plan


D E S I G NNew 50 Bed Addition - Views


D E S I G NNew 50 Bed Addition – Program Layering


D E S I G NNew 50 Bed Addition – Outdoor Space


D E S I G NNew 50 Bed Addition – Elopement Control


C O L L A B O R AT I O N50 Bed Addition: Engineering Coordination


D E S I G NNew 50 Bed Addition – Final Design


CONSTRUCTION


D E S I G NNew 50 Bed Addition - Construction

Site



Mock-Up



Structural



Mechanical



Connection to Existing



Views



Nurse Station Glazing



Anti-Ligature


RESULTS


R E S U LT S50 Bed Addition: Final Build

Visibility



Natural Light



Internal Courtyards



Dining



Anti-Ligature



Furniture



Elopement Control



Safety



Exterior


T H A N K Y O U50 Bed Addition: Questions?


architecture

planning

interior design

For more information visit: www.ikminc.comConnect with us:

C O N TA C T U S

Jonathan Lusin, AIA, LEED AP Jason Hindes, Assoc. AIA


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