Jordan Cooke

Philadelphia Engagement Center PROVIDING TREATMENT WHERE ITS NEEDED MOST “It always seems impossible until it’s done.” – Nelson Mandela Class of 2022 - Student: Jordan Cooke - Advisor: Richard King

https://time.com/jeffrey-stockbridge-kensington-philadelphia-photographs/

Philadelphia Engagement Center

-Both

Research and Site Choice

-Rural -Urban

Content Why an addiction treatment center?

(USNLMNIH)

Opiod, Heroin, or Unspecified Subs. Related ED Visits per 1000 Visits by Month

(Phila.gov)

(Phila.gov)

“The purpose of this report is to describe trends in opioid misuse and overdose in Philadelphia, PA. Since 2003, unintentional drug related overdoses have increased dramatically in the City, likely as a result of a rise in the sale of selected pharmaceutical opioids. Between 2000 and 2015, selected opioid sales quadrupled in Philadelphia, the main driver of which has been oxycodone.

The number of unintentional drug related deaths increased from 311 in 2003 to 1,217 in 2017. The primary driver of this increase has been deaths involving opioids. In 2003, just 211 deaths involved opioids, but this number climbed to 561 in 2015, 752 in 2016, and 1,074 in 2017. Since 2011, the majority of opioid related deaths have included heroin, and since 2014 there has been a steady increase in the number of deaths involving fentanyl. While the rate of unintentional opioid related death is highest among 45-54 year old, white, non-Hispanic males, no Philadelphia subpopulation has remained untouched by the epidemic.

In parallel to the increase in unintentional drug related deaths, rates of drug related emergency department (ED) visits also increased from 3.19 drug-related ED visits per 1,000 ED visits in 2007 to 7.85 per 1,000 ED visits in 2017. Likewise, hospitalizations attributable to opioid poisoning have increased from under 300 in 2002 to more than 550 in 2016.

Visits and hospitalizations are highest among 25-34 year old males.

The number of fatal unintentional drug related overdoses would be higher if not for availability of the overdose reversal drug, naloxone. In 2016 alone, more than 4,000 individuals were administered naloxone by Philadelphia Emergency Medical Services (EMS). Individuals receiving naloxone from EMS were most often 25-54 year old males and more than 90% were transported to an area hospital after receipt of the drug.

Finally, concurrent with the increases in opioid overdose has been other adverse outcomes including increasing rates of neonatal abstinence syndrome (NAS) and hepatitis C virus (HCV) transmission. In 2002, there were 3.09 cases of neonatal abstinence syndrome for every 1,000 live born hospital births, and by 2016, this rate had increased to 13.7 per every 1,000 live born hospital births. Additionally, the rate of women giving birth that were opioid dependent or using opioids increased from 2.65 per every 1,000 live born hospital births to 15.15 in 2015. Although the rate of NAS continued to increase in 2016, the rate of women giving birth that were opioid dependent or using opioids decreased to 14.01 per 1,000 live born hospital births in 2016. Finally, through sharing of injection equipment, there is also potential for infectious disease transmission among persons who inject drugs. Among cases of acute HCV infection, more than 60% self-reported ever injecting drugs.”

Philadelphia Engagement Center

Background: Fatal Overdose Locations

Introduction

November 2018

(Phila.gov)

Unintentional Drug Related Deaths (2010-2019)

Fatal Overdose General Locations

(Phila.gov)

Non-Fatal Overdose Locations

(Phila.gov)

There are several areas of the city where the number of nonfatal overdoses tend to be higher. These incidences reflect the overdoses where naloxone was administered. The

Philadelphia Engagement Center ProgramProgram Reception Reception Lobby Lobby Admin Office Admin Office Staff Meeting Space Space Staff Meeting Total Total

Examination Examination Room Room Med. Staff Office Med. Staff Office MedicalMedical Treatment Space Space Treatment Phsyc. Office Phsyc. Office Break Room Break Room Staff Sleeping QuartersQuarters Staff Sleeping Pharmacy Pharmacy Pharmacy Reception Pharmacy Reception Total Total

Group Meeting Group Meeting Space Space Private Meeting Space Space Private Meeting Total Total

Gymnasium Gymnasium Fitness Fitness Center/Center/ PhysicalPhysical TherapyTherapy Meditation Meditation Total Total

Avg. SQFATvg. SQFTQuantityQuantityTotal SQTFoTtal SQFT RunningRTuontnailng Total Main Main Computer Computer Lab Lab Library Library 100 100 100 1 1 100 Financial / Job / Communication Center Center 400 400 1 1 400 400 Financial / Job / Communication Total Total 400 100 100 4 4 400 300 150 2 150 2 300 750 750 1200 1200 1200 1200 Inpatient HousingHousing Inpatient TreatmeTnrtea Stm afef nt Staff Inpatient Inpatient Hospitalization Hospitalization 360 60 60 6 6 360 Lounge Lounge 375 75 5 75 5 375 Dining Dining 400 400 1 400 1 400 Total Total 750 75 10 75 10 750 300 150 2 150 2 300 400 100 4 100 4 400 Mechanical Room Room Mechanical 900 900 1 900 1 900 Electrical Electrical Room Room 200 200 1 200 1 200 Janatorial Closet Closet Janatorial 1960 1960 3685 3685 4885 4885 Janitorial Office Office Janitorial StorageStorage aleTnrteatment PsycologPiscyacl oTlroegaictm Trash Room Trash Room 1800 1800 180 180 10 10 LoadingLoading Bay Bay 1400 1400 100 14 100 14 Restroom Restroom 280 280 3200 3200 8085 8085 Total Total Site Site RecreatR ioencarleational Grand TG otralnd Total 6000 6000 6000 6000 1 1 1000 1000 1000 1000 1 1 400 200 2 200 2 400 7200 7200 7400 7400 15485 15485

TrainingTFraicniliintyg Facility 400 400 1 1000 1000 1 600 1 600 2000 2000

1 1 1

400 400 1000 1000 600 600 2000 2000

17485 17485

ResidenRcesidence 140 140 46 140 140 22 500 6 500 500 500 2 1280 1280

46 22 6 2

6440 3080 3000 1000 13520

31005 31005

N/A N/A N/A N/A N/A 1 1 N/A

250 250 250 250 100 100 75 75 0 0 300 300 300 300 200 200 1475 1475 130300130300 32480 32480

Utilities Utilities 250 N/A 250 250 250 N/A 100 N/A 100 75 N/A 75 N/A N/A N/A 300 1 300 300 1 300 200 N/A 200 1475 1475 148112148112 14945 14945

6440 3080 3000 1000 13520

ICMX

Site Information and Program Diagrams

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MEDITATION REC SPACES PHYSICAL THERAPY

E Cambria St.

B ST.

Philadelphia Engagement Center Inspiration / Precedents

Inspiration Board • Serenity within ruins.

• Greenery overtaking the city.

• A hidden city within a city.

• Brick and steel as a structure and main material.

• Wood as an accent and pop.

• The wood engages with the users, emphasizing the idea that the nature is taking power over the rough man made city that surrounds.

• Create open space while also boxing the city around out.

VH House

ODDO Architecture Hanoi, Vietnam

MAGGIE’S OLDHAM -Architect: dRMM -Year Built: 2017 -Area: 2,800 SF

Philadelphia Engagement Center

Maggie’s Oldham is a center that provides hope and community to those who are affected by cancer. The building is paneled almost entirely by wood. The building is lifted with a walking/ outdoor area that crosses below the building itself.

A light shaft is cut through and allows for a tree to grow up and through the cavity. The building also has and end to end view through the building with a fairly open floor plan. The building fronts the street by hovering over an existing wall.

EXTERIOR VIEW OF COM. SPACE

USE OF WOOD TO CREATE VIEWS

COMMUNITY SPACE

THE OVAL AT THE BENESSE MUSEUM -Architect: Tadao Ando -Year Built: 1996 The Oval is a luxury hotel that has 2 suites and 4 double bed rooms.

There is an in house cafe as well.

The center pool is surrounded by a portico that can also serve as an outdoor gallery. The structure is set on top of a hill and sunk down into it. Greenery is run up and on top of it with a rooftop walkway.

The oval produces unique perspectives. One speaks to the artist James Turrell. In a

similar manor to the sky spaces he produced, Ando creates a connection to the world. Layering blends privacy status and can create a feeling of activity. This oval design also serves to create community by focusing inward.

AERIAL VIEW OF THE OVAL

CORRIDOR

FLOOR PLAN

ADMIN SPACES 1. Lobby/ Reception 2. Admin Offices/ Psychologist Offices/ Family Resources

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MEDICAL SPACES 3. MEdical Offices/ Exam Rooms/ Treatment Spaces/ Pharmacy 4. Group Treatment Spaces 5. Private Treatment Spaces (2 Spaces Each) 6. Outpatient Treatment and Resources

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RESIDENCE 14. Inpatient Treatment/ Lounge Spaces/ Green Spaces on Top of 5.

15. Dining 16. Inpatient Hospitalization/ Lounge/ Lounge on Top of 5.

B St.

RECREATIONAL SPACES 7. Art Studios/ Dance Studios/ Patient Driven Program 8. Meditation Space 9. Library 10. Computer Lab/ Training Spaces/ Classroom Space 11. Outdoor Basketbak Court/ Track 12. Fitness Center 13. Gym

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EXISTING PARKING Fall Mid Crit Site Plan 3/4” = 50’-0”

EXISTING CHURCH

Philadelphia Engagement Center Site Programming and Organization

P• ublic Gym • Library • Outdoor S emi-Public • Outpatient Resousrces • Admin • Pharmacy Admin/ Medical Facility • Fitness Center • Classroom and Comp. Lab S emi-Private • Meditation • Family Services • Group Therapy • Dining P• rivate Residence • Private Therapy • Medical Site Reorganization 1

TRAFFIC DIRECTION LIGHT PEDESTRIAN HEAVY PEDESTRIAN PUBLIC ACCESS PUBLIC SEMI-PUBLIC SEMI-PRIVATE

Site Reorganization 2

PRIVATE

Philadelphia Engagement Center Final Design

P.E.C. North Site Entry Arrival

Philadelphia Engagement Center

First Floor Plan 1” = 40’-0” ry

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Private Site Entry

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Site Entries 1” = 40’-0”

Philadelphia Engagement Center

P.E.C. North Site Entry Arrival

Philadelphia Engagement Center

P.E.C. West Site Entry Arrival

Philadelphia Engagement Center

P.E.C. Reception and Lobby

Philadelphia Engagement Center

First Floor Classroom Entry Lounge/ Reading Area

Philadelphia Engagement Center

Third Floor Plan 1” = 40’-0”

Fourth Floor Plan 1” = 40’-0”

Philadelphia Engagement Center

Second Floor Atrium Space

Philadelphia Engagement Center

Second Floor Library and Reading Area

Philadelphia Engagement Center

Group Space Looking North

Philadelphia Engagement Center

Meditation Lobby Space

Philadelphia Engagement Center

Meditation Lobby Space

Philadelphia Engagement Center

Meditation- Semi Private Spaces

Philadelphia Engagement Center

Meditation- Semi Private Spaces

Philadelphia Engagement Center

Meditation- Public Spaces

Philadelphia Engagement Center

Meditation- Private Spaces

Thank You