Wounded Warriors Rehabilitation Center by Gina Garcia

Manhattan Wounded Warriors Rehabilitation Center Gina Kay Garcia Capstone Studio IAPD 810 : Fall 2013 Instructors: Neal Hubbell &Vibahavari Jani Interior Architecture & Product Design Kansas State University

Table of Contents

Introduction

Research

Precedent Study

Facility Visits

Site Analysis

Program

Concept

Schematic Design

Design Development

Final Design

Conclusion

Project Introduction The Wounded Warrior Project’s focus is helping soldiers that have returned from duty and need rehabilitation mentally, physically and socially. The purpose of Wounded Warriors Project (WWP) is “ to raise awareness and to enlist the public’s aid for the needs of injured service members, to help injured servicemen and women aid and assist each other, and to provide unique, direct programs and services to meet their needs.” “WWP began when several veterans and friends, moved by stories of the first wounded service members returning home from Afghanistan and Iraq, took action to help others in need. What started as a program to provide comfort items to wounded service members has grown into a complete rehabilitative effort to assist warriors as they recover and transition back to civilian life. Thousands of wounded warriors and their caregivers receive support year through the WWP programs designed to nurture the mind and body, encourage economic empowerment.” Normal rehabilitation centers are not usually equipped to meet the additional needs of soldiers with their specific symptoms such as Post - Traumatic Stress Disorder (PTSD) or Traumatic Brain Injuries (TBI). The United States military has found it in its members best interest to commission specialized facilities for the rehabilitation of wounded warriors back into civilian life and so this project is one of these facilities. This design is meant to be a prototype for a possible outpatient rehabilitation center with a goal to provide holistic healing and treatment for its patients and families.

http://www.ncdhhs.gov/MHDDSAS/services/servicesformilitary/index.

Project Parameters: This facility is specifically to service veterans who suffer from (PTSD) Post- traumatic Stress Disorder, Depression and/or (TBI) Traumatic Brain Injuries. This outpatient facility will serve an average of 35 patients per day and provide around 65 treatments per day. Therapies will be focused to treat the patients mentally socially as well as physically.

Research

Photo by Kevin Frayer/AP

One of the things that we as a country are learning is that people who are wounded in war are wounded forever. - David Wood

Department of Public Health

Injuries, Symptoms & Treatments TBI- Traumatic Brain Injury

PTSD- Post-Traumatic Stress Disorder

TBI is caused by a violent external force to the head or body. Injury can be internal or external causes and can also include hypoxia (lack of sufficient oxygen), stroke, disease, or tumor.

Post-Traumatic Stress Disorder is developed after a terrifying trauma that involved physical harm or the threat of physical harm. (Mayo Clinic 2011) Typical symptoms of PTSD include: Anger Jumpiness Headaches Nightmares Anxiety Depression Flashbacks of trauma Treatments of PTSD include: Cognitive Behavioral Therapy (CBT) VA provided therapy Cognitive Processing Therapy (CPT) Prolonged Exposure Therapy (PE) EMDR- Eye Movement Desensitization and Reprocessing (reaction to memories) Medication Group or Family Therapy Simulation Therapy used by William S. Middleton Memorial Veterans Hospital. The therapy helps them engage emotionally with distressing memories instead of trying to push them away, says Dean Krahn, MD â&#x20AC;&#x2DC;80, MS, chief of mental health services at the hospital. (Land 2010)

Traumatic Brain Injury symptoms occurs when an external mechanical force causes brain dysfunction. Mild TBI can result in headaches, dizziness, nausea/ vomiting , and memory problems. Moderate TBI loss of consciousness, confusion that can last days or weeks. Severe TBI can impact speech, sensory, vision and cognitive deficits. There are also difficulties with attention, memory and concentration Treatment for TBI needs to start with stabilizing to prevent secondary complications and ensure oxygen and blood flow to the brain and body. The next step is rehabilitation with physical therapists, occupational therapists, speech therapists, neuropsychologists and psychiatrists. (Burke 2009) Also art and drama therapy are good for TBI patients.

Research

Sci ELO Public Health

SCSU Wellness Program

Injuries, Symptoms & Treatments Continued Depression Depression is an illness that involves a person’s body, mood, and thoughts. It affects the way a person eats and sleeps, the way one feels about oneself, and the way one thinks about things. Depression is not a passing blue mood, nor is it a sign of personal weakness it is a medical illness and a treatable illness. Individuals who are depressed often experience more difficultly in performing their job, caring for their children, and in their personal relationships.

• • • • • • •

Persistent sad or empty mood Loss of interest or pleasure in ordinary activities Changes in appetite or sleep Decreased energy or fatigue Inability to concentrate, make decisions Feelings of guilt, hopelessness or worthlessness Thoughts of death or suicide

A family history of depression and negative life experiences such as loss, trauma, serious illness and stress can also contribute to the onset of depression. There are effective treatments today for depression including medications and therapy. Without treatment, symptoms can last for weeks, months, or years. Appropriate treatment, however, can help most people who suffer from depression. The majority of people who are treated for depression will improve, even those with serious depression. Unfortunately, one-third of sufferers seek help, as they do not realize depression is a treatable illness. (Mental health 2013)

Enrich

Research

Color choice effects peoples emotionally, psychologically, as well the space visually and aesthetically.

http://www.deepermind.com

Color Meaning, Symbolism & Psychology Blue is seen as trustworthy, dependable and committed. The color of sky and the ocean, blue is perceived as a constant in our lives. As the collective color of the spirit, it invokes rest and can cause the body to produce chemicals that are calming; however not all blues are serene and sedate. Electric or brilliant blues become dynamic and dramatic, an engaging color that expresses exhilaration. How the color blue affects us physically and mentally: * Calming and sedate * Cooling * Aids intuition

Purple embodies the balance of red simulation and blue calm. This dichotomy can cause unrest or uneasiness unless the undertone is clearly defined at which point the purple takes on the characteristics of its undertone. A sense of mystic and royal qualities, purple is a color often well liked by very creative or eccentric types and is the favorite color of adolescent girls. How the color purple affects us mentally and physically: * Uplifting * Calming to mind and nerves * Offers a sense of spirituality * Encourages creativity

Research Green is the pervasive color in the natural world that is an ideal backdrop in interior design because we are so used to seeing it everywhere. The natural greens, from forest to lime, are seen as tranquil and refreshing, with a natural balance of cool and warm (blue and yellow) undertones. Green is considered the color of peace and ecology. How the color green affects us physically and mentally: * Soothing * Relaxing mentally as well as physically * Helps alleviate depression, nervousness and anxiety * Offers a sense of renewal, self-control and harmony

Yellow shines with optimism, enlightenment, and happiness. Shades of golden yellow carry the promise of a positive future. Yellow will stand out from surrounding colors and instill optimism and energy, as well as spark creative thoughts. How the color yellow affects us mentally and physically: * Mentally stimulating * Stimulates the nervous system * Activates memory * Encourages communication

Color Meaning, Symbolism & Psychology Brown says stability, reliability, and approachability. It is the color of our earth and is associated with all things natural or organic. How the color brown affects us physically and mentally: * Feeling of wholesomeness * Stability * Connection with the earth * Offers a sense orderliness

White projects purity, cleanliness, and neutrality. Doctors don white coats, brides traditionally were white gowns and a white picket fence surrounds a safe and happy home. How the color white affects us mentally and physically: * Aids mental clarity * Encourages us to clear clutter or obstacles * Evokes purification of thoughts or actions * Enables fresh beginnings

Precedent Study REHAB, Center for Spinal Cord and Brain Injuries

Location: Basel, Switzerland Cost: $110 Million Size: 246,386 square feet Designed by: Herzog & De Meuron

photos from Architecture Review

Rehab Basel Concept and Program The client wanted REHAB to not look or feel like a hospital, this multifunctional and diverse building was designed as a small town with streets, plazas, gardens, and public facilities. Patients live at REHAB for up to 18 months on the second floor outpatient facilities. They learn to deal with their changed lives through holistic rehabilitation. The patients work with therapists and doctors on physical and metal rehabilitation. Because the patients spend all their time here, everything needs to happen in one place. The facility has private impatient and outpatient therapy and medical facilities located on first floor. Also on the first floor is a de institutionalize a clinic, day clinic, therapy rooms (Physical and Neurological), Medical Facilities, Conference rooms, Gym and Swimming Pool. On the second floor there are over night patient rooms and semiprivate lounge areas for family members. Both floors have a strong visual and physical connection to nature. photos by Suzanne Stephens

Precedent Study Rehab Basel Site

Kezdolap

Rehab Basel : Site Site and Orientation Connection between indoor and outdoor spaces Ornamental gardens blend the facility into the surrounding countryside Four main courtyards within the complex Serves as the entrance 1. Courtyard with water feature 2. Courtyard clad entirely out of wood 3. Courtyard containing the bathhouse 4. To the north is a playing field and training course for wheelchair users Kezdolap

The building uses passive solar techniques and natural ventilation. The building also has user controlled passive ventilation provided by large operable windows and sliding doors. The large windows allow daylight to enter the entire facility. There is a green roof seen in the picture on the right.

photo from Laufen

Precedent Study Rehab Basel: First Floor Plan

First Floor

First Floor 1 Entrance Court 2 Outpatient rooms 3 Day hospital 4 Cafeteria 5 Administrative Offices 6 Reception 7 Neuropsychology 8 Occupational & Speech Therapy 9 Therapy Pool 10 Physiotherapy 11 Multipurpose Space 12 French Garden 13 Intensive Care 14 Medial Services 15 Diagnostics 16 Courtyard with pool 17 patientsâ&#x20AC;&#x2122; Bedrooms 18 Services 19 Offices 20 Lounge/ Dining

photos from Architecture Review

Precedent Study Circulation

First Floor Zoning

Precedent Study Rehab Basel: Second Floor

Second Floor

Second Floor 1 Entrance Court 2 Outpatient rooms 3 Day hospital 4 Cafeteria 5 Administrative Offices 6 Reception 7 Neuropsychology 8 Occupational & Speech Therapy 9 Therapy Pool 10 Physiotherapy 11 Multipurpose Space 12 French Garden 13 Intensive Care 14 Medial Services 15 Diagnostics 16 Courtyard with pool 17 Patientsâ&#x20AC;&#x2122; Bedrooms 18 Services 19 Offices 20 Lounge/ Dining

Kezdolap

photo by Suzanne Stephens

Section Patient rooms located on the second floor is shown above. The rooms have large windows and sliding glass doors, a wood decks with overhangs and large oval skylights.

Precedent Study Circulation

Second Floor Zoning

Precedent Study

photo from Laufen

Materials Materials The most predominant material is used for the building is wood and composed of different kinds. The wood is used on both the exterior and interior of the building. On the exterior the wooden rods are used both horizontally and vertically to allow for covered awning and privacy screens. Between the wooden rods are acrylic spaces to give a clean and continuous look.

photo by Suzanne Stephens

Precedent Study Rehab Basel : Elements

Susan Stephens

Wheelchair accessible covered walkway photo from Architecture Review

Therapy pool with skylights photo from Laufen

Rehab Basel Connection with Nature

Main entrance photo from Laufen

Interior courtyards photo by Kezdolap

Facility Visit Field trip to Hospitals

Topeka Rehabilitation Hospital’s carport guest entrance

We a class we visited Topeka Rehabilitation Hospital Center on September 13th 2013. Then on September 20th 2013 we studied Fort Riley’s current facility and Fort Riley’s new building that was still under construction.

Topeka Rehabilitation Hospital Personal Notes: Entry and Outside The entrance is very important to the welcoming of patients. It must be easily accessed from the parking lot, a carport is ideal for when the weather is bad. The parking lot also needs to be responsive for wheelchair patients. Upon entering the receptionist at the Topeka Rehabilitation Hospital is right ahead. The person at the desk is also in charge of security on-site for safety of patients and customers. The patients like to be outdoors for rehab when possible. Topeka has 70 full time staff members and 30 part-time that serve about 35 inpatients and 45 outpatients a day with 10% who are wounded Veterans. The building has glass that is filtered so that patients can see out but for their privacy people cannot see in. Privacy is very important for patients who may feel embarrassed of their current condition. The outside area has a paved course with bridges for the patients to practice their balance, however Cindy, an outpatient caregiver, said it would be nice to have grass, sand, and pebbles for patients to walk on to regain balance. Physical activities such as basketball and volleyball would be beneficial for patients to participate in as well. A garden for hands-on activity is another thing that would be nice to have outdoors. Visual impairment causes fear to try things. A calming atmosphere is important for them and PTSD patients to feel comfortable.

Facility Visit The Topeka Rehabilitation Hospital has artwork to make the building feel more comforting and inviting. The hallways must have grab bars for patient assistance. The floor needs to be easily cleaned, but would be enhanced if it had cushion or give in case a patient fell. The center offers physical therapy, occupational therapy and some alternative therapy in their pool.

therapy pool in Topeka

occupational therapy area in Topeka

Topeka Rehabilitation Hospital Personal Notes: Facility The occupational therapy helps the patient acclimate to everyday life by doing tasks such as laundry, cooking, moving everyday items and cleaning. In addition, space is important for showering, using restrooms and moving in the hallways. All the halls in the rehab center are 8â&#x20AC;&#x2122; wide. Some of the stairs need to be wide enough for two people when patients use the stairs there needs to be enough room for them to have assistance. Signage is also important for people with these traumatic disorders in order to find their way around and also for their privacy. The hospital does not lock any of their doors for safety reasons so when a therapist is using a room they switch the sign to occupy. Wayfinding is important so patients can know where they are and not get confused. One way the Topeka facility could improve would be to have color coded hallways and put up signs to the cafeteria because the hallways were confusing and the cafeteria was hard to find. The lighting needs to be non-direct for patients with head injuries who are sensitive to light. Colors of the building need to be natural and calming to not over stimulate patients with brain injuries as well. There needs to be a designated smoking are for patients. The staff at Topeka have their own break room and restrooms which is important for them to have the ability to have time to themselves.

cafeteria in Topeka

physical therapy equipment in Topeka

Site Analysis 903 S Manhattan Ave. Manhattan KS 66502

from kansasheritage.org

from weather forecast

Physical Content Physical Characteristics The site is fairly flat, shown in the sketch on the right, and very open farmland with just a small dip off the side of S Manhattan Ave and where the land heads towards Wildcat Creek. The north and east sides of the site are lined with large trees.

Site Surroundings Wildcat creek is just North of the site. Across the S Manhattan Ave. is more farmland. On the other side of the bridge is Highway 18, also called Fort Riley Blvd. Along the north there is a beautiful bike and walking trail.

gradient of land

Wildcat Creek

Site map from Google Maps.com all site photos by Gina Garcia

Site Analysis Landscape

tall grass and trees line the site from the north and east side.

sunflowers along the creek

Wildcat Creek

Physical Content Traffic Pattern The site is on the outside the city of Manhattan. The most traffic is mainly on Fort Riley Blvd. also known as Highway 18, is just north over a bridge on S Manhattan Ave. that runs right in front of the site. Highway 18 runs on the south side of Manhattan and is a straight shot to Fort Riley were an Army base is located. Also north of the site on S Manhattan Ave. are some rail road tracks and a walking and biking trail that is free to the public.

bike and walking trail north of site

rail road tracks on S Manhattan Ave.

S Manhattan Ave. bridge

Site Analysis

wind direction on site visit

sun direction

Wind Speed

sun setting across the street

Physical Content Sun, Wind & Noise According to online sources the wind will typically come from the south, however day of site visit the wind was coming from the south and heading north, seen in sketch to the right. The noises of the site are generally peaceful bug noises and water falling sounds from the nearby wildcat Creek. Occasional trains pass by on railroad tracks north of the site and they can be heard through the trees. Cars going 40 mph on S Manhattan Ave can also be heard (building would need to be set back from the road and exterior walls will need to be sound proofed. Fort Riley Blvd. traffic can be heard when ambulances or cops siren go by. On the plus side Fort Riley offers easy access and travel to site from Fort Riley.

Site map from Google Maps.com

Wind Direction

wind direction over the entire year

sound direction

Site Analysis Circulation & Movement Pattern

SITE

circulation of traffic Fort Riley Blvd. S. Manhattan Ave Bike & Walking Trail Railroad Tracks Wildcat Creek

Physical Content Circulation & Movement Pattern The major circulation and movement of the area is by car on S Manhattan Ave. located in front of the site and Fort Riley Blvd. located north of the site. There are a few pedestrians on the bike trail nearby located also north of the site. Trains pass by occasionally on nearby rail road track north of the site.

Elements There are electric lines 10 ft right off the near road (S Manhattan Ave). That is the only major non natural element in the area. There is a natural creek and man made bike trail north of the site. There are large trees that line the north and east sides of the site that hide the railroad tracks and Fort Riley Blvd.

bike and walking trail north of site

power lines off of S Manhattan Ave.

Site Analysis

Bill Snyder Family Stadium from Wiki

Downtown Manhattan from Wiki

Geographic Context History of Manhattan The city was settled in 1854 & incorporated in 1857. There are many historical residences in Manhattan seen on the map above. In 1951 there was a flood that caused widespread damage.

City Information Nicknamed “The Little Apple“ Hosts the annual Country Stampede Music Festival – the largest music festival in Kansas. Home of: Aggieville Kansas State University Flint Hills Discovery Center Manhattan Sunset Zoo Manhattan Airport

Site photo from City of Manhattan

The site is south of city away from other not to far off of Fort Riley Blvd. that will allow easy access from Fort Riley Base and the I 70. The site is surrounded by beautiful farmland.

Site from Goggle Earth

Site Analysis

Flood Areas from Goggle maps

Average Temperature from weather spark

Geographic Context Relative Humidity

Climate Manhattan, KS experiences all seasons, the hottest month of the year is usually July and the coldest being January. Manhattan does get relatively humid as seen on the chart to the right. West of the site is a flood area were the river meets Wildcat creek the flood zone dissipates.

Geographic Characteristics humidity year round in Manhattan

average rain fall in Manhattan from weather spark

Manhattan is located in the Flint Hills and is also on the Kansas River near the mouth of the Big Blue River. Manhattan is just 48 miles west of Topeka the state capital. Manhattan is the trading center of a farming and ranching area. Eight miles away is Fort Riley Military Reservation, a U.S. Army post. Manhattan is just five miles south of Tuttle Creek Reservoir. South of the city is the Konza Prairie, a tall grass prairie preserve jointly owned by The Nature Conservancy and Kansas State University.

Site Analysis Demographic

population of Manhattan,KS from city data ages in Manhattan,KS from city data

Culture Content Demographic

Attitude of Locals

The total population of Manhattan, KS was 52,281 as of 2010. The urban population: 52,765 (all inside urban clusters) and the rural population: 71 which is all nonfarm.

Median monthly housing costs for Manhattan: $746 90.6% of residents speak English at home and the foreign born population: 2,899 (6.5%) 27.4% of them are naturalized citizens. Of the population in the town 5,432 married couples with children 1,319 single-parent households (246 men, 1,073 women).

Culture of Town Largely defined by Kansas State University students and their sporting events. City was rated by CNN Money as one of the top ten places to retire young Fake Patty’s Day -event has been around for many years, and has recently been adopted by the licensed venues of Aggieville to avoid missing out on revenue garnered from St. Patrick’s Day, which usually falls a week before spring break.

pice of houses in Manhattan,KS from city data

Expectations of Population The estimated population for 2013 is : 44,831 which is a decrease from 2010 census. Fake patty’s day in Manhattan

Program Development PRIVATE

PUBLIC

Services & Staff

PRIVATE

PUBLIC

Community

Services Main Entry & Staff

Waiting Area

Community COMMUNITY Conference Room children’s playground

Case Manager

PATIENT TREATMENT Counseling Rooms

Patient Treatment

Main Reception

smalll waiting

Dr. Ofces

occupational therapy area

Dr. Offices shop bookstore/gift Art Therapy

Secretary station

Meditation Area

Outdoor dinning Research Library

SERVICES & STAFF

Exam Rooms

Exhibit Space

Drama Therapy

Patient Treatment

Directors Ofce

o.t. work stations

Outdoor therapy

Cafe Dinning Small theater Garden

SUPPORT

janitor’s closet

Art therapist ofce

p.t. work stations

Trash pick-up

medical trash

phys. therapy area

Laundry

Drama therapist ofce

mechanical rm.

Facility Manager

employee break rm.

GYM TBI TREATMENT PTSD TREATMENT DEPRESSION TREATMENT STORAGE

POOL

P.T. WORKSTATIONS

FACILITY MANAGER O.T. OFFICE

DOCTORS’ OFFICE

MEDITATION

THEATER

SERVICES

GALLERY

DESIRABLE

ENTRY

ESSENTIAL IMPORTANT

OUTDOORS LIBRARY

PROXIMITY:

EXAM ROOMS COUNSELING ROOM

ADJACENCY DIAGRAM

PLACE

Diagrams

RECEPTION FOOD SERVICE RESTROOMS SECURITY PRIVACY COMMUNITY ACCESS PHYSICAL THERAPY OCCUPATIONAL THERAPY DRAMA THERAPY ART THERAPY HORTICULTURE SERENITY CLEANING TRASH SUPPLIES

Program Department

Space Main Entry Main Entry Reception Waiting Area Case Manager Exterior Street Entrance Carport Parking Outdoor Therapy Outdoor Seating Meditation Area Trash Pick-up Deliver Area Amenities Small book/gift store Small café Exhibition Space Small Theater Research Library Children’s Playground Conference Room Offices Directors Office Secretaries Waiting Area Facility Manager Doctors Office Physical Therapists Occupational Therapists Art Therapist Drama Therapist Break Room

Description

Size

Transition to interior First contact with patient Welcoming Place to fill out paperwork Vehicle entrance Drop off for patients Staff + patients 116 spots Private For Café dinning Private + Quiet Medical + Food Medical + Food Public Cafeteria for center Public Public Quiet Public Lectures + meetings Medical Administration

200 sq ft 350 sq ft. 400 sq ft 300 sq ft 500 sq ft 400 sq ft. 15,000 sq ft 2000 sq ft 1000 sq ft 500 sq ft. 500 sq ft.. 500 sq ft.. 300 sq ft. 1000 sq ft 1000 sq ft. 1000 sq. ft. 500 sq ft. 500 sq ft 500 sq ft. 400 sq ft 300 sq ft. 100 sq ft 200 sq ft 900 sq ft 750 sq ft 250 sq ft 250 sq ft 250 sq ft 500 sq ft

Seating 6 doctors 4 stations 2 stations 1 therapist 1 therapist

Program Details

Furniture + Equipment Needed

Calm and welcoming

Confidential space 14â&#x20AC;&#x2122; lanes for cars

Seating for 2, Storage Seating for 12-20 ppl Seating for patient and family member

Space for exhibit receptions and conference room Calming place

Seating for 35 people Comfortable seating for 4

Close to research library/ cafĂŠ/exhibition area Seating for 6-8 people, no cooking, salads, soups + snacks Connect to various functions, media presentations + art film & live theater View & natural light

Books and DVDs Fridge, microwave, counter space + sink, coffee/ tea

Seating for 12-15 people

Audio/visual aid, computer, white boards, storage Executive seating for 2 and desks Work station for 1 Seating for 2-3 people

Wall mounted x-ray screen for orthopedic surgeons Possibly open Possibly open Possibly shared office Possibly shared office Private eating area for staff

Desk, executive chair, 2 side chairs, + filing storage Workstation, chairs, work counters, upper + lower storage Workspace & storage Workspace & storage Workspace & storage Fridge, sink, microwave, storage, & seating

20 Seats + space for stage area 2 computers, 6-8 bookshelves, chairs + couches

Program Department

Space Treatment Exam room Counseling Room Physical Therapy Area Therapy Pool Gym Occupational Therapy Art Classroom Meditation Room Restrooms Storage + Support Locker Room/Showers Equipment Room Linen Storage Cleaning Storage Mechanical Room Medical Storage Trash Circulation Interior Corridors Building Total Exterior Total Facility Total

Description

Size

6 private area 2 areas 3 beds

540 sq ft 400 sq ft 600 sq ft 1000 sq ft Private 2000 sq ft Private 800 sq ft Art Therapy 600 sq ft Peaceful 400 sq ft Plenty of room for accessibility 1800 sq ft Men's + Women's 600 sq ft For pool 300 sq ft For towels used in gym 300 sq ft 400 sq ft 600 sq ft 300 sq ft 300 sq ft 35% of space 7,500 sq ft 28,890 sq ft 26,520 sq ft 55,410 sq ft

Program Details

Furniture + Equipment Needed

Need at least 6 of them 80 sq ft each Peaceful Natural light and view

Chair, exam table, work surface, sink, storage area above Sink, guest seating Chair, nice couch or recliner, side tables 3 beds, open space for equipment Curtains for privacy, 7 groups of people

Space for 4 people 3 sets 6 total

Easy access for pick up and drop off area

At least 8' wide

Conceptual Development

Inspiration

Concept This rehabilitation center is for soldiers who have returned from duty that are experiencing symptoms of PTSD, TBI and/or depression. The center will provide a tranquil and therapeutic environment where warriors can recover and reconnect. This building will act as a link to connect soldiers with themselves, society and nature. Just as a chain needs each link to be strong, each link is important to the success and recovery of the patient this is why the center will focus equally on physical, mental,

and social rehabilitation.

So many soldiers feel out of place after returning home, this center will provide a sense of place and order to their lives. The soldiers will be able to take part in physical, mental and social therapy activities to help them reconnect with others and their bodies. The warriors will be able to participate in horticulture, drama, and art therapy to reconnect them to their inner self and society. The center also has a strong connection to nature to deliver a serene environment for peaceful meditation. The building architecturally will be a structure connected with nature and welcome the community in but also provide privacy for the patients. The different functions within the building (physical, mental and social therapy) will be divided, but overlap one another in the building for a holistic treatment. The esthetic of the spaces will be calming and consoling. The building will use many natural materials to give comforting warm environment. The interior will incorporate colors that will relax the patients and not overwhelm or over simulate. The colors used will represent soothing, nature and happiness. There will be plenty of natural and indirect lighting throughout the building.

Concept Statement Tranquil

Therapeutic

Reconnect

Schematic Design Phase Scheme One Therapy Community Staff + Support

Process -

theater 1000 sq.ft

restrooms 600 sq.ft

book store 300 sq.ft

Delivery & Staff Parking

library 500 sq.ft

Community Entrance gallery 1000 sq.ft

outdoor dining 1000 sq.ft

conference room 500 sq.ft

secretary 300 sq.ft

director's office 400 sq.ft waiting

pool 1000 sq.ft

cleaning storage 400 sq.ft

counseling 400 sq.ft

drama therapy 500 sq.ft

playground 500 sq.ft

patients linen 150 sq.ft

restrooms 600 sq.ft

meditation 400 sq.ft

med.storage 300 sq.ft

case manager 300 sq.ft

gym 2000 sq.ft

waiting 400 sq.ft PT PT 600 sq.ft workstations 750 sq.ft

OT desks 360 sq.ft

occupational therapy 800 sq.ft

trash 300 sq.ft

staff

cafe 1000 sq.ft

art therapy 600 sq.ft

locker rooms 600 sq.ft

theater linen director 150 sq.ft 150 sq.ft

mechanical room 600 sq.ft

restrooms 600 sq.ft

reception 350 sq.ft

entry 200 sq.ft

exam rooms 630 sq.ft

Patient Drop-Off

facility manager 200 sq.ft

break room 500 sq.ft

doctors offices 900 sq.ft

PRODUCED BY AN AUTODESK STUDENT PRODUCT

equp. room 300 sq.ft

art director 150 sq.ft

PRODUCED BY AN AUTODESK STUDENT PRODUCT

Schematic Design Phase Scheme Two Therapy Community Staff + Support

Process Delivery & Staff Parking

sta ff ity un mm co

nts

tie

Patient Drop-Off

Schematic Design Phase Scheme Three Therapy Community Staff + Support

PRODUCED BY AN AUTODESK STUDENT PRODUCT

Process staff parking

cleaning 150 sf dirty linen 150 sf

delivery + pick-up trash 300 sq.ft

sta

facility manager 200 sq.ft

medical storage 300 sq.ft

dr. offices 900 sq.ft

outdoor therapy

director's office 400 sq.ft

break room 500 sq.ft

secretary 300 sq.ft equipment room 300 sq.ft

PT workstations 750 sq.ft

locker rooms 600 sq.ft

bookstore 300 sq.ft

art therapy 600 sq.ft restrooms 600 sq.ft

OT desks 360 sq.ft

library 500 sq.ft

drama therapy 500 sq.ft

conference room 500 sq.ft

occupational therapy 800 sq.ft

un tie

outdoor meditation

linen 150 sq.ft

reception 350 sq.ft

counseling 200 sq.ft

nts

exam rooms 630 sq.ft

meditation 400 sq.ft

case manager 300 sq.ft counseling 200 sq.ft

gallery 1000 sq.ft

cafe 1000 sq.ft

cleaning 250 sq.ft

theater 1000 sq.ft

ity

mechanical room 600 sq.ft

restrooms 600 sq.ft

gym 2000 sq.ft

pool 1000 sq.ft

restrooms 600 sq.ft

waiting PT 600 sq.ft

outdoor dinning 1000 sq.ft

waiting 400 sq.ft

playground 500 sq.ft

restrooms 600 sq.ft

patient drop off

Patient Drop-Off

PRODUCED BY AN AUTODESK STUDENT PRODUCT

Delivery & Staff Parking

Design Development

reception

Mid Crit

PRODUCED BY AN AUTODESK STUDENT PRODUCT

cafe

staff parking cleaning 150 sf dirty linen 150 sf trash 300 sq.ft

facility manager 200 sq.ft

dr. offices 900 sq.ft

outdoor therapy

delivery + pick-up

medical storage 300 sq.ft

director's office 400 sq.ft

break room 500 sq.ft

secretary 300 sq.ft

PT 600 sq.ft

theater 1000 sq.ft

art therapy 600 sq.ft

PT workstations 750 sq.ft pool 1000 sq.ft

restrooms 600 sq.ft

waiting

equipment room 300 sq.ft

library 500 sq.ft

OT desks 360 sq.ft

locker rooms 600 sq.ft

restrooms 600 sq.ft conference room 500 sq.ft

drama therapy 500 sq.ft occupational therapy 800 sq.ft

gym 2000 sq.ft

bookstore 300 sq.ft

cleaning 250 sq.ft

meditation 400 sq.ft

exam rooms 630 sq.ft

outdoor dinning 1000 sq.ft

outdoor meditation reception 350 sq.ft

linen 150 sq.ft counseling 200 sq.ft

gallery 1000 sq.ft cafe 1000 sq.ft

mechanical room 600 sq.ft

restrooms 600 sq.ft

---

waiting 400 sq.ft

case manager 300 sq.ft playground 500 sq.ft counseling 200 sq.ft

restrooms 600 sq.ft

patient drop off

Physical

PRODUCED BY AN AUTODESK STUDENT PRODUCT

Design Developement

Progress

Final Design

North Bird Eye View

Final Design

N site plan

Manhattan Wounded Warriorâ&#x20AC;&#x2122;s Rehab Center

main entrance The main entrance of the facility is on the West side of the building it includes a carport for patient drop off. In the front of the building as has the patient parking lot. Around the back of the building is the delivery area, trash pick up and staff parking lot. This allows for the staff to have their own entrance close to their offices.

Final Design 30

Trash Pick-up

150sq ft

Staff parking

300sq ft

200sq ft

300sq ft

Meditation Area 22

24 250sq ft

150sq ft

500sq ft

600 sq ft

150sq ft

16 100sq ft

200sq ft 400sq ft

1000sq ft

300sq ft

400sq ft

1000sq ft

500 sq ft

600sq ft 250sq ft

300 sq ft

1,000 sq ft

1000sq ft

2,000 sq ft

800sq ft 600 sq ft

600sq ft

500 sq ft

750 sq ft

600sq ft

360sq ft

500 sq ft

400sq ft

300sq ft 600sq ft

Delivery Area

300sq ft

600sq ft

Patient drop off Outdoor Therapy Patient parking

Departments 1 Main Entry 2 Reception 3 Waiting Area 4 Case Manager 5 Book/gift store 6 Café 7 Exhibition Space 8 Small Theater 9 Research Library 10 Children’s Playground 11 Conference Room 12 Directors office 13 Facility manager 14 Doctors Office 15 Break Room 16 Exam room 17 Counseling Room

18 Physical Therapy 19 Therapy Pool 20 Gym 21 Occupational Therapy 22 Art Therapy 23 Drama Therapy 24 Art/ Drama Therapist 25 Meditation Room 26 Restrooms 27 Locker Room/Showers 28 Equipment Room 29 Linen Storage 30 Cleaning Storage 31 Mechanical Room 32 Medical Storage 33 Trash

treatment area community and public areas staff and support area waiting areas

Final Design

3 2

Floor Plan

1. waiting room

2. reception

3. cafe

Final Design

N Structurall Plan

Lighting Fixtures

reception pendants

cafe pendants

book store & gallery track lighting

gallery wall washers

*see details of fixtures in spec book

waiting area pendants

hallway recessed lighting

Final Design track lighting

suspended direct and indirect

downlights

3 1

cove lighting

2 wall washers

pendant

N Reflective Ceiling Plan

PRODUCED BY AN AUTODESK STUDENT PRODUCT

16' - 5 25/32"

2' - 0"

PRODUCED BY AN AUTODESK STUDENT PRODUCT

24' - 0" 2' - 0"

1. waiting room

CED BY AN AUTODESK STUDENT PRODUCT

PRODUCED BY AN AUTODESK STUDENT PRODUCT

3. cafe 16' - 6 7/8"

PRODUCED BY AN AUTODESK STUDENT PRODUCT 15' - 2 11/16"

PRODUCED BY AN AUTODESK STUDENT PRODUCT

RCP

2. reception

27' - 7 19/32"

Final Design

therapy pool

fire pit

consoling

exam rooms

West Building Elevation

carport

main entrance

indoor play area

outdoor dining

outdoor play area

Final Design

therapy pool

building section

exam rooms

interior courtyard

Building Section

library

cafe

outdoor dining

Final Design

waiting room

water feature

green wall

opaque glass partition by Skyline Design

cafe area

small gift & book store

Final Design

Art Therapy Drama Therapy

patient hallway wayfinding signage

treatment sand balance garden

outdoor physical therapy

accessibility lift

therapy pool

Final Design

furniture plan N

Furniture

lounge

workstation

*see more + details of furniture in spec book

cafe seating

task seating

multi-use seating

1' - 6"

6' - 3 23/32" 5' - 0 25/32"

4' - 0 3/4"

2' - 0"

10' - 8 13/16"

2' - 6"

2' - 8"

4' - 4"

1' - 6"

1' - 8"

2' - 6"

2' - 8"

4' - 4" 1' - 8" 1' - 6"

Ref. Level 0' - 0" 3' - 0"

1' - 6"

0' - 6" 1' - 0" 0' - 10"

3' - 0"

1' - 10 19/32"0' - 11 25/32"

11' - 0 1/8"

1' - 6"

2' - 5"

PRODUCED BY AN AUTODESK STUDENT PRODUCT

1' - 0"

2' - 0"

PRODUCED BY AN AUTODESK STUDENT PRODUCT

4' - 4"

6' - 4 1/4"

1' - 8"

5' - 3 21/32"

2' - 8"

PRODUCED BY AN AUTODESK STUDENT PRODUCT

4' - 0 3/4"

1' - 6"

6' - 0 1/8"

2' - 6"

0' - 6" 1' - 0" 0' - 10"

1' - 10 5/8" 0' - 11 3/4"

6' - 3 15/32" 3' - 10 15/16"

2' - 4"

PRODUCED BY AN AUTODESK STUDENT PRODUCT

13' - 6 13/32"

PRODUCED BY AN AUTODESK STUDENT PRODUCT

2' - 0"

PRODUCED BY AN AUTODESK STUDENT PRODUCT

3' - 0"

PRODUCED BY AN AUTODESK STUDENT PRODUCT

Final Design

Reception Desk: PRODUCED BY AN AUTODESK STUDENT PRODUCT

2' - 8"

Ref. Level 0' - 0"

Furniture Design

Manhatt an Wou nde Warriors Rehab C d enter

TIO

EP REC

main entrance reception

Final Design Planter:

11' - 10 1/16"

R 2' /2" 11 PRODUCED BY AN AUTODESK STUDENT PRODUCT

2' - 7 1/2"

7' - 3 21/32"

PRODUCED BY AN AUTODESK STUDENT PRODUCT

Product Design

Planter Partition & Air Purifier This large planter acts as a partition to break up large spaces. The indoor air is filtered by the plants and purified then recirculated to the space. patient waiting area

opaque glass partition by Skyline Design

The hidden compartment pulls out to supply the plants with water when needed.

Final Design Color and Inspiration:

Color Pallet I chose a natural color pallet inspired by high performance upholsteries found in momentum group collections. The natural colors will not overstimulate patients, but provide a calming and peaceful environment.

Final Design

upholstery

wooden deck

upholstery

cork flooring

*see details of materials in spec book

Materials

stone detail

billo ceiling

stone paving

partition

Conclusion The major lesson I have learned from this project is that a design this size takes a considerable amount of research. Research for not only the facility needs and the user physical needs, but the emotional and physiological needs of the patients. The recovery of the stress and trauma from being in war does not involve physical therapy alone. Knowing the patientâ&#x20AC;&#x2122;s symptoms along with all of their needs was critical in designing a facially to help them recover. Through this project I have learned that design goes beyond solving problems and making daily life easier. This facility was specifically for wounded soldiers and their families that will also be coming to the center. The support areas were places for the staff to have their separate department for privacy but have easy access to all the treatment areas. Making them all feel welcome and comfortable in an environment that is as sanitary as a hospital, but does not look and feel like a typical health center was key to the success of this project. A great design captures the emotional needs as well as the physical needs for ever party involved. A holistic design involves truly getting to know your clients; in this case the patients of the clinic who are wounded soldiers that have returned from their service, their families who bring the patients, and the staff of the center. All of these clients had different needs that were all important to making the rehabilitation successful.

References Dression Military Mental Health. 2009.“Military Pathways: Military Mental Health Screening Program.” http://www.militarymentalhealth. org/resources/what-military-families-should-know-about-depression.aspx#sthash.3v7bqxj9.dpuf. TBI Frayer, Kevin/AP. November, 11 2011. “Treating Soldiers With Severe Combat Wounds.” http://www.npr. org/2011/11/11/142210963/treating-soldiers-with-severe-combat-wounds. Burke, Harold Ph.D. 2009. “Brain Injury Traumatic Brain Injury Post Concussion Syndrome Rehabilitation and Treatment.” Brain Therapy Center. http://www.brain-injury-therapy.com/articles/brain_injury.htm. PTSD: University of Wisconsin School of Medicine and Public Health. November 12, 2012. “Madison Veterans Hospital a Leader in Innovative Care .” http://www.med.wisc.edu/news-events/madison-veterans-hospital-a-leader-in-innovative-care/26523. Mayo Clinic Staff. July 13, 2013. “Post-tramatic Stress Disorder.” http://www.mayoclinic.com/health/post-traumatic-stressdisorder/DS00246/DSECTION=symptoms. National Institute of Mental Health. “Post-Tramatic Stress Disorder.” http://www.nimh.nih.gov/health/topics/post-traumaticstress-disorder-ptsd/index.shtml Precedent Study: Herzog & De Meuron Basel. 2013. http://www.herzogdemeuron.com/index/projects/complete-works/151-175/165-rehabcentre-for-spinal-cord-and-brain-injuries.html Architecture Review. Augus 1, 2011. “REHAB, Basel Switzerland.” http://architecturerevived.blogspot.com/2011/08/rehabbasel-switzerland.html, (photos by Rory Hyde) Laufen. 2013. “REHAB Basel, Centre for Spinal and Brain Injuries.” http://www.laufen.com/wps/wcm/connect/laufen_com/en/ references/health-care/ref_REHAB_Basel_Switzerland

MIMOA. 2013. “REHAB BASEL.” http://www.mimoa.eu/projects/Switzerland/Basel/REHAB%20Basel Kezdolap. “REHAB Basel, Herzog & de Meuron, 2002.” http://tanczostibor.wordpress.com/2013/05/27/rehab-baselherzog-de-meuron/ Stephens, Suzanne. “Herzog & de Meuron dematerialize the wall plane and bring nature indoors to deinstitutionalize a clinic.” http://www.arch.ttu.edu/courses/2007/fall/5395/392/students/Zimmerman/rehab%20basel.htm Color Meaning: Kate Smith. Color Meaning: Symbolism and Psychology. 2013. http://arts-humanities.squidoo.com/colorexpert Site Analysis: City of Manhattan Kansas. “Historic Properties”. http://www.ci.manhattan.ks.us/Search/Results?searchPhrase=historic%20 sites&page=1&perPage=10. Wikipedia. 24 September 2013. “Manhattan, KS.” http://en.wikipedia.org/wiki/Manhattan,_Kansas. Spark Weater. “Average Weather For Fort Riley/Junction City, Kansas, USA.” http://weatherspark.com/averages/30299/FortRiley-Junction-City-Kansas-United-States.