Flint Hills Veterans Center by Hannah Polys

Flint Hills Veterans Center Wounded Warriors Healthcare Facility Hannah Joy Polys | IAPD 810-Capstone Studio | Fall 2014 | Vibhavari Jani 1

OUR PROJECT “Changing Lives One Day at a Time (CLODAAT)” organization solicits services to design a healthcare facility to rehabilitate the wounded soldiers returning from Iraq and Afghanistan war. CLODAAT is committed to creating alternatives to war and violence through empowering and supporting the efforts of a wide network of citizen called “peace builders” in the United States and abroad. They hope to build this center in Manhattan, Kansas for two reasons: 1) for its proximity to Fort Riley military base, 2) for its proximity to Kansas State University. There is a need to create a new rehabilitation center that not only serves the wounded soldiers but also promote research on rehabilitation needs of these soldiers, while creating community activities in Manhattan to promote peace in the world. This rehabilitation center will serve those suffering from PTSD and other mental illnesses. The rehabilitation center, with its masterful blend of space, furniture, products, lighting and environmental technology will encourage all who enter to work toward peace. CLODAAT would like you to promote holistic healing and incorporate beauty of nature in the facility design. They want a unique place that people return to for its incredible spatial experience. The facility needs to provide peaceful environment so that everyone who visits can feel the tension in their body decreasing and at the end of their visit, they are at peace with themselves and with the world.

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EVIDENCE BASED DESIGN Evidence Based Design is defined as â&#x20AC;&#x153;a process for the conscientious, explicit and judicious use of current best evidence from research and practices in making critical decisions together with an informed client, about the design of each individual and unique project.â&#x20AC;? - Sticheler and Hamilton, 2008

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TABLE OF CONTENTS Symptoms & Treatments…………………………………………..................................….8 Post-Traumatic Stress Disorder

Precedent Studies …………………………………………………..................................14 St. Anthony’s Hospital, Rehabilitation Hospital, Mental Health Facility, Rehab Facilities

Theories ……………………………………………………….................................…...28 Maslow’s Hierarchy of Needs, Human Environmental Relationship, Biophilia, Color Theory

Site Analysis……………………………………………….................................………..38 Midcrit Design ……………………………………………................................………...46 Concept Development, Master Plan, Parti, Program Development, Floorplan Development, Furniture

Final Design…………………………………………………….................................…...64 Concept Statement, Site Plan +Model, Spatial Organization, Form, Floor Plans, RCP, Site Considerations, Section Perspectives, Elevations, Rendered Perspectives, Furniture, Materials, Product

Bibliography …………………………………………….................................………....110

SYMPTOMS & TREATMENTS

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POST TRAUMATIC STRESS DISORDER SYMPTOMS

TREATMENTS

There are 4 types of symptoms of Post Traumatic Stress Disorder (PTSD), 1) reliving the event (re-experiencing), 2) avoiding situations that remind you of the event or people, 3) negative changes in beliefs and feelings (no one can be trusted, feeling guilt), and 4) feeling â&#x20AC;&#x2DC;keyed-upâ&#x20AC;&#x2122; (hyper-arousal, suddenly feeling angry or irritable).

There are multiple therapy based treatments along with medicinal treatments. The therapy based treatment give the patients skills on how to cope and processing.

These symptoms normally come up after someone goes through or experienced an event such as combat exposure, child sexual/physical abuse, terrorist attack, sexual/physical assault, serious accident, or natural disaster. These people may experience nightmares, flashbacks, triggers, avoidance, negativity, or hyper-arousal. PTSD is categorized as a Mental Health symptom. PTSD can be combined with other issues of mental health including anxiety, depression, military sexual trauma, substance use, and suicide prevention.

Under the Cognitive Behavioral Therapies (CBT) the first treatment known as Cognitive Processing Therapy (CPT) gives you the skills to help process the thoughts and memories you have. The second treatment, Prolonged Exposure Therapy (PE) helps the person realize what they have been avoiding. Another therapy method is Eye Movement Desensitization and Reprocessing Therapy (EMDR) where therapists will document and observe how you react physically when you talk about the traumatic event by noticing hand movements, etc, and replacing those with positives. The last treatment is a medication based therapy. Through Selective Serotonin Reuptake Inhibitors (SSRIs) the medication is able to raise level of serotonin in your brain which will make you feel better. All these treatments include house of therapy and working with psychiatrists and psychologists at VA facilities.

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OTHER MENTAL HEALTH ISSUES

ALTERNATIVE TREATMENTS

WHAT IS ANXIETY? Anxiety is a feeling of self-consciousness and embarrassment that could be considering with a feeling of fear about social situations with peers.

Treatments that don’t necessarily need a therapist are included in non-traditional methods. These treatments would require a non-traditional office space and more group type setting. These treatments include meditation and yoga. Along with group management sessions for stress and anger management.

WHAT IS BIPOLAR DISORDER? Bipolar Disorder is characterized by extreme changes in mood along with changes in behavior and thoughts. (Previously known as Manic Depressive Disorder) WHAT IS DEPRESSION? Depression is a feeling of sadness that doesn’t go away. It interferes with daily life and causes a person to not function normally. WHAT IS MILITARY SEXUAL TRAUMA (MST)? Military Sexual Trauma includes those who experienced sexual assault or repeated sexual harassment while the Veteran was in the Military. WHAT IS SCHIZOPHRENIA? Schizophrenia can affect a persons thoughts, feelings and actions. Common symptoms include hallucinations, delusions, confused thinking and change in feelings, behaviors, and emotions.

DESIGN IMPLICATIONS Designing for people with mental health issues is delicate process of give and take. There needs to be research behind each design decision to make sure that there will be no consequences resulting in creating a trigger for those with PTSD. There are mutiple points to design for within a patient centered facility. Design for: • Sense of Control • Social Support • Positive distractions in physical environment This would include using nature as a positive distraction and stress reducer to reduce negative distractions

WHAT IS SUBSTANCE USE? Alcohol and Drug misuses and lead to serious problems with your health and wellbeing. Problematic use can lead to SUD (substance use disorders).

POST TRAUMATIC STRESS DISORDER 24%

of Korean War Soldiers who saw direct combat were discharged for Psychiartic reasons

10%

of Gulf War Veterans

37%

11-20% of the Iraqi

and Afghanistan Veterans

31% of Vietnam Veterans

PTSD and the Military

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of WWII Soldiers who saw direct combat were discharged for Psychiartic reasons

FACTS Up to 80% of Vietnam Veterans seaking PTSD treatment abuse alcohol Beyond the Symptoms: 40% become Alcoholics 30.5% become addicted to illegal drugs 2x more likely to divorce

2.2% of the population suffers from PostTraumatic Stress Disorder equals 7.7 million people

80% of those with untreated PTSD commit suicide

the percentage of veterans of the Iraq and Afghanistan wars suffering from PTSD equals 300,000 people Symptoms can appear days, weeks, months, or years after the Traumatic event. Over time, these symtoms can lead to: • Unemployment • Drug and Alcohol Abuse • Alienation from friends and family • Homelessness • Violence against self and others

PRECEDENT STUDIES

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PRECEDENT | St. Anthony Hospital GIG HARBOR, WASHINGTON ZGF ARCHITECTS LLP 250,000 SQ FT BACKGROUND St. Anthony’s Hospital has both inpatient and outpatient services including 24 emergency room, along with trauma, medical, surgical, and critial care units with physical, occupational and speech therapies.

THE SITE St. Anthony’s Hosptial Site Map

St. Anthony’s Hospital is seperated into three zones: • Woodland Zone (Forested) • Riparian Zone (Wetland) • Hospital Zone (Landscaped plazas, Courtyards, and Gardens) Creating a sense of place carved out in the woods.

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DESIGN CONCEPT The design team of this project created a connection between a walk in natue to a patients journey from sickness back to health. They took cues from Robert Frost’s poem ‘A Road Not Taken,’ to create the experiences you would happen to you while walking in the woods including: • Exploration • Silent Reflection • Moments of Pause • Visual Connectivity These would help the designers to create those functional relationships within space planning, views, material selections, lighting design, and room layout.

LIGHTING The control of light would be a main factor for creating a experience of walking in the woods. You walk though those those clearings and glades and have the filtering of light through the leaves on the trees.

VIEWS

MATERIALS

Views are very important to the healing of the patients. Nature is a reminder of healing and growth. The central healing garden is visible from all major public areas along with glimpses of nature from all rooms.

Interior • Wood Paneling • Stone Fireplace • Painting and sculptures portraying the regional tone in Washington. Exterior • Aluminum Curtain • Natural Stone • Poured Concrete • Wood Panels • Structural Steel Columns

Emergency Room creates opportunity for views by a clerestory window above the treatment rooms.

Exterior View

PRECEDENT | St. Anthony Hospital

HEALING GARDENS

THE CHAPEL

The healing garden is a main feature of this design. Views to nature was one of the main objectives of the design team. Landscaped roofs were also added for views to the rooms that could not face the healing garden.

The Chapel was designed with the patient and patients family in mind. They created a space that was abstract in but represented a higher power through material selections. Concrete gives a grounding sense of presence while water surrounding shows a healing power.

Exteior View of Healing Garden

Interior of Chapel

View of Healing Garden from double height Interior Lobby.

Exterior of Chapel

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Building vs. Garden

Green Space

Water on the site

Proximity to Gig Harbor

PRECEDENT | St. Anthony Hospital

ENTRANCES

CONTROL POINTS

From the main floor of the building there are three entrances that are for different users. The top left is the staff entrance getting those staff people to their offices. The top right is the Emergency Room entrance with direct access to a parking lot drop off area. Lastly the largest circle denotes the admitting area for the hospital which will be the main hub for people to get directions to other parts of the hospital.

Having control points within a hospital is very important. The entrances start as those control points then their are control points for each department. On this floor there is another control point for the xray and imaging department along with a nurses station in the middle of the emergency room triage area.

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DESIGN IMPLICATIONS • • • • • • •

Find those moments of exploration, silent reflection, moments of pause, and visual connectivity to nature Let materials come from a regional reference Always keep the patients, care givers, and staff’s experience at the core of design Design with those connections to nature always in mind Understand that control points are nessicary in areas dealing with peoples privacy. Denote entrances for different users Create experiences for the user that is not typical for a hospital instituion

View of Building from Lower Healing Gardens

PRECEDENT | Site Visit-Facility 1 REHABILITATION HOSPITAL 85,000 SQ FT BACKGROUND This Rehabilitation Hospital caters to the physical treatments of rehabilitation. Though this in not a military VA hospital it does cater to around 10 percent of military patients. This facility is both an inpatient and outpatient facility catering to people who need daily or weekly rehabilitation. This hospital offers a variety of highly specialized rehabilitation services, including working with highly challenging conditions like spinal cord injuries and traumatic brain injuries. They also have programs for amputees.

Exterior view of entrance to Kansas Rehabilitation Hospital. This needs to be a more inviting looking area as well as giving protection from the elements for patients entering the facility.

PATIENTS AND STAFF At this facility there are 70 full time staff and 30 part time staff. There is 55 beds for patients but reasonably have 45-50 in-patients.

INTERIOR DESIGN The appearance of the interiors was institutional with traditional hospital materials of VCT tiles and fluorescent lighting. The adjacentices of the building were sporadic. The rehabilitation spaces (gym, pool, speech therapy, PT, OT) were scattered throughout the building creating long paths of circulation. For patients that may be coming to receive more than one type of treatment during their visit this would not be an ideal situation.

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Some treatments require different varieties of equipment for their different type of therapies. There is an obvious need for more storage for these therapies.

Long institutional corridors. If this can be avoided that would be ideal. Using chair rails that protect the walls from hospital beds and other carts but also act as hand rails for patrons needing assistance down these long corridors.

Outdoor courtyard was built for outdoor rehabilitation. Its adjacency to a public pathway and street is not ideal. Patient privacy needs to be considered within this area.

These treatment rooms do not portray a feeling of invited-ness for the patient. Creating rooms that have adjacencies to views to nature and that natural light would be ideal.

Pool therapy room. There needs more room on the pool deck for those who may need a wheelchair or other form of assistance to gain access to the pool.

PRECEDENT | Site Visit-Facility 2 MENTAL HEALTH FACILITY BACKGROUND Looking at a mental health facility gave us an example of what not to do within a mental health facility. The spaces lacked character but showed the minimums of letting things fuction from day to day. This facility offers night group activities for stress and anger managament so security of the offices was a concern during those hours. Typical therapy room. The provider of care needs more access to the door in case there should be an unwanted confrontation giving the provider an option to leave. This current set up does not lend well to that idea.

Waiting room. This facility caters to children with mental health issues as well as adults. They considered that with use of child size furniture located in part of the waiting room.

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Group meeting room for 8-12 people was not outfitted with the proper technology it needed to group meetings.

Large group meeting room could be used for strees managment and anger management. This was the most adequately sized room but needed more concealed storage for equiptment.

Staff break room. The staff break room was not located well within the building. It was layed out adjacent to some therapy rooms not taking into consideration acoustical privacy.

Reception. This reception area was not originally made with confidentiality in mind. They added glass to surround the desk later to hinder people going behind the desk.

PRECEDENT | Site Visit-Facility 3 REHABILIATION FACILITIES BACKGROUND Looking at this Rehabilitation facility located within their existing hospital we were able to see a well operating rehab facility. The facility within its physical therapy and occupational therapy groups wanted not just growth within their departments but growth in be protrayed within their environments, community, family, personal, behavioral, social, spritual, and intellectial parts of their lives as well. They wanted this to be taken into consideration for the new hospital that was being built.

Occupational therapy room. This therapy room currently does not offer the privacy that some patients may want to experience.

New Facility. Within the new hospital the Physical therapy room is taken into consideration that there needs to be more private and public form of therapy spaces. Curtain wall help give a semi-private feeling for those receiving therapy. Views to nature are also considered for this area.

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An obivous concern for the new facility will be proper storage of supplies and other objects that are required for care and rehabilitaiton of the patients.

Physical therapy room. This therapy room was crampt and awkward for the patients who may be having treatment at the same time. The idea of privacy needs to be of concern.

Signage and Wayfinding. Within the new hospital they considered their signage and wayfinding. On every level there is a different grapic placed behind the sign so there is a cohesive understanding of what floor you are on.

Reception. This reception area is first of many. Within the new facility there are points of control that were considered. This reception desk is located by the main entrance but is not the first thing you see when entering. This will be the point of information to tell you what your next destination could be.

THEORIES

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29 29

THEORY | Maslowâ&#x20AC;&#x2122;s Hierachy of Needs BASIC UNDERSTANDING Maslowâ&#x20AC;&#x2122;s Hierarchy of needs suggests that basic human needs must be satisfied before higher-level secondary and tertiary needs can be satisfied. Those ideas of physical safely and security along with food, clothing, and shelter (wellbeing) are the most basic needs in the hierarchy. This perception of safety depends on and varies amongst individuals based on age, gender, health, etc (Maslow, 2013). Physiologial: breathing, food, water, sex, sleep, homeostasis, excretion. Safety: security of the body, of employment, of resources, of morality, of the family, of health, of property Love/belonging: friendship, family, sexual intimacy Esteem: self-esteem, confidence, achievement, respect of others, respect by others Self Actualization: morality, creativity, spontaneity, problem solving, lack of prejudicice, acceptance of facts.

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DESIGN IMPLICATIONS Creating an environment that pleasing to all different types of individuals. This must include things to see, smell, taste, touch, and hear must be pleasant in our surroundings. • • • • •

Physiologial: requirements for human survival Safety: future needs, am I gonna be okay tomorrow? Love/belonging: are all about social interactions Esteem: recognition from others, don’t need to go through things alone Self Actualization: obtainment of knowledge and wisdom

THEORY | Human-Environment Relationship BASIC UNDERSTANDING

THE FOUR THEORIES

The evidence based method in environmental psychology is a balance of three major concepts. First the process of perception, cognition, and personality, that idea of how we perceive a space and how it differs from person to person. Secondly that there is an idea of personal space, territoriality, maybe instances of crowding and instances where privacy is needed and how we manage those spaces on a case by case basis, fitting those user needs. Finally when we are working, learning, or participating in daily activities how those spaces in our physical world create a setting for what our behavior should dictate (Kopec, 2012).

1. Integration or Integral • human + environment relationship • interaction (separate but together) • transactional (mutually supportive) • organismic (combination) 2. Stimulation • arousal • environmental load (over-stimulation) and that threshold that may need to be considered. • adaption level theory - people may have different levels of stimulation they can handle 3. Control • behavioral • cognitive • decisional 4. Behavior-setting • designed to encourage • physical properties • social components • environmental

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DESIGN IMPLICATIONS By understanding the human-environment relationship we can better understand how people perceive and understand new spaces that they are invited into and first experiencing. Keeping this in mind will let patients know that they were considered and deeply thought about in the planning of spaces and adjacentices (Kopec, 2012).

ÂŠ Werner Huthmacher

THEORY | Biophila

BASIC UNDERSTANDING

KELLERTâ&#x20AC;&#x2122;S BIOPHILIC DESIGN

Two definitions of Biophilia include first, the instinctive bond between human beings and other living systems, and second, the urge to affiliate with other forms of life. Understanding that human beings have a inept connection to the natural environment this exhibits a unique set of psychological benefits and becomes an important factor in human-environmental relationships as well as well-being and stress reduction.

Looking further into the theory of biophilia we can see that there is value and meaning when people attach themselves in nature. Looking at Kellertâ&#x20AC;&#x2122;s 9 methods related to how humans value nature we can see how nature is influential in multifaceted areas of our lives (2005, p.34-50).

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These 9 methods include: 1. Aesthetic -physical allure of nature 2. Dominionistic control of nature 3. Humanistic- emotional attachment to nature 4. Moralistic- spiritual attachment to nature 5. Naturalistic- direct experiences with nature 6. Negativistic- fear of nature 7. Scientific- empirical observation and study of nature 8. Symbolic- metaphoric value of nature 9. Utilitarian- physical and material benefit of nature

DESIGN IMPLICATIONS Looking at Biophilia we see that need for nature that will help foster a healthy and productive habitat for modern humans. Keeping this in mind in the building of a patient centered care facility will help to make a better facility.

“…the connections that human beings subconsciously seek with the rest of life.” -Edward O. Wilson, Biophilia, 1984

“A lot of the things you see the building doing in form are basically the form of the building adjusting to where it wants to be in nature. If a flower or tree came out of the ground it would instantly start to torque and turn itself toward the sun.” -Kyle Andersen, AIA

THEORY | Color Theory BASIC UNDERSTANDING

PSYCHOLOGICAL EFFECTS

Color is important to our perception of spaces. Color can also give cues to relationships within design. Color is used as a method of branding, a place for formation of an architectural experience through the use wayfinding and symbolism. Colors can represents certain organizational functions of space as well as a historical context and cues to historical periods in time (Eckstut, J., & Eckstut, A., 2013).

Different colors have different effects on people and can also depend on cultural upbringing. In western culture here are some typical associations colors can have.

Courtesy of People’s Architecture Office

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•

Red: stimulates brain activity, increases heart rate, increases blood pressure

•

Pink: appetite suppressant, muscles, soothes

•

Orange: energizes, stimulates appetite

•

Yellow: energizes, relieves depression, improves memory, stimulates appetite

•

Green: soothes, mentally and physically relaxes, mitigates depression and anxiety

•

Blue: calms, lowers blood pressure, decreases respiration

•

Violet: suppresses appetite, inspires the sense of a peaceful environment, helps alleviate migraines

•

Black: inspires self-confidence, strength, power

•

White: elicits sense of clean, virginal, and angelic

relaxes

DESIGN IMPLICATIONS By understanding how colors effect people you can better understand how people will react to a space. The use of natural calming colors will help the user of the space feel calm and mentally sooth the patients of this outpatient facility.

SITE ANALYSIS

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SITE ANALYSIS | 222 North 6th St, Manhattan, KS

REGION Located in northeastern Kansas, Manhattan is a city founded in the 1850â&#x20AC;&#x2122;s. Today Manhattan is known best to be the home of Kansas State University. It also provides services to those in the military that reside at Ft. Riley 8 miles west. With these facets the Manhattan Metropolitan area is made of around 98,000 people (Manhattan, 2013).

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For population 25 years and over in Manhattan: High school or higher: 95.9% Bachelor’s degree or higher: 52.4% Graduate or professional degree: 25.1% Unemployed: 4.3% Mean travel time to work (commute): 14.6 minutes For population 15 years and over in Manhattan city: Never married: 55.7% Now married: 35.1% Separated: 0.6% Widowed: 3.1% Divorced: 5.5%

DEMOGRAPHICS • • • • • • •

White alone - 42,819 (80.8%) Black alone - 2,995 (5.7%) Hispanic - 2,850 (5.4%) Asian alone - 2,751 (5.2%) Two or more races - 1,372 (2.6%) American Indian alone - 156 (0.3%) Native Hawaiian and Other Pacific Islander alone - 45 (0.08%)

SITE ANALYSIS | 222 North 6th St, Manhattan, KS

CLIMATE The climate in this area lies in a transition zone, exposing it to hot humid summers and cold dry winters. Being in this transition zone puts Kansas in whatâ&#x20AC;&#x2122;s known as tornado alley (Manhattan, 2013)

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SITE ANALYSIS | 222 North 6th St, Manhattan, KS

FORM

SCALE-SIZE-PROPORTION

This is a typical box frame construction building.

There is a 1: 1.5 ratio of building to parking.

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ORIENTATION

MATERIALS

The building is located on the southeast corner of 6th and Leavenworth Ave in Manhattan, KS. Between Leavenworth Ave and Humboldt and between 5th and 6th street.

The materials on the site are standard. The outdoor facades include Painted CMUs, Textured CMUs, Painted Brick, and Stucco. The interior materials included Painted CMUs, Acoustic Ceiling Tile, and Vinyl Composition Tile.

MIDCRIT DESIGN

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The outcome of midcrit was to design three floor-plans strategies that could be used to foster the idea for the final design, while including conceptual models, inspiration ideas, programming development, and master planning ideas. 47

PRE-MIDCRIT | Design Development

CONCEPT DEVELOPMENT A series of concept and parti models were created to show our design intent of the project. A feeling of safely and encompassing natural forms were explored in the creation of form.

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CONCEPT IMAGERY 49

MIDCRIT | Master Plan 222 North 6th St, Manhattan, Kansas existing • • • • • • • • • • •

Woodrow Wilson Elementary school US Post Office Riley County Court House Riley County Attorney Bank(s) Church(s) Daycare Realtors Lawyers Apartments Assisted Living

• • • • • •

Healing gardens Outpatient facility Staff Coordination offices Educational VA space Recreational facilities VA residential

proposed

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healing garden

wounded warrior facility

extension recreation and education

extension residential

MIDCRIT | Parti mind / private body / community spirit / healing

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MIDCRIT | Programming Development entrance • • • •

parking pedestrian entrance staff entrance healing garden

community • • • • • • •

vestibule reception waiting private waiting gallery cafe rest rooms

alternative rooms • • •

group alternative therapy room reflection space yoga studio + storage

patient rooms • • •

intake rooms therapy rooms psychiatrists

staff needs • • • • • • • •

directors office project coordinator billing/accountant storage meeting spaces break/copy room central file janitorial/mechanical

Thinking about adjacencies and how they would work within the facilities design.

MIDCRIT | Option 1

RECEPTION 324 SF

WAITING/ CAFE/ GALLERY

OFFICE SPACE FOR RECEPTIONIST STAFF 459 SF

MECHANICAL INTAKE ROOM

INTAKE ROOM

205 SF

650 SF

PRIVATE WAIT

THERAPY ROOM

130 SF

211 SF

224 SF

222 SF

PRIVATE WAIT

THERAPY ROOM

PSYCHATRIST

127 SF

205 SF

217 SF

216 SF

THERAPY ROOM

PSYCHATRIST

214 SF

226 SF

225 SF

STAFF

BILLING/ ACCOUNTANT

PROJECT COORDINATORS OFFICE

DIRECTORS OFFICE

205 SF

217 SF

2657 SF

GROUP ALTERNTIVE THERAPY ROOM 1073 SF

REST ROOM 160 SF

therapy spaces staff spaces

GROUP ALTERNATIVE THERAPY ROOM

REST ROOM 160 SF

1047 SF

community STAFF STORAGE

green space mechanical

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215 SF

REFLECTIVE SPACE

YOGA STUDIO

1131 SF

914 SF

YOGA ROOM STORAGE 215 SF

STAFF LOCKER ROOM

STAFF MEETING ROOM

653 SF

946 SF

THINGS TO CONSIDER Option 1 creates an understanding that there is room for improvement but every space needs a view to nature. The green bands are green spaces that give views to the patients to something green and earthy within both the offices and therapy spaces. The community spaces are located in proximity to the garden so that they can also have views to the outdoors. The standard orgaizations of space lacks character and suprise so a change to that would be nessicary. The location of staff offices and meeting spaces in proxemity to therapy rooms is working but there needs to be a connection from the offices to the reception area. The idea of combining an educational gallery space and waiting cafe is a strong point of design but could be changed to show the hierarchy of needs in the space. QUESTIONS: To break up the monotony of the layout can you introduce open spaces that provide breathing room?

MIDCRIT | Option 2

VOID

439 SF

196 SF

REFLECTION SPACE INTAKE ROOM

INTAKE ROOM

THERAPY ROOM

PSYCHIATRIST

224 SF

202 SF

698 SF

WOMENS RESTROOM

MENS RESTROOM

150 SF

CENTRAL FILE/

THERAPY ROOM

JANITORIAL CLOSET

231 SF

224 SF

230 SF

152 SF

241 SF

MECHANICAL ROOM 326 SF

VOID COPY/BREAK ROOM

VOID

284 SF

196 SF

DIRECTORS OFFICE

PROJECT COORDINATORS OFFICE

251 SF

201 SF

250 SF

RECEPTION

STAFF WOMENS LOCKER

STAFF MENS LOCKER

271 SF

178 SF

182 SF

WAITING 1146 SF

STAFF MEETING 484 SF

ACCOUNTANT/ BILLING OFFICE 217 SF

therapy spaces

105 SF

WOMENS CHANGING/RR 152 SF

staff spaces

STAFF RR STORAGE

VESTIBULE

HEALING GARDEN

430 SF

2256 SF

GROUP ALTERNATIVE THERAPY ROOM 909 SF

MENS CHANGING/RR

community green space

152 SF

GROUP ALTERNATIVE THERAPY ROOM

CAFE AND GALLERY SPACE PREP KITCHEN

YOGA STORAGE

YOGA ROOM

320 SF

242 SF

722 SF

1520 SF

mechanical

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909 SF

103 SF

THINGS TO CONSIDER Option 2 is starting to create those zones of different needs. The therapy rooms are given green spaces to look at. The staff areas are located within the core of the building and given areas of control for their spaces but lack the green spaces they they deserve as another user group of this building. The community spaces start to take shape around a very large healing garden that you see when entering the facility. Green spaces are seen as a huge potential for design and healing. QUESTIONS: How are the green spaces experienced? And why are they basically the same size and configuration as the long corridor shown?

MIDCRIT | Option 3

VOID

439 SF

196 SF

REFLECTION SPACE INTAKE ROOM 698 SF

INTAKE ROOM

THERAPY ROOM

PSYCHIATRIST

224 SF

202 SF

224 SF

WOMENS RESTROOM

MENS RESTROOM

150 SF

CENTRAL FILE

THERAPY ROOM

241 SF

210 SF

THERAPY ROOM

204 SF

209 SF

THERAPY ROOM

217 SF

VOID COPY/BREAK ROOM

THERAPY ROOM

217 SF

VOID

284 SF

196 SF

STAFF RR 250 SF 115 SF

ACCOUNTANT/ BILLING

PROJECT COORDINATORS OFFICE

241 SF

230 SF

STORAGE WAITING RECEPTION

JANITORAIL CLOSET

MECHANICAL ROOM

206 SF

502 SF

115 SF

1174 SF 1271 SF

STAFF MEETING

DIRECTORS OFFICE

392 SF

285 SF

STORAGE

YOGA ROOM STORAGE

217 SF

therapy spaces staff spaces

YOGA STUDIO

VESTIBULE

HEALING GARDEN

380 SF

2613 SF

919 SF

community green space

CAFE AND GALLERY SPACE 2226 SF

mechanical

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PREP KITCHEN

GROUP ALTERNATIVE THERAPY ROOM

205 SF

572 SF

584 SF

MENS CHANGING/ RESTROOM

WOMENS CHANGING/ RESTROOM

339 SF

THINGS TO CONSIDER Option 3 is working to create a better connection for both the community and staff users to the large healing garden. The staff spaces are moved to nestle along one side of the healing garden while two community rooms are on the other side. Right now there is two long corridors that split up the spaces and are not as well thought out as they should be. There still needs that node or element of surprise within the private areas QUESTIONS: When thinking of the hierarchy of spaces, how can it inform your organization of spaces? How can you avoid long corridors? How can green spaces enhance the corridors? Can you introduce â&#x20AC;&#x2DC;nodesâ&#x20AC;&#x2122; to avoid these situations? Can the large healing garden be more dispersed throughout the spaces?

EAST SECTION through the healing garden and yoga room

NORTH SECTION through the reflection space, restroom, waiting, healing garden and cafe/gallery

MIDCRIT | Furniture PRECEDENTS While thinking about what type of furniture piece would be needed for a mental health facility. The first need that came to mind is the need for privacy. These patients coming into this facility will desire a safe and secure place to sit and wait for their appointment. This will fulfill the need for private waiting. This furniture piece should give visual privacy along with acoustic privacy. The implementation of security and acoustic paneling would help obtain this privacy.

Capstone Studio- IAPD 810 | Kansas State University

INSPIRATION

FORM

Looking into naturally occurring forms in nature was a starting point of inspiration for the form of a privacy driven chair. The Nautilus shell was the starting inspiration for form.

The form that came out is large enough that one could completely sit within the egg-like shape and be sheltered from views and being seen by others. Creating a visual privacy from others.

POST-MIDCRIT | Program Development AREA

SPACE

EXTERIOR

USERS

STREET ENTRANCE

Patient, Family Members

PARKING

Patient, Family Members

SIZE MIN. (SQ FT)

PROXEMITIES

12000

DESIGN IMPLICATIONS

EQUIPTMENT/FURNITURE REQ.

NOTES

Parking, Pedestrian Acoustics, Natural Entrance

Light Poles

Well Lit. Aesthetically Pleasing

Pedestrian Entrance Acoustics, Natural

Light Poles

Well Lit.

Public, Patient, PEDESTRIAN ENTRAN Family Members

1 Parking

Acousitcs, Quality of Lighting, Handrails, ramps Light, Views to Nature,

Carport, Need Bus Stop near entrance.

STAFF ENTRANCE

Break Room, 1 Central File, Staff Offices

Acousitcs, Quality of Light

Lighting, Handrails, ramps

Well Lit. Aesthetically Pleasing

Lighting, Handrails, ramps

Community Connection

Staff, Matinence

Public, Patient, OUTSIDE AMPITHEATFamily Members, Therapists

250

Acoustics, Quality of Landscape, light, Natrual, Access, Pedestrian Entrance Interactions

250

Acoustics, Natural, Pedestrian Variety, Personal Space, Benches Entrance, Vestibule Access, Interaction

Peaceful and Soothing Environment.

Privacy, Acoustics, Reception, Waiting, Quality of Light, Views Restrooms, to Nature

ADA Sliding Doors,

Air Lock between the doors - keeping elements out

HEALING GARDEN

Public, Patient, Therapist

VESTIBULE

Public, Patient, Family Members

RECEPTION

Staff Receptionists, Public, Patient, Family Members

120

Waiting, Private Acoustics, Quality of 1 Waiting, Intake Light, Views to Nature Rooms Rest Rooms

Reception Desk, Lockable Storage,

ADA Carport or covered drop off to Handicap Parking

WAITING

Public, Patient, Family Members

250

Reception, Private Personal Space, Acoustics, Quality of 1 Waiting, Intake Rooms, RestRooms Light, Views to Nature

Chairs, Side Tables, Storage of Pamplets

Child Friendly Space

PRIVATE WAITING

Patient, Family Members

Reception, Waiting, Personal Space, Acousitics, Quality of 3 Intake Rooms, Light, Privacy Restrooms.

Chairs, Side Tables,

Potential for Family Waiting or First Time Appointment

REST ROOM

Public, Patient, Family Members

Waiting, Reception, Personal Space, Staff Offices Acousitics, Privacy

Stalls, Sinks, Paper Towels, Soap, etc.

No Locks- prevention of incidents, do we need two Staff and Client

GALLERY

Public, Patient, Family Members

200

Waiting, Reception, Community Cafe

Mounting System, Pedestals

Opportunity for Educational Exhibitions.

CAFE

Public, Patient, Family Members

200

Waiting, Reception, Community Gallery

CafĂŠ tables, Coffee house Equip.

Opportunity to for community involvement.

ENTRANCE

NUMBER OF SPACES

Capstone Studio- IAPD 810 | Kansas State University

OFFICES INTAKE ROOMS

New Patients, Therapists

120

4 Reception, Waiting

Acoustics, Quality of Light, Safety, Privacy

Chairs, Desk for Therapist, Computer, Lockable Storage, Task Lighting

Close to Waiting. First Visit** Visit with Case Manager

THERAPY ROOMS

Patients, Therapists

120

Reception, Intake Acoustics, Quality of 4 Rooms, Group Light, Safety, Privacy Rooms, Staff Offices

Chairs, Desk for Therapist, Computer, Lockable Storage, Task Lighting

Natural Light/ Views to Nature - Limit views

SMALL GROUP THERAPY ROOMS

Mutiple Patients, Therapist

150

Reception, Intake Acoustics, Quality of Light, Safety, Variety, 4 Rooms, Group Rooms, Staff Offices Privacy

Chairs or Couch, Desk for Therapist, Computer, Lockable Storage, Task Lighting

Natural Light/ Views to Nature - Limit views

PSYCHIATRIST

Patients, Doctor

120

Chairs, Desk for Therapist, Computer, Lockable Storage

Security for Precription Pads

GROUP CONFERENCE/ MEETING ROOMS

Mutiple Patients, Therapist

500

Reception, Rest 2 Rooms,

Flexible, Variety, Durability, Acoustics, Quality of Light

Moveable Tables, Stackable Education Space/ Art Chairs, Presentation ReadyTherapy / Alternative Projector, TV, Computer, etc. White Boards, Storage for extra Therapies -Yoga, Tichi chairs/ supplies

REFLECTION SPACE ( Therapists, Staff

250

Reception, Rest 1 Rooms, Group Rooms, Gallery

Flexible, Variety, Durability, Acoustics, Quality of Light,

Durable Chairs, Alter type table, Reflection, Meditation, and higher power symbology. prayer areas.

STAFF OFFICES

120

BREAK ROOM/COPY Therapists, Staff

250

Staff Offices, Rest 1 Room, Staff Entrance

Flexible, Variety, Durability, Acoustics, Quality of Light,

Moveable Tables, Stackable chairs, Kitchenette - Small Applances

Keep Smells localized

CENTRAL FILE

Therapists, Staff

300

Safety, Security, Privacy

Files for storage for up to 3 years

Lockable

CALL CENTER

Staff

300

Safety, Security, Privacy Chair, Desk, Lockable Storage

JANITORIAL CLOSET Staff

Reception, Intake Acoustics, Quality of Rooms, Staff Offices Light, Safety, Privacy

LARGER SPACES

STAFF

CIRCULATION

STAIRS ELEVATORS

Staff

Intake Rooms, Therapy Rooms, Group Therapy Rooms

Safety, Security, Privacy Chair, Desk, Lockable Storage

Cleaning Storage, Maintenace ADA ADA

Billing, Cashiers Offices, Project Management, Facilities Manager

Potentially off site? Lockable Two Stories?

SQ FOOTAGE PLUS CIRUCULATION

7160 1.3 9308

FINAL DESIGN FINALIZED CONCEPT This center is dedicated to soldiers coming back from Iraq and Afghanistan wars and will assist in healing their Cognitive and Moral Wounds, while providing a safe and secure place for their Healing and Growth. With the understanding of the patients Suffering from PTSD and other mental disorders are the main users of this center, there will be a Chance for Interactions but also places for Refuge and Solitude. Keeping in mind that each patient will be entering at different points in their journey this center will create opportunities for each. Through Clear, Positive Rooms, and Circulation Patterns the building will create a natural hierarchy of spaces and activities. Keeping in mind not just the patients use of the space but the journey that a Caregiver or Staff Member might take on a daily basis. This center also will provide not just interior space but exterior space to Envelope the User in Nature reminding them the power of nature and how it can heal living things. Soothing Colors, Materials and Lighting Design will uplift patientsâ&#x20AC;&#x2122; mood. Creating a center focused on growth will show that this facility has its patients at the center of their attention.

Capstone Studio- IAPD 810 | Kansas State University

FINAL DESIGN | Master Plan LEAVENWORTH ST.

FUTURE SITE OF THE FLINT HILLS REC CENTER

NORTH 6TH ST.

THE FLINT HILLS VETERANS CENTER

FUTURE SITE OF THE FLINT HILLS VA RESIDENCES

HUMBOLDT ST.

existing site proposed building future expansion future building pre-existing buildings 66

Capstone Studio- IAPD 810 | Kansas State University

DESIGN INTENT The master plan was designed around the idea of growth and change. There is an opportunity to this site to create a campus feel to this veterans facility. Creating an extension of the existing building to create a larger recreation and physical side while expanding education spaces for veterans. There also would be a need for VA residences within the confines of the campus.

FINAL DESIGN | Site Plan

NORTH 6TH ST.

LEAVENWORTH ST.

HUMBOLDT ST. 68

Capstone Studio- IAPD 810 | Kansas State University

DESIGN INTENT The site is located amongst the area where residential meets commercial. This gives opportunity to create a transition while still reflecting the needs of the existing area.

FINAL DESIGN | Organization of Spaces second floor

ground

community staff spaces green space therapy spaces vertical circulation 70

Capstone Studio- IAPD 810 | Kansas State University

the form

FINAL DESIGN | First Floor STORAGE

THERAPY ROOM

THERAPIST OFFICE

THERAPY ROOM

THERAPIST OFFICE

THERAPY ROOM

AMPHITHEATER

LIGHT WELL/ ZEN GARDEN

CLASSROOM HEALING GARDEN

WOMENS RR

MENS RR

PROJECT COORDINATORS DIRECTORS OFFICE OFFICE

RESTROOM

CLASSROOM PSYCHAITRIST STORAGE OFFICE

PROJECT COORDINATORS OFFICE REFLECTION ROOM

ELEVATOR

BILLING/ ACCOUNTING

PSYCHIATRIST

MAINTENANCE

STAFF MEETING AREA INTAKE ROOM

RECEPTION REFLECTION POOL

ENTRY GARDEN

INTAKE ROOM

WAITING

INTAKE ROOM

ART THERAPY PRIVATE WAITING

72 72

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INTAKE ROOM

DESIGN INTENT •

• •

The first level of this facility is a combination of private therapy spaces, staff spaces and community education spaces. There are multiple classroom types and a quiet reflection room giving time for both interactional and personal time. A large reception and waiting space will be utilized as a main control point for the facility. Giving views to the main stairwell to reach the community spaces.

FINAL DESIGN | Second Floor

OUTDOOR PATIO

ELEVATORS MAINTENANCE

MEETING ROOM

MEETING ROOM STORAGE

OPEN TO ENTRY GARDEN BELOW

RESTROOM OPEN TO BELOW

YOGA STUDIO

STORAGE RESTROOM

CAFE

Capstone C t St Studiodi IAPD 810 | K Kansas State St t University U i it

COMMUNITY ROOM

MINDFULNESS MEDITATION

DESIGN INTENT â&#x20AC;˘

â&#x20AC;˘

The second floor is largely designed around community outreach. There are multiple meeting room types and a large cafe for the opportunity of members of the local community to be apart of the daily life of the facility. Alternative therapies would be offered here, such as yoga, and mindfulness meditation.

FINAL DESIGN | Reflected Ceiling Plans

First Floor 76

Capstone Studio- IAPD 810 | Kansas State University

Second Floor 77

FINAL DESIGN | Site Considerations

Capstone Studio- IAPD 810 | Kansas State University

•

Located on the corner of Leavenworth St, and 6th this facility is located on the existing site of Manhattans’ old Ray’s Apple Market. The existing building as a large big box building that lacks character but the site has potential for improvements with its proximity to multiple amenities.

FINAL DESIGN | Elevations

north

east

Capstone Studio- IAPD 810 | Kansas State University

south

west

FINAL DESIGN | Section Perspectives

GREEN ROOF

AMPHITHEATER EDUCATION ELEVATOR SPACES LOBBY

east

Capstone Studio- IAPD 810 | Kansas State University

CAFE

HEALING GARDEN

ART THERAPY

PATIENT PARKING

VERTICAL CIRCULATION

HEALING GARDEN

ENTRY GARDEN

MEETING ROOMS

RECEPTION & STAFF REFLECTION INTAKE WAITING MEETING POOL ROOM

north

FINAL DESIGN | Garden

Capstone Studio- IAPD 810 | Kansas State University

DESIGN INTENT â&#x20AC;˘

â&#x20AC;˘

The garden is the first inviting factor for this center. It provides a buffer for the center to create an offset off the road for the community and patients of the facility. There is a large outdoor amphitheater located to the north of the site giving opportunity for community events.

FINAL DESIGN | Entry Garden

Capstone Studio- IAPD 810 | Kansas State University

DESIGN INTENT â&#x20AC;˘

â&#x20AC;˘

The first interior space you experience will be this entry garden. Carpeted with realistic Astroturf this will be a spot for relaxation and reflection. The wall of bamboo could be altered or changed into a green wall system but the physical representation of growth will be a large factor of the design of this space.

FINAL DESIGN | Reception & Waiting

Capstone Studio- IAPD 810 | Kansas State University

DESIGN INTENT •

•

Reception is located in proximity to the main stairwell of the building. The ceiling pierces through the upstairs to see the community spaces above. Once again a green wall will be incorporated in this design to show growth physically in the space.

PRODUCT •

•

The idea was to create a device that could be used by the patients of the facility to give a visual cue to the other patients that they wanted to be approached by others or not. So the facility would designate a color on the band to show this; red meaning I want to be alone, green meaning you’re a go for conversation, etc. This product would also serve as an appointment reminder so you could freely move about the space without being concerned about missing your appointment time.

FINAL DESIGN | Private Waiting

Capstone Studio- IAPD 810 | Kansas State University

DESIGN INTENT â&#x20AC;˘

â&#x20AC;˘

This furniture piece was designed to create a private area for waiting. The users of this space may be apprehensive on their first visit to the facility and would like a space that give privacy and comfort to the veterans and their families. This piece takes into account acoustics with its acoustic panels to muffle the sounds of what is around them.

FINAL DESIGN | Art Therapy

Capstone Studio- IAPD 810 | Kansas State University

DESIGN INTENT â&#x20AC;˘

â&#x20AC;˘

The use of art therapy is a great alternative to just normal therapy. This gets the users evolved and interacting with others in a safe environment. The use of residential type furniture that hugs the patron is seen as a feeling of comfort to make the rooms less institutional.

FINAL DESIGN | Reflection Pool

Capstone Studio- IAPD 810 | Kansas State University

DESIGN INTENT â&#x20AC;˘

â&#x20AC;˘

This reflection pool is located right inside the door to the therapy areas. It will be a subtle surprise to the patients of the facility. Water is a symbol of cleansing and is seen as a representational cleansing start for the patients.

FINAL DESIGN | Light Wells

Capstone Studio- IAPD 810 | Kansas State University

DESIGN INTENT â&#x20AC;˘

â&#x20AC;˘

With the use of rain chains coming from the roof there is an opportunity to collect water from the site for watering of the sites planting and gray-water systems. These areas are located in the back therapy spaces as opportunity of flooding natural light and views to a natural environment.

FINAL DESIGN | Therapy Room

Capstone Studio- IAPD 810 | Kansas State University

DESIGN INTENT •

• •

This therapy space was given extra square footage in what would normally be a standard sized therapy room for user comfort. The therapist themselves are given a separate office so that their personal belongings are safely in their own space. The placement of the furniture was put into consideration as a safety concern for the therapist. The therapist’s chair is given the closest proximity to the door.

FINAL DESIGN | Yoga Studio

100 Capstone Studio- IAPD 810 | Kansas State University

DESIGN INTENT â&#x20AC;˘ â&#x20AC;˘

There are multiple areas for alternative therapies within this facility. The Yoga studio being one of those. The use of Liquid Crystal Smart Glass this will allow the users of these spaces to dictate the opacity of the glass so they can have more privacy within the yoga studios and other community spaces, or keep it clear for views outward.

101

FINAL DESIGN | Community Room

102 Capstone Studio- IAPD 810 | Kansas State University

DESIGN INTENT â&#x20AC;˘

â&#x20AC;˘

These group therapy rooms were designed to be multipurpose. They create areas that would be used for stress and anger management. These spaces could also be rented out to the public for group meetings after hours (i.e. girl scouts, AA, etc.)

103

FINAL DESIGN | Materials

floor base_grey

rubber flooring_brown

concrete_grey with black aggregate

carpet_interface_pacific

104 Capstone Studio- IAPD 810 | Kansas State University

light maple floors

tile_ basalt blue canvas_forest green

leather_camel

leather_white glass_liquid crystal smart glass

felt_light grey

felt_dark grey

wood_ reclaimed wood wall

105

FINAL DESIGN | Furniture Specifications

coalesse_bob lounge

coalesse_denizen cradenza

coalesse_enea lottus table coalesse_together bench

106 Capstone Studio- IAPD 810 | Kansas State University

coalesse_wing chair

coalesse_wishbone chair

hermanmiller_tuxedo chair steelcase_node

107

FINAL DESIGN | Conclusion

108 Capstone Studio- IAPD 810 | Kansas State University

PROJECT TAKE AWAYS • • •

think of alternative ways to facilitate therapy creating a non-institutional environment all the user groups matter

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Bibliography| Sources RESEARCH

About VA. (2014). Retrieved December 15, 2014, from http://www.va.gov/landing2_about.htm Eckstut, J., & Eckstut, A. (2013). The secret language of color: Science, nature, history, culture, beauty of red, orange, yellow, green, blue & violet. Fischer, H. (2012). American War and Military Operations Casualties: Lists and Statistics: Congressional Research Service. CreateSpace Independent Publishing Platform. Kellert, S. (2005). Building for life designing and understanding the human-nature connection (pp. 34-50). Washington, DC: Island Press. Kopec, D. (2012). Environmental psychology for design (2nd ed.). New York: Fairchild Books. Manhattan, Kansas. (2013). Retrieved December 14, 2014, from http://www.city-data.com/city/Manhattan-Kansas.html Maslow, A. (2013). A theory of human motivation. Martino Fine Books. PTSD: National Center for PTSD. (2014). Retrieved December 15, 2014, from http://www.ptsd.va.gov/ The U.S. Army. (2014). Retrieved December 15, 2014, from https://www.flickr.com/photos/soldiersmediacenter/with/14060912821/

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IMAGES

1. https://www.flickr.com/photos/soldiersmediacenter/with/14060912821/ 2. http://79ideas.org/ 3. http://amazing-crafts-tutsideas-4.blogspot.com/2014/08/water-drain.html 4. http://blog.mobilimobel.com/post/36898510743/living-space 5. http://www.apartmenttherapy.com/5-wonderful-rain-chains-roundu-143243 6. http://www.archdaily.com/222828/ferreteria-o%C2%B4higgins-gha-guillermo-hevia/always-credit-a-nico-saieh-as-author-of-these-photographs-30/ 7. http://www.archdaily.com/347655/coffee-shop-314-architecture-studio/ 8. http://www.archello.com/en/project/grecia-house-0 9. http://www.artnau.com/2014/04/the-collectors-shelving-system/ 10. http://www.builderonline.com/design/a-newly-built-cottage-that-looks-100-years-old_o 11. http://www.desiretoinspire.net/ 12. http://www.homedit.com/hoks-new-office-in-london/ 13. http://www.remodelista.com/posts/rain-chains-the-beautiful-alternative-to-gutters?utm_source=Remodelista/Gardenista+Subscriber+List&utm_ campaign=90b532ed14-Remodelista+Daily+Mail+Campaign&utm_medium=email&utm_term=0_447a717cea-90b532ed14-384254921 14. http://www.thegardenglove.com/using-architectural-plants-in-the-garden/ 15. http://www.wildflower.org/gallery/result.php?id_image=22252 16. http://www.wildflower.org/gallery/result.php?id_image=31447 17. http://www.wildflower.org/gallery/result.php?id_image=59 18. https://laurenconrad.com/blog/2014/07/great-outdoors-how-to-create-the-perfect-summer-patio/?utm_source=LaurenConrad. com&utm_campaign= d75725b0ff-First_Campaign2_28_2014&utm_medium=email&utm_term=0_2823b3e6d8-d75725b0ff-111246349 19. https://www.etsy.com/shop/pinkrugco 20. https://www.flickr.com/photos/armymedicine/14361718125/ 21. https://www.flickr.com/photos/armymedicine/8519185110/ 22. https://www.flickr.com/photos/soldiersmediacenter/14512335673/in/photostream/ 23. https://www.flickr.com/photos/soldiersmediacenter/8962196120/ 24. https://www.flickr.com/photos/thisaintnodisco/4988485596/in/photostream 25. https://www.homepolish.com/mag?gallerize=the-beach-house-part-two

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