Thesis | Vol. 1 | Research

JESSIE BEAN

t h esi s vo l . 1

ELEVATE THANK YOU VETERANS a m enta l h ea l t h reh a b i l i ta t i o n ret rea t a n d co m m uni ty wel l n es s center fo r m i l i ta r y vetera ns

To U n ite d States ser vice m en an d wom e n , wh o m ake g reat sacrif ices for ou r countr y ’s f reedom.

T h ank you.

VETERA NS R E TR E AT

“ T h e m o u n tain s are callin g an d I must go.”

- John Mui r

co n ta c t m e :

jb e a n 03@ v t .e d u jb e a n @s q u a re s pace.com (6 03)70 6 - 0 86 4

TABLE OF CONTENTS

3

ACKN OWLEDG EMENTS

5

CON TENTS

7

PE R S ON A L MIS SION

9

STATE MENTS

11

LIVIN G WITH PTSD

21

DE S IG N IN G FOR PTSD

27

CLIENT

29

E DU CATION

31

G OA LS + OBJ ECTIVES

33

S ITE + BU ILDIN G A N A LYSIS

45

CA S E STUD IES

57

CODE S + G U IDE LINES

63

S U STA IN A BILITY

65

R EA DIN G LIST

67

S OU RCES

PE RSON A L

M ISS ION I strive to design spaces in service to others. I am committed to spaces that promote physical well-being and environmental wellness. One aspect of wellness that I continue to research and therefore better understand relates to physiological and psychological health. Designing the built environment can positively address the needs of those with post-traumatic stress disorder and other similar mental health disorders.

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PROJECT STATEMENT

For my thesis project I am designing a three-story, 53,300 sq. ft. mental health rehabilitation retreat and community wellness center for military veterans, their families and the surrounding community. Veterans lack the necessary, comforting resources all in one place so the main goal of this wellness center is to provide a space that promotes a lifestyle that helps reduce stress, combat depression and post traumatic stress disorder therefore promoting an overall healthy and active lifestyle. With a strong focus on PTSD rehabilitation, the facility offers a location that provides all the amenities of a wellness center to create an environment that betters the lives of the community and the veterans living in the city of Colorado Springs, Colorado.

To support the concept of rehabilitation and well being, a focus on creating an anti-clinical environment for wounded veterans, their families and the surrounding community will be done with the use of sustainable materials, design elements and state of the art technologies and information.

A large focus on biophilia and connection to nature will be used in design decisions and will improve the healing process of the patients. The wellness and healing of the patients will be enhanced with the use of sustainable design principles and connection to nature.

THESIS STATEMENT 9

L IVING W

WIT H PTSD

P O ST T R AU MAT IC ST R E SS DISO R DER

PTSD Thousands of United States soldiers die each year to defend our country’s f reedom. While many make it back home to the states, the battle is hardly over. Being suddenly forced to reconcile with the fact that their lives will never be the same is something for which no one is ever prepared. Whether a soldier lost a limb, experienced a traumatic event, or suffered a serious brain injury, their lives will never be quite the same.

Imagine being faced with a future drastically different f rom the one that you had created for yourself, one where you would never be able to hold your spouses hand again or pick up your child. This is a fate that many veterans experience when they return home f rom a war overseas. Struggling with the painful and anxious days of rehabilitation is a task that so many have to endure so they can regain the strength to live their lives to the fullest they possibly can.

Veterans and their families sacrif ice so much of their lives for our nation’s f reedom. Designing a space dedicated to them, their recovery and a hope for a better life is something I desire to create. My goal is to develop a space that helps reduce stress, combats depression and PTSD, and promotes an overall healthy and active lifestyle that the veterans can utilize to live their lives to the fullest the best way they can.

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PTS D WHAT IS POST-TRAUMATIC STRESS DISORDER? Post-traumatic stress disorder (PTSD) is def ined by biological changes as well as psychological symptoms following an traumatic experience or witnessing of a life threatening event, such as military combat. Reactions to this stressful event vary in severity and longevity f rom person to person and can affect some more than others. A psychologist is tasked with assessing if the symptoms are severe enough to be classif ied as a psychiatric disorder.

Traumatic memories are stored differently in the human brain than regular memories. Often they are broken up and have little to no connection to other memories stored in the brain. They can be diff icult to intentionally recall, yet at the same time they are easily accessed by real-time stimuli similar to the initial traumatic event, triggering the memory.

Symptoms of PTSD fall on a continuum.

Most symptoms of PTSD are healthy, they are a survival mechanism to prevent the trauma f rom happening again. When certain symptoms fall outside a certain range, it’s considered a disorder.

PTSD is a psychiatric condition that most psychologists treat with a three-step process.

1. identify the trigger of the trauma 2. understand what the trauma is itself 3. re-associate the trigger with the present context Considering this, I will research ways to design spaces that facilitate and promote mental wellness.

An estimated 7.8% of Americans will experience PTSD at some point in their lives, the largest percentage of those being military personnel. With that being said, there are not enough adequate locations that offer the kind of mental healing services that these veterans require.

Usually veterans resort to hospitals or other medical facilities that are often perceived as cold, noisy, unwelcoming crisis centers which can trigger many unwanted memories f rom which they are trying to heal.

Highly clinical spaces have been proven to administer negative healing effects and increase stress on patients with PTSD or other similar mental health disorders. Removing the clinical setting feel f rom the space would benef it the veterans suffering f rom PTSD and create an environment that promotes healing and overall wellbeing.

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WHY IS THIS IMPORTANT ?

ONE in THREE returning troops are being diagnosed with serious post-traumatic stress symptoms and less than 40% will seek help.

In 2009, a record breaking year for suicides in the service, 245

soldiers killed themselves due to post-traumatic stress symptoms.

LESS THAN WILL SEEK HELP

40% On average, ďŹ ve active-duty troops attempt suicide

each day.

1,100 soldiers

Over 1,100 soldiers have taken their lives since 2006.

Veteran homelessness is on the rise with 1/3 of our nation’s homeless being retired veterans. Many of these individuals suffer from PTSD and have no means to get help.

THE WAR

AT H O M E Veterans face many challenges when returning home f rom war. The most common of them being PTSD, traumatic brain injuries, drug addiction and even suicide. While so many veterans are getting help at VA hospitals and treatment facilities around the nation, they are f requently prescribed multiple medications that they believe and hope will help. Unfortunately many quickly become addicted which contributes to their downward spiral.

In more severe cases of veterans with PTSD, some resort to suicide as they see no other way to return to the normal life that they once lived. The number of suicides by U.S. military personnel has more than doubled since 2004, which is an indicator of the increased

need for more mental health treatment facilities for veterans around the country.

Over 30% of United States’ men and women in the service will develop and experience PTSD at some point in their lifetime and while many reach out for help, over 47% of returning veterans do not. Reasons being that they believe getting help makes them weak, receiving care would only make things worse and because they believe it is a hassle to go to so many different locations for all the intricate services they need to rebuild their lives.

Designing facilities to administer a holistic approach to healing will create spaces that a patient with PTSD can feel comfortable.

“The war at home is just as dangerous as the war overseas.�

- Travis Mills Foundation

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D E S IGN Veterans go through a tremendous amount of change when they return home f rom war.

Soldiers are trained to be alert at all times and in dangerous combat situations making them tense and constantly aware of their surroundings. As a designer, being able to view life through the perspective of veterans living their new way of life while suffering f rom PTSD is integral to creating a successful environment to help them heal and prevent any more distress.

DESIGN CONSIDERATIONS: PERSONAL SPACE + DENSITY: - provide and allow enough room for comfortable personal space and to reduce overcrowding.

CHOICE + CONTROL: - by offering choices in a space it increases an individual’s sense of control and thereby reduces stress.

SPATIAL ORGANIZATION: - when disorganized, a space can feel chaotic and induce stress. Providing a clear, organized space will decrease patient confusion.

COMFORTABLE SURROUNDINGS: - providing a non-clinical space while creating a more “homelike” aesthetic will give patients a sense of belonging.

ACCESS TO NATURE/DAYLIGHT: - daylight and views of nature are important factors in a healing environment. Access to nature has been proven to improve behavioral changes in patients.

HOW DO YOU DESIGN TO HEAL INVISIBLE WOUNDS? Patients such as ones with PTSD or other mental brain disorders, are extremely sensitive to their physical environment due to the experiences they have been through. Designing the built environment to meet the needs of these patients is of the utmost importance in order to create an environment that promotes successful healing.

Psychologists largely agree that the physical environment can positively impact the behavior of patients suffering f rom mental health disorders, so designing the built environment to address these mental health side effects is a step in the right direction for a successful mental rehabilitation facility. How we design the built environment cannot solve PTSD on its own, but it can help.

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DESIGN

GOALS INTERVENTION:

DESCRIPTION:

AMBIENT FEATURES

lighting should be soft, indirect, and full spectrum; spotlight lighting should be used in limited areas; natural daylight, good air quality; neutral colors

ARCHITECTURE

private visiting areas; multiple large, low windows; views of nature; outdoor gardens; avoid long corridors; flexible dividers for large areas; secluded spaces

INTERIOR DESIGN

clearly identifiable reception area; reflection of symbolic meaning

FURNISHINGS

reduce institutional feel

FAMILIARITY

upholstered furniture; interchangeable pieces; resistance to damage; soothing artwork; carpeting where appropriate

COLOR

avoid monochromatic or trendy schemes; seclusion rooms should not be white or gray

OTHER

use color, light, and finishes to designate areas; plants; shatterproof windows; lockable cabinets; avoid blind covers; avoid highly polished floors

SPECIAL FEATURES

spaces where patients can retreat, form social relationships; avoid overcrowding; provide privacy; open and flexible day rooms; small group circular seating

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CO LOR

GUIDELINES FOR COLOR DESIGN IN MENTAL HEALTH FACILITIES: SENSORY CONSIDERATIONS: - use color to adjust corridor proportions - avoid complex patterns, color stimulation and monochromic schemes when selecting furniture, fixtures and equipment - provide soft, indirect, full-spectrum lighting STRESS REDUCTION: - use calm color in seclusion rooms (not white or grey) - provide soothing artwork and pictures of familiar images - introduce blues in areas where calming is important ENERGY ENHANCEMENTS: - maximize the use of natural light - provide access to outdoor courtyards and/or rooftop terraces to allow patients to connect with nature and the outdoors FOCUS ON COMFORT: - avoid an all neutral, institutional look by using a soothing warm accent color on at least one of the walls - create isolation rooms that are cozy, inviting, sparsely and safely furnished, which do not look like punitive environments

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CLIE NT PROBLEM: As a veteran with needs for mental rehabilitation, traveling to one location that offers the kind of soothing, relaxed environment for all their treatments is currently not an option. Various trips must be made for assessments, doctor visits, prosthetic f ittings, weekly psychiatric evaluations, rehabilitation, education and care.

A mental health rehabilitation retreat and community wellness center would benef it these wounded veterans and their families by creating a place to adjust to their new way of life in a relaxing setting that is not as hectic as a hospital while allowing them to heal.

QUALIFIERS FOR PTSD AND MENTAL HEALTH REHABILITATION: - intrusive thoughts - flashbacks - triggers from loud or sudden noises - irritability - increased aggression - risky or destructive behavior - hypervigilance - heightened startle reaction - difficulty concentrating - difficulty sleeping - feeling detached from oneself - trauma-related thoughts or feelings - decreased interest in activities - personal isolation

WHO WILL USE THE FACILITY? Not only will this facility be used for veterans needing a place to heal but for their families and loved ones as well. “Its not just about the service men and women its about their families too, who are just as much a part of the recovery process as the wounded vet themselves.” - Travis Mills The retreat will be a uniquely designed, fully accessible comfortable lodge for relaxation, adaptive sports and family recreation. The retreat will f ill a vital role in the recovery, camaraderie, spousal support, reconnection, relaxation and reintegration of our military heroes – a true and lasting symbol of a grateful nation.

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ED U CATE DEALING WITH THE UNSEEN SCARS OF WAR: Education is one of the most important and key parts of rehabilitation, especially when trying to heal f rom a traumatic event.

A need exists for classes on helping soldiers re-integrate back into their units and daily lives after suffering f rom post-traumatic stress.

Many military personnel that have received help say the emphasis being taught in the classes is on suicide prevention, instead of educating soldiers about PTSD. A demand for classes and education programs to teach not only the soldiers but their families and staff of therapy centers on these unseen injuries is essential to a successful program.

Therapy programs and services can be put in place so that more are able to learn to recognize triggers and understand that PTSD is not just about suicide, there is much more to know.

The staff and f irst responders are also in need of education classes that could be offered at this rehabilitation retreat. If a f irst responder with flashing emergency vehicle lights approaches a soldier who’s off-duty or a veteran suffering f rom post-traumatic stress disorder, they may very well trigger a negative reaction. So educating these employees to better understand what they are treating is a very integral and important part in the success of the retreat.

“These are America’s citizens who are going out and doing our country’s bidding without question. And they are sacrif icing, and we owe them a response that is equal to their needs,” said Maj. Gen. Michael Repass head of Special Operations Command Europe, and former commander of U.S. Army Special Forces.

Education can help reduce triggers and help the patients to avoid the negative affects that PTSD can have on their lives.

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GOALS AND

O B JECTIVE S 1

GOAL: Utilize the extensive glazing on the building to provide views of the surrounding mountain ranges and natural scenery to enhance the user’s experience.

4

OBJECTIVE: Consider healing gardens as a space for users to escape to and aid in the healing process. Understand the impact natural light and nature can provide to a faster healing process.

2

GOAL: Incorporate the surrounding community within the facility in conjunction with the veterans.

OBJECTIVE: Use the outdoor space and the existing building framework to create spaces where community members, patients, or employees can easily go from indoors to outdoors.

5

OBJECTIVE: Utilize the selected site and environment to incorporate the community and provide a space for them to use as well as the veterans.

3

GOAL: Design with sustainable and environment friendly ideas that promote and enhance overall wellbeing.

OBJECTIVE: Choose and select sustainable materials that will promote healthy lifestyles and overall wellbeing of the patients, visitors and employees.

GOAL: Create spaces that offer a connection from indoor to the outdoor locations and develop a seamless integration that blurs the two together while creating a space for healing.

GOAL: Create a welcoming and soothing environment that promotes healing for veterans with PTSD. OBJECTIVE: Evidence based design research will create spaces that will promote healing and overall betterment of the veterans’ mental health.

6

GOAL: Create a sense of belonging and comfort to eliminate possible triggers for patients with PTSD. OBJECTIVE: Use appropriate lighting and acoustical treatments to help eliminate stressors and create a more comfortable interactive environment.

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S ITE

COLORADO SPRINGS , CO

S ITE The scenic mountain landscape of Colorado Springs lends itself well to outdoor activities all year round. Hundreds of miles of hiking and biking trails criss-cross the region’s urban and open spaces, while stunning geological features like Garden of the Gods – a public park featuring large formations of red sandstone rocks – and Seven Falls – a set of cascading waterfalls – are tucked between residential areas of town.

Though Colorado Springs might not jump off the map as an economic or cultural hub, it offers a quieter, gentler setting where people enjoy life. Colorado Springs has much to offer, including a low cost of living, a low unemployment rate and a variety of recreation and entertainment options. Colorado Springs attracts students, professionals and military personnel to the area with a cache of military bases and nationally ranked colleges.

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SITE INFORMATION DEMOGRAPHICS:

- 460,000 population

- 34.8 median age - among the 100 largest metropolitan cities, Colorado Springs has one of the highest concentrations of veterans in the continental United States.

LOCATION: - located within the central part of the state, Colorado Springs is the second largest city in Colorado CLIMATE: - classified as Alpine Desert with dry, clean air, Colorado Springs was once a destination to heal injured patients

- altitude of 6,035 feet - Sperling’s comfort index rates Colorado Springs as a 69 out of 100, meaning it is highly comfortable year-round, suitable for year-round outdoor activities - the city has over 300 days of sunshine a year

SITE INFORMATION NOTABLE ARCHITECTURE:

- United States Air Force Academy

- Olympics Training Facility

- Olympics Museum (February 2018)

- Peterson Air Force Base

- Schriever Air Force Base

- Veterans Memorial CULTURE:

- Where’s Waldo Parade

- Veterans Services and Celebrations - Native American Heritage and Culture Powwow - Hot Air Balloon Celebration at Memorial Park

COLORADO SPRINGS, CO: - Ranked in the Top 3 Places for veterans to live in the Continental United States - Peterson Air Force Base is located in Colorado Springs, as well as the Schriever Air Force Base making this a great location for a rehabilitation center for wounded military personnel

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BUILDING ANALYSIS

The existing building is comprised of three floors, each of which is roughly 17,000-18,000 square feet. The building forms a u-shape, creating an opportunity for a central outdoor courtyard. My goal is to build off this central point as a location for a potential healing garden and socialization hub. A connection to nature, whether direct or indirect, is proven to enhance and improve a patient’s healing process.

BUILDING ANALYSIS

HIERARCHY

ZONING

UNDERLYING GRID

STRUCTURAL COLUMNS

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CA SE ST

TU D I ES

CA SE

STUDY 1 Travis M ills Foun dation Travis Mills, an Army staff sergeant who lost all four of his limbs after surviving an explosion in Afghanistan wanted to create a place where other soldiers and veterans, like himself, could heal in the most comfortable way possible.

The Travis Mills Foundation transformed an iconic celebrity retreat and grounds into a paradise for amputee combatinjured veterans and their families. Everything about the retreat is designed to accommodate all types of wheelchairs, walkers, and other assisting devices.

PROJECT TYPE: Veteran Retreat FURNISHED BY: Wayfair LOCATION: Rome, Maine SITE AREA: 11,000 sq. ft.

YEAR COMPLETED: 2017 PROGRAM SPACES: - 8-suite style bedrooms for hosting 8 veteran families per week - movie theater - children’s playroom - spa room - formal living + dining rooms - library - commercial kitchen - two stone patios (front & rear) - disc golf course - walk-in refrigerator - laundry, staff area, and dry storage DESIGN FEATURES: - located adjacent to a lake, with access to kayaks, paddle boarding, handicap accessible bicycles, all integral parts of rehabilitation, says Mills - mission of the retreat is to provide a relaxing place to stay for a week, free-ofcharge and in the company of veterans going through similar recoveries

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PROJECT TYPE: Rehabilitation Hospital FIRM: Montgomery Sisam Architects + Farrow Partnership Architects LOCATION: Toronto, Ontario, Canada SITE AREA: 40,000 sq. ft.

YEAR COMPLETED: 2011 PROGRAM SPACES: - two large rehabilitation gymnasiums - clinical offices - therapy pool - therapy gardens (connection to nature and landscape) - wellness center - research wing - dining center DESIGN FEATURES: - relates the site to the building and the design features and aesthetic - implements the surrounding Toronto Ravine System into the concept that drives the project - uses the outdoors as its most precious asset with views to outside as a huge way finding device - focus on circulation with single-loaded corridor - holistic design approach: comfort, wellbeing, inspiration

CIRCULATION

CASE

STUDY 2 S t . Joh n’s R e h a b ilita t i on Hospital St. John’s Rehabilitation Hospital takes full advantage of a remarkable site by reconnecting the major public spaces within the building to the surrounding natural landscape, which is part of the Toronto ravine system.

This rehabilitation center demonstrates the potential for hospitals to be more than just clinical settings. St. John’s provides an example for a more holistic idea about health that includes well being, comfort and inspiration. The connection with the ravine system is a bonus as it provides a natural ecosystem for the city.

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CA SE

STUDY 3 M ag g ie’s Can cer Centre Maggie’s Cancer Centres are conceived to provide a welcoming ‘home away f rom home’ and a place of refuge where people affected by cancer can f ind emotional and practical support.

They place great value upon the power of architecture to lift the spirits and help in the process of therapy and healing.

With a large focus on anti-clinical spaces, this location offers a kitchen at the center of the building to act as “the heart of the home,” a central meeting point where patients can come and collaborate while in treatment.

PROJECT TYPE: Cancer Center FIRM: Foster + Partners LOCATION: Manchester, United Kingdom SITE AREA: 21,000 sq. ft.

YEAR COMPLETED: 2016 PROGRAM SPACES: - small personal niche areas - library - gathering centers - kitchen ( as the heart of the building ) - green houses / gardens - celebration of light and nature - patient rooms with personal gardens DESIGN FEATURES: - designed as a place of refuge, a “home away from home�

- a place for emotional and practical support - removed institutional references such as: - corridors - hospital signs - less clinical feeling space / more for healing and wellbeing - natural light is very integral to overall design / healing process - rectilinear plan is punctuated by landscaped gardens

CIRCULATION

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PROJECT TYPE: Rehabilitation Hospital FIRM: Montgomery Sisam Architects + Farrow Partnership Architects LOCATION: Toronto, Ontario, Canada SITE AREA: 40,000 sq. ft.

YEAR COMPLETED: 2011 PROGRAM SPACES: - outpatient therapy gym - gait lab - terrain park - driver training - educational services - family spaces / therapy - 12-bed inpatient unit - therapies: - recreational gym - group / family - activities of daily life DESIGN FEATURES: - offers a more family focused approach - integrated technologies to enhance the healing process - living spaces for extended stay patients - offers large amount of amenities that a wounded veteran would want or need in one location

CIRCULATION

CASE

STUDY 4 N a t io n a l A rm e d Force s R e h a b ilitation Center The National Armed Forces Rehabilitation Center is one of a kind. With diagnostic, treatment, rehabilitation, and training functions under one roof, no other facility offers soldiers with debilitating injuries a single location in which they can receive physical, occupational, social, mental, and nutritional health services - as well as be f itted, tested, and adjusted for advanced prosthetics.

Equipped with the latest technologies, this rehabilitation center is an incredible resource for veterans or wounded military personnel that have experienced amputation.

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CA SE

STUDY 5 Spauldin g Reh abilitation Center This rehabilitation center is designed around the idea of resilience. Built on Boston Harbor, the building is prepared for the imminent future of flooding problems predicted as well as other climate change issues to happen in the future.

The hospital maximizes natural daylight and the connection to the outdoors through the use of operable windows throughout and therapy gardens connected by trails in and around the building.

PROJECT TYPE: Rehabilitation Center FIRM: Perkins + Will LOCATION: Charlestown, Boston Harbor, Massachusetts SITE AREA: 262,000 sq. ft.

YEAR COMPLETED: 2013 PROGRAM SPACES: - large aquatic therapy pool - conference center - patient and public dining room - indoor/outdoor communal spaces - large gymnasium - satellite gyms - putting green - research spaces - therapy spaces DESIGN FEATURES: - designed for “resilience” - therapeutic trails around hospital through healing gardens - maximize daylight and outdoor views - building envelope has triple-glazing for energy performance - green roofs mitigate storm water runoff, heatisland effect - operable windows where possible to allow ventilation

CIRCULATION

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H EALTHCA R E Health care facilities are among the most regulated of all building types. According to Whole Building Design Guide (WBDG), a program of the National Institute of Building Sciences, there are many guidelines you must consider when designing a healthcare facility. Whether it will be a highly clinical setting, or a more retreat like space, there are still rules and regulations that must be met and followed.

Facilities that treat mental health disorders such as PTSD are the ones I focused my research efforts towards.

BUILDING ATTRIBUTES: EFFICIENCY AND COST-EFFECTIVENESS: - promote staff efficiency by minimizing distance of necessary travel between frequently used spaces - allow easy visual supervision of patients by limited staff. Nurse stations on inpatient units should be designed to provide maximum visibility of patient areas THERAPEUTIC ENVIRONMENT: - use familiar and non-institutional materials with cheerful and varied colors and textures, keeping in mind that some colors and patterns are inappropriate and can disorient older impaired patients, or agitate patients and staff - provide adequate separation and sound insulation to prevent confidential but loud conversation from traveling beyond consulting offices and group therapy rooms CLEANLINESS: - appropriate, durable finishes for each functional space - proper detailing of such features as door frames, casework, and finish transitions to avoid dirt-catching and hard-to-clean crevices and joints AESTHETICS: - use of new lighting systems, high performance glazing, increased use of natural light, natural materials, and colors - use soothing (not exciting) artwork - attention to details, proportions, color, and scale SECURITY AND SAFETY: - use of breakaway shower-rods and bars, no clothes hooks - elimination of all jumping opportunities - control of entrances and exits by staff RELATED ISSUES: - The HIPAA (Health Insurance Portability and Accessibility Act of 1996) regulations address security and privacy of “protected health information� (PHI). These regulations put emphasis on acoustic and visual privacy, and may affect location and layout of workstations that handle medical records and other patient information RELEVANT CODES AND STANDARDS: - ADA Compliance - Federal: IBC Building Codes - NFPA 101 (Life Safety Code) - NFPA 99 (Standards for Health Care Facilities) - ABAAG (Architectural Barriers Act Accessibility Guidelines)

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CODE FIRE PROTECTION REQUIRED NUMBER OF EXITS:

EXIT ACCESS TRAVEL DISTANCE:

BUILDING CODES USE GROUPS: gyms education cafe storage office

A3 A3 A2 S1 B

EGRESS: A minimum of 3 exits are needed per story due to the occupancy loads being greater than 500 on each level.

OCCUPANCY FACTORS: gyms 15 net education 15 net cafe 15 net storage 300 gross office 100 gross

TRAVEL DISTANCE: A,S-1 250’ B 300’ I-2 200’

OCCUPANCY LOADS: gyms 134 education 334 cafe 467 storage 1 office 6 total: 942

SPRINKLERED? yes

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M ATE R IA LS The consideration of how environmentally sustainable healthcare operations can create a culture of wellbeing is something I want to drive my material selection on. Creating a space that promotes a better wellbeing is a main goal of the design.

While sustainability is one of the most important parts of design today, the ultimate goal for a rehabilitation retreat like this one is to create an environment that promotes patient healing f irst and foremost, as well as to help healthcare providers operate more eff iciently.

Through the use of natural light, access to f resh air, sunlight and the use of natural materials, I will design a space that is conducive to patient recovery and employee eff iciency.

MATERIAL + SUSTAINABILITY CONSIDERATIONS: The focus of my material selection will be to choose appropriate materials that meet the tests, regulations, standards and requirements of a healthcare environment.

I will choose materials that are rated, certif ied and/or accredited with the following systems: - LEED

Motorized responsive solar sun shades will automatically raise and lower based on the sun’s positioning to control solar heat gain, limit glare and reduce the amount of energy required to cool the building.

Low-flow fixtures, automatic sinks and toilets, and the use of a grey water system will ensure the facility is consuming water as efficiently and responsibly as possible.

- LIVING BUILDING CHALLENGE - GREEN STAR - WELL BUILDING STANDARD - CRADLE TO CRADLE - GREEN GLOBES

The use of roof-mounted solar panels will aid in providing energy for the building, reduce energy costs, and could be linked to the grid to redistribute energy to the city.

- BREEAM LED lighting will be used to save energy. LED bulbs consume at least 75% less energy than traditional incandescent bulbs and their implementation will reduce overall building operating costs.

An herb garden located in the central courtyard of the building will enhance the connection to outdoors, providing a tranquil setting to relax, socialize and collaborate with the community and the patients.

A grey water recycling system will reduce the demand for freshwater and the demand to treat wastewater.

Recycling the water used in the facility’s plumbing will conserve water and energy.

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READING LIST

1 2 3 4 5

Finn, M. (2014, February 13). Posttraumatic Understanding.

Retrieved October 29, 2017, from http://blog.perkinswill.com/ posttraumatic-understanding/

Greer, V., & Johnson, E. (n.d.). Designing for invisible injuries: An exploration of healing environments for posttraumatic stress. Retrieved November 29, 2017, from https://www.aia.org/ pages/22356-designing-for-invisible-injuries-an-explorat

Hartman, J. G. (2012). Therapeutic Spaces For Veterans With PTSD(Unpublished master’s thesis). Graduate School of The Ohio State University. doi:10.1177/1403494810396400

Hullinger, R., & Bower, S. (2017, April 18). Voices of Veterans, Staff Shape New VA Hospital. Retrieved November 29, 2017, from https://www.healthcaredesignmagazine.com/trends/researchtheory/voices-veterans-staff-shape-new-va-hospital/

Leibrock, C. A., & Harris, D. D. (2011). Design Details for Health: Making the Most of Design’s Healing Potential(Second ed.).

Hoboken: John Wiley & Sons.

6 7 8 9 10

Mills, T., & Brotherton, M. (2015). Tough as They Come. New York: Convergent Books.

Parekh, R. (2017, January). What Is Posttraumatic Stress Disorder?

Retrieved November 29, 2017, from https://www.psychiatry.org/ patients-families/ptsd/what-is-ptsd

Parkin Architects. (2014, March 6). Determining Colour and Design Specifications for Mental Health Facilities. Retrieved November 29, 2017, from http://www.parkin.ca/blog/determining-colour-anddesign-specifications-for-mental-health-facilities/

Shepley, M. M., & Pasha, S. (2017). Design for mental and behavioral health. London: Routledge, Taylor & Francis Group.

US Department of Veteran’s Affairs. (2007, January 01). PTSD: National Center for PTSD. Retrieved November 29, 2017, from https://www.ptsd.va.gov/publiac/ptsd-overview/reintegration/ overview-mental-health-effects.asp

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OTHER

S OURC ES 1. http://perkinswill.com/work/spauldingrehabilitation-hospital 2. http://www.resilientdesign.org/how-tomake-a-hospital-resilient-a-tour-of-spauldingrehabilitation-center/ 3. https://www.archdaily.com/211220/stjohns-rehab-montgomery-sisam-architectsfarro%25e2%2580%258bw-partnershiparchitects 4. http://www.montgomerysisam.com/ projects/st-john%E2%80%99s-rehab-hospital 5. https://www.archdaily.com/786370/ maggies-cancer-centre-manchester-fosterplus-partners 6. https://divisare.com/projects/324243karlsson-architects-psychiatric-hospital-inslagelse 7. https://www.buildings.com/article-details/ articleid/6577/title/center-offers-woundedsoldiers-rehab-and-hope#top 8. https://coloradosprings.gov/planning/page/ maps-data 9. https://datausa.io/profile/geo/coloradosprings-co/ 10. https://www.visitcos.com/media/fast-facts/ 11. https://www.healthcaredesignmagazine. com/architecture/designing-sustainablehealthcare-facility-maintenance/ 12. https://www.healthcaredesignmagazine. com/

13. https://www.ncbi.nlm.nih.gov/books/ NBK54143/ 14. http://www.centralmaine. com/2017/06/25/travis-mills-holds-grandopening-of-lakeside-retreat-for-woundedveterans-in-rome/ 15. http://mainepublic.org/post/travis-millsopens-new-retreat-injured-veterans-andfamilies#stream/0 16. https://www.ncbi.nlm.nih.gov/books/ NBK54143/ 17. https://www.wbdg.org/building-types/ health-care-facilities/psychiatric-facility 18. https://www.cfm.va.gov/TIL/ 19. https://www.healthcaredesignmagazine. com/architecture/center-intrepid-nationalarmed-forces-physical-rehabilitationcenter-fort-sam-houston-san-an/ 20. http://canitbesaturdaynow.com/dived/ single/army_silhouette/

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SOUR C ES 1. https://medium.com/coffee-house-writers/ what-america-means-to-me-6515c87a8e03 2. https://www.venuereport.com/venue/thevail-collective-retreat/ 3.https://www.pinterest.com/ pin/268175352790320450/?lp=true 4. http://archive.defense.gov/photos/ newsphoto.aspx?newsphotoid=2093 5. https://www.npr.org/2012/12/28/168070269/ suicide-hotline-fights-to-keep-vets-andtroops-alive 6. https://lh3.googleusercontent.com/4d4QJR mz7UzaGCXqdWOZMrcXas9aUXMccYeg1yATL 9HYYjrf18fpOuZkz3AySqlFc0Oe=s151 7. http://www.audacius.net/2017/03/ 8. http://www.graymansriver.com/ 9. https://www.pinterest.com/ pin/406801778818396552/?lp=true 10. http://www.10wallpaper.com/list/Peace_ Mission_Modern_Military_HD_wallpaper.html 11. https://www.linkedin.com/pulse/whatspoint-veterans-day-alden-mills 12. https://www.theodysseyonline.com/ confessions-of-an-army-brat 13. http://ei-hub.com/category/motivating/ 14. https://www.caandesign.com/the-willowhouse-by-guz-architects/ 15. http://www.interiordesign.net/slideshows/ detail/8482-healthcare-giants-stats-from-thetop-5/ 16. http://e4g.org/den-tham-khong-gian-xanhmuot-cua-pure-spa/

17.https://www.pinterest.com/ pin/294704369349945435/?lp=true 18. https://www.batessmart.com/bates-smart/ projects/sectors/health/dandenong-hospitalstage-3-redevelopment-mental-health-facilitiespart-1/ 19. http://www.karlssonark.com/nytpsykiatrisygehus-i-slagelse/ 20. http://instainteriordesign.us/health-careinterior-design 21. http://balloggphoto.com/mother-baby.php 22. http://artsmusic.info/survey-us-multifamilyindustry-remains-positive-on-growth-prospects/ 23. http://easttennessean.com/2017/11/12/does-ithave-to-be-a-fight-republicans-vs-democrats/ 24. https://boards.atlantafalcons.com/ topic/4012513-post-the-best-thing-youveseen-on-the-internet-today-part-2-electricboogaloo/?page=481 25. https://www.buzzfeed.com/gabrielsanchez/ the-most-powerful-photos-of-this-week-april24?utm_term=.mfL51ENNy5#.ehElA9jj3l 26. https://www.pinterest.com/ pin/516858494715872449/?lp=true 27. http://www.mindfullivingnetwork.com/ category/mindful-hero/ 28. https://lh3.googleusercontent.com/5KPeFUeGoaFpDDokrTTxSb3oRlujCMD_b=s170

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29. http://xinature.com/resolution/samsunggalaxy-s2/page/228/ 30. https://www.look.com.ua/ download/81015/1920x1080/ 31. https://gezimanya.com/colorado-springs 32. https://www.venuereport.com/venue/thevail-collective-retreat/ 33. https://lh3.googleusercontent. com/Xozvd03O_g_y7uZTjxydbjrFe4p1ZnkR6uIKDjo5jqwvQY_ o4UEbMMAdTPAirg_FPvAyA=s128 34. https://www.allsteamboat.com/summer_ recreation/ 35. https://www.usit.ie/blog/2016/09/30/18experiences-youll-definitely-have-as-a-campusa-counsellor 36. https://www.pinterest.com/ pin/202450945723110866/?lp=true 37. https://peakticket.com/demostore 38. https://www.teamusa.org/About-theUSOC/Inside-the-USOC/Meetings/Team-USACommunications-Workshop 39. http://gazette.com/annual-coloradosprings-waldo-waldo-event-comes-upjust-short-of-guinness-world-record/ article/1588598 40. http://www.olympicmuseum-nj.org/a/ aobolianmeng/2016/1108/551.html 41. https://pearl.famillechretienne.fr/SeigneurJesus-aie-compassion-de-la-France 42. https://coloradosprings.gov/ communications-parks-recreation-andcultural-services/page/parks 43. http://diligentlystarting.ga/epitfel/honorveterans-essay4016.php

44. https://www.danskeark.dk/content/nydgnb-diamant-certificering 45. https://www.travismills.org/foundation/ourretreat/ 46. https://www.archdaily.com/211220/stjohns-rehab-montgomery-sisam-architectsfarro%25e2%2580%258bw-partnershiparchitects 47. https://www.archdaily.com/786370/ maggies-cancer-centre-manchester-fosterplus-partners 48. https://www.healthcaredesignmagazine. com/architecture/centeR 49. http://perkinswill.com/work/spauldingrehabilitation-hospital 50. http://www.tallahassee.com/story/ news/2016/08/25/patients-first-sold-atlantacompany/89361600/ 51. https://lh3.googleusercontent.com/ E5sZmFzqyN 52. http://www.gglo.com/perspectives/ restorative-design-collective/ 53. https://www.xplace.com/u/ProfLSP 54. https://forum.duytan.edu. vn/sites/index.aspx?p=forum_ thread&forum=1119&thread=567314 55. http://votrongnghia.com/projects/namanretreat/ 56. http://canitbesaturdaynow.com/ 57. https://michalvenera.com/LIFESTYLE/98

JESSIE BEAN

t h esi s vo l . 1

ELEVATE THANK YOU VETERANS a m enta l h ea l t h reh a b i l i ta t i o n ret rea t a n d co m m uni ty wel l n es s center fo r m i l i ta r y vetera ns