Woudned Warrior Project by Katelyn Nigus

Fall 2014

Wounded Warriors Community Center

Katelyn Nigus IAPD 810 Kansas State University Vibha Jani

"Changing Lives One Day at a Time (CLODAAT)" organization solicits your services to design a healthcare facility to rehabilitate the wounded soldiers returning from Iraq and Afghanistan war. They are 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 reason: 1) for its proximity to Fort Riley military base, 2) for its proximity to Kansas State University and its various academic programs that can assist in providing architectural services as well as psychological treatment and art, music, equine and other alternative therapy avenues for these wounded soldiers. The organization will buy or lease a property in Manhattan that can offer options to preserve the natural environment of this property. As Design Firm of repute, your services are requested to create a new rehabilitation center that not only serves the wounded soldiers but also promote research on rehabilitation needs of these soldiers and community activities in Manhattan to promote peace in the world. This rehabilitation center will serve the TBI, PTSD and severely injured amputees. The rehabilitation center, with its masterful blend of space, furniture, products, lighting and environmental technology will encourage all who enter to work toward peace.

Introduction

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.

Evidence-based design (EBD):

Evidenced-Based Design

is the process of basing decisions about the built environment on credible research to achieve the best possible outcomes. The Center for Health Design created the evidencebased design accreditation and certification, EDAC, program to establish a definition and process for incorporating EBD into design. Today, EDAC is an internationally recognized program that awards certification to individuals who demonstrate an understanding of the application of EBD in the design, construction, renovation, expansion, and replacement of healthcare facilities.

Symptoms and Treatment ............................................................................................................................................. 6 PTSD TBI STIGMA

Precedent Study .......................................................................................................................................................... 12 Pima County Behavioral Health Pavilion Topeka Rehabilitation Center Fort Riley Rehabilitation Facilities

Site Analysis ................................................................................................................................................................. 30 Programming ................................................................................................................................................................ 38 Design Theories Concept Statement Concept/Inspiration Images

Table of Contents

Programming Matrix

Schematic Design ........................................................................................................................................................ 58 Development Mid - Critique

Final Design Concept .................................................................................................................................................. 70 Plans, Elevations, Sections Renderings Materials & Furniture Selection Custom Furniture & Product

Conclusion & Bibliography ........................................................................................................................................ 94

PTSD

Post Traumatic Stress Disorder (PTSD) is a condition that people have after experiencing a disturbing event. In combat experiences - such as being shot, handling dead bodies, or knowing someone who was killed - can trigger PTSD. Symptoms don't immediately arise when soldiers return home, symptoms can trigger as late as two to even four months after returning home, and for many soldiers they are not accepting of this condition.

Symptoms and Treatments

         

65% 63% 59% 51% 50%

    



 

20%

 

PTSD Symptoms of PTSD involve four main aspects which include: • Reliving a traumatic event • Avoiding situations that remind soldiers of event • Have the sensation of being numb or not having any emotional feelings • Being on edge or "high alert" with their surroundings.

Effects of PTSD vary from anger/aggressive behavior, alcohol/drug abuse, depression, suicidal thoughts, and even moral injury. 7

TBI

Traumatic Brain Injury (TBI) is caused when someone receives a blow or shock hard enough on the head and in some cases through the skull and to the brain. Reason for the blow or shock can come from being exposed a type of explosion like an improvised explosive device (IED) blast or even a hard fall on unstable terrain. The effect of this trauma without treatment can lead to long-term consequences.

                      

TBI Headache

Altered/Loss of Consciousness

Ears Ringing

Something Not Right

Dizziness / Double Vision

Symptoms of TBI include: • Constant headaches • Confusion • Light-headed or dizziness • Trouble remembering or concentrating • Repeated nausea or vomiting • Problems with seeing or hearing. Effects of TBI can range in severity from decreased consciousness level, amnesia, headaches, memory difficulties, fatigue, irritability and mood swings, depression and anxiousness, loss of coordination. 9

Stigma

Stigma refers to service members' beliefs that seeking treatment would be embarrassing, cause harm to their career and/or cause their fellow unit members to have less confidence in them. There are two types of stigma seen:

In societal stigma three themes are cited:

• Public or Societal Stigma: the reaction of the

• Authoritarianism: individuals with mental illness are seen

general public toward people with mental illness and belief of that portrayal

• Self-Stigma: the internalization of how the general public portrays people with mental illness and belief of that portrayal

as irresponsible and unable to tend for themselves

•

Fear and Exclusion: where there is a belief that individuals with mental illness should be feared and restricted in society

• Benevolence: public perception of those with a psychological problem as being childlike, naive and innocent

Military culture reinforces many stereotypes of mental illness: • Strength - Disabled, Irreparable • Courage - Dangerous, Violent • Self-reliance - Incompetent, Unpredictable, Less Intelligent • Responsibility - Irresponsible, Untrustworthy • Moral Character - Moral flaw, overly dramatic 10

ailment is a great start to their healing process and these treatments enhance their chance of regaining a form of normalcy. Most commonly accepted treatments with PTSD :

Stages of treatment for TBI

• Psychiatric therapy (individual and group/family)

Initial treatment: surgery, stabilization

• Cognitive therapy

Rehabilitative care and treatment options:

• Exposure therapy

• Physical therapy • Occupational therapy • Speech pathology and audiology • Massage therapy • Adaptive sports

• Horticulture therapy • Occupational therapy

Treatments

Treatments vary based on ailment, but overall, the patients understanding of their

Anti-Stigma Campaigns : • Nearly all campaigns utilized a few common strategies/tactics • Creation of a brand, slogan and communications plan • Implementation of peer-to-peer support programs • Utilization of testimonials from real people with mental illness • Self-assessment tools • The campaign format and structure was developed based on the following findings • Service members want proof • They wan success • They want to see themselves 11

Pima County Behavioral Health Pavilion

Major Aspects:

Precedents:

• Location: Tucson, AZ

• Designer: Cannon Design • Creates a "holistic healing campus" • Balances the challenges of a complex interdisciplinary program, unique environmental conditions, and a lean construction budget

Design Aspects Throughout the Building: • Using visible signage for patients to easily find where they need to go • Changes in height to have the eye focus on what to go to • An openness that has a sense of enclosure to it • Use of light material contrasting with the prominent dark material to draw patients in • Open Entrance (high ceilings) to make patients less anxious • Smaller enclosed spaces provides comfort for private personal spaces • Natural light and use of courtyards help patients relax and get back to nature

Overall Floor Plans

Circulation Elevators/Stairs

Circulation

3D Privacy

Private 16

Public

Office

Privacy Private

Public

Office 17

Synthesis

• Very fluid circulation throughout, but too private. Needs more of a community feeling to it. (Through use of more public spaces or group meeting areas).

• Make the facade engaging, while enhancing the atmosphere around it to create a more holistic healing approach to the building.

• Having rooms that are naturally lit gives patients privacy, security, and dignity and connects patients directly to their surroundings.

Topeka Rehabilitation Center

Major Aspects: • Location: Topeka, KS

Precedent:

• Designed to return patients to leading active, Independent Lives

• Comprehensive inpatient and outpatient rehabilitation services • Specialized programs for stroke, brain injury, spinal cord, and neurological disorders. Other services include: outpatient therapy, home health, and aquatic rehab

Design Aspects Regarding the Exterior: • Open area for patients to do their treatment comfortably • Not very private (open to the street) • Lacking in security and worry of patients falling • Linear structure with levels of enclosures in the drop off area to provide shelter • Good mix of nature and hard materials (i.e. brick and concrete) • Long windows provide views for techs and clinicians to see outside for safety reasons • Parking, drop off, and entrance are not in proximity of each other for patients to enter the facility comfortably

Design Aspects Throughout the Interior: • Very enclosed (not a lot of natural light) • Equipment seemed scattered throughout the therapy gym • Workrooms for techs seems very crowded. Needing small personal stations, but not being so cramped • Very open amount of space to do various therapy treatments • Overall lighting very dull (doesn't have a dimmer or various types of light, i.e. task, ambient) • Storage within the facility is very limited • Colors and materials withing the facility are plain and non-stimulating

Synthesis

â&#x20AC;˘ Privacy and security are big issues within the environment. Need to create a treatment area that is private and safe for patients to recieve therapy. As well as a better drop off area so patients can enter that facility more easily

â&#x20AC;˘ Overall lighting must provide various lighting options. Using more natural lighting along with lights on dimmers so as to not over stimulate patients. Also incorporate various types of lighting with different areas (i.e. ambient light for therapy gym, task lighting for tech workstations, etc.)

Fort Riley Hospital (Old and new) Precedent: 24

Major Aspects: • Location: Ft. Riley, KS • Designed as a major hospital for base with an outpatient physical therapy, occupational therapy, and orthopedic • 15-18 patients seen per day by one tech • There are 5 therapists and 4 techs in a hospital department

Design Aspects Regarding the Exterior: • Good use of windows to provide natural light • Inspirational as well as informational signage throughout the campus • Easily accessible drop off area, with supplemental parking available • Very open to natural views and greenery • Good use of extension through form as seen in the old hospital with their extension of separate wings and in the new hospital with the extension of building entrances • Stair step in scale from the roof down to draw the users eye to the entrance

Design Aspects in Old Hospital: • Struggling for space between gym equipment • Small rooms for private treatment • No adjustability for light (is either too much or not enough light) • Workstations are very open and not really enough space (other patients can see what is on the therapistis computer screen) • Very neutral colors that are plain and non-stimulating • Limited amount of storage within facility because of so much equipment on the floor • One-on-one consultations with patients has very primitive furniture (not something that is easily engaging with patients)

Design Aspects in New Hospital: • Lots of open, natural light that easily fill the room • Mix of solid structure privacy and material privacy • Good use of natural colors and materials to add softness to a hard structure • Very linear circulation through out the building • Strong levels of open and enclosed spaces when in various spaces • High ceilings provide an open airiness in main entrance of the building • Different types of flooring material help to segway between different spaces.

Synthesis

â&#x20AC;˘ In comparing the old hospital and the new hospital, optimization of space was critical in both facilities. Whether it is creating an easier flow and circulation of therapy equipment to more open community spaces throughout the facility using space to the fullest advantage is the overall goal for each facility.

â&#x20AC;˘ Use of material and natural light play a key role in making the environment have a more holistic feel. Major materials seen in the new hospital that evoke this feeling are use of natural stones and warm wood tones throughout the building. Also the use of large windows to bring in natural lighting help to put patients at ease and bring them back to nature.

Location

Ray's Apple Market:

222 N. 6th Street, Manhattan, KS 66502

Distance from: Junction City, KS

23 Minutes

Ft. Riley, KS

34 Minutes

Ogden, KS

16 Minutes

Site Analysis

• The site for the reahbilitation center is a Ray’s Apple Market grocery store that had closed and moved to a different location. Within the site there is an alley way for easier access across the street as well as a loading dock located on Leavenworth St. In the main block radius of the site there are great adjacenies to take advantage of like; post office, elementary school, church, apartment housing, and other various small businesses.

• Within the city of Manhattan they have a population of 56,143 people. Within this population the major demogrpahic is college students ranging in age from 18-25. While the city of Mannhattan doesn’t have a large military demographic they are not far from Ft. Riley base and with this new site creates a stronger intermingling of militarty and civilian life.

Site context

User Interface

User Interface: How the user interacts with different elements of the building/site. There are many elements that we come in contact with on this site. Some of the most important are the entry, facades, and parking areas. Other notable items that are included in the user interface are accessibility and flow of both the parking areas and the interiors. Hazards that were seen on site were the adjacencies of the front entrance and the alleyway, as well as entry of trucks in the loading dock. Overall traffic within the space has many entry points which causes disorganization in the parking lot. Facade has no fenestration and lack varying materials.

Referencing diagram on page 25:

Noise: • •

Surrounding elementary school announcements could be heard across the site. Interiors were well insulated and not noisy.

Smell: • •

Facility air filters picture to the right. Stale/old building smell.

Sight: • •

Interior sight lines were very open, much of the store could be seen from any given point within the space. Exterior had sight-lines to a multitude of facilities such as churches, elementary schools, a bank, a high-rise apartment building, a post office, private residences, a dentist office, etc.

Spiritual: • Loadin Loa din iinng ng Doock cckk

First United Methodist Church with adjoining elementary school caddy-corner to site.

Need: • Frrroontt Ent FFro Enn rran anncee

•

Needs include bathrooms, water fountains, entrances, exits, and everything needed to occupy a space. Restrooms of interior pictured on right. Only one unisex restroom for public use.

Touch: •

Many different materials including CMU brick, concrete, ACT ceiling tiles, VCT flooring, painted walls, carpet, etc are found within the building. Pictured to the right is painted brick on exterior.

Step: • Access to site diagram: blue dashed lines show access to site. Yellow lines represent public roadways.

Flow throughout the space is easy to navigate and strictly horizontal (for public) with one exception at the main entrance where there is a minor grade.

Defined: How the user interacts with different elements of the building/site.

Thought

Noise

Sight

Smell

User Interface

Spiritual

Need Touch

Step

Lighting

Photo above shows florescent tube lighting as ambient lighting along the vaulted ceiling

Within the interiors of Ray's Apple Market the predominant type of lighting was artificial while the natural lighting was only available through the entry doors. Types of artificial lighting seen in the building were the use of florescent tube lighting that was mounted on a dropped ACT tile vaulted ceiling. Another type of artificial light shown was a dropped ACT tile with florescent tube lighting within. The last type of artificial light seen was cove lighting lining the refrigeration area surrounding most of the exterior walls of the building. The florescent tube lighting provides ambient lighting effect while the cove lighting acts as a form of task lighting to enhance the refrigeration areas.

Photo above shows natural light entering the building

Photo above shows cove lighting thorough the walls of the building

Lighting Ambient Light Direction Diagram

Light Dispersion Diagram

Natural Light Direction Diagram

Cove Light Diagram

MEP

MEP refers to the mechanical, electrical, and plumbing aspects throughout

the building. Mechanical aspects focus on heating, cooling, and ventilation. The electrical aspect focuses on providing power to all outlets and major fixtures in the building. The plumbing aspect focuses on the delivery of water and draining of waste water.

The photo above shows the refrigeration system within the dairy section of the store. 36

The photo above shows the HVAC (Heating, Ventilation and Air Conditioning) on the second floor of the store.

Plumbing aspects seen while inspecting the site were minimal because there were only three toilets. There were a number of preparation areas within the building these include: kitchen, butcher, and produce where plumbing is valuable with the use of sinks and drainage.

MEP

Mechanical, electrical, and plumbing aspects within the building include overhead HVAC units on the roof as well as throughout the building. Roof storage of HVAC units is critical in maximizing space within the interiors.

Last aspect seen was the use of various refrigeration methods both along the exterior walls of the building and in-use as a condensed aisle-way to create organization. These types of refrigeration include walk-in freezer and refrigeration units as well as public individual units for cooling or freezing.

 

 

 

Programming:

Design Theories - Color Theory

What is Color Theory?

Color theory is best explained in three categories • The Color Wheel • Color Harmony • Context of how color is used

The Color Wheel was created by Sir Issac Newton in 1666 • The main colors derive from the primary colors; red, yellow, and blue • When two primary colors combine they create secondary colors, which include; orange, green, and violet • The final segment of tertiary colors occur when a primary color and secondary color combine Source: https://blog.kissmetrics.com/art-of-color-coordination/?wide=1 (2014)

• Within the color wheel colors can be separated in to cool and warm colors • As a general rule, excessive combination of warm and cool colors can confuse the client and the environment around them • Warm colors reflect passion, happiness, enthusiasm, and energy • Cool colors give a sense of calm or professionalism 39

Color Harmony • Color harmonies (or color schemes) consists of two or more colors with a fixed relation on the color wheel • Picking certain color harmonies can be challenging. While some color combinations can be vary pleasing, others can be painful and abrasive to look at. • The six combinations seen on this page and the next are the most common combinations in the design world, these include: • Complementary: colors that are directly opposite on the color wheel. With such contrast one color can be a dominant and the other a highlight • Analogous: colors which lie on either side of any given color. Are often found in nature and create serene and comfortable design • Triadic: three colors which are situated 120 degrees from each other on the color wheel. Is considered on of the best color schemes. Source: https://blog.kissmetrics.com/art-of-color-coordination/?wide=1 (2014)

â&#x20AC;˘ Split-Complementary: a variation of complementary colors. In addition to its base color it uses two colors adjacent to its complement. Has a high degree of contrast, but not as extreme as complementary colors. â&#x20AC;˘ Rectangular (Tetradic): uses four colors arranged into two complementary pairs. Offers plenty of possibilities for variation. Designers much also pay attention to the balance of warm and cool colors â&#x20AC;˘ Square: similar to the rectangle, but with all four color evenly spaced around the color wheel. Designers need to be careful when using square color schemes, these combinations can be a problem for good harmony.

Source: https://blog.kissmetrics.com/art-of-color-coordination/?wide=1 (2014)

Color Context â&#x20AC;˘ The infographic shown explains the meanings of various colors and how they can be best implemented â&#x20AC;˘ Within the infographic it explains not only the meaning and main descriptors of each color. But goes further into discerning which colors are warm and cool colors and what most popular industries use a particular color.

Source: http://dailyinfographic. com/true-colors-branded-colors-infographic (2014)

Pateint Centered Care

Patient Centered Care pioneered and championed by Harvey Picker Harvey challenged the health care system to improve patient care by considering the totality of the experience through the eyes of the patient. He recognized that while science and technology were thriving in medicine, humanity and empathy were the antidotes needed to fix a broken system. Harvey understood that health care must be delivered in a way that is sensitive to patientsâ&#x20AC;&#x2122; concerns and comfort, is responsive to their personal values and preferences, and actively involves patients and family members in shared decision making about their care.

â&#x20AC;˘ The Institute of Medicine (IOM) defines patient-centered care as: Providing care that is respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions. â&#x20AC;˘ Patient-centered care supports active involvement of patients and their families in the design of new care models and in decision-making about individual options for treatment (http://en.wikipedia.org/wiki/ Patient-centered_care). Photo of Harvey Picker

• Within the Patient-Centered Design philosophy designers want to “promote developing spaces to be used by patients and their families. This principle takes into account the needs of patients and their families, and methods for delivering the best care to them.” (http:// patientcentereddesign.org/aboutus.html).

Comprehensive

Patient & Family Centered

Coordinated

Continuous

Accessible

Accountable

• At the heart, truly patient-centered care cannot be achieved without active patient engagement at every level of care design and implementation. The application of patientcentered care is often referred to simply as patient engagement or patient activation.

Biophilia

Biophilia Edward O. Wilson is credited with the introduction of the term biophilia which he defined as the “innate tendency to focus on life and lifelike processes” (Wilson, 1984, 1). These tendencies are deeply rooted into the origins and survival of mankind and our learned associations, preferences, and emotions are related to these natural systems. The natural environment exhibits a unique set of psychological benefits and becomes an important factor in human-environmental relationships, well-being, and stress reduction.

• At the heart of the theory of biophilia are the values, meanings, or benefits people attach to nature. • One of the interesting issues when considering the broad category of nature and this theory is the fact that people from different geographical regions and cultural experiences have similar preferences for natural settings and the density or type of plants within them as well as the belief in the restorative value of nature.

(Kaplan, R., 1992, 125; Park, 2006, 7; Ulrich and Parsons, 1992, 95) 46

Photo of Edward O. Wilson

â&#x20AC;˘ â&#x20AC;&#x153;Nature employs the mind without fatigue and yet exercises it; tranquilizes it and yet enlivens it; and thus, through the influence of the mind over the body, gives the effect of refreshing rest and reinvigoration to the whole system.â&#x20AC;? - F.L. Olmsted, 1865

There are 9 methods related to how humans value nature that are influential in their physical, material, emotional, psychological, and spiritual well-being (Kellert, 2005, 34, 50): 1.

Aesthetic: physical allure of nature

Dominionistic: control of nature

Humanistic: emotional attachment to nature

Moralistic: Spiritual association to nature

Naturalistic: direct experiences with nature

Negativistic: fear of nature

Scientific: empirical observation and study of nature

Symbolic: metaphoric value of nature

Utilitarian: physical and material benefit of nature 47

Nature exhibits biophilic qualities at varying scales, pattern, and form. Regardless of the feature, they still remain interconnected; the same should apply to the human built environment. One of the central concepts of this dimension is the notion of â&#x20AC;&#x153;sense of placeâ&#x20AC;? which refers to the identity and meaning that individuals begin to project onto the built environment or the landscape and how these metaphors begin to affect personal or collective identities. There are two basic dimensions of biophilic design: organic or naturalistic and placebased or vernacular (Kellert, Heerwagen, and Mador, 2008, 5-6).

2. Place-based or vernacular: buildings and landscapes that connect to the culture and ecology of a locality or geographic area

Representation of biophilic design

1. Organic or naturalistic: shapes and forms in the built environment that directly, indirectly, or symbolically, reflect the inherent human affinity for nature

Chakra 50

Chakras, meaning "wheel", are psychic centers that lie along the axis of the spine as consciousness potentials. They are usually represented as lotuses. The chakras are not materially real and are to be understood as situated, not in the gross body, but in the subtle or etheric body. Repositories of psychic energies, they govern the whole condition of being. What is most commonly known is a more recent system dating to around the eighth century C.E. with the main 7 chakras. But the ancient spiritual Indian texts refer to various other systems with variations in the number of chakras and their location.

Concept Statement

With the Wounded Warriors organization, there is need for an outpatient rehabilitation center for soldiers returning from war and experiencing symptoms of post traumatic stress disorder (PTSD) and traumatic brain injury (TBI). With these ailments soldiers have to face the task of receiving treatment and by providing them an environment where they can be seen as equals or even hero’s and not be subjected to the stigma attached with having a mental illness. The type of rehabilitation center should be a place of refuge and bring balance for the soldiers so that they can find their way back to normalcy. Understanding of chakra and meditation can create balance within the mind, body, and soul. Chakras (Sanskrit for “wheel”) are concentrated points of energy in the human body which keep us healthy and in balance with the world around us. While the etheric whirlpools of chakra energy can affect the users mind and body, the use of chakra can affect the environment as well. As seen in the form of wheels the energy of chakra moves freely to the seven basic energy centers through the body. In the body if these wheels are not spinning properly the physical, mental, and emotional aspects are not working in harmony, the same can be said for the environment, if one of the areas within the space is not working properly then the whole environments feels out of balance. To understand how chakras help the mind and body we must look at them individually. The first chakra is the base or root chakra which is located at the base of the spine and allows us to be grounded and connect to the universal energies. In the environment this chakra corresponds to the entire building itself, providing solid grounded space that users can easily assimilate with and can be experienced through natural materials (rock, solid wood) and neutral, earthy colors. The second chakra is the sacral chakra and is located beneath the navel and linked to the sexual organs. This can be symbolized in the environment with development of levels of privacy and how open users want to be in certain spaces this can help in creating the form with higher ceilings upon entry and a more womb like atmosphere in certain treatment areas. The third chakra is the Solar plexus chakra, which is located at the stomach and linked to the organs and muscular system of that area and deals with issues of willpower, ambition and actions. In thinking of Maslow’s hierarchy of needs there is the basic

physiological need for food, which can easily be applied to the environment by creating an area that enhance the need for a place to sit and eat. In thinking of willpower and ambition related to the environment these can be seen with the use of signage and color providing positive affirmations to the patients. The fourth is the heart chakra, located at the center of the body and act as a link to the entire area (heart, lungs, circulatory system). Within the built environment there needs to be a central core area were users can physically come to the center of the building and feel whole not only with themselves, but with the community as well. The heart chakra is something that wants to feel open to new things and translates into the environment with the use of light so patients can feel more alive and open within the space. The fifth chakra is the throat chakra which is connected to speech and hearing as well as encourages spiritual communication. Within the healing center environment, communication is the key between users; if communication is designed well, soldiers can feel comfortable. Thus the aim of the design is to develop engaging spaces that allow users to speak more openly, communicate and connect with each other easily. Communication is mainly seen in the areas of conference rooms, break rooms, and quite or therapy rooms which need levels of enclosure along with a warming atmosphere provided by light and color. The sixth chakra is the third-eye chakra, located just above the brow, and it is known as the all-seeing energy and keeps us mindful of our surroundings. This chakra correlates with the environment in terms of security and circulation so that users are easily aware of their surrounding and are not threatened by what awaits them next, this can be physically seen with form in having no sharp corners and easy pathways for patients to navigate. The final chakra is the crown chakra, representing the brain and pure thought. Within the healing center environment, this would be a major space to contemplate and reenergize soldiersâ&#x20AC;&#x2122; minds and getting patients back to their inner center. These can be seen in therapy and quiet rooms where sound and light play a key role in keeping patients calm and not over stimulated. Chakra needs to be cleansed and balanced constantly to maintain balance of energy, when there is fully balanced chakra not only is the environment a peaceful place, but it can also bring peace within the users.

Inspirational Images

Program Matrix

Department

Space

Description of Function

Building Entrance

Exterior

Parking

Building Façade Loading Areas

Entry Reception

Reception Desk

Walk of Honor Public Spaces

Café

hallway to give rememberance and thanks for the soldiers and what they have done for their country Provide healthy foods, beverages, fruits, salad, soups Ͳ no prep space

near reception and waiting near reception and entrance 100 250

250

250 600

Lounge

500

Quiet Spaces

Individual spaces where patients/families/staff can have privacy and decompress (~3)

240

MultiͲPurpose Room

serene, peaceful & relaxing environment for meetings and deliberation (15Ͳ20 people)

500

Healing Garden Public Gym Daycare/Kids Area

Place for patients and family member to walk around and enjoy the peacefull atmosphere Gym facility where both patient and family members can work out together Area where children can be watched while patients are receiving treatment

Equipment Furnishings

Covered area for drop off and pick up

located near entry, reception

Area where soldiers can learn to cook and prep food freshly picked from the garden Room for children and families to wait and enjoy activites while waiting for the patient to finish their treatment

Kitchen

medium scale, inviting, welcoming Greet & check in patients, set up appointments, entertain them

Proxemics Reception and Waiting Located near main entrance to the facility

Parking area for patients, staff, and other visitors A medium scale, inviting, welcoming and serene reception Ͳ connect community with the facility Provide a covered area for pick up and drop off of patients

A place for patients and their families to wait before their appointments, entertian them

Waiting

Size (Sq. Ft.)

Provide a transition space between the environmental elements and the interior of the building, welcoming patients

500

500 650 700

near reception and entrance

Easy open doorsͲ light weight, handicap accessable, nonͲslip surfaces desk, chairs, computers, copier, printer, ect.

6Ͳ8 chairs, magazines, tv

Acoustics

Treatment Rooms (2)

Treatment Space

Counseling (3)

Physical Therapy Gym

Occupational Therapy Gym

Traumatic Brain Injury Room OT Garden Yoga/Meditation Studio

360

650

600

200 600 1000

120

Case Manager

Private office for Case Manager, who takes care of insurance and billing matters. Needs to be private for patient confidentiality

120

Director Secretary's Office

Office space for the director of the facility Office space for secretaries

150 100

PT/OT Workstations Break Room

Worstations for physical and occupational Therapists to complete paperwork Break room for employees

480 250

Charts Storage

Medium size open area to practice everyday tasks they will have to preform on their own Private therapy space for patients with traumatic brain injuries, so patients won't be disturupted by other patients, door can be locked Garden where soliders learn basics in gardening and agriculture Public area where patients and family members can learn yoga and meditation

360

Consultations with patients and therapists

Psychiatrist

Staff Offices

Room used for private therapy for patients Room for counciling, for patients. Peaceful environment, make a patient feel comfortable sharing feelings. Large open area for physical therapy that can be easily rearranged to include different pieces of equipment

Cleaing Supplies Gardening Supplies Maintenance Laundry Storage

space to hold patient records for 7 years, secure, potientially electronic easily accessible to physical therapists to clean between patients easily accessible area for patients and staff to retrieve equipment storage for janitorial supplies Separate closets for both clean and dirty laundry

100 150 100 80 150 10030

Development - Concept Models Schematic Design: 58

Preliminary Concept Model

Geometry Concept

Linear Chakra Concept Model

Radial Chakra Concept Model

Parti 3D Parti Model

iva

Heart & Center

Plan View

tra

Enclosure 59

Connections

Crown Chakra

Third Eye Chakra

Throat Chakra

Heart Chakra

Entry Quiet Spaces

Discernment & Comprehension

Counseling

Retention & Memory

Psychiatrist Treatment Rooms Reception Walk of Honor Waiting Lounge Yoga/Meditation Multi-Purpose Room Daycare

Comparison & Judgement Inspirations Intelligence Reflection &Repitition

Attention & Perception

Healing Garden Solar Plexus Chakra

Cafe Kitchen

Soul Reason

TBI Room Understanding

Sacral Chakra

Root Chakra 60

PT Gym OT Gym OT Garden Parking

Body Imagination & Creation

OT Garden

Counseling

Treatment Rooms Multi-Purpose Room

Yoga/ Meditation

OT Gym

TBI Room

Psychiatrist

Daycare

Constitution of Man Connections

Healing Garden

PT Gym

Staff Offices Kitchen/ Cafe

Lounge Waiting

Reception

Entry

Mid - Cirtique:

Hirearchy

Master Plan = Facility = Parking = Landscape = Policy Changes = Existing 63

Site Plan

= Facility = Parking = Landscape 64

Exterior

Floor Plan Option 1

= Public & Community

= Treatment Areas

= Doctors & Staff

= Cafe & Kitchen

= Entry & Waiting

= Gardens & Landscape 66

= Treatment Areas

Floor Plan Option 2

= Public & Community

= Doctors & Staff

= Cafe & Kitchen

= Entry & Waiting

= Gardens & Landscape 67

Floor Plan Option 3

= Public & Community

= Treatment Areas

= Doctors & Staff

= Cafe & Kitchen

= Entry & Waiting

= Gardens & Landscape 68

• Pick a floorplan and do major development on it. (particularly regarding circulation and making sure the shape of the rooms has a purpose or meaning for that shape)

Synthesis

Takeaways from Mid-Crit:

• Don’t get trapped in the geometry of the hexagon, look back at inspiration and concept to see how to enhance this geometry. • Facade need to be toned downed both in color and exaggerated angles • Look into color theory and chakra and how that can be interpreted appropriately into the building

Master Plan Final Design Concept: 70

Farmers Market Incorporated Daycare System Veteran Living

Veteran Living

Policy Changes

Site Plan 2

Site 3/64" = 1'-0"

Elevations

South 1" = 20'-0"

West 1" = 20'-0"

East 1" = 20'-0"

North 1" = 20'-0"

Sections 1

Left 1" = 20'-0"

Right 1" = 20'-0"

Zoning

= Public & Community

= Treatment Areas

= Doctors & Staff

= Entry & Waiting

= Gardens & Landscape

Chakra Zoning

= Crown

= Thrid Eye

= Throat

= Heart

= Solar Plexus = Sacral

= Root

Constitution of Man Overlay

2. Lounge

3. Case Managers Office

Labeling

1. Entry

4. Directors Office 5. Psychiatristâ&#x20AC;&#x2122;s offices

17 4

6. Break Room

9 18

7. Exam Rooms 8. Counseling Rooms 9. Green House

10. Occupational Therapy Garden

11. Occupational Therapy 12. TBI Room

16 11 2

13. Physical Therapy 14. Daycare

15. Cafe

13 14

16. Men and Womens Changing Rooms 17. Education Rooms 18. Multi-Purpose Room 19. Yoga & Meditation Studio 77

Floor Plan

Reflected Ceiling Plan

Renderings:

Entry

Cafe

Physical Therapy

Occupational Therapy

Counseling

Occupational Therapy Garden

Yoga Night

Yoga Day

Materials Ceiling

Exterior

Reception Desk

Glass

Yoga Flooring 88

Wall

Curtains

Circulation Flooring

Office Flooring

Furniture Counseling

PT/OT

Cafe Entry Source: http://www.steelcase.com/en/Pages/Homepage.aspx

Source: http://www.steelcasehealth.com/application/clinician-workspaces/

Custom Furniture Piece

The custom furniture piece is a message chair, in looking at previous models there was a lack of elegance. In creating this chair it provides a more spa like experience within the facility. The chair is placed through out physical therapy and occupational therapy rooms.

3D View

3D Exploded 90

Top View

Side View

Back View

Product

The product is a two part system for beginners in yoga. In part one a series of bands attach to the users wrists, knees, and head; one placed on the bands help with alignment and show color and vibrate when in the proper position.

Band Concept

Yoga Sequence with Bands 91

In part 2, there is a pressure sensitive yoga mat that uses kinect sensors to help beginners with balance. When the user is in certain positions the mat show how much pressure is applied and helps them correct their position so they donâ&#x20AC;&#x2122;t hurt their wrists or ankles, when users want to be in a meditative state they can chooses color provided to help relax them.

Mat in Use Foot Pressure Hand &Foot Pressure 92

Meditation State

Conclusion

In looking towards the future there are three main aspects to keep in mind with this project: • Understanding the users within the space • Always know who the building is for and always go back to this step in each part of the process to make sure you are achieving this main goal • Use all available resources throughout the process • There are limitless possibilities to find resources to help with the project whether it is Internet, books, or even something seen in a movie can help in the process • Create a new norm for rehabilitation centers

Community

2008. Post-Deployment Stress: What you should know what you can do. RAND Corporation. Retrieved from http://www.rand.org/pubs/corporate_pubs/CP534-2008-03.html

Sources

Symptoms and Treatments:

2008. Post-Deployment Stress: What you should know what you can do. RAND Corporation. Retrieved from http://www.rand.org/pubs/corporate_pubs/CP534-2008-03.html Dynamics of Stigma for Alcohol and Mental Health Treatment Among Army Soldiers Gibbs DA, Rae Olmsted KL, Brown JM, & Clinton-Sherrod AM, Military Psychology, 23:36-51, January 2011. Losing the Battle – The Challenge of Military Suicide Harrell MC, Berglass N., Center for a New American Security, Policy Brief, 2011. The Military’s War on Stigma Dingfelder SF, Monitor, 40:56, 2009.

Site Analysis: Site Photos provided by https://www.google.com/maps/place/Ray’s+Apple+Market++Closed/@39.1809896,-96.5640519,19z/=!4m5!1m2!2m1!1sray’s+apple+market!3m1!1s0x0 000000000000000:0x498e24eef779d97f

Programming: Brady, C., Frampton, S., Guastello, S., Hale, M. Horowits, S., Smith, S., Stone, S. (2008) PatienCentered Care Improvemnet Guide. Retrieved from http://planetree.org/wp-content/uploads/2012/01/Patient-Centered-Care-Improvement-Guide10-28-09-Final.pdf Institute on Medicine. “Crossing the Quality Chasm: A New Health System for the 21st Century”. Retrieved 26 November 2012. Kilzer, C. True Colos, Branded Colors [infographic], (2012, July 3) Daily Infographic. Retrieved from http://dailyinfographic.com/true-colors-branded-colors-infographic Sepucha, Karen; Uzogarra, Barry, O’Connor, Mulley (2008). “Developing instruments to measure the quality of decisions: early results for a set of symp tom-driven decisions”. Patient Educ Counsel. 73 (3): 504–510. Silvis, J. (2013) 3 Consideratons for Effective Patient-Centered Design. Healthcare Design. Retrieved from http://www.healthcaredesignmagazine.com/blogs/jennifer-kovacs-silvis/patient-centered-design3-considerations-effective-spaces?page=2 The Art of Color Coordination (2014) KISSmetrics. Retrieved from https://blog.kissmetrics.com/art-of-color-coordination/?wide=1 Inspiration images found at http://www.pinterest.com/kat4ever/capstone/ Photos throughout book provided by https://www.flickr.com/photos/soldiersmediacenter/ with/14060912821/ 96

Thank You, and be Well