Architectural Portfolio 2024 | Melissa Smith

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PORTFOLIO MELISSA SMITH ARCHITECTURAL DESIGNER

The Ste. Marie: District at Eastover professional work for LRK | for Felicity Property Co

Co-Ed: The Edinburgh Collective Architects Foundation / McAslan + Partners Fellowship Winner

Bronier Salon at Heritage Crossing professional work for LRK | Ourso Development Partners, LLC

Design-Build

Urban Works’ Urban Station and the University of Kansas

St. Cecilia Parish professional contract work for Restoric, LLC

Lyset: The Danish Culture Center University of Kansas

The Nexus at Hyde Park University of Kansas Thesis Project | Certificate in Health & Wellness

Rural Resolve: The Future of Small Communities

HDR Research Fellowship | Fast Company World Changing Ideas 2020, AIA Awards 2021

smith.meli198@gmail.com

(303) 587 - 1217

Chicago, IL, USA

EDUCATION

EMPLOYMENT

professional work

research fellowships

internships

Portfolio & Work Samples: https://issuu.com/melissasmith5860

LinkedIn: www.linkedin.com/in/melsmith712

Master of Architecture, Honors with Distinction University of Kansas | 2021 certificates: Health+Wellness | Historic Preservation | Global Awareness | Research

Architecture Study Abroad DIS Copenhagen | Fall 2019

Adaptive Reuse Class Representative | sustainable detailing class | film club | choir

International Baccalaureate & High School Diplomas Littleton High School | 2016 National Honor Society | student council | lettered in swim team, choir, and theater

AltusWorks Architectural Designer / Preservationist | Aug 2022 - present

Documentation for new Metra Westmont headhouses 2024

Accessibility assessments for the Chicago Parks District polling locations 2023

Led the CA effort for the co-location of CPS Spry high and elementary schools 2023-2024

LRK Architectural Designer | June 2021 - June 2022

large scale multifamily, urban planning | resiliency research | Green Group social media chair

Architects Foundation / John McAslan + Partners Research Fellow | 2020 - 2022 researched access to water in the ancient city of Umm Qais, Jordan | won fellowship for design of a co-housing project for the homeless youth of Edinburgh, Scotland

HDR Graduate Research Fellow | Jan 2020 - Aug 2020 * published research healthcare in rural towns | Fast Company World Changing Ideas 2020 | 2021 AIA Awards

ACI Boland Architects Heathcare Architecture Intern | Aug 2020 - May 2021

KU Health+Wellness certificate program | research and design of prototype physical rehab facility

HMN Architects Architectural Intern | Jan 2019 - Aug 2019 healthcare architecture | rendering | justice architecture

Schwerdt Design Group Intern | June 2018 - Aug 2018 & Dec 2018 - Jan 2019 led Bluebeam lunch & learn | architecture for aging | designed marketing materials

ACHIEVEMENTS

Passed two of six ARE licensure exams, studying in progess 2024 continuing education

involvement volunteering SKILLS

Association for Preservation Technology 2023 - present

Founder of Stone Foundation Chicago (free fitness group) 2022 - present

Vice President of Architecture Student Council 2017 - 2019

Breakthrough Fresh Market Food Pantry volunteer 2024

Habitat for Humanity Women Build construction volunteer 2022

Urban Works weekend volunteer 2020 - 2021

150-hour I.B. Service Project 2015 - 2016

FUN FACTS completed my first marathon (Green Bay, WI) 2024 | salsa dancing 2023 | submitted rap to Gensler Virutal Series, featured on their Instagram 2020 | SCUBA certified in Barbados 2018 | Argentine tango 2017 | hosted German + Costa Rican students 2015

THE STE. MARIE: DISTRICT AT EASTOVER

LRK was contracted to design a new large, high-end residential community in the neo-classical style for the new District at Eastover development area. I assisted the firm by providing design and rendering services using SketchUp for exterior work and AutoCAD for interior work

The program of the new building included a variety of apartment sizes and layouts, an outdoor rooftop garden space, and many amenities including ground-level shops, a gym, and community gathering spaces.

Part of the project was ensuring the new development remained in budget and

met the city’s various design codes. In order to do this, I used SketchUp and Bluebeam to calculate the areas for the various proposed facade materials and glazing so we could provide accurate pricing and make any necessary adjustments. I also calculated the areas of openings to ensure ventilation requirements were met for the parking garage. I assisted the firm in preparing deliverables for client reviews and sat in on client meetings. Through our various design charrettes, our team was able to guage client needs and desires to provide the client and the future residents a unique and stylish design

CO-ED: THE EDINBURGH

Central Question:

Can a homeless shelter be more than a place to stay? Can it encourage integration and decrease stigma?

A lack of affordable housing, the breakdown of household relations, and cuts to mental health services are major contributors to the large homeless population in Edinburgh

To solve the homelessness problem and get youth into stable homes, we must build housing that addresses these causes. For this reason, I propose Co-Ed: The Edinburgh Collective, a housing solution inspired by Danish co-housing. Through providing affordable housing, emphasizing community, and providing professional mental health services and access to jobs, we can begin to solve Edinburgh’s homelessness issue.

Although Edinburgh has topped the UK’s charts in job growth, increasing affluence, and education (UK Vitality Index, 2019), the city has a sizable homeless population. Co-Ed places the homeless alongside the community and encourages interaction to decrease stigma. Co-Ed provides a place for the homeless and the general community to interact, learn, and explore their interests. CoEd consists of Short-Stay Homeless Dorms, Medium-Stay Homeless Flats, and Long-Term Residences with priority to the previously homeless and University of Edinburgh students. The rentable flats are also suitable for small families or couples, bringing more of the community into the collective.

Co-Ed assigns tasks to the homeless to help them re-integrate into society. The collective garden teaches responsibility, the cafe provides jobs, the workshop allows for self expression, and the classroom provides

a space to learn or teach. The close proximity to university youth, couples, and families will provide the homeless with community relationships, helping the previously homeless remain stable. Threshold spaces throughout, such as the collective laundry room or the cafe, provide opportunities for interaction. The communal area has a large kitchen and dining room where both residents and homeless youth could cook and eat together.

Residential construction in Scotland costs about £1,200-1,600 per square meter To offset construction costs, I propose using lower-cost materials like brick. Patterns can be added to create unique looks without drastically increasing cost. I propose reusing concrete from the existing building/site in the construction of the new building. To offset HVAC and electricity costs, I propose using solar panels on roofs facing north to take advantage of sun angles. Excess electricity can be sold back to the grid. To address water costs, the sloped roofs can drain rainwater into below-ground collection tanks for reuse in toilets. To offset employment costs for homeless services and cafe employees, teachers, and gallery attendants, I’ve included seven rentable flats. Produce from the collective garden can be used in the cafe, art and furniture from the workshops can be sold in the gallery, and residents can teach classes to the public as alternate means of revenue. Lastly, events can be hosted at the collective for which residents can charge a small entry fee for those not living in the complex.

Special Achievements: Winner of Architects Foundation / John McAslan + Partners Fellowship 2020

short-stay

-

- female

short-stay common area

medium-stay - lofted second floor - male

medium-stay - lofted second floor - female

room - homeless site operative

rentable flat - lofted second floor

small rentable flats

secure corridor

double-height corridor

short-stay dorm - male

short-stay facilities - male

short-stay common area

medium-stay - 3rd floor - male

medium-stay - 3rd floor - female

shared patio

rentable flat - 3rd floor

small rentable flat - lofted second floor

CLASSIC FORM

To emphasize the idea that this is “home” rather than simply a place to stay, I chose an iconic classic house form with a steep gable roof.

COMMUNITY

The communal courtyard, occupied by the communal garden, is central and accessible to all residents, providing a space where everyone feels welcome

FUNCTION

Function helps separate the form into ShortStay ( red ), Medium-Stay ( yellow ), and Rantable Flats ( blue ), with the Central Courtyard ( green ) accessible to all.

NEIGHBORHOOD SCALE

The classic gable roof is separated to match the scale and division of each function, helping bring the large building into a residential scale.

THRESHOLDS

Thresholds between public, communal, and private spaces provide opportunities for interaction between various residents.

Resident Common Area

Medium-Stay Kitchen / Dining

Central Question: How can we make this salon stand out amongst the other retail establishments?

LRK was contracted to design a new building for a hair salon as part of a larger development project. Our team also designed the mixed-use retail building, called F1, as part of the larger develoment project.

I assisted the LRK team with the design and detailing of the new buildings using Revit for most drawing and detailing work.

Central considerations included creating a noticeable and high-quality design

for the exterior of the buildings, while also maintaining a standard look so future tenants could customize their spaces as they needed.

In detailing out the buildings, it was important that we considered its location in Louisiana in terms of climate, weather, code, and design guidelines.

The following pages show a few of the construction document drawings (not to scale) I produced for the new buildings.

F1 Retail Building Floor Plan

F1 Retail Building Exterior Elevations

Bronier Salon Roof Trellis Details

URBAN WORKS’

Central Question: Can a small group of students, an old gas station, and a great idea really make a difference?

This project, located in Wyandotte County, KS, is unique because it was a design-build project for a non-profit community engagement group called Urban Works done almost entirely by university-age aspiring architects. Working on this project struck me because there were multiple times throughout the semester where we would be working on the projecttearing things down, building things up - and people on the streets would not only glance our way but would, stop, stare, point, and even ask questions. One woman said this was the first new thing she had seen in the area in 10 years . This showed me how

EXISTING CONDITIONS

much architecture of all sizes and varieties can mean to a community. We were tasked with turning an old gas station into a new community hub for Friday morning coffee, after-school activities, gardening, and community engagement. To do so, we had to rip out the old garage door and replace it an accessible and indentifiable main entry. Although we all worked as a team on every aspect of the project, my main responsibility was designing, documenting, constructing, and installing the wooden window frames and providing the schedule for the ontime completion of the project..

01 Process

WINDOW WALL DRAWINGS & PHOTOS

SEATING PHOTOS

STEEL ENCLOSURE DRAWINGS

STEEL ENCLOSURE PHOTOS

02 Result + One Year Later

SPRING 2019

After finishing the project for our studio, I returned to Urban Station a few times a month to see how the design was working out, attend Friday Morning Coffees with the community, and volunteer on other Urban Station projects, such as making a small a garden next door.

FALL 2020

ST. CECILIA PARISH

preserve history?

During the Summer of 2022, I worked as a freelance drafter and designer for Neal Vogel of Restoric, LLC. Together we worked to repair and replace the damaged windows of St Cecilia Parish.

Neal visited the site to collect dimensions and other important information. Following Neal’s visit I put together a set of drawings documenting the existing windows at St. Cecilia Parish

When I studied at the University of Kansas I received a certificate in historic preservation , and my work with Neal was my first opportunity to use my education in practice. Moving to Chicago has been a great opportunity for me to explore historic preservation, adaptive reuse, and various renovation projects, such as St. Cecilia Parish, that have allowed me to learn and grow as an architect and preservationist.

LYSET: THE DANISH CULTURE CENTER

Copenhagen, Denmark 2020, Spring

Central Question:

How can we help visitors to connect with Danish culture and heritage, rather than simply learn about it?

PURPOSE

The purpose of this project was to design a culture center in a historic city This project is located in Copenhagen, Denmark, directly across from the Ny Carlsberg Glytotek in the heart of the city. The central goal of the project was to provide tourists and residents with the opportunity to learn about and experience Danish culture and history.

CONCEPT

Our central concept was the merging of cultural sustainability and environmental sustainability. We believe that one is not possible without the other, therefor we sought to make the intangible aspects of Danish culture tangible and integrate sustainable design throughout the entire project.

To achieve cultural sustainability, we used design to embody the central element of Danish culture: hygge. Hygge is a Danish word typically associated with the feeling of coziness and contentment. However, it means more than that to most Danes. Hygge is not only warm blankets, candle light, and a good beer; it’s a feeling that can consume the senses. Therefore,

we designed our gallery space to be a sensory journey through hygge. Each gallery presents a new sense, while also educating about Danish culture, history, and traditions. This is an example of a Danish design principle referred to as inside-out design. We first asked ourselves how we wanted the spaces to feel, then designed the building to follow. To achieve environmental sustainability, we used the concept of coordinated sustainability. By integrating sustainable features throughout, the building isn’t simply a building that is also sustainable but rather a holistic design that embodies sustainability.

THE SITE

The site was central to the design. Given the area’s historic nature, we chose to maintain certain trends while straying from others. We flipped the traditional Danish courtyard to create the open public plaza, but included the Hygge Cafe as the new central feature. We used traditional Danish materials such as exposed wood structure. We paid close attention to important viewpoints and wind directions.

Special Achievements: selected by professor as the “high pass” of the studio featured on Instagram accounts @65_andsunny and @creativzine

Studio Partner: Brennen Hall, University of Kansas

Software / Techniques Used: Revit, Rhino, AutoCAD, Photoshop, Illustrator, InDesign, hand-sketching

Site Plan

Entering the Building

Enter via a set of stairs/ramp at the north corner of the site. The descending entry was inspired by the nearby Danish Architecture Center, as well as traditional Danish split-levels

Entering the Site

Pedestrians will main enter from the west corner of the site, getting their first impression of the site - kids playing, the organic building, and the initial sense of Hygge

The development plan for Copenhagen outlines the importance of providing outdoor public space.. Although Copenhagen can get gloomy, Danes love basking in the sun and enjoying the outdoors on nice days.

The Plaque

An existing plaque commemorating several intellectuals needed to remain visually prominent

HC Anderson Blvd

Hans Christian Anderson, a famous Danish author, is a common symbol in Denmark. As he was known for his children’s stories, it was only right to leave open a large plaza for kids at play

ChristiansborgPalaceviewingaxis

Wood is a traditional Danish building material. We selected a color for the wood based on the reddish-brown roofs seen all over Copenhagen

While the exterior materials, mainly wood and brick, are traditional Danish, the shape is a clear contrast to its surroundings

Pockets of Green

Denmark is known for both its large parks and small pockets of greenery

Pedestrian Circulation

The main axes pedestrians will use to access the site

We used one of our other central concepts, Inside-Out Design, to reimagine the traditional Danish courtyard as a more public space

The Dante Column

A secondary viewpoint from the site

Extensive city bike lanes

Physical Expression of Hygge & Danish Culture METHOD

Use of Danish Design Principles

PHYSICAL REPRESENTATION

The Final Product

HYGGE + INTEGRATED LORE

expressing the Candle Concept and Danish history, culture, and Hygge through design diagrams: Development of Program and Form

4 Hygge Center

3 Administrative

2 Plaza

3 The Hygge Cafe/Bar

2 Split-Level Entry

1 Galleries

1 below grade; creates sense of cocooning as visitors journey through the senses of Hygge

2 large public space created; encouraged by Danish planning guides

3 access to daylight, a Danish design principle

4 cocoon of activity; an inviting, central space

MAKING THE INTANGIBLE TANGIBLE

1 Galleries

1 a journey through the senses to get the full Hygge experience

2 common in Danish design; acts as bridge between galleries and above-ground spaces

3 the perfect atmosphere to experience Hygge, the feeling of coziness

activating all 5 senses via the journey through the galleries diagram: Gallery Journey

3 Parklex Petal Facade

2 Candle Flame Form

1 Undulating Plaza

1 felt by visitors both above ground and below

2 the candle is a well-known symbol of Hygge

3 gives the building a warm exterior and introduces passive ventilation via a double-skin facade

COORDINATED SUSTAINABILITY

designing in layers of passive Danish design strategies through an organic process diagrams: Sustainable Design Principles

Natural Ventilation Daylighting

rainscreen petals create positive pressure

south-facing sloped glazing

Native Plantings on Green Public Plaza

Photovoltaic System

Photovoltaic System

water-heated subflooring

skylights into galleries

maintain existing urban corridor

On-Site Water Management

incorporated into roof and skylights

INSIDE-OUT DESIGN

human-centered design focusing on intimate spaces that prompt unique experiences diagrams: Circulation + Hygge Cafe

rainwater collection gutters

drain to green roof

filters thru green roof into sub-grade cisterns

additional drain at base of egress stair

Parklex wood petals mimic the exterior facade and give the sense of warmth and comfort

a break in the petals provides an intimate, human-scale opening into the Hygge Cafe

the Hygge Cafe/Bar activates the space both day and night

by sinking into the Lobby, the presence of the Hygge Cafe is felt throughout the building

southwestern winds
Hygge Cafe / Bar afternoon, rainy weather
007 Hear
Touch
Taste

THE NEXUS AT HYDE PARK

Chicago, IL 2021, Spring

Central Question:

How can we create a safe and lively community for the aging population of Chicago while also addressing sustainability and community needs?

In response to disproportionate dangers faced by senior living and longterm care (LTC) facility residents and staff during the COVID-19 pandemic, we set out to design a new care home in Chicago that addresses infection control while providing residents and staff with an interconnected and lively environment. We relied on evidence-based design to understand how our facility could directly benefit the residents, staff, and community at large based on research into the Chicago population, infection control measures, and senior needs.

Our solution, The Nexus at Hyde Park, addresses the health needs of the

Chicago community, affordable housing and healthcare for elders, and human social needs during turbulent times. This intergenerational community will foster diversity, sustainability, and human health while encouraging spotaneous connections between the residents, staff, and the larger Chicago community.

The Nexus derived much of its design inspiration from several precedents including De Hogeweyk, a clever care home scheme in Holland that balances safety and independence for memory care residents, and from the designs of Frank Lloyd Wright, found quite frequently across the Chicago area.

Infection Control and the Future of Long-Term Care:

check-in, symptom monitoring, + donning areas

antimicrobial spaces + regular cleaning

resident rooms with handwash + mobile partitions household design scheme thoughtful + safe outdoor spaces

visual reminders about sanitary practices via sanitary design

Project Partner: Matthew Lares, Unviersity of Kansas

staff respite spaces + a focus on staff mental health

encouraging a healthy lifestyle for mind + body

Software / Techniques Used: Revit (Worksharing), Handsketching, Photoshop, Illustrator, InDesign, Lumion, Enscape, VR, AR, SketchUp

staff
zoned

WAGES + HOUSING

median household income, 65+

$44,500

average nursing / in-home care wage

$43,240

annual rent as percent of nursing wage 43%

PHYSICAL ACTIVITY + HEALTH

partook in no physical activty last month

31.1% have a disability 33%

have high blood pressure 63%

PHYSICAL

RISKS OF COVID-19

adults 65+ make up 8 of every 10 reported COVID deaths UK care home COVID deaths citing dementia as pre-existing condition

45.9%

FOOD INSECURITY STAFF WELLNESS

Chicagoans aged 65+ > 1/2 mi. from grocery 76%

Hyde Park classifed as Persistently Low Access

The Results

MENTAL RISKS OF COVID-19

reduced activity + limited social engagement leades to poor physical + mental health, increased mortality, increased dementia, high cost spike in care home COVID-19 cases at > 20 beds

INTERGENERATIONAL LIVING THE INTERNAL STREET

COMMUNITY KITCHEN + GREENHOUSE

The Form

HOUSEHOLD DESIGN SCHEME

reported stress, anxiety, + depression during pandemic > 30%

INDOOR-OUTDOOR CONNECTION

DEDICATED STAFF SPACES

base + tower scheme response to climate creating the public plaza terraces + gardens dynamic facade mimics context

sources: United States Census Bureau Jeffrey Anderzhon, FAIA, NCARB “Loneliness for the Elderly in the Time of Pandemic” (2020) American Institute of Architects Joseph Allen, DSc, MHP, et.al., “The 9 Foundations of a Healthy Building” (2017) Centers for Disease Control and Prevention

CENTRAL SHARED AMENITIES DISTRIBUTED ACROSS RESIDENTIAL FLOORS

LEGEND DEPARTMENTS

CENTRAL CIRCULATION

PUBLIC / OPEN CIRCULATION

SECURE CIRCULATION

STAFF + SERVICE

PUBLIC FUNCTIONS

HEALTH + WELLNESS

SHARED RESIDENT AMENITIES

PRIVATE RESIDENCES

OUTDOOR / SUNROOMS

OPEN TO BELOW

GREEN ROOF

AFFORDABLE + INDEPENDENT LIVING x9

RESIDENT LOBBY

SKILLED NURSING + ASSISTED LIVING x4

MEMORY CARE

HEALTH, PUBLIC, STAFF

MAIN LOBBY, PUBLIC SPACES, LOADING

PARKING + SERVICE

PUBLIC MEZZANINE
internal street from public entry

intergenerational daycare

yoga + meditation

Our unit designs maximize daylight and natural views, while also prioritizing the view from nurse station to patient bed. Each unit is carefully planned to allow zones for nurse, resident, and visitors. The bathroom is visible from the bed for resident convenience. The “front porch” serves as a personable and home-like entry to the unit.

LVT 1 KITCHEN, BATHING, SHARED BATHROOMS, STAFF AREAS

LVT 2 PRIVATE BATHROOMS, UNIT BATHROOM, UNIT FRONT PORCH

MATERIALITY THE IMPORTANCE OF

“HOME”

household kitchen + sunroom dining area

“FRONT PORCH”
CPT LIVING ROOM, QUIET ROOM, UNIT BEDROOM
WOOD LVT HALLWAYS, BEDROOMS, SUNROOM, NOOK, UNIT BEDROOM

LEGEND DEPARTMENTS

CENTRAL CIRCULATION

PUBLIC / OPEN CIRCULATION

SECURE CIRCULATION

STAFF + SERVICE

PUBLIC FUNCTIONS

HEALTH + WELLNESS

SHARED RESIDENT AMENITIES

PRIVATE RESIDENCES

OUTDOOR / SUNROOMS

OPEN TO BELOW

The household scheme was slightly altered to accommodate larger units for assisted living residents. Because these residents tend to have more everyday skills and abilities than memory care or skilled nursing residents, they often spend a bit more time in their rooms either alone or with visitors. The shared amenity spaces between the two households have remained much the same, but the shared space is two levels, allowing for a spatious and bright double-height shared living room and the addition of a mail room on the second assisted living level.

ASSISTED LIVING SUITE

1/8” = 1’ - 0”

PLENTY OF STORAGE

NATURAL LIGHT + VIEWS SPACE TO HOST OR GATHER

"FRONT PORCH"
KITCHENETTE
assisted living main entry
assisted living second floor

Renders

Affordable Housing + Independent Living Shared Amenity Spaces

We spread amenity spaces across the 9 residential floors. This encourages residents to actively move through spaces and invites opportunities for residents to meet one another in naturally created threshold spaces. This also allowed us to place typically quieter functions on higher floors and louder functions on lower floors. Residents then have even more freedom when selecting their units in regards to what sort of activities they would like to be nearest to. We even took great care to add small, pleasant details to spaces like the communal laundry room to both encourage residents to make connections in these spaces and increase the value and marketability of the building.

game room
bistro + display kitchen (private dining upstairs)
art + hobby room

library + learning center

WAYFINDING + CONNECTIONS FLY-THROUGH

EXPERIENCE MEMORY CARE FLOOR

jazz bar
(formal dining upstairs)
VR + AR

RURAL RESOLVE: THE FUTURE OF SMALL COMMUNITIES

HDROmaha, Nebraska University of Kansas 2020, Spring + Summer

Central Question:

How can architects help save rural communities and return their lost community resources?

As part of a small research team I got the chance to learn in depth about the unique challenges faced by rural communities and the unique potential rural America has as part of the future fabric of America

The Saving Main Street concept seeks to bring vibrant life back into rural main streets through consolidating health + wellness and community activities at the center of town. This would allow a more holistic view of healthcare and would centralize community functions and a town’s attractions such as dining and activities in a more singular location. If you would like to read more about the Saving Main Street concept, please visit https://www.hdrinc.com/insights/savingmain-street

My task was to study rural hospital closures in depth. This study eventually led me to look towards several case

study towns that have lost their rural hospitals. Through this study I hoped to understand if the Saving Main Street Initiative could be viable in a wide variety of rural towns across the country.

Our team’s research also led us to Rem Koolhaas’s ‘Countryside, The Future’ exhibit at the Guggenheim. Unfortunately, COVID-19 forced the Guggenheim to cease operations before we were able to visit the exhibit and attend the panel discussions. We were able to read the book ‘Countryside, A Report’, though, and gain some insights into what rural towns around the world are doing to bring themselves into the 21st century and beyond.

We hope these insights will result in the design and construction of various holistic rural health projects across the country

Special Achievements:

2021 AIA Awards Regional & Urban Design

Fast Company World Changing Ideas 2020 Finalist Best World Changing Idea

North America, General Excellence, + Spaces, Places, and Cities

Modern Healthcare Breakthrough Ideas Phase 2

Research Partners: Adrian Silva

Ashley Glesinger

Software / Techniques Used:

Excel, Photoshop, Illustrator, InDesign, photography, research & communication

image by HDR image

Roughly 3% of the land in the United States is considered urban; most of the remaining land is considered rural.

Roughly 20% of the U.S. population lives in rural areas. Only 9% of U.S. physicians live in rural areas.

Spending on Rural Financial Assistance Programs by Department 2016

Perceived Physical Health

Very Good / Excellent

/ Fair

Perceived Mental Health

Good / Excellent

/ Fair

Perceived Limitation on Physical Functioning

Patients in rural counties have an 87% higher chance of receiving an opioid prescription than those in large central metropolitan couties

the opioid epidemic has impacted as many as 74% of farmers, according to the National Farmers Union and the American Farm Bureau Federation

1 concentration and increase of healthcare resources on mainstreet

of urban patients have an opioid prescription

of rural patients have an opioid prescription

The Risks: prescription drug use and misuse at an earlier age; larger populations of older adults; access to alternative therapies is limited; higher rates of poverty and unemployment; isolation

The Benefits of a Hybrid Community Hospital

2 bolster the town’s sense of community to decrease feelings of isolation

3 introduce resident health as an enjoyable part of their everday life

4 decrease stigma behind seeking treatment by making healthcare central to the community

AL

TX

GA

Florala,
Ellijay,
Hamlin,
Winnsboro, SC
Covington
Gilmer
Jones
Fairfield

Marks, MS

Museums

Libraries

Fitness Centers

Higher Education

Movie Theaters

Churches

Pharmacies

Food Sellers

Parks

Nursing Homes

MO

Museums

Libraries

Fitness Centers

Higher Education

Movie Theaters

Churches

Pharmacies

Grocery Stores

Parks

Care Homes

Scotland Neck, NC

I studied the programs of the case study towns in depth to understand what the towns had, what the towns had lost, and where opportunities for development might be found. Although these towns lacked things like gyms, movie theaters, colleges, and parks they did not lack a sense of community. When developing the holistic Main Street Initiative, it is important that we build on the existing sense of community in these towns.

Quitman Halifax
Saline Haskell

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