Pima County Behavioral Health + Crisis Response Center

UNIVERSITY OF ARIZONA & BANNER HEALTH / TUCSON, AZ

Integrated into an academic medical center, this pioneering behavioral health facility works in unison with an acute care hospital to offer an integrated approach and full continuum of care for patients and the local community.

Innovative Comprehensive Care

Care includes acute and sub-acute inpatient services, outpatient clinics, crisis assessment and stabilization, physical healthcare, and law enforcement support, delivering a holistic approach to behavioral health treatment.

Medical Education

Providing an integrated healthcare environment to train new physicians and support community engagement and education.

HEALING, SAFE, AND NON-INSTITUTIONAL ENVIRONMENT

“Normalized” patient environments balance safety and security requirements with the clinical goal of creating a place that promotes healing and rehabilitation.

EFFECTIVE COST MANAGEMENT

Lean design approaches, construction management collaboration, and the creative use of standard materials and systems resulted in a per-square-foot cost of only $187.

56% of individuals diverted by services at the CRC under Emergency Application for Submission to community services or voluntary care, resulting in significant cost savings for Pima County.

80% of adults receiving care at the CRC are able to return to the community, rather than needing more intensive and costly services.

$43 - $75 million estimated savings by the CRC to Pima County in criminal-justice costs alone.

Western State Hospital Master Plan & Predesign

DEPARTMENT OF SOCIAL AND HEALTH SERVICES / LAKEWOOD, WA

This 10-year Master Facilities Plan for the Western State Hospital Campus in Lakewood, Washington, will operate separate adult and adolescent psychiatric hospital programs on a 288-acre campus.

Innovation In Behavioral Health

The number one goal of the Master Plan was to establish a new recovery model of care for the forensic patient population with the construction of a new hospital and the conversion of older, corrections-based designed buildings into support facilities. Civil commitment patient programs will be relocated into smaller, communitybased housing and treatment facilities as part of the Governor’s directive for the State’s Behavioral Health Initiative.

Local Essential Public Facilities Approval Process

The Predesign Study for the new, 350-bed Forensic Center of Excellence followed all local standards, specifications, and requirements and was successful in obtaining project funding from the State Office of Financial Management.

Behavioral Health Hospital

SIGNATURE HEALTH / TACOMA, WA

This new facility will provide 105 inpatient beds, support services, outpatient care, and dependency rehabilitation in a community-based setting.

Environment As Treatment

The hospital serves as a safe, patientcentered environment and emphasizes view connections to the surrounding wooded areas and courtyards. Nestled into the sloping site, the building blends in with the residential neighborhood, terraced parking minimizes impacts to the adjacent wetlands, and native plantings will restore the site to a naturalistic setting.

Maximizing Flexibility And Efficiency For The Cost

Patient wings and accessible courtyards are arranged so they can be partitioned into adolescent, adult, or geriatric populations as needs fluctuate. Outpatient activities and support services remain accessible but discrete from inpatient services and populations. Amenities including the gymnasium, dining, and conferencing space flex between inpatient, outpatient, and community use to maximize their reach and program efficiency.

Oregon State Hospital Renovations and Additions

STATE OF OREGON / SALEM & JUNCTION CITY, OR

This transformative project for the State of Oregon included 620 inpatient beds, with treatment and therapy program space organized in a Recovery Model of Care.

INNOVATION IN BEHAVIORAL HEALTH

SRG collaborated with Frank Pitts and architecture+ to transform the Model of Care for the State of Oregon from a correctional model to a modern treatment model for the project.

REDUCING COST AND SCHEDULE

The initial building design included concrete tilt-up wall panels as the main exterior cladding system and structural support. A local pre-cast concrete contractor proposed the use of pre-cast panels instead to take advantage of their nearby production facility which saved construction time and increased the quality of the panel appearance due to quality controls available internally.

EFFECTIVE DESIGN TOOLS

Working with the contractor early to test materials and systems in room prototype mock-ups resulted in effective decision-making with the users and efficiencies during construction.

LONG-TERM RELATIONSHIP

SRG has continued to support Oregon State Hospital as their census and clinical needs change, inserting additional seclusion spaces, developing a specialized single-patient unit, and completing various other renovation projects across both campuses.

Arizona State Forensic Hospital

STATE OF ARIZONA / PHOENIX, AZ

CARL HAMPSON’S PRIOR EXPERIENCE

The forensic campus is organized around a “courtyard in the desert” with a healing community concept that effectively belies the hospital’s high level of security. The tranquil cloister promotes patient advocacy, calmness, and recovery.

Collaborative Delivery And Cost Management

During the programming phase, the original 200-bed plan was deemed not possible for the established budget. Through a collaboration of the architect and CM, a revised plan of 80 beds was created with an alternate for 20 additional beds. When the GMP was developed, the team was able to streamline costs to deliver 40 additional beds within the allotted budget, bringing the facility up to 120 beds and allowing the state to meet the current population needs for the Forensic Hospital.

Environment As Treatment

The concept of “town community” is manifest in the design of the central courtyard and its covered exterior walkways. A therapy mall, the center of patient life hosts a variety of activities including arts and crafts, ceramics, music, a clothing store, and a gymnasium, all focused on patient stabilization and normalization.

Safety And Security Standardized

Patient units with on-stage/off-stage internal organizations support staff safety while promoting effective and consistent treatment for all patients.

Capital

Programs Director

Department of Social and Health Services e: robert.hubenthal@dshs.wa.gov t: 360-480-6935

PROJECT

Western State Hospital

Master Plan and Study

Steve Tatge

Executive Director, Project Delivery Group

University of Washington e: statge@uw.edu t: 206-459-5439

PROJECT

University of Washington Behavioral Health Teaching Facility

Jerry Frampton

Director of Facilities Operations

Oregon State Hospital e: jerry.d.frampton@dhsoha.state.or.us t: 503-945-2925

PROJECT

Oregon State Hospital Psychiatric Hospital Renovations

Jürgen Unützer, M.D.

Chair of the UW Psychiatry and Behavioral Sciences, director of the UW Medicine Advancing Integrated Mental Health Solutions (AIMS) Center, and a UW professor of Psychiatry and Behavioral Sciences

University of Washington Medical Center e: unutzer@uw.edu t: 206-543-3752

PROJECT

University of Washington Behavioral Health Teaching Facility