Ahead, Healing Center for Trauma by Stella Christ

A H E AD Healing Center for Trauma

Stella Christ, Comprehensive Project 2020 Interior Architecture

thank you... to Erik for endlessly supporting me to my family for always cheering me on and to Emily, Jessica, and Isabella for sticking by my side

Stella May Design

AHEAD Healing and Guidance Center for Trauma Patients

Comprehensive Project Interior Architecture Program Department of Architecture University of Oregon, Eugene, OR

Submitted for completion of a Bachelorâ&#x20AC;&#x2122;s Degree in Interior Architecture, June 2020

Stella May Christ

B. IARC CANDIDATE, JUNE 2020

COMPREHENSIVE PREPARATION AND PLANNING, FALL 2019 Professor Kyuho Ahn

COMPREHENSIVE DESIGN STUDIO WINTER & SPRING 2020 Professors Linda Zimmer & Elizabeth Lockwood

Contents 01 02 03 04 05 06

Project

Abstract Intention Guiding Principles Honest Design Final Design

11 12 20 22 24

Program

Site

Summary Program Adjacencies Safe Spaces Detailed Program

Context Building Structure Opportunities

54 55 56 58

92 93 94 95

Technical Design 96 Codes Analysis FFE / Specifications Building Systems

98 102 142

Design Process

144

Research

182

Conceptual Design First Quarter Review Milestone Review Second Quarter Review Third Quarter Review

Interviews Precedents Research Bibliography

147 149 157 160 172

184 196 202 3

section name Spend each moment with intention, allow yourself to be calm, neutral, and focus on what is here right now.

8 4

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Abstract

Intention

Guiding Principles

Design Principles

t c e j o pr

Final Design

section name

Get Ahead (v.) 1. To make progress in oneâ&#x20AC;&#x2122;s life 2. To surpass an expected point

Stella May Design

Abstract

Intention

Guiding Principles

Design Principles

Final Design

abstract Traumatic life experiences can affect a multitude of mental conditions and illnesses in trauma victims impacting the way they live their lives, preventing them from living comfortably, and causing severe disabilities. There are very effective healing methods for trauma that have been practiced for many years; however, not all trauma victims can utilize all these healing resources because of location issues, social issues, and systematic issues around treating trauma (Alpert, Baldwin, Bloom, Carey, Corrigan, Friedman, Pryor). These combined issues slow down the process of healing, preventing patients from receiving the full benefit of their treatment or from receiving treatment at all.

This Healing and Guidance Center for Trauma focuses on providing a variety of healing resources for patients of trauma

How can we provide more comprehensive care to victims of trauma?

and mental illnesses affected by trauma all in one centralized facility with a psychological therapy department, physical therapy department, an integrated life-resource counseling department, a mind-body department, sensory department, and social connecting activity. The goals are to provide victims of trauma with a catered and comprehensive healing approach by allocating all healing methods and resources in one location, and by designing spaces that prioritize the wellness and growth of the users through comfort and trust.

The Ahead Center for Trauma has the opportunity to change the way trauma victims progress in their own healing and the way therapists, physical therapists, social workers, career counselors, teachers, and mind-body guides will address their practices to suit the individual needs of each patient and their unique lifetraumas. This project investigates solutions to creating beautiful and comforting healing spaces that support the behavioral needs of trauma victims.

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intention Social Issue Statement Many people struggle with traumas

illnesses

labels

and other approaches do not include

deeply rooted into their daily lives

the patients as â&#x20AC;&#x153;problematicâ&#x20AC;? and

action-taking guidance for traumas

which can become barriers in their

discourages them from asking for

that need specific attention (Alpert,

life progress and cause various

help (social issue). Furthermore,

Carey, Friedman, Pryor).

mental illnesses. A personâ&#x20AC;&#x2122;s mental

the

stress

involved

or physical condition is affected

the

right

resources

by unique outside sources in their

locations for their healing can be

slow healing process that is non-

life,

that

incorrectly

finding

and

right

and

These systematic

location, issues

social, create

family,

discrimination,

overwhelming for trauma victims

comprehensive,

violence,

culture,

school,

work,

(Baldwin, Corrigan). The systematic

patients do not receive the full

housing, finances, etc (Bloom). Each

approach for healing trauma also

benefit of treatment and may not

of these areas of potential trauma

lacks support for other methods

heal properly, if at all. This justifies

can become extreme stress triggers

of healing besides psychological

a need for a center that provides

for those struggling with them and

therapy (systematic issue). Many

each

may be hard for a trauma victim to

patients experience only therapy

centralized location with a cohesive

face again without treatment and

as their source of healing, which

system to provide an ease of access

guidance (Baldwin, Bloom, Pryor).

has been proven to not be effective

for patients and a comprehensive

on its own (Bloom, Carey). Some

approach to their healing, which is

methods that can be offered to

approaches do not recognize the

the goal of the Ahead Center.

patients for their healing, including

interconnection between physical

psychological

and psychological effects of trauma,

There

are

variety

therapy,

physical

therapy, mind-body activity, lifeguiding

social

work,

sensory

deprivation, and social interaction. Unfortunately, these methods are not always accessible to patients because each resource is often situated

different

facility

spread out around towns (location issue). Victims of trauma often have a difficult time seeking out these dislocated resources because of a social stigma around mental

Stella May Design

healing

meaning

resource

the

one

Abstract

Intention

Guiding Principles

Design Principles

Final Design

Start where you are

discrimination injury housing violence medical environment finances abuse politics

sources of trauma

relationships school culture inequality family society social isolation work responsibilities death support nature EMDR neuro-feedback psychological therapy community

sources of healing

physical therapy ritual mind-body massage interoception 5 senses guidance self perception

Provide a variety of resources for healing in one facility Cater the providerâ&#x20AC;&#x2122;s approach to suit individual patient needs 5

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Abstract

Intention

Guiding Principles

Design Principles

Final Design Breathing in I calm my body, breathing out I smile

By allowing trauma victims the opportunity to find all their healing needs in one familiar place, it will reduce stress and nourish trust between patients and their providers Proposal The Ahead Healing Center for Trauma uses

conditions

bonding activities. This Center allows

the bio-psycho-social approach for trauma

including Post Traumatic Stress Disorder

users to address their healing process all

healing

different

(PTSD), depression, anxiety, and chronic

in one area, rather than having to seek

methods of healing with one another for

pain. Patients of the Center would have

out those extra resources themselves

a more effective outcome (Baldwin, Engel).

access to psychological therapy, physical

where they potentially may not find

It has 4 major components, physical,

therapy, mind-body connection activities,

them. The Center would be open for use

psychological,

7 days a week, with hours depending on

connecting

the

cultural,

and

social,

trauma

and

life-resource

associated

counseling

department

which are all addressed in the Centerâ&#x20AC;&#x2122;s

for concrete guidance, hot + cold water

program.

therapy for sensory healing, and social

The

Center

serves

patients

department.

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6 Resources Each

resources

these

methods

and

are

essential

for

the healing success of trauma patients. On their own, each method

can

only

impact

fraction of the healing needed for

the

severity

however, together make

when these

trauma;

Mind Body

talk counseling

yoga

EMDR

tai chi

neurofeedback

breathing

relationship

self awareness

meditation

interoception

Physical

Sensory

massage

hot & cold water therapy

manual therapy

floatation therapy

myofascial release

steam therapy

craniosacral therapy

garden

integrated

methods

can

impact

strong

comprehensive,

Cognitive

quicker,

and

more focused success in the mental and physical wellness of trauma victims. By allowing trauma victims the opportunity to find all their healing needs

movement awareness postural & balance interoception

in one familiar place, the Ahead Therapy

Healing

and

Life

Guidance Center for Trauma will further improve the trust between

patients

and

their

providers which will improve the

quality

treatment

guidance and the willingness of

Life Guidance

Social

career counseling

tea house

housing search

creative therapies

confidence classes

laughter therapy

finance counseling

group therapy

independency

family support

self-defense

healing event sessions

each patient to use the resources provided.

These healing methods make a more comprehensive impact when they are practiced together 16

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Abstract

Intention

Guiding Principles

Design Principles

Final Design 7

Tomorrow is a new day full of possibilities

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Project

Breathe

in,

breathe

out,

touch your breath as it goes.

Stella May Design

Abstract

Intention

Guiding Principles

Design Principles

Final Design

â&#x20AC;&#x153;The goal is to grow so strong on the inside that nothing on the outside can affect your inner wellness without your concious permission.â&#x20AC;? Until then, the center will provide spaces that can bring patients ease. Users Patients Suffering from Trauma-Related Conditions Physically Traumatic Accidents Psychologically Traumatic Events chronic pain

Families of Patients

PTSD

Immediate Family

depression

Primary Caretakers

anxiety

Partners

Care Providers Psychologists, Therapists Physical Therapists, Massage Therapists, Float Assistants Social Workers, Counselors, Teachers Yoga Instructors, Tai Chi Instructors, Meditation Guides Tea Crafters and Servers

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guiding principles 01 Honest Design & Intuition

02 Biophilic Transitions

True materiality, Exposed truss structure,

For wayfinding and healing properties,

Knowing where you are, knowing where

all transitional spaces should look upon

your escape is, trusting the space

or connect with outdoor gardens

03 Balance Privacy & Community

0 4 Allow Departments to Integrate

Provide the choice between socialization

For department collaboration:

or private approach. Choice supports

departments will have the ability to flow

user control and creates patient comfort

into one another and share spaces

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Abstract

Intention

Guiding Principles

Design Principles

Final Design Let your shoulders relax down your back, soften the space between your brows, relax your jaw, allow yourself to simply melt into this moment.

Itâ&#x20AC;&#x2122;s all about supporting trauma patients in their recovery and healing process â&#x20AC;&#x201C; they need comfort, they need space, they need clarity, they need privacy, they need approachability, they need community, and they need opportunity. Above all, they need choice. ahead, comprehensive project

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Comfort. Trust. Self-Value. Sincerity. Honesty. 10

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Abstract

Intention

Guiding Principles

Design Principles

Final Design

Honest Design

How do we increase trust between patients and the facility? How do we nourish healing through design? How can we support rest in design? Truth in Materiality

Character of Place

Creating an environment that does not

Oppose blank clinical anonymity

lie to the users, allowing them to trust

and create sincere environments

Tactility & the 5 Senses

Cultivate Discovery

Stimulate the senses with subtle elements

Give patients the chance to notice

of texture, sound, and taste without

the beauty in the world around them

overwhelming patient sensitivity

through intentional design elements

Most interesting to me, many spaces for healing can be quite anonymous or not “truthful” in the elements which make up the space, which can potentially create trust issues between patient and facility. Trauma victims often have an overactive sensitivity to danger or false information in their physical and social environments in order to keep them out of harms way while in their “fight-or-flight” mode (Baldwin). One of the facets I would like to address in my design study is how a trauma patient responds to their physical environment while they are in the “fight-or-flight” mode. Will a patient trust the people healing them if they do not trust the place they are being healed? And how can we establish trust to support their healing?

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final design

Organizational Strategy Where two buildings meet. On a site with two disconnected buildings, the center adds an extra connector building in between to stitch the facility together. This connector building acts as the social hub and entry to the center where resources stem out from it. To one side patients can find pain relief resources, to the other side they find help for cognitive ease. A large healing garden wraps the site in hugging landscapes where users

June 5th, 2020

can seek outdoor refuge.

Design Concept The center bridges Japanese influence with modern design to create a timeless meditative language throughout the spaces. To support a mindful experience for users, spaces for reflection that feel centered

existing vs. new

and balanced are woven throughout the facility. The design focuses on creating approachable spaces that feel casual but have a thoughtful grace to them.

02 stitch & wrap

physical relief

cognitive ease

splitting into 2 sides

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community mind-body life guidance sensory therapy cognitive therapy physical therapy

Abstract

Intention

Â Â?Â? Â?

Guiding Principles

Â? Â?

Design Principles

Final Design

Â Â Â&#x20AC;Â? Â?

Â&#x201A; Â? Â? Â? Â Â&#x192;

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Stretch privacy screen

Physical Therapy

PT Reception

Sensory Reception Living Wall Lounge

Room

cold

ADA Soak

Soak

hot

ADA Soak cold

Tea House

Planted Rest Seating

Class

Hearth Courtyard

Mech.

Class Laundry

Steam Sauna

Floatation Therapy

Reception

Reception Collab

Collab

Consult

Mech.

01 26

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Floatation Therapy

Abstract

Intention

Guiding Principles

Design Principles

Final Design

Ground Floor

Physical Therapy Reception, Physical Therapy Rooms, Stretch Room

Soak Rooms, Floatation Therapy, Steam Sauna,

Planted

Seating,

Living

Wall

Lounge, Sensory Reception, Laundry

Entry Hall, Hearth Indoor Courtyard, Tea House, Event Sitting Stair, Reception

Life Guidance Reception, Collaboration Pods, Private Consult Offices, Classrooms

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Event Room Mind Body Lobby

Meditation

Yoga Room 1 Meditation

Yoga Room 2

Meditation

Check In

Mech. Zen Lobby

a b

Collab Storage

Therapy 1

Therapy 2

Private Waiting

Therapy 3

Private Waiting

Therapy 4

Private Waiting

Group

Group 2 Courtyard

02 28

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Abstract

Intention

Guiding Principles

Design Principles

Final Design

Upper Floor

Yoga & Tai Chi Rooms

Event Room, Community Lounge

Zen Lobby, Meditation

Therapy Rooms, Conference Room, Group Rooms

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Sequence of Experience Getting to an appointment

reflect

breathe

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heal

reflect

Abstract

Intention

Guiding Principles

soak

Design Principles

Final Design

The journey each patient takes will have a consistent ritual movement from each space to the next. Where they choose to pause, what they touch along the way, the chairs they choose to sit in.

soak

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five signature spaces

Hearth Court

Zen Lobby

Name 5 things you

can see, 4 things

eyes

you can hear, 3

closed, hands float

things

can

upon your knees.

feel, 2 things you

You are welcome

can smell, 1 thing

here.

you

can

deep

breath,

open

taste.

Connect with your

The Zen Lobby is

surroundings.

a space to soothe, debrief, and aid in

The indoor Hearth Courtyard

place to observe and

interact

with

natural

and

meditative

elements.

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reflection.

Abstract

Intention

Guiding Principles

“Have

Tea House

Soak Tubs

“This

Breathe in deeply,

cup

tea

expectations, just

in my two hands,

exhale

be kind.”

mindfulness

Your

held

tension. body

Therapy

and body dwell in

calmness.

offices are spaces

the very here and

you can take your

now.” -Thich Nhat

The soaking tubs

armor

Hanh

are private rooms

off

and

reprocess

your

traumas

with

sincere guidance.

The is

source

perfectly. My mind Private

Final Design

Therapy

Design Principles

designed

for and

Tea

House

relaxation

ritual

space

pain relief, letting

for engaging with

time slip away.

yourself or others over hot beverages.

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pause and reflect

hearth courtyard Providing choice and a place to pause before you decide where to go next As the first point of contact for most users

and when. The centralized arrangement

entering the center, the Hearth courtyard

around the tree signifies a centering of the

gives patients a place to briefly pause before

mind, and creates a very familiar reflective

approaching their appointments.

rhythm. This is a space patients can keep

If patients need a moment to

coming back to. A space they can always

themselves, they can enter into the indoor

retreat to if they feel scared, need solace, or

courtyard to reflect among the central tree

just want to experience the beauty of a single

and plants, or gaze upon the plantings

humble tree. Calming colors, predictable

through side rooms with seating space.

rhythms with no surprises, beauty through

There are many choices here, giving patients

small details in the space, textures and

a sense of control over who they engage with

biophilia to reduce anxiety.

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centralized spaces for centering your mind

circulation choices

a ritual passage

Abstract

Intention

Guiding Principles

Design Principles

Final Design

entry hall

indoor courtyard seating

Wood Passage

This wood passageway stands as

a transitional element between some key spaces. To signify a ritual passage into a new reflective

space, this element bears a sense of intention - by the users and by the design. Itâ&#x20AC;&#x2122;s division is symmetric

and rhythmic, for easy transition. Itâ&#x20AC;&#x2122;s depth is heavy and substantial, for appropriate mental stability.

And itâ&#x20AC;&#x2122;s dark wood helps create

a delightful contrast between the

darker wood entry hall and the bright open courtyard space.

section a - looking through courtyard towards front entrance

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Abstract

Intention

Guiding Principles

Design Principles

Final Design

section b - looking towards stair and seating nook

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take a deep breath

zen lobby A self-soothing debriefing space for patients to re-center before and after appointments Patients need spaces where they can re-

benches to tuck into and relax, screens

collect themselves after processing their

that provide visual privacy from others,

traumas in therapy. â&#x20AC;&#x153;Therapy sessions

a balanced symmetrical arrangement

are often really intense, sessions might

radiating around the central sand garden

go for two hours, and Iâ&#x20AC;&#x2122;d be totally

element, and green life through plants.

numb afterwards and have to go out

straight into the world, when I feel so

understand and easy to use, removing

vulnerable, and it was so frightening.â&#x20AC;?

barriers that might turn a patient away

This lobby supports the need

from using this reflective space. Now

for reflection and privacy. Soothing

patients can sit down, sit back, take

colors, a zen sand garden to look upon,

a deep breath, and prepare to connect

warm comforting woods, upholstered

with the world when they are ready.

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proximity from others

tuck into nodes

This space is intuitive, easy to

privacy barrier

Abstract

Intention

Guiding Principles

Design Principles

Final Design

Privacy Screens

These slatted oak privacy screens

become

throughout

the

motif center.

cross section a - looking through zen lobby towards meditation kiosk

They indicate there is an intentional sheltered place of pause or visual barrier so patients donâ&#x20AC;&#x2122;t feel â&#x20AC;&#x153;on the spotâ&#x20AC;? or out in the open. This is particularly important for victims of dissassociation when they often feel like all eyes are on them or as if the

every move. By providing 3' - 0"

5' - 0"

patients with an opportunity to feel that they are in a visually protected place but not completely isolated

8â&#x20AC;&#x2122; - 0â&#x20AC;?

whole world is judging their

5' - 0"

- they can take their guard

down relax

and into

more their

easily present

space.

12â&#x20AC;&#x2122; - 0â&#x20AC;?

Some

remaining

connection with the rest of their surroundings through

spaces between the slats and auditory exposure keeps a

their senses alert.

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great things are happening

therapy spaces Where patients unravel their traumas, a place that needs to be sensitive to their vulnerabilities

multiple â&#x20AC;&#x153;escapesâ&#x20AC;?

As a space that provides both physical and emotional comfort to users, the therapy rooms have a relatively expected feel to them. But the elements that make up the room become immensely important as a third therapist during sessions. Soft colors to calm, texture to stimulate the senses, spaces to tuck into, the variety of seating choices, physical objects with soft edges to ease anxiety, a casual arrangement to be welcoming, space to move things around, and choices for entry and exit.

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seating direction options

Abstract

Intention

Guiding Principles

Design Principles

Final Design

Stimulate the Senses

outdoor private garden

Things to touch, things to

therapy office

look at, ways to disengage

private waiting room

from painful memories and be present with the current

moment. of

the

patients

case getting

overwhelmed by processing their past traumas during therapy,

the

design

elements of the room can be pieces that help bring a patient back to their safe present

moment.

Patients

can focus on their senses by experiencing the following elements:

The

variety

textures in wall details and

casework rhythms, textured art with movement, textured and volumetric objects to touch,

varieties

soft,

hard, rough, and smooth materials, white noise from

heating and cooling systems, trickles from a wall-based water feature in the waiting

interior elevation a - therapy storage wall

room, and views to private outdoor

garden

space

seasonal growth.

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take a sip

tea house An opportunity to engage with others and unwind over tea sip together or sip as one

flanking circulation

This space is based around the ritual of drinking tea for anxiety reduction. Semi-private nooks and open group seating provide users with choices of varying levels of engagement. The tea sipping counter displays loose leaf tea and drinkware in the custom casework storage. With creamy and neutral warm colors this space feels cozy and invting.

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tuck into nodes

Abstract

Intention

Guiding Principles

Design Principles

Final Design

Cultivate Discovery

entry alcove

1/ 4"

seating

5' -

Two elements in the space call joyful

prep

attention

uniqueness

their -

the

leaf textured clay wall tiles along the nook wall and the 19 '-

pendant accent lights with

1/ 2"

varying shapes and sizes. Drawing attention to solid objects in the space may help trauma victims appreciate their surroundings.

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Abstract

Intention

Guiding Principles

Design Principles

Final Design

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relax your body

soaking tubs Tension releases, heartbeat calms, the body melts into the soothing waters

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A private soaking experience gives patients the chance to address their water therapy needs without the stress of strangers. Following influence from Japenese Onsens, the tub units are bathed in warm golden woods and natural daylight. To diminish the heavy sense of the trusses and give them an integrated feel, all new walls attach to the trusses.

Abstract

Intention

Guiding Principles

Design Principles

Final Design

rinsing

cold

walls up to trusses soaking dressing

hot

daylight to all tubs

section a - looking towards dressing area

section b - looking towards shower wall

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section name Focus on your breath. What does it feel like? Slow or fast? Deep or flat? Notice how your chest and belly are rising and falling with your breath.

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Summary Program

Adjacencies

Safe Spaces

Detailed Program

m a r g o r p

Program

Summary Program Program

Program

pace / Room

sychological Dept.

Space / Room Activites

Activites

SqFt

Qty. Total SqFt SqFt Type Qty. Factor Total SqFt OccupType Load Factor Adjacencies Occup Load Adjacencies

Psychological Dept. Checking in, lounging, meditating, Checking in,filling lounging, meditating, filling en Lobby Zen Lobby 400 work, 1 400 out paperwork, computer out work, paperwork, computer socializing, sitting socializing, sitting Psychological therapy, Psychological EMDR, neuro-therapy, EMDR, neuroherapy Offices - Private Therapy Offices - Private 200 4 800 feedback, reading, writing, feedback, research reading, writing, research rivate Waiting RoomsPrivate Waiting Rooms 800 Reading, meditating, sitting Reading, meditating,200 sitting 4 Meeting, discussing, planning, Meeting, discussing, planning, ollaborative Rooms Collaborative Rooms 100 2 200 presentations presentations hysical Dept. Physical Dept.

obby / Entry

A31

7 400

58 A3

200

I-24

100 800

8 I-2

200

100 800

8 B

100

A32

20 200

10 A3

Lobby / Entry 400 1stretching 400 400 reading, lounging, socializing, reading,stretching lounging, socializing,

A31

7 400

58 A3

physical 7 therapy 58 roomsphysical therapy rooms

200

I-24

100 800

8 I-2

100 lobby

400

A31

7 400

58 A3

Social hearth, consult offices, Social hearth, consult offices, 7 rooms, 58 collab computercollab room,rooms, computer room, classroom classroom

200

100 800

8 B

100 collab spaces 8 lobby,

100

A32

20 200

10 A3

20 consult10 lobby, offices lobby, consult offices

400

A31

15 400

26 A3

15 classrooms 26 lobby,

400

A31

15 400

26 A3

15 computer 26 roomslobby, computer rooms lobby,

Lounging, socializing, eating, Lounging, stetching socializing,400 eating, 1stetching400 400

A31

7 400

58 A3

7 spaces,58 group sensory group dept. spaces, sensory dept.

15 2000

134A3

15 sensory 134 lobby, dept.

50 900

18 B

zen 50lobby, therapy 18 offices zen lobby, therapy offices

Physical therapy, massage, Physical meditation, therapy, massage, meditation, 200 4 800 hysical Therapy (PT) Rooms Physical Therapy (PT) Rooms walking, moving, computer walking, workmoving, computer work fe-Guidance Dept. Life-Guidance Dept. Checking in, reading, lounging, Checkingfilling in, reading, lounging, filling obby / Reception Lobby / Reception 400 work, 1 400 out paperwork, computer out work, paperwork, computer socializing socializing Meeting with Life-Guidance Meeting consultants, with Life-Guidance consultants, rivate Consult Offices Private Consult 200 work, 4 drawing, 800 talking,Offices sitting, computer talking, work,sitting, drawing, computer writing writing Meeting, discussing, planning, Meeting, discussing, planning, 100 2 200 ollaborative Spaces Collaborative Spaces presentations presentations Computer work, reading, Computer writing, work, reading, writing, omputer Room Computer Room 400 1 400 presentation presentation Classes, workshops, reading, Classes, writing, workshops, reading, writing, arge Group Space Classroom Large Group Space Classroom 400 1 400 moving, community event moving, community event Mind-Body Dept. Mind-Body Dept.

obby

Lobby

Yoga, Tai Chi, self-defense, Yoga,mind-body Tai Chi, self-defense, mind-body 1000 group 2 20001000 A32 Large Group Spaces classes, breathing classes, classes, group breathing classes, community events community events rivate Meditation Rooms Private Meditation Meditation, Rooms sitting, reading, Meditation, lying down sitting, reading, 150 lying 6 down 900 150 B 6 ensory Dept. Sensory Dept.

arge Group Spaces

rivate Soak Rooms

collab rooms, private meditation collab rooms, private meditation 7 58offices,rooms, rooms, therapy attached therapy offices, attached kiosk kiosk zen lobby, collab rooms, zen private lobby, collab rooms, private 100 8 waiting rooms waiting rooms 100 offices8 therapy therapy offices zen lobby, therapy offices, zen lobby, therapy offices, 20 10 private meditation rooms private meditation rooms

400

Private Soak Rooms 150 Water therapy soakingWater therapy soaking

900 150

50 900

18 B

lobby

lobby, collab spaces

lobby, classrooms

lobby, sensory dept.

sensory reception, shower sensory reception, shower 50 18 rooms, float rooms, saunas rooms, float rooms, saunas 50 18 roomsattached to soak rooms attached to soak soak rooms, laundry room, soakfloat rooms, laundry room, float 50 6 rooms rooms 15 13rooms restroom, soak rooms restroom, soak soak rooms, laundry room, soak rooms, laundry room, 50 6 suanas suanas

ttached Private Shower AttachedBathing Private & Shower dressing

Bathing & dressing 100

900 100

50 900

18 B

rivate Steam & SaunaPrivate Steam & Sauna Hot steam therapy

Hot steam therapy 150

300 150

50 300

6 B

ving Wall Lounge

lounging & relaxing 200

200 200

A31

15 200

13 A3

Floatation therapy 150

300 150

50 300

6 B

400 400

200 400

2 B

200 seating

400 400

A31

15 400

27 A3

15 kitchen 27 prep

mall Event Stair

Small Event Stair 200 seating, 1 eating200 200 talks, events, gathering,talks, seating, events, eating gathering,

A31

7 200

28 A3

house, life guidance dept. tea7 house, life28 guidancetea dept.

vent Room

Event Room 1 400 400 meeting, discussing, talks, meeting, presentation discussing,400 talks, presentation

A31

15 400

26 A3

15house, reception 26 tea house, reception tea

roup Rooms Group Rooms 300 therapies 2 600 300 group therapies, laughter group therapies therapies, laughter Mechanical / HVAC Mechanical / HVAC 400 1 400 400 otal Total 13900 arden Reflection WallGarden Reflection Wall sitting, socializing, relaxing sitting, socializing, relaxing Refuge, contemplation,Refuge, meditation, contemplation, meditation, utdoor Healing Garden Outdoor Healing Garden socializing socializing 5% Circulation 25% Circulation 3475 et Total Net Total +25% Circulation +25% Circulation 17,375 ross Available Gross Available Tamarack Building Tamarack Building ~21,650

A32 1

15 600 400 13900

40 A3

15 40 therapy offices

therapy offices

672

672 Healing garden

Healing garden

all departments

Living Wall Lounge& relaxing lounging

oatation Tank RoomsFloatation Tank Rooms Floatation therapy

ommunity Community ea house Prep KitchenTea house Prep/ drink Kitchen 400 1 Food prep, cleaning Food / drink prep, cleaning Eating, drinking, lounging, Eating, reading, drinking, lounging, reading, ea house Seating Tea house Seating 400 1 studying, socializing, refuge studying, socializing, refuge

Stella May Design

3475 17,375 ~21,650

seating prep kitchen

Summary Program

Adjacencies

Safe Spaces

Detailed Program

psychological therapy

2200 sqft Process traumas

life guidance

2200 sqft physical therapy

1200 sqft Recover from trauma

mind-body acitivity

2400 sqft meditation

1300 sqft

sensory therapy

Relax

2600 sqft Engage with others

community building

2400 sqft gardens

Reflect

2200 sqft

Adjacencies With a relatively balanced program, each department has ample

patients may come in contact with, lowering the stress factors

space to serve its users. To emphasize the theme of providing

of social engagement with strangers. Some departments even

users with ultimate choice over their approaches and use of the

have private waiting areas for single users to prepare for their

centerâ&#x20AC;&#x2122;s spaces, each department will have itâ&#x20AC;&#x2122;s own dedicated

appointments without the discomfort and anxiety of being in a

lobby or check-in space. This minimizes the number of people

large waiting room with many other high-stressed patients.

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Program

what is a safe space? Defined from Bloom & Liddicoat sources

Psychological Safety Being safe with oneself, to feel a sense of regained empowerment and control, and limited traces of other’s inhabitation

Physical Safety Where there is no immediate threat on us and others, where we can let physical guards down

Social Safety Social settings where we feel truly cared for, trusted, free to express ourselves, and stimulated to be thoughtful and creative

Moral Safety Where a set of shared values, assumptions, goals, respect, acceptance, and kindness exist to define trust and common intention

Stella May Design

“The mind is like water. When it’s turbulent, it’s difficult to see. When it’s calm, everything becomes clear.”

Summary Program

Adjacencies

Safe Spaces

Detailed Program

5 types of spaces To support the behavioral needs of patients and staff and suggest a sense of safety, these spaces should be woven throughout the center giving users opportuities for each state of being whenever they need it.

Rest

Heal

Engage

Hide

Reflect

Where users

Places to

Where

Places where

Where users

can let the

unravel their

supportive

patients can

can pause and

body and

traumas with

community is

isolate from

look inward

mind relax

guidance and

created

others when

intention

needed

â&#x20AC;&#x153;What we can do is provide the space, the time, and the permission for joy to happen.â&#x20AC;?

17 18

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Program

Detailed Program

â&#x20AC;&#x153;Many trauma survivors hold their breath and their bodies tightly, bracing themselves for whatever is coming next. Staying alert for years takes a toll. Create spaces where you can take your armor off.â&#x20AC;?

* denotes a signature space that is thoroughly designed and detailed for the project

Stella May Design

Summary Program

Adjacencies

Safe Spaces

Detailed Program 19

â&#x20AC;&#x153;When your world moves too fast and you lose yourself in the chaos, introduce yourself to each color of the sunset. Reaquaint yourself with the earth beneath your feet. Thank the air that surrounds you with every breath you take. Find yourself in appreciation of life.â&#x20AC;?

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Program

Social Community warm. engaging. open.

Social

connectedness

and

community

support

are

biologically essential for the processing of personal or group traumas. Social interaction has a long history in our species’ development as social societies (Bloom). Many victims of trauma experience difficulty with relationship building as a result of their physiological “fight-or-flight” response that tries to protect them from potentially harmful people. This can prevent trauma victims from making regular social bonds even with

networks within the user groups where their social network may be

people that would not be a danger to them (Baldwin,

lacking, the Ahead program facilitates meaningful interaction through:

Bloom). Furthermore, trauma victims often show an

art therapy sessions (using creativity as processing), laughter therapy,

overwhelming neurological response to trauma that

group activity (including the mind-body classes), group therapies,

blocks their ability to facilitate and experience pleasure,

family support groups, and social events. These social opportunities

therefore it is important to “provide the space, the time,

will be available all 7 days of the week during day and night. A tea

and the permission for fun to happen” (Bloom). To re-

house will also act as a hearth to bring people together over a common

integrate social bonds and create community support

meditative ritual of enjoying tea.

Stella May Design

Summary Program

Adjacencies

Safe Spaces

Detailed Program

what’s important Social Hearth It’s a place for patients to go when they’re ready for the social aspect of healing.

somewhere

should central

be but

able to be avoided when needed. Centralized reception. A lot of daylight. Multiple entry points. Variety of seating options. A place to engage, share, and support each other.

“We learned that all of us - patients and staff needed frequent opportunities to connect with each other, the freedom to make our own choices about who we would connect with most strongly.” - Bloom, trauma psychologist

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Program

Tea House* This space functions as a social hub and ritual space, allowing users to bond or unwind over a hot beverage with a long history of practice connected to meditation and wellness. Seating (qty. 1)

Prep Space (qty. 1)

Occupancy: 1-20, trauma patients and their families & friends,

Occupancy: 1-5, Tea servers

care providers: psychologists, therapists, physical therapists,

Unit sq. footage: 300

counselors, social workers, mind-body instructors, teachers, and

Total sq. footage: 300

meditation guides.

Adjacency: hearth courtyard, seating, entry hall

Unit sq. footage: 600

Main Activities: preparing tea, coffee, pastries, & snack

Total sq. footage: 600

bowls, for a duration of 16 hours

Adjacencies: prep kitchen, stair, community lounge, hearth

Furniture, Fixtures, & Equipment: sink, tea storage for

courtyard, entry hall

at least 20 loose leaf blends and coffee roasts, under

Main Activities: winding down after an appointment to eat or drink,

counter refridgerated storage, counter prep surfaces to

stopping for a snack before appointments, relaxing alone or in

accomodate 3 preppers at a time, dry prep food storage,

groups, quiet to loud socializing. People may stay for long periods

tea kettles, espresso machine, coffee grinder, dishwasher,

of time or only pass through. Lines might form to order food &

cash register, accessible space for transactions, trash,

drink.

recycle, and compost bins out of sight.

Furniture, Fixtures, & Equipment: seating for 20 with surfaces

Design Qualities: clean and neutral, warm and inviting,

for eating & drinking, variety of proximity between seats. Audio

textured and interesting.

soundsystem for ambient music. 2-3 trash, recycle, and compost

Behavioral Qualities: customers be able to personalize

bins.

their experience by picking their own tea drinkware which

Design Qualities: very casual, calming & inviting, a public space

should be visible by both customer and server.

that feels intimate, integrated plants, soft and warm, textural

Illumination & View:

emphasis, focus attention on the tea as a ritual drink, subtle and

ambient lighting, and point task lighting over prep

neutral tones

surfaces. Views over seating areas, and views to the

Behavioral Qualities: Furniture should be movable if desired,

entrances are important.

mixture of visually private seating and more visible seating.

Safety & Security: only Tea servers are allowed within

Illumination & View:

natural daylight is important, views to

Indirect natural daylight, neutral

the space, physical entries into the prep space should be

the healing garden is desirable, warm ambient light throughout,

limited.

customers should be able to control lighting level in their immediate

Level of Finish Requirements: Finishes should feel warm,

seating

sincere, and honest. High durability finishes for high

Safety & Security: reception desk and tea servers will moderate

traffic, slip-resistant surfaces for wet conditions, easily

visual security. During closed hours, locking will secure the area.

cleanable.

Level of Finish Requirements: Finishes should feel warm, sincere, and honest. High durability finishes for high traffic, slip-resistant surfaces for wet conditions. Special Needs: Both customers alone and groups of people should be able to feel comfortable in this space, seating variety should reflect the visual and auditory privacy needs of those visiting alone.

Stella May Design

Summary Program

Adjacencies

Safe Spaces

Detailed Program

Hearth Courtyard*

(qty. 1)

Here, users can arrive in ritual to a calm reflective space where they can make their bearings and prepare for where to branch to next. Occupancy: 1-10, trauma patients and their families & friends, care providers: psychologists, therapists, physical therapists, counselors, social workers, mind-body instructors, teachers, and meditation guides. Unit sq. footage: 350 Total sq. footage: 350 Adjacencies: tea house, entry plaza, entry hall, event sitting stair, outside garden Main Activities: walking through, sitting on benches and reflecting, enjoying the plants and sunshine Furniture, Fixtures, & Equipment: seating for 5-10 people, Design Qualities: very soothing, calming & inviting, an intimate quality even though other people may be present, integrated plants, textural emphasis, focus attention on a central natural element Behavioral Qualities: Furniture should be movable if desired Illumination & View: natural daylight, warm ambient light throughout, integrated lighting at toe kicks to illuminate the ground surface, view towards a central plant, views outside to entry plaza and healing garden Safety & Security: reception desk nearby will monitor who goes in and out of the courtyard Level of Finish Requirements: Finishes should feel soft and soothing to ease anxiety and calm users. High durability finishes for high traffic, slip-resistant surfaces for wet conditions.

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Program

Event Spaces Small Event Stair seating (qty. 1) Occupancy: 10-15 Adjacency: life guidance Main Activities: small informational events, patient and staff open collaboration, lounging Furniture, Fixture, & Equipment: Built in stair seating with upholstery Design mood: neutral, comfortable, bright Lighting: well-lit, no glare

Event Classroom / Meeting (qty. 1) Occupancy: 15-60 Unit sq. footage: 1000 Total sq. footage: 1000 Adjacency: upper hearth community lounge Main Activities: informational events, invited lectures, catered events, planning and meeting Furniture, Fixture, & Equipment: flexible seating and work surfaces, collaborative furniture, screen and projector, speakers, AV hookup, pin up space, vertical writable surfaces, storage for unused furniture Design mood: inviting, flexible, variety of texture, inspiring/motivating essence, spacious, connection to nature/natural elements Lighting: natural daylight (ability to black out), dimmable ambient light, dimmable task lighting, never harsh lighting

Stella May Design

Summary Program

Adjacencies

Safe Spaces

Detailed Program

Community Lounge Seating (qty. 10) Occupancy: 1-4 each Adjacency: event meeting room, nooks Main Activities: sitting and waiting for events, walking, reflecting, relaxing Furniture, Fixture, & Equipment: casual seating benches Design mood: neutral, casual, comfortable Lighting: bright daylight

Nooks (qty. 6) Occupancy: 1-2 each Adjacency: seating, event meeting room Main Activities: sitting, lounging, relaxing, and enjoying outside views Furniture, Fixture, & Equipment: built in benches Design mood: warm, cozy, inviting, and soft Lighting: subtle and dim with natural daylight

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Program

Cognitive Therapy & Mind-Body calm. motivating. soft.

Cognitive healing by psychological therapy and mindbody activity is an important treatment method for trauma. The psychological department will offer EMDR and neuro-feedback as an integration into talk therapy sessions by professionals that specialize in those areas. These methods allow trauma patients to re-process painful memories without the biological â&#x20AC;&#x153;fight-orflightâ&#x20AC;? response which is typically present in trauma victims; and these methods lead to faster progressive

This dual practice addresses the systematic issues for trauma treatment

breakthroughs (Baldwin). The psychological department

that lack recognition for the interconnection between physical and

would be open 5 days of the week. Many trauma victims

psychological effects. The mind-body department of the Ahead Center

also experience neural disconnection between areas

will provide the following opportunities for interoception: yoga, tai

of their brain and areas of their body which can have

chi, meditation, breathing, mindfulness, balance, and self-awareness.

adverse effects on their rates of healing. Connecting

By pairing cognitive therapy alongside mind-body activity, patients will

the mind with movement has proven to re-connect

likely see faster progress in their own healing than they normally would

these neural pathways that were shut off during trauma

if only receiving treatment by one method.

(Baldwin).

Stella May Design

Summary Program

Adjacencies

Safe Spaces

Detailed Program

whatâ&#x20AC;&#x2122;s important Cognitive Therapy Private

entrances,

private

waiting rooms, and multiple exits

for

comfort,

patient and

escape patient

approach choice. Close to Mind-body rooms or have mind-body design integrated into the rooms. Close to Physical therapy or have shared rooms in between

that

departments

both

are

used for

combined sessions.

Mind-Body Private need

meditation privacy

and

rooms some

amount of diffused daylight. Large group rooms should be accessible to all departments.

In addition to interoception, mind-body activity assists patients in their development of self-appreciation, providing them with the opportunity to take their own healing into their own hands with the guidance of mind-body professionals. Private meditation practice on site provides patients with safe refuge for their self-exploration. The mind-body department would be open all 7 days of the week, with longer hours into nighttime than other departments.

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Program

Zen Lobby*

(qty. 1)

This space brings elements of a zen garden, a meditation space, and a lobby into one to transition the public hearth into private spaces and provide patients and staff a place to reflect before and after appointments. Occupancy: 1-15, trauma patients and their families & friends, psychologists, therapists, counselors, receptionist, physical therapists Unit sq. footage: 400 Total sq. footage: 400 Adjacency: cognitive therapy rooms, central community hearth, private meditation rooms Main Activities: Sitting and reflecting, walking through meditation paths, reading, individual or group check-ins involving paperwork, waiting, stretching Design Qualities: inviting, soothing essence, soft and hard material balance, connection to nature/natural elements, subtle sensory stimulation, emphasis on detailed screens and texture, space should feel intimate but comfortable for more than one individual person. Behavioral Qualities: the center of the lobby should be slightly obscured from view upon approach as to not disturb people reflecting in the center. Furniture, Fixtures, & Equipment: soft seating for 10, variety of seating proximity, reception workstation with computer, healing garden rocks, sand, and small plants, small seating surfaces at the center of the reflecting space, audio soundsystem for music. Illumination & View: Natural daylight desirable, soft accent light, dimmer lighting in general to be soft on the eye and not call attention to users in the reflecting space, limited glare of light sources, view to outside tree plantings. Safety & Security: doors to remain locked when closed for operation Acoustics: Conversation between receptionist and patient should be locally acoustically absorbed to not diffuse into the reflection space at the center of the lobby, emphasis on an auditory water feature. Level of Finish Requirements: Finishes should feel warm, sincere, and honest with detailed textures. Special Needs: Patients will need psychological comfort that no one is watching or listening to them in this space, view dividers are necessary.

Stella May Design

Summary Program

Adjacencies

Safe Spaces

Detailed Program

Cognitive Therapy Offices*

(qty. 4)

With their own private waiting rooms, these therapy offices have multiple approaches and entries, internally and externally, to provide patients with choice and control. Therapy Office & Private Waiting Room (qty. 4) Occupancy: 1-3, psychologists, therpists, counselors (as invited), physical therapists (as invited), and trauma patients and their families. Unit sq. footage: 150 (office) & 150 (waiting) Total sq. footage: 1500 (office) + 1500 (waiting) Adjacencies: attached private waiting room, attached private ADA restroom, group therapy rooms, and zen lobby, each suite of therapy offices should be adjacent to one another, direct access to outside. Main Activities: quiet to loud talk therapy sessions where confidentiality is important, sitting, laying down, EMDR, neurofeedback, balancing, stretching, meditating, potential dual massage + talk therapy sessions, research and writing, computer work Design Qualities: inviting, comfortable, soft, spacious, taller ceilings where possible, natural elements/textures, plants, quiet/ subtle in color, multiple exits for patient â&#x20AC;&#x153;escapeâ&#x20AC;? if they feel threatened, spacious circulation, attention should focus on true materiality, soft egdes, and comforting shapes for mental stability. Behavioral Qualities: Users should be able to configure furniture how they please for user control Furniture, Fixtures, & Equipment: soft casual seating for 3, variety of task seating and lounge seating, seating available on the floor, desk surface workstation, storage for books, wall mounted monitor with AV hookup, audio sound system for neurofeedback, adaptable massage table, small printer / copier / scanner, storage for patient files, storage for therapists and patients belongings. Illumination & View: indirect natural daylight by clerestories and/or skylights, dimmable ambient light, dimmable task lighting, views to the outside healing garden Safety & Security: Only therapists, patients, their families, and other invited providers are allowed entry into these offices, they should be designed for intimate and extensive patient care, visibility into the offices should be limited for privacy, and only therapists should administer who comes in and out of the office. Acoustics: conversation between therapists and patients should maintain within the room and absorbed acoustically to keep patient information confidential, external noises should be controlled however possible to limit outside distractions. Level of Finish Requirements: Finishes should feel warm, sincere, and honest. Medium durability for low traffic but daily use. Special Needs: 2 exits are essential to allow patients the comfort of choice and ease of escape if they feel threatened in any way, ideally arranged so patients do not have to pass by the therapist if need be.

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Program

Private Meditation Rooms

(qty. 6)

Occupancy: 1-2 Unit sq. footage: 150 Total sq. footage: 900 Adjacency: zen lobby Main Activities: personal meditation including sitting, laying down, movement activity for one, reading Furniture, Fixture, & Equipment: soft flexible seating for variety of use, shelf (or the like) for personal belongings Design mood: inviting, soothing and rustic essence, soft and warm, connection to nature/natural elements, textural and subtle, flexible space use, layered, acoustically isolated from other rooms for quiet environment, PNW influence Lighting: indirect natural light with screen, dimmable ambient and warm accent lighting

Collaborative Rooms

(qty. 2)

Occupancy: 1-5 Unit sq. footage: 100 Total sq. footage: 200 Adjacency: therapy offices, zen lobby Main Activities: confidential meetings between practitioners, event planning, group therapies, alternative talk therapies Furniture, Fixture, & Equipment: conference/collaborative work surfaces, AV hookup, screen and projector, speakers, soft casual seating, working-office type seating, flexible adaptable seating, writable vertical surfaces, writable horizontal surfaces Design mood: flexible, comfortable, ability to support pairs or medium groups, stronger in color and feeling (but still controlled) Lighting: indirect natural daylight (ability to black out), dimmable ambient light, dimmable task lighting, never harsh lighting

Stella May Design

Summary Program

Mind Body Lobby

Adjacencies

Safe Spaces

Detailed Program

(qty. 1)

Occupancy: 1-20 Unit sq. footage: 400 Total sq. footage: 400 Adjacency: large activity group spaces, restroom, sensory department Main Activities: check in for activity classes, people might be snacking or eating, quiet to loud socializing with classmates, stretching Furniture, Fixture, & Equipment: casual furniture (both soft and hard), reception desk, speakers, reception storage Design mood: inviting, soothing essence, balance of soft and hard materials, textural, defined soft color, rustic but refined, connection to nature/natural elements, subtle sensory stimulation, PNW influence Lighting: indirect natural daylight, soft ambient light, subtle accent lighting, limited glare of light sources

Large Activity Group Spaces

(qty. 2)

Occupancy: 15-20 (max 200) Unit sq. footage: 1000 Total sq. footage: 1000 Adjacency: mind body lobby, restroom, sensory therapy department Main Activities: yoga classes, tai chi classes, breathing and meditation classes, and self-defense classes including: sitting on the floor, laying down, jumping, running, exercise Furniture, Fixture, & Equipment: casual furniture to take off/on shoes, cubbies/racks for personal belongings, storage for yoga mats and accessories, screen and projector with AV hookup, speakers Design mood: inviting, soothing and rustic essence, inspiring, spacious, connection to nature/natural elements, more textural, darker earthy colors and subtle color, operable mirror wall/texture wall, PNW influence Lighting: indirect natural daylight (with limited glare), dimmable ambient lighting, warm accent lighting

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Program

Life Guidance inspiring. collaborative. relief.

Life-guidance is an essential key for mental healing, but social work is not often integrated into the healing process. The healing approach for trauma needs to include action-taking â&#x20AC;&#x153;interventionsâ&#x20AC;? that therapists do not provide in talk sessions like assistance on building skillsets and confidence in trauma-inducing areas of a patientâ&#x20AC;&#x2122;s life (Pryor). An integrated life-resource guidance department provides patients with help in specific lifeareas related to their traumas, programmed so they can

help,

take action upon the troubling areas of their life without

department includes the following opportunities: job-counseling,

the trauma usually associated with it. If patients choose

skillset

to use this resource, the psychological and physical

social anxiety classes, confidence-building classes, independency

therapists could take a catered approach to defining

programs, housing-search advising, self-defense classes, a 24-hour

the additional resources each patient needs depending

phone assistant hotline, and an additional outsourcing program to

on their traumatic life experiences and connect them

connect patients with any resources that the facility may not cover.

with the appropriate social worker or resource associate

This department would be open for regular appointments 5 days

within the facility where patients can seek the additional

of the week, and extended hours 24/7 for the phone assistant line.

Stella May Design

their

classes

own

for

choice

and

finances,

convenience.

budgeting,

and

The

life-guidance

public

speaking,

Summary Program

Adjacencies

Safe Spaces

Detailed Program

what’s important Life Guidance Centralized reception. Open

collaborative

environment and private rooms. Relatively close to social community

spaces,

many elements between can overlap.

“Treatment may not be limited to medication; it might include a suite of other interventions. A “formulation” gathers the biological, psychological and social factors that lead to a mental illness — and offers clues to the way out of suffering.” - Pryor, Medical Doctor

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Program

Life Guidance Reception

(qty. 1)

Occupancy: 1-15 Unit sq. footage: 400 Total sq. footage: 400 Adjacency: private consult offices, collaborative rooms, classroom/group spaces Main Activities: individual or group check-ins involving paperwork, reading, lounging, waiting, socializing Furniture, Fixture, & Equipment: soft furniture, variety of seating proximity, reception computer desk, coffee tables, writing surfaces Design mood: inviting, soothing, soft, variety of texture but not too strong, defined but subtle color, connection to nature/ natural elements, inspiring/motivating essence Lighting: natural daylight, soft ambient light, decorative accent lighting, limited glare of light sources

Stella May Design

Summary Program

Adjacencies

Safe Spaces

Detailed Program

Large Group Rooms Computer Rooms (qty. 1-2) Occupancy: 3-20 Unit sq. footage: 1000 Total sq. footage: 2000 Adjacency: lobby, large group space classrooms, collaborative rooms Main Activities: patients taking computer based-classes/workshops Furniture, Fixture, & Equipment: desks and computers, strip floor outlets, screen and projector, AV hookup, speakers, comfortable computer chairs (ergonomics) Design mood: inviting, comfortable, variety of texture, subtle color, inspiring/motivating essence Lighting: indirect natural daylight (ability to black out), dimmable ambient light, dimmable task lighting, never harsh lighting

Classrooms (qty. 1-2) Occupancy: 15-60 Unit sq. footage: 1000 Total sq. footage: 2000 Adjacency: lobby, computer rooms, collaborative rooms Main Activities: patients taking classes/workshops with social workers, quiet to loud group activity, group creative therapies, group laughter therapies, invited lectures Furniture, Fixture, & Equipment: flexible seating and work surfaces, collaborative furniture, screen and projector, speakers, AV hookup, pin up space, vertical writable surfaces Design mood: inviting, flexible, variety of texture, inspiring/motivating essence, spacious, connection to nature/natural elements Lighting: natural daylight (ability to black out), dimmable ambient light, dimmable task lighting, never harsh lighting

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Program

Private Consult Offices

(qty. 4)

Occupancy: 1-3 Unit sq. footage: 150 Total sq. footage: 1500 Adjacency: lobby, collaborative rooms Main Activities: private counseling sessions between patients and social workers, quiet to loud confidential discussions (acoustic privacy), computer use, reading, writing, research Furniture, Fixture, & Equipment: desk, writing surfaces, vertical writable surface, lounge furniture, AV hookup, printer/ scanner, flexible working office furniture (ability to stand or sit), file storage, bookshelves Design mood: inviting, comfortable, inspiring/motivating essence, variety of texture, bolder in color (but still controlled), connection to nature/natural elements Lighting: natural daylight, soft ambient light, non-glaring task lighting

Stella May Design

Summary Program

Adjacencies

Collaborative Spaces

Safe Spaces

Detailed Program

(qty. 2)

Occupancy: 1-5 Unit sq. footage: 100 Total sq. footage: 200 Adjacency: private consult offices, lobby Main Activities: private brainstorming space for creative consultations and alternative teaching, quiet to loud confidential meetings between practitioners (acoustic privacy), event planning, presentations Furniture, Fixture, & Equipment: flexible seating and work surfaces, conference/collaborative work surfaces, AV hookup, screen and projector, speakers, soft casual seating, working-office type seating, writable vertical surfaces, writable horizontal surfaces Design mood: flexible, comfortable, ability to support pairs or medium groups, stronger in color and feeling (but still controlled), inspiring/motivating essence Lighting: indirect natural daylight (ability to black out), dimmable ambient light, dimmable task lighting, never harsh lighting

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Program

Physical Therapy & Sensory Therapy intimate. familiar. tranquil.

Physical therapy and sensory therapy are effective treatments for conditions impacted by trauma because often emotionally painful memories can show up as physical pain in a patientâ&#x20AC;&#x2122;s body (Babbel, Baldwin). Research shows that the presence of chronic pain can be caused and increased by trauma; researchers found that often patients with PTSD also have chronic pain, and vice versa (Baldwin, Bloom). The physical therapy department of the Ahead Center includes: massage, manual therapy,

An additional sensory department will provide the opportunity to calm

visceral and neural manipulation, myofascial release,

over-excited nervous systems in trauma victims and physical relaxation

craniosacral therapy, and lymph drainage, Feldenkrais

for stress reduction. This sensory treatment department will include

movement awareness, postural exercises and stretches,

hot water therapy, cold water therapy, and floatation therapy or sensory

and balance (Five, Ratchinsky); and would be open 5 days

deprivation therapy, and would be open 7 days of the week with longer

of the week.

hours into nighttime than other departments.

Stella May Design

Summary Program

Adjacencies

Safe Spaces

Detailed Program

whatâ&#x20AC;&#x2122;s important Physical Therapy Close to mind body to use the larger spaces in the practice. Private entrances and private waiting rooms. Near

Cognitive

therapy

share practice spaces in the case of combined sessions. A lot of daylight and a lot of space.

Sensory Experience Private tub spaces foster more personal comfort for trauma patients - they donâ&#x20AC;&#x2122;t force the social aspect of public bathing. Access to natural daylight but not too bright. Neutral and calming. Private

attached

showering

areas.

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Program

Physical Therapy Rooms

(qty. 4)

Occupancy: 1-3 Unit sq. footage: 150 Total sq. footage: 1500 Adjacency: lobby, private waiting rooms Main Activities: physical therapy activity between patient & physical therapist, massage, lying down, sitting, standing, balancing, extending limbs Furniture, Fixture, & Equipment: massage table, couch, chairs, sink Design mood: inviting, soothing essence, natural elements/textures, plants, quiet/subtle in color, PNW influence, somewhat rustic but refined, slightly harder materials Lighting: indirect natural daylight (ability to screen), dimmable ambient light, soft dimmable main task lighting

Physical Therapy Lobby

(qty. 1)

Occupancy: 1-15 Unit sq. footage: 400 Total sq. footage: 400 Adjacency: physical therapy rooms, therapy rooms, collaborative rooms, central community hearth Main Activities: individual or group check-ins involving paperwork, reading, lounging, waiting, stretching Furniture, Fixture, & Equipment: soft furniture, variety of seating proximity, reception computer desk, coffee tables, writing surfaces Design mood: inviting, soothing essence, soft and hard material balance, variety of texture, defined but subtle color, connection to nature/natural elements, subtle sensory stimulation, acoustically controlled Lighting: natural daylight, soft ambient light, subtle accent lighting, limited glare of light sources

Stella May Design

Summary Program

Adjacencies

Sensory Reception

Safe Spaces

Detailed Program

(qty. 1)

Occupancy: 1-15 Unit sq. footage: 150 Total sq. footage: 150 Adjacency: hot/cold tub rooms, stairway to Mind Body lobby Main Activities: booking sensory appointments, checking in, small lines could form. Furniture, Fixture, & Equipment: Custom reception station including storage for towels, cash register, computer station for check-in, small fridge for beverages, storage for water glasses, storage for receptionist personal items, and a dirty towel drop off nearby Design mood: inviting, soothing essence, subtle and neutral, clean Lighting: indirect natural daylight, neutral ambient light

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Program

Private Soak Rooms*

(qty. 6)

With elements of Onsen bathing houses, these relieving individualized water therapy units with private showers provide the comfort of sensory relief without the anxieties of social expectation in a community setting. Private Hot/Cold Tub Rooms (qty. 6) Occupancy: 2, trauma patients and their families & friends, care providers: psychologists, therapists, physical therapists, counselors, social workers, mind-body instructors, teachers, and meditation guides. Unit sq. footage: 150 Total sq. footage: 900 Adjacency: attached private shower, floatation tank rooms, sauna, sensory reception Main Activities: hot water therapy and cold water therapy, long term soaking between 30 - 90 minutes Design Qualities: inviting, soothing and natural essence, emphasis on natural textural materials, dry entry vestibule before wet tub room Behavioral Qualities: users will operate showers and jets, users should tidy after themselves, but thorough cleaning will be done by maintenance Furniture, Fixtures, & Equipment: recessed hot tub and cold tub with seating around, elevated seating away from tubs Illumination & View: natural daylight is essential, partial height partitions to create openness and allow light to pass through all tub spaces, soft warm ambient light with dimmable control, warm accent lighting, lighting integrated in tubs and showers Safety & Security: manual locking for each private unit Acoustics: protected from outside noise, but noise diffusion between individual tubs is acceptable Level of Finish Requirements: easily cleanable materials appropriate for use in wet conditions, slip resistant & treated, high durability for medium daily traffic Special Needs: ADA accomodations for at least 1-2 tub units.

Private Showers (qty. 6) Unit sq. footage: 100 Total sq. footage: 600 Main Activities: showering after soaking, changing Furniture, Fixtures, & Equipment: shower head, drain, sink, shower seating, dry area, belongings storage, towel storage, clothes hooks, dry seating for 2, mirror Design mood: inviting, soothing and neutral, textural, subtle use of color, emphasis on natural materials Lighting: indirect natural daylight, neutral ambient lighting

Stella May Design

Summary Program

Adjacencies

Safe Spaces

Detailed Program

Sensory Deprivation & Sauna Floatation Tank Rooms (qty. 1) Occupancy: 1-2 Unit sq. footage: 150 Total sq. footage: 150 Adjacency: hot/cold tub rooms, laundry room, sauna Main Activities: sensory deprivation therapy (floatation therapy), showering off Furniture, Fixtures, & Equipment: float tank, drain, wet seating area, dry changing area vestibule with seating, small attached shower space (ADA), belongings storage, towel racks, clothes hooks Design mood: inviting, soothing and rustic essence, subtle and neutral, clean Lighting: indirect natural daylight, neutral ambient light, lighting integrated in tubs

Private Sauna (qty. 1) Occupancy: 1-6 Unit sq. footage: 150 - 300 Total sq. footage: 150 - 300 Adjacency: hot/cold tub rooms, laundry room, float tank room Main Activities: steaming and sitting Design mood: natural, neutral, and clean Lighting: dim lighting to be soft on eyes

ahead, comprehensive project

Program

Healing Garden serene. reverential. meandering.

A large healing garden taking up a substantial amount of outdoor space on the site should provide users with direct connection with the natural. Each department should have direct access to this garden, either physically or by view. Patients may use this garden space during open hours, rain or shine, 365 days of the year.

The garden will support varying experiences or

journeys for single users and groups including paved paths, gravel paths, water features, covered areas, rocky areas, dense planted areas, seating areas, and many

opportunities for users to discover more beauty around every twist and

meandering paths.

bend and should create meaning in its forms and arrangements.

With strong influence from traditional Japanese

gardens, the healing garden should tell a story as users progress through it. The garden should provide unlimited

Stella May Design

An emphasis on native species and sustainably sourced plants

and products will be valued to support the local ecology.

Summary Program

Adjacencies

Safe Spaces

Detailed Program

what’s important Garden Wall Places to walk & meander Water features, groves, ponds Places to sit and retreat Many paths or journeys to walk upon

“We learned that human beings need settings that maintain a connection with the natural.” - Sandra Bloom, trauma psychologist

ahead, comprehensive project

Program

Garden Reflection Wall

(qty. 1)

Occupancy: 1-30, trauma patients and their families & friends, care providers: psychologists, therapists, physical therapists, counselors, social workers, mind-body instructors, teachers, and meditation guides. Adjacency: healing garden Main Activities: relaxing, meditating, reflecting, places to sit, kneel, stretch, shelter from wet weather Design Qualities: inviting, soothing and natural essence, emphasis on perforations in the wall to create dynamic patterning, and overhead pagoda type condition. Behavioral Qualities: users should be able to view some elements upon entering and other elements be obscured from view at some angles to protect the privacy of people sitting at the wall by passers-by. Furniture, Fixtures, & Equipment: soft and hard seating for 30, variety of groupings for single users, pairs, and groups, integrated features into the wall, water feature Illumination & View: natural daylight, warm accent lighting, illumination at the base of walkways Safety & Security: anyone can access this feature by going through the community hearth, only open during facility operation hours. Acoustics: ambient noise by water feature to protect any private conversation Level of Finish Requirements: treated outdoor grade materials appropriate for use in wet conditions, slip resistant, high durability for weather & traffic Special Needs: Many places to tuck into for shelter and ability to hide if psychologically needed

Stella May Design

Summary Program

Adjacencies

Safe Spaces

Detailed Program

Outdoor Healing Garden (qty. 1) Occupancy: 1-30 Unit sq. footage: 2000 Total sq. footage: 2000 Adjacency: community hearth Main Activities: walking around the garden privately or in pairs, places to meditate, brief or prolonged sitting, standing Furniture, Fixtures, & Equipment: sitting surfaces, water feature Design mood: soothing, small subtle meandering paths leading to open areas, places to sit/meditate along the way, variety of native plants and small trees, places with cover Lighting: daylight, accent lights illuminating paths

ahead, comprehensive project

Program

infinity pools

healing garden cascading stream

â&#x20AC;&#x153;Activation and engagement with the physical environment is empowering and helps patients to remain present and increase their body awareness.â&#x20AC;? paths

the pond

circulation

water features

canopy

the grove

sheltered wall 88

Stella May Design

Summary Program

Adjacencies

Safe Spaces

Detailed Program

Transition Hallways Always Connected to Gardens pattern. light. connection.

ahead, comprehensive project

section name â&#x20AC;&#x153;Walk as if you are kissing the earth with your feetâ&#x20AC;?

Stella May Design

Context

Building

Structure

Opportunities

e t i s ysis l a an

Site Analysis

context Tamarack Building, 3575 Donald Street, South Eugene, OR TOP

Â? Â?

Roof Level 31' - 0"

This site includes 2 medium-large Level - 122.00 23' - 0"

sized buildings on a large open

Level 2 - 112.50 15' - 0"

lot with plenty of usable outdoor

Level - 105.00 7' - 0"

space. It has on-site parking on

Level 1 - 98.00 0' - 0"

Level - 88.00 -7' - 0"

the northwest edge of the site and occupies a corner with views Roof Level 31' - 0"

towards

Spencer

Level - 122.00 23' - 0"

Butte

the

Level 2 - 112.50 15' - 0"

southwest.

Level - 105.00 7' - 0"

Level 1 - 98.00 0' - 0"

This location is very appropriate Level - 88.00 -7' - 0"

being

quiet

residential

neighborhood and easy to access. Being off a main road and along LEFT

Â? Â&#x192; Â Â&#x201E;Â? Â

RIGHT

the bus route makes it an ideal

BOTTOM

location for both people that drive ÂÂ&#x201A; Â? Â?

and people that take public Â?Â? Â Â&#x201E;Â? Â transit.

The bucolic setting provides ample Â&#x2030;Â&#x2026;Â&#x160;Â Â&#x2020;Â&#x2021;Â&#x2C6;Â Â&#x2C6;

opportunity for refuge in nature.

Stella May Design

Â&#x2026;

Â Â? // Â?Â? Â Â&#x160; Â&#x20AC;/ 0' - 0" Level - 88.00 -7' - 0"

0' - 0" Â Level - 88.00 -7' - 0"

Context

Roof Level 31' - 0"

Structure

Building

Opportunities

Â&#x201A;Â Â Â Â Â Â Â&#x192;Â?

Level - 122.00 23' - 0"

Level 2 - 112.50 15' - 0"

Level - 105.00 7' - 0"

building

Â Â?

Â?Â?Â? Â? Â ÂÂÂ Â? Â? Â Â&#x20AC; Â Â ÂÂ?

Level 2 - 112.50 15' - 0"

Â Â&#x201A; Â&#x201E;Â Â? Â&#x2026;

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Â&#x201A;Â&#x192;Â&#x192;Â&#x201E; Â Â Â? Â Â? Â&#x20AC; Â? Â&#x20AC; Â Â&#x2026; Â Level 1 - 98.00 0' - 0" Â Â&#x2020; Â&#x2021; Â Â Â&#x20AC; Â&#x2C6; Â&#x2C6; Â&#x2030; Â Â? Â&#x2C6; Â Â Â&#x2C6; Â&#x20AC;Â&#x20AC; Â&#x2020; Level 2 - 112.50 Â Â? // Â?Â? Â Â&#x160; Â&#x20AC;/

Level - 88.00 -7' - 0"

Level - 122.00 23' - 0"

Level 2 - 112.50 15' - 0" Roof Level 31' - 0"

Level 1 - 98.00 0' - 0"

Roof Level 31' - 0"

Level - 122.00 23' - 0"

Roof Level 31' - 0"

Level - 105.00 7' - 0"

Â Â Â&#x20AC; Â&#x201E;Â ÂÂ&#x20AC; Â? Â? Â? Â? Â? Â&#x2020; ÂÂ&#x20AC;Â Â&#x201E; Â&#x2021;Â Â&#x201A;Â&#x2026;Â&#x2026; Â&#x2020;Â&#x2021;Â&#x2C6;Â Â&#x2C6; Â?Â&#x2C6;Â Â

Level 1 - 98.00 0' - 0"

15' - 0"

Level - 88.00 -7' - 0"

Level - 105.00 7' - 0"

Level 1 - 98.00 0' - 0"

Level - 88.00 -7' - 0"

Roof Level 31' - 0"

Level - 122.00 23' - 0"

f Level 31' - 0"

Â? Â&#x192; Â Â&#x201E;Â? Â

Roof Level 31' - 0"

Level 2 - 112.50 15' - 0"

Â&#x2026;Â&#x20AC; Â&#x2020;Â&#x2021;Â&#x2C6;Â Â&#x2C6;

Roof Level 31' - 0"

Level - 105.00 7' - 0"

Level 1 - 98.00 0' - 0"

Level - 88.00 -7' - 0"

Level - 122.00 23' - 0"

Level 2 - 112.50 15' - 0"

112.50 15' - 0"

Level 2 - 112.50 15' - 0"

ÂÂ&#x201A; Â? Â? Level - 105.00 7' - 0"

105.00 7' - 0"

Level - 105.00 7' - 0"

ÂÂ&#x20AC; Â? Â? Â? Â?

Level 1 - 98.00 0' - 0"

Â&#x201A;Â&#x2026;Â&#x2026; Â&#x2020;Â&#x2021;Â&#x2C6;Â Â&#x2C6; Level - 88.00

Level 1 - 98.00 0' - 0"

Â&#x2030;Â&#x2026;Â&#x160;Â Â&#x2020;Â&#x2021;Â&#x2C6;Â Â&#x2C6;

-7' - 0"

- 88.00 -7' - 0"

Â?Â? Â Â&#x201E;Â? Â

- 98.00 0' - 0"

Level - 122.00 23' - 0"

122.00 23' - 0"

Level - 88.00 -7' - 0"

Roof Level 31' - 0"

Â?Â?

Level - 122.00 23' - 0"

Level 2 - 112.50 15' - 0"

Level - 105.00 7' - 0"

Level 1 - 98.00 0' - 0"

Level - 88.00 -7' - 0"

Â&#x2019; Â&#x201E;Â&#x201C;Â&#x201D;Â&#x192;Â Â&#x201D;

ÂÂ&#x20AC; Â? Â? Â? Â? Â&#x201A;Â&#x2026;Â&#x2026; Â&#x2020;Â&#x2021;Â&#x2C6;Â Â&#x2C6;

Â? Â&#x192; Â Â&#x201E;Â? Â

Â&#x2026;Â&#x20AC; Â&#x2020;Â&#x2021;Â&#x2C6;Â Â&#x2C6;

Â&#x2019; Â&#x201E;Â&#x201C;Â&#x201D;Â&#x192;Â Â&#x201D;

Â?Â?

Â&#x2030;Â&#x2026;Â&#x160;Â Â&#x2020;Â&#x2021;Â&#x2C6;Â Â&#x2C6;

Â?Â? Â Â&#x201E;Â? Â

ÂÂ&#x201A; Â? Â?

Â?Â?

Level - 88.00 -7' - 0"

Roof Level 31' - 0"

Level - 122.00 23' - 0"

ahead, comprehensive project

Site Analysis

Roof Level 31' - 0"

Level - 122.00 23' - 0"

Roof Level 31' - 0"

structure

Roof Level 31' - 0"

Level 2 - 112.50 15' - 0"

Level - 88.00 -7' - 0"

Roof Level 31' - 0"

Level - 122.00 23' - 0"

Level 2 - 112.50 15' - 0"

Level - 88.00 -7' - 0" Level - 105.00 7' - 0"

Level 1 - 98.00 0' - 0"

Roof Level

31' - 0"

Level 2 - 112.50 15' -Roof 0" Level 31' - 0"

Level - 122.00 23' - 0"

Roof Level 31' - 0"

Level - 122.00 23' - 0"

Level 1 - 98.00 0' - 0" Level 2 - 112.50 15' - 0"

Level 2 - 112.50 Level - 105.00 15' - 0" 7' - 0"

Â Â Â Â Â&#x192;Â?

Â?Â? Â Â&#x201E;Â? Â

Â&#x2026;Â&#x20AC; Â&#x2020;Â&#x2021;Â&#x2C6;Â Â&#x2C6;

Level - 105.00 7' - 0"

ÂÂ&#x20AC; Â? Â? Â? Â?

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ÂÂ&#x201A; Â? Â?

Level - 88.00 -7' - 0"

Â&#x2026;Â&#x20AC; Â&#x2020;Â&#x2021;Â&#x2C6;Â Â&#x2C6;

Â&#x2030;Â&#x2026;Â&#x160;Â Â&#x2020;Â&#x2021;Â&#x2C6;Â Â&#x2C6;

Â?Â? Â Â&#x201E;Â? Â

Â?Â? Â&#x2030;Â&#x2026;Â&#x160;Â Â&#x2020;Â&#x2021;Â&#x2C6;Â Â&#x2C6;

Â Â Â&#x20AC; Â&#x201E;Â Â? Â&#x2020; ÂÂ&#x20AC;Â Â&#x201E; Â&#x2021;Â Â?Â&#x2C6;Â Â

Â&#x2026;Â&#x20AC; Â&#x2020;Â&#x2021;Â&#x2C6;Â Â&#x2C6;

Â? Â&#x2020; ÂÂ&#x20AC;Â Â&#x201E; Â&#x2021;Â Â?Â&#x2C6;Â Â

ÂÂ&#x201A; Â? Â?

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Â Â?

Â?Â?Â? Â? Â ÂÂÂ Â? Â? Â Â&#x20AC; Â Â ÂÂ? Â Â Â&#x20AC; Â&#x201E;Â Â?Â? Â Â&#x201E;Â? Â

Â? Â&#x192; Â Â&#x201E;Â? Â

Â&#x201A;Â&#x2026;Â&#x2026; Â&#x2020;Â&#x2021;Â&#x2C6;Â Â&#x2C6;

Level 1 - 98.00 0' - 0"

Â Â? Â&#x2030;Â&#x2026;Â&#x160;Â Â&#x2020;Â&#x2021;Â&#x2C6;Â Â&#x2C6; Â? Â&#x192; Â Â&#x201E;Â? Â Â&#x2026;Â&#x20AC; Â&#x2020;Â&#x2021;Â&#x2C6;Â Â&#x2C6; Â&#x17D; Â? Â? Â? Â Â? Â Â? Â? Â Â? Â Â Â? Â? Â Â? Â&#x17D;Â&#x2018;Â? Â&#x20AC; Â? Â&#x20AC; Â?

Â&#x201A;Â&#x192;Â&#x192;Â&#x201E; Â Â Â? Â Â? Â&#x20AC; Â? Â&#x20AC; Â Â&#x2026; Â Â Â&#x2020; Â&#x2021; Â Â Â&#x20AC; Â&#x2C6; Â&#x2C6; Â&#x2030; Â Â? Â&#x2C6; Â Â Â&#x2C6; Â&#x20AC;Â&#x20AC; Â&#x2020; Â Â? // Â?Â? Â Â&#x160; Â&#x20AC;/

ÂÂ&#x201A; Â? Â?

Â Â?

Â?Â?Â? Â? Â ÂÂÂ Â? Â? Â Â&#x20AC; Â Â ÂÂ? Â? Â&#x192; Â Â&#x201E;Â? Â Level - 88.00 -7' - 0"

Level 2 - 112.50 15' - 0"

Â&#x201E;Â Â? Â&#x2026; Â&#x201A;Â Â Â Â Â Â Â&#x192;Â? Â Â? ÂÂ Â Â&#x160; Â&#x201E;Â

Â&#x201A;Â&#x2026;Â&#x2026; Â&#x2020;Â&#x2021;Â&#x2C6;Â Â&#x2C6;

Level - 88.00 -7' - 0"

Â Â&#x201A; Â&#x201E;Â Â? Â&#x2026;

Â&#x201A;Â&#x2026;Â&#x2026; Â&#x2020;Â&#x2021;Â&#x2C6;Â Â&#x2C6;

0' - 0"

Level - 122.00 23' - 0"

Level 1 - 98.00 0' - 0"

ÂÂ&#x20AC; Â? Â? Â? Â?

31' - 0"

Â&#x2039; Â?Â&#x152; Â Â&#x201E; Â Â&#x2026; ÂÂ&#x201E; Â Â Â? Â&#x192; Â Â&#x201E;Â? Â Level - 88.00 -7' - 0" Â Â? Â Â? Â? Â Â? Â Â Â? Â? Â? Â&#x20AC; Â?

Â? Â Â? Â&#x20AC; Â? Â&#x20AC; Â Â&#x2026; Â Â Â&#x20AC; Â&#x2C6; Â&#x2C6; Â&#x2030; Â Â? Â&#x2C6; Â Â Â&#x2C6; Â&#x20AC;Â&#x20AC; Â&#x2020; ÂÂ&#x201A; Â? Â? Â&#x2030;Â?Â? Â&#x192; Â Â? ÂÂ Â Â&#x160; Â&#x201E;Â Â Â&#x160; Â&#x20AC;/ Â&#x2039; Â?Â&#x152; Â Â&#x201E; Â Â&#x2026; ÂÂ&#x201E; Â Â

ÂÂ&#x20AC; Â? Â? Â?

Level -Level 88.00- 88.00 -7' - 0"-7' - 0"

Level - 88.00Level 1 - 98.00 -7'Roof - 0" Level 0' - 0"

Level - 88.00 -7' - 0"

ÂÂ&#x20AC; Â?

Level 1Level - 98.00 1 - 98.00 0' - 0" 0' - 0"

Level 1 - 98.00 Level - 105.00 0' - 0" 7' - 0"

Level 1 - 98.00 Roof Level 0' - 0" 31' - 0"

Level - 88.00 -7' - 0" Level - 105.00 7' - 0"

Level -Level 105.00 - 105.00 7' - 0" 7' - 0"

Level 2 - 112.50 15' - 0"

Â&#x2030;Â?Â? Â&#x192; Â Â? ÂÂ Â Â&#x160; Â&#x201E;Â Â&#x2039; Â?Â&#x152; Â Â&#x201E; Â Â&#x2026; ÂÂ&#x201E; Â Â Level - 105.00 Level 2 - 112.50 7' - 0" 15' - 0" Â Â? Â&#x17D; Â? Â? Â? Â Â? Â Â? Â? Â Â? Â Â Â? Level 1 - 98.00 Â&#x201A;Â&#x2026;Â&#x2026; Â&#x2020;Â&#x2021; Â Â? Â&#x17D;Â&#x2018;Â? Â&#x20AC; Â? Â&#x20AC; Â?

0' - 0" Level - 105.00 Â&#x201A;Â&#x192;Â&#x192;Â&#x201E; Â Â Â? Â Â? Â&#x20AC; Â? Â&#x20AC; Â Â&#x2026; Â 7' - 0" Â Â&#x2020; Â&#x2021; Â Â Â&#x20AC; Â&#x2C6; Â&#x2C6; Â&#x2030; Â Â? Â&#x2C6; Â Â Â&#x2C6; Level - 88.00 -7' - 0" Â Â? // Â?Â? Â Â&#x160; Â&#x20AC;/ Level 1 - 98.00

Level 2 - 112.50 Level - 122.00 15' - 0" 23' - 0"

Level - 122.00 23' - 0"

Â Â&#x201A; Â&#x201E;Â Â? Â&#x2026;

Level 2Level - 112.50 2 - 112.50 15' - 0"15' - 0"

Roof Level 31' - 0"

Level - 105.00 Level 7' - 0"- 122.00 23' - 0"

Â&#x2019; Â&#x201E;Â&#x201C;Â&#x201D;Â&#x192;Â Â&#x201D;

Stella May Design

Level - 88.00 -7' - 0"

Roof Level 31' - 0"

Level - 88.00 -7' - 0" Level -Level 122.00 - 122.00 23' - 0"23' - 0"

Level - 88.00 -7' - 0"

Level 1 - 98.00 0' - 0"

Â&#x201A;Â Â Â Â Â Â Â&#x192;Â?

Level 1 - 98.00 Roof Level Roof Level 0' - 0" 31' - 0"31' - 0"

Level - 105.00 7' - 0"

Level - 88.00 -7' - 0"

Level 1 - 98.00 0' - 0"

Level - 88.00 -7' - 0" Level - 122.00 23' - 0"

Level - 105.00 7' - 0"

15' - 0"

Level - 88.00 -7' - 0"

Level 2 - 112.50 15' - 0"

Level 1 - 98.00 - 0" Level 2 - 0' 112.50

Level - 105.00 7' - 0"

Level - 122.00 23' - 0"

Level 2 - 112.50 15' - 0"

Level - 105.00 Level - 7' 122.00 - 0" 23' - 0"

Level 1 - 98.00 Roof Level 0' - 0" 31' - 0"

Level - 122.00 23' - 0"

Level - 88.00 -7' - 0"

Level 2 - 112.50 Roof 15' Level - 0" 31' - 0"

Level - 105.00 7' - 0"

Level 1 - 98.00 0' - 0"

Level 2 - 112.50 15' - 0"

Level - 88.00 -7' - 0"

Level 1 - 98.00 0' - 0"

Level 2 - 112.50 15' - 0"

Level - 122.00 23' - 0"

Level 1 - 98.00 0' - 0"

Roof Level 31' - 0"

Level 2 - 112.50 15' - 0"

Roof Level 31' - 0"

Level - 122.00 23' - 0"

Level - 105.00 7' - 0"

Level 1 - 98.00 0' - 0"

Level - 122.00 23' - 0"

Level - 105.00 7' - 0"

Roof Level 31' - 0"

Level - 122.00 23' - 0"

Level 2 - 112.50 15' - 0"

Level - 122.00 23' - 0"

Level 2 - 112.50 15' - 0"

Â?Â?

Context

Building

opportunities

Structure

Opportunities

whatâ&#x20AC;&#x2122;s important? â&#x20AC;˘ Extreme topography has limitations and opportunities â&#x20AC;˘ 3 separate buildings - how to stitch these together

â&#x20AC;˘ Plenty of space on the site - how to utilize this space, how to connect users to the site â&#x20AC;˘ Truss character and langauge - emphasize this character

potential expansion space on the site

opportunity for small outdoor gardens

opportunity to divide into segments

potential to widen upper floor

ahead, comprehensive project

section name â&#x20AC;&#x153;Drink your tea slowly and reverently, as if it is the axis on which the whole earth revolves slowly, evenly, without rushing toward the future.â&#x20AC;?

2196

Stella May Design

Codes Analysis

FFE

Building Systems

l a c i n h c e t esign d

Technical Design

codes analysis

R-1 Low Density Residential - Zoning (1)

The Tamarack site is classified in the R-1 Zone.

The new use for a Healing Center for Trauma, which falls under the Eugene classification of an out-patient clinic for mental health, is not entirely permitted by the current zone classification R-1 for the site. Even if portions of the program are permitted including healing garden, and recreation, mental health clinics including therapy and counseling are not permitted in R-1 (Eugene Code 9.2).

This site would either need to be re-classified as R-3 or R-4 by the city or recieve a special exception permit to be built.

Stella May Design

FFE

Codes Analysis

Building Systems

Occupancy Classifications Mixed Construction Type of buildings: Non-Combustible treated timber and Combustible Wood Framing on concrete base (3) Program

Space / Room

Psychological Dept. Zen Lobby Therapy Offices - Private Private Waiting Rooms Collaborative Rooms

Activites

SqFt

Checking in, lounging, meditating, filling out paperwork, computer work, socializing, sitting Psychological therapy, EMDR, neurofeedback, reading, writing, research Reading, meditating, sitting Meeting, discussing, planning, presentations

Qty. Total SqFt

Type Factor Occup Load Adjacencies

400

200

800

I-2

100

200

800

100

200

collab rooms, private meditation rooms, therapy offices, attached kiosk zen lobby, collab rooms, private waiting rooms therapy offices zen lobby, therapy offices, private meditation rooms

Physical Dept. Lobby / Entry

reading, lounging, socializing, stretching

400

physical therapy rooms

Physical Therapy (PT) Rooms

Physical therapy, massage, meditation, walking, moving, computer work

200

800

I-2

100

lobby

400

Social hearth, consult offices, collab rooms, computer room, classroom

200

800

100

lobby, collab spaces

100

200

lobby, consult offices

400

lobby, classrooms

400

lobby, computer rooms

400

group spaces, sensory dept.

1000

2000

134

lobby, sensory dept.

150

900

zen lobby, therapy offices

Life-Guidance Dept. Checking in, reading, lounging, filling out paperwork, computer work, socializing Meeting with Life-Guidance consultants, Private Consult Offices talking, sitting, computer work, drawing, writing Meeting, discussing, planning, Collaborative Spaces presentations Computer work, reading, writing, Computer Room presentation Classes, workshops, reading, writing, Large Group Space Classroom moving, community event Mind-Body Dept. Lobby / Reception

Lobby Large Group Spaces Private Meditation Rooms Sensory Dept.

Lounging, socializing, eating, stetching Yoga, Tai Chi, self-defense, mind-body classes, breathing classes, group community events Meditation, sitting, reading, lying down

Private Soak Rooms

Water therapy soaking

150

900

Attached Private Shower

Bathing & dressing

100

900

Private Steam & Sauna

sensory reception, shower rooms, float rooms, saunas attached to soak rooms soak rooms, laundry room, float rooms restroom, soak rooms soak rooms, laundry room, suanas

Hot steam therapy

150

300

Living Wall Lounge

lounging & relaxing

200

Floatation Tank Rooms

Floatation therapy

150

300

Food / drink prep, cleaning Eating, drinking, lounging, reading, studying, socializing, refuge

400

200

seating

400

prep kitchen

Community Tea house Prep Kitchen Tea house Seating Small Event Stair

talks, events, gathering, seating, eating

200

tea house, life guidance dept.

Event Room

meeting, discussing, talks, presentation

400

tea house, reception

Group Rooms Mechanical / HVAC Total Garden Reflection Wall

group therapies, laughter therapies

300 400

2 1

600 400 13900

therapy offices

Outdoor Healing Garden 25% Circulation Net Total Gross Available

+25% Circulation Tamarack Building

672 Healing garden

sitting, socializing, relaxing Refuge, contemplation, meditation, socializing

all departments 3475 17,375ahead, ~21,650

comprehensive project

Technical Design

Egress & Fire Rating

Plumbing

Egress stairs can be open when connecting two floors of a

Fixtures - 5% accessible

single tenant space, but if they access multiple tenants or more than two floors, they must be fully enclosed with 1 hour

(5, 6)

Or 1 in each location

Sinks

Toilets

fire rating walls for 3 stories or less (3).

A3: 4 sinks, 6 toilets (531 occupants) B: 4 sinks, 6 toilets (134 occupants) I-2: 4 sinks, 4 toilets (40 occupants)

Accessible family restrooms required in A3 and B where there are more than 6 toilets

(3)

Drinking Fountains - 50% accessible (5, 6) (3, 4)

Standing

Accessible

(3, 4)

1 per floor (3, 4)

1 per floor

50%

If >2 per floor then at least 50% must be accessible Requirements:

(4)

(3)

Must be in common areas, Cannot protrude more than 4” into path of travel Accessible Dimensions: 36” spout height, 30x48” floor clearance, 36” wide alcove (if applicable) Standing Dimension: 38-43” spout height

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Building Systems

WELL Building Standards WELL has several concepts that are interesting for my project, including Thermal Comfort, Materials, Mind, and Community. I will dive into Mind strategies for designing for mental health.

Access to Nature

(8)

• Goals: to improve memory & cognition and lower stress & anxiety through direct & indirect access. Can include: plants, water, natural views,

(7)

“The WELL Mind concept promotes mental health through policy, program and design strategies that seek to address the diverse factors that influence cognitive and emotional wellbeing.”

and outdoor green space. Must complete at least 2 of the following: • Outdoor nature access - where 25% of the

site is landscaped

• Indoor nature access - includes potted plants, plant walls, water features, and is in direct line of sight from 75% of occupants • Nature views in line of sight from 75% of occupants • Nearby nature access within walking distance

Restorative Spaces

(8)

Goals: to refocus, recharge and restore from mental fatigue. Can include spaces to meditate, pray, or think. Must complete the following: • Designated space for contemplation and relaxation, not for working • Minimum size: 75 sq.ft. (may be broken into smaller rooms) • Accessible • Features: dimmable lighting, intrusive noise, thermal comfort, range of seating type, incorporation of nature, calming colors & textures, and visual privacy.

HIPAA

(9)

Designs should increase patient confidentiality based on the Health Insurance Portability & Accountability Act.

Keeping private information out of visibility:

Controlling acoustics within the interdisciplinary facility.

• Patient charts should be located out of view from patients and

This includes:

visitors

• Absorbing sound within rooms,

• Computers that have patient information on them should be

• Blocking sound, with walls, ceiling panels, doors, and partitions.

placed outside the view of patients and visitors, the computer

• Covering up sound, with high-quality sound-masking systems,

should be secured to the workspace, a 3M privacy screen should

or “white noise.”

be used when in a public area

ahead, comprehensive project

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Technical Design

FFE â&#x20AC;&#x153;We learned that human beings perform better and are better behaved when their physical surroundings are comfortable and attractive.â&#x20AC;? - Sandra Bloom, trauma psychologist

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Building Systems

Detailed Spaces Behavorial Conditions, Integrated Systems, Wayfinding Strategy, Acoustics, Human Scale

FFE Concept Stimulating the Senses Truth in Materiality Mental Impact of Finishes Cultivating Discovery Sustainability

Specifications Zen Lobby Tea House Therapy Rooms Hearth Courtyard Soak Rooms

ahead, comprehensive project

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Technical Design

zen lobby behavorial conditions

An experience with the tactile, these personal seating nooks in the zen lobby provide patients with a calm space to tuck into, amidst others but not in direct relation with nearby people for personal privacy as they reflect. Each nook sits at a comfortable 17â&#x20AC;? height, able for an ADA transfer. Ample width provides a variety of sitting options.

5' - 0"

9' - 0"

1' - 5"

5' - 0"

interior elevation a - privacy nook wall

3' - 0"

5' - 0"

8â&#x20AC;&#x2122; - 0â&#x20AC;?

12â&#x20AC;&#x2122; - 0â&#x20AC;?

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Building Systems

Â?

section - looking towards privacy nook wall ahead, comprehensive project

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Technical Design

tea house integrated systems

A space to hold ritual. The tea house storage casework integrates lighting into itâ&#x20AC;&#x2122;s construction to emphasize the loose leaf tea blends and displayed drinkware. Lighting is also integrated below the sipping counter surface and on the wall to accent wash textured natural wood. Decorative geometric lighting drops above the counter.

5' -

1/4 "

a b 19 '-

1/2 "

custom tea sipping seating counter

custom loose leaf storage display with integrated LEDs

3' - 0"

5' - 2"

6' - 2"

section - through casework

1â&#x20AC;&#x2122; - 0â&#x20AC;?

3' - 0"

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5' - 0"

Stella May Design

2' - 7"

Codes Analysis

FFE

Building Systems

interior elevation a - tea sipping counter

9' -9'0"- 0"

Â?

2' - 4" 2' - 4"

3' - 7" 3' - 7"

3' - 11" 3' - 11"

10" 10"

7' -7'0"- 0"

19' - 0" 19' - 0"

7' - 1" 7' - 1" 11' - 9" 11' - 9"

3' - 10â&#x20AC;? 3' - 10â&#x20AC;?

2' - 0" 2' - 0" 12' - 0" 12' - 0"

Â Â

3' - 0â&#x20AC;? 3' - 0â&#x20AC;? 11' - 9" 11' - 9"

interior elevation b - tea storage and display ahead, comprehensive project

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Technical Design

hearth courtyard wayfinding strategy

Clear and concise. To support the differeng levels of memory retention and memory loss among users, very clear signage will guide users through the spaces. Each department is clearly marked with directional signs which are most important in points of intersection and at the hearthâ&#x20AC;&#x2122;s courtyard, the first point of contact for users entering the center.

a UP

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Building Systems

interior elevation a - courtyard wood passageway signage

^ Garden Breathe

< Restroom

Cognitive Therapy & Meditation

< Tea House

Share ^

Group Therapy & Events

< Soak

Water Therapy

Assist >

< Move

Life Guidance

Physical Therapy, Yoga, & Tai Chi

ahead, comprehensive project

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Technical Design

therapy offices acoustics

110

To ensure confidentiality during therapy sessions, all new interior walls in the therapy wing are double walled, insulated, and extend up to structure. Large upholstery and soft floors provide extra sound dampening.

Stella May Design

Codes Analysis

FFE

Building Systems

soak rooms human scale

Two of the six soaking tubs are designed to accomodate ADA needs with floor and height clearances, ADA shower stall size, approach, and shower seating, and hands free plumbing. An ADA transfer wall before the tubs is required by code.

ahead, comprehensive project

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Technical Design

stimulating the senses in therapy A variety of textures and materials can provide brief mental departure for anxiety relief and allow users to be present, rather than stuck in past traumatic memories. “Therapists agree that sensory engagement in a counseling environment is essential to allow the user to reduce anxiety, remain present, and process any issues more readily. Such sensory encounters are useful as part of a therapy process as it offers a kind of psychological escape and respite, an object to talk about or focus on for a moment during an intense counseling session. Sensory engagement also allows the users to be more “in touch” with their bodies and how they are feeling physically, and psychologically. One explained how a room that was highly textured and colorful made her feel safe. Another reflected on how having objects to touch and engage with was significant to help her comfortably access memories and feelings. Others discussed rearrangement of physical layouts as a means to enact a sense of agency and instrumentality, bolstering a sense of self.”

- Liddicoat, PHD

“During traumatic flashbacks, our capacity to logically think through a problem is diminished or entirely shut down, and our minds shift to a mode of conciousness that is characterized by visual, auditory, kinesthetic images, and physical sensations as well as strong feelings.”

- Sandra Bloom, trauma psychologist

truth in materiality We are allowing the interior space to be free of materials that falsely appear as something they are not - nothing hidden to the eye - all materials are true through and through to their appearance. Users may

Physically woven fabrics rather

Genuine leathers instead

be better able to trust this place of healing, trusting

than printed patterns, to be

of poly leathers, they

true to material construction

have a notably different

that their environment is not lying to them.

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texture

Codes Analysis

FFE

Building Systems

â&#x20AC;&#x153;It felt to me that it was important that things not be fake here. Unconsciously someone might notice that, and someone with trauma in particular who is suspicious to begin with may use that unknowingly as an excuse to not come.â&#x20AC;? - David Baldwin, trauma psychologist

Typical materials where they are

Real woods rather than grain

Objects with a weight

Not hiding blemishes or

expected, like plaster and gypsum

patterned vinyls, the sound

that matches how

material inconsistency in

to create a sense of consistency and

and feeling beneath the feet

they appear

naturals, but celebrating their

normalcy

gives it all away

unique intimate quality

ahead, comprehensive project

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Technical Design

finishes

and their impact on spatial perception Materials that do not leave imprints, that do not absorb smells, and do not show extreme wear over time are ideal, but should still have softness and comfort. This allows disassociated victims to focus on their own healing and not be distracted by the traumas of other people using the facility. How traces of others can impact the therapy sessions: â&#x20AC;&#x153;Users speak of trace as manifesting past users and their issues in the space, leaving no room for them to unpack and discuss their own thoughts in the physical and psychological therapeutic space. This results in a reduced level of therapeutic engagement and reduced opportunities to feel safe in the space. This is suggestive of a characteristic spatial perception whereby users are perceiving the space as a container of emotions and issues through trace. Ensuring the minimization of traces is key to ensure the user need only be concerned with their own thoughts, issues, and the present therapy session, rather than being overwhelmed with the users who have inhabited the space before and the traumas imagined to be associated with them. The users discussed poignantly how signs of user inhabitation or trace prior to their own occupation of the space was confronting and triggering of anxietyâ&#x20AC;?

- Liddicoat, PHD

cultivating discovery This is a place of discovery. A place where you can find yourself, a place where you can pause and take in all the little details of beauty around you. Cultivate an awareness and appreciation for our everyday.

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Rhymthic linear Hand cut details that fit together perfectly

movement to graze as you pass

Interest in shapes and form

Codes Analysis

FFE

Building Systems

sustainability Local and Handmade Recycled Content Energy & Water Efficiency

easing anxiety Soft colors that are easy on the eye, soothing to the heart, and help calm the mind.

â&#x20AC;&#x153;Higher level of sensory stimulus is required to enable disassociated victims of trauma to be fully present in their environment.â&#x20AC;?

An organic element

Colors that pop with an

Subtle patterns to

Letting light and shadow

welcoming you with a

Creating variation and

optimistic vibrancy, but

follow with the eye

dance upon the spaces

smile

interest through depth

soft enough to the eye to be comfortable

ahead, comprehensive project

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Technical Design

specifications Custom Privacy Screens Product Type: Slatted screen Color / Finish: Oak wood with natural finish Location: Zen Lobby, Tea House, Hearth Courtyard Significance: A privacy motif for consistent comfort Dimensions: 5’ W x 9’ H x 2” D Material Properties & Considerations Aesthetics: Natural and warm Function: Visual barrier Sustainability: Recycled wood content Durability: medium, replace slats every couple years Code / Regulation: Fire treated

Blush Toned Wall Paints Product Type: Paints Color / Finish: Rose Dust Location: Zen Lobby Significance: Soft and neutral Mfr: Benjamin Moore Product number: 1010 Product Type: Paints Color / Finish: Hearth Red Location: Zen Lobby Significance: Bold but mature Mfr: Benjamin Moore Product number: 1295 Material Properties & Considerations Sustainability: Green Certified Durability: Easy to wash Healthy Environments: Low VOC, low odor

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Building Systems

Bloke Sofa Product Type: Upholstered sectional couch Color / Finish: Tait Stone Woven Fabric, slate powder-coated steel legs Location: Zen Lobby, Therapy Rooms Significance: Sheltering high back and sides Mfr: Blu Dot Product number: BL1-LARMCH-ST Dimensions: 109” W x 34” H x 32” D 23” seat D, 72” chaise L, 19” seat H Material Properties & Considerations Aesthetics: Soft with a natural weave Function: A place to lounge Durability: 50,000 double rubs, high resilency foam, hardwood frame

Turn Low Side Table Product Type: Accent side table Color / Finish: Solid Acacia wood Location: Zen Lobby, Tea House, Hearth Significance: Solid wood reacts dynamically to its enviornment allowing it to tell a story as it ages, swells, or cracks. Mfr: Blu Dot Product number: TN1-SIDLOW-WD Dimensions: 11” dia, 12” H Material Properties & Considerations Aesthetics: Rich and warm, balances curvy and straight Function: beverages, books, and personal items Sustainability: turning one thing on a lathe Durability: high

ahead, comprehensive project

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Technical Design

Ling Linear Pendant Product Type: Pendant track light fixture Color / Finish: Matte Black, LED, 3000K Location: Zen Lobby Significance: Above Zen sand garden plot Mfr: Lightology by Seed Design Product number: SEE661474 Dimensions: 52.7” L, 78.7” H, 4.3” W Material Properties & Considerations Aesthetics: Simple, subtle curves in linear form Function: cast light and shadow on sand and plant depth Sustainability: LED, dimmable

Travertine Floor Tile Product Type: Honed Travertine Location: Zen Lobby, Hearth Dimensions: Tiles 2’ x 2’, varying custom sizes in select locations Material Properties & Considerations Aesthetics: Neutral and smooth Durability: High Code / Regulation: Honed to reduce slipping

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FFE

Building Systems

Rico Lounger & Ottoman Product Type: Swivel lounge chair and ottoman Color / Finish: Brushed chenille off-white Location: Zen Lobby, Therapy rooms Significance: Hugging and curving shapes for comfort Mfr: Burke Decor Product number: FL-100273315 Dimensions: 34.3” W x 31.1” H x 32.1” D 16” seat H, 22.8” seat D, 28.7” seat H Product number: FL-100105204 Dimensions: 48.8” W x 16.1” H x 27.2” D Material Properties & Considerations Aesthetics: Pleasing curves, embracing volume, soft and supple Function: Lounging

Palms and Bamboo Significance: Using plants as visual separater elements Material Properties & Considerations Healthy Environments: Biophilia, WELL

ahead, comprehensive project

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Technical Design

Vases & Objects Product Type: side table lights, vases, jars Color / Finishes: Brushed brass, satin nickel, glass, ceramic Location: Zen Lobby, Therapy Rooms Significance: Organic curving shapes Material Properties & Considerations Aesthetics: true materiality, textures Function: Objects to provide tactile stimulation and mental departure Sustainability: Handmade, handblown objects from local crafters

Textile Wall Decor Product Type: Wall hanging piece Color / Finish: textiles in blush, stone, and jade colors Location: Therapy Rooms Significance: Textural delight for stimulating the senses and mental departure Dimensions: 16â&#x20AC;? W x 24â&#x20AC;? H Material Properties & Considerations Aesthetics: Movement and balance Sustainability: Handmade by a local artisan

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Building Systems

Custom Storage Casework Product Type: Storage shelving Color / Finish: Oak wood with natural finish, fluted glass Location: Tea House, Therapy Rooms Dimensions: 12â&#x20AC;? x 12â&#x20AC;? cube slots Material Properties & Considerations Aesthetics: Symmetric, linear, and expected Function: Storage for loose leaf teas and books Sustainability: Recycled wood and glass content Durability: High

Floating Shelves Product Type: Shelving Color / Finish: Oak with natural finish Location: Tea House, Therapy Rooms Material Properties & Considerations Aesthetics: Simple, functional, and seemingly magical Function: Display drinkware and objects Sustainability: Recycled wood content Durability: High

ahead, comprehensive project

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Technical Design

Bloke Lounge Chair Product Type: Lounge Chair Color / Finish: Rostenkowski Blue, navy powder-coated steel legs Location: Tea House Significance: Sheltering high back and sides Mfr: Blu Dot Product number: BL1-LNGCHR-BL Dimensions: 29” W x 34” H x 31” D 19” seat H, 22” seat D Material Properties & Considerations Aesthetics: Soft with a natural weave Function: A place to lounge Durability: 50,000 double rubs, high resilency foam, hardwood frame

Turn Coffee Table Product Type: Accent Coffee Table Color / Finish: Solid Acacia wood Location: Tea House Significance: Solid wood reacts dynamically to its enviornment allowing it to tell a story as it ages, swells, or cracks. Mfr: Blu Dot Product number: TN1-COFFEE-WD Dimensions: 26” dia, 16” H Material Properties & Considerations Aesthetics: Rich and warm Function: Beverages, books, and personal items Sustainability: Turning one thing on a lathe Durability: High

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Building Systems

Travertine Tile Flooring Product Type: Stone flooring Color / Finish: Travertine Tile Location: Tea House, entry hall Dimensions: 3’ x 3’ Material Properties & Considerations Aesthetics: A neutral wash bathing the floor Durability: High

Light Between Rug Product Type: Area rug Color / Finish: “Natural” - cream and blue Location: Tea House Mfr: Blu Dot Product number: RU1-LTBW69-NA Dimensions: 6’ x 9’ Material Properties & Considerations Aesthetics: Soft, linear, and balanced Function: Designates a lounge seating area Sustainability: Hand woven, 100% wool

ahead, comprehensive project

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Technical Design

Mosaic Stone Tile Product Type: Porcelain floor tile Color / Finish: Off-white with beige grout Location: Tea House prep area Significance: Stimulating the senses through texture and shape Mfr: Dal Tile Dimensions: 1/2” tile Material Properties & Considerations Aesthetics: Neutral, creamy and foamy Durability: High Code / Regulation: Slip resistant finish

Raphael Counter Stool Product Type: Stool Color / Finish: Brown leather, blackened metal legs Location: Tea House Significance: Protected back hugs the body so users don’t feel vulnerable sitting here Mfr: All Modern Dimensions: 22” W x 30” H x 21.5” D, custom seat height 18” Material Properties & Considerations Aesthetics: Warm Function: Sitting

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Building Systems

Mismatched Pendant Series Product Type: Pendant light fixtures Color / Finish: Matte black Location: Tea House above sipping counter Significance: cultivating discovery through shape Mfr: Burke Decor Product number: Simona, Rosie Mini, Rosie Maxi, Gemma Dimensions: Varying sizes and shapes Material Properties & Considerations Aesthetics: Differing shapes create interest Function: Accent and task lighting Sustainability: LED, dimmable

Pastille Sconce Product Type: Wall sconce light Color / Finish: Matte black steel, opal glass Location: Tea House, Soak Rooms, Therapy Rooms Significance: Bringing organic elements into linear spaces Mfr: Rich Brilliant Willing Product number: PAS-1W-PC30-D-22-120TR-IP20 Dimensions: 5.5” W x 12.5” H x 3.8” D Material Properties & Considerations Aesthetics: Pleasing curves and simple composition Function: Wall accent lighting Sustainability: LED, dimmable

ahead, comprehensive project

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Technical Design

Flora Clay Wall Tile Product Type: Wall Tile Covering Color / Finish: White Matte Glaze Location: Tea house Significance: Textural delight to stimulate the senses and cultivate discovery, tactile therapy Mfr: Bottega Nova Material Properties & Considerations Aesthetics: Speaks of the natural elements Sustainability: Natural clays and sands, handcrafted Durability: Medium, could be prone to cracking Healthy Environments: Biophilia

Peyote Picnic Product Type: Paint Color / Finish: Peyote Picnic, light sage green Location: Hearth Courtyard, Tea House, Soak Rooms, Therapy Rooms Significance: Anxiety reducing color Mfr: Backdrop Material Properties & Considerations Aesthetics: Soft and soothing Sustainability: Green Certified Durability: Easy to wash Healthy Environments: Low VOC, low odor

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Codes Analysis

FFE

Building Systems

Trinsic Voice Faucet Product Type: Kitchen Faucet Color / Finish: Champagne bronze Location: Tea House Mfr: Delta Product number: 9159TV-CZ-DST Dimensions: 15” H, 8” spout H, 9.5” spout reach Material Properties & Considerations Aesthetics: Soft brass accent Function: Filling teapots, cleaning dishes, washing hands Sustainability: Auto waterflow shut-off Healthy Environments: No-Lead Code / Regulation: Hands free, ADA

Custom Casework Product Type: Counter casework with storage Color / Finish: Dune prima corian, oak wood with natural finish, circle hardware Location: Tea House Significance: Continuing the oak theme Material Properties & Considerations Aesthetics: Creamy and warm, depth in veins and grain Function: Serving tea, prepping snacks Sustainability: Recycled wood content Durability: Very High

ahead, comprehensive project

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Technical Design

Snake Plant Type: Moonshine Location: Therapy Rooms Significance: Low-care plant Material Properties & Considerations Aesthetics: Smooth elegant movement Healthy Environments: Biophilia & WELL

Mia Pendant Product Type: Pendant light fixture Color / Finish: Beige wood slat Location: Therapy Rooms Significance: Textural delight to stimulate the senses Mfr: Arterior Home Product number: AR-41005 Dimensions: 27” dia, 20.5” - 50.5” H Material Properties & Considerations Aesthetics: Diffused and dappled light with elegant linear rhythm Function: Accent and ambient lighting

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Building Systems

Arc Coffee Table Product Type: Coffee Table Color / Finish: White Ash Wood Location: Therapy Rooms Mfr: Malouet Design Dimensions: 24” dia, 16” H Material Properties & Considerations Aesthetics: Simple and clean, paired wonderfully with moss green rug Function: Cups, books, and personal items

Cedar & Moss Conifer Light Product Type: Surface mount light fixture Color / Finish: Oil rubbed bronze Location: Therapy Rooms, Tea House Mfr: Rejuvenation Product number: A0854 Dimensions: 24” dia, 13” H Material Properties & Considerations Aesthetics: Simple and modern Function: Ambient lighting Sustainability: LED, UL listed

ahead, comprehensive project

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Technical Design

Peachy Accent Wall Product Type: Paint Color / Finish: Cashmere Wrap Location: Therapy Rooms, Tea House Significance: Psychology of pink indicates the possibility to reduce violent tendencies Mfr: Benjamin Moore Material Properties & Considerations Aesthetics: Mostly neutral, with a little bit of warmth and tint of peach Durability: Easy to wash Healthy Environments: Low VOC, low odor

Solid Wood Credenza Product Type: Credenza Color / Finish: Honey toned hickory Location: Therapy rooms Material Properties & Considerations Aesthetics: Angled depth for tactile stimulation Function: Practitionerâ&#x20AC;&#x2122;s storage, surface for monitor display Sustainability: Handcrafted by a local woodworker Durability: High, solid wood

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Codes Analysis

FFE

Building Systems

Chunky Woven Cushions Product Type: Cushions Color / Finish: Off-white Location: Therapy Rooms Significance: Textural delight to stimulate the senses, anxiety reducing objects for tactile therapy Material Properties & Considerations Aesthetics: Depth, texture, cushiness, creaminess Function: Comfort object Sustainability: 100% wool, handcrafted by local artisan

Broadloom Tufted Carpet Product Type: Floor covering Color / Finish: Crystal Stitch Prisma in Raindrop white Location: Therapy Rooms Mfr: Milliken Dimensions: 0.4â&#x20AC;? thickness, Material Properties & Considerations Aesthetics: Neutral wash Sustainability: Efficient manufacturing Healthy Environments: GLP2860 Carpet Category 1y, Anti-microbial AlphaSan Code / Regulation: Flame Resistant class 1

ahead, comprehensive project

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Technical Design

Timber Slatted Walls Product Type: Wall Coverings Color / Finish: Dark Oak and Light Oak Location: Hearth Courtyard Seating, Tea House Significance: Textural detail for sensory stimulation Dimensions: 1/2” slats Material Properties & Considerations Aesthetics: Depth, movement, and grace Sustainability: Recycled wood content Durability: High, solid wood

Brushed Aluminum Letters Product Type: Signage Color / Finish: Brushed aluminum, “Santa Barbara” font Location: Hearth, Zen Lobby, Tea House, Sensory Mfr: Modern House Numbers Dimensions: 3/8” thick, 4” H Material Properties & Considerations Aesthetics: Elegant and slim Function: Feature area signs, “Breathe.” “Sip.” “Soak.” “Move.” “Assist.” Sustainability: Recycled Aluminum Durability: High

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Codes Analysis

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Building Systems

Bank Bench Product Type: Upholstered bench seat Color / Finish: Sanford linen textile and blackened metal legs Location: Hearth Courtyard Seating & Nooks Significance: Scattered around the social hearth as pausing points Mfr: Blu Dot Product number: BA1-ATBNCH-LN Dimensions: 18” D x 48” L x 18” H Material Properties & Considerations Aesthetics: Simple and clean Function: Sitting Durability: 50,000 double rubs, high resiliency foam cushions

Stone Mosaic Floor Product Type: Stone flooring Color / Finish: Breccia Oniciata, Travertine Noce, and Travertine White Location: Hearth Courtyard Significance: Cultivating discovery through detail and shape Mfr: Mosaique Surface Dimensions: Varying piece sizes Material Properties & Considerations Aesthetics: Angles that fit together perfectly Sustainability: Handcut stone Durability: High Code / Regulation: Slip resistant finish

ahead, comprehensive project

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Technical Design

Custom Translucent Screen Product Type: Sliding screen Color / Finish: Oak wood with natural finish and frosted panes Location: Soak Rooms, Hearth Courtyard Significance: Divisions match the aesthetic of existing window mullions Material Properties & Considerations Aesthetics: Light, Warm Function: Visual Barrier, room separater Sustainability: Recycled wood content Durability: Medium Code / Regulation: Treated wood for wet conditions

Cast Concrete Sink Product Type: Bathroom Fixtures Color / Finish: White concrete and Champagne Bronze Location: Soak Rooms Mfr: Delta Faucet Product number: 3559LF-CZWL Dimensions: 7.5â&#x20AC;? spout length Material Properties & Considerations Aesthetics: Neutral, clean, and minimal Sustainability: Water Efficient Healthy Environments: No-Lead Code / Regulation: ADA

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Building Systems

Banana Leaf Plant Location: Soak Rooms Significance: Prefers warm and humid climates Material Properties & Considerations Aesthetics: Broad and organic Healthy Environments: Biophilia

Light Oak Plank Floor Product Type: Wood flooring Color / Finish: Natural finish Location: Soak Room entry Significance: Tactile feeling underneath the feet Material Properties & Considerations Aesthetics: Warmth and lightness Sustainability: Recycled content Durability: Medium Code / Regulation: Slip resistant, treated wood for wet conditions

ahead, comprehensive project

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Technical Design

Ceiling Mount Shower Head Product Type: Shower Head and thermostatic mixer Color / Finish: Brushed stainless Steel Location: Soak Room showers Mfr: Vola Product number: 5471-061 Dimensions: 11” dia Material Properties & Considerations Aesthetics: Sleek and minimal Sustainability: Water efficient

Arc Shower Tiling Product Type: Ceramic Shower Tiles Color / Finish: Arctic white, off-taupe grout Location: Soak Room showers Significance: Bringing soft patterns to a hard surface, sensory stimulation and cultivating discovery Mfr: Dal Tile Product Number: 0190 Dimensions: 1” x 3” Material Properties & Considerations Aesthetics: Neutral with flair in composition Durability: High Code / Regulation: Slip-resistant

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Building Systems

Oak Towel Shelving Product Type: Storage shelving Color / Finish: Oak wood with natural finish Location: Soak Room entry Material Properties & Considerations Aesthetics: Simple, linear, and warm Function: Storing towels and personal items Sustainability: Recycled wood content Durability: High Code / Regulation: Water-treated

Rogue Oval Mirrors Product Type: Wall accessories Color / Finish: Brass Location: Soak Rooms above sink Mfr: CB2 Dimensions: 14” W x 25” H x 2” D Material Properties & Considerations Aesthetics: Subtle Curve

ahead, comprehensive project

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Technical Design

Light Grey Paint Product Type: Paint Color / Finish: Moonstone Location: Therapy Rooms, Tea House, Soak Rooms Mfr: Backdrop Paint Material Properties & Considerations Aesthetics: Neutral and soft Sustainability: Green Certified Durability: Easy to wash Healthy Environments: Low VOC, low odor

Brick Accent Wall Product Type: Brick Color / Finish: Columbia Plateau, off-white grout Location: Soak Rooms sink Significance: Textural delight for sensory stimulation Mfr: Fireclay Tile Dimensions: 2.5â&#x20AC;? x 8â&#x20AC;? Material Properties & Considerations Aesthetics: Rough tactile texture, unique color variation Sustainability: Handmade, Donates 1% to National Parks Durability: High

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Codes Analysis

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Building Systems

Towel Warmers Product Type: Wall accessories Color / Finish: Brushed stainless steel Location: Soak Rooms Mfr: Vola Product number: T39ELUS Dimensions: 21â&#x20AC;? long, individually mounted Material Properties & Considerations Aesthetics: Sleek and minimal Sustainability: Self closing timer setting Code / Regulation: UL listed

Geometric Linens Product Type: Towels & Napkins Color / Finish: Off-white and black Location: Soak Rooms, Tea House Significance: Cultivating discovery Material Properties & Considerations Aesthetics: Simple and minimal, matches the zen garden aesthetic

ahead, comprehensive project

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Technical Design

Dual Trash & Recycling Bin Product Type: Equipment & Accessories Color / Finish: Brushed stainless Steel Location: Tea House Mfr: Wayfair Product Number: SF4748 Dimensions: 30 gal Material Properties & Considerations Aesthetics: Simple, unobtrusive

Smeg Mini Fridge Product Type: Refridgerator Color / Finish: Cream, 50’s retro style Location: Tea House Mfr: Smeg Product Number: FAB5URP Dimensions: 16” W x 29” H x 22” D, 1.5 cu.ft. Material Properties & Considerations Aesthetics: Simple and minimal

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Building Systems

Digital Display Product Type: Audio Visual Color / Finish: Ceramic Black Location: Therapy Rooms Mfr: LG Business Solutions Product number: 43UT640S Dimensions: 43” diagonal, 38.3” W x 22.3” H Material Properties & Considerations Aesthetics: Sleek and minimal, bluetooth included Paired with Crimson F46A Flat Wall Mount Mfr: Crimson AV Mounting Solutions

Sliding Shower Door Product Type: Shower door Color / Finish: Frosted, stainless steel Location: Soak Rooms Mfr: Kholer Product Number: K-706012-L-NX Material Properties & Considerations Aesthetics: Simple and minimal

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building systems Lighting Design A variety of recessed or surface mount ambient lighting, pendant ambient and task lighting, large pendant accent lighting, track accent

lighting, and decorative wall washing sconces draw attention to each step of the journey through the center. Many of the lights within private rooms will be dimmable for patient control, and all of it will be well diffused to be soft on the userâ&#x20AC;&#x2122;s eyes. L3

All lighting will be powered sustainably by a system of existing solar panels on the sensory buildingâ&#x20AC;&#x2122;s roof, as well as the use of energy efficient LEDs. L4

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Building Systems

Schematic HVAC When working with professional mechanical and electrical consultants, we would discuss the possibilities of two duct systems, one main line above the trusses in the lower corridor supplying rooms in the therapy wing, and one system above the dropped ceilings in the meditation area stemming from seperate mechanical rooms. Linear diffusers would be simple and minimal (H1). Each individual therapy suite could have their own mini split systems to be able to keep acoustic conditions private for these rooms and give users the ability to adjust their local temperatures to their preference for comfort (H2).

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Inhale deeply, exhale smoothly. As you inhale, imagine drawing in the air of peace into your center. As you exhale, shed this light of peace out into the world.

Conceptual

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n g i s e d ocess pr

Design Process

Conceptual Design Phase Starting the design process with ideas of form, volume, and relationships with the site

First Quarter Review Three form based schemes reviewed to determine most successful clarity of spatial use and interest

Milestone Peer Review 2 Schemes taking combinations of the best ideas and developed with the intention of understanding user interaction and circulation

Second Quarter Review 1 scheme developed, starting to touch on potential volumetric spaces and how users interact with them

Third Quarter Review 1 scheme, re-iterated and re-organized to create more intuitive wayfinding, starting to develop atmospheric spaces and detailed signature elements

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Conceptual

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Jan 31, 2020

Conceptual Design 3 Schemes

How can we activate the site and create connections between the existing buildings?

New Building Forms Central Garden Areas Relationships Between Gardens and Volumes

3 Schemes

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01 Wrap & Reflect

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02 Commune & Gather

03 Central Connect

Conceptual

First quarter

Milestone

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Feb 12, 2020

First Quarter Review 3 Schemes Developed

What’s Important? Program needs • Creating an open garden space for refuge, reflection, and meditation • Balancing the need for private areas / approaches with the need for community building • Making the facility feel knit together • Intuitve for the users as they re-process emotional trauma

• Providing a lot of personal space & user control

Schematic Concept Overarching Impressions in All Schemes • Light-filled inviting entrances • A central heart somewhere on the site or in the buildings • Connection between the buildings and the landscape • Theme of the Japanese garden

Major Schematic Differences • Where and what the heart is: interior space vs. outdoor space, refuge vs. gathering • How the forms interact with the garden space • How fluid or separated the departments are • The approaches into the facility • Volumetric form differences

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01 Wrap & Reflect Garden as the heart Characteristics: Main entries at corners, filled with light. taller entries, inviting but subdued, nothing intimidating, very serene. Branches off to corridors Always connecting to the garden along the circulation journey

Wrap the Site Encompasses the garden

Reflected Language Continuing the linear L-form

Private rooms along corridor

Fluid Connection

Entries act as lounges / connection transition space

between departments

wrapping around

fluid connection

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encompassing gardens

3 core entries

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02 Commune & Gather Courtyards as the heart

Indoor Courtyards

Characteristics: Truss wood language, courtyard-like to bring

Gardens come inside

light into the sections it cuts through, indoor-outdoor intrusions in various places on the site

Separation of programs by the courtyards

Acts as an entry way space but also a quiet refuge space

Foster Tranquility

Departments arranged in isolation from one another

through green entrances

indoor-outdoor intrusions

separated zones

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courtyard gardens

2 courtyard entries

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03 Central Connect Building as the heart Characteristics: Lofty central space, very light with a grand stair,

Focal Connection Space for community activity

mezzanines with rooms, saw tooth shape matches pool building

Small Gardens

Connected to major community spaces - yoga rooms, group rooms

Perimeter around the site

Acts as a multi-use community space with cafe Very active connection space, bringing people together

Stitches Together

Public heart gradient out to more private edges

the existing buildings

stitching together

public private gradient

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perimeter gardens

3 core entries

reflecting roof form

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Review Notes Reviewer: Amy Arroyo

Reviewer: Elizabeth Lockwood

• Think about where people park – how they approach

• Look at Kerl Miller space – connection space for central scheme

• Place the private things in the most private places

• Look at Port of Portland Headquarters

• How to draw people into the entrances

• Loves the idea of the connection space for community – think

• Look at zen designer Clodagh

about the events happening in that space to make it active and

• Maybe combine all three schemes!!!

not dead

• Combine Connect and Wrap

• Look at Root Whole Body events in Portland

• Think about separation of zones for future client use – how to

• Info sessions on healing methods and why they work

keep the connective flow between departments, but provide the

• Brainstorm – tea house

opportunity for a new tenant to move in?

• Also loves that the wrap scheme really supports the need for privacy and comfort in trauma patients – afterall, they are the

Reviewer: Cory Olsen

main users and you’re catering them

• Think about which gardens you interact with and which you

• Start to think about how much emphasis to put on community

just observe

versus privacy – what’s really more important? That will guide

• Think about auditory, visual, scent in the gardens

your scheme choice

• Look at Crystal Bridges

• Start to map out the actual practical spaces, the sizes they’ll

• Make the garden space walkable – add a wild-path experience in

take up – don’t forget about mechanical and back of house needs!

the lower portion of the site (could provide a space for exercise)

Put them in places so those cleaning and maintenance operations

• Start to think about where I can really open up aperatures in the

can happen behind the scenes.

walls for full height windows/openings and connection to open

• Map out the users for each department and their actual

space

approaches – where will they go first, how will they circulate

• Loves the opportunity of the indoor-outdoor scheme and the

through each scheme? What accommodates every unique person?

feeling of these natural transition spaces – brings the Japanese garden idea right to the entrance of the departments

Reflection Combine aspects from all three schemes. What’s strong: the creation of comfortable garden space, the connection building. I will have to move the connection building closer to the parking lot.

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Conceptual

First quarter

Milestone

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Third quarter

Feb 28, 2020

Milestone Peer Review 2 Schemes Combinations of last

01 + 03 Stitch & Wrap The best elements from “Central Connect” scheme and “Wrap

& Reflect” scheme combined into one scheme: Large connecting volume (modified) A wrapping form around a garden Creates 2 hearts on the site: an outdoor and an indoor

02 + 03 Gather & Branch The best elements from “Commune & Gather” scheme and “Central Connect” scheme combined into one scheme:

A large entry volume at the existing entry Scattered Courtyards around perimeter Creates 1 major heart indoors and smaller scattered hearts outdoors

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01 + 03 Stitch & Wrap

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02 + 03 Gather & Branch

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Mar 12, 2020

Second Quarter Review 1 Scheme Developed:

Stitch & Wrap : 2 Hearts

Two additional forms work together to create 2 hearts of the facility: 1 heart for community and 1 heart for refuge. The central form stitches together the existing

buildings creating a social hearth and circulation center, while the wrapping form encompasses and hugs a protected outdoor healing garden. These 2 hearts work together to balance the differing social needs of community and privacy for trauma patients, while making circulation through and on

the site very clear.

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Private Water Therapy Rooms

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Milestone

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Community Social Hearth & Tea House

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Milestone

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Mind Body Activity Room

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Review Notes Reviewers: Judith & Tom

Reviewer: Amy Arroyo

• Makes more sense to use the pool for the water therapy,

• Loves the way the wrapping form encompassed the garden, it

especially if the site has a special salt-water pool identity

feels very warm and intentional and creates a really nice outdoor

• Could subdivide the pool into different types of pools with

room.

different amounts of salinity or water types for different water

• Prefers the v shape of the connector space roof rather than a

therapy experiences

flat one, it achieves a nice celebration of that existing shape in

• Could add private tubs along the perimeters or in the lowers

the pool building

sections of the pool

• How do you hold the roof up? – columns and rafters, 24” rafter

• Maybe add a mezzanine to the pool on the edges? Could put

spacing

yoga rooms up on mezzanines in the pool building

• Talk to Steven Duff about structure

• Consider allocating all the physical relief stuff in one direction,

• The second story in the connector space has great opportunity

and all the mental help stuff in another direction, branching

to create sitting space along windows, nooks to hang out

out from the central heart space (one of my earlier schemes did

privately, etc.

something like this, it could work), this might make the facility

• Maybe add more small nook refuge space for patients to use

more intuitive (pair with a diagram)

• Pool building structure – can it be modified to be lighter? The

• Slim down my program even more, this facility is just dealing

cross bracing is so clunky and ugly, talk to Steven Duff about

with so much stuff that I should simplify it

a solution to remove the cross bracing and replace it with

- maybe only 2

therapists per department?

something else, steel cords maybe?

• Try not to add quite as much new additions to the site?

• Hot tub spaces are really nicely arranged

• Should the connector space have a flat roof instead of a v?

• Think about a lighter truss though, maybe main rafters and

• Should the group rooms really be in the darkest spaces?

light steel cord for bracing

Consideration (how important are they compared to my other

• Look at Clodagh – designer

program elements?)

• Go to the Japanese garden! • Check out feng shui (some of it) • Materials – be careful not to overwhelm with materials, focus on the detailing, not just the finish application.

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First quarter

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Review Reflection Reflection + questions: • Be more clear about each department having their own lobby/ reception area • I think allocating physical stuff in one direction and mental in the other makes a lot of sense for users, since there is already so much offered in the facility. • Is there a way to add fewer new forms to the site and still achieve the nice encompassed garden that I’ve created? Can I just add something else to that edge to act in the same way that the wrapping building does? • Is there a way to put the private sensory stuff in the pool building without them feeling so confined and dark or mixing too much with a social sensory layout? • I will keep the v shape roof connection, but will lower the angle of the connector building roof (it’s too steep right now) • Put in generic furniture to be more clear about my spatial intent • Add more small refuge nooks for patients to tuck into and hang out • Add more small courtyard gardens in addition to the big meandering path garden • Add a plaza in front of the connector space to lead users to it. • I need to do some reiterating

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Apr 22, 2020

Third Quarter Review 1 Scheme Re-iterated

2 Hearts

Whatâ&#x20AC;&#x2122;s Important The Centerâ&#x20AC;&#x2122;s Parti Organization emphasizes 1 Heart for community and 1 Heart for refuge. The new central form stitches together the existing buildings creating a social hearth and circulation center. The wrapping wall encompasses and hugs a protected outdoor healing garden. These 2 hearts work together to balance the differing social needs of privacy & community. Resources are split into Physical Relief towards the pool building, and Cognitive Ease in the Linear Building branching from the hearth.

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Milestone

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Ground Floor Programmatic space planning based on last quarterâ&#x20AC;&#x2122;s review feedback

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Upper Floor Programmatic space planning based on last quarterâ&#x20AC;&#x2122;s review feedback

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Tea House Social Hearth Ritual Space

open above

bar height counter overhead shelf unit for storage and display

ADA height

separation screen

privacy screen

Tea House

shelving loose leaf tea storage display

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Sensory Living Wall Lounge Sensory Reception Planted Seating Rain Wall

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Zen Lobby Transition space for Mind body and Cognitive Therapy Resources

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Review Notes Reviewers: Esther Hagenlocher, Anne Cunningham, Ellen Cusick, Giselle Sheeran • Tea house

• Look at precedents

• It is too heavy, too dark – consider something lighter,

lighter woods, lighter display? Something less looming

• Sections and renderings are too dark

• Elevator is awkward

• Add dimensions and people to sections

• Use a softer rendering style – bring in the materials/

moods into artistic sections, drawings, etc to evoke the

soft comforting feeling more

• Be consistent about soft color graphics throughout • Maybe more organic elements – a lot of stuff is orthographic

right now

• Zen lobby

• How can the dimensions of the structure guide the

column sizes and how they line up? And how do the

columns relate to floor material expression?

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Review Reflection • Hearth

• Zen lobby

• It’s too big, too much open space

• Focus in on plane connections

• The entry sequence does not provide enough user

• Focus in on material application – floor divisions, etc

choice – it needs to be more supportive of different

personal journeys and paths

• Living Wall

• Enter vestibule, enter in a small indoor courtyard with

• Elevations

tree (open to above), branch of left to tea house, forward

• Custom fountain

into the courtyard and towards the stair, seating area

• More lounging furniture, Big bohemian area rug, rattan

perimeters the tree.

pendants

• Diagram this entry sequence!

• Is a floor above necessary??

• Soak Rooms

• Wood square slat railing on second floor around tree

opening.

• Move elevator to corner of hearth

• Wall textures, sconces, design custom built in sink area and dressing area, put in beautiful sliding screens • Types of baths: herbal, Sulphur, etc

• Redesign Tea House

• Therapy Rooms

• Look at precedents

• Custom casework, custom furniture, specs, mood

• Move the tea house, not in the center of the hearth

• Circulation choices in and out

(should still be the engaging core of the hearth, but not

necessarily exactly in the center)

• Garden

• Fire place, cozy seating, tea warming tables

• Diagram a sequence of garden experiences (with key

• Custom passthrough walls, custom vine walls

inspiration photos)

• Retail display feature wall – selling loose leaf tea and

• Entry plaza – courtyard tree – infinity pools – central

tea pots/cups

path with cascading river – meandering paths – tree

• Redesign custom casework – lighter woods

grove – meandering ponds – reflection wall with seating

• Hone in on joinery, material application (pull from my

material mood board), lighting, and specs

• Nooks more developed, seating arrangements more

developed – tables, floor seating platforms, etc

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Milestone

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Design Development Sketches Hearth Courtyard

Therapy

Tea House

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Take a deep breath, as you continue to breathe, picture a light at the top of your head, allow the light to slowly scan down your body, becoming aware of each area it scans over, notice any tension and release it with your breath, scan from your head to your toes.

Interviews

Precedents

Bibilography

h c r a e s e R

Research

Interview: Christine Ratchinsky, Physical Therapist

2725 Potter Street, christine@bodypotentialpt.com, (541) 525-2222 Date: Jan 10, 2020 Method: Email Subject: The process of physical therapy sessions, the type of physical therapy she provides, the spatial needs and setting for her sessions, and client needs for the sessions. Q&A: Basic Questions Q: How long have you been practicing as a physical therapist? A: Since 1992, so about 27-28 years Q: What is your specific area of focus? A: Trauma, which is a wide scope. Anywhere from acute motor vehicle accidents, head, neck and back trauma, to chronic pain and trauma, post traumatic stress, etc. Q: How many patients (approximate total) do you see? How frequently do you see them? How long are your sessions? A: I see 4 people a day of 1.5 hour sessions for 4 days a week. I see people at most 1x/week, but as they get better I space it out to every other week, every month, etc. Case by case. Q: How many trauma-specific patients do you see? A: All my clients have had trauma of various sorts. Not necessarily post traumatic stress, but all are related to trauma of some form.

“I practice both manual therapy and movement awareness.”

“The Process” Questions Q: What is the variety of physical therapy types you practice? Which of these types are most successful for your trauma patients? A: I practice both manual therapy and movement awareness. I provide gentle osteopathic techniques for manual therapy which include but not limited to visceral and neural manipulation, myofascial release, craniosacral therapy, and lymph drainage. I also practice Feldenkrais movement awareness, along with more typical postural exercises and stretches that may be appropriate for the client.Q: What does a typical work day look like for you? A: For a full day of work I start early at 7:30 am making calls, reminding people of their appointments as well as any insurance phone calls and paperwork I need to make. My first client is at 8:45 am10:15 am. I do paperwork, prepare the room for 15 minutes and then my next client is at 10:30 am - 12 pm. I have lunch and finish my paperwork until 1 pm. I then have a 1-2:30 pm client. I do paperwork and then my next client is at 3:00-4:30 pm. I again finish my paperwork, and whatever other insurance billing I need to do to hopefully finish by 5 pm. Q: Can you walk me through the process of your sessions? Before, during, and after. (this may help me get an idea of your operations) A: I typically evaluate the client as they arrive, look at their posture, measure movement or postural changes, see what they would like to focus on. I also listen to the whole system in standing and in sitting with my hands (General Listening is an osteopathic technique), and decide the game plan from there. Depending on what I find there will be some movement awareness, self care and functional activities as well as manual therapy.

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Interviews

Precedents

Bibilography

Spatial Questions Q: Where do you usually practice? (the space you practice in), please describe it. A: My office is out of my house, has a cute bathroom, couch and massage table. Q: What do you need in your space to have a successful functional session? What do you use for your sessions? (equipment, furniture, storage, functional needs, etc) A: I use what space I have for the session. I sometimes move my massage table out of the way to put a Feldenkrais mat on the ground for clients to roll around in, but generally most lessons can be done on the massage table, or standing or sitting in the room. I tend to practice my manual therapy on the massage table but sometimes I may find myself working on the client sitting on the couch.

“Most lessons can be done on the massage table, or standing or sitting in the room. Sometimes I may find myself working on the client sitting on the couch.”

Q: Can you give me an idea of the kinds of spaces you have for patients? More than one space? How are they different? How do the patients use these spaces? A: I have only one office space. Q: What would your ideal practice space look like? (list any of the following: functional needs, room sizes, arrangement of rooms, furniture types, daylight amounts, ceiling heights, “atmosphere,” materials, colors, plants, sensory stimulation, lighting types, storage amount/type, circulation, patient approach experience as they enter your space, etc) A: I like a room that has a lot of daylight, so my office is on the southwest side of my house with lots of windows. I also like plants, cozy warm colors, a couch, basically a homey environment where people can be very comfortable. I feel my office space does allow for that. I would like better air conditioning in the summer though. I do like that I work out of my home, and am happy that there is a separate entrance to that space. My ideal situation and space would also have another large room where I could teach movement classes and not have to move my massage table to make floor space. The room would be large enough to teach several people at a time if I chose, or just one client. My ideal space could also be completely separate from my home so no noises would be heard from either my main house or the office, but otherwise I am quite happy with the space.

“I like a room with a lot of daylight, plants, cozy warm colors, a couch, basically a homey environment where people can be very comfortable.

“My ideal situation and space would also have another larger room where I could teach movement classes.”

Q: Are there spaces in your practice space that do not function well? Can you explain why and what might make them better? A: I do teach classes at the Amazon Center at times, so that allows for a larger space to teach a group of people. But otherwise my office suits most of my needs. In fact, it is better than I anticipated with working out of my home in that it has a separate entrance into the space with a bathroom so allowing for a separation of space. It could be larger and have better air conditioning. Q: What is the most important space for you? What about for your patients? A: My office is the most important space where they can feel safe and supported. I think that is true for the clients.

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Research

â&#x20AC;&#x153;My office is the most important space where they can feel safe and supported. I think that is true for the clients.â&#x20AC;?

Q: Describe the most comfortable space you have been in and why it was good? (this can be any space you have been to or visited, not necessarily a space you work in) A: I again like lots of light and spaciousness. I would appreciate if I had more room as well as a larger space, but otherwise I am happy with what I have. Q: Do you have suggestions for spaces or rooms I should include in my project for the physical therapy department? A: I think it is always good to have a large room for people to practice various movement therapies, along with smaller offices where manual therapy can be done in a safe space. Most physical therapists like to use exercise equipment so they would want more space. That is not true for me, but I do like lots of space. Q: What do you think a physical therapy setting needs in order to be successful for its patients? A: Space Q: Are there any other special things I need to know for your practice? A: I am not your typical physical therapist with the clients I see or with the manual therapy and Feldenkrais I practice. I do think this type of gentle therapy is geared more for people with trauma. Post Interview Reflection The physical therapy spaces will need space for a wide variety of uses during sessions, from massage table to full body movement activity. Overall patient comfort is important to the patient experience, and the best thing to do for patients is provide them with lots of space.

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Interviews

Precedents

Bibilography

Interview: David Baldwin, PhD, PC, Psychologist, Therapist, Trauma Specialist

3003 Willamette, Suite D, traumapages.com, (541) 686-2598 Date: Nov 7, 2019 Method: In-Person / On-Site / Conversational Q&A Subject: His experience with treating trauma patients through psychological therapy, the setting for patients, his spatial needs, best set-up / arrangement for the patient rooms, his views on mental health practice and missing links in the profession, things that could be improved, and important considerations for my program development Q&A: Basic Questions Stella (S): How long have you been practicing as a psychologist and therapist? Baldwin (B): I was licensed as a psychologist in May of 1989, so over 30 years then. And before that I worked at White Bird Crisis Center, working with crisis/trauma stuff as a crisis worker/ supervisor, so we did phone [sessions] – people would call and we would talk on the phone with people in crisis, or they would come in; and sometimes we would go out to a place. S: Was that a 24-hour center? B: Yeah, at least at the time, so there were some overnight shifts. (Baldwin elaborates on the origin of this Crisis center) – I don’t know if it even is 24 hours anymore, it’s a different system now than it [used to be], because it’s connected to the city now, [whereas] it was a private owned organization back then in the ‘60s to help people with bad LSD trips – that’s the origin of the center. S: What is your specific area of focus? B: Trauma, I work with trauma. S: Where do you usually practice? Can you describe this space for me?

“The size of the room is important, I think, for trauma patients – to not have to be too close to someone, because that might not be okay for them. And having another exit can be calming for someone, they can get out without having to pass me.”

B: Here, at Trillium in my office. The size of the room is important, I think, for trauma patients – to not have to be too close to someone, because that might not be okay for them. And having another exit (2 exits out of the office) can be calming for someone [with trauma], [having the ability] to run out if I turn into a [monster] or something, they can get out without having to pass me. S: Is there any sort of proximity that you think is more comfortable for patients? B: It depends on the patient, so whatever is comfortable for them is what matters. S: So, having more space is good. B: Yeah, well it’s necessary for some people, and good for others, and for others it doesn’t make any difference. But it’s nice to have it, because in some of the private non-profit therapy spaces the rooms can be quite small and that can be hard for some trauma [patients] to tolerate or go back to, because they feel trapped [there]; and if there’s only one exit and the [patient] is in one corner and the therapist is by the door then that exit’s blocked – or they might feel that way even if it’s not, but it matters how it feels for the person. S: That’s really good insight.

B: yeah, the reality for them.

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“I think it’s helpful if the room is quiet.”

S: What else do you need in a space to have a successful session? (equipment, furniture, storage) B: Yeah I don’t know that I think about that. But the first thing that comes to mind is that I think it’s helpful if the room is quiet. Sometimes there are ambulances, because there’s an old folks home across the street, and that [noise] can be triggering for some people whose trauma [involved] an ambulance or firetruck in some way S: So better acoustic privacy B: Yeah, and this room is pretty good because it’s double-walled, but we can still hear the street noise. B: And then, maybe a view over nature or water, a lake or river, some nice trees S: Yeah, A nice calming view.

“Maybe a view over nature or water.”

S: How about equipment? B: I do neuro-feedback, which is not necessary, but I like it. And this (picks up a finger device) measures heart-rate, so that’s useful, because I can track people’s defense responses and that’s much of what I’m doing, tracking the states [of my patients]. S: Obviously your computer, and you have a printer. B: I have a printer and copier for insurance stuff, which is part of it. S: And then storage-wise, do you find that you don’t have enough storage and need more? B: (Laughs at the billowing file folders barely squeezing into his shelves) I could probably use more space, but that’s just me, I’ve been here a long time. S: And you like having books and stuff B: I like books [for my patients], so I need shelves and stuff. S: And then for furniture, do you think having chairs and a couch is a good set-up, or is there anything that you wish you had? B: I could see having a massage table in here, but a lot of therapists wouldn’t need that

“I could see having a massage table in here.”

S: I could see some sort of adaptable massage table that could turn into something else potentially when it’s not being used as a massage table. B: Ooh, yeah. S: And your monitor here (gestures), is this an adequate size for what you do? B: It doesn’t really matter, I got that a long time ago so if I were to get a new one I’d probably want something bigger. But it’s just for displaying when the music is interrupted, the music carries the signal (he describes the neuro-feedback process), and the interruptions in the music are done by the software which [picks up] if the brain [of the patient] is being more erratic than it needs to be [during the talk session], then [the music interruption] sends a signal to the brain that it doesn’t need to [respond like] that [which helps the patient re-process the memories]. But, people may or may not look at [the display], because the primary feedback is auditory. So the display is not necessary, it’s just part of the system. B: And there are other neuro-feedback systems out there that other [therapists] use for other purposes S: And do you know what those entail in terms of equipment and uses?

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B: Not really, it’s not something I’ve kept up on because I like this system. But there is one system that uses a teddy bear that vibrates and that might be the neuro-feedback signal [similar to this auditory system I use]. And for kids who have ADD, neuro-feedback might be useful for them, a system that [works] as if they are playing a video-game driving a rocketship, and the better they pay attention and focus, the faster their rocketship goes. And that’s a different way of working, and it’s not something I would use, but they would need a screen for that and some kind of button[control] for someone who would be using that [during sessions]. So those are a couple of the different neuro-feedback systems, and the kind of feedback that they are giving is different too, because [each system] is tracking different frequencies in the brain like paying attention or drifting off [in the ADD system case], or whatever. Some systems try to [emphasize] certain frequencies, whereas this system [that I use] tries to reduce variance across the frequencies; it doesn’t care about the mean of the frequencies, but the variability around it. S: What would your ideal practice space look like? (list any of the following: functional needs, room sizes, arrangement of rooms, furniture types, daylight amounts, ceiling heights, “atmosphere,” materials, colors, lighting types, storage amount/type, circulation) B: What is a functional need? S: Functional needs are like – to function in how you work, things that help you be the most effective… B: Okay, so then, I think about [my work] as more of connecting with the person, like sitting on the floor [for some people], and I wouldn’t need any other furniture [in that case]. So in terms of the work, it’s more about that for me. And I like this space, but in terms of my work I don’t need all that [to treat people]. S: And in terms of your ideal space, this can include how much daylight you would want in a space, how tall the ceilings are – because this can make the space feel different, what the “atmosphere” is like including materials, colors, lighting types – I know fluorescents are particularly harsh on some people. So anything like that? B: Yeah, I don’t know that I have much to say about that S: Yeah! And that’s not something that I expect you to necessarily have in mind. B: But I wouldn’t want the ceilings to feel too cramped if they’re too low, S: So you would want more spacious ceiling height B: Yeah, that might be useful for the patient. But people are different in terms of what colors or “atmosphere” they feel comfortable in. Some people might feel more comfortable in like “grandma’s” house where it’s very ornate and lots of stuff around, and some people might like more of a Scandinavian design.

“People are different in terms of what colors or atmosphere they feel comfortable in.” S: And do you like having the clerestory and skylights in this office? B: What’s a clerestory? (laughs at my architectural terms) S: Oh (laughs), It’s the windows that are above the door height B: It’s nice to know that there is a name for that (laughs). The thing that can annoy me about that is if it’s sunny – normally it’s cloudy here – but if it’s sunny and the stuff is in my eyes, usually when it’s sunny in a month when it shouldn’t be here, ya know…a climate change problem, then that would annoy me, because this building was designed in the ‘80s when the weather was [a little different]. S: I can design for that problem, that’s great insight.

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S: In general – and I don’t know if you’ll have an answer for this, but – are there other “building features” that you think a therapy center needs? B: Like what? S: Like, is one floor better or multiple floors? Or fewer hallways? Or? B: I could see having an office in a tall building downtown, I could see that working, [because I can work anywhere]. S: And we talked about spaciousness and feeling comfortable, what do you think about narrow hallways versus larger ones? Would narrow be a turnoff for patients at all, if they’re claustrophobic getting to their appointments or something? B: I don’t typically work with claustrophobic people, but if I did, I could see that being a big deal for them. S: I really like that you have the outside entrances to your own private waiting room, I think that’s really nice for patients who may not want to interact with other people. B: Yeah, I like that too, it works well. S: I recall one time we came in through the [interior entrance], but is that not typically how it works? B: The interior entrance is mostly for days when the outside entrance is covered in snow and patients can’t access the pathway. S: How many patients (approximate total) use the facility you work in (Trillium on Willamette)? B: I have no idea, this is a tenant building, each of the [professionals] here are renting space here. Other than knowing each other [as office neighbors], [the tenants] aren’t connected or working together or anything. Loaded Questions (We discussed the problems of dislocation between healing resources and my project goals of integrating them into one accessible facility to reduce stress for patients and provide them with a broader comprehensive approach to their healing with a program where therapists and social workers collaborate on defining specific patient resource needs. Baldwin noted that some tenants in the professional Trillium building are social workers, but that he does not work with them directly) S: What resources besides therapy and physical therapy do you suggest for patients? (include all resources applicable, even if they are case-specific, I am looking for ways to expand my project program beyond the resources I already know of). And what are the best pairings of resources? (ie therapy + PT) B: The way I see trauma - trauma causes bio-psycho-social issues, and [that] goes back to George Engel, he was an MD who actually understood trauma and wrote about it. And, so, what that means to me is that if somebody goes through something traumatic, there is a possibility that there are physical issues and psychological issues including mental, emotional, relational, social, and cultural issues that might be affected by [the trauma], and how much any one of those are affected will depend on the person and their history and the trauma and what happened and all that. But to expect that it would just be one of those is naïve. More often than not it would be a combination. And there is some evidence that people who go to physicians and talk about physical issues [like having headaches every day] won’t talk about the emotional stuff [with them], and people who go to therapists will talk about the emotional stuff but not the physical stuff, the patients aren’t necessarily thinking [or aware] of a connection between the two so they don’t even mention it [to their providers]. So maybe I go to a physician because my knee hurts, or I go to a dentist because my tooth hurts, and it’s a very simplistic system; but that may affect where patients go [to find resources]. And a lot of [providers] don’t recognize the evidence of the bio-psycho-social either, so they aren’t thinking about it either. So, I think that is an important aspect.

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B: One of the pieces I would like to increase or train around people with trauma would be their interoceptive abilities, knowing what your body is telling you, the mental to body connection which tends to get broken down with disassociation in trauma. Or if somebody is in emotional or physical pain for years that they can’t do anything about because they’re just a kid and that’s kind of how life is for them for the next foreseeable future, they can [develop the ability] to turn [interoceptive abilities] off and not to deal with it because there really isn’t anything they can do anyway. And that makes it more difficult [for them] to address those [traumatic] issues when they come up [because they’ve turned off their awareness of their interoceptive skills]. Interoception. That’s an important skill that patients can re-develop in therapy or in trainings or in hobbies before, during, or after therapy. Anything that includes movement – dance, yoga, tai chi, mindfulness for stress reduction and body-scans, meditation – all of those approaches are doing essentially the same thing. It would just be up to the person to pick what they want and keep doing that, or do different ones as an exploration because they are probably developing interoceptive ability eventually through neuro-plasticity – brain neurons reconnecting. So that’s an important piece that the center should offer – tying the bio with the psycho.

“Interoception. That’s an important skill that patients can re-develop in therapy or in trainings or in hobbies before, during, or after therapy. Anything that includes movement”

B: And then social/relational is a whole different piece which can include cultural stuff. S: And what would that look like? B: It could be like group therapy rooms, or social support that may come from family or friends; but then some people with mental disorders have a hard time with family and friends, getting support from them, or accepting [support]. So if there’s a way to facilitate that or develop that, that would be useful. S: That leads me directly into another question – community approaches (Original pre-written question: I’ve been thinking about how there’s an unspoken “hush-hush” stigma about mental illnesses, where “you keep it to yourself” if you struggle with something. There are obvious personal privacy reasons for this, but there are definitely societal pressures as well that influence how open we are about our mental health with others. So, this begs the question if there are any ways to integrate community into healing to benefit patients and if it even would benefit patients. Are there any “community” approaches to healing that you know of / support? Or what do you think about community integration for mental health in general? What are the potential opportunities and potential problems?) B: Yes! And so that got me to the Sanctuary model (hands me a printed paper). So that’s just copied from their website. So Sandra Bloom was a psychiatrist somewhere who works with trauma and she came up with this thing that she called the Sanctuary model – I don’t know a lot about it now because I haven’t kept track of it but – I think it’s a way of including community resources and community connections in healing and supporting healing which I think might be of interest to you and relevant to your project; although I doubt she’s talking about what kinds of buildings to choose. S: But knowing the model of what this would look like is important for me to start designing those spaces. B: She also has a book, just google her and find her website. S: I’ll look into that, because I have no idea what kind of community integration could exist for a project like this, since I have no background in that, so thank you. B: And I’m curious what you find, there’s probably other stuff [you’ll find]. She came and talked here - I met her - and I don’t remember when that was, it was probably ten years ago or more.

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“For me the body stuff is important.”

S: What are some progressive or unconventional and successful approaches for trauma healing? And what physical/spatial requirements do they need to work? B: I’m not sure what you would consider conventional and what’s not conventional. But for me the body stuff is really important, but for a lot of therapists they don’t get that, and they don’t receive a lot of training in it and don’t see the point – it’s scary [for them] because they don’t understand it. And then there are some therapists that get scared at emotion which is fine but not particularly helpful if they’re trying to work with trauma because it can be very emotional. So different people have different ideas about what’s conventional and what’s not. Um – I think there’s some stuff with psychedelics and ayahuasca that might be useful. And maybe that will be changing soon, there’s the inhaled version of ketamine as a treatment resistant for depression and with that my understanding is [the patient] takes it in a physicians office and stays there as it happens, and it has whatever effect – and I could see [a therapist] being there [during that process] if a patient needs that, I could be there with them for whatever happens, that would be interesting to me – but I don’t know the legal [circumstances] because it’s kind of a new thing. S: That could be interesting to include, like a designated room for supervised treatments. But yeah, I’m not sure about the legality. B: Yeah, so there’s issues like that – because the laws have not been designed for this particular use yet, and so they’re not really aligned with what would be needed clinically to be effective for a person [of trauma]. S: I probably wouldn’t include that in my program just because it is so up in the air [legally], and without guidelines I wouldn’t want to make any wrong choices [in design for it], even if it would be potentially helpful for some patients. B: Right, and this is something that’s on the horizon as new medications come out, and more studies are done on psychedelics. There might be new ways of using them that the laws aren’t designed for yet. Like for example, MDMA seems to be useful in building the relationship [for trauma patients], but that would imply that [a therapist] is with the patient, so it couldn’t be administered at home [like other medications]. So, this has been done in research studies. But it’s not clear how insurance would be involved or anything like that. S: It’s interesting to see where that’s going to head.

“I think stigma makes it harder for people to ask for help.”

S: What are some existing social stigmas around mental illnesses that impact the way therapists practice and patients respond to therapy or approach therapy? Are there major changes that you think still need to be made? B: So what I thought when reading that [question] was that I think [stigma] makes it harder for people to ask for help. And whether that’s especially men or women I don’t really know, and I don’t know that it’s even gender based. But the stigma makes it hard for someone to pick up the phone and dial the number and show up for an appointment with somebody. But once they get here, I don’t know that it effects working with them. There may also be stigma within their family and friends about being here, and that could be something we talk about [during therapy], but that’s more specific to that individual, rather than the general reality or culture that there’s a stigma around it, which was more of what you were asking.

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“I would think that the therapy patient relationship should be non-hierarchical, but it may not be felt that way by some patients” Stella May Design

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S: Is there any [detrimental] hierarchy within the therapy relationship – between patient and therapist? B: I’m sure there are, I don’t know that they’re helpful. In the work I would want someone to feel free to say anything that they’re feeling or to question why I’m doing this or that. And so, some people might come in and feel it’s difficult to speak their mind – maybe they were abused as a kid and [that affected their ability to speak up]. I would think that the therapy patient relationship should be non-hierarchical, but it may not be felt that way by some patients, [depending on their situation]. And there are certainly things you can do to feel more non-hierarchical, and it may not work for everyone. But you can track that, ask about that, and monitor that. S: Do you think the design of a space could facilitate a non-hierarchical relationship? Like being in the same chairs or on the same level physically? B: Could be. I sometimes will sit on the floor in order to be lower than the patient, so I’m less threatening, or at least that’s my intent – to be smaller, lower down.

“I sometimes will sit on the floor in order to be lower than the patient, so I’m less threatening”

B: One thing that might be interesting would be to have two therapists working with a patient at the same time, like doing the neuro-feedback and [physical therapy] work all happening at the same time rather than have them happen on different days of the week or even the same day [but at different times]. If we’re trying to work mentally and peripherally, to join those two different nervous systems together better than they were working physically and mental/emotionally. S: Like if you and Christine worked side-by-side in one session? B: Right. And what would that be like? It’s more a question – I don’t know if there’s any data on that. S: But it could be an interesting integration and I could totally arrange for that to be able to happen.

“One thing that might be interesting would be to have two therapists working with a patient at the same time. If we’re trying to work mentally and peripherally, to join those two different nervous systems together.”

S: This one, I don’t know if you have any discussion on – about truth of materials in a space. One thing I’d like to address in my project is how patients respond to the environment that they’re being healed in. Obviously, I want to design spaces that can support healing, and allow patients to feel comfortable and heard in this therapy center. One idea that I’ve already talked about with (EB) is the “truth” or “sincerity” of materials that make up a space and how that “truth” might influence to what degree a patient trusts the place they’re being healed in – we’ve discussed the potential responses a patient can have to “fake” materials like phony wood and pleather, where they recognize if a space is “lying” to them or is not authentic, and how they might respond in therapy accordingly – will they trust the people healing them if they don’t trust the place their being healed? This is a huge speculative question, but (EB) and I have discussed that in their own response to spaces, authenticity and truth play an important role in their baseline comfort or trust in the space, so I know that this idea could have some actual weight to it. Thoughts on that? (This is open to discussion, but please do not provide any specific patient references, for confidentiality, of course). B: Where did this question come from?

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S: This was just something that EB and I started speculating about, like actually feeling uncomfortable in a space where materials aren’t real and noticing a difference. We just discussed it – could there be any trust issues in the relationship that the patient has either with the therapist or with the building if they notice that the building is “lying” to them. And that’s just something I’m interested in, and how a person responds to it. B: It felt to me that it was important that things not be fake here, so when I moved into this space I was deliberately trying not to make plastic look like wood, it’s okay to have plastic look like plastic and wood to look like wood, but not to mix them up. S: The materials are true to themselves. B: Right, and that was important to me. But I don’t know that there’s any data on that, it just seems like it makes sense. Because unconsciously someone might notice that, and someone with trauma in particular who is suspicious to begin with may use that [unknowingly] as an excuse to not come.

“It felt to me that it was important that things not be fake here. Unconsciously someone might notice that, and someone with trauma in particular who is suspicious to begin with may use that unknowingly as an excuse to not come.”

B: So, in terms of spaces, do you know about the Trauma Healing Project? (Stems from pre-written question: After you’ve read through my project summary, are there any facilities you know of that already integrate therapy and resource center together for patients? Please list them and note if they seem to be successful or not, and any particular problems with them. Are there privacy issues with this project approach that need to be considered?) S: The one down kinda over by…Where is it? By the Lane Events Center? I haven’t been in it but I’ve driven by it. B: Alright. Well, I don’t have anything to do with them. But that space used to be a funeral home, I think. So, I’m not sure that’s the best space for a trauma healing place. But I think they’re trying in some ways to combine different approaches, so people can come for different [healing]. So that might be a place to look at, to see what you can make of it. S: I will look into them. B: It might be helpful because they’re local. Sandra Bloom’s thing is not local. S: Critical feedback is important to the development of my project. Before I continue further with this program, I would love to have your insight on potential problems in my program or critical questions to investigate that come to your mind. Do you think that this kind of project integration (therapy center + resource center) could be successful in healing for patients? Explain your thoughts on it. B: Well I think that it’s a broad kind of issue, so people with different kinds of trauma will have different needs for different kinds of resources, so I’m not sure how feasible it is to put it all into a building, just because if someone shows up needing something that you don’t have, then you have the same problem, they have to go somewhere else. And it’s pretty expansive so it may not be easy to get everything into one place. But you can get a lot of it into one place and facilitate people getting to other places. S: Yeah! So maybe there’s a program that connects people with any outside resources that the facility doesn’t have.

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B: Yeah, I think that would be helpful to have. And then at the same time there may be people who come in as patients who really need to be able to learn to do [the searching] on their own, and you wouldn’t want to build dependence in them on expecting or depending on someone else to help them do it, and whatthey would need at some point is to be independently able to get here or there or find the things they need. So, there’s that, and people will differ all over the place on that – and some people may be [wary] of relying on someone for assistance, not trusting that they’ll get [what they need] and they won’t let any help in. And some people will be the opposite. S: I think there will be a spectrum of how the resources are actually used for sure, because everyone is different. I think dependency is an interesting issue. I don’t know how to address that. I wonder if a therapist would identify if they think that dependency would be an issue for a particular patient – but I wouldn’t want to withhold resources from anyone so I’m not sure how to address that. B: Maybe it’s a process of weening them off of that. S: Yeah, so maybe another program which helps build independency for patients. That would probably be a good addition. I think independency is an important skill for everyone to have anyway. S: Great, well I think we covered everything that I had. Thank you so much. Your insight is really helpful. I think I’m also going to interview Christine to look into what kind of physical needs physical therapy has, functionally and spatially and everything. B: Good, she has worked with the Trauma Healing Project, so she’ll know more of that. S: Do you have any other suggestions for books or articles I should read? B: I don’t think so, I just have those two that came to mind when reading your project. And I don’t know anything about building design. This building was designed by a psychologist as therapy offices so it’s unusual in that sense because it’s not just an office building. It’s specific. S: Good. I might be using – Have you heard of the Spencer View Dental Park on Patterson? It’s by the YMCA, a red complex with suites and a courtyard. I might use that space theoretically. B: Why did you pick that one specifically? S: I like that one a lot because I think the scale is nice, I don’t want to do a downtown location because I think it’s a little too busy. I also like that there’s already a courtyard, it has some nice walkways and water and plant features. And it’s close to things like the YMCA, amazon park, some schools. B: Do you know who designed that building? S: I might have it written down somewhere, I already have all the building documents for it. B: Oh all the blueprints? Wow. S: And I think that the suites would work for this project – with the interdisciplinary center. B: That’s interesting because I think that Tim – the psychologist that designed this place (Trillium) used that as his model. So it’s interesting that you would pick that. That makes me wonder who designed it and what else they’ve designed. S: I can find out for you who designed it. That is really interesting actually! I just picked it because I thought it was appropriate, I had no idea! Great, well thank you so much! Post Interview Reflection It seems some of the most important key elements for therapy spaces are prioritizing the patient comfort, providing them with choices for how they approach their care, when and how they can leave if they need to, and how to create an equal relationship between the patient and provider. Also providing some flexibility in the space and variety of use for more than just sitting-talk therapy. This interview influenced a lot of my programming decisions in the first phase of the project.

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Precedent: AYC Yoga Studio - DX Architects AYC Yoga Studio is a small scale project for yoga activity and meditation located in Chile. This project topic contains one element of my program topic, serving functions for mind-body activity. I believe this project can influence the design moves I make in terms of how the design relates to the experience of enlightenment and the journey of meditation, as well as creating a supporting space for center-focused activity.

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enclosed introverted box line of windows supporting transition spaces main space

Design Intentions The conceptual design of the studio is focused on looking inward, influenced by the introverted and quiet nature of temples. To achieve this the designers took three approaches: obscuring the surrounding context, reflecting the body, and maintaining some connection to the natural elements. The space is clad with natural woods obscuring most of the surrounding context to focus the userâ&#x20AC;&#x2122;s attention on their practice in the moment without distractions. Window placements and arrangements allow light to enter the space without glaring and allowing users to practice in a calm inward environment. The repetition of the structure and windows reflect the repetitions of the breath entering and leaving the body. The window placements create a line of light that reflects the passing of time throughout the day and seasons to connect users with the motion of life.

Parti The spatial arrangement is simple and intuitive to allow users to enter and use the space almost without thinking, as the mind and body act on instinct and focus on their on mind and body practice. Users enter into a central communal space, branch off to either side changing/storage room and bathroom, then enter the large main yoga space that also expands in volume. These volumetric and axial arrangements are symbolic of the journey of meditation and enlightment that opens and frees your mind.

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Precedent: Spa Queretaro - Ambrosi I Etchegaray Spa Queretaro is a spa in Mexico with heavy concrete slabs and open indoor-outdoor green spaces. This project shares program elements with my program - massage, physical therapy, and water therapy. This project could influence ways to connect users to nature while inside the building to have constant access to gardens.

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greenery patios greenery patios open spaces

private enclosed spaces

Design Intentions The conceptual design of the spa is focused on constant contact with nature and the outside. The designers contrast the buildingâ&#x20AC;&#x2122;s linear and heavy concrete structure with the organic volumes of the garden greenery to emphasize the nature. They also harness light into these indoor-outdoor green patios to emphasize the greenery by providing it a spotlight. Materiality changes are used in transition from the public spaces to the private spa and massage room areas to emphasize the warmth of the spa experience. Each spa area also has their own private patio, connecting back to nature like the main spaces but with more intimacy.

Parti The spatial arrangement of the multipurpose rooms and cafeteria on the ground floor always relate back to the patios, with each space connected to one or with a view to the greenery patios. The ground floor has an arrangement of open spaces around the greenery patios and more enclosed private rooms in a central band of the building. The upper floor activity spaces are spaced out pavilions to provide views on all sides to the surrounding greenery.

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Precedent: Tea Community Center - Waterfrom Design The Tea Community Center is a Tea House for gathering, ritual, and calming in China. This project program has community engaging elements similar to my programâ&#x20AC;&#x2122;s social aspects. The natural design

focused on culture, habit, and harmony

in gathering could influence the design of my community spaces. Itâ&#x20AC;&#x2122;s example of grade changes could also influence the designed use of the sloped Tamarack site.

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focal tree

cylindrical atrium gathering hall “cave” around atrium “lake” above

pavilion above

light filled spaces

dim transition space Design Intentions The conceptual design of the tea house emphasizes the natural elements of sunlight, air, and water. There are three focal points, the ground floor water feature that symbolizes a lake of tranquility, a tree in central atrium on the basement floor open to the ground floor above that symbolizes the long history of gathering in the village, and the “cave” of the gathering hall on the basement floor below the “lake” as refuge. The designers allow light and shadow from the natural elements to decorate the space. With soffits in the basement level ceiling plate, the water casts shadows through glass to dance along the neutral walls. Shadows from the silhouette of the central tree meander across the walls as the light moves throughout the day. The tea hall emphasizes texture and tactility in the materiality as well as the sense of sound - natural woods, stones, coppers, and the sound of the “lake” to detach users from the stress of the busy world. To emphasize the ritual of tea and gathering in Chinese culture, the transition spaces are dim and quiet to prepare and calm users, then the gathering spaces open up to light filled rooms.

Parti The spatial arrangement centers the underground gathering hall around a cylindrical glass atrium with a focal tree. Users enter the Tea house on the main floor adjacent to a “lake” water feature and descend into the “cave” which opens up to the tree atrium.

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Research Bibliography Topical Research Sources Psychology : Alpert, J. “In Therapy Forever? Enough Already.” New York Times. Web Article. 21 April 2012. Accessed 21 October 2019. < https://www.nytimes.com/2012/04/22/opinion/sunday/in-therapy-forever-enoughalready.html> Baldwin, David, PhD, PC. Interview. Conducted by Stella Christ, 7 Nov 2019. Bennett, J. “How to Overcome ‘Imposter Syndrome.’” New York Times. Web Article. Accessed 7 Oct 2019. <https://www.nytimes.com/guides/working-womans-handbook/overcome-impostor-syndrome> Bloom, S. “Creating Sanctuary: Toward the Evolution of Sane Societies.” Taylor & Francis Printing. New York, New York. 2013. Print. Carey, B. “Effectiveness of Talk Therapy Is Overstated, a Study Says.” New York Times. Web Article. 30 Sept 2015. Accessed 21 October 2019. <https://www.nytimes.com/2015/10/01/health/study-findspsychotherapys-effectiveness-for-depression-overstated.html> Corrigan, P. (2004). How stigma interferes with mental health care. American Psychologist, 59(7), 614-625. <http://dx.doi.org/10.1037/0003-066X.59.7.614> Friedman, R. “Understanding and Empathy Aren’t Enough.” New York Times. Web Article. 6 Sept 2006. Accessed 21 Oct 2019. <https://www.nytimes.com/2006/09/26/health/psychology/26comm.html> HIPAA. US Department of Health and Human Services. <https://www.hhs.gov/hipaa/index.html> Liddicoat, S. “Spirituality in Therapeutic Spaces: Perceptions of Spatiality, Trace, and Past Rituals Manifesting Present Occupation.” Journal of Interior Design., vol. 44, no. 2, 2019, p. 101. Pryor, L. “Mental Illness Isn’t All in Your Head.” New York Times. 15 Mar 2019. Web article. Accessed 7 Oct 2019. <https://www.nytimes.com/2019/03/15/opinion/preventing-mental-illness.html>

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Physical, Mind-Body, and Sensory: Babbel, S. “The Connections Between Emotional Stress, Trauma and Physical Pain.” Psychology Today. 8 April 2010. Web Article. Accessed 24 Oct 2019. < https://www.psychologytoday.com/us/blog/somaticpsychology/201004/the-connections-between-emotional-stress-trauma-and-physical-pain> Baldwin, David, PhD, PC. Interview. Conducted by Stella Christ, 7 Nov 2019. Bloom, S. “Creating Sanctuary: Toward the Evolution of Sane Societies.” Taylor & Francis Printing. New York, New York. 2013. Print. “Five Distinct Practice Areas.” Olean Physical Therapy Professionals. Web. Accessed 11 Nov 2019. <https:// www.oleanpt.com/library/4299/FiveTypesofPhysicalTherapy.html> Float Tank Solutions. Web. Accessed 6 Dec 2019. <https://www.floattanksolutions.com/> Ratchinsky, Christine, Physical Therapist. Interview. Conducted by Stella Christ, unscheduled. Life-Guidance: Alpert, J. “In Therapy Forever? Enough Already.” New York Times. Web Article. 21 April 2012. Accessed 21 October 2019. < https://www.nytimes.com/2012/04/22/opinion/sunday/in-therapy-forever-enoughalready.html> Friedman, R. “Understanding and Empathy Aren’t Enough.” New York Times. Web Article. 6 Sept 2006. Accessed 21 Oct 2019. < https://www.nytimes.com/2006/09/26/health/psychology/26comm.html> Hansen, B. “Your Guide to Understanding and Adapting to Different Learning Styles.” Cornerstone University. Web Article. 16 Apr 2018. Accessed 31 Oct 2019. < https://www.cornerstone.edu/blogs/lifelong-learningmatters/post/your-guide-to-understanding-and-adapting-to-different-learning-styles> Pryor, L. “Mental Illness Isn’t All in Your Head.” New York Times. 15 Mar 2019. Web article. Accessed 7 Oct 2019. https://www.nytimes.com/2019/03/15/opinion/preventing-mental-illness.html

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Spatial Prcedent Study Research: Spa: “Bella Vista Spa &amp; Marina Onomichi, The Deck / Maisonette Spa Suite, Hiroshima, [Japan], 2016 : [Hiroshi Nakamura &amp; NAP].” The Japan Architect., no. 114, 2019, p. 106. Yoga Studio: “Days Bay Yoga Studio: Paul Rolfe Architects Has Designed the ‘Chilled’ Kiwi Bach Experience into a Small Timber-Clad Yoga Studio on a Bushy Coastal Hillside in Wellington.” Architecture New Zealand., no. 6, 2014, p. 60. Healing Garden: “Do No Harm : in Portland, Oregon, Quatrefoil Designs a Healing Garden for Patients in Crisis [Unity Center for Behavioral Health].” Landscape Architecture., vol. 108, no. 4, 2018, p. 38. Physical Therapy: “Interiors and Fit-Outs.” The Architects’ Journal., vol. 207, no. 8, 1998, p. 41. Designing for Trauma: “See Me, Teach Me, Heal Me : the Delicate Balance of Designing a School after Trauma.” Architecture Boston., vol. 21, no. 4, 2018, p. 32.

Codes Sources: 1. Eugene Zoning Map. City of Eugene. Web. Accessed 26 Jan 2019. <https://pdd.eugene-or.gov/Maps/ ZoningMap> 2. Eugene Code 9.0-1 8/31/2018 General Administration. City of Eugene. Web. Accessed 26 Jan 2019. <https://www.eugene-or.gov/DocumentCenter/View/2704/Chapter-9-Land-Use> 3. Harmon, S and Kennon, K. “The Codes Guidebook for Interiors.” Hoboken, New Jersey: John Wiley & Sons, 2014. 63-83; 95-101. Print textbook. 4. “Chapter 10, Means of Egress.” International Building Code. International Code Council. Web. < https:// codes.iccsafe.org/content/IBC2015/chapter-10-means-of-egress> 5. “Chapter 11, Accessibility” International Building Code. International Code Council. Web. < https:// codes.iccsafe.org/content/IBC2015/chapter-11-accessibility> 6. “Chapter 29, Plumbing Systems” International Building Code. International Code Council. Web. < https://codes.iccsafe.org/content/IBC2015/chapter-29-plumbing-systems> 7. “WELL V2 Concepts.” WELL Building Standards. Web. Accessed 30 Jan 2020. <https://www.wellcertified. com/certification/v2/> 8. “Mind.” WELL Building Standards. Web. Accessed 30 Jan 2020. <https://v2.wellcertified.com/v/en/ mind> 9. Cini, Lisa. “ASID: HIPAA Compliance and Design.” Healthcare Design Magazine. 12 Jan 2010. < https:// www.healthcaredesignmagazine.com/architecture/asid-hipaa-compliance-and-healthcare-design/> 10. “Accessible Swimming Pools & Spas.” United states Access Board. Web. Accessed April 2020.

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Photo Sources: All imagery used to evoke the mood and atmosphere of the project intentions 1.

Photo by Iyan Sofyan. https://www.pinterest.com/pin/568157309245993604/

“White Flowers.” https://www.pinterest.com/pin/568157309245222389/

“Wild Field Grass.” https://www.pinterest.com/pin/568157309246023452/

“So Delicate” by Cozy Memories. https://www.pinterest.com/

pin/94364554662076270/ 5.

“Acupressure.” https://www.pinterest.com/pin/812336851526300651/

Back Massage. https://www.pinterest.com/pin/766104586599670605/

Yoga Mat. https://www.pinterest.com/pin/AfVwLHf-OBFT18t6MPZMswFhQuy08wY

y4zwfWMaq65VKAhfaq94WCL8/ 8.

Wellness Infinity Pool. https://www.pinterest.com/pin/285697170091632211/

“Shavasana.” https://www.pinterest.com/pin/568157309246128469/

10.

Photo by Jose Villa. https://www.pinterest.com/pin/568157309246258952/

11.

Almond Blossoms. https://www.pinterest.com/pin/568157309246199139/

12.

Zen Sand. https://www.pinterest.com/pin/615093261594972615/

13.

Daybed. https://www.pinterest.com/pin/568157309245330547/

14.

Tea. https://www.pinterest.com/pin/568157309245911670/

15.

Water Therapy. https://www.pinterest.com/pin/398287160772623536/

16.

“Meditate.” https://www.pinterest.com/pin/252201647871392623/

17.

“Mindful Meditation.” https://www.pinterest.com/pin/639651953311914475/

18.

“Abhyanga Massage.” https://www.pinterest.com/pin/568157309245962467/

19.

Blue Flowers. https://www.pinterest.com/pin/568157309245222273/

20.

Grasses. Malin Poppy Darcy. https://www.pinterest.com/pin/568157309245222271/

21.

Technical Design Page: Red Flowers. Ive Freya. https://www.pinterest.com/

pin/568157309245095036/ 22.

Blue Flowers. https://www.pinterest.com/pin/568157309245164026/

23.

Research page: “Easy Flowers.” https://www.pinterest.com/

pin/568157309245274207/

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Research Social Community Imagery: • • • • • • •

Slatted Panel Walls. https://www.pinterest.com/pin/568157309245770577/ White House by James Silverman. https://www.pinterest.com/pin/51228514496994560/ “Ginzan Onsen Fujiya by Kengo Kuma.” https://www.pinterest.com/pin/568157309245935827/ “Esora.” https://www.pinterest.com/pin/568157309246023442/ “Lotus Dessert.” https://www.pinterest.com/pin/568157309245630492/ “Community Tea House.” https://www.archdaily.com/929532/tea-community-center-waterfromdesign/> ISSN 0719-8884 St. George Hotel. https://www.pinterest.com/pin/568157309245794314/

Cognitive Therapy & Mind Body Imagery: • • • • • • •

Villa Mairea. https://www.pinterest.com/pin/568157309245222291/ “Timber Lined Prayer Room.” https://www.pinterest.com/pin/568157309245742068/ Meyn Design. https://www.pinterest.com/pin/568157309244324279/ Tatami Room. https://www.pinterest.com/pin/568157309245380283/ Yoga Studio. https://www.archdaily.com/773973/ayc-dx-arquitectos/> ISSN 0719-8884 Slatted Wall. https://www.pinterest.com/pin/568157309245163994/ Green Upholstery. https://www.pinterest.com/pin/568157309245742207/

Life Guidance Imagery: • Counseling Seat. https://www.pinterest.com/pin/568157309244328279/ • Textured Screen. https://www.pinterest.com/pin/568157309245630515/ • Slot Seats. https://www.pinterest.com/pin/AZHE92uPfr4r8YJIXR0AD64fwiN7QP9-hfoEiiw3yh frSGv0oI5L4Y/ • Pin Up Wall Tiles. https://www.pinterest.com/pin/8022105574183629/ • Community Tea House. https://www.archdaily.com/929532/tea-community-center-waterfrom design/> ISSN 0719-8884 • Collaboration Pod. https://www.pinterest.com/pin/568157309245670856/ Physical Therapy & Sensory Therapy Imagery: • • • • • •

Sezizenkan Shima Onsen. https://www.sekizenkan.co.jp/en/ Mediterranean Home. https://www.pinterest.com/pin/607000856012041396/ “Spa Retreats.” https://www.pinterest.com/pin/568157309245741947/ Gozanoyu Onsen. http://gozanoyu.com/en/ Reception Desk. https://www.pinterest.com/pin/568157309245630499/ Shower. https://www.pinterest.com/pin/568157309245427345/

Healing Garden Imagery: • • • • • • •

“Roaring Fork Falls.” https://www.pinterest.com/pin/339318153146393226/ Outdoor Seating. https://www.pinterest.com/pin/568157309245630507/ “Zen Garden.” https://www.pinterest.com/pin/568157309245671591/ “Outdoor Courtyard Ideas.” https://www.pinterest.com/pin/568157309245030718/ “Pergola.” https://www.pinterest.com/pin/568157309245030689/ “Base Khon Kaen.” https://www.pinterest.com/pin/568157309245742031/ Bamboo Garden. https://www.pinterest.com/pin/11751649005021614/

Transition Hallways Imagery: • • • •

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Tall Window Hallway. https://www.pinterest.com/pin/568157309245222316/ Screen House. https://www.pinterest.com/pin/71635450310527714/ K&Co Stair. https://www.pinterest.com/pin/568157309244324315/ Daebong Exterior. https://www.pinterest.com/pin/568157309245910153/

Stella May Design

Interviews

Precedents

Bibilography

Liddicoat table sources Spirituality in Therapuetic Spaces: Perceptions of Spatiality, Trace, and Past Rituals Manifesting Present Occupation. Stephanie Liddicoat, PHD

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Accessible Spas Summary of accessibility guidelines for recreation facilities. Tables and Figures.

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Thank You!

Stella May Design

Stella Christ, Comprehensive Project 2020 Interior Architecture

Stella May Design