DP THE DESIGN PARTNERSHIP
Selected Mental Health Experience
T H E D E S I G N PA R T N E R S H I P M E N T A L H E A L T H P R O J E C T S
Contact: The Design Partnership 415.777.3737 info@dpsf.com Office: 1412 Van Ness Avenue San Francisco, CA 94109 www.dpsf.com
THE DESIGN PARTNERSHIP LLP, Architects + Planners is an architectural firm whose work is of exceptional relevance to our times and is characterized by its sensitive and resonant responses to local traditions, landscape and context as well as by its innovative aesthetic and leading edge technology. Selected MENTAL HEALTH Experience is a selection of several recent mental health facilities where we have had the opportunities to use our long term experience in advancing facilities that support excellent mental health care. For us mental health facilities are excellent opportunities to demonstrate how our built environment can positively influence our behavior. Based on our original research we have demonstrated how the design of mental health facilities influences positive outcomes for patients. We look for opportunities to demonstrate this in new assignments. Since its birth, now more than thirty years ago, The Design Partnership success is due to the efforts of our inspirational clients, distinguished consultants and our dedicated staff who have contributed to our innovated legacy over the years.
SELECTED MENTAL HEALTH PROJECTS VA Palo Alto Campus Project
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VA Palo Alto Acute Psychiatric Center
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VA Puget Sound Campus Project
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VA Puget Sound Mental Health Project
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John George Psychiatric Pavilion
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Camarillo Hospital Children’s Units
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Placer County Children Emergency Shelter
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STARS Adolescent Treatment Facility
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Mary Graham Children’s Center
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The Jewish Home Psychiatric Wing Remodel
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Klamath County Integrative Health Building
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Additional Mental Health Experience
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The VA Palo Alto Campus Project is comprised of eight unique projects that are centered on healing Veterans and advancing medical technology. 1. The Acute Psychiatric Care facility is currently under construction and includes four inpatient nursing units, surrounding outdoor enclosed patient gardens, an outpatient mental health clinic, administrative offices and a utility building. The other campus projects are with The Design Partnership as Associate Architects, and include the following projects: 2. Polytrauma/Blind Rehab Center, 3. Ambulatory Care Center, 4. Aquatic Center, 5. Research Laboratory, 6. Parking Structure, Underground Utilities, and Healing Gardens. While we have had the opportunity to work with the VA on all of these projects, we want to draw your attention to the Acute Psychiatric Care Facility on the following pages.
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The VA Palo Alto Acute Psychiatric Facility is designed to accommodate 80 inpatients in four distinct units. It also includes spaces and facilities for outpatient programs and administrative functions. The design incorporates several concepts which have been implemented and tested by The Design Partnership on other mental health facilities. These include ready access to outdoor courtyards which do not require staff to accompany the patients, back to back nurses stations which enable the sharing of staff between units in times of need, swing beds between units, which allow designated units to flex in size according to demand, excellent observation and control from the nurses station of all patient areas so that staff can assist in a timely manner, patient rooms with designated areas for each patient, that support concepts of self identification. The Veterans Administration has selected this project to be the model for all of their mental health facilities and have recently completed Design Guidelines based on this design. We had the opportunity to help create these guidelines.�
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1. Acute Psychiatric Care Facility, 78,000 sf
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The VA Puget Sound Campus Project is a striking addition to an existing aging hospital campus. The addition is contextually responsive in its scale and orientation and incorporates a new central plaza that unites the campus’ past, present and future. The new addition is composed of three distinct and unique projects that are linked to Mental Health treatment and research. The Design Partnership as Associate Architect planned and designed the new 1. Mental Health Services and Research Building, a new 2. 1,000 stall Parking Structure, and a 3. Seismic Upgrade of the existing campus Hospital that required careful and sensitive phasing of interior renovation to maintain existing operations during construction. The projects required extensive coordination with VA personnel, and considerable understanding of the constraints of the existing campus facilities, utilities and operations.
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The Mental Health Treatment and Research Building for VA Puget Sound Seattle provides outpatient mental health and substance abuse treatment on the lower levels and a range of clinical research facilities on the upper levels. The treatment facilities include a broad range of treatment options: a personal recovery center (day hospital), substance abuse counseling and group therapy, mental health counseling and group therapy, suicide prevention, homeless veteran services, opiate substitution therapy, and an educational center. The research resources include both wet and dry laboratories, biomechanics facilities, and a clinical research observation unit for patients participating in research protocols. In support of this new building we are also designing a new entry plaza and parking garage. The front door location brings dignity to mental health care, which is often relegated to a back door location.
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1. Mental Health Services & Research, 200,000 sf
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1. Mental Health Services & Research
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1. Mental Health Services & Research
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John George Psychiatric Pavilion provides a variety of services for acute psychiatric patients within three secured buildings forming a small, safe campus. Located within a larger county health campus, this 112,000 sf facility is tailored to respond to the needs of both staff and patients in six different treatment programs, including emergency and critical care. Interior connections among the parts simplify resource sharing and back up staffing. The central courtyard provides a focus for the entire campus while permitting direct access to each service. The simple landscape provides openness within a protected facility. As Associate Architect The Design Partnership provided planning, design and programming services.
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Camarillo Hospital Children’s Unit provides a stable, safe and home-like atmosphere for the care of children. The design creates a nurturing sense by drawing upon residential attributes such as a central living space, kitchen and bright, sunny bedrooms. Each of the three 22-bed units is divided into 11-bed wings to create smaller groupings of children. The exteriors create the effect of clustered cottages with patios that extendÂthe living room space and reduce the feeling of confinement. The design is based on our original research of how specific environments shape behavior. We conducted historical behavior mapping of the previous facility to identify spaces with frequent incidents of behavioral problems. The new design addressed these issues as demonstrated by two successful post occupancy evaluations. Our research showed that behavior problems were associated with specific types of spaces, most of which were poorly supervised. The study identified and tracked 28 specific behavior characteristics, several of which directly related to facility design. The new facility addressed these issues: nurses’ stations had unobstructed views of patient common areas, corridors were eliminated, patient rooms opened directly onto a common space, spaces were scaled and positioned to enable the patients to have choices in degrees of participation, direct supervised access was provided to outdoor spaces, access to other outdoor areas was directly supervised by the nurse station. Two post occupancy evaluations validated the success of these design initiatives. The associated problems were virtually eliminated by the new design. The project received two national design awards
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Placer County Children Emergency Shelter is a new facility providing short-term housing for children from the ages of 6 to18. The Shelter includes an accompanying school building of approximately 5,000 sf. Other components are: housing (30 beds), living and dining areas, medical and psychological services, recreation facilities, visitation space, and educational services.
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STARS Adolescent Treatment Facility aims to restore children to their highest level of independent self-care by having multiple levels of treatment on one campus. Using the therapeutic community model to deliver this care reduces the total cost of care. The STARS program provides outpatient, residential and sub-acute care at a single location. The campus-style treatment center surrounds a landscaped courtyard, creating an enhanced sense of community. The courtyard is used for recreation, performances and outdoor classrooms. Four connected wood-sided cottages make up the residential group home. A 15-bed skilled nursing building provides subacute care. There is also an on-campus school which provides a symbolic form of “the little red schoolhouse� to emphasize the importance of education in gaining independence.
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Mary Graham Children’s Center has been designed for children who need temporary shelter in a warm, protective environment. The eight-acre campus complex opened in June 2003 with nine new structures, replacing an inadequate and antiquated county facility. The Design Partnership worked with the client to verify the program, coordinate the work of the Office of Education which included three school structures, and develop the overall campus plan. The campus includes a central green space and play area surrounded by housing for 60 children in four cotages, facility administration and intake, child advocacy center, visitation building, multipurpose building, classroom building, library, and arts/storage building. The cottages are paired to allow swing beds between each pair, facilitating adjustment to changing census. The facility has been designed to exceed Title 24 Energy Efficiency standards and utilize non-toxic, childfriendly materials. The new buildings were designed to provide an attractive campus that supports the counseling and education of the children in a safe, stable environment during an average two- to three-week stay before placement in foster homes, satellite homes or treatment programs.
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The Jewish Home Psychiatric Wing Remodel project is a renovation of a short-term psychiatric nursing facility for the elderly. Built in 1981, the facility was originally designed for skilled nursing and needed to be modified to meet the requirements for a psychiatric program. The Design Partnership worked closely with staff members to develop a redesign that departed from the existing institutional setting and created a home-like atmosphere conducive to patient well-being. The unit includes a self-contained dining hall/activity area, as well as its own nurses station to increase security and overall monitoring of residents. As an additional safety precaution, the facility was outfitted with reduced glare lighting.
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Klamath County Intergrative Health Building study included site selection, programming and concept design. The building will bring together Mental Health and Public Health services in one place to more effectively integrate available community health resources to meet community needs. Current operations on multiple sites make effective, economical integration of care difficult. The existing, aging structures are inefficiently configured and impractical to remodel to meet current codes and standards (HIPPA), air quality, safety and accessibility (ADA), and energy efficiency. A new building, consolidating Mental Health and Public Heath in an integrated building will facilitate the following: •
one-stop care for County residents;
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more comprehensive, multi-disciplinary care for residents with complex physical and behavioral health needs;
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better service to at-risk, hard-to-reach populations;
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shared regulatory compliance strategies to meet new state and federal guidelines for patient privacy, handicapped access, and occupational safety;
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integrated and shared administrative and information systems;
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increased accountability;
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improved service capacity;
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better use of available resources through reduced redundancy and duplication;
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increased value to the community per tax dollar spent.
The Design Partnership developed this plan in association with SOLARC Architecture & Engineering and Rowell Brokaw Architects.
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ADDITIONAL MENTAL HEALTH EXPERIENCE • Alameda County Health Care Services STARS Adolescent Treatment Facility, Oakland, CA • Grossmont Hospital Rehabilitation Unit, La Mesa, CA • Alameda County Health Care Services John George Psychiatric Pavilion, San Leandro, CA • Bayview Hunter’s Point Foundation, San Francisco, CA • Butte County Behavioral Health Youth Services, Oroville, CA • Lakes Crossing Facility, Sparks, NV • Nevada Mental Health Institute, Reno, NV • Sacramento County Psychiatric Health Facility, Sacramento, CA • Santa Clara Valley Medical Center Public/Mental Health Clinics, Santa Clara, CA • Stanislaus Medical Center Behavioral Health Center, Modesto, CA • University of California, Irvine Medical Center Neuropsychiatric Center, Orange, CA • Alaska State Psychiatric Institute, Anchorage, AK • CDC, Mental Health Delivery Systems, Various, CA • Lutheran Medical Center Mental Health Facility, Omaha, NE • Marin County Mental Health Unit, Ross, CA • Napa State Hospital Building 195, Napa, CA • Patton State Hospital, CA • Porterville Developmental Center, Porterville, CA • San Diego County Mental Health Facility, San Diego, CA • San Jose Hospital Mental Health Unit, San Jose, CA • Solano County Mental Health Services, Fairfi eld, CA • Highland Hospital, Oakland, CA • San Francisco General Hospital, San Francisco, CA
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THE DESIGN PARTNERSHIP ARCHITECTS + PLANNERS
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Contact: The Design Partnership 415.777.3737 info@dpsf.com Office: 1412 Van Ness Avenue San Francisco, CA 94109 www.dpsf.com