B e h av i o r a l H e a lt h L i g h t i n g Therapeutic Design for Healing Environments
Let us introduce ourselves The living environment can have a direct impact on emotional and mental wellbeing. By creating luminaires especially for behavioral health, we can offer patients comfort, respect, autonomy, and a therapeutic space to heal.
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The most respected standards organizations agree: In behavioral health, aesthetics and comfort matter as much as safety. By creating enriching, comfortable environments with high quality light and non-institutional fixtures, we can help contribute to the patient’s journey in a healing way.
Introduction
Our priority has always been to provide luminaires that answer specific needs. The stigma surrounding mental illness has historically echoed throughout behavioral health facility design. Stark, institutional rooms built to control patients were the norm. However, that stigma is weakening. Now, patient-centered behavioral care means treating the whole person, not just controlling symptoms.
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Transform Behavioral Health with Light
FPO
FPO
Research & Statistics One in five adults has a mental health condition. In the 1950s, an effort to deinstitutionalize mental health dramatically decreased the number of available inpatient beds. The goal was to substitute inpatient care with stronger community resources. This proved to be ineffective in many areas. While experts recommend 50 beds per 100,000 people in the community, a 2016 report found that there was an average of 11.7 beds available per 100,000 Americans. This varies by region. Many states were much lower.
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Design Guides • Patient Safety Standards – New York State Office of Mental Health • Behavioral Health Design Guide – Behavioral Health Facility Consulting • Mental Health Facilities – US Department of Veterans Affairs All safety standards require luminaires to be ligature-resistant, tamper resistant, high-impact, recessed, or surface-mounted, and include emergency light options. At the same time, these guides also emphasize the importance of designing a comfortable, therapeutic environment with products that are home-like, familiar, attractive, and respectful of patient autonomy and privacy.
RESEARCH & DESIGN
Vigorous impact testing is performed to ensure all behavioral health luminaires adhere to the latest safety standards
Materials
Our behavioral health luminaires are constructed for ligature, impact, and tamper resistance. This is achieved by using the right components.
Tamper Resistant Screw
Mounting Bracket
Pick Proof Caulk
Polycarbonate Lens
Secure, tamper resistant screws with special heads are used to prevent opening or damaging the fixture. They can only be removed with a specific tool.
Luminaires must be securely fastened to structural blocking using supplemental screws and/or mounting brackets, according to installation instructions.
Many fixtures require caulk that is pick-proof around the housing, especially if the surface is not smooth, in order to reduce damage and ligature risk.
High abuse luminaires need polycarbonate lenses in place of (or over) typical diffusers to protect inner components and to allow light through.
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While there is no universal standard for fixtures in behavioral health, our engineers evaluate each luminaire according to the testing model of the New York State Office of Mental Health. For example, our impact tests apply external mechanical force by swinging a weight directly into the luminaire.
LIGATURE RESISTANCE All patient-facing components where two or more materials meet must be thoroughly tested for ligature resistance. This means that objects cannot be wedged in or looped around any particular spot to create an anchor point. To test this, engineers repeatedly apply mechanical impact or pressure to the luminaire while it is installed, then attempt to create a ligature point.
Construction
Testing
Rogers Behavioral Health, Oconomowoc, WI Specifier: Ring & Duchateau, LLP | Photo: Reminisce Studio
page 9 Gig
Gig™ Having your own space is essential, especially in healing environments. Gig is a compact, wall-mounted, personal task light that can be dimmed and brightened with the touch of a finger on the luminaire body. Mount near the bedside or over the desk for a cozy, intimate atmosphere.
Behavioral Health Features
Other Features
• IK10+ (100 joules) impact resistant • High abuse mounting bracket • Touch-dimming controls — no switch needed in the patient room • Tamper resistant hardware • Ligature-resistant construction • 3/4” thick impact-resistant polycarbonate lens • ADA compliant
• Integral or remote power supply models • 27°-30° or 100° output distribution • IP65 rated • ETL listed for wet locations • Mounts to 2x4 electrical junction box
H
D
W
Polycarbonate Lens
BH Mounting Bracket
page 11 Gig
CB1800
180˚
CB1800 - Integral Driver
150˚
Nominal Dimensions
CCT
Lumens
Watts
H: 7” D: 3” W: 4”
3000K 3500K
150 to 300
3 to 6
120˚
90˚
CB1800 - Wide - Integral Driver Nominal Dimensions
H: 7” D: 3” W: 4”
CCT
3000K 3500K
Lumens
60˚
Watts
30˚ 0˚
80 to 160
3 to 6
Standard
CB1800PSX - Remote Driver Nominal Dimensions
CCT
Lumens
Watts
H: 7” D: 3” W: 4”
3000K 3500K
150 to 300
2 to 4
180˚ 150˚
120˚
CB1800PSX - Wide - Remote Driver Nominal Dimensions
H: 7” D: 3” W: 4”
CCT
Lumens
90˚
Watts 60˚
3000K 3500K
80 to 160
2 to 4
30˚ 0˚
Wide
Eating Recovery Center Willow, Denver, CO Architects: Boulder Associates | Photo: Caleb Tkach
page 13 SOLE
SOLE™ While researching vanity luminaires, our engineers discovered that behavioral health bathrooms also needed a better mirror solution. They designed Sole, an impact-resistant, lighted mirror. Sole features a minimal recessed housing, LED-illuminated cutouts, and high quality mirrored polycarbonate for a clear, color accurate reflection.
Behavioral Health Features
Other Features
• IK10+ (100 joules) impact resistant • Recessed housing with integral wiring compartment • Tamper resistant hardware • Ligature-resistant construction • Heavy gauge fabricated aluminum backbox • Scratch-resistant silicone coating • Optional amber LED Night Light
• IP65 rated for drywall • ETL listed for wet locations • Integral power supply • Optional amber LED Night Light
RD
RD
H
H
Mirrored Polycarbonate
Non-mirrored Polycarbonate Lens W
W
page 15 Sole
CB1850
CB1852 - Oval Mirror
180˚
Nominal Dimensions
CCT
Lumens
Watts
H: 34” W: 20” RD: 3”
3000K 3500K 4000K
400 to 650
14 to 24
150˚
120˚
90˚
CB1850 - Rectangular Mirror Nominal Dimensions
CCT
Lumens
Watts
H: 30” W: 20” RD: 3”
3000K 3500K 4000K
400 to 650
14 to 24
60˚
30˚ 0˚
page 17 SERENITY
Serenity™ Layering light with differing materials and textures can create depth and calm within a space. Serenity features performance lighting around the luminous frame, and a soft, glowing, decorative panel in the center. Designed for the patient room overbed, but suitable for general lighting, these recessed ceiling luminaires provide ambient, reading, exam, or nightlight modes.
Behavioral Health Features
Other Features
• 1/8” thick high-impact polycarbonate • Tamper resistant fasteners • Ligature-resistant frame • Amber LED nightlight
• Modes for ambient, exam, reading • Low-voltage patient control option • Tested to LM79 standard • Four decorative panel options
L W RD
Clear polycarbonate lens Polycarbonate Lens
page 19 Serenity
CM1924
CM1922 - 2x2 Nominal Dimensions
CCT
Lumens
Watts
L: 24” W: 24” RD: 6”
3000K 3500K 4000K
5500 to 11400
72 to 162
180˚ 150˚
120˚
90˚
CM1924 - 2x4 Nominal Dimensions
CCT
Lumens
Watts
L: 48” W: 24” RD: 6”
3000K 3500K 4000K
5400 to 11800
72 to 162
60˚
30˚ 0˚
page 21 SYMMETRY
SYMMETRY™ This luminaire’s organic form factor echoes curves in the interior design to create a more relaxing, comfortable environment. Designed for tunable, general use, or patient room lighting, the Symmetry family can be used repeatedly throughout the behavioral health space, including patient bedrooms, for non-institutional, glare-free, ambient illumination.
Behavioral Health Features
Other Features
• IK10+ (100 joules) impact resistant • 3/16” high impact polycarbonate • Tamper resistant fasteners • Suitable for drywall/sheetrock installation • Optional nightlight
• Driver accessible from below ceiling • Tested to LM79 standard • Remote emergency driver option • Suitable for insulation contact
RW Insulation Detector RD
Fixture Support Frame (by others)
Sheetrock
Polycarbonate Lens DIA
page 23 Symmetry
CM1988-W
CM1988-T - 23” Tunable
CM1978-T - 45” Tunable
Nominal Dimensions
CCT
Lumens
Watts
Nominal Dimensions
CCT
Lumens
Watts
Dia: 23” RD: 7” RW: 23”
2700K to 6500K
2700 to 4500
35 to 63
Dia: 45” RD: 6” RW: 48”
2700K to 6500K
2800 to 4800
27 to 47
CM1988-W - 23” General Use
CM1978-W - 45” General Use
Nominal Dimensions
CCT
Lumens
Watts
Nominal Dimensions
CCT
Lumens
Watts
Dia: 23” RD: 5” RW: 23”
3000K 3500K 4000K
2600 to 4400 2700 to 4500 2700 to 4600
35 to 61
Dia: 45” RD: 6” RW: 48”
3000K 3500K 4000K
2700 to 4600 2800 to 4700 2800 to 4800
29 to 49
CM1986-W - 23” Overbed
CM1976-W - 45” Overbed
Nominal Dimensions
CCT
Lumens
Watts
Nominal Dimensions
CCT
Lumens
Watts
Dia: 23” RD: 7” RW: 23”
3000K 3500K 4000K
3800 to 9800 3900 to 10100 4000 to 10300
52 to 124
Dia: 45” RD: 6” RW: 48”
3000K 3500K 4000K
4600 to 11500 4700 to 11900 4800 to 12100
49 to 127
180˚ 150˚
120˚
90˚
60˚
30˚ 0˚
CM2062-W
page 25 LENGA
LENGA™ Lenga’s modest dimensions and elegant framework give medical behavioral health spaces proper lighting without adding bulk. Designed as a minimal overbed luminaire, Lenga provides multi-functional light levels in patient rooms that require ligature and tamper resistance. The dual units work in tandem to illuminate the bed without creating shadows or glare.
Behavioral Health Features
Other Features
• IK10+ (100 joules) impact resistant • High-impact polycarbonate • Tamper resistant fasteners
• Ambient, exam, or combined modes • Units wired discretely • 90 CRI option • IP65 rated
Recessed Housing Diffuser
RD
RL Polycarbonate Lens L
W
page 27 Lenga
180˚
180˚ 150˚
150˚
120˚
120˚
90˚
90˚
60˚
CM2062-W - Overbed White
30˚
Nominal Dimensions
CCT
Lumens
Watts
L: 48” W: 5” RD: 4”
3000K 3500K 4000K
2400 to 8900 2500 to 9100 2500 to 9300
29 to 118
CM2062-T - Overbed Tunable Nominal Dimensions
CCT
L: 48” W: 5” RD: 4”
2700K to 6500K
Lumens
60˚
30˚
0˚
0˚
Ambient
Exam
180˚ 150˚
Watts 120˚
2300 to 8500
28 to 114
90˚
60˚
30˚ 0˚
Combined
CV1680
page 29 VISAGE
Visage™ With a pure, luminous diffuser, multiple length options, and a shallow recessed depth, Visage is a fundamental ceiling luminaire that fits anywhere throughout the behavioral health facility. Visage can be used to fill general spaces with ambient light or in rhythmic, linear arrangements on the ceiling.
Behavioral Health Features
Other Features
• IK10+ (100 joules) impact resistant • High-impact polycarbonate • Tamper resistant fasteners
• IP65 rated • Housing fully sealed from plenum and room
RD
W
RL L Polycarbonate Lens
page 31 Visage
CV1680
180˚ 150˚
CV1680
120˚
Nominal Dimensions
CCT
Lumens
L: 48” W: 5” RD: 4”
3000K 3500K 4000K
1900 to 2900 2000 to 3000 2000 to 3100
Watts 90˚
25 to 39 60˚
30˚ 0˚
EL IV
ACTIVELY SUICIDAL SELF-HARM NOT ANTICIPATED
INTENT FOR SELF-HARM
ENVIROMENTAL SAFETY RISK ASSESSMENT
LEVEL II
LEVEL IV
LEVEL I
LEVEL III
1:1 OBSERVATION
PERIODIC OBSERVATION
COMPLETELY ALONE
OPPORTUNITY FOR SELF-HARM (PRIVACY)
EL III LEVEL V
MPLETELY ALONE
ACY)
“Safety Risk Assessment Tool” James M. Hunt and David M. Sine Behavioral Health Design Guide www.bhfcllc.com/design-guide
Special Considerations
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• The patient supervision level • Their intent for self-harm
By weighing these factors against one another, designers and clinical staff can discuss the risk levels of each space. The chart is an assessment tool developed by James Hunt and David Sine and published in the Behavioral Health Design Guide. Each quadrant includes areas of a similar risk level: Level I: Patients not allowed (staff breakrooms and meeting rooms, maintenance areas) Level II: Patients are highly supervised (group rooms, counseling rooms, corridors) Level III: Patients are under minimal supervision (day rooms, open nursing stations) Level IV: Patients spend a great deal of time alone with minimal/no supervision (bedrooms, bathrooms) Level V: Patients are newly admitted or present potential unknown risks (admission rooms, seclusion rooms, exam rooms)
SAFETY RISK ASSESSMENT
Whether or not a particular behavioral health setting needs ligature-resistant lighting depends on two factors:
Planning for Risk Levels For this large-scale behavioral health project, the design team used their own risk assessment tool to evaluate which design elements should be chosen for each area. This model uses Low Risk, Medium Risk, and High Risk categories, determined by that area’s safety (potential patient self-harm) and resiliency (harm to the environment).
Room Layout Credit: Architecture + NBBJ
page 35 Risk Levels
Welcome Area
Staff Spaces
Lobbies should be inviting and relaxing. What new patients and visitors see there can impact their comfort level in the space, and even how they feel about treatment.
Therapeutic design positively impacts staff as well as patients. Areas where staff takes breaks and conducts meetings should evoke a homelike atmosphere.
Corridors
Group Rooms
To avoid an institutional aesthetic and encourage socialization, corridor lighting should be dimmer than typical hospitals and be indirect if possible.
Group rooms host supervised activities like classes, group therapy, and celebrations. Luminaires should be dimmable and provide task lighting.
That’s just the beginning! Visit visalighting.com to explore all of our luminaires
BHBRO-1 — February 2020 ©2020 Visa Lighting
