IKM Behavioral Health Design

Creating Safe Environments
for Behavioral Health Facilities
William R. Sharpe, Jr. Hospital
50 Bed Addition
August 12, 2014
slides © IKM Incorporated 2014

Presenters:
Jonathan Lusin, AIA, LEED AP
Mr. Lusin joined IKM in 2008 as a registered project architect/manager. With more
than 15 years experience, Mr. Lusin has been elevated to the level of Associate with
the firm. He has a diverse portfolio of project-types; a knowledge of the latest
software tools for design and documentation; and, an appreciation of the value of
sustainable design. As project manager, Mr. Lusin applies his attention to detail,
ability to manage staff and fiscal resources, and knowledge of construction
administration toward the successful delivery of multi-million dollar projects. Mr.
Lusin served as the project manager for the William Sharpe Hospital Addition project.
Jason Hindes, Assoc. AIA
Mr. Hindes joined IKM in 2011 as a graduate architect working toward his
architectural license. Mr. Hindes’ skills with technology allow him to execute design
documentation in Revit/BIM. Mr. Hindes has developed the ability to work quickly,
accurately and independently making him a valuable member of the IKM team. He
served as the Job Captain for the William Sharpe Hospital Addition project
participating in design meetings, executing the construction documentation, and
assisting in the bidding and construction administration phases of the project.

Presentation Learning Objectives
 Learn the two key issues (Safety & Visual Control) impacting behavioral
health design at this facility;
 Understand how the healthcare “hospitality approach” impacts this
population;
 The importance of outdoor space to this population’s care and treatment
and the challenges and solutions this case study presents.

Presentation Summary
 Program Description
 Key Concepts
 Design / Collaboration
 Construction
 Results

Project Team

PROGRAM
William R. Sharpe, Jr. Hospital
 Existing State Behavioral Health Facility
 Constructed in early 1990’s
 Patient Wings with integrated Courtyards
 Central Dining and Recreation Facilities

PROGRAM
Existing Facility

PROGRAM
Existing Facility
Parcel 1
Parcel
2
Parcel
3
Parcel
4

PROGRAM
Existing Facility - Plan

PROGRAM
Existing Facility – Functional Issues
 Civil vs. Forensic Population
 Staff and Clients spaces mix (no separation)
 Nurse Stations
 Office Areas
 Outdoor Courtyards visually separated from Staff areas
 Ligature issues
 Moving Patients to Dining and other recreation facilities
 Visual control in Patient Rooms

PROGRAM
Existing Facility – Patient Room

PROGRAM
Existing Facility – Dining

PROGRAM
Project Site

PROGRAM
New 50 Bed Addition
 Add new Nursing Units to support 50 Client Beds
 New Sallyport for Admission of new Clients
 Office/Support Space
 Replace existing outdoor Recreation Space for Facility
 Replacing Sanitary Line in Existing Kitchen
 Expand Existing Parking Lot
 $11.8 Million Construction Budget

CONCEPT
New 50 Bed Addition
 Evidence-Based Research as foundation for Creative Exploration
 Improve Safety (both Client and Staff)
 Promote Humane Delivery of Client Care

CONCEPT
New 50 Bed Addition
 Evidence-Based Research as foundation for Creative Exploration

CONCEPT
New 50 Bed Addition
“…staff supervision and visibility generally help to
reduce patients' risk of self-harm.”
Doherty, Joseph, AIA, and Jon E. Sell. "Deinstitutionalizing Design." Editorial. Behavioral Healthcare 11 Jan. 2011: n. pag. Deinstitutionalizing Design. Vendome Healthcare
Media. Web. 01 Aug. 2014. < http://www.behavioral.net/article/deinstitutionalizing-design >.

CONCEPT
New 50 Bed Addition
 Case Study
Image: BIG, Helsingor Psychiatric Hospital;
Helsingor, Denmark.

CONCEPT
New 50 Bed Addition
“…there can’t be any way for people to hang
themselves…there can be no way for them to
create weapons…you must eliminate things that
can be thrown.”
"Humanizing Behavioral Healthcare Design." Humanizing Behavioral Healthcare Design. Ed. Jay W. Schneider. Building Design + Construction, 01 Feb. 2008. Web. 07 Aug.
2014. <http://www.bdcnetwork.com/print/16006>

CONCEPT
New 50 Bed Addition
Image: Mental Health Design 201;
AIA Academy of Architecture for Health;
4, June 2012; Francis Pitts, FAIA, FACHA, OAA

CONCEPT
New 50 Bed Addition
“…design preference is driven by the demand for
natural light – a light, airy environment is
calming to patients – and the desire to have
direct access to the outdoors – visual and
physical contact with the outside world is hugely
important…”
"Humanizing Behavioral Healthcare Design." Humanizing Behavioral Healthcare Design. Ed. Jay W. Schneider. Building Design + Construction, 01 Feb. 2008. Web. 07 Aug.
2014. <http://www.bdcnetwork.com/print/16006>

CONCEPT
New 50 Bed Addition
Image: Cannon Design, Lindner Center of HOPE;
Cincinnati , OH. Photo by Tim Wilkes Photography

CONCEPT
New 50 Bed Addition
Image: Peter Zumthor , Serpentin e Pavilion . Photo by Hufton + Crow

DESIGN
50 Bed Addition: Design Tools
 Visual Control of Nursing Unit
 Eliminate Blind areas
 Nurse Station as focal point of Unit
 Secure Area for Staff
 Integrate Exterior Courtyards into Unit Plan
 Freedom with Control

DESIGN
New 50 Bed Addition - Diagram

DESIGN
New 50 Bed Addition - Site

DESIGN
New 50 Bed Addition – Floor Plan

DESIGN
New 50 Bed Addition - Views

DESIGN
New 50 Bed Addition – Program Layering

DESIGN
New 50 Bed Addition – Outdoor Space

DESIGN
New 50 Bed Addition – Elopement Control

COLLABORATIO N
50 Bed Addition: Engineering Coordination

DESIGN
New 50 Bed Addition – Final Design

DESIGN
New 50 Bed Addition - Construction
Site

DESIGN
Mock-Up

DESIGN
Structural

DESIGN
Mechanical

DESIGN
Connection to Existing

DESIGN
Views

DESIGN
Nurse Station Glazing

DESIGN
Anti-Ligature

RESULTS
50 Bed Addition: Final Build
Visibility

RESULTS
Natural Light

RESULTS
Internal Courtyards

RESULTS
Dining

RESULTS
Patient Rooms

RESULTS
Anti-Ligature

RESULTS
Furniture

RESULTS
Elopement Control

RESULTS
Safety

RESULTS
Exterior

THANK YOU
50 Bed Addition: Questions?

architecture
planning
interior design
For more information visit: www.ikminc.com
Connect with us:
CONTACT US
Jonathan Lusin, AIA, LEED AP Jason Hindes, Assoc. AIA

IKM Behavioral Health Design

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