Behavioral Health Innovations

Behavioral Health Innovations – Perkins by UTHealth Bequest Houston John S. The exterior of the building is a design feature of mental health facilities such as the Dunn Center for Behavioral Sciences. Photo: © James Steenkamp

More than two-fifths of the more than 488,000 residents in Knox County, Tenn., have poor mental health, according to a recent report by the East Tennessee Mental Health Association.

Behavioral Health Innovations

In late October, the Knox County Commission, along with County Mayor Glenn Jacobs, asked the state to fund the construction and operation of a mental health hospital for residents who now have to travel two hours to the nearest mental health facility in Chattanooga. , one of four mental health hospitals in Tennessee, the Department of Mental Health already invests more than $20.5 million annually to serve the behavioral health community in Knox County.

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Knox County is symptomatic of a national crisis. According to “The State of Mental Health in America 2022,” published by the nonprofit Virginia Mental Health America, in 2019, about 50 million Americans, 20% of the nation’s population, had a mental illness. Serving the needs of the mentally ill since 1909.

15 percent of young Americans have had major depression in the past year, and about 11 percent are experiencing major depression. Less than 5% of adults have serious thoughts about suicide, and this number has been increasing since 2011. More than half of adults and 60% of youth with mental illness do not receive treatment.

Estimates of America’s mental health are roughly in line with the National Institute of Mental Health, which estimates that 52.9 million adults will be living with a mental health problem in 2020. The NIMH found that the prevalence of mental illness was higher among 18- to 25-year-olds, women and adults who reported being of two or more races.

Last July, the national suicide prevention helpline 988 was activated, supported by a network of more than 200 crisis centers 24/7. By the end of November 2022, 23 states had passed legislation supporting the new number. Mental health teletherapy services are also emerging amid confusion about telehealth and mental health insurance coverage.

Graphic Recordings From The 4th Annual Innovations Summit On Integrated Care

Although there are varying degrees of mental illness depending on the level of disorder, the steady increase in the number of Americans struggling with mental health issues coincides with the emergence of external stressors that include the coronavirus pandemic, drug addiction, social isolation and a volatile economy. Labor market.

According to AEC firms like CannonDesign, the rise of mental disorders has created a demand for new behavioral health facilities and hospitals, which claims to be the first design firm to establish a practice/studio dedicated to mental and behavioral health. As of last October, CannonDesign had developed at least eight mental health-related projects in North America, according to Shari Adams, AIA, ACHA, EDAC, LEED AP, and Tim Rommel, the company’s mental and behavioral health manager. , AIA, Director.

Architecture Plus and NBBJ designed the Behavioral Health Pavilion for Nationwide Children’s Hospital in Columbus, Ohio. One of the nation’s largest pediatric health research centers, it has an extensive network of community mental health services serving pediatric patients from infants to adolescents and offering a full range of services, including emergency department and inpatient care. care, partial hospitalization, acute and traditional outpatients, paid services and integrated research. Photo: Edward Caruso Photography

Between 1980 and 2017, Troy, New York-based Architecture Plus typically implemented a major mental health project for which it designed, planned and programmed. That number will increase to seven in 2018, three or four each year in 2019 and 2020, and seven in 2021, according to Frances Pitt, FAIA, FACHE, OAA, founder and managing director of Architecture Plus. Half of these objects are under construction.

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The architectural firm HED recently submitted a proposal for a $325 million, 180-bed mental and behavioral health hospital in Michigan, funded in part by the American Rescue Plan Act (ARPA). “Three years ago, we wouldn’t have seen a mental health project this big,” says David Yeager, AIA, LEED AP, EDAC, company manager and healthcare practice.

Earlier, general contractor J.E. Dunn Construction can build a mental health center at the same time; Now, “it’s multiple projects for multiple clients,” says senior project manager Jonathan Vande Krol.

Several AEC sources contacted for this article confirm that the state’s commitment to funding mental health depends on it. Jaeger says hospital systems need to be creative about how to pay for construction, renovations and new operations. This means tapping into the private sector and donors.

The $89 million HDR-designed inpatient behavioral healthcare facility is scheduled to begin construction in late 2022 on the Emanuel Medical Center campus in Omaha. Fundraising for the 38-bed, 103,500-sf facility for children ages 5-18 is being led by the Mental Health Innovation Foundation, which is chaired by Ken Stinson, former chairman and CEO of construction company Kivit Corp. $16-15 million is expected to come from ARPA.

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“Society understands that you can’t ignore mental health, and since the pandemic, it’s gotten more attention,” says Canon Design’s Rommel. He and other AEC sources talk about mental health facilities as part of the “continuum of care”.

The new behavioral health facilities are needed to relieve pressure on emergency rooms and urgent care centers that are “surprised” by patients with mental or behavioral problems because of a lack of hospital beds, HED Jaeger says. Construction and renovation projects will expand emergency departments to integrate mental health care.

AEC organizations highlight the value of “positive distraction” as part of their mental health clinic projects. An example is the 108,000 sf Healing Spirit House in Coquitlam, BC, designed by HDR and built by PCL Constructors. Working with the Quiquetlem First Nation, HDR incorporated First Nations artwork and themes throughout the design, from the graphic design inspired by the plantations to the traditional artwork incorporated into the concrete facade of the gymnasium. Much of the exterior features warm wood paneling that evokes traditional material palettes while complementing modern West Coast design. This facility has a full basketball court. Photo: Courtesy of HDR © 2020 Ed Whit

“The clinics we have now are more integrated than they were 10 years ago,” says Anindita Mukherjee, AIA, ACHE, LEED AP, LEO A DALY partner and director of health planning. “Planning and design standards think more about the relationship between safety and health.”

Accelerating Behavioral Health Integration Through Telehealth

Among the industry sources who see more projects with a greater focus on pediatric behavioral care is Diane Davis, AIA, LEED AP, managing director, founder and practice leader of Perkins & Will Health Care in Houston. He specifically points to Texas Children’s Hospital, which is expanding mental and behavioral health services across all of its departments, including those focused on child and adolescent care.

One of Architecture Plus’ most recent projects in partnership with NBBJ was the Big Lots Nationwide Children’s Hospital! The Behavioral Health Pavilion, a nine-story, 386,000 sf, $159 million building, opened in March 2020 in Columbus, Ohio as the nation’s largest pediatric facility for the specialty, with 48 inpatient beds, a psychiatric crisis unit and 10 observation rooms. up to 24 hours and 12 stabilization beds up to 72 hours. , and several outpatient treatments.

The Genesee Health System Center for Integrated Children’s Services, developed by HED, opened the second week of November 2022 in Flint, Mich. This 60,000-square-foot building combines an autism center with a continuum of home health care. About a third of that building provides care related to Flint’s contaminated water crisis.

Participating in the AIA’s recent Sketch-a-thon in Virginia to share ideas on how to incorporate family spaces into mental health facilities, Stantec worked on a 60-bed hospital for children and adolescents with an extra room in each room. The bed can accommodate a family member, says John Zell, a behavioral health planner and director of Stantech’s Philadelphia office.

County Of San Bernardino Department Of Behavioral Health Mhs

Recent Stantech projects for clients include psychiatric emergency centers and crisis resilience clinics. One of Stantec’s customers (Sell says he can’t be named) wants to build dozens of facilities across North America. Another developer-client is identifying former medical buildings that could be demolished or renovated to convert them into mental health facilities.

Innovation and adaptive reuse play a key role in increasing access to mental health care. However, mental health facilities are difficult to attract because they can vary in size depending on the patient population they serve and whether the client is profitable, Sells says. Stantec’s latest projects include a $650 million addiction and mental health center, a multi-building structure spanning four city blocks in Toronto; To a dementia clinic with only four beds and dozens of providers.

Until recently, mostly in Europe, recovery villages have been emerging that combine mental health and addiction treatment.

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