Healthcare Design - June/July 2021 - 38

In F o cus
2 /6
easily accessible or readily available, which
can help mitigate the growing need for beds.
2. Limited access and providers. Approximately
111 million people live in areas of the
country with a shortage of behavioral health
professionals, according to the Department
of Health and Human Services. This deficiency
has left individuals waiting weeks or
even months for in-person appointments,
with many finding these appointments excessively
far away or inconveniently accessed. Telemental health and
telepsychiatry address this problem by enabling providers to see more
patients in a shorter period of time, as well as potentially harmonizing
the geographical distribution of psychiatrists and psychiatric patients
in both inpatient and outpatient settings.
A SHORTAGE OF MENTAL
HEALTH PROFESSIONALS
HAS LEFT PATIENTS
WAITING WEEKS OR
MONTHS FOR IN-PERSON
APPOINTMENTS.
settings, may use these virtual solutions to
provide treatment, prescribe medication, conduct
medication management, and streamline
treatment team meetings.
If designing a room in which a mental or be3.
Stigma preventing treatment. Shame and stigma often keep people
out of treatment and prevent patients from seeking and adhering
to treatment plans. This can be especially problematic in rural areas
where privacy and anonymity are particularly challenging. Telemental
health and telepsychiatry allow patients concerned with these issues
to access care in a comfortable, private environment of their choosing
(home, office, clinic, etc.).
4. Need for primary care integration. According to the American Psychological
Association, primary care has been a setting where 70 percent
of patients are diagnosed and treated for the most common mental
health conditions, including anxiety, depression, mood, and substance
use disorders. Integration is key as many acute and chronic disorders,
such as obesity, diabetes, and chronic pain, involve health behaviors or
psychosocial issues that make primary care the optimal medical home.
With the adoption of telehealth in a primary care setting, telemental
health and telepsychiatry providers can collaborate with primary care
physicians to ensure continuity of care.
While the use of virtual care delivery acts as a protective measure, reducing
new cases of mental disorders and increasing the capacity of our behavioral
healthcare system to handle more patients, it's a change that brings
about significant impacts on facility design.
DESIGN IMPLICATIONS
Mental/behavioral health facilities typically accommodate a diverse array
of patient populations and must be able to respond to changes in demand,
workload, care objectives, and treatment technologies. Designing
for flexibility empowers a program to accommodate evolving operational
concepts like the increase in need and demand for virtual visits. A strategy
for new facilities can include universal room layouts with virtual capabilities
to use telehealth, as needed. It's important to note that if a significant
number of mental health patients are being seen virtually, especially in an
outpatient mental health environment with providers working remotely,
it could result in a potential decrease in the necessary number of physical
exam or consult rooms. Modular designs could allow rooms to be converted
to meeting or work rooms with virtual capabilities for multiuse options.
And as telemental health and telepsychiatry become more integrated
in care delivery overall, facilities throughout the continuum of care must
adapt for the long-term implications, as well. For example, spaces such
as emergency departments, hospitals and outpatient centers, primary
care offices, substance abuse centers, nursing facilities, and correctional
38
JUNE/JULY 2021
havioral health patient may be present, strategies
to provide a safe environment must be in
place. Approaches include ligature-resistant
design in areas where direct one-to-one supervision
is not possible to prevent harmful
actions patients may take toward themselves
or others and durable fixtures and equipment
that are impact and tamper resistant. The quality
of acoustics plays an important role, too.
Poor acoustic conditions can exacerbate negative
human-response effects such as irritability,
anxiety, and even lowered immune system
symptoms. Planning for quiet telemental
health and telepsychiatry spaces with acceptable
noise levels, sound absorption coefficients
for materials, and sound isolation between
rooms can all enhance the patient experience.
The infrastructure to support optimal virtual
communication must be in place, as well. Psychiatric
or psychological evaluations require a
provider to clearly identify facial expressions,
microexpressions, speech impairments, and
body language to properly evaluate certain disorders.
On the patient's side, building a positive
rapport with a mental health provider is an
important part of treatment, also requiring the
ability to read body language, hear the provider
clearly, and see facial expressions. Poor connectivity
and sound quality, lighting with harsh
shadows, camera placement that's not at eye
level, and distracting backgrounds that impact
visibility can compromise this relationship.
MORE
ONLINE:
Telehealth kiosks
within communities
can assist in
delivering virtual
care services to
those who don't
have internet access
or the necessary
hardware at home.
Read more on
this solution at
HCDmagazine.com/
telehealth-kiosks.
CONTINUED IMPORTANCE
Telemental health and telepsychiatry are playing
an important role in expanding psychiatric
care and combatting barriers to treatment that
were exacerbated by COVID-19. These services
will also be valuable tools in managing the
heightened demand for care that's anticipated
post pandemic. As the need for virtual care continues
to grow across the continuum, it's important
to consider the spatial implications of
such interventions and for design to continue
to respond to technological innovation. 
Anosha Zanjani, MArch, MSc, is a behavioral
health design specialist at HDR (Los Angeles).
She can be reached at ANOSHA.ZANJANI@
HDRINC.COM .
HCDMAGAZINE.COM
http://www.HCDmagazine.com/telehealth-kiosks http://HCDmagazine.com/telehealth-kiosks http://www.HCDMAGAZINE.COM

Healthcare Design - June/July 2021

Table of Contents for the Digital Edition of Healthcare Design - June/July 2021

Healthcare Design - June/July 2021
Table of Contents
Masthead
Editorial/Board
Show Talk
Photo Tour/Dynamic Destination
Monitor
Colors Of The World
Mirror Effect
In Focus
In Focus Products
The Center
Face Time
Healthcare Design - June/July 2021 - Healthcare Design - June/July 2021
Healthcare Design - June/July 2021 - Cover2
Healthcare Design - June/July 2021 - 1
Healthcare Design - June/July 2021 - 2
Healthcare Design - June/July 2021 - Table of Contents
Healthcare Design - June/July 2021 - Masthead
Healthcare Design - June/July 2021 - 5
Healthcare Design - June/July 2021 - 6
Healthcare Design - June/July 2021 - Editorial/Board
Healthcare Design - June/July 2021 - Show Talk
Healthcare Design - June/July 2021 - 9
Healthcare Design - June/July 2021 - Photo Tour/Dynamic Destination
Healthcare Design - June/July 2021 - 11
Healthcare Design - June/July 2021 - 12
Healthcare Design - June/July 2021 - 13
Healthcare Design - June/July 2021 - 14
Healthcare Design - June/July 2021 - Monitor
Healthcare Design - June/July 2021 - 16
Healthcare Design - June/July 2021 - 17
Healthcare Design - June/July 2021 - 18
Healthcare Design - June/July 2021 - 19
Healthcare Design - June/July 2021 - 20
Healthcare Design - June/July 2021 - 21
Healthcare Design - June/July 2021 - Colors Of The World
Healthcare Design - June/July 2021 - 23
Healthcare Design - June/July 2021 - 24
Healthcare Design - June/July 2021 - 25
Healthcare Design - June/July 2021 - 26
Healthcare Design - June/July 2021 - 27
Healthcare Design - June/July 2021 - 28
Healthcare Design - June/July 2021 - 29
Healthcare Design - June/July 2021 - Mirror Effect
Healthcare Design - June/July 2021 - 31
Healthcare Design - June/July 2021 - 32
Healthcare Design - June/July 2021 - 33
Healthcare Design - June/July 2021 - 34
Healthcare Design - June/July 2021 - 35
Healthcare Design - June/July 2021 - 35a
Healthcare Design - June/July 2021 - 35b
Healthcare Design - June/July 2021 - 36
Healthcare Design - June/July 2021 - In Focus
Healthcare Design - June/July 2021 - 38
Healthcare Design - June/July 2021 - 39
Healthcare Design - June/July 2021 - 40
Healthcare Design - June/July 2021 - In Focus Products
Healthcare Design - June/July 2021 - 42
Healthcare Design - June/July 2021 - 43
Healthcare Design - June/July 2021 - 44
Healthcare Design - June/July 2021 - 45
Healthcare Design - June/July 2021 - 46
Healthcare Design - June/July 2021 - The Center
Healthcare Design - June/July 2021 - Face Time
Healthcare Design - June/July 2021 - Cover3
Healthcare Design - June/July 2021 - Cover4
https://www.nxtbook.com/emerald/healthcaredesign/202110
https://www.nxtbook.com/emerald/healthcaredesign/202109
https://www.nxtbook.com/emerald/healthcaredesign/202108
https://www.nxtbook.com/emerald/healthcaredesign/202106
https://www.nxtbook.com/emerald/healthcaredesign/202105
https://www.nxtbook.com/emerald/healthcaredesign/healthcare-design-april-2021
https://www.nxtbook.com/nxtbooks/healthcaredesign/202103
https://www.nxtbook.com/nxtbooks/healthcaredesign/20210102
https://www.nxtbook.com/nxtbooks/healthcaredesign/202012
https://www.nxtbook.com/nxtbooks/healthcaredesign/202011
https://www.nxtbook.com/nxtbooks/healthcaredesign/202010
https://www.nxtbook.com/nxtbooks/healthcaredesign/202009
https://www.nxtbook.com/nxtbooks/healthcaredesign/202008
https://www.nxtbook.com/nxtbooks/healthcaredesign/20200607
https://www.nxtbook.com/nxtbooks/healthcaredesign/202005
https://www.nxtbook.com/nxtbooks/healthcaredesign/202004
https://www.nxtbook.com/nxtbooks/healthcaredesign/202003
https://www.nxtbook.com/nxtbooks/healthcaredesign/20200102
https://www.nxtbook.com/nxtbooks/healthcaredesign/201912
https://www.nxtbook.com/nxtbooks/healthcaredesign/201911
https://www.nxtbook.com/nxtbooks/healthcaredesign/201910
https://www.nxtbook.com/nxtbooks/healthcaredesign/201909
https://www.nxtbook.com/nxtbooks/healthcaredesign/201908
https://www.nxtbook.com/nxtbooks/healthcaredesign/20190607
https://www.nxtbook.com/nxtbooks/healthcaredesign/201905
https://www.nxtbook.com/nxtbooks/healthcaredesign/201904
https://www.nxtbook.com/nxtbooks/healthcaredesign/201903
https://www.nxtbook.com/nxtbooks/healthcaredesign/201902
https://www.nxtbook.com/nxtbooks/healthcaredesign/201901
https://www.nxtbook.com/nxtbooks/healthcaredesign/201812
https://www.nxtbook.com/nxtbooks/healthcaredesign/201811
https://www.nxtbook.com/nxtbooks/healthcaredesign/201810
https://www.nxtbook.com/nxtbooks/healthcaredesign/201809
https://www.nxtbook.com/nxtbooks/healthcaredesign/201808
https://www.nxtbook.com/nxtbooks/healthcaredesign/20180607
https://www.nxtbook.com/nxtbooks/healthcaredesign/201805
https://www.nxtbook.com/nxtbooks/healthcaredesign/201804
https://www.nxtbook.com/nxtbooks/healthcaredesign/201803
https://www.nxtbook.com/nxtbooks/healthcaredesign/201802
https://www.nxtbook.com/nxtbooks/healthcaredesign/201801
https://www.nxtbook.com/nxtbooks/healthcaredesign/201712
https://www.nxtbook.com/nxtbooks/healthcaredesign/201711
https://www.nxtbook.com/nxtbooks/healthcaredesign/201710
https://www.nxtbook.com/nxtbooks/healthcaredesign/201709
https://www.nxtbook.com/nxtbooks/healthcaredesign/201708
https://www.nxtbook.com/nxtbooks/healthcaredesign/201706
https://www.nxtbook.com/nxtbooks/healthcaredesign/201705
https://www.nxtbook.com/nxtbooks/healthcaredesign/201704
https://www.nxtbook.com/nxtbooks/healthcaredesign/201703
https://www.nxtbook.com/nxtbooks/healthcaredesign/201702
https://www.nxtbook.com/nxtbooks/healthcaredesign/201701
https://www.nxtbook.com/nxtbooks/healthcaredesign/201612
https://www.nxtbook.com/nxtbooks/healthcaredesign/201611
https://www.nxtbook.com/nxtbooks/healthcaredesign/201610
https://www.nxtbook.com/nxtbooks/healthcaredesign/201609
https://www.nxtbook.com/nxtbooks/healthcaredesign/201608
https://www.nxtbook.com/nxtbooks/healthcaredesign/20160607
https://www.nxtbook.com/nxtbooks/healthcaredesign/201605
https://www.nxtbook.com/nxtbooks/healthcaredesign/201604
https://www.nxtbook.com/nxtbooks/healthcaredesign/201603
https://www.nxtbook.com/nxtbooks/healthcaredesign/20160102
https://www.nxtbook.com/nxtbooks/healthcaredesign/201512
https://www.nxtbook.com/nxtbooks/healthcaredesign/201511
https://www.nxtbook.com/nxtbooks/healthcaredesign/201510
https://www.nxtbook.com/nxtbooks/healthcaredesign/201509
https://www.nxtbook.com/nxtbooks/healthcaredesign/201508
https://www.nxtbook.com/nxtbooks/healthcaredesign/201506
https://www.nxtbook.com/nxtbooks/healthcaredesign/201505
https://www.nxtbook.com/nxtbooks/healthcaredesign/201504
https://www.nxtbook.com/nxtbooks/healthcaredesign/201503
https://www.nxtbook.com/nxtbooks/healthcaredesign/201501
https://www.nxtbook.com/nxtbooks/healthcaredesign/201412
https://www.nxtbook.com/nxtbooks/healthcaredesign/201411
https://www.nxtbook.com/nxtbooks/healthcaredesign/201410
https://www.nxtbook.com/nxtbooks/healthcaredesign/201409
https://www.nxtbook.com/nxtbooks/healthcaredesign/201408
https://www.nxtbook.com/nxtbooks/healthcaredesign/201407
https://www.nxtbook.com/nxtbooks/healthcaredesign/201405
https://www.nxtbook.com/nxtbooks/healthcaredesign/201404
https://www.nxtbook.com/nxtbooks/healthcaredesign/201403
https://www.nxtbook.com/nxtbooks/healthcaredesign/201401
https://www.nxtbook.com/nxtbooks/healthcaredesign/201312
https://www.nxtbook.com/nxtbooks/healthcaredesign/201311
https://www.nxtbook.com/nxtbooks/healthcaredesign/201310
https://www.nxtbook.com/nxtbooks/healthcaredesign/201309
https://www.nxtbook.com/nxtbooks/healthcaredesign/201308
https://www.nxtbookmedia.com