Healthcare Design - November 2014 - 14
MONITOR
3 design fixes to help integrate
behavioral, medical care
There's been a great deal of discussion recently about integrated
care, providing both medical and psychiatric treatment in one
location, by one team. Some patients experience both types of
conditions at the same time, and the
potential benefits of a single treatment
process are tremendous. However,
it's important to discuss the physical
environment in which integrated care
is provided and how spaces must
respond to the unique challenges presented when designing for psychiatric
patients.
The rooms and bathrooms being
designed in psychiatric facilities
James M. Hunt
today are not only safe for mentally
ill patients (who may try to harm themselves or others), but in some
cases, they may look and function better than typical acute care patient spaces. The principles used in these designs may be the basis
for better medical facilities that will be safe for psychiatric patients-
with modifications, of course.
Here are a few examples:
1. PATIENT ROOM LIGHTING is typically provided by 2-by-4-foot
fluorescent fixtures, which have a strong institutional and commercial aesthetic. Well-designed psychiatric facilities are now
using vandal-resistant fixtures that are round or oval in shape,
and some have LED light sources that allow many options of
intensity and colors for patients to choose from. Used in an acute
care hospital, these can contribute to a more restful and healing
environment.
2. EXPOSED PIPES below typical hospital sinks are both unsightly
and present potential ligature attachment hazards. At psychiatric
facilities, cabinets are now being provided below countertopmounted sinks that safely enclose the pipes and provide a more
homelike appearance. These can be the shape required for
wheelchair clearance and still retain much of the aesthetic and all
of the safety benefit.
3. TOILET FIXTURES that are floor-mounted, fit tightly to the wall
behind them, and have recessed flush valves are alternatives
used in psychiatric facilities. The floor-mounted fixtures present
cleaning issues not associated with wall-mounted fixtures, but
providing units that fit tightly to the wall can eliminate the problem
of cleaning behind them.
It won't be possible, at least initially, to eliminate all potential hazards to psychiatric patients in integrated care environments, such
as tubing, IV poles, and adjustable beds. But several companies are
working on solutions right now to reduce risk that may be available
in the not-so-distant future-especially if the need and potential
market for them is clearly identified.-James M. Hunt, president,
Behavioral Health Facility Consulting LLC
14
HCDmagazine.com 11.14
http://www.HCDmagazine.com
Healthcare Design - November 2014
Table of Contents for the Digital Edition of Healthcare Design - November 2014
Contents
Healthcare Design - November 2014 - Cover1
Healthcare Design - November 2014 - Cover2
Healthcare Design - November 2014 - 1
Healthcare Design - November 2014 - 2
Healthcare Design - November 2014 - 3
Healthcare Design - November 2014 - Contents
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Healthcare Design - November 2014 - Cover3
Healthcare Design - November 2014 - Cover4
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