During this healthcare studio, our class learned about the importance of safety, organization, patient experience, and improving day-to-day function for staff. The urgent care can be a very stressful environment for those experiencing a mental health crisis. For this studio, we brought the urgent care to the behavioral health crisis center in an effort to provide safe spaces for those patients.
To ensure our design would meet the needs of this program, our team created four design goals:
Safety of Interaction between Staff and Patients
Efficiency of Movement between Urgent Care and BHCU
Connection to Outdoors & Daylighting
Centralized Care Areas & Staff Core
By prioritizing these elements in the design, we could select the scheme best aligned with the building's function. This led us to select a courtyard scheme which would allow in daylight and incorporate nature through both views and accessible spaces. A staff core was also integral to the design's circulation, safety, and ease of access / respite.
From the patient entrance, visitors may check in and find a seat in the waiting area. There are two separate waiting areas as well as a cafe and courtyard to provide choices to provide visitors choices.
If a patient is in need of physical support, they will be brought to the urgent care (orange). The vehicle sallyport is a protected drop-off zone with direct access into a triage station or a human decontamination room with adjoining airborne treatment room. After triage, patients may be moved to a treatment room and once recovered may spend time in the behavioral health crisis unit (BHCU).
Patients directly admitted to the BHCU (light blue) will enter a triage room, then an exam/treatment room, and a consultation room as needed. A sallyport controls movement between the main BHCU area and single patient observation hallway and the multiple patient observation area (milieu).
Dark blue zones are staff only "care cores" which connect into the staff only back-of-house (purple). This allows staff to enter in a different zone than patients and prevents patient circulation from interfering with the safety and efficiency of staff. Having a clear off-stage area will hopefully provide staff with the privacy necessary during office tasks or moments of respite.
Providing daylight to main spaces of the facility was achieved through use of clerestory windows. In the longitudinal section above, we see a clerestory bringing light into the milieu and treatment hallway.
Since this was such an important feature of the architecture, we detailed the the roof overhang and window connection. The assembly includes: a standing seam metal roof, exterior grade plywood, 4" rigid insulation, hat channels, fluid applied water barrier, and a metal soffit. For the structure, we used a glulam and steel hybrid system with glulam beams, steel wide flanges, and steel HSS square tube columns. Incorporating wood allowed us to bring natural materials into the building's palette.