Medical Construction & Design

JUL-AUG 2018

Medical Construction & Design (MCD) is the industry's leading source for news and information and reaches all disciplines involved in the healthcare construction and design process.

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44 Medical Construction & Design | J U LY/AUGUST 2018 | MCDM AG.COM BY CHRISTIE ADAMS, LIBBY LAGUTA & DAMON LAMBERT Whether it's the opioid crisis, homelessness, depression or any of the other diagnoses heard about on a regular basis, behavior- al healthcare is an increasingly visible component in the spec- trum of care across the United States. On average, 1 in 5 adults battle mental health issues, with roughly 41 percent receiving care. In examining the typical architectural and interior design process for behavioral health facilities, it frequently focuses on a single project, an isolated part of the sum of treatment and care options. A heart-felt approach can off er these normally sidelined adults a viable path to rejoin society in the decorum of care adopted by the Cherokee Nation. As they look to rehabilitate their own, they enfold a nurturing and successful program of care that harmo- nizes with their shared values. This refreshingly new model of care practiced by the Cherokee is one to examine while seeking to design behavioral health facilities free of the stigma often associ- ated with institutional treatment. The goal: full spectrum of care Deeply ingrained in the Cherokee culture is a belief that health- care belongs to tribal members and families. As stewards of care for its nation, Cherokee Indian Hospital Authority safeguards healthcare through core values of group harmony, family, integrity, compassion, engagement and excellence. This is further explored through guiding principles, a series of four simple statements that signifi cantly shape how to deliver care: > U wa shv u da nv te lv (the one who helps you from the heart) > To hi (a state of peace and balance) > Ni hi tsa tse li (it belongs to you) > Di qwa tse li I yu s di (like family to me) As CIHA strives to deliver on the promises of its guiding principles, behavioral health is considered a signifi cant part of the care model. It is embraced as an integrated team approach, where behavioral health, pharmacy and other professions are integrated into all aspects of healthcare delivery across a wide continuum of services. For many years, CIHA's behavioral healthcare options were scattered across emergency department safe rooms, an off -campus outpatient treatment center, an off -campus recovery center and a residential treatment center in a nearby town. While a variety of treatment modalities was already present, the overall model of care lacked integration with the larger spectrum of healthcare needs. In 2016, CIHA partnered with CBRE to begin a path toward this integrated care team model. After completing its new primary hos- pital facility, CIHA selected McMillan Pazdan Smith Architecture in 2017 to help expand its behavioral health facilities. Phase 2 of this facility expansion plan centers on a two-story addition/reno- vation of the original hospital building, which opened in 1985. This Phase 2 project is intended to integrate the range of men- tal health treatment options into a cohesive physical path within approximately 83,000 square feet of CIHA's 236,000-square-foot hospital facility. In doing so, CIHA will reduce transfers, eliminate Designing from Cultural Cues A stigma-free model of care for 'sidelined' adults Behavioral health services, both outpatient and inpatient, are integrated seamlessly on the main campus of the Cherokee Indian Hospital. > Below: AnMed Behavioral Health Center in Anderson, South Carolina is an inviting 28-bed nursing unit for adults and seniors who need short-term, inpatient care. > > > > >

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