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prospect and refuge. This concept is based on a holistic theory of survival. The fi rst humans relied on their ability to identify danger on the far-off horizon, as well as the safety of a cave or cavern. Expansive views — or prospect — and open-concept designs provide a sense of control and, together with intentionally designed spaces of refuge, promote a feeling of safety and protection. Design considerations for refuge include lowered ceiling planes and wrapped walls comple- mented by softer lighting and warmer colors and should optimally provide a connection to the larger adjacent space. The future of biophilic design Valuable resources are emerg- ing to help bridge the gap between research and practice, and educate healthcare stake- holders about the profound potential of incorporating biophilic design principles into new projects or renovations. The Biophilic Design Initiative organized by the nonprofi t International Living Future Institute is making substantial contributions with accessible educational resources. As research continues to validate the importance of biophilic design, healthcare product manufacturers are taking notice. Color, layout, texture and fi nish are impor- tant considerations in lighting, wall coverings, furniture and more. Flooring materials, for example, can serve to con- tinue indoors what is naturally found outdoors with colors and textures found in nature. Incorporating diff erent fl oor- ing textures, such as wood, stone and carpeting, in the same space provides a sense of walking outdoors where the ground beneath us continually changes and transitions from one surface to another. As new case studies and research continue to emerge about the physical and psy- chological health benefi ts of biophilic design, designers should integrate a wide variety of biophilic design patterns into their healthcare projects. These can vary from slight physical design revisions, to the inclusion of natural plants and materials, to improve- ments in lighting design strategy. Even small changes can yield positive results for well-being, health and healing. Sonja Bochart, IIDA, LEED AP BD&C;, WELL AP, is a principal at Shepley Bulfi nch. Your Partner for Transforming Best Practices into Design 1.800.451.4118 Clinical Site Definition Data-Driven Designs 3D Revit ® Modeling Workflow Simulation Analysis Site Specific Final Installation Plans Scan QR Code to Access Belimed's Drawing Library 30+ Years Experience in Every Design info.us@Belimed.com The infusion bays at the Park Avenue Medical Center in Trumbull, Connecticut offer visual access to nature, which is also brought into the interior with natural patterns and colors in textiles, fl ooring and fi nishes in patient care areas.