Tranquil Recovery of Lubbock

TRANQUIL RECOVERY OF LUBBOCK

HANNAH SOENKSEN ZACH DUNCAN

JULIE ZOOK ARCH 5604 SPRING 2022

TABLE OF CONTENTS PROJECT STATEMENT STATISTICS RECOMMENDED PROGRAM PROGRAMMATIC CONCEPTS PROJECT SITE SECTIONS THROUGH SITE INTERVIEW DAILY ACTIVITY TIMELINE EXPERIENCE MAP MATERIALITY/FLORA IMPLEMENTED FLOOR PLAN SITE/ROOF PLAN DIAGRAMS BUILDING OCCUPANT CIRCULATION PATHS SECTIONS INTERIOR ELEVATIONS RENDER ELEVATIONS DEAF SPACE DIAGRAM DETAIL WALL SECTION EXPLODED STRUCTURAL ISOMETRIC COURTYARD ISOVIST + RENDER CHAPEL ISOVIST + RENDER EXAM ROOM ISOVIST + RENDER DINING ISOVIST + RENDER THERAPY ISOVIST + RENDER NURSE STATION ISOVIST + RENDER CONFERENCE ROOM ISOVIST + RENDER REFERENCES -

01-02 03-04 05-06 07 08 09-10 11-12 13-14 15-18 19-20 21 22 23 24 25-26 27-28 29-30 31-34 35 36 37-38 39-40 41 42 43-44 45 46 47-48 49

“ALMOST 21 MILLION AMERICANS HAVE AN ADDICTION, YET ONLY

10% OF THEM RECIEVE TREATMENT” -NATIONAL INSTITUTE ON DRUG ABUSE

01 Douglas Blanchard, L. A. (2020, November 3). What is addiction? CentraCare. Retrieved April 28, 2022, from https://www.centracare.com/blog/2020/november/what-is-addiction-/#:~:text=Addiction%20statistics,died%20from%20a%20drug%20overdose.

The number of times that people attend counseling averages out to one time.(Interview with Jon Webb.) They come, but they never return. This statistic is something that should be taken into consideration, and we have to force ourselves to ask the question why this is the case.

In order to get away from the standard institutionalized building that consists of redundant/ cold spaces that leave the patient feeling insignificant and unfulfilled, this intensive outpatient substance disorder rehabilitation center uses a variety of techniques that aim to empathize with the patient.

The facility uses a variety of key concepts such as the use of courtyards, connectivity, openness and therapeutic variation that help promote the cultivation of a new lifestyle and habits that the patient and their loved ones can practice outside of the facility.

02

DRUG USE IS HIGHEST:

HOW SERIOUS IS THIS PROBLEM? IN THE UNITED STATES: AGES 12+

700K

HAVE USED ILLEGAL DRUGS OR MISUSED PRESCRIPTION DRUGS WITHIN THE PAST YEAR.

22%

MALE

17%

FEMALE

HOW DOES THIS AFFECT YOUTH? 70% OF YOUNG PEOPLE USE AN ILLEGAL DRUG BEFORE AGE 13 DEVELOP A SUBSTANCE ABUSE DISORDER WITHIN THE NEXT 7 YEARS.

OF YOUNG PEOPLE USE AN ILLEGAL DRUG BY THE TIME THEY GRADUATE HIGHSCHOOL.

5% OF 8TH GRADERS 20% OF 10TH GRADERS 24% OF 12TH GRADERS 03

18-25

34% 26-29

OVERDOSE DEATHS SINCE 2000

53 MILLION OR 19.4%

47%

39%

WITHIN THE CITY OF LUBBOCK: SUBSTANCE

FIRST TIME USERS

ALCOHOL

4.9 MILLION

MARIJUANA

3.1 MILLION

PAIN KILLERS

1.9 MILLION

TOBACCO

1.8 MILLION

HALLUCINOGENS

1.1 MILLION

COCAINE

874,000

METHANPHETAMINE

205,000

HEROINE

117,000

Substance abuse and addiction statistics [2022]. NCDAS. (2022, April 6).

Retrieved April 28, 2022, from https://drugabusestatistics.org/#:~:text=Substance%20Abuse%20Statistics,drugs%20within%20the%20last%20year.

DRUG ABUSE IN LUBBOCK TEXAS AND SURROUNDING AREAS:

#1 #2 #3

METHAMPHETAMINES COCAINE

OPIOD ADDICTION MORPHINE HYDROCODONE OXYCODONE FENTANYL

OUT OF THE PRESCRIBED OPIODS:

21-29% MISUSE THEM 8-12%

DEVELOP ADDICTION

“80% OF ALL HEROIN USERS DEVELOPED AN ADDICTION TO OPIODS FIRST.”

INPATIENT VS. OUTPATIENT SUBSTANCE DISORDER REHAB INPATIENT REHAB: 28 DAYS TO 6 MONTHS • MEDICALLY ASSISTED DETOX • TREATS HIGHLY ADDICTIVE DRUGS SUCH AS: • METHAMPHETAMINE, HEROINE, OPIODS WHERE WITHDRAWELS CAN POTENTIALLY BE DEADLY • IMPORTANT WHEN DEALING WITH MULTIPLE MENTAL DISORDERS • 24 HOUR SUPPORTIVE CARE

OUTPATIENT REHAB: 1-6 MONTHS, A YEAR • CONTINUATION OF TREATMENT AFTER AN INTENSIVE INPATIENT CARE TREATMENT CENTER. • INVOLVEMENT IN COUNSELING, 12 STEP PROGRAMS, SUPPORT GROUPS. • COGNITIVE-BEHAVIORAL THERAPY, WHICH HELPS PATIENTS RECOGNIZE, AVOID, AND COPE WITH THE SITUATIONS IN WHICH THEY ARE MOST LIKELY TO USE DRUGS • MULTIDIMENSIONAL FAMILY THERAPY—DEVELOPED FOR ADOLESCENTS WITH DRUG ABUSE PROBLEMS AS WELL AS THEIR FAMILIES—WHICH ADDRESSES A RANGE OF INFLUENCES ON THEIR DRUG ABUSE PATTERNS AND IS DESIGNED TO IMPROVE OVERALL FAMILY FUNCTIONING • MOTIVATIONAL INTERVIEWING, WHICH MAKES THE MOST OF PEOPLE’S READINESS TO CHANGE THEIR BEHAVIOR AND ENTER TREATMENT 04

Substance abuse and addiction statistics [2022]. NCDAS. (2022, April 6).

Retrieved April 28, 2022, from https://drugabusestatistics.org/#:~:text=Substance%20Abuse%20Statistics,drugs%20within%20the%20last%20year.

PROGRAM OUTLINE: INTENSIVE OUTPATIENT FACILITY Below are the recommendations for square footage and programming to be incorporated into a mental health behavioral health facility. Listed below are square footage recommendations for inpatient and outpatient services.

PATIENT INTAKE AREA: ROOM/AREA

UNIT NSF COMMENTS

ADMINISTRATIVE ZONE ROOM/AREA ADMINISTRATIVE OFFICES • PSYCHIATRISTS • PHDS • CLINICAL PSYCHOLOGISTS • CLINICAL SOCIAL WORKERS • MANAGER(S) • PHYSICIAN(S)

UNIT

NSF

TBD

100

40

RECEPTION DESK

1

80

1 OR 2 CLERKS

OFFICE EQUIPTMENT/ SUPPLY STORAGE

1

40

PRINTER/COPIER/ FAX EQUIPTMENT

TBD

VISITOR TOILET ROOM

2

55

WORKSTATIONS • OPEN • TOUCHDOWN • SECRETARIAL

OFFICE EQUIPTMENT/ SUPPLY STORAGE

1

40

PRINTER/COPIER/ FAX EQUIPTMENT

SMALL CONFERENCE ROOM

3

140

COMMON CLERICAL WORK AREA

1

40

LARGE CONFERENCE ROOM / CLASS ROOM

2

600

FAMILY/VISITOR WAITING AREA

1

180

AUDIOVISUAL CLOSET

1

10

CONSULT/ MULTIPURPOSE ROOM

2

120

OFFICE EQUIPMENT SUPPLY STORAGE

1

40

CHILD PLAY AREA

1

50

STAFF LOUNGE

1

150

REFRESHMENT CENTER

1

20

STAFF MAILBOX ALCOVE

1

30

SECURE STAFF BELONGING STORAGE

1

20

STAFF RESTROOM

2

55

COMMENTS INDIVIDUAL OFFICES

05 Hayward, C. (2015). SpaceMed Guide: A space planning guide for healthcare facilities. HA Ventures.

PATIENT ZONE ROOM/AREA

OUTPATIENT ZONE UNIT

NSF

OCCUPATIONAL THERAPY ROOM

4

120

MULTIPURPOSE ROOMS

5

55

COMMENTS

ROOM/AREA

PRIVATE ROOMS FOR THERAPY SESSIONS

PATIENT WAITING ROOM

1

120

INTERVIEW CONSULTATION ROOM

2

100

OFFICE / CONSULTATION ROOM

2

100

GROUP THERAPY ROOM

2

225

TESTING CUBICLE

TBD

40

PATIENT INTAKE

TBD

60

SPECIMEN COLLECTION TOILET

2

55

PATIENT TOILET

2

55

NSF

TREATMENT ROOM

TBD

SMALL TESTNG

TBD

120

LARGE TESTING

3

120

DOCUMENTATION ROOM

2

160

PATIENT RESTROOM

2

20

PATEINT HOLDING

2

55

CLEAN WORKROOM

5

80

PATIENT DINING

1

180

SOILED WORKROOM

3

80

NOISY ACTIVITY

2

120

SUPPORT ALCOVES

3

60

QUIET ACTIVITY

2

120

TBD

90

VISTOR ROOM

1

100

TV / MUSIC ROOM

1

140

CLASSROOM

4

120

EXERCISE / PHYSICAL THERAPY

1

180

PHARMACY

INDIVIDUAL OFFICES

UNIT

CONTAINS SINK

COMMENTS

ADDITIONAL SPACES ROOM/AREA DEMONSTRATION KITCHEN CONSULTING OFFICES

UNIT

NSF

COMMENTS

1

1000

SPACE TO TEACH COOKING RECIPES

TBD

150

NUTRITIONAL, MINDFULNESS, ETC.

06

COURTYARDS:

POSITIVE/NEGATIVE SPACE:

CONNECTIVITY:

As a society, we suffer from nature deficit disorder.1 Studies have shown that spending mindful time outdoors can reduce stress levels and strengthen your immune system.

People have better health results when attention can be placed on a postive space vs. a negative unnactivated space. 5

The programs are oriented in a way that promotes connectivity through both physical connections (shared walls) and or visually connectivity (shared courtyards)

Putting down the electronics and spending intentional time in a courtyard’s privacy, and allowing yourself to get lost in your surroundings can help you reach a greater sense of calm.2

(Areas for activation can include hallways/ nooks where no typical activation occurs besides circulation.)

Facades can also be included within this concept, with a vartiey of patterns and textures to break up monotany.

Louv, Richard, Last Child in the Woods, (Chapel : Alonquin, Zrod) Heather Ohlyetal, “Attention Restoration Thery: A Systematic Review of the Attention Restoration Potential of Exposure to Natural Environments”, Journal of Toxicology and Environmental Health, 19, 7 (2016), 305-343 1 2

This connectivity allows for patients to see others into other programs and feel connected while being reminded that they are not alone in their process to recovery.

5 Buetow SA. Something in nothing: negative space in the clinician-patient relationship. Ann Fam Med. 2009;7(1):80-83. doi:10.1370/afm.914

OPENNESS:

THERAPEUTIC VARIATION:

Having an open facility environment allows for maximum light penetration which can have positive impacts on mental health and mood. 4

To increase comfortability and promote participation with patients there is a variety of personalized programs to accommodate the many interests of the patients.

Additionally, the openness of the facility allows for programmatic adaptation as the facility changes.

Some of the spaces included support excercise, music, cooking, and spaces for pet interactions.

CONSTRUCTED NATURAL LANDSCAPES: Throughout the facility and within each courtyard is a different constructed landscape and experience.

Each landscape aims to provide the patients with different areas of relaxation for their choosing. The spaces vary on size, level of privacy, along with physical characteristics (Water features, shading devices, plants, etc.)

Adamsson, Mathias, Thurbjorn Laike, and Takeshi Murita “Seasonal Variation in Bright Daylight Exposure, Mood and Behaviour Among a Group of Office Workers in Sweden”, Journal of Circadian Rythyms”,16,2 (2018) 4

PROGRAMMATIC CONCEPTS 07

Through research that has been conducted, the above are a series of programmatic concepts to be incorporated into the substance recovery facility. Each concept can be applied to help promote the designated patients mental health, as well as break redundant ideologies about what substance use recovery needs to entail. Through these concepts, the building will architecturally and programmatically become a place that supports healthy habits and life changes to make life outside of rehabilitation long lasting and successful.

SITE PHOTOS

USDA PLANT STRESS & WATER CONSERVATION LAB

USDA PLANT STRESS & WATER CONSERVATION LAB

USDA PLANT STRESS & WATER CONSERVATION LAB 4TH STREET

610 FEET

HEATING & COOLING

4TH STREET

4TH STREET

610 FEET

HEATING & COOLING

610 FEET

HEATING & COOLING

5TH STREET

5TH STREET

5TH STREET N

N 10°

70° 80° E

740 FEET

740 FEET

740 FEET

40° 50° 60°

W

1000

500

W

E

TEXAS TECH PARKWAY

30°

TEXAS TECH PARKWAY

TEXAS TECH PARKWAY

20°

JUNE SOLSTICE

FEBRUARY SUN PATH

DECEMBER SOLSTICE

UNIVERSITY MEDICAL CENTER

S

8TH STREET

ND

UNIVERSITY MEDICAL CENTER

S

8TH STREET

EMERGENCY CENTER

PROJECT SITE AND TOPOGRAPHY the project site does not sit in a flood zone.

ND

SUN PATH OVER SITE

UNIVERSITY MEDICAL CENTER

8TH STREET

EMERGENCY CENTER

POND

EMERGENCY CENTER

SITE WIND DIRECTION Impactful winds on the site primarily come from the south and southwest.

The project is on the corner of texas tech parkway and 4th street. current land ownership belongs to texas tech university.

PROJECT SITE

The site was chosen due to the close proximity to university medical center as well as it’s proximation to the university who has a large portion of the 18-25 age demographic that the rehabilitation facility is primarily targetting.

08

EAST ELEVATION

WEST ELEVATION

SECTIONS THROUGH SITE 09

NORTH ELEVATION

NORTH ELEVATION

SOUTH ELEVATION

10

PROFESSOR JON R. WEBB, PH.D ASSOCIATE PROFESSOR ADRS PROGRAM DIRECTOR THE FOCUS OF DR. WEBB’S RESEARCH IS ON THE ASSOCIATION OF SPIRITUALITY WITH HEALTH. MOST OF HIS WORK TO DATE IS IN THE CONTEXT OF THE ASSOCIATION OF MULTIDIMENSIONAL FORGIVENESS WITH ADDICTION AND RECOVERY. ALTHOUGH MUCH OF HIS WORK IS APPLIED, HE IS ALSO INVOLVED IN THEORY AND MEASURE DEVELOPMENT. Through learning about substance-use disorder, we contacted Jon Webb, an expert in the field to give insight to our project. As we interviewed him, we discussed a wide array of components that are involved in a rehabilitation facility, the importance of the involvement and care for family members, and the idea that recovery is a change in lifestyle with a high importance to provide programming that allows for new habits to form.

The following questions are only a portion of the assistance that Jon Webb guided us toward that had a heavy impact on the project programmatic determination.

Interview: Wednesday February 09th, 2022; 2PM

QUESTION: HOW OFTEN DO VISITORS COME TO THE FACILITY? -FAMILY AND COMPANIONS WILL BE VISITING ONCE OR TWICE PER WEEK TO HELP THE PATIENT IN THEIR TREATMENT PROCESS. -A FAMILY THERAPIST CAN BE INCLUDED TO HELP THE VISITOR COPE WITH ISSUES INDEPENDENTLY FROM THE PATIENT. “THE AVERAGE TIME THAT PEOPLE ATTEND THERAPY IS ONCE, SO HAVING EVERYTHING MORE INTEGRATED IS KEY.” -FAMILY DYNAMICS NEED TO HEAL FOR THE PATIENT TO HEAL. -A LOT OF TIMES FAMILY ISSUES CAN CONTRIBUTE AND INTENSIFY SUBSTANCE USE HABITS AND A FAMILY THERAPIST HELPS ADDRESS THE PATIENT, BUT ALSO TEACHES THE FAMILY HEALTHY PRACTICES TO IMPROVE HOME LIFE.

QUESTION: WHAT TYPE OF SPACES WOULD BE IDEAL TO HAVE IN A FACILITY FOR SUBSTANCE USE RECOVERY? -CHAPEL (IT IS IMPORTANT TO HAVE A SPIRITUAL PLACE WHERE PEOPLE CAN GO. THE MORE INTIMATE THE SPACE IS, THE BETTER. THIS IS A SPACE FOR THE PATIENT TO BE REFLECTIVE. -SUPPORT SPACES FOR COLLEGES (DIFFERENT STUDY SPACES, LIBRARY RESOURCES) -INTAKE ROOMS, WHERE THE PATIENT CAN TALK TO A PROFFESSIONAL ABOUT THEIR NEEDS. -THERAPY SPACES FOR FAMILY MEMBERS -MEDICAL FACILITIES TO ASSIST WITH DRUG TESTING AND OTHER EXAM ROOMS. -NUTIRTION SERVICES. THERE ARE MANY INDIVIDUALS WHO ABUSE SUBSTANCES THAT HAVE EXTREMELY POOR NUTRITION HABITS.

INTERVIEW

-IT IS IMPORTANT TO HAVE PROGRAMMATIC SPACES WHERE THE IDENTIFIED PATIENT CAN DEVELOP NEW HABITS THAT PROMOTE A LIFESTYLE CHANGE.

11 Community, family, and Addiction Sciences. TTU. (n.d.). Retrieved April 28, 2022, from https://www.depts.ttu.edu/hs/cfas/webb.php

“IT IS NOT ABOUT STOPPING THE SUBSTANCE BUT CHANGING ONE’S LIFESTYLE.” -JON WEBB

12

7:00AM 8:00AM BREAKFAST

12:00PM 1:00PM GROUP LUNCH

9:00AM 9:30AM DAILY ACTIVITIES 10:00AM - 11:00AM GROUP THERAPY

ARRIVE AT FACILITY

11:00AM - 11:45AM DAILY ACTIVITIES

8:00AM 9:00AM MORNING MEDICATION 9:30AM 9:45AM BREAK

This daily activity timeline is a sample day itinerary for an identified patient participating in substance-use recovery. The timeline is flexible from facility to facility, but is usually very structured.

DAILY ACTIVITY TIMELINE 13

The following experience maps will further empathize with the building occupants from driving to the facility, throughout their duration, and continues into after the occupant leaves the building.

1:0

C

00PM - 2:00PM INDIVIDUAL COUNSELING

4:00PM - 4:30PM DRUG SCREENING 2:00PM - 3:00PM OUTDOOR TIME

5:30PM - 6:00PM GROUP THERAPY

LEAVE FACILITY

3:00PM - 4:00PM AFTERNOON MEDICATION

6:00PM - 7:00PM FAMILY THERAPY 4:30PM - 5:30PM MEDICATION MANAGEMENT MEETING

14

DRIVING TO THE FACILITY • •

ARRIVING TO THE FRONT DOOR

PARKING

Get to the facility safely Get to the facility on time

•

To get to the facility to receive treatment Clear signs indicating where to go from the side of the road.

•

“I do not feel like doing this today” Hopefully there won’t be too much traffic today.

•

Get to a good parking spot so that the walk is not too far from the building

•

A clear sign indicator from the side of the road, signifying the location of the specific parking lot that should be used for the building.

•

The medical center is right there, so the building should be close Wondering how far the building will be from the parking lot, is it a far walk?

•

I am a little nervous because it is my first time here Excited, unsure of what to fully expect.

•

Talk to a friend to help find the closest spot to the front of the building Get out and lock the car, start walking towards what looks like the entrance.

•

Get inside so that the first check in can begin.

•

Clear entryway signage

•

•

GOAL • •

• •

THERAPY SESSIONS

MORNING MEDITATION

WAITING ROOM Check in with reception To sit and wait until the administration is ready to bring me back

•

Put myself at ease because today will be a long day

•

Get to the correct therapist office on time for my session

•

To getsafely back to my car

Clear indication of where I should be waiting A refreshment station to calm my nerves Clear signage

•

Get to the correct therapist office on time for my session

•

Clear directory of therapy zone Signage directing me toward a certain direction To make sure that I am arriving at the correct office.

•

To see exit signage from whatever part of the building that I am in before leaving

I could have brought my child with me, there seems to be a place where they can play while here. Next time.

Will I have to check in like this every time?

•

I hope that I can discover something new today.

•

Almost to my car I can see the exit drive over there where that sign is

Anxiousness building again because I am waiting longer than I thought Annoyance, why is it taking so long, I was on time, why aren’t they?

•

Open, therapy is a continuation of care for me Relieved, there is a lot on my mind right now that I just need to get off my chest, my family does not understand.

•

Look around at the facility from my seat Watch as others nearby enter to the back after being called Wait for my turn

•

The sign says to wait outside of the door Sits down in a chair that is next to the office until the therapist opens it.

•

• •

NEED • •

•

•

This is the beginning of a new chapter of my life.

What if I do not like it here, I really hope I do

•

•

THINK • •

Anxiousness Excited

• •

• •

FEEL •

•

DO

Enter address on Google Maps and follow GPS Keep a conversation with a friend that is joining drop off on the first day.

•

•

PATIENT EXPERIENCE MAP 15

•

Extremely nervous I am relieved that I made it on time Incredibly happy that I am not coming here alone for my first check-in

•

Glance at the sign on the door highlighting the facility hours Immediately see the reception desk at the front.

•

•

•

•

EXITING BUILDING

•

•

Clear signage that indicates where the meditation room is located Building map on main corridor with a directory and room information

•

This should be interesting; I do not really know anything about meditation Ckear signage:I am going the right way.

•

Participate in a group led meditation and relaxation session

•

•

•

•

•

•

A little bit confused on the first time Relieved, excited to go home

Put in “home” in google maps Wait for family to pick me up

DRIVING TO THE FACILITY • •

ARRIVING TO THE FRONT DOOR

PARKING

Get to the facility safely Get to the facility on time

•

To get to the facility to visit their friend or family member To be on time, to make sure they make it during visiting hours

•

“I’m nervous but excited to be there to support my loved one” Are there specific spots for visitors?

• •

Nervous Excited

•

Get inside so that they can visit their loved one

•

Clear entryway signage

•

Get inside so that the first check in can begin.

•

Clear entryway signage

•

Get checked in to meet with my family or friend

EXITING THE BUILDING

FAMILY THERAPY SESSION

WAITING ROOM •

Get to the family therapy room, meet my family there with the therapist

• •

GOAL •

•

NEED •

•

• •

•

Extremely nervous I am relieved that I made it during visitation hours Excited to help my loved one

•

I am a little nervous because it is my first time here Excited, unsure of what to fully expect.

•

•

This is the beginning of a new chapter of my life.

What if I do not like it here, I really hope I do

•

Extremely nervous I am relieved that I made it during visitation hours Excited to help my loved one

•

•

Clear indication of where I should be waiting A refreshment station to calm my nerves Clear signage

•

This is beneficial for both myself and my family member or friend This facility is really nice, I love the courtyard, I wonder if I can go out there.

•

Relieved that the receptionist was friendly and helpful Calmer Excited to be there for their loved one

•

•

•

Directory toward indicated family therapy room (name or color, etc.)

Signage indicating family therapy zone

•

I wonder what type of progress my family member has made I’m excited to make progress

•

Nervous, there is a lot of trust lost between my family and I. Anxious to share my feelings in therapy

•

Participate alongside family members in family therapy session.

•

•

•

EXITING PARKING

To find the front door exit To get safely back to my car

•

Get out of the parking lot

To see exit signage from whatever part of the building that I am in before leaving A main directory map highlighting the exit door

•

Signage pointing towards exit area of the parking lot Clear lighting from building door

Can I take multiple ways to get out?

Which door is closest to the parking lot

•

A little bit confused on the first time

•

•

•

Almost to my car I can see the exit drive over there where that sign is

THINK • •

•

• •

• • • •

FEEL • •

DO

Follow GPS to facility Parking Get out and lock the car, start walking towards what looks like the entrance.

•

•

Talk to a friend to help find the closest spot to the front of the building Get out and lock the car, start walking towards what looks like the entrance.

•

Open the front door to enter facility

•

•

This is really spacious Get completely checked in to start visit

•

•

Follow the exit signage to get outside

•

•

Relieved, excited to go home Pensive about all of the topics discussed throughout the day Put in “home” in google maps Drive Home

VISITOR EXPERIENCE MAP 16

DRIVING TO THE FACILITY •

Get safely to work on time

ARRIVING TO THE EMPLOYEE DOOR

PARKING •

Get there early before the parking lot begins to fill up

•

Signage indicating where employees should park

•

OFFICE MEETING

Get inside the building and to my office

•

To see a sign that marks employee entrance Key scan area for employee only access

•

THERAPIST CONSULT

SEMINAR

Participate in a discussion on what is taking place within the facility

•

Knowledge of what room to be in for this meeting A place to sit Signage of room name and number on door for reassurance To be on time

•

What do I need to share that is new Double check which conference room it is in, and who will be leading the discussion today here.

•

Interested to hear about all of the new things that are happening in the facility Relaxed because the time spent is with colleagues

•

Sit inside of the conference room

•

Put myself at ease because today will be a long day

•

Get to the correct therapist office on time for my session

•

•

EXITING BUILDING

Gather information from the Therapist Discuss lab results

•

Get out to my car so that I can start my drive home

A private room for discussion about a specific patient Knowledge of what room to meet in

•

Exit door indicators to find the appropriate employee exit Building map with exits

Positive things, there are no relapses this week Remember patient file

•

I hope I don’t forget anything that I need to take home tonight

Discreet, this information is very confidential Hopeful

•

Excited to get home to my family me to my spouse and kids

Gather data from counselors and annotate any updates from the patient.

•

Grab belongings and head toward the exit

GOAL • •

Very little traffic Clear indication of exit terminal

•

•

• •

•

NEED • •

There is very little traffic today I love this radio station

•

Employees have to park a bit further away, kind of annoying but I get it

• •

Let me get my scan card ready About goals for today in helping patients

•

Excited to start the day

•

•

•

THINK • •

Excited to be able to help people today Nervous that I may have an altercation with a patient

•

Put work address into google maps

•

Glad that I made it on time

•

•

•

•

Clear signage that indicates where the meditation room is located Building map on main corridor with a directory and room information

•

This should be interesting; I do not really know anything about meditation Ckear signage:I am going the right way.

•

Participate in a group led meditation and relaxation session

•

•

•

•

FEEL •

Find side entrance to building where employees are supposed to enter.

•

DO

NURSE PRACTITIONER EXPERIENCE MAP 17

Scan the card and enter into the building, heading towards my private office.

•

DRIVING TO THE FACILITY •

Get safely to work on time

GROUP THERAPY LESSON

PARKING •

Get there early before the parking lot begins to fill up

•

Get the group to interact with each other

PRIVATE THERAPY LESSON • •

NURSE PRACTITIONER CONSULT

OFFICE MEETING

Get to know the patient Help the patient feel comfortable in the space.

•

Clear indicator of room that will be used Key fobs unlock To be there before the patient so that there can be an open-door policy.

•

I hope that the patient feels comfortable around me.

I hope that the patient does not show resistance or unwillingness to be here.

•

Excited Hopeful that the patient will be willing to share without having to force it out of them.

•

Get completely checked in to start visit

•

Participate in a discussion on what is taking place within the facility

•

Knowledge of what room to be in for this meeting A place to sit Signage of room name and number on door for reassurance To be on time

•

What do I need to share that is new Double check which conference room it is in, and who will be leading the discussion today

•

Interested to hear about all of the new things that are happening in the facility Relaxed because the time spent is with colleagues

•

Sit inside of the conference room

•

•

GOAL • •

Very little traffic Clear indication of exit terminal

•

Signage indicating where employees should park

• • •

Clear indicator of room that will be used Key fobs unlock To be there before the rest of the group

• • •

NEED • •

There is very little traffic today I love this radio station

•

Excited to be able to help people today Nervous that I may have an altercation with a patient

•

Follow GPS to facility Parking Get out and lock the car, start walking towards what looks like the entrance.

•

•

Glad that I made it on time Rushed because I forgot something in the car and the parking lot is a bit further of a walk.

•

Annoyed because the scanner is not working on the first try

•

I need to be welcoming for all of the patients, so they want to be here.

•

Thankful that they showed up for their session today Concerned about the patients and how they are doing

• •

Lead a group discussion for a group therapy session.

•

•

• •

•

•

• •

•

EXITING PARKING

Gather information from the nurse practitioner Discuss lab results

•

Get out to my car so that I can start my drive home

A private room for discussion about a specific patient Knowledge of what room to meet in number

•

Exit door indicators to find the appropriate employee exit

Positive things, there are no relapses this week Remember patient file

•

I hope I don’t forget anything that I need to take home tonight

Discreet, this information is very confidential Hopeful

•

Excited to get home to my family

Gather data from nurse practitioners and annotate any updates from the patient.

•

Grab belongings and head toward the exit Drive home

THINK • •

•

•

•

FEEL • •

DO

Scan the card and enter into the building, heading towards my private office.

•

•

THERAPIST/COUNSELOR EXPERIENCE MAP 18

MATERIALITY USAGE THROUGHOUT BUILDING

CONCRETE CONCRETE SERVES AS A SOURCE FOR INSULATION

19

GLASS

USAGE OF GLASS PROMOTES OPENNESS AND TRANSPARENCY BETWEEN SPACE.

WOOD THE USAGE OF WOOD ALLOWS THE ELIMINATION OF “HARD” INSTITUTIONALIZED FEEL.

WOOD LOUVRES USED AS A SHADING DEVICE, THIS ALSO HELPS BREAK UP MONOTANY WITH POSITIVE/NEGATIVE SPACE

REGIONAL FLORA IMPLEMENTED ON SITE

MEXICAN FEATHER GRASS STIPA TENUISSUMA 12-24 INCHES TALL

LITTLE BLUESTEM SCHIZACHYRIUM SCOPARIUM 2-3 FEET TALL

WHITE SAGE ARTEMISIA LUDOVICIANA 2-4 FEET TALL

TEXAS MOUNTAIN LAUREL SOPHORA SECUNDIFLORA 8-12 FEET TALL

20

B

MAIN ENTRANCE ACCESSIBILITY

36

5

3

35

37

7

STORAGE

4

1 34

32

33

32

4

2

6

EMPLOYEE ENTRANCE 31 30 29

EMPLOYEE ENTRANCE

28

38

23

27

26

22

A

25

8

24 9 10

16

21

15

11 14

20

13

12

9 7

8

18 19

17

21

B

FLOOR PLAN 0

30

60

90

7

A

KEY:

TEXAS TECH PARKWAY

1. ENTRACE/LOBBY 2. SEMINAR SPACE 3. LARGE MEETING SPACE 4. FAMILY THERAPY SPACE 5. PRIVATE OFFICES 6. STAFF LOUNGE 7. STORAGE 8. PRIVATE THERAPY OFFICES 9. GROUP THERAPY OFFICES 10. CHAPEL 11. MEDITATION 12. ART ROOM 13. CYCLING 14. WEIGHTLIFTING 15. MUSIC ROOM 16. LOUNGE AREA 17. POOL 18. LOCKER ROOMS 19. BASKETBALL COURTS 20. ACADEMIC CENTER 21. MEDIA CENTER 22. LIBRARY 23. STUDY ROOMS 24. DINING 25. KITCHEN 26. NUTRITION CLASSROOM 27. NUTRITION COUNSELING 28. NURSES STATION 29. NURSES LOCKER ROOM 30. PHARMACY 31. PRESCRIPTION STORAGE 32. GROUP MEDICAL MEETINGS 33. SPECIMEN TESTING 34. EXAM ROOMS 35. LAB/TESTING 36. MEDICAL STORAGE 37. RESEARCH AREA 38. MULTI-PURPOSE ROOM

ENTRANCE

BACK ENTRANCE 8TH STREET

SITE PLAN/ROOF PLAN 22

COURTYARDS IN BUILDING

PHYSICAL/WELLNESS

PRIMARY CIRCULATION SECONDARY CIRCULATION TERTIARY CIRCULATION

ACADEMIC THERAPY MEDICAL ADMINISTRATIVE

STORAGE

STORAGE

COURTYARD

CIRCULATION HIERARCHY

BUILDING ZONES

There is a series of courtyards throughout the building, with a courtyard associated with each different program.

Wider hallways are placed between more trafficked areas of the building, where smaller secondary and tertiary circulation paths move through less trafficked and quieter areas of the building.

The building is separated into different zones that have specific program associations.

DIAGRAMS 23

VISITING COMPANION

OPEN SPACES

PRIVATE OFFICES

ALL VISITORS ENTRANCE

ENCLOSED SPACES

GROUP THERAPY SPACES

VISITING COMPANION OR SEMINAR ATTENDEE

PRIVATE THERAPY

POTENTIAL PATIENT COUNSELOR ENTRANCE

PATIENT ENTRANCE

VISITOR ENTRANCE

STORAGE

STORAGE

COUNSELOR ENTRANCE

VISITOR CIRCULATION

PATIENT CIRCULATION

COUNSELOR CIRCULATION

Visitors will enter from the north side of the building and will have different circulation routes depending on their reason for visiting.

Family members or identified patient compainions can attend patient intake meetings that take place on the west side of the facility. Others my be celebrating a patient graduation or attending family therapy sessions.

Patients will entre from the north side of the building and have access to most of the facility throughout their day. Some rooms may only be used during certain times depending on programmatic function, but others may be accessed without monitoring.

Counselor or therapists have the option to enter the building from the north side, or have a private entrance on the east side of the building.

From these east entrance, they will have access to their designated office without having potential interactions with patients or patient companions. They will also circulate between group therapy/family therapy spaces as well as private therapy spaces throughout their day.

BUILDING OCCUPANT CIRCULATION PATHS 24

SECTION AA 0

30

SECTION BB 0

SECTIONS 25

30

26

WOOD DETAIL (CALMING)

OPAQUE GLASS (OPENNESS)

NATURAL LIGHT

OUTDOOR VIEWS

INTERIOR ELEVATIONS 27

DIRECT SUNLIGHT

WINTER SOLSTICE 12 PM

AMBIENT LIGHT

DIFFUSED LIGHT OPAQUE GLASS

THERAPY SPACES-LIGHTING 28

“BIOPHILIC DESIGN, SUCH AS ABUNDANT USE OF EXPOSED WOOD AND VIEWS OF NATURE, IMPROVES RECOVERY, REDUCES PATIENT STRESS AND MAY EVEN SHORTEN THE DURATION OF HOSPITAL STAYS, ACCORDING TO A GROWING BODY OF RESEARCH.”

29 Wood and health: Building performance: Naturally:wood. naturally. (2020, September 28). Retrieved April 28, 2022, from https://www.naturallywood.com/wood-performance/health/#:~:text=Biophilic%20design%2C%20such%20as%20abundant,a%20growing%20body%20of%20research.

30

NORTH ELEVATION 0

30

EAST ELEVATION 0

ELEVATIONS 31

30

32

SOUTH ELEVATION 0

30

WEST ELEVATION 0

ELEVATIONS 33

30

34

EXISTING BUILDING POTENTIAL EXPANSION

35

EXPANSION

TRANSPARENCY

The facility has the ability to expand in different directions for future funciton.

Views to the exterior courtyards can be seen from almost all rooms throughout the facility.

DETAIL A DETAIL B

DETAIL C

DETAIL WALL SECTION 30

0

DETAIL A-BEAM CONNECTION W16X31

DETAIL B-BEAM TO COLUMN CONNECTION (BEM W16X31)(COLUMN W8X31)

DETAIL C-FOUNDATION

DETAILS 36

FOUNDATION

PRIMARY STRUCTURE

30X30 GRID

COLUMNS; W8X31 BEAMS: W16X31

EXPLODED STRUCTURAL ISOMETRIC 37

VISITING

SECONDARY STRUCTURE

ROOF

HORIZONTAL STRUCTURE HORIZONTAL BEAMS: W16X24 ANGLED BEAMS: W8X24

38

COURTYARD ISOVIST 39

40

CHAPEL 41

EXAM ROOM 42

DINING ISOVIST 43

44

THERAPY ROOM 45

NURSES STATION 46

CONFERENCE ROOM ISOVIST 47

48

Wood and health: Building performance: Naturally:wood. naturally. (2020, September 28). Retrieved April 28, 2022, from https://www.naturallywood.com/wood-performance/health/#:~:text=Biophilic%20design%2C%20such%20as%20abundant,a%20 growing%20body%20of%20research.

Texas Plant Life. Texas Plant Life | TX Almanac. (n.d.). Retrieved February 22, 2022, from https://www.texasalmanac.com/articles/texas-plant-life Reed, E. L. (1930). Vegetation of the Playa Lakes in the Staked Plains of western Texas. Ecology, 11(3), 597–600. https://doi.org/10.2307/1929224 Hayward, C. (2015). SpaceMed Guide: A space planning guide for healthcare facilities. HA Ventures.

Best plants and trees to grow in Texas landscapes. Texas A&M AgriLife Extension Service. (2022, February 8). Retrieved April 5, 2022, from https://agrilifeextension.tamu.edu/solutions/best-plants-trees-grow-texas-landscapes/ Rosenfield, K. (2014, December 21). Creo Arkitekter and we architecture shares first prize for Danish Psychiatric Hospital. ArchDaily. Retrieved April 28, 2022, from https://www.archdaily.com/579811/we-shares-first-prize-for-danish-psychiatric-hospital

PRECEDENT INFORMATION

Precedent Information: Creo Arkitekter Psychiatric Terra Nova Landskab and Oluf Jorgensen A/S Bellarup Denmark

REFERENCES 49