HealthByDesign Compendium Class of Fall 2021

Fall 2021

A Compendium of Student Work UNIVERSITY OF MICHIGAN EXPERIMENTAL SEMINAR: ARCH 509/409 TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING

HealthByDesign Compendium

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Fall 2021

Introduction The world is in crisis today. It has more than ever before- and more to lose as well. At the core of this crisis is our health as a planet, as people, and as a society. This course is set up to explore systemic issues of health and address them along the design continuumfrom information, to product, to place, to policy, while being anchored on the environments we live in, and the human minds & behaviors that shape them. The built environment sets the stage on which the theater of life happens- the question we pose is how to set the stage for better health, while understanding that we work in an interdependent eco-system.

University of Michigan Experimental Seminar Arch 509/409 Taubman College of Architecture + Urban Planning, Professor Dr. Upali Nanda Fall 2021 Compendium Final Edit Compilation By Chun-Li Chen Website: healthbydesign.cargo.site

This course is founded on the belief that design makes a difference.

We will learn how to link design intent to health outcomes. We will understand what it means to truly improve health and wellbeing (physical and mental). What are the measures? Are they meaningful?

Do they matter? Can we, as a community, link our design intent to meaningful outcomes, and honestly assess how (and why) we failed? We will learn about evidence-based design and evidencechallenging design. We will take on issues of health and design that are in debate across our industry today. We will learn about core areas like public health, clinical outcomes, safety, technology, and human perception- and then seek to bridge this insight, across disciplines, to three foundational concerns of our times: Contagion, Climate and Community.

How do we set the stage for better health, by design? After 2020 this question has become even more urgent. The theme for the Fall 2021 course is improving brain health in lower income aging populations, by design. It is focused on real life conditions of one of the largest senior living providers in Michigan- Presbyterian Villages of Michigan. Students take on reviewing research and doing field work, to propose actionable design solutions, that can improve brain health, by design.

Dr. Upali Nanda December 2021 3

HealthByDesign Compendium

Acknowledgement Reviewers

Guest Speakers

Guest

Teresa Keenan  Director, Consumer Insights, Health and Health Security at AARP

Erica Solway, PHD, MSW, MPH  Associate Director, National Poll on Healthy Aging and Manager of Signature Initiatives and Partnerships, University of Michigan Institute for Healthcare Policy and Innovation

Grace Roebuck  Research Scholar at CADRE, IAM LAB, and Fellow at ENF

Lauren B. Gerlach, D.O., M.S. Geriatric Psychiatrist and Assistant Professor in the Department of Psychiatry, University of Michigan

Craig Kolstad , AIA  Design Director at HKS, Inc.

Maggie Calkins  President of I.D.E.A.S., Inc., and Chair of the Board of the IDEAS Institute Andrea Marquez  Project Coordinator at Communityies First, Inc. Avni (Dalal) Thomas  Director of Grants Management at Presbyterian Villages of Michigan Foundation Jie Zhao  Head of Delos Labs, Health and Wellness Tech, Human-Building Interaction, Environmental Health, Human Behavior

Special Thanks to the staffs at Presbyterian Villages of Michigan for touring The Village of Woodbridge Manor  The Village of St. Martha’s 

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Fred Marks  Ex-president of Academy of Neuroscience for Architecture, Visiting Scholar and Research Collaborator Regulatory Biology Laboratory and Salk Institute for Biological Studies Bon Ku, MD  Assistant Dean for Health and Design at Thomas Jefferson University, leading the Medicine+Design initiatives at SKMC Andrew Mounir Ibrahim, MD, MSc  Assistant Professor at Michigan Medicine Deaprtment of Surgery and the VA Ann Arbor Healthcare System, faculty member at the Taubman College of Architecture and Urban Planning.

Joyce Lee, M.D., MPH  Professor at Department of Pediatrics and Communicable Diseases and Nutritional Sciences, University of Michigan School of Public Health

Kimia Erfani  Design Researcher at CADRE

Widya Ramadhani  PhD candidate at Illinois School of Architecture with Aging Focus., Design Researcher at CADRE Gaby Espinosa  Job Captain at HKS, Inc. Triana Vidargas  Project Designer at HKS, Inc. Robert Adams  Associate Professor of Architecture at the University of Michigan Taubman College of Architecture and Urban Planning, Associate Professor of Art & Design at University of Michigan Stamps School of Art and Design, and Chairs at University of Michigan Initiative on Disability Studies Lauren Gerlach, DO, MS  Assistant Professor, Geriatric Psychiatrist and Clinical Lecturer in the Department of Psychiatry at Michigan Medicine, University of Michigan

Fall 2021

Content Introduction Acknowledgement Point of Decision Design Projects Nutrition by Design The Conscious Life TheConsciousOffice Lunchables: REthought Healthy Points of Decision through Accessibility and Visibility Health Foundations Mini Course and Intermission Periods

BrainHealth By Design Projects Intergenerational Community Connections Sensory Stimulation Through Nature Power of Play: Improving Brain Health In Lower-Income Affordable Housing Therapeutic Wayfinding: Transforming the Corridor Into a Healing Environment

Class of 2021 Bios

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HealthByDesign Compendium

INFORMATION

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Point of Decision Design (PODD) Projects What gets in the way of making a healthier decision?

Fall 2021 Class focuses on Diet/Move By Design-Making The Healthy Choice, For Everyone. Students investigated the relationship between diet and mobility to develop design interventions that improve the path to healthy choices.

The Point of Decision Design (PODD) enables designers and creative thinkers to identify key elements that ultimately leads someone to make a final choice. With HealthByDesign, the decision-making process can influence a healthier outcome, which affects future considerations for greater lifestyle impact.

Students were given exercises and instruction on how to practice altering the point of decision using personas. Personas resemble realworld interviews and scenarios to aid design strategies in response to different problems.

In addition to developing creative strategies to affect a decision, design intent were linked to research that enhance desired health outcomes. The proposals were evaluated and analyzed along the design continuum, which is a spectrum of scale: information, product, interior, architecture, urban realm, policy. In the upcoming pages, each proposal showcase a summary of research, images, and descriptions along the design continuum.

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HealthByDesign Compendium

INFORMATION INFORMATION

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Nutrition by Design Tia Blanchard, Marco Dominguez 

Link to Website

Why Unknowing the full benefits of a healthy diet can lead to a negative influence on nutritional choices causing a decline in health of body and mind.

How Through researching nutritional benefits on positive thinking, wellbeing, and physical health, we establish a design that encourages healthy choices by providing knowledge on nutritional decisions and affordable foods through intergenerational and educational gardening.

What Create a garden space for all ages to interact and engage while learning of the nutritional benefits of the foods they produce and how they may further develop healthier choices to share within their homes with friends and family.

So What Gardens ensure fresh fruits and vegetables to those who provide the upkeep, empowering individuals to choose healthier dishes. The use of intergenerational gardens adds for social interaction across all ages and the sharing of knowledge.

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The Power of Play makes year round opportunities for play for seniors in the Presbyterian Village Communities possible with a travelling fun bus.

When it comes to a healthy diet, it can be a challenge when identifying and understanding what ingredients and dishes fall under the category of nutritional eating. By providing a community garden meant for all ages, intergenerational social engagment is intergrated with the access to fresh and affordable foods mended by the hands of the community. The use of a garden empowers individuals to create healthier dishes made from the ingredients grown by their own hands and encourages the experience with others.

Providing the community with the space and tools to garden. Open to the community with no age restrictions. The garden is meant to provide individuals with fresh and affordable food that is to be shared with others.

Social interactions are met through intergenerational engagement and individuals have the opportunity to grow and consume nutritional foods while providing freshness and affordability.

Fall 2021

THE DESIGN CONTINUUM Identified and categorized points of decision along the continuum based on healthy or unhealthy behavior

Nutritional foods and educational values

Healthy decisions within garden setting

Practice gardening within community

Policy Information

Flyers and pamphlets that introduces and recognizes the values of the community garden

Product

Gardening tools, educational resources on gardening and nutrition

Interior

Architecture

Indoor greenhouse Outdoor community space, small kitchens to garden space, benches, prepare fresh produce tool shed

Urban Realm

Intergenerational and community involvement

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HealthByDesign Compendium

INFORMATION INFORMATION

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The Conscious Life Elyssa Bakker, Erica Behm 

Link to Website

Why Encourage people to explore their city through incentivising getting out and moving!

How Through the use of location tracking + app technology, push notifications delivered at points of decisioncan remind or informpeople of alternative, more active modes of transport.

What The Conscious Life is a mobile application that rewards individuals with coupons for: healthy food options, groceries, gym trainers or memberships, and recreational activities. It will provide locations or sends notifications periodically while users walking around the city, remiding people of theri ability to make use of the space they have and reach their goals. While walking about the city and getting exercise.

So What The goal is to get people engaged with their city in a healthy way. The Conscious Life will help residents and visitors learn about resources and activities available to them to maintain a healthy, fun lifestyle. The Conscious Life gives people motivation to start or continue their health journey in a user friendly way.

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How to encourage people to explore their city through incentivising getting out and moving?

The Conscious Life will help residents and visitors learn about resources and activities available to them to maintain a healthy / fun lifestyle through the use of a mobile application that will reward users with coupons to healthy food options and recreational activities upon completion of tasks.

The goal is to get people engaged with their city in a health way. The Conscious Life will help residents and visitors learn about resources and activities available to them to maintain a healthy / fun lifestyle.

The Conscious Life gives people motivation to start or continue their health journey in a user friendly way.

By giving people a starting point and incentive to be more active withintheir city’s infrastructure, the community becomes a more connected and positive community; greater engagement and excitement over the different health and recreational outlets within the city.

Fall 2021

THE DESIGN CONTINUUM Identified and categorized points of decision along the continuum based on healthy or unhealthy behavior

Nutritional recipes and educational values

Healthy culinary guidance in class setting

Practice nutritional dishes within community

Policy Information

Interface that notifies user of nearby recreational outlets

Product

App Accountability Partner, Incentivizing health through coupons

Interior

Fridges to support packed lunches / showers for workouts

Architecture

Break Rooms for Stretching / Physical Activities

Urban Realm

Sightseeing, pedestrian walkways to encourage healthy detours

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HealthByDesign Compendium

INFORMATION INFORMATION

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TheConsciousOffice Alanna Rosenthal, Chun-Li Chen, Kayla Hawley  Link to Website

How to promote a healthy diet and improving spatial qualities at diverse scales to an healthy office working culture?

Why Encourage people to explore their city through incentivising getting out and moving!

According to the WHO’s report from 2007, office environments are important places to promote and prevent health risks as they can easily reach out to a broad set of people. However, lacking physical movement in combination with an unhealthy diet is common lifestyle practice examined in workplaces which cause common and preventable diseases among employees

How Through the use of location tracking + app technology, push notifications delivered at points of decisioncan remind or informpeople of alternative, more active modes of transport.

What The Conscious Life is a mobile application that rewards individuals with coupons for: healthy food options, groceries, gym trainers or memberships, and recreational activities. It will provide locations or sends notifications periodically while users walking around the city, remiding people of theri ability to make use of the space they have and reach their goals. While walking about the city and getting exercise.

So What The goal is to get people engaged with their city in a healthy way. The Conscious Life will help residents and visitors learn about resources and activities available to them to maintain a healthy, fun lifestyle. The Conscious Life gives people motivation to start or continue their health journey in a user friendly way.

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If physical health is linked to the cause of common diseases, then workplaces and insurers should feel inclined to incentivize employers and employees to have certain conscious features in their office and lifestyle design; Further promoting that the workplace is a setting for interventions to improve diets,promote physical activity, and reduce the cost of providing coverage to employees.

The design interventions includes creating healthy environments through providing healthy snacks, supportive furniture, natural lighting, office circulation, interior, exterior, and commute options.

Insurance companies would promote the database and points systems as a guidance to encourge companies to participate with benefits on fee coverages. The universal implementation of these designs and products will raise the office culture standard, calling out health as an essential element in both design and the workplace.

Fall 2021

Community Appeal Health

Productivity

Morale

THE DESIGN CONTINUM Identified and categorized points of decision along the continuum based on healthy or unhealthy behavior

Workplace choice of products

Access to physical exercise

Workplace collaboration and social spaces

MEM Site city/d Neig “Ficti caus Circu Insur bike

Policy Information

Database Pamphlets, Posters, Webinars

Product

Interior

Healthy Snacks, Furniture

Lighting ambience, airflow, aesthetics

Architecture

Office Circulation, ties to the outdoors, promotion of physical exercise

Urban Realm

Pathways, building density, certification

DESIGN → OUTCOME LINKING SPECIFIC DESIGN STRATEGIES TO CLEAR INTENDED OUTCOMES

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HealthByDesign Compendium

INFORMATION INFORMATION

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Lunchables: REthought Aidan Barron, Maya Fraser, Zoe Elliott 

Link to Website

Why Elementary school kids have unhealthy snack options.

How Through literature reviews on the importance of physical and mental health, case studies of existing healthy and motivational office environments, and research about products to understand the causes and possible implications that can be provided, these interventions are supported with data and purpose.

What We propose Lunchable like snack kits that have healthy, appealing food to kids. We are focusing on easily stored, convenient snack items So What With our product, kids and their families will have more options that are just as cost effective, if not cheaper than the unhealthy option because of utilization of “ugly food.” Also, kids will have more nutrition in their food per snack which in turn will help their overall development.

How can we mitigate that through providing a product that covers the 4 A’s and also benefits kid’s nutrition?

We target elementary school children for a healthy-eating intervention because eating habits as kids can affect eating habits for life. School is a convenient point of access.

Currently, a fair number of these aren’t snacks. The whole meals are convenient and great but the lack of snacks is concerning.

Those that are snacks such as the Good& Gather aren’t marketed to children specifically. Paw Patrol snacks on the other hand are appealing but the overall convenience is overridden by the poor quality of the food. Our goal is to make a product that is fun and appealing to kids, healthy, has a good variety and is affordable and available to parents and kids.

By proposing lunchabe like snack kits, we hope to improve the 4 A’s and providing informational point of dicisions: 1. Access: Sold at a cost effective price so people can have access to product.

2. Affordability: utilizing “ugly food” (imperfect produce) in our product to lower costs. Because they’re shaped, the imperfections don’t matter. Cost is equal to a lunchable.

3. Appeal: Shapes and type of food, status amongst peers, box folds into something, variety of food textures.

4. Availability: sold at grocery stores, convenience stores at schools.

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Fall 2021

Policy Information

Information at point of purchase could help kids choose the healthy option

Product

Food in the product cut into a cute shape (for either fruit or veg

Interior

Architecture

Urban Realm

An area in the lunchroom/classroom with toys and games that can only be used once kids have finished their veggies

An area in the school becomes farm for students to grow and learn their own food

Roof farming over the city gaining access to healthy food

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HealthByDesign Compendium

INFORMATION INFORMA TION

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Healthy Points of Decision Through Accessibility and Visibility Saranmegha Parimi, Irene Routte 

Link to Website

Why University students have both time and structural barriers in accessing healthy food options on campus. How?Through the use of focused lighting and placement of healthy food options at specific locations.

How Through the use of focused lighting and placement of healthy food options at specific locations.

What Our interventions are based on how they connect to overall intrapersonal and environmental needs of students in a University environment - the easing of stress and anxiety due to time constraints, the desire to socialize and the peer pressure surrounding group food choices.

So What These interventions promote the needs of students (decreasing anxiety around time, desire for connection and decrease in peer pressure) while offering healthy food options at critical points of decision. By making these adjustments to the environment, we allow students to make healthier choices daily.

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How do the concepts of “Mobility and Accessiblity” improve student ability to seek healthy food options?

University students face many barriers to healthy eating, such as time constraints, conveninece to high calorie food, high prices, scarcity of healthy food options and easy access to junk food.

If we design for individuals to both be drawn to certain points at centralized and decentralized levels, and design for easier access to healthy food options at points of decision at each these levels, students will make overall healthier food choices. By focusing on placement design and focused lighting, we can better support students in accessing healthy food options.

Strategic decentralized healthy food options along student’s paths between activities allows for greater accessibility, decreasing stress of being able to access food in a timely manner. Students who are deciding on meal times based on wanting to be in a space of socialization will also be met with healthy food options in a centralized space to decrease on poor food choices based around peer pressure. Both decentralized and centralized spaces use focused lighting in order for students to be drawn to the healthy food options at both levels.

We believe that by building both decentralized and centralized healthy food options within a University environment will promote making healthy food choices at points of decision for a student which meets their needs of both accessibility/time, as well as socialization.

Fall 2021

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HealthByDesign Compendium

INFORMATION INFORMATION

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Health Foundations Mini Course and Intermission Periods Eliza Beird, Sophie Jackson 

Link to Website

Why The proposal aims to provide educational materials and increased free time throughout the day in order to eliminate the discoverd barriers.

How A breif poll was conducted to gather information regaurding the exercise habits of students at the University of Michigan with specific emphasis on understanding main barriers that prevent them from working out.

What A 2-part policy change within UofM’s curriculum including a required freshme mini course on health foundations and twice-weekly intermission periods where no classes are held.

So What By providing resources and time, the intervention aims to improve the general health of college students at the University of Michigan both physically and mentally as the benefits of movement are expansive. As well, it aims to increase student’s perceived behavioral control in order to incite long-lasting lifestyle changes.

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How can we promote and encourage healthy diet and movement habits in college students throughout their education and the rest of theri lives?

College is a pivotal time in an individual’s life to create habits, establish values, and make decisions that can impact the rest of one’s life. It is hypothesized that providing a policy-level design intervention (based upon providing time and helping students learn the principles of health) will aid students in establishing healthy life habits.

The data collected from the breif poll was conducted to gather information regaurding the exercise habits of students at the University of Michigan. The poll suggested that the most prominent barrier to students engaging in physical activity was conflicts with their class schedule and lack of understanding on how to work out effectively and effeciently.

The design intervention educates students on health principles, encourages students to establish health habits and gives students time to engage in those habits.

It is belived that a 2-part policy change within UofM’s curriculum including educational material time opportunites for college students will lead to aiding college students in building and establishing healthy habits throughout their college career and the rest of their lives.

Fall 2021

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HealthByDesign Compendium

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Fall 2021

BrainHealth

By Design Projects How can we improve the living conditions for lower-income seniors to promote social and cognitive health?

This project is set up to explore the relationship between brain health and aging, and address them along the design continuum- from information to product to place, to policy, while being anchored on the environments we are living in, and the human minds & behaviors that shape them. It is practice-based and focused on making feasible, actionable, meaningful changes to the senior living system.

By visiting affordable senior housing sites in Detroit, students learned about the real-world challenges in the current senior housing system.

Provocations to addressing senior residents’ mental health issues are generated by primary and secondary research. The outcome of the course will be a position paper (in any media chosen by the students) with a proposed intervention/ innovation that is actionable, bridges disciplines, and addresses the design continuum. Each group is teamed with students from various disciplines taking this course to have a rich dialogue and an actionable outcome.

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HealthByDesign Compendium

PVM Fun Bus. Graphics by Sophie Jackson

Power of Play: Improving Brain Health in Lower Income Affordable Housing Zoe Elliott, Maya Fraser, Sophie Jackson  Link to Website Link to Video Design to Outcomes

The Power of Play project aims to improve brain health through increased social and physical activity in older adults using specifically designed programmatic game circles elements, architectural indoor-outdoor spaces and digital space.

Through expanding social and increasing interaction from the programmatic play and space, residents will feel a greater sense of belonging within their communities. The increase in physical and mental activity through programmatic play will also improve brain, mental and physical health and reduce the risk of developing cognitive impairments.

This intervention can make a huge impact in preventing significant cognitive decline.

Having these interventions will encourage people to interact with each other, in both a digital (through the app and Village wide leaderboards) and physical (fun buses and indoor-outdoor) spaces. Our solution would not only be the most affordable option, it would also be the healthiest.

By implementing this intervention, the Presbyterian Villages of Michigan would be able to keep their independent living residents independent for longer and also spend less money on assistive care.

INFORMATION INFORMATION

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The Power of Play makes year round opportunities for play for seniors in the Presbyterian Village Communities possible with a travelling fun bus.

PRODUCT

We chose to intervene at the policy, product, architectural, and informational programmatic level because social interaction is dependent on contextual activities.

By creating impactful indoor-outdoor pop-up spaces now and eventually a permanent network that physically connects the greater Presbyterian Villages through digital space, our intervention offers options to socialize safely and motivate residents to be active in their physicalities and engage in their communities.

We believe that these play-based interventions housed in physical (indoor-outdoor) and digital spaces will improve the brain, mental, physical, and social health of older adults living in low-income retirement communities and reduce their risk of developing cognitive impairments.

INTERIOR

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Fall 2021

Graphic by Sophie Jackson

PVM CONNECT App Interface. Graphics by Sophie Jackson

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HealthByDesign Compendium Therapeutic Wayfinding: Transforming the Corridor Into a Healing Environment

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Graphic by Elyssa Bakker and Chun-Li Chen

Therapeutic Wayfinding: Transforming the Corridor Into a Healing Environment Aidan Barron, Elyssa Bakker, Chun-Li Chen, Irene Routte  Link to Website Link to Video

How can the corridor be transformed from a space of disorientation into a stabilizing and re-regulating place that enriches the broader therapeutic environments and supports healthy aging?

Design to Outcomes

Did you know that trauma can increase the risk of cognitive decline with age?

Neither did we. In fact, this often-overlooked minority faces a unique set of challenges, from worsened spatial memory and emotional regulation to increased risk of flashbacks. In order to re-regulate one’s emotions and memories and avoid triggering a stress response, methods like somatic experiencing, self-awareness, and allocentric retraining are critical. Our project moves these methods into the realm of the built environment.

Designing contextual relationships and distinct landmarks within the built environment.

•Attends to hippocampal changes by increasing individuals allocentric wayfinding abilities.

Designing identity anchors such as personalized audiovisual cues or somatic/ tactile checkpoints.

•Attends to amygdala changes by providing spaces and places for re-regulation along corridors.

INFORMATION

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PRODUCT

STATUS QUO

We chose the corridor of the senior living community as the place to start. For someone who has been traumatized, the corridor can be triggering; it can have disruptive sounds, low visibility, and visual noise, and one may feel vulnerable or lost. By augmenting wayfinding and embedding re-regulation therapies within the corridor, residents have the opportunity to both process their trauma and stimulate brain activity. This will in turn lead to a greater sense of autonomy, security and willingness to participate among trauma-exposed and aging adults within the larger community.

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Therapeutic Wayfinding: Transforming the Corridor Into a Healing Environment

Research to Design to Outcomes Fall 2021 CHALLENGES / GAPS

INTERVENTIONS

PRINCIPLES

Trauma - Informed Principles

Overwhelming

OUTCOMES

1. Augmented Wayfinding

Visual Domination

2. Spaces for Pause

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Autonomy Willingness to explore Sense of safety

3. Sensory incentives

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Stress reduction Brain Retraining

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Sense of stability Self Awareness

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Reduction in intrusive memories Increased mental activity Sense of Exploration

4. Personalization / identity anchors

Institutionalized Repetitiveness

5. Placemaking; distinct context associations

Disconnection

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Research to design outcome process. Graphic by Elyssa Bakkerfor HealthByDesign @ University of Michigan

Build up po community healing an

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Personalization / identity anchors Augmented Wayfinding

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Placemaking; distinct context associations Sensory incentives

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Plan view of before (Top) and after (Buttom) redesign corridor. Graphic by Chun-Li Chen

Personalization / identity anchors

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Personalization / identity anchors

Sensory incentives 4

Personalization / identity anchors

Augmented Wayfinding

Now, Near and Far design interventions. Graphic by Chun-Li Chen

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HealthByDesign Compendium

Through recent research, natural elements have been found to affect the brain through sensory stimulation.Example being the use of herbs to stimulate research, natural elements have been found to affect the brain through sensory stimulation.Example being the use of herbs to stimulate the senseThrough of tasterecent and smell. the sense of taste and smell.

Sensory Stimulation Through Nature Nature Sensory Stimulation through Kayla Hawley, Behm,across Tia Blanchard Natural elements across residential to ensure theTia stimulation of senses NaturalErica elements residential spaces to ensure the stimulation of senses spaces Kayla Hawley, Erica Behm, Blanchard  Link to Website Link to Video The environment has many affects on the body and mind, influencing the Design to Outcomes: stimulation cognitive activity. With over the Design to Outcomesof the senses and overall The environment hasadults many affects on design the proposal body will andcreate mind, influencing the Our a healthy, safe age of 50 showing vulnerability to mental illnesses and coginitive decline, environment for residents to enjoy, relax, over the stimulation of the senses and overallsocial cognitive activity.

With adults environmental elements can be the stresser to this. Quite frequently, low income and experience sensory Our design proposal will create a ofaccess 50 showing minorities live amongst urbanized areasage where to nature isvulnerability either difficultto mental illnesses and coginitive decline, stimulation through natural elements. Through healthy, safe social environment for environmental elements can be and the stresser to this. Quite frequently, low income or non-existent. This lack in nature interaction reduces sensory stimulation the incorporation of nature, both inside and residentscreates to enjoy, relax, and experience minorities live amongst urbanized areas where access to nature is either difficult for a cognitive decline. outside, we will increase sensory stimulation through natural or non-existent. This lack in nature interaction reduces sensory stimulation and stimulation; this will encourage sensory elements. the design incorporation of a mini TheThrough goal of this is to create sensory promotes creates for aecosystem cognitivethat decline. compensation and positively impact cognitive nature, both inside andofoutside, we and will social the stimulation the senses Elements are a mini sensory ecosystem that promotes Theinteraction. goal of this designofisnature to create function. Additionally, interactions across residents’ environment indoors and outdoors to increaseimplemented stimulation; this willthe encourage with nature, other residents, and family will the stimulation of the senses and social interaction.

Elements of nature are sensory and use and compensation development. By focusing on sensory sensory encourage compensation positively reduce levels of stressindoors while creating positive implemented across the residents’ environment and outdoors to healthy aging, and cognitive function, implementing natural elements impact stimulation, cognitive function.

Additionally, thoughts, reactions, encourage sensory use and compensation development. By focusing on sensory will provide a safe space for enjoyment, encourage cognitive engagement and interactions with nature, other residents, experiences, and task-driven activities. healthy intergenerational aging, and cognitive function, implementing natural elements sensory use, reduce risk of depessive stimulation, symptoms, promote and family will reduce levels of stress interaction, and provide ‘meaning of purpose’ tasks. Nature interventions will provide a safebased space for enjoyment, encourage cognitive engagement and Interventions: while creating positive thoughts, reactions, were designed to create stress free enriching environments through multiple sensory use, reduce risk of depessive symptoms, intergenerational Nature Based Sensorypromote Room experiences, task-driven scalesand being sensory activities. rooms, sensory based products, and horticulture therapy - Sensory Based Products interaction, and provide ‘meaning of purpose’ tasks.

Nature based interventions to influence stimulation and engage cognitive function among seniors who may Horticulture Therapy were designed to and create free -enriching environments through multiple struggle with sensory decline. These interactions with nature otherstress residents scales being sensory rooms, sensory based products, and horticulture therapy Interventions and family will lead to a reduction in stress while creating positivity across to influence stimulation and engage cognitive function among seniors who may thoughts, reactions, experiences, and task-driven activites. struggle with sensory decline. These interactions with nature and other residents • Nature Based Sensory Room INFORMATION PRODUCT INTERIOR URBAN REALM POLICY and family will lead toARCHITECTURE a reduction in stress while creating positivity across • Sensory Based Products thoughts, reactions, experiences, and task-driven activites.

PLACE • Horticulture Therapy INFORMATION INFORMATION

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URBAN REALM

POLICY

Fall 2021 NATURE BASED SENSORY SENSORY ROOMROOM NATURE-BASED SENSORY NATURE BASED ROOM NATURE BASED For the the now, now, anSENSORY existing ROOM room will will For an existing room For the now, existing roomroom will be turned turned intoan a quiet quiet sensory be into a sensory room be turned a quiet sensoryroom room Forwith theinto now, an elements. existing will be filled natural This filled with natural elements.

This filled withfake natural elements.

This turned into a quiet sensory room filled includes plants, pictures of includes fake plants, pictures of includes fake machine plants, pictures of withaa natural elements. includes nature, noise and aaThis place nature, noise machine and place nature, a noise machine and a place for activities. fake plants, pictures of nature, a noise for for activities. activities.

machine and a place for activities.

For the the near, near, sunlight emulating For For the near,sunlight sunlightemulating emulating lights For theand near, sunlight emulating lights grow lights will be be lights and grow lights will and grow lights will be lights and grow lights will be which installed which which allow allow real realinstalled plants. installed plants. installed which allow real plants. allow real plants.

A water fountain will A water fountain will be added for A water fountain will A water fountain will be be added added for for be added for sound. sound. sound. sound.

For the far, a virtual reality headseat For will the far, far, added virtual reality headseat For the aaa virtual be forreality thoseheadseat who have little For virtual reality headseat will the be far, added for those those who have will be added for who have mobility. will be added for those who have little mobility. little little mobility. mobility.

SENSORY BASED BASED PRODUCTS PRODUCTS SENSORY SENSORY BASED PRODUCTS SENSORY BASED PRODUCTS For the now, images of nature nature are are For the now, images of For the now, images nature and are placed indoors indoors within within of hallways placed hallways and placed indoors within hallways and For the now, images of nature are common spaces, while bird baths are common spaces, while bird baths are common spaces, whilewithin bird baths are and implented for outdoor spaces. placed indoors hallways implented implented for for outdoor outdoor spaces. spaces.

common spaces, while bird baths are

For implented the near, near,for indoor spaces are outdoor spaces.

For the indoor spaces are For the with near,fake indoor spaces are provided plants and lighting For with the fake near, indoor spaces are provided plants and lighting provided with fake plantsBird and lighting that emulates sunlight. feeders that emulates sunlight.

Bird provided with fake plants and lighting that emulates sunlight.

Bird feeders feeders willthat be added to thesunlight. outdoors. will be added to the outdoors. emulates Bird feeders will be added to the outdoors.

will be added to the outdoors.

For the the far, living living plants plants is is suggested suggested For For theliving far, living is suggested For the far, far, plantsplants is suggested indoors in non-hazardous locations. indoors in non-hazardous locations. indoors in non-hazardous locations. indoors in non-hazardous locations.

Wind chimes chimes and spinners spinners would Wind and would Wind chimes and spinners Wind chimes and spinners would would provide calm sounds sounds to the the outdoors. outdoors. provide calm to provide sounds the outdoors. provide calmcalm sounds to theto outdoors.

HORTICULTURE THERAPY THERAPY HORTICULTURE HORTICULTURE THERAPY HORTICULTURE THERAPY For the now, the current garden For the now, the current garden For the should now, the current garden on site be assessed assessed for its its on site should be for on site sensory should be assessed for its existing elements.

For sensory the now, the current garden existing elements. existing sensory elements.

Canoncolor color be added?

Can shade for its Can be added? shade site should be Can assessed Can color be added?

Can shade be added?

Can different plants be be added?

Can different plants Can be existing sensory elements. be added?

Can different plants be color added for texture, smell, added for texture, smell, be added?

Can shade be added?

Can added for texture, smell, and touch? touch? and different plants be added for texture, and touch? and touch?

For smell, the near, near, the addition addition of of aa For the the For the near, the andevents addition of shading element thata shading element andevents that For the near, the addition of a shading shading element andevents that speak to to the the importance importance of of nature nature speak speak to the importance of nature element andevents that speak to the implementation. implementation. implementation. importance of nature implementation.

For the the far, far, we we suggest suggest aa joint joint venture venture For For the far, we suggest adetroit joint venture with local colleges and public For the far, we suggest joint venture with local colleges and detroitapublic with locallocal colleges andsystem detroit public public schools agriculture where with colleges and detroit schools agriculture system where schools agriculture systemsystem where where residents from multiple villages schools agriculture residents from multiple villages residents from multiple villages would be transported to different residents from multiple villages would would be transported to different would be transported to different gardens. be transported to different gardens. gardens. gardens.

The farther farther would would take take this this to to the the The The farther would take this to the next The farther would take thissensory to the next level by incorporating nextlevel levelby byincorporating incorporating sensory sensory zones next incorporating sensory zoneslevel into by these zones into these into these existing gardens. zones into these existing gardens. existing gardens. existing gardens.

27

HealthByDesign Compendium

Surrounding area and location of Woodbridge Manor, a low-income, independent living, senior resident community in Detroit, MI. Graphic by Saranmegha Parimi & Marco Dominguez

Connecting the Dots: Intergenerational Community Connections Alanna Rosenthal, Eliza Beird, Marco Dominguez, Megha Parimi  Link to Website Link to Video

Intergenerational Community Connections looks to connect Woodbridge Manor to its surrounding community in order to share resources and stimulate intergenerational interactions in order to improve the brain health of its residents.

Design to Outcomes

Intergenerational interactions have been found to function as protective barriers for emotional mental and physical health. It encourages the transfer of knowledge and life lessons. It can be especially beneficial to the health of aging adults. To utilize this protective health factor, Intergenerational Community Connections sought to connect Woodbridge Manor to its surrounding community with immediate interventions that allow room for growth. Through site visits, conversations with residents and staff, a literature review, and community mapping, we identified current barriers, wants, and needs of Woodbridge residents. Our literature review further highlighted the benefits of intergenerational interactions and connecting aging adults to specific community resources. We found that the residents of Woodbridge Manor want to explore Detroit but struggle to do so because of barriers such as transportation. Because of this barrier but desire to leave the Woodbridge Manor site, we looked at the potential impacts of delivering efficient information, sharing community resources, and creating communal spaces.

Our design proposal seeks to stimulate intergenerational interactions along various points along the design continuum.

It is believed that providing direct and efficient information will lead to an increased likelihood of residents leaving Woodbridge Manor to engage with the community. Through the development of community partnerships, it will allow for the sharing of resources and increase the accessibility to neighborhood resources.

Finally, by designing a multi-purpose community space next to Woodbridge Manor, we will see a decrease in the need for transportation resources and an increase in community members coming into Woodbridge. All three of these interventions are believed to lead to increased levels of intergenerational interaction in some capacity.

INFORMATION INFORMATION

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PRODUCT

By providing information about transportation and resources through community mapping, establishing mutually beneficial relationships to share resources, and eventually developing a space that brings the community to Woodbridge, we aim to stimulate intergenerational interactions and social connectedness between residents and community members. If this can happen, we hope to see positive changes in ageist stereotypes, which may lead to the aging population feeling more acknowledged and important in society, ultimately affecting overall brain health.

INTERIOR

ARCHITECTURE

PLACE

URBAN REALM

POLICY

Fall 2021

The 2-acre lot is adjacent to Woodbridge, privately owned, currently empty, and zoned as Planned Development (PD), overall beneficial for the residents of Woodbridge Manor the surrounding community.

Eliza Beird, Marco Dominguez, Megha Parimi, Alanna Rosenthal

Pamphlet to deliver information to residents about transportation options, available community resources, and fastest routes Graphic by Marco Dominguez

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HealthByDesign Compendium

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Fall 2021

HealthbyDesign Class of 2021 The University of Michigan is embodied in this HealthByDesign course with students from the School of Socialwork, School of Environment and Sustainability, and the School of Architecture + Urban Planning. With these different perspectives and wide array of project proposals on the design continuity spectrum, we have created ideas and been described by the final jury critics as being part of larger brain working together.

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HealthByDesign Compendium PROFESSOR, DR. UPALI NANDA Upali Nanda is an associate professor of practice at Taubman College of Architecture + Urban Planning, an adjunct faculty at School of Public Health, a fellow of the Institute for Health Policy Innovation, and the research director for HKS, a global architecture firm. She serves on the board of the Academy of Neuroscience for Architecture and was voted as one the 10 most influential people in Healthcare Design

by Healthcare Design Magazine in 2015. In 2018 she was awarded the Women in Architecture Innovator Award by Architectural Record for her work linking human outcomes to the design of our environments.

She sits on the nexus of many disciplines and believes that we have to put our disciplinary arrogance aside to effect real change, while leveraging the agency our unique skillsets give us.

ERICA BEHM TAUBMAN COLLEGE OF ARCHITECTURE+URBAN PLANNING, B.S IN ARCH & MINOR IN SUSTAINABILITY #HealthbyDesign intertwines multiple professions to create a cohesive environment for communities.

Species designed for health generate equilibrium and innovation for all in their everyday lives.

Feature Projects  The Conscious Life  Sensory Stimulation Through Nature

ELIZA BEIRD BACHELOR OF ARTS IN EXERCISE SCIENCE / MSW, SCHHOOL OF SOCIAL WORK #HealthbyDesign is the evidenced based creation of an environment intended to positively impact the overall wellness of individuals on both a micro and macro level.

Feature Projects  Health Foundations Mini Course and Intermission Periods  Intergenerational Community Connections

E LY S S A B A K K E R B.S. IN BIOENGINEERING / TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING, M.ARCH #HealthbyDesign means building/supporting interdependent communities in which both the diverse individual & broader ecosystem can thrive... it means taking action through an evaluative + empathetic process that seeks insight across disciplines and from experts/ users alike.

Feature Projects  The Conscious Life  Therapeutic Wayfinding: Transforming the Corridor Into a Healing Environment

TIA BLANCHARD TAUBMAN COLLEGE OF ARCHITECTURE+URBAN PLANNING, B.S. IN ARCH #HealthbyDesign is a process of implementing an investigated and calculated hypothesis with high regard to the overall welfare of all individuals and the continued improvement in quality of life.

Feature Projects  Nutritional Cooking  Sensory Stimulation Through Nature

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Fall 2021 AIDAN BARRON TAUBMAN COLLEGE OF ARCHITECTURE+URBAN PLANNING, B.S IN ARCH #HealthbyDesign means to work across disciplines to shape an environment to maximize mental, physical, and social well-being.

Feature Projects  Lunchables: REthought  Therapeutic Wayfinding: Transforming the Corridor Into a Healing Environment

MARCO DOMINGUEZ TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING, MURP (MASTER IN URBAN & REGIONAL PLANNING) #HealthbyDesign is the conceptualization and implementation of an environment that has people’s overall wellbeing in mind. It is the intersection between a discipline so technical like healthcare is and a field so unconfined like design can be. The results of this interdisciplinary practice can have such an impact on the way we feel and experience an environment, which ultimately has an impact on our overall sense of place.

Feature Projects  Nutritional Cooking  Intergenerational Community Connections

CHUN-LI CHEN (JULIE) TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING, M.ARCH #HealthbyDesign is a skill set fostering care to respond to the sparks of new ideas and a mindset engaging local context for a better experience.

Feature Projects  TheConsciousnessOffice  Therapeutic Wayfinding: Transforming the Corridor Into a Healing Environment

ZOE ELLIOTT TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING, M.ARCH #HealthbyDesign is evidence based research alongside visionary, paricipatory engagement that has impactful outcomes and investigations + empaghy for individuals.

Feature Projects  Lunchables: REthought  Power of Play: Improving Brain Health In Lower-Income Affordable Housing

MAYA FRASER TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING, M.ARCH #HealthbyDesign is seeing all products/processes/built environments as an opportunity to advance human health and well-being. We shouldn’t leave anything on the table!

Feature Projects  Lunchables: REthought  Power of Play: Improving Brain Health In Lower-Income Affordable Housing

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HealthByDesign Compendium KAYL A HAWLEY TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING, M.ARCH #HealthbyDesign means following an intentional, curated process that analyzes and aims to improve the overall health and state of being of individuals of all identities, cultures, ethnicities, social status, etc. Health

by Design is important because without it Universal Design cannot exist. Design should consider a broad range of people with different abilities and at all stages of life. I am passionate about influencing and creating design that emulates this.

Feature Projects  TheConsciousnessOffice  Sensory Stimulation Through Nature

SOPHIE JACKSON TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING, B.S. IN ARCH #HealthbyDesign is the conscious implementation of design strategies and interventions, constructed in an attempt to improve the health of individuals and communities.

Feature Projects  Health Foundations Mini Course and Intermission Periods  Power of Play: Improving Brain Health In Lower-Income Affordable Housing

ALANNA ROSENTHAL TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING, B.S. IN ARCH #HealthbyDesign is implementation of design interventions, discussion of design strategies, something weary to include voices of all and not just the majority in order to benefit the physical, mental, and emotional well being of the users.

Feature Projects  TheConsciousnessOffice  Intergenerational Community Connections

IRENE ROUTTÉ JOINT DOCTORAL PROGRAM IN SOCIAL WORK AND ANTHROPOLOGY #HealthbyDesign aligns a multitude of socio-cultural understandings into an ethic of care, working to provide creative outcomes rooted in (physical and emotional) safety for individuals and communities to thrive in interdependent ways.

Feature Projects  Healthy Points of Decision through Accessibility and Visibility  Therapeutic Wayfinding: Transforming the Corridor Into a Healing Environment

MEGH PARIMI TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING, M.ARCH #HealthbyDesign is a conscious thought of implementing healthy design solutions based on evidence based research.

Feature Projects  Healthy Points of Decision through Accessibility and Visibility  Intergenerational Community Connections

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Fall 2021

@HByD_UMich YOUTUBE Health By Design

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HEALTHBYDESIGN.CARGO.SITE

Join and help grow our #HealthbyDesign Community!

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Fall 2021 HealthByDesign Compendium

EXPERIMENTAL SEMINAR: ARCH 509/409 UNIVERSITY OF MICHIGAN TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING