SUBSTANCE ABUSE DISORDER RESEARCH

(CNN)In Bucks County, Pennsylvania, prosecutors are arguing that 30-year-old Samantha Jones killed her 11-week-old son, R.J., by breastfeeding while using drugs.

According to the criminal complaint, R.J. died from ingesting a "combination of fatal drugs through breast milk" and is being charged with criminal homicide.

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CASA (2012) informs: “America’s failure to prevent risky use and effectively treat addiction results in an enormous array of health and social problems such as accidents, homicides and suicides, child neglect and abuse, family dysfunction and unplanned pregnancies” (p. 10). They explain that this failure happened because “In many ways, America’s approach to addiction treatment today is similar to the state of medicine in the early 1900s” (p.

11).

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CASA (2012) explains: “Unlike other diseases, we do little to effectively prevent and reduce risky use and the vast majority of people in need of addiction treatment do not receive anything that approximates evidence-based care” (p. 2). In consequence, this scattered knowledge between different disciplines indicates a demand to be linked. One of these overlooked missing links is the physical environment.

RESEARCH QUESTION

ENVIRONMENTAL

MOTIVATING INTROSPECTION PROVIDING A COMFORTABLE QUALITY OF LIFE

PSYCHOLOGICAL

HOW INTERIORIN-PATIENT DESIGN TREATMENT

CAN ENHANCE REHABILITATION REHABILITATION CENTERS OF DRUG AND ALCOHOL

?

FACILITATING SOCIAL BEHAVIORS SUGGESTING POSITIVE THOUGHTS AND EMOTIONS

PHARMACOLOGICAL

RESEARCH FINDING

A MOTIVATIONAL BUILT ENVIRONMENT THAT SUPPORTS

SUBCONSCIOUS

PHYSICAL & EMOTIONAL

HEALING

METHODS AND DELIMITATION

1

CONSTRUCTIVIST WORLDVIEW

IN-DEPTH/OPEN ANSWER INTERVIEW

HOW CAN INTERIOR DESIGN SUPPORT RECOVERY PROCESS PHASE 2 OF IN-PATIENT TREATMENT

3

CASE STUDIES

2

PHOTO-ELICITATION

LITERATURE REVIEW

LITERATURE REVIEW INTERIOR DESIGN

THERE IS VERY VAGUE SPECIFICATION ON HOW THE BUILT ENVIRONMENT AFFECTS THE THERAPIES.

LITERATURE REVIEW

COMMON GROUND BETWEEN DISCIPLINES:

INTERIOR DESIGN NEUROBIOLOGY: BRAIN DEVELOPMENT PHARMACOTHERAPY TREATS: -REWARD DEFICIENCY SYNDROME -PLACE / MEMORY: TRIGGER DRUG USE -ANTISOCIAL BEHAVIOR -NUTRITION THERAPY

ENVIRONMENT EXISTING IN-PATIENT FACILITIES: ONLY PROVIDE BASIC FUNCTIONSNO INFORMED DESIGN DECISIONS-

FACILITATE

PSYCHOLOGY PSYCHOLOGICAL APPROACH:

RECOVERY ?

REWARD SYSTEMCOGNITIVE BEHAVIORAL THERAPYCOUNSELINGGROUP THERAPIESADDICTION EDUCATION-

THERE IS VERY VAGUE SPECIFICATION ON HOW THE BUILT ENVIRONMENT AFFECTS THE THERAPIES

LITERATURE REVIEW

COMMON GROUND BETWEEN DISCIPLINES:

INTERIOR DESIGN NEUROBIOLOGY: BRAIN DEVELOPMENT ENVIRONMENT EXISTING IN-PATIENT FACILITIES: ONLY PROVIDE BASIC FUNCTIONSNO INFORMED DESIGN DECISIONS-

DOPAMINE CREATION GUIDE POSITIVE BEHAVIORS

PHARMACOTHERAPY TREATS: -REWARD DEFICIENCY SYNDROME -PLACE / MEMORY: TRIGGER DRUG USE -ANTISOCIAL BEHAVIOR -NUTRITION THERAPY

PROVIDES LEVELS OF AROUSAL MENTAL LEVELS OF PRIVACY

FACILITATE

PSYCHOLOGY PSYCHOLOGICAL APPROACH: REWARD SYSTEMCOGNITIVE BEHAVIORAL THERAPYCOUNSELINGGROUP THERAPIESADDICTION EDUCATION-

RECOVERY ?

MOTIVATE POSITIVE EMOTIONS FACILITATES INTROSPECTION

PRO-SOCIAL BEHAVIOR SAFETY AND CALMNESS

THERE IS VERY VAGUE SPECIFICATION ON HOW THE BUILT ENVIRONMENT AFFECTS THE THERAPIES

FINDINGS

EARLY FINDINGS: CONCLUSIONS IN-DEPTH/OPEN ANSWER INTERVIEW

?

INTERIOR DESIGN

FINDINGS IN EVERY QUICK TRANSITION BETWEEN THERAPIES, A MOTIVATIONAL BUILT ENVIRONMENT CAN POSSIBLY SUPPORT THE RECOVERY PROCESS.

A RESTORATIVE NODE IS PURPOSEFULLY DESIGNED AND INSERTED AS PART OF THE USER JOURNEY

FINDINGS

FINDINGS

FINAL FINDINGS: CONCLUSIONS IN-DEPTH/OPEN ANSWER INTERVIEW

PATIENT’S NEEDS

EXISTING THERAPY

FINDINGS

Understanding feelings are key during the recovery process. This Communication Wall works as a treatment for Anti-Social Behavior because it facilitates non-verbal communication. The activities that this prototype promotes are to express and understand feelings. This collective activity provokes internal questioning, growth and empathy to anyone who participates or sees the Communication Wall. It caters to both introverted and extroverted patients.

FINDINGS

PHOTO-ELICITATION

WELLBEING

PATIENT

FINDINGS

PHOTO-ELICITATION

HOPE

PATIENT

FINDINGS

PHOTO-ELICITATION

SELF-LOVE

PATIENT

FINDINGS

1 EXAMPLES OF DESIGN APPLICATIONS SPATIAL CONDITIONS OBTAINED FROM PHOTO-ELICITATION, INTERVIEWS AND INTERIOR DESIGN THEORIES

WATER

HOPE

SELF-LOVE

2

WELLBEING

3

FINDINGS

DESIGN PRINCIPLES

HOPE

SELF-LOVE

WELLBEING

WELCOMING

1

DESIGN APPLICATION

RESTORATIVE NODE

MOTIVATIONAL RESTORATIVE NODE

2

EDUCATIONAL RESTORATIVE NODE

3

EVERY DESIGN DECISION HAS A HEALING PURPOSE. EVERY RE-CENTERING DETAIL IS BACKED UP GROUNDING 6 WITH EVIDENCE CONTEMPLATING

RESTFUL RESTORATIVE NODE

4

RESTORATIVE NODE

5

RESTORATIVE NODE

RESTORATIVE NODE

7 RE-CENTERING RESTORATIVE NODE

8

CONTEMPLATING RESTORATIVE NODE

9

SERVICE 5ft

THERAPY RESTROOM NODE CIRCULATION

-ANXIOUS -DENIAL -EGOCENTRIC -DOUBTFUL

ENTERING THERAPY BUILDING

1

WALKING TO 1ST THERAPY

WALKING FROM 1ST THERAPY TO 2ND THERAPY

WALKING FROM 2ND THERAPY TO 3RD THERAPY

WALKING FROM LUNCH THERAPY TO 4TH THERAPY

WALKING FROM 4TH THERAPY TO 5TH THERAPY

-DEPRESSED -ANXIOUS -SURRENDER -INSECURE

2

-QUESTIONING -ABSORBING KNOWLEDGE

3

-BORED -QUITTING -CONFUSED

4

-SLEEPY -TIRED -OVERWHELMED

5

-INFLUENCED -DISTRESSED -AFFLICTED

6

-UNFOCUSED -PUZZLED -DISORIENTED

7

-DISCONNECTED -WANDERING -MIXED UP -REWARDED -SATISFIED -GRATEFUL

WALKING FROM 5TH THERAPY TO 6TH THERAPY

WALKING FROM 7TH THERAPY TO 8TH THERAPY WALKING FROM 8TH THERAPY TO EXIT TO BEDROOM

8

9

DESIGN APPLICATION

1

WELCOMING RESTORATIVE NODE: ECLIPSE CIRCADIAN RHYTHM EFFECT

2

MOTIVATIONAL RESTORATIVE NODE: SUBMERGED IN THE SEA EFFECT

3

EDUCATIONAL RESTORATIVE NODE: SEDUCIVE & FLEXIBLE KNOWLEDGE

-BOOKCASE CHAIR -ARTWORK THAT CONTAINS FRACTAL PATTERNS AND A FOCAL POINT -LEVITATING MAGNETIC POT-PLANT -METAL SHEET WATER RIPPLE 3D PATTERN -HALLWAY END VIEW: HALF CIRCLE TO PROVOKE CURIOSITY

-FLEXIBLE FURNITURE: PROVIDE A CHOICE FOR DIFFERENT LEVELS OF PRIVACY

4

RESTFUL RESTOR BIOPHILIC

-FURNITURE PROVIDES CLOSENESS BUT FACILITATES MENTAL PRIVACY

-VEGETATION SUPPOR POSITIVE EMOTIONAL -FLEXIBLE FURNITURE: PROVIDE A CHOICE STATE FOR DIFFERENT LEVELS OF PRIVACY -WATER EFFECT: ARTWO -FLEXIBLE FURNITURE: PROVIDE A CHOICE MADE OF 3D METAL W FOR DIFFERENT LEVELS OF PRIVACY PATTERN. REINFORCES

1

DESIGN APPLICATION

NODE: M EFFECT

RIOSITY

2

MOTIVATIONAL RESTORATIVE NODE: SUBMERGED IN THE SEA EFFECT

3

EDUCATIONAL RESTORATIVE NODE: SEDUCIVE & FLEXIBLE KNOWLEDGE

-BOOKCASE CHAIR -ARTWORK THAT CONTAINS FRACTAL PATTERNS AND A FOCAL POINT -LEVITATING MAGNETIC POT-PLANT -METAL SHEET WATER RIPPLE 3D PATTERN -FLEXIBLE FURNITURE: PROVIDE A CHOICE FOR DIFFERENT LEVELS OF PRIVACY

4

RESTFUL RESTORATIVE NODE: BIOPHILIC RESTING

5

RE-CENTERING RES CIRCADIAN EXTERIO

-FURNITURE PROVIDES CLOSENESS BUT FACILITATES MENTAL PRIVACY

-VEGETATION SUPPORTS POSITIVE EMOTIONAL -FLEXIBLE FURNITURE: PROVIDE A CHOICE STATE FOR DIFFERENT LEVELS OF PRIVACY -WATER EFFECT: ARTWORK -FURNITURE: -FLEXIBLE FURNITURE: PROVIDE A CHOICE MADE OF 3D METAL WATER RIPPLE CAVING EFFECT: FOR DIFFERENT LEVELS OF PRIVACY PATTERN. REINFORCES POSITIVE MINDSET PRIVACY

2

-

DESIGN APPLICATION

NODE: ECT

NT ATTERN

CHOICE CY

3

EDUCATIONAL RESTORATIVE NODE: SEDUCIVE & FLEXIBLE KNOWLEDGE

-BOOKCASE CHAIR -ARTWORK THAT CONTAINS FRACTAL PATTERNS AND A FOCAL POINT

4

RESTFUL RESTORATIVE NODE: BIOPHILIC RESTING

5

RE-CENTERING RESTORATIVE NODE CIRCADIAN EXTERIOR LIGHT EFFECT

-FURNITURE PROVIDES CLOSENESS BUT FACILITATES MENTAL PRIVACY

-VEGETATION SUPPORTS POSITIVE EMOTIONAL -FLEXIBLE FURNITURE: PROVIDE A CHOICE STATE FOR DIFFERENT LEVELS OF PRIVACY -WATER EFFECT: ARTWORK -FURNITURE: -FLEXIBLE FURNITURE: PROVIDE A CHOICE MADE OF 3D METAL WATER RIPPLE CAVING EFFECT: FOR DIFFERENT LEVELS OF PRIVACY PATTERN. REINFORCES POSITIVE MINDSET PRIVACY

6

GROUNDING RESTO CIRCADIAN EXTERIOR

3

-ACCESSORIES: WATER AND HUMAN CONTACT -STROLL AND MIND JOUR SUPPORT FINDINGS -CONTACT WITH NATURE

DESIGN APPLICATION

ODE: DGE

AL

4

RESTFUL RESTORATIVE NODE: BIOPHILIC RESTING

5

RE-CENTERING RESTORATIVE NODE CIRCADIAN EXTERIOR LIGHT EFFECT

6

GROUNDING RESTORATIVE NODE CIRCADIAN EXTERIOR LIGHT EFFECT

-FURNITURE PROVIDES CLOSENESS BUT FACILITATES MENTAL PRIVACY

-VEGETATION SUPPORTS POSITIVE EMOTIONAL HOICE STATE Y -WATER EFFECT: ARTWORK -FURNITURE: HOICE MADE OF 3D METAL WATER RIPPLE CAVING EFFECT: Y PATTERN. REINFORCES POSITIVE MINDSET PRIVACY

-ACCESSORIES: WATER AND HUMAN CONTACT -STROLL AND MIND JOURNEY SUPPORT FINDINGS -CONTACT WITH NATURE

7

CONTEMPLATIVE RESTO CIRCADIAN EXTERIOR L

4

-SUBCONSCIOUS REMIND SELF-LOVE. STROLL AND M

DESIGN APPLICATION

VE NODE: ING

5

RE-CENTERING RESTORATIVE NODE CIRCADIAN EXTERIOR LIGHT EFFECT

-FURNITURE: R RIPPLE CAVING EFFECT: SITIVE MINDSET PRIVACY

6

GROUNDING RESTORATIVE NODE CIRCADIAN EXTERIOR LIGHT EFFECT

-ACCESSORIES: WATER AND HUMAN CONTACT -STROLL AND MIND JOURNEY SUPPORT FINDINGS -CONTACT WITH NATURE

7

CONTEMPLATIVE RESTORATIVE NODE CIRCADIAN EXTERIOR LIGHT EFFECT

-SUBCONSCIOUS REMINDER OF SELF-LOVE. STROLL AND MIND JOURNEY

8

RE-CENTERING FOCA

5

-MENTAL PRIVACY FACILITATED BY G

DESIGN APPLICATION

VE NODE T EFFECT

6

GROUNDING RESTORATIVE NODE CIRCADIAN EXTERIOR LIGHT EFFECT

ORIES: AND CONTACT -STROLL AND MIND JOURNEY T FINDINGS -CONTACT WITH NATURE

7

CONTEMPLATIVE RESTORATIVE NODE CIRCADIAN EXTERIOR LIGHT EFFECT

-SUBCONSCIOUS REMINDER OF SELF-LOVE. STROLL AND MIND JOURNEY

8

RE-CENTERING RESTORATIVE NODE FOCAL ENTRANCE

-MENTAL PRIVACY & INTROSPECTION FACILITATED BY GROUP SUPPORT

9

CONTEMPLATIVE WATER CO

6

-SUPPORTS WELL-BE HOPE. VISUALLY ST WRAP UP THE DAY

DESIGN APPLICATION

E NODE T EFFECT

7

CONTEMPLATIVE RESTORATIVE NODE CIRCADIAN EXTERIOR LIGHT EFFECT

-SUBCONSCIOUS REMINDER OF SELF-LOVE. STROLL AND MIND JOURNEY

8

RE-CENTERING RESTORATIVE NODE FOCAL ENTRANCE

-MENTAL PRIVACY & INTROSPECTION FACILITATED BY GROUP SUPPORT

9

CONTEMPLATIVE RESTORATIVE NODE WATER CONTACT EFFECT

-SUPPORTS WELL-BEING, SELF-LOVE AND HOPE. VISUALLY STRONGER NODE TO WRAP UP THE DAY

7

DESIGN APPLICATION

E NODE EFFECT

URNEY

8

RE-CENTERING RESTORATIVE NODE FOCAL ENTRANCE

9

RESEARCH FINDING

CONTEMPLATIVE RESTORATIVE NODE WATER CONTACT EFFECT

8 -MENTAL PRIVACY & INTROSPECTION FACILITATED BY GROUP SUPPORT

-SUPPORTS WELL-BEING, SELF-LOVE AND HOPE. VISUALLY STRONGER NODE TO WRAP UP THE DAY

DESIGN APPLICATION

NODE

ON

9

RESEARCH FINDING

CONTEMPLATIVE RESTORATIVE NODE WATER CONTACT EFFECT

-SUPPORTS WELL-BEING, SELF-LOVE AND HOPE. VISUALLY STRONGER NODE TO WRAP UP THE DAY

9

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