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DESIGN THESIS 2016-2017

DE-ADDICTION CENTER

V.SURYA TEJA 11041AA075

SRI VENKATESHWARA COLLEGE OF ARCHITECTURE 86, Madhapur, Hi-Tech City Road, Hyderabad 500 033


DESIGN THESIS

DE-ADDICTION CENTER

Submitted For the Award of the Degree Of

BACHELOR OF ARCHITECTURE AWARDED BY

Jawaharlal Nehru Architecture and Fine Arts University For the year 2016-2017 BY

V.SURYA TEJA 11041AA075 Under the Guidance of PROF. NAGA RAJU

SRI VENKATESHWARA COLLEGE OF ARCHITECTURE 86, Madhapur, Hi-Tech City Road, Hyderabad 500 033


JAWAHARLAL NEHRU ARCHITECTURE AND FINE ARTS UNIVERSITY

SRI VENKATESHWARA COLLEGE OF ARCHITECTURE 86, Madhapur, Hi-Tech City Road, Hyderabad 500 033

CERTIFICATE

This is to certify that this design thesis entitled DE-ADDICTION CENTRE carried out by MR. V.SURYA TEJA, Roll No.11041AA075, currently in B. Arch, during the academic year 2016-2017 in partial fulfillment for the award of the Degree of Bachelors in Architecture from Jawaharlal Nehru Architecture and Fine Arts University is a record of bonafide work to the best of our knowledge and may be placed before the examination board for their consideration.

THESIS GUIDE

THESIS COORDINATOR

Prof. NAGA RAJU

Prof. Shalini Reddy Associate. Professor

EXTERNAL EXAMINER

PRINCIPAL Prof. M. Kalpana


AKNOWLEDGEMENT

I have completed my thesis for bachelor degree with the help of my faculties, my dearest friends and family members, without their help this work was like to search water in the desert. First and foremost I offer my sincere gratitude to my main guide, Prof. naga raju, for her valuable suggestion, precious time for the discussion and her support in completion of this thesis. I thank to the HOD Prof. M.Kalpana and thesis coordinator Prof. Shalini reddy, who have supported me throughout my thesis.

Finally I offer my sincerest gratitude to my parents and my sister for their love and their support which helped me to cross all the hurdles coming in my successful education life.


Contents:  Synopsis  Literature studies and data collections  Desktop studies  Case studies

 Comparative Analysis  Comparative Area Statements  Design Problem and Design Guidelines  Site Selection and Analysis  Design Drawings  List of Drawings  Bibliography and References

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Synopsis INTRODUCTION De-addiction center is a place where an addict is restored to his normal mental or physical state.It is also called as rehabilation center for drug and alchohol.when a person enters a rehabilitation he is expected to be in worst condition mainly mentally,as addiction deals with his mental disorder.the person in a de –addiction center should feel comfortable,healthy-physically and mentally&should be helped in his social life. The person should be freed from negative thoughts,and hope and enlightment should come in the addicts mind.Minimum of 3-6 months treatment is given to the addict.Enough ventilation and recreational areas should be given as proper planning can give good benefits to patients.Group activities should be encouraged as it increases interaction and frees them from loneliness. Addiction is a complex condition, a chronic brain disease that causes compulsive substance use despite harmful consequences. Addiction is a state characterized by compulsive engagement in rewarding stimuli, despite adverse consequences. It can be thought of as a disease or biological process leading to such behaviors. What is psychiatry? Psychiatry is the branch of medicine focused on the diagnosis, treatment and prevention of mental, emotional and behavioral disorders. A psychiatrist is a medical doctor (an M.D. or D.O.) who specializes in mental health, including substance use disorders. Psychiatrists are qualified to assess both the mental and physical aspects of psychological problems. Addiction psychiatry Addiction psychiatry founded in 1991, is a medical subspecialty with in psychiatry that focuses on the evaluation, diagnosis, and treatment of people who are suffering from one or more disorders related to addiction. What is the difference between de-addiction center and rehabilitation? An rehabilitation is a residential treatment process while a deaddiction center has a detox ,rehabilitation and other programs included in it. AIM To understand and study addiction and addicts psychology and design the ways to overpower addiction by creating a patient friendly habitat. OBJECTIVES(STUDY) To study calculate lighting ,colors that help in stimulating the senses. To study and understand the behavioral sciences that would enhance the design. To study and access the visual communication that would enhance the design process. Factors such as natural elements and materials and their patterns should be studied and analyzed. To study and analyze the possible rejuvenating elements that are the essence of this design. OBJECTIVES(DESIGN) To design according to addicts psycology . Additional patient areas should be designed to enhance the healing process of the addict. The design shall include the best posside outcome of facilities required by staff and patients. SCOPE The concepts and techniques utilized in this design can be used to enhance the design possibilities of other emotional and behavioral based designs. LIMITATIONS The assessment of lighting ,colors will be limited to this particular context only. The economics of the project and construction details will not be dealt with.

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Methodology: De-Addiction centre

Aims

Objective

Interviews

Scope

Surveys

Dekstop studies

Standards

Data collection

Case studies

Literature

Analysis

Inferences

Concept

Design

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LITERATURE STUDY


Literature study : Ancient Specialty in psychiatry can be traced in Ancient India. The oldest texts on psychiatry include the ayurvedic text, Charaka Samhita. Some of the first hospitals for curing mental illness were established during 3rd century BCE. During the 5th century BCE, mental disorders, especially those with psychotic traits, were considered supernatural in origin, a view which existed throughout ancient Greeceand Rome. The beginning of psychiatry as a medical specialty is dated to the middle of the nineteenth century, although one may trace its germination to the late eighteenth century. Some of the early manuals about mental disorders were created by the Greeks. In the 4th century BCE, Hippocrates theorized that physiological abnormalities may be the root of mental disorders. In 4th to 5th Century B.C. Greece, Hippocrates wrote that he visited Democritus and found him in his garden cutting open animals. Democritus explained that he was attempting to discover the cause of madness and melancholy. Hippocrates praised his work. Democritus had with him a book on madness and melancholy. Religious leaders often turned to versions of exorcism to treat mental disorders often utilizing methods that many consider to be cruel and/or barbaric methods. Middle ages Specialist hospitals were built in Baghdad in 705 AD, followed by Fes in the early 8th century, and Cairo in 800 AD. Physicians who wrote on mental disorders and their treatment in the Medieval Islamic period included Muhammad ibn Zakariya al-Razi (Rhazes), the Arab physician Najab ud-din Muhammad], and Abu Ali al-Hussain ibn Abdallah ibn Sina, known in the West as Avicenna. Specialist hospitals were built in medieval Europe from the 13th century to treat mental disorders but were utilized only as custodial institutions and did not provide any type of treatment. Early modern period Founded in the 13th century, Bethlem Royal Hospital in London was one of the oldest lunatic asylums. In the late 17th century, privately run asylums for the insane began to proliferate and expand in size. Already in 1632 it was recorded that Bethlem Royal Hospital, Londonhad "below stairs a parlor, a kitchen, two larders, a long entry throughout the house, and 21 rooms wherein the poor distracted people lie, and above the stairs eight rooms more for servants and the poor to lie in". Inmates who were deemed dangerous or disturbing were chained, but Bethlem was an otherwise open building for its inhabitants to roam around its confines and possibly throughout the general neighborhood in which the hospital was situated. In 1676, Bethlem expanded into newly built premises at Moorfields with a capacity for 100 inmates. In 1713 the Bethel Hospital Norwich was opened, the first purpose-built asylum in England, founded by Mary Chapman. In 1621, Oxford University mathematician, astrologer, and scholar Robert Burton published one of the earliest treatises on mental illness,The Anatomy of Melancholy, What it is: With all the Kinds, Causes, Symptomes, Prognostickes, and Several Cures of it. In Three Maine Partitions with their several Sections, Members, and Subsections. Philosophically, Medicinally, Historically, Opened and Cut Up. Burton thought that there was "no greater cause of melancholy than idleness, no better cure than business." Unlike English philosopher of science Francis Bacon, Burton argued that knowledge of the mind, not natural science, is humankind's greatest need. In 1656, Louis XIV of France created a public system of hospitals for those suffering from mental disorders, but as in England, no real treatment was applied.

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BETHELEM ROYAL HOSPITAL, LONDON,1632

What are the risk factors for addiction Genetics (family history) - anybody who has a close relative with an addiction problem has a higher risk of eventually having one themselves. It may be argued that environmental and circumstantial factors that close family members share are the prominent causes. Alcoholics are six times more likely than non-alcoholics to have blood relatives who are alcohol dependent. Researchers from the Universidad de Granada, Spain, in a study revealed that "the lack of endorphin is hereditary, and thus that there is a genetic predisposition to become addicted to alcohol". Geneticists believe that the reason some people try cigarettes and do not become smokers, while others do so very quickly is probably linked to the type of genes we inherit from our parents. Some people can smoke once in a while, throughout their lives, and never seem to become addicted, while others are unable to stop smoking without experiencing the unpleasant withdrawal symptoms. It is most likely that the way the receptors on the surface of our brain nerve cells respond to nicotine is influenced by our genes. Gender - a significantly higher percentage of people addicted to a substance are male. According to the Mayo Clinic, USA, males are twice as likely as females to have problems with drugs. Having a mental illness/condition - people with depression, ADHD (attention-deficit hyperactivity disorder) and several other mental conditions/illnesses have a higher risk of eventually becoming addicted to drugs, alcohol or nicotine. Peer pressure - trying to conform with other members of a group and gain acceptance can encourage people to take up the use of potentially addictive substances, and eventually become addicted to them. Peer pressure is an especially strong factor for young people. Family behavior - young people who do not have a strong attachment to their parents and siblings have a higher risk of becoming addicted to something one day, compared to people with deep family attachments. Loneliness - being alone and feeling lonely can lead to the consumption of substances as a way of copying; resulting in a higher risk of addiction. The nature of the substance - some substances, such as crack, heroin or cocaine can bring about addiction more rapidly than others. For example, if a group of people were to take crack every day for six months, and another identical group of people were to drink alcohol every day for the same period,

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Why addiction rehab?(or de-addiction center) All addicted people are prone to laziness,decreasing the usefull work output of the country,addicts not only spoil themselves but will affect the others near them,most of the addicted people which of them started at an early stage are more to suffer,its like giving them hope and cleaning the cities,they are prone to waste a lot of time in drugs,alchohol.,etc, In Punjab the numbers are ridiculous—nearly 75% of its youth are severely addicted to drugs, that’s 3 out of every 4 children. Mumbai, Hyderabad and other cities around the country are quickly gaining a reputation for their drug usage; and the population in each of these cities continues to grow. Delhi is filled with rehab centres trying to keep up with the flow of addicts. Over 500 centres across our country work together to nurse addicts back into healthy productive lifestyles—but addiction is becoming too much for India. An estimated 13.5 million people in the world take opioids (opium-like substances), including 9.2 million who use heroin. In 2007, 93% of the world’s opium supply came from Afghanistan. Its total export value was about $4 billion, of which almost three quarters went to traffickers. About a quarter went to Afghan opium farmers. The 2007 National Survey on Drug Use and Health reported 153,000 current heroin users in the US in 2007. Other estimates give figures as high as 900,000. Opiates, mainly heroin, were involved in four of every five drug-related deaths in Europe, according to a 2008 report from the European Monitoring Centre on Drugs and Drug Addiction. Opiates, mainly heroin, account for 18% of the admissions for drug and alcohol treatment in the US. At this rate deaddiction centres are a compulsory for the society,to eradicate or control the addiction .

Causes of addiction Role of dopamine and glutamate Dopamine is the primary neurotransmitter of the reward system in the brain. It plays a role in regulating movement, emotion, cognition, motivation, and feelings of pleasure. Natural rewards, like eating, as well as recreational drug use cause a release of dopamine, and are associated with the reinforcing nature of these stimuli. Nearly all addictive drugs, directly or indirectly, act upon the brain’s reward system by heightening dopaminergic activity. Excessive intake of many types of addictive drugs results in repeated release of high amounts of dopamine, which in turn affects the reward pathway directly through heighteneddopamine receptor activation. Prolonged and abnormally high levels of dopamine in the synaptic cleft can induce receptor downregulation in the neural pathway. Downregulation of mesolimbic dopamine receptors can result in a decrease in the sensitivity to natural reinforcers. Drug seeking behavior is induced by glutamatergic projections from the prefrontal cortex to the nucleus accumbens. This idea is supported with data from experiments showing that drug seeking behavior can be prevented following the inhibition of AMPA glutamate receptors and glutamate release in the nucleus accumbens. Tolerance increases After a while, the user of the potentially addictive substance does not get the same pleasure and has to increase the dose - his/her body’s tolerance to it increases. Eventually, the user no longer experiences pleasure from the substance and takes it simply to prevent withdrawal symptoms - taking the substance just makes them feel normal. Experts say that when tolerance increases, the risk of addiction is much greater.Addiction eventually causes depression and anxiety

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ARTICLES TOYS: Traditional toys that double up as educational tools: • As children move to video and digital games, some shops in INDIA remain committed to many other interesting alternatives . There was a time, not too long back, when we spent our summer vacations playing board games with our cousins and friends. However, with time these games slowly vanished from our shelves as the new generation, raised on a staple of playstation and computer games, never experienced the fun of playing these. • However, a section of parents in the city insist on playing these traditional games, which double up as educational tools, with their kids. Take the case of Malleswaram resident Nisha Sharma. • She has devised a novel method to teach numbers and counting to her six-year-old son. Instead of adopting the monotonous pictorial books, she introduced him to Pallanguli - a popular folk game of the South played with seeds on a foldable board which has two rows of seven cups. Now, not only her son enjoys counting, but also finds the game as gripping as any other gadgetries. Though curated toys have not really caught the fancy of many, some shops in Bangalore are trying their best to keep these toys alive in the face of gadgets and computer games. “Even today I play these games with my cousins, and to be honest they are far more interesting than the ones played by kids today. So, I decided to bring out these games from my backyard and present it to today‟s kids the way they would enjoy it,” said Sreeranjini GS, founder and owner of Kavade Toy Hive. • The shop located at Seshadripuram has classics such as Bagh-Chal or Tiger & Goat Game (where tigers „hunt‟ the goats while the goats attempt to block the tigers‟ movements), Navakankari or Nine Men‟s Morris (an alignment game where two players plot racks of nine coins each along a grid to score points by lining them up in threes). Each of these games, says Sreeranjini, has been designed to hone logic and strategy skills among kids. “Most of these games are thought provoking. I do not think toys have to be loud and noisy,” she said. • Parent Musing is another such organisation in the city, which assist parents in finding toys that are educationally beneficial. These toys aim to improve a child‟s auditory, • visual and social skills as well as enhance their logical and conceptual thinking. • “Kids in the age group of 3-4 years find it tough to share and cooperate. The games they usually play do not need the involvement of multiple players. Hence, it is often found that they lack in team spirit and sharing,” said Gayathri Tirthapura, founder and director, Parent Musing. • The toys do not resemble any television character or movie character so that a child‟s imagination is not hampered. For instance, the shop sells variety of puppets which parents or kids can use to narrate stories or enact a play. Even a game like the Kite Lotto helps young children to recognize patterns. • Kamakshi Mopuri, director programme at Sutradhar, a city-based charitable trust, says her organisation showcases resources that add to learning experience of a kid. “We basically focus on creative learning. For instance, when we promote puppets or ghagra dolls instead of plastic Barbie‟s, we aim at improving imaginative skills, while promoting eco-friendly materials among children,” said Mopuri. • All these shops source their material from people and artisans who specialise in making such toys. Most of them are situated in Varanasi, Kanyakumari, Jaipur and Channapatna. Sutradhar works with parents and teachers to create toys that will benefit children.

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ADDICTION OVERVIEW Alchohol addiction Drug addiction Internet addiction Video games Working Shopping Pain(seeking) Sex Pornography Bulimia

Substance abuse, also known as drug abuse, is a patterned use of a drug in which the user consumes the substance in amounts or with methods which are harmful to themselves or others, and is a form of substance-related disorder. Widely differing definitions of drug abuse are used in public health, medical and criminal justice contexts. In some cases criminal or anti-social behavior occurs when the person is under the influence of a drug, and long term personality changes in individuals may occur as well.In addition to possible physical, social, and psychological harm, use of some drugs may also lead to criminal penalties, although these vary widely depending on the local jurisdiction.

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Types of drugs Cannabis Heroin MDMA Morphine Cocaine Tobacco Opiods Amphetamines Prescribed drugs Alchohol

Process of making bhang in a sikh village in punjab,india.

A freshly scored opium poppy seedpod bleeding.

PRESCRIPTION DRUG ABUSE :Prescription drug abuse is when someone takes a medication that was prescribed for someone else or takes their own prescription in a way not intended by a doctor or for a different reason—like to get high.A prescription drug (also prescription medication or prescription medicine) is a pharmaceutical drug that legally requires a medical prescription to be dispensed. In contrast, over-thecounter drugs can be obtained without a prescription.According to the National Institute on Drug Abuse, the three classes of prescription drugs that are often abused include: Opioids used to treat pain. Central nervous system (CNS) depressants, such as benzodiazepines (Xanax, Valium, Ativan, Klonopin), used to treat anxiety and sleep disorders.

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TYPES OF TREATMENTS DETOXIFICATION:Immediately after joining a rehab , the patient goes through a painful detoxification process ,detoxification is the removal of the toxins that have been stored in the body of the patient due to recent addiction . It may last from 2 to 7 days, depending upon the type of drug and level of addiction. Which will be determined by performing tests like CBP,CUE,VDRL,HIV/AIDS,HBS-AG etc. The craving is painstackingly high during this stage . the patient may have to be put into isolation rooms , with necessary medications. ADMITTANCE is the term used to describe a particular stage in the treatment program . It is then that the patient admits he has been using drugs or alchohol and accepts the fact that he has been causing inconvenience to others and to himself too.

ELECTRO-CONCULSIVE THERAPY:Electroconvulsive therapy or ECT is one of the oldest and most effective treatments for depression. It is also used to treat conditions such as mania and schizophrenia. ECT can be used to treat people with an acute illness and to maintain their improvement. The process of treating an addiction to drugs or alcohol can be complicated. Every person who is addicted to a substance can have unique needs and situations that must be treated. There is no single treatment that works for most people, says the National Institute on Drug Abuse, so many individuals can benefit from unexpected treatment options.Although electroshock therapy may not be your first choice for a treatment plan for your needs or the needs of a loved one, it can have benefits for some individuals.

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INDIVIDUAL THERAPY:Also known as psychotherapy, talk therapy, or counseling is a collaborative process between therapist and client that aims to facilitate change and improve quality of life. Therapy can help people confront barriers that interfere with emotional and mental well-being, and it can also increase positive feelings such as compassion, self-esteem, love, courage, and peace. Many people find they enjoy the therapeutic journey of becoming more self-aware, and they may pursue ongoing psychotherapy as a means of self-growth and self-actualization.

FAMILY THERAPY:Family therapy or family counseling is designed to address specific issues that affect the psychological health of the family, such as major life transitions or mental health conditions. It may be used as the primary mode of treatment or as a complementary approach.

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OCCUPATIONAL THERAPY: The increasing recognition of the occupational therapy is an integral part of a rehab program has resulted in it becoming an important part of the planning. It is a therapy in which the principal element is some form of creative or productive work. The objectives of an occupational therapist is to assist in the mental and physical activities. To achieve these goals an occupational therapist utilizes ,on an individual basis, remedial activities which are found in creative skills and manual arts. The area should be accessible to the center’s physician,counselling area. One occupational therapist can treat 8-15 patients every day. The activity area may be planned so that each activity has a separate unit or it may be planned to separate quiet areas from noisy and dusty areas.

OCCUPATIONAL THERAPY: Group therapy is a form of psychotherapy that involves one or more therapists working with several people at the same time. This type of therapy is widely available at a variety of locations including private therapeutic practices, hospitals, mental health clinics, and community centers.

THERAPATIC GARDENS,WATER BODIES AND VEGETATION: A therapeutic garden is an outdoor garden space that has been specifically designed to meet the physical, psychological, social and spiritual needs of the people using the garden as well as their caregivers, family members and friends.

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SPORTS AND RECREATIONAL AREA:Recreation Helps Alleviate Boredom Recreation Helps Encourage Improved Physical Health Recreation Helps Encourage the Development of New Interests Recreation Helps Encourage the Development of Relationships Recreation is Fun FAMILY DISEASE:Addiction is sometimes to as referred to as `family disease’ because of the fact that the family of the patient also tries to isolate itself from relationships and social gatherings because of the fear of facing any kind of questions regarding the individual . There may be ultimately a confrontation between the family and the patient leading to a forceful or voluntary admittance of the patient into a rehabilitation centre. BRAIN SCIENCE:Brain processes involve a range of neural pathways and chemical neurotransmitters, psychoactive substances alter the efficiency of these pathways and transmitters on a long-term basis. The result is stimuli associated with addiction come to be especially visible and important to an individual who has experienced them before . This confirms the behavioral observation that the presence of drug -related stimuli, such as places where drugs are consumed or the equipment involved in consuming them, can bring with them the danger of relapse into drug use even after a long period of abstinence.

AFTER JOINING A REHAB:In his intial stages of getting admitted into a rehab , the patient goes through a counseling session that makes him admit that he has been using drugs. Required medical examinations are then conducted to assess the patients condition. The patient then goes through detoxification,a condition where the patient has to go through a painful craving for the drug, sometimes under the administration of suitable medicines. It may last for 2 to 7 days depending upon the level of addiction. The regular treatment then continuous . During his first few days the patient continues to isolate himself , though , later after listening and witnessing the senior patients experiences and views he opens himself up and starts admitting all the actions that he had done . He likes to share his views , he likes socializing , slowly gaining back his original self.

GOALS:The basic goal of this type of program is the treatment rather than punishment ,for antisocial behavior. Other goals are usually control of activity within the facility and within the neighbourhood,services for the residents i.e medical,educational,recreational and proper administration of the total program. Treatment is focused on peer group interaction through the use of pressure from peers in the group therapy sessions ,individuals are forced to deal with the behavior,its motives, and its consequences.

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DATA COLLECTION


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• Eye visions & difficulties :

Spaces for furniture's in office Many furniture systems in contemporary offices are still designed according to standards in use since 1980. in addition furniture units such as simple work tables and desks that incorporate filing systems are still used. Because of the increasing use of VDUs and keyboards, European standards for workstations specify a surface height of 72cm high.

Building for disable people An environment for disable people needs to be designed to accommodate wheelchairs and allow sufficient space for moving around in safely.

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OFFICE SPACES Thumb Rules for Planning the Office Spaces: width of the primary Circulation path within the space must not be less than 2M, the secondary and tertiary paths must not be less than 1.5M and 0.75M respectively. The planning and the layout must satisfy a particular functional need, such as screening, divisions (partitions) stacking or storage etc. . Furniture arrangement must be such that the people at their work station must have clear visibility and adequate space around their desk.

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Literature study on Library

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ii. In the rented residential sector, access via corridor is the most common layout. This enables large numbers of angles and corners to be avoided; a straight main corridor is preferable. The entrance area should be of an appropriate size. iii. The minimum area of entrances halls is 1.50x1.50m & 1.70x1.60m for a porch with a single leaf door. Single disabled people need more space than those in shared households. In apartments, recommended minimum areas for living rooms with dinning area are: 22 sq.m for one person and 24 sq.m for two to four people; 26 sq.m for five and 28 sq.m for six. The minimum room width is 3.75m for one or two person and for 4.75m for four or 5 person who are disabled.

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GENERAL: Room dimensions must accommodate: Furniture sizes and design. Furniture use spaces. Combination of furniture items. Room size and shape will affect two levels: Adaptability of furniture arrangement. Divisibility of spaces.

Common room:

ROOM AREA:

NO OF PPL 8

AREA(SFT) 100

12

144

NO OF DOUBLE BEDS 2 4

16

192

20

240

24

4 8

AREA(MIN)SF T 120 240

6 8

12 16

360 480

288

10 12

20 24

600 720

28

336

14

28

840

30

360

16

32

960

DINNING: MIN. AREA 15SFT/PERSON NO OF PPL 10

AREA(SFT) 150

15

225

20

300

25

375

30

450

28

336

30

360

NO. OF PPL

WASH BASINS: NO OF PPL 10

SINKS

20

6

30

9/10

3

Types of wards: The plan shows single and double bedrooms for patients with an attached shower and bath ventilated through ducts. The angular form makes it more usable and suitable private . A common seating or study may also be provided. All the double and single rooms open into a common room or lounge that enables proper zoning.

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The plan above shows a two bed rom with an attached shower.the provision of sea television and dressing area. The plan shows a one and two bed private rooms with an attached shower. The space here becomes more private and individual and the provision of a separate seating area further more increases the privacy. The plans show two single bedrooms with and without a lobby that opens into the corridor. These kind spaces are essential in case the patient has to be watched or observed for certain medical or security reasons. The presence of a lobby makes observation impossible from corridor.

TYPES OF PATIENT ROOMS: SINGLE ROOMS: A single room provides controlled privacy for its occupants with respect to its occupants. It may open directly to a corridor an d thus provide complete privacy coming and going,or it may be part of a suite. Privacy for sleeping can be controlled if adequate acoustic separation between adjacent spaces is provided. The single room should be arranges suitably so that it is possible to share it effectively with an invited second person.

SPLIT DOUBLE ROOMS: The split double room provides social contact obtained by two patients sharing a common space but,at the same time,recognizes and solves problem of conflict of interests.the split double room consists of two spaces with a connecting opening when connected with a door,there is a degree of acoustic privacy.without a door visual privacy and shielding from illumination sources.the provision of two spaces makes it possible for one person to sleep while the other is awake. The best arrangement would permit the patients to treat each of the spaces as a single room with direct communication between them. The spaces may be separated on an activity basis ,with the desks,study ,and living facilities in one space and sleeping and dressing facilities in the other.

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when one of the two spaces is large and the other is small in size , the patients live together much as they would with in a traditional double room. Where the habits of two patients come into conflict, the second smaller space can relieve the situation. This type of arrangement will not necessarily suffice to provide the appropriate separation between social and sleeping habits , but it may do so if the smaller space has sufficient room for an extra chair.If two patients must share space ,the split double represents an optimum arrangement because easy choice for privacy or sociability.Should have the atmosphere of a sitting room so that is not consciously in a bedroom.

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DOUBLE ROOMS: The double room is the standard largely because of the traditional economies it brings to total construction costs. Since these rooms irritate their inhabitants because of lack of privacy and quiet and because of insuffiecient storage and study spaces. Some room configurations make possible the separation of the two students in their activities,double rooms are to be provided there would be sufficient area to be handled,there should be sufficient space to convert them in to split double,triple or other types of rooms in future.

TRIPLE ROOMS: Wherever this arrangement have been used with movable furniture ,the area provided in the single space made possible a large number of occupant space arrangements.

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FOUR PATIENT ROOM: There is a slight advantage in that space is usually large enough subdivide by wardrobes, lightweight and other elements. Although a few patients would choose to live in a single space with three other strangers,four of them might choose to be together and succeed at it if provided sufficient options for the disposition of the space and for the appropriate screening of different activities.large number of persons may share a space,but more than four require that separate adjacent saces be provided for conflicting activities.

SUITES: A suite is a arrangement in which four or more persons share the total space in single and double rooms, With or without a bathroom ,and atleast one extra common space.

GRAPHIC CONCEPTS OF TERRITORY IN GROUP LIVING:

With defined territories ,bed and lockable storage units form territory zones along semi-private walkway can be defined by using space ,texture,color.

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Corridors must be designed for the maximum expected circulation flow and Access.

BATHROOMS: Activities commonly performed in the bathroom include something of hands,face and hair and also hand laudering.often it is so used as dressing room.major problems in bathroom design include containing for optimum convenience privacy of all bathroom functions,accurate provision for storage of supplies and equipment , and ease of cleaning.

DIFFERENT TYPES OF ARRANGEMENTS:

TASK ANALYSIS AND LIGHTING RECOMMENDATIONS: In the public areas like reception , entrance waiting etc; it is the quality of light that is of importance rather than the quantity of light . Effective variation can be achieved by using convenctional lighting techniques . As an example shielded fluorescent lamps may be used for wall washing and for lightingCurtains,while compact light sources offer great flexibility for illuminating pictures,displays,route signs.

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Special attention should be paid to the luminance ratios between task and other areas in the field of view . Especially where local lighting requires higher illuminance . the colour as produced by the light source and reflected is important. As a factor optimum seeing conditions for treatment and examination, Where the diagnosis of a patients condition may be related to the color. As a factor of psychological significance reducing the institutional appearance and suggesting a friendly atmosphere, which will contribute towards recovery of patients. Emergency lighting has to be installed in exit ways and all other ways where life and safety may endanger in the absence of lighting. The lighting should be provided in a way not causing discomfort glare to other patients in the same room ,well as to those patients whose field of views may be only the ceiling and to the medical staff. To allow medical and domestic studies to be performed properly indirect or mostly indirect system to be preferred. To provide minimum amount of place for nurses and patients to find their optimal screening.

LIGHT HEALING FOR DEPRESSION: What has been most notable ,is the rapidly with which healing can take place with something as seemingly simple and non-invasive as light . It compels one to stop and reconsider what our true nature is – that we are , in a very literal sense , essentially a being of light … In terms of healing ,the implications are immense .we know, for example , that light can initiate , or arrest , casacade – like reactions in the cells , and that genetic cellular damage can virtually be repaired , within hours , by faint beams of light . we are still on the threshold of fully understanding the complex relationship between light and life ,but we can now say , emphatically, that the function of our entire metabolism is dependant on light.

COLOR PSYCHOLOGY: THE PSYCHOLOGICAL EFFECTS OF COLOR: while perceptions of color are somewhat subjective , there are some color effects that have universal meaning . colors in the red area of the color spectrum are known as warm colors and include red, orange,and yellow. these warm colors evoke emotions ranging from feelings of warmth and comfort to feelings of anger and hospitality.colors on the blue side of the spectrum are known as cool colors and include blue, purple,and green. these colors are often described as calm ,but calm but can also call to mind feelings of sadness or indifference.

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IN THIS TREATMENT: Red was used to stimulate the body and mind and to Increase circulation. Yellow was thought to stimulate the nerves and purify the body. Orange was used to heal the lungs and to increase energy levels. Blue was believed to soothe illnesses and treat pain. Indigo shades were thought to alleviate skin problems. Most psychologists view color therapy with skepticism and point out that the supposed effects of color have been exaggerated.colors also have different meanings in different cultures. Research has demonstrated in many cases that the mood-altering effects of color may only be temporary. A blue room may initially cause feelings of calm , but the effect will be dissipate after a short period of time.ceratin colors have been used traditionally , both in color therapy as well as in the immediate envirorment , to alleviate certain conditions. Thay are

CONDITION

COLOR CURE

Anxiety claustrophobia

Golden or mellow yellow induces a feeling of optimism, enlightment. Paint the ceiling sky blue.

Creative block

Purple boosts creativity.

Depression

Vibrant colors lift the spirits.

Depth perception

Yellow lenses in eyeglasses or goggles.

Difficulty focusing

Dark blue encourages meditative thinking.

Insomnia

Light,mid-blue and blue-green induce serenity.

Irritability Jet lag

Nature’s greens are great equalizers and harmonizers .Take a walk in the woods or go to a park. Experience the great outdoors. Blue and green lenses worn before and during flight.

Insomnia

Light,mid-blue and blue-green induce serenity.

PSYCHOLOGY OF COLOR DRUG ADDICTS: Most of the individuals suffering from drug addiction try them for the first time unaware of the power these drugs possess. But after their first use the craving increases with time and so does the frequency of usage . Most of the drugs used today produce maximum high only in the first usage, and decreases with frequency and quantity administered. Unaware of this fact , the patients keep on increasing the frequency and quantity of the drug, to get the same high they had witnessed for the first time, leading to adverse affects on both the physical and mental conditions of the individual. During this period of time the patient isolates himself from his family ,friends(non drug users),work,etc.He becomes irresponsible ,losses social , religious and spiritual values , is always found to be in an irritable mood , losses appetite(at a faster pace) and if not affected quickly the individual may die.

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Mechanical:- This space might require a Mechanical closet to hold the Heating/Ventilation/Air Conditioning (HVAC) equipment. The minimum for this should be planned at 6.50sqm.

Electrical:- We will need an electrical panel in our space and codes requires that 0.91m in front of the panel is unobstructed. For planning allow a 0.91m x 1.52m.

SERVER CLOSET:With technology today, this space has required less and less floor space in an office. We should allow 0.46sqm and locate the server in a cabinet being built in a back office.

LAUNDRY AND LINEN STORAGE:Guidelines requires that any cloth items that touch a patient be washed up to specific standards. This is accomplished by on�site washer and dryer or a specialized laundry service.

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Parking standards

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DESKTOP STUDIES


KRIPA FOUNDATION,PUNE LOCATION The site is situated off singhbad road,hingane khurd area,in pune. A 30’ road connects the main road to the site.The site is located in a low density area,on ahilly terrain with the advantages of the southern breezezs. It was designed to be a retreat home for a priest that was later converted into de-addiction centre.

SITE AND SURROUNDINGS The site located on a hilly terrain best suites the function it serves.The basic concept in the site being the connection with nature.The low density around and the contours make it a unique place,without any disturbing structures like high rise buildings or traffic noise. Good vegetation has also been developed in the southern parts of the site,including vegetables and flowers,converting the hot south western breezes into pleasant breezes that flow throughout the site. The absence of any immediate structures and the fact that the patients come here after detoxification,support the absence of any strong physical barriers for compound walls. The landscape around the site act as a buffer to the external noises and activities,though they are lower due to the location in such a place.

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All the areas have been well segregated with proper privacy to the patient zone.All public activities end at the adminst ensuring the privacy of the inner spaces.this comes as an advantage of the linear planning that has been done.The main entrance bifurcates into three entries .they are and a waiting area. the kitchen,admin area The advantage of seperating the waiting area and the main administration area is that sometimes there is patient activity in the administration.

KITCHEN AND DINNING Though the kitchen is adjacent to the adminstrative block there is no accessibility from admin to kitchen.And the separate service entry enables the provision of separate service entry without disturbing the internal site activity.The kitchen opens into a central hall used for various activities like dinning,t.v.,group therapies and meetings.It also has separate accessebility from the courtyard corridor that acts as a central circulation space for all other activities too.

DORMITORY Two separate dormitories for men and women accommodate 40 people each. The large windows exposed to the south west ensure optimum lighting and ventilation. The disadvantages being the absence of an attached toilet facility.There is a common toilet area for the patients. A 2m wide corridor on all sides of the dormitory is more of an availability than a necessity. The flush green spaces in and around the blocks make the living experience of the patients a very pleasant one. The huge halls,each one exposed to nature,as much as possible make the patients connect with nature and open up themselves in such envirorment. A spiritual program is also adopted,with the provision of a chapel close to the dormitories where activities like prayer and meditation take place.

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The volumes of these blocks have a positive effect on the patients minds,creating an unrestricted and open feeling that make them recover better.

HIERARCHY OF SPACES

DORM FEMALE

TOI

CHAPEL

MULTI PURPOSE

DORM

HALL

MALE TOI KITCHEN

ADMINISTRATION

WATCHMAN

DESIGN ANALYSIS The main advantage is the site and landscape that blend the spaces into serene areas. The linear planning helps in separating various zones thereby,ensuring the patients privacy. Due to different blocks being used for different activities there is no scope for any kind of zonning failures. The location of site in a low density and isolated area. The huge volumes of spaces used for different activities and the presence of large openings connects the outer spaces to the inner spaces. The provision of outdoor play area for badminton.

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The distance between two extremities of a site is very high and a person has to surpass other areas to reach blocks on other side. The distance between the dormitories and toilets is high,and the absence of any attached toilets makes it in convinient.

INFERENCES The clear dimension of various zones and spaces gives a composed design. The flush green landscapes that are present in the entire site help in healing in natural ways.

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MUKTANGEN MITRA,PUNE :Mohanwadi,Off Alandi Road, Yerawada, Pune, Maharashtra411006

ARCHITECT:-Designed by AR.Shirish Beri LOCATION MAP

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HIERARCHY OF SPACES IN GROUND AND FIRST FLOORS

WARD S

ADMIN

MEDITATIO N ROOM

WARDS

OAT

Reception /Waiting

ENTRANC E

Kitchen/ Dinning/ Games TOI OI

COUNSELLI NG ROOMS

CENTRAL

COUNSEL

AREA

ROOMS ROO MS

LIBRARY

The basic plan is a radial layout with a central open space allowing diffused light in to the reception area.The absence of a visual barrier from the reception to the other areas makes the best of the spaces easily visible.The private spaces like meditation room in the front area makes it permeable to all kinds of traffic.The massing of beams that act as sun shading devices create optimum lighting conditions.

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SECTION THROUGH MEDITATION ROOM

The natural lighting solutions are a perfect solution for the meditation and other spaces that require diffused lighting rather than harsh direct lighting,creating a sober atmosphere.The diffused created by offsetting the ceiling and by providing openings makes the place very serene and appropriate for activities therapy to take place here.The massing of beams that act as sun shading devices create optimum lighting conditions that such a place is created.All the areas unify into the oat making it a focus for the entire rehab.The small enclosed and landscaped amphithetre breathes light and joy in the building,it binds the various functions of the building together,creating a much needed sense of belonging.A central sky lighting has been adopted to make way for entry of diffused light into the reception waiting and central making it a pleasant place.

The entrance lobby incorporates 1.5m wide corridor-runs on one side and consulation rooms on the other side. entry of diffused light into the reception waiting and central making it a pleasant place.

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A balance has been struck between a sense of freedom and disciplinary control.the design unifying transperency becomes expressive of this freedom and increases the physical and visual interraction thereby reducing the isolated and alienated feeling.Even the main entrance is transparent.The transparency the cutouts,the terraced balconies and the seating encourage the patients to open up. DESIGN ANALYSIS The orientation of the site with patients wards and other accomidation areas to the cooler northside,with other activities falling in the south. The small landscaped amphitheatre used for group meetings and group therapies instills more of an informal and open feeling rather than a closed formal meeting area. Due to the provision of high compound wall for external security an unrestricted freedom has been achieved with the flowing forms and semi open spaces. The massing of the structure makes way for a comfortable interior temperature.It creates a sense of discipline and security. The diffused lighting provided in the meditation room provides a great healing space through the walls are exposed to east and west and absence of any big openings and the ceiling offsetted lighting creates a serene atmosphere. Rubble stone,with landscaping in the amphitheatre,creates a natural envirorment,enabling better healing. The radial layout in the central area becomes disadvantages especially because all the other activities are connected through this area. The absence of a visual barrier in the reception waiting area leaves the patients exposed to the visitors and other people coming. The areas like meditation room are for a private use only,but it falls in to the public zone and the entry to it is also through the public area making it less private due to the exposure of visitors. The climate in pune is hot and humid due climate has been well dealt,admin area shadowing the open area and the library on the first floor to the south is well ventilated.There is always a danger of a patient running away,so wall height is more than 3m,which acts a sheild from escaping.

INFERENCE Visual clarity and an openness in vision makes up for a better treatment place A visual barrier,if not a physical one is necessary to separate the important zones and to avoid the exposure of the patients to the visitors.

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CASE STUDIES


CASE STUDY- PHEONIX FOUNDATION SITE LOCATION #38, Anupuram, Kapra, A.S.Rao Nagar,, East Maruthi Nagar, Anupuram Colony, Dr AS Rao Nagar, Secunderabad, Telangana-500062

LOCATION MAP

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LOCATION MAP

View from the entrance gate at the south-east side.

View from the garden on the North-east side.

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View from the entrance gate at the south-east side.

SITE AND SURROUNDINGS:The site is located in an residential area,which is the best for a de-addiction centre. The site has an easy accessesibility to the ECIL main road and all the necessary accesssebilities. The site is a perfect blend with nature. Without any disturbance from traffic noise nearby,and no high rise buildings nearby. The site has a lawn with garden which acts as a natural theary for the patients and creates a good ambience for the people staying in the building.

ORIENTATION AND FORM :The site entrance facing south-east ,with maximum built-up falling on the south-west side receives adequate lighting and ventilation. The large sized arch windows and the unobstructed path of the light provides good lighting conditions in the site. The building resembles a two-storey bunglow with a lot of open space infront and on the north-east side of the site. The reception and consulation are placed on the outside making the spaces inside more private and keeping the patients identity private. Dinning and extra-cirricular activities on the ground floor, wards are on the first floor dividing the day and night spaces accordingly. All areas have been well segregated with proper privacy to the patients. The design unifying transperancy becomes expressive of this freedom and increases the physical and visual interaction thereby reducing the isolated and alienated feeling. Even the main entrance is transparent . The group interaction setting in the ground floor and the seating with extra-cirrucular activities encourage the patients to open-up.

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SECOND FLOOR PLAN

SECTION

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DESIGN ANALYSIS: It has a residential setting which is good for a rehabilation and a detox is present in the center,it has good ambient atmosphere surrounding it and a landscaped garden in the front and a huge open space which allows for a good air circulation. It has a place for early morning yoga and gym and table tennis which which keep the patients fit and healthy. The center has wards which is helpful for the patients in one way as it can increase their interaction and occupational skills. The exterior walls are of 3m height which is good for safety and from patients getting out of the facility. It has a big dinning hall which allows all the patients to interact and eat at the same time. It has a porch which divides the rehabilitation program from the visitors. The wards look very conjested and may not be comfortable for some patients,patients with severe mental illness cannot co-operate with other patients and it might cause a discomfort amongst them. The consulation room is located outside the building which confuses the visitors ,there is no enough space to carry out family therapy in that room. There is no separate individual and family therapy departments,yoga room,detox room, The wash rooms are small in size.

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CASE STUDY- HOPE TRUST SITE LOCATION Plot No. 471, Road No. 87, Jubilee Hills, Phase 3, Hyderabad - 500 033, Telangana, INDIA.

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LOCATION MAP

Views from the north-east side.

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SITE AND SURROUNDINGS:The site is located in an residential area,which is the best for a de-addiction centre. The site is located at the heart of the city,which makes it easily accessible to the necessary accesssebilities. The site is a perfect blend with nature. Without any disturbance from traffic noise nearby,and no high rise buildings nearby. The site has a pond with a small lawn and garden which acts as a natural theary for the patients and creates a good ambience for the people staying in the building.

ORIENTATION AND FORM :The site entrance facing north,having road on north and west side and tennis court at the back and a barren land on the east having no constructions on all four sides with no obstructions for light and ventilation. The curtain wall and the windows provide unobstructed path of the light provides good lighting conditions to the building. The building is a three-floor rectangular layout with a sufficient open space on the east side. The out patient departments such as reception,consulation,family therapy,admin and directors office are provide on the ground floor which in turn protects the patients privacy and divides the inpatient activities making it more secure and efficient. The spaces in the center such as Gym/yoga,table-tennis and terrace garden fill-up the day and group counseling and book reading adding up to the time table making the patients busy and productive. . All areas have been well segregated with proper privacy to the patients. The design unifying transperancy becomes expressive of this freedom and increases the physical and visual interaction thereby reducing the isolated and alienated feeling. Even the main entrance is transparent . The group interaction setting in the group counselling ,terrace garden and the seating with extra-cirrucular activities encourage the patients to open-up. The wards are divided into two,three sharing which are spacious and comfortable with an dressing area which has adequate lighting and ventilation. The colours used in the building such as peach,orange,cream and white which are soothing and pleasant,which creates a positive effect on the patient.

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SECOND FLOOR PLAN

FIRST FLOOR PLAN

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SECOND FLOOR PLAN

THIRD FLOOR PLAN

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TERRACE FLOOR PLAN

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DESIGN ANALYSIS: It is in a residential area which is good for a rehabilation and a detox is present in the center,it has good ambient atmosphere surrounding . It has a place for early morning yoga and gym and table tennis which which keep the patients fit and healthy. The center has wards which is helpful for the patients in one way as it can increase their interaction and occupational skills. The exterior walls are of 3m height which is good for safety and from patients getting out of the facility. It has a dinning hall which allows all the patients to interact and eat at the same time. The first floor is allowed to the visitors,which is divided from the inpatients from the above floors. It is clean,neat and spacious with an separate group therapy and individual therapy units. It has a terrace garden which gives the patients an good ambient atmosphere to enjoy. The setting doesn’t have enough outside space,which is essential for an de-addiction centre. The setting makes the patients stay in the wards much because of its less space allotted to other activities. The setting is like a hostel building with rooms and dinning facilities, which doesn’t give the patient the needed freedom of the outside envirorment.

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COMPARATIVE ANALYSIS


TYPE OF AREA PHEONIX FOUNADTION, HYDERABAD LOCATION THE SITE IS LOCATED IN A RESIDENTIAL AREA AND CAN BE EASILY ACCESSED FROM THE MAIN ROAD.

SECURITY

ENTRANCE

RECEPTION & WAITING

HOPE TRUST, HYDERABAD

THE SITE IS LOCATED IN A RESIDENTIAL AREA BUT IT DOESNOT HAVE ANY DEVELOPMENTS HAPPENING ADJACENT TO IT. THE SITE HAS AN THE SITE HAS AN EXTERNAL EXTERNAL COMPOUND WALL COMPOUND WALL OF 3M HIGH TO OF 3M,THE CREATE INTERNAL PATIENTS OPENESS STAY AT THE UPPER FLOORS.

THE ENTRANCE IS QUITE BIG AND RESEMBLES THAT OF A RESIDENCE AND HAS NO BARRIERS. THE RECEPTION AND WAITING TAKE PLACE IN ONE ROOM AT THE OUTHOUSE BESIDE THE BUILDING.

ASHA DEADDICTION, DESIGN GUIDELINES/ HYDERABAD INFERENCES THE SITE IS LOCATED IN A RESIDENTIAL AREA BUT IT DOESNOT HAVE ANY DEVELOPMENTS HAPPENING ADJACENT TO IT.

THE SITE SHOULD BE LOCATED IN A NON RESIDENTIAL AREA,AND WITHOUT ANY HIGHRISE STRUCTURES AROUND IT.

THE COURTYARD PLANNING DOESN’T REQUIRE MUCH SECURITY DUE TO INWARDNESS MOREOVER PATIENTS JOIN AFTER DETOX.

AN OPTIMAL SECURITY BETWEEN INTERNAL AND EXTERNAL SHOULD BE PROVIDED, AND ADDITIONAL SECURITY FOR DETOX ROOMS SHOULD BE PROVIDED. THE ENTRANCE SHOULD BE CLEAR AND OFFSETED.

THE ENTRANCE IS OFFSETED AND HAS A WELCOMING FEEL.

THE ENTRANCE RESEMBLES A RESIDENCE.IT HAS A DIRECT ENTRANCE WITHOUT A RECEPTION. THE RECEPTION THE RECEPTION AND WAITING ARE WAITING AND THE EXPOSED AND ADMIN ACTIVITIES SEPARATED FROM TAKE PLACE IN A THE PATIENT SINGLE ROOM ACTIVITY ZONES EXPOSED TO PATIENT AND IS NEAR THE ACTIVITY. ADMIN AND FAMILY THAERAPY AREA.

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THE RECEPTION AND WAITING AREAS HAVE CONSTANT VISITORS HENCE THEY SHOULD BE ZONED SEPARATELY TO AVOID COINCIDENCE WITH THE PATIENTS AREA TO ENSURE THE PATIENTS IDENTITY.

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ADMIN.DEPT

THE ADMIN AREA HAS BEEN SEPARATED FROM THE WAITING RECEPTION, IT HAS BEEN WELL TREATED AS A SEPARATE ZONE.

COUNSELLING ROOMS

A SMALL COUNSELLIG ROOM IS PROVIDED WITH ENOUGH LIGHTING AND VENTILATION.

THE ADMIN AREA HAS BEEN SEPARATED FROM THE WAITNG AND RECEPTION .IT IS A SEPARATE ZONE AND CAN BE EASILY ACCESSESSIBLE. A COUNSELLING ROOM IS PROVIDED THAT RESEMBLES A DOCTOR’S CONSULATION ROOM.

THE ADMIN AREA IS A VERY SMALL SPACE,COINCIDING WITH THE PUBLIC ZONE.

THE ADMIN ZONE SHOULD BE VISUALLY SEPARATED FROM VISITOR AREA.

A SMALL WELL LIT COUNSELLING ROO THAT RESEMBLES A DOCTOR’S CONSULATION ROOM.

THE COUNSELLING ROOM SHOULD BE AN INFORMAL SPACE WITHOUT ANY DISTRACTIONS.

DETOX ROOM

WARDS

DIFFERENT DORMITORIES WITH BEDS AND ATTACHED TOILET,WITH EFFICIENT LIGHTING AND VENTILATION ARE PROVIDED.

DIFFERENT TYPES OF SINGLE,DOUBLE AND THREE SHARING DEPENDING UPON THE PATIENT.

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THE DETOX ROOM SHOULD HAVE MILD LIGHTING AND VENTILATION AND SHOULD BE IN VISUAL AXIS OF THE NURSE.(WARDEN). WARDS SHOULD BE ACCOMIDATED ACCORDING TO PATIENT PSYCHOLOGY.SINCE IT IS A VERY IMPORTANT ASCEPT OF TREATMENT PROGRAM. DISCRIMINATION BASED ON ECONOMY SHOULD BE AVOIDED.

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KITCHEN/ DINING

YOGA AND GYM/ MEDITATION

THERAPY SPACE

MEETING AREA

KITCHEN IS SEPARATE BLOCK AND DINING IS IN A PRIVATE ZONE AND ALSO USED AS A GROUP MEETING AND ENTERTAINMENT CENTRE. A MULTIPURPOSE HALLS ACTS AS GYM.THERE IS A LOT OF OUTDOOR AREA WHICH IS USED FOR YOGA IN THE MORNING. A MULTI PURPOSE SEMIOPEN AT THE ENTRANCE SERVES THIS FUNCTION.

A INFORMAL SEMI OPEN MEETING SPACE IS USED FOR THIS PURPOSE.

KITHEN IS A SEPARATE BLOCK AND DINING IS IN A PRIVATE ZONE,WITHOUT ANY DISTURBANCE TO ANY OTHER AREAS. PRESENT IN THE TERRACE ALONGSIDE OF GARDEN IS VERY SERENE AND REFRESHING.

A SMALL AREA SERVES AS KITCHEN AND DINING, THAT OVERLOOKS THE COMMON AREA AND ADMINISTRATION ROOM.

KITCHEN SHOULD HAVE A SEPARATE SERVICE ENTRY AND DINING SHOULD HAPPEN IN THE PRIVATE ZONE.

A MULTI PURPOSE HALL ACTS AS YOGA ROOM.A NUMBER OF OPENINGS MAKE THIS SPACE A REFRESHING ONE.

IT SHOULD PRIMARILY ALLOW GOOD LIGHTING AND VENTILATION WITH A HEIGHT ABOVE 3M.

A INVIDUAL THERAPY SPACE IS PRESNT IN THE FIRST FLOOR RESEMBLING A CONSULATION ROOM. THERE IS A GROUP/FAMILY THERAPY SPACE PRESENT BESIDE THE RECEPTION AND IS EASILY ACCESSIBLE.

MULTIPURPOSE HALL SERVES THIS PURPOSE.

IT IS BETTER TO HAVE A SEMI OPEN SPACE FOR THIS PURPOSE SINCE PATIENTS TEND TO OPEN UP MORE IN SUCH SPACES. AN INFORMAL MEETING AREA FOR FAMILY AND PASSED OUT PATIENTS . A SEMI OPEN PLACE SERVES THE PURPOSE.

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COMPARATIVE AREA STATEMENTS


COMPARISION OF AREA STATEMENTS AND INFERENCE STANDARD(ZONE)

DATA50 PEOPLE

CASE STUDY PHEONIX10 PEOPLE

CASE STUDY HOPE TRUST-34 PEOPLE 10 SQM

1

RECEPTION

10.0 SQM

5 SQM

2

WAITING

22-25 SQM

16 SQM

15 SQM

3

CONSULATION ROOM

16-20 SQM

10 SQM

4

ADMINISTRATION

15-30 SQM

5

WARDS/DORMITORY

6.0 SQM/PER

6

DETOXIFICATION

7

CASE STUDY ASHA

INFERENCES-50 PEOPLE

5 SQM

17 SQM

___

60SQM

11.2 SQM

6 SQM

16SQM

17 SQM

18 SQM

25 SQM

22SQM

10 SQM /PERSON ___

6 SQM /PERSON ___

10 SQM

8.0 SQM/PER

7 SQM /PERSON ___

YOGA

40-50 SQM

18 SQM

30 SQM

8

INDIVIDUAL THERAPY

15-20SQM

10 SQM

9

40-80 SQM

10

OCCUPATIONAL THERAPY TOILETS

11

CONFERENCE ROOM

12 13

10 SQM

15 SQM

6 SQM /PERSON ___

15SQM

___

___

___

40SQM

6 SQM/ EACH 15 SQM

50 SQM

25-50 SQM

5 SQM/ EACH ___

___

7SQM/ EACH 40SQM

GROUP THERAPY

24 SQM

22 SQM

___

___

26SQM

60 SQM

35 SQM

50 SQM

___

18 SQM

50 SQM /PERSON ___

82SQM

14

KITCHEN AND DINNING FILES STORAGE

15

GYM

40-50SQM

___

___

6.0 – 20 SQM

___

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49SQM

13SQM 45SQM

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DESIGN BREIF & AREA STATEMENTS


Location of the building The entire concept of community based residential treatment concept hinges on the location of the facility in the neighbourhood setting to that to which the resident will return.it should be near transportation to schools,jobs,recreation. The more outside services are accessible to the resident, the less services the program itself needs to provide. Likewise proximity to transportation will make it easy to attract staff personnel and for visitors,family,university consultants etc., to reach the program. Onsite parking spaces may be compulsory for some suburban neighbourhoods.

TERRITORY AND STATUS The two key conceptual tools in arranging spaces in a facility like this are territory and status. The provision of clearly defined territorial boundaries-private,semi-public,public in institutional situations is an aid to residents in guiding themselves and their actions. Certainly territory – one’s room – is at issue even within a family , and their actions. Certainly territory – one’s room – is at issue even within a family,and still so more in a program, regardless or how intimate or small scale. As intimacy and trust increase , the pressure to defend a territory seems to decrease.that is the point when some programs remove locks from personal belongings – to test out the groups attitudes.

undefined and defined territories

private private private

private Private

private

private

Semi - private

Effective zoning: Public zone, staff zone, clinical zone, residential zone ,recreational zone with privacy and confidfentiality are important especially at the reception desk and clinical rooms during consulations and treatments.

Orientation of building and rooms: The most suitable orientation for treatment and operating rooms is between NW & NE for nursing ward facades S & SE is favourable,pleasant morning sun, minimal eat build eat up,little requirement for sun shading ,mild in the evenings, east and west facing rooms having comparatively deeper sun penetration, though less winter sun.

Future expansion: Provision for future expansion within the site premises should be considered. The following are the important areas that have to be designed accordingly to avoid any discomforts. The planning of these areas is vital.

REST ROOMS:Hospital toilets should be hygenic and toxic free with an provision of toilets for disabled people.Standard requirement you will need a 1.52m turning radius plus 1.52m around the toilet and 0.90m around the sink. The sink needs access under it for a wheelchair, so cabinets should not be placed.The minimum size is 5.20sqm, or 2.13m by 2.43m. DE-ADDICTION CENTRE

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Accommodation: The patient beds must be accessible from three sides and this sets the limit for the overall room sizes. The smallest size of a one bedroom is 10 sqm, for two and three bedroom, a minimum of 8 sqm/bed should be allowed in accordance with hospital building regulations . The room must be wide enough for a second bed to be wheeled out of the room without disturbing the first bed (min width 3.20m). A patient’s bedroom is the smallest element and the basic space in the housing facility. It is the core envirorment of the patient who spends his walking hours.In this space the patient sleeps,dresses and socializes. He stores all of his clothes,books and personal possessions here. PARKING SPACES:Parking Space Dimensions. The minimum size of a standard parking space shall be 2.74m wide and 5.48m long. Parking spaces within enclosed garages shall have an interior dimension of at least 3.048m wide and 6.096m long. The minimum size of a compact parking space shall be 2.43m wide and 4.87m long. PATIENTS WARD:Patients room with an minimum of 7.43sqm/bed and toilet area of 1.67sqm.isolation rooms and wards with group of people must be provided,patients are assigned to their rooms according to their mental and physical condition. NURSES STATION AND QUARTERS:Nurse station with work space with an minimum area of 10sqm,nurses quarters with toilet with a minimum of 10sqm to be used. CONSULATION ROOM:The standard closed Room is 2.74m by 3.65m. This will comfortably hold a standard 0.6m by 1.82m adjusting table with about 3 feet of circulation space to work around it, plus a small area for a workspace and storage. RECEPTION:- Reception with an area 4.64sqm, about a 1.82m by 2.43m area, is the minimum for one person to work comfortably. For each additional person in that area, add at least another 2.78sqm, 4.64sqm to be comfortable. If you have free standing storage, file cabinets, a stand-alone copy machine, you will need to add extra space. WAITING ROOM:1.85sqm per person is needed for small chairs, with an 7.432sqm area minimum. If lounge seating is used, increase this to 2.78-3.25sqm per person. PHARMACY: Pharmacy should be placed near the entrance of the building for easy access for the patients leaving the hospital or for outsiders to pickup the medicines witout the need to enter the building premises. ILLUMINATION: Lighting should be adequate for all of the activities performed . For grooming direct sources of light are essential in order to illuminate the face from all illumination in the daytime, while affording privacy. VENTILATION: Good ventilation is essential in bathrooms,both to reduce humidity and to dispel edors. If a window is relied upon as the soul means of ventilation ,care should be taken in its selection and placement to minimize drafts and to permit easy access. Exhaust fans in the wall or ceiling are often used to supplement natural ventilation. In the interior bathroom spaces, a mechanical exhaust is,of course,essential. MATERIALS: It is essential that all surface materials used in the bathroom have moisture resistant finishes.

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MEDICAL AREA: The medical area of a rehab centre provides Medical evaluation of the patient performed by the physician and his staff . Physical therapy. Occupational therapy. The medical area provides the basis for the patients total program at the centre . It must be accessible to all the areas and well integrated with admissions and administration. GAMES ROOM: The games room is designed for a variety of games, including billiards and table tennis. In planning this room ,sufficient storage space should be provided for various items of game equipment and supplies to be used. It should be acoustically treated for noise. The choice of material should be carefully considered because of the heavy traffic prevalent in the room. THE PSYCHIATRIC UNIT: It has four broad sub units. The treatment consulation area composed of staff office for individual and family care session and for administrative purpose. Conference,therapy area for group therapy session and for observation of these sessions by staff . Inpatient are to accomidate hospital patients activity area for therapeutic activity -occupational therapy ,recreational therapy etc. ISOLATION ROOMS: One or two isolation rooms for patients requiring security and protection as these rooms are meant for short term occupancy by the patients during their detoxification period.they enable direct observation by the staff. STATION DOCTOR: The station doctor must be provided with a 16-20 sqm room in which to examine patients. In addition to a desk, there should be ample shelving and an examination couch on which the doctor can rest when not on call. FORM: The form of a building is strongly influenced by the choice of access and circulation routes. It is therefore necessary to decide early whether to choose a spine form with branching sections individual departments or whether the circulation will be radially outward from a central core. PATIENTS LOUNGE: A size approx. 22-25 sqm should be allocated to serve as a general meeting place for patients. The design should embrace a domestic envirorment. DOORS: When designing a door the hygenic requirements should be considered. The surface coating must withstand the long term action of cleaning agents and disinfectants.they must be designed to prevent the transmission of sound, odours and draughts. Doors must meet the same standard of noise insulation as the surrounding walls. A double skinned door leaf construction must meet a recommended minimum sound reduction of 25 db. STAIRS: The effective width of the stairs and landings is essential staircases must be a minimum of 1.5m and should not exceed 2.5m. doors must not constrict the useful width of the landings and in accordance with hospital regualtions doors to the staircases must open in the direction of escape. Riser height of 170mm is permissible and the minimum tread depth is 280mm . It is better to have a riser tread ratio of 1:2(150:300mm). NURSES WORK AREA: The nurses work area should be situated in a central position and requires a size about 25-30 sqm. The corridor wall must be glazed , but fireproofing is also a consideration.

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BIBLIOGRAPHY:

TIME SAVER STANDARDS-HOSPITALS. TIME SAVER SANDARDS-YOUTH TREATMENT CENTERS. TIME SAVER STANDARDS -BUILDINGS TYPES. WORLD HEALTH ORGANISATION. DE-ADDICTION CENTERS.IN. FOUNDATION FOR A DRUG FREE WORLD. TEXTBOOK OF PHARMACOLOGY. DESIGNING WITH COLOUR. HTTP://MOPH.GOV.AF/EN HTTP://WWW.CHIROPRACTICOFFICEDESIGN.COM/RESOURCES/ESTABLISH-HOW-MUCH-SPACEYOU-NEED HTTP://WWW.CAMH.CA/EN/HOSPITAL/PAGES/HOME.ASPX HTTP://WWW.SERENITYRECOVERY.COM/ HTTP://WWW.GOODTHERAPY.ORG/ HTTP://WWW.HEALTHYHEATING.COM/HYBRID-HVAC-SYSTEMS/HYBRID-HVACSYSTEMS.HTM#.WS7QYGIGPIU HTTP://QCODE.US/CODES/TEMECULA/VIEW.PHP?TOPIC=17-17_24-17_24_050

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SITE SELECTION & ANALYSIS


SITE LOCATION:Pump House Rd, Postal Colony, Kurnool,AndhraPradesh-518004,INDIA

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SITE SURROUNDINGS:-

SITE

SITE FROM ROAD-SIDE

GANDHI APARTMENTS

HOUSING

60 FEET ROAD

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ROAD INFRONT OF SITE

SIRI NOBLE HOSPITALS

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SITE STUDY

SURROUNDINGS:

ORIENTATION: Site is facing NORTH -EAST towards approach road side.

It has hospitals and housing sectors and Remaining sides have agricultural land.

ROAD NETWORK: There is 60 feet approach main road to site Which connects the kurnool city

TOPOGRAPHY: The site is relatively plane with gentle slope. There is a pond on east side of the site.

SOIL CONDITION: The soil is hard good for construction. The site has alluvial soil Good for landscaping

VEGETATION:The site is a barren land with no vegetation.

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SITE

46.6M

106.2M EXISTING CONDITION OF THE PROPOSED SITE – Total site area 1.22acres. It is a city with a population on 10lakhs. The site has irrigational land in its surroundings. The area around the site is undeveloped land. The site is well connected to the other areas of the city. The site is a uniform barren land with no vegetation. There are no hign rise buildings in its surroundings. The surroundings of the site are filed with many hospitals,educational institutions,barren lands and ongoing constructions. The site is facing the north-east direction with a 60 feet road at the north-east side,housing community at the south-west side and the other sides being barren lands. The site is in very near approach to many of the residential colonies such as sitaram nagar,ashok nagar,venkata ramana colony etc;

CRITERIA FOR IDEAL SELECTION‌ The increase in the rate of alchohol,substance abuse and suicidal rates. The isolated location. Nearness to water body. The absence of any de-addiction facility in the city and in the entire district. Easily accessible from the road and is present in a non-residential area.

NECESSARY ACCESSIBILITIES: 3 km from nh7 and 700m from pump house. 1.2km from railway station and 2.6km from bus staton. Opp to st.Joseph degree and p.G. College.

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CLIMATIC DATA:

TEMPERATURE :

The climate of this district is hot and dry ,the climate is hot and dryness except in the rainy season. The cold season is from December to February and is followed by the hot season from March to May. The wind direction is maximum from the west direction.

The cold weather commences towards the end of November and December is usually the coldest month with the mean daily maximum temperature at 31°c and the mean daily minimum at 17.0°c. May is the hottest month with the mean daily maximum temperature at 40°c .

MONTH

MAXIMUM

MINIMUM

JANUARY

31 C

17 C

MAY

40 C

27 C

AUGUST

32 C

23 C

NOVEMBER

31 C

20 C

WIND DIRECTION NORTH – 3% NORTH EAST-5% EAST-16% SOUTH EAST-7% SOUTH-4% SOUTH WEST-8% WEST-48% NORTH WEST-9%

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JUSTIFICATION OF SITE ANDHRA PRADESH

A lone woman's struggle to end alcoholism KURNOOL: OCTOBER 14, 2016 00:29 IST UPDATED: DECEMBER 01, 2016 17:37 IST Sasikala of Telugu Geri in Kurnool, working in a private firm, lamented that people under the influence of alcohol were resorting to atrocities against women and children and, at times, killing them. A 20-year-old woman, Sasikala, staged a solitary sit-in protest at the Gandhi statue in front of the Kurnool Collectorate on Thursday demanding that the government impose total prohibition in Andhra Pradesh and set up de-addiction centres in all district headquarters. Sasikala of Telugu Geri in Kurnool, working in a private firm, lamented that people under the influence of alcohol were resorting to atrocities against women and children and, at times, killing them. With a banner in the backdrop that carried a portrait of a young boy who was tortured and killed by a drunken man, she said the State government should bear the responsibility for problems arising out of drunkenness. Families were being shattered, women and children becoming victims and youngsters falling prey to liquor addiction, Ms. Sasikala said.

ANDHRA PRADESH

Liquor addict hacked to death by wife KURNOOL: OCTOBER 31, 2016 00:00 IST UPDATED: DECEMBER 02, 2016 12:37 IST A woman, Ramulamma, 30, hacked to death her husband Panuganti Ranganayakulu, 33, an alcoholic, who harassed her and their three children everyday at Sunnipenta in Srisailam mandal of Kurnool district in the early hours of Saturday. Ranganayakulu, a hamali, severely beat up his wife and children — Rangalakshmi, Rangasai and Ashok — on Friday and threatened to kill them with an axe. Ramulamma and the children left the house out of fear even as he fell asleep with the axe beside him, police said. She returned home with her children in the early hours and hacked him to death fearing that he would kill them. Ramulamma, belonging to Hasanabad in Dornala mandal in Prakasam district, married Ranganayakulu 14 years ago. She has been working as a house maid and running the family as Ranganayakulu would not give a penny at home. Srisailam circle inspector Vijayakrishna, sub-inspector Obulesu and staff took Ramulamma into custody and sent Ranganayakulu’s body to hospital for post-mortem.

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ZONNING OF SITE PLAN

CONCEPTUAL ZONNING PLAN

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LAYOUT PLAN

CONCEPTUAL SKETCHES

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