Behavioral Health Lighting

B e h av i o r a l H e a lt h L i g h t i n g Therapeutic Design for Healing Environments

Let us introduce ourselves The living environment can have a direct impact on emotional and mental wellbeing. By creating luminaires especially for behavioral health, we can offer patients comfort, respect, autonomy, and a therapeutic space to heal.

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The most respected standards organizations agree: In behavioral health, aesthetics and comfort matter as much as safety. By creating enriching, comfortable environments with high quality light and non-institutional fixtures, we can help contribute to the patient’s journey in a healing way.

Introduction

Our priority has always been to provide luminaires that answer specific needs. The stigma surrounding mental illness has historically echoed throughout behavioral health facility design. Stark, institutional rooms built to control patients were the norm. However, that stigma is weakening. Now, patient-centered behavioral care means treating the whole person, not just controlling symptoms.

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Transform Behavioral Health with Light

FPO

FPO

Research & Statistics One in five adults has a mental health condition.

In the 1950s, an effort to deinstitutionalize mental health dramatically decreased the number of available inpatient beds. The goal was to substitute inpatient care with stronger community resources. This proved to be ineffective in many areas.

While experts recommend 50 beds per 100,000 people in the community, a 2016 report found that there was an average of 11.7 beds available per 100,000 Americans. This varies by region. Many states were much lower.

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Design Guides • Patient Safety Standards – New York State Office of Mental Health • Behavioral Health Design Guide – Behavioral Health Facility Consulting • Mental Health Facilities – US Department of Veterans Affairs All safety standards require luminaires to be ligature-resistant, tamper resistant, high-impact, recessed, or surface-mounted, and include emergency light options.

At the same time, these guides also emphasize the importance of designing a comfortable, therapeutic environment with products that are home-like, familiar, attractive, and respectful of patient autonomy and privacy.

RESEARCH & DESIGN

Vigorous impact testing is performed to ensure all behavioral health luminaires adhere to the latest safety standards

Materials

Our behavioral health luminaires are constructed for ligature, impact, and tamper resistance.

This is achieved by using the right components.

Tamper Resistant Screw

Mounting Bracket

Pick Proof Caulk

Polycarbonate Lens

Secure, tamper resistant screws with special heads are used to prevent opening or damaging the fixture. They can only be removed with a specific tool.

Luminaires must be securely fastened to structural blocking using supplemental screws and/or mounting brackets, according to installation instructions.

Many fixtures require caulk that is pick-proof around the housing, especially if the surface is not smooth, in order to reduce damage and ligature risk.

High abuse luminaires need polycarbonate lenses in place of (or over) typical diffusers to protect inner components and to allow light through.

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While there is no universal standard for fixtures in behavioral health, our engineers evaluate each luminaire according to the testing model of the New York State Office of Mental Health.

For example, our impact tests apply external mechanical force by swinging a weight directly into the luminaire.

LIGATURE RESISTANCE All patient-facing components where two or more materials meet must be thoroughly tested for ligature resistance. This means that objects cannot be wedged in or looped around any particular spot to create an anchor point. To test this, engineers repeatedly apply mechanical impact or pressure to the luminaire while it is installed, then attempt to create a ligature point.

Construction

Testing

Rogers Behavioral Health, Oconomowoc, WI Specifier: Ring & Duchateau, LLP | Photo: Reminisce Studio

page 9 Gig

Gig™ Having your own space is essential, especially in healing environments. Gig is a compact, wall-mounted, personal task light that can be dimmed and brightened with the touch of a finger on the luminaire body. Mount near the bedside or over the desk for a cozy, intimate atmosphere.

Behavioral Health Features

Other Features

• IK10+ (100 joules) impact resistant • High abuse mounting bracket • Touch-dimming controls — no switch needed in the patient room • Tamper resistant hardware • Ligature-resistant construction • 3/4” thick impact-resistant polycarbonate lens • ADA compliant

• Integral or remote power supply models • 27°-30° or 100° output distribution • IP65 rated • ETL listed for wet locations • Mounts to 2x4 electrical junction box

H

D

W

Polycarbonate Lens

BH Mounting Bracket

page 11 Gig

CB1800

180˚

CB1800 - Integral Driver

150˚

Nominal Dimensions

CCT

Lumens

Watts

H: 7” D: 3” W: 4”

3000K 3500K

150 to 300

3 to 6

120˚

90˚

CB1800 - Wide - Integral Driver Nominal Dimensions

H: 7” D: 3” W: 4”

CCT

3000K 3500K

Lumens

60˚

Watts

30˚ 0˚

80 to 160

3 to 6

Standard

CB1800PSX - Remote Driver Nominal Dimensions

CCT

Lumens

Watts

H: 7” D: 3” W: 4”

3000K 3500K

150 to 300

2 to 4

180˚ 150˚

120˚

CB1800PSX - Wide - Remote Driver Nominal Dimensions

H: 7” D: 3” W: 4”

CCT

Lumens

90˚

Watts 60˚

3000K 3500K

80 to 160

2 to 4

30˚ 0˚

Wide

Eating Recovery Center Willow, Denver, CO Architects: Boulder Associates | Photo: Caleb Tkach

page 13 SOLE

SOLE™ While researching vanity luminaires, our engineers discovered that behavioral health bathrooms also needed a better mirror solution. They designed Sole, an impact-resistant, lighted mirror. Sole features a minimal recessed housing, LED-illuminated cutouts, and high quality mirrored polycarbonate for a clear, color accurate reflection.

Behavioral Health Features

Other Features

• IK10+ (100 joules) impact resistant • Recessed housing with integral wiring compartment • Tamper resistant hardware • Ligature-resistant construction • Heavy gauge fabricated aluminum backbox • Scratch-resistant silicone coating • Optional amber LED Night Light

• IP65 rated for drywall • ETL listed for wet locations • Integral power supply • Optional amber LED Night Light

RD

RD

H

H

Mirrored Polycarbonate

Non-mirrored Polycarbonate Lens W

W

page 15 Sole

CB1850

CB1852 - Oval Mirror

180˚

Nominal Dimensions

CCT

Lumens

Watts

H: 34” W: 20” RD: 3”

3000K 3500K 4000K

400 to 650

14 to 24

150˚

120˚

90˚

CB1850 - Rectangular Mirror Nominal Dimensions

CCT

Lumens

Watts

H: 30” W: 20” RD: 3”

3000K 3500K 4000K

400 to 650

14 to 24

60˚

30˚ 0˚

page 17 SERENITY

Serenity™ Layering light with differing materials and textures can create depth and calm within a space. Serenity features performance lighting around the luminous frame, and a soft, glowing, decorative panel in the center. Designed for the patient room overbed, but suitable for general lighting, these recessed ceiling luminaires provide ambient, reading, exam, or nightlight modes.

Behavioral Health Features

Other Features

• 1/8” thick high-impact polycarbonate • Tamper resistant fasteners • Ligature-resistant frame • Amber LED nightlight

• Modes for ambient, exam, reading • Low-voltage patient control option • Tested to LM79 standard • Four decorative panel options

L W RD

Clear polycarbonate lens Polycarbonate Lens

page 19 Serenity

CM1924

CM1922 - 2x2 Nominal Dimensions

CCT

Lumens

Watts

L: 24” W: 24” RD: 6”

3000K 3500K 4000K

5500 to 11400

72 to 162

180˚ 150˚

120˚

90˚

CM1924 - 2x4 Nominal Dimensions

CCT

Lumens

Watts

L: 48” W: 24” RD: 6”

3000K 3500K 4000K

5400 to 11800

72 to 162

60˚

30˚ 0˚

page 21 SYMMETRY

SYMMETRY™ This luminaire’s organic form factor echoes curves in the interior design to create a more relaxing, comfortable environment. Designed for tunable, general use, or patient room lighting, the Symmetry family can be used repeatedly throughout the behavioral health space, including patient bedrooms, for non-institutional, glare-free, ambient illumination.

Behavioral Health Features

Other Features

• IK10+ (100 joules) impact resistant • 3/16” high impact polycarbonate • Tamper resistant fasteners • Suitable for drywall/sheetrock installation • Optional nightlight

• Driver accessible from below ceiling • Tested to LM79 standard • Remote emergency driver option • Suitable for insulation contact

RW Insulation Detector RD

Fixture Support Frame (by others)

Sheetrock

Polycarbonate Lens DIA

page 23 Symmetry

CM1988-W

CM1988-T - 23” Tunable

CM1978-T - 45” Tunable

Nominal Dimensions

CCT

Lumens

Watts

Nominal Dimensions

CCT

Lumens

Watts

Dia: 23” RD: 7” RW: 23”

2700K to 6500K

2700 to 4500

35 to 63

Dia: 45” RD: 6” RW: 48”

2700K to 6500K

2800 to 4800

27 to 47

CM1988-W - 23” General Use

CM1978-W - 45” General Use

Nominal Dimensions

CCT

Lumens

Watts

Nominal Dimensions

CCT

Lumens

Watts

Dia: 23” RD: 5” RW: 23”

3000K 3500K 4000K

2600 to 4400 2700 to 4500 2700 to 4600

35 to 61

Dia: 45” RD: 6” RW: 48”

3000K 3500K 4000K

2700 to 4600 2800 to 4700 2800 to 4800

29 to 49

CM1986-W - 23” Overbed

CM1976-W - 45” Overbed

Nominal Dimensions

CCT

Lumens

Watts

Nominal Dimensions

CCT

Lumens

Watts

Dia: 23” RD: 7” RW: 23”

3000K 3500K 4000K

3800 to 9800 3900 to 10100 4000 to 10300

52 to 124

Dia: 45” RD: 6” RW: 48”

3000K 3500K 4000K

4600 to 11500 4700 to 11900 4800 to 12100

49 to 127

180˚ 150˚

120˚

90˚

60˚

30˚ 0˚

CM2062-W

page 25 LENGA

LENGA™ Lenga’s modest dimensions and elegant framework give medical behavioral health spaces proper lighting without adding bulk. Designed as a minimal overbed luminaire, Lenga provides multi-functional light levels in patient rooms that require ligature and tamper resistance. The dual units work in tandem to illuminate the bed without creating shadows or glare.

Behavioral Health Features

Other Features

• IK10+ (100 joules) impact resistant • High-impact polycarbonate • Tamper resistant fasteners

• Ambient, exam, or combined modes • Units wired discretely • 90 CRI option • IP65 rated

Recessed Housing Diffuser

RD

RL Polycarbonate Lens L

W

page 27 Lenga

180˚

180˚ 150˚

150˚

120˚

120˚

90˚

90˚

60˚

CM2062-W - Overbed White

30˚

Nominal Dimensions

CCT

Lumens

Watts

L: 48” W: 5” RD: 4”

3000K 3500K 4000K

2400 to 8900 2500 to 9100 2500 to 9300

29 to 118

CM2062-T - Overbed Tunable Nominal Dimensions

CCT

L: 48” W: 5” RD: 4”

2700K to 6500K

Lumens

60˚

30˚

0˚

0˚

Ambient

Exam

180˚ 150˚

Watts 120˚

2300 to 8500

28 to 114

90˚

60˚

30˚ 0˚

Combined

CV1680

page 29 VISAGE

Visage™ With a pure, luminous diffuser, multiple length options, and a shallow recessed depth, Visage is a fundamental ceiling luminaire that fits anywhere throughout the behavioral health facility. Visage can be used to fill general spaces with ambient light or in rhythmic, linear arrangements on the ceiling.

Behavioral Health Features

Other Features

• IK10+ (100 joules) impact resistant • High-impact polycarbonate • Tamper resistant fasteners

• IP65 rated • Housing fully sealed from plenum and room

RD

W

RL L Polycarbonate Lens

page 31 Visage

CV1680

180˚ 150˚

CV1680

120˚

Nominal Dimensions

CCT

Lumens

L: 48” W: 5” RD: 4”

3000K 3500K 4000K

1900 to 2900 2000 to 3000 2000 to 3100

Watts 90˚

25 to 39 60˚

30˚ 0˚

EL IV

ACTIVELY SUICIDAL SELF-HARM NOT ANTICIPATED

INTENT FOR SELF-HARM

ENVIROMENTAL SAFETY RISK ASSESSMENT

LEVEL II

LEVEL IV

LEVEL I

LEVEL III

1:1 OBSERVATION

PERIODIC OBSERVATION

COMPLETELY ALONE

OPPORTUNITY FOR SELF-HARM (PRIVACY)

EL III LEVEL V

MPLETELY ALONE

ACY)

“Safety Risk Assessment Tool” James M. Hunt and David M. Sine Behavioral Health Design Guide www.bhfcllc.com/design-guide

Special Considerations

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• The patient supervision level • Their intent for self-harm

By weighing these factors against one another, designers and clinical staff can discuss the risk levels of each space.

The chart is an assessment tool developed by James Hunt and David Sine and published in the Behavioral Health Design Guide. Each quadrant includes areas of a similar risk level: Level I: Patients not allowed (staff breakrooms and meeting rooms, maintenance areas) Level II: Patients are highly supervised (group rooms, counseling rooms, corridors) Level III: Patients are under minimal supervision (day rooms, open nursing stations) Level IV: Patients spend a great deal of time alone with minimal/no supervision (bedrooms, bathrooms) Level V: Patients are newly admitted or present potential unknown risks (admission rooms, seclusion rooms, exam rooms)

SAFETY RISK ASSESSMENT

Whether or not a particular behavioral health setting needs ligature-resistant lighting depends on two factors:

Planning for Risk Levels For this large-scale behavioral health project, the design team used their own risk assessment tool to evaluate which design elements should be chosen for each area. This model uses Low Risk, Medium Risk, and High Risk categories, determined by that area’s safety (potential patient self-harm) and resiliency (harm to the environment).

Room Layout Credit: Architecture + NBBJ

page 35 Risk Levels

Welcome Area

Staff Spaces

Lobbies should be inviting and relaxing.

What new patients and visitors see there can impact their comfort level in the space, and even how they feel about treatment.

Therapeutic design positively impacts staff as well as patients. Areas where staff takes breaks and conducts meetings should evoke a homelike atmosphere.

Corridors

Group Rooms

To avoid an institutional aesthetic and encourage socialization, corridor lighting should be dimmer than typical hospitals and be indirect if possible.

Group rooms host supervised activities like classes, group therapy, and celebrations.

Luminaires should be dimmable and provide task lighting.

That’s just the beginning! Visit visalighting.com to explore all of our luminaires

BHBRO-1 — February 2020 ©2020 Visa Lighting