Architecture

Door barricading solutions

May 26, 2013     James M. Hunt, AIA
blog

The ability of patients to barricade doors to prevent or delay staff from entering a room presents very serious hazards in behavioral health facilities.  This threat exists any place where a door swings into a patient accessible room and no other provisions are provided that will allow staff to gain entrance to the room in a timely manner.  

Live from NAPHS: Celebrating 10 years of the 'Design Guide'

March 12, 2013     Shannon Brys, Associate Editor
blog

At the 2013 NAPHS Annual Meeting, authors of the Design Guide for the Built Environment of Behavioral Health Facilities were presented with an award as their publication celebrates its 10-year anniversary.

Over the door alarms

January 21, 2013     James M. Hunt, AIA, NCARB
blog

Doors between patient rooms and corridors as well as patient bathrooms are frequently used by patients in committing suicide. There are several products available that will detect downward pressure on the top of the door and alert staff to this situation.

Comparing mass killing and inpatient suicide rates

December 21, 2012     James M. Hunt, AIA, NCARB
blog

Psychiatric inpatient suicides accounted for nearly ten times more deaths than mass killings (7,500 vs. 774) in five recent years. Yet hospitals still resist making the financial commitment to provide suicide resistant improvements that might help reduce both numbers.

Design mistakes, part 1: Things many ‘know’ that ‘just ain’t so’

December 3, 2012     James M. Hunt, AIA, NCARB
article

When it comes to psychiatric facility design, sometimes staff comes to “know” certain things about design because they have heard them throughout their professional lives in the facilities in which they have worked. But using such “common knowledge” to work in designing new psychiatric facilities can be very problematic and very costly.

Windows in patient room doors?

October 19, 2012     James M. Hunt, AIA
blog

Should behavioral helath care inpatient room doors have small windows in them? Is it more important for staff to be able to see into a patient’s room from the corridor without opening the door or for patients to have privacy and the ability to shut out light from the corridor?

Suicide "Prevention" - be careful using absolute terms

September 12, 2012     James M. Hunt, AIA
blog

Designers, product manufacturers and health care facilities should be very careful with using absolute terms such as suicide “prevention”, tamper “proof”, “anti”-ligature and similar terms from which a reader or listener may infer that a warrantee or guarantee is being given that there is absolutely no way that a patient could use them to harm themselves.

Risk tolerance - fiscal and physical responsibility

August 12, 2012     James M. Hunt, AIA
blog

Every facility that admits and treats behavioral health care patients either consciously or sub- consciously determines its level of risk tolerance for a multitude of issues pertaining to its built environment. The sub-conscious decisions may range from simply not knowing that a condition creates a potential safety risks for patients and/or staff to organizations hiding their collective head in the sand and choosing to ignore the threat.

There is no "safe zone" in which ligature attachment protection is not needed

July 16, 2012     James M. Hunt, AIA
blog

Ligature attachment protection below 18 inches above the floor is necessary to resist behavioral health facility inpatient suicides

Pima County's Crisis Response Center: beautiful, and functional, too

July 12, 2012     Dennis Grantham, Editor-in-Chief
article

In August, fast-growing Pima County, Arizona opened a striking new Crisis Response Center in Tucson. It's a beautiful and highly functional new hub for the region's crisis care system.

Exterior courtyard enclosures - how much is enough?

June 14, 2012     James M. Hunt, AIA
blog

If it is desirable for behavioral healthcare patients to be allowed periods of time in the open air outside the unit, then the issue becomes how do we define the space to which they are to have access and how do we protect against them leaving the area without authorization?

2012 Design Showcase

May 15, 2012     Dennis Grantham, Editor-in-Chief
article

Four projects in the 2012 Behavioral Healthcare Design for Health and Human Services Showcase earned special recognition from our judges. But all 12 were selected on their merits from a wider field of entries based on the scores and opinions of the judges.

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