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Posts by juliewycoff

Improving Mental Health Care in Sonoma County

A small but important TLCD Architecture project was featured in an article, ‘County Overhauling Mental Health Services for Those in Crisis’ in today’s Press Democrat. The Sonoma County Crisis Stabilization Unit is a new facility that will replace the existing, outdated facility currently housed in the old Sonoma County (recently Sutter) Community Hospital complex on Chanate Road.

The Crisis Stabilization Unit will expand and improve the County’s emergency mental health services which treat 4500 clients each year. This new, larger facility located at The Lakes business park in west Santa Rosa will be more accessible to the clients they serve and visible to the community. In addition to providing services to adults, it will also provide much needed services to adolescents who are currently among the most underserved in the North Bay mental health care community. Project Manager Jason Brabo, Project Architect Carl Servais, Project Captain Julie Wycoff and Interior Designer Domenica Sheets are the project team.

The 15,000 sf unit is a Tenant Improvement in an existing business park and has been designed to meet the specific needs of the clients and staff. It will serve those who come in on a voluntary basis as well as those who arrive involuntarily or by law enforcement and will provide a calm, clean and welcoming place for them to access treatment.

Inside the Aurora Santa Rosa Hospital. TLCD Architecture recently completed renovations at this mental health hospital in Santa Rosa, CA. The finishes selected create a warm, welcoming atmosphere conducive to healing. The same design approach is being used in the Sonoma County Crisis Stabilization Unit.

Inside the Aurora Santa Rosa Hospital. TLCD Architecture recently completed renovations at this mental health hospital in Santa Rosa, CA. The finishes selected create a warm, welcoming atmosphere conducive to healing. The same design approach is being used in the Sonoma County Crisis Stabilization Unit.

The Crisis Stabilization Unit is the second mental health services project TLCD has worked on – the first being the recently completed 95-bed Aurora Santa Rosa Hospital, mentioned in the article.

Mental health facilities present a wide range of design challenges and requirements. Clients need a safe and secure place in which to be treated where they cannot harm themselves or others, and the built environment should support that. Staff also need to be able to observe and monitor clients at all times. The finishes play a large role in creating a warm and welcoming environment while also being durable. The right finishes and color palette can help create a hospitality feel rather than an “institutional” feel. Natural lighting is used as much as possible because evidence has shown that natural light helps balance moods and aids the healing and recovery process. As Stephen Parsons, client case manager at the facility noted in the article, “It will be the kind of place where people who walk in will feel welcome.”

TLCD’s design team has worked closely with the Crisis Stabilization Unit care providers to create a space that will greatly improve emergency mental health care for Sonoma County residents. The work is interesting, complex and challenging. It is also very satisfying to know that the work we do will help improve care for some of the most vulnerable people in our community.

The Emergency Department – Considerations for Innovative and Strategic Design

Kaiser Permanente, TLCD Architecture, Emergency Department Design, The Center for Healthcare Design

Kaiser Santa Rosa Emergency Department, completed 2010

I recently had the pleasure of attending a conference focused on Emergency Department design hosted by The Center for Healthcare Design and held at the AIA San FranciscoTLCD Architecture is a corporate affiliate of the CHC which gives us access to a wide array of seminars, webinars and conferences related to healthcare design. The topics presented at the ED Design Conference delved deeply into the current thinking of how Emergency Departments are designed and organized with an eye to better addressing long wait times, delivery of care, and responding to an ever-changing healthcare environment. The presenters were a mix of healthcare providers and designers specializing in Emergency Department design.

Over the course of the discussions, some key themes emerged:

  1. Eliminate Triage

Triage based intake practices are outdated and increase wait times and create backlogs. More and more EDs are going to “Split Flow” patient intake and rapid treatment methods whereby patients are seen immediately and are either treated in a low acuity area or are sent to an ED treatment room. Patients never return to the waiting area, but are constantly kept moving through their care.

  1. Design for Flexibility

Emergency Departments must be designed so that they can respond to all types of patients and all types of events. Rather than designing highly specific treatment rooms, all rooms should be of a universal design that can accept any patient at any time.

  1. Evaluate the Problem

The answer to the problem of overcrowding and long wait times isn’t necessarily adding more treatment rooms or space. Often a thorough evaluation of staffing and patient intake patterns can lead to changes that do not require costly changes to the physical environment.

The Emergency Department is increasingly the primary healthcare access point for many in this country not only for trauma patients but for those with chronic conditions to the mentally ill. As such, EDs must be able to rapidly adapt to these types of patients in addition to everything from an infectious disease outbreak to a natural disaster. Designers and providers can work together to create spaces that can effectively deliver care, provide an organized work environment for staff, and a safe, healing space for patients. Knowing the needs of Emergency Departments and the challenges they face allows TLCD to help our healthcare clients plan their Emergency Departments for the present and future.

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