{"id":61589,"date":"2023-10-09T12:15:44","date_gmt":"2023-10-09T16:15:44","guid":{"rendered":"https:\/\/healthcaredesignmagazine.com\/?p=61589"},"modified":"2023-10-09T17:18:10","modified_gmt":"2023-10-09T21:18:10","slug":"nancy-friend-pritzker-psychiatry-buildings-new-approach-to-outpatient-mental-health-care","status":"publish","type":"post","link":"https:\/\/healthcaredesignmagazine.com\/projects\/nancy-friend-pritzker-psychiatry-buildings-new-approach-to-outpatient-mental-health-care\/","title":{"rendered":"Nancy Friend Pritzker Psychiatry Building\u2019s New Approach To Outpatient Mental Health Care"},"content":{"rendered":"

The University of California, San Francisco (UCSF<\/a>), Department of Psychiatry and Behavioral Sciences provides psychiatric clinical services as well as research and training programs in the San Franciso and Bay Area.<\/p>\n

For decades, the department operated on UCSF\u2019s Parnassus campus inside a 1940s-era building that wasn\u2019t designed for the modern practice of psychiatry. Additionally, the building didn\u2019t meet the state\u2019s current seismic requirements and was being eyed for a different use entirely as part of a campus revitalization program.<\/p>\n

\u201cFor a variety of practical reasons, we needed to have a new home,\u201d says Dr. Matthew State<\/a>, the Oberndorf Family Distinguished Professor and chair of psychiatry at UCSF and director of the Langley Porter Psychiatric Institute and Hospital<\/a>, a psychiatric teaching hospital at UCSF.<\/p>\n

Philanthropy gift funds state-of-the-art mental health building<\/h2>\n

That effort to relocate went from simply finding a replacement facility to building a state-of-the-art building when the department received a $60 million gift from philanthropists John Pritzker and Lisa Stone Pritzker in 2021.<\/p>\n

The gift was to fund a new outpatient home for researchers, interdisciplinary academics, and outpatient mental health services for patients of all ages.<\/p>\n

\u201cWe felt like we received \u2018a blank sheet of paper\u2019 and that it would be an extraordinarily missed opportunity for us if we didn\u2019t do everything we could to bring these disparate disciplines together and provide a space that allowed for truly integrated care,\u201d State says.<\/p>\n

Space was found adjacent to UCSF\u2019s Mission Bay campus in San Francisco\u2019s Dogpatch neighborhood, and planning began for the 173,000-square-foot UCSF Nancy Friend Pritzker Psychiatry Building<\/a> (named in honor of John\u2019s sister Nancy who died by suicide in 1972).<\/p>\n

(The project also won a 2023 Design Showcase Award Of Merit. Read the article here<\/a>.)<\/p>\n

Designing a comprehensive mental health outpatient facility<\/h2>\n

The outpatient project provided the opportunity to bring the department\u2019s physical and mental health programs and researchers together for the first time in UCSF\u2019s history, including psychiatry, psychology, neurology, neurosurgery, radiology, pediatrics, anesthesiology, and obstetrics\/gynecology.<\/p>\n

\u201cFrom the start, we thought about this as the hub of activity for psychiatry and behavioral sciences,\u201d State says.<\/p>\n

Bringing everything together under one roof could help accelerate scientific discovery of improved treatments and prevention. Additionally, the project team, which included design architect ZGF<\/a> (Portland, Ore.) in collaboration with Perkins&Will<\/a> (San Francisco) and behavioral health consultant Architecture +<\/a> (Troy, N.Y.), sought to advance design for mental health care environments and help break down barriers to care.<\/p>\n

\u201cThere were multiple discussions and a lot of design charettes thinking about the way in which the aspirations for the building might help, at least on the UCSF campus and, we hope, more broadly, flip the narrative about what it means to seek out psychiatric care,\u201d State says.<\/p>\n

Soaring atrium delivers sense of openness, connection<\/h2>\n

State says a big part of that goal was creating an environment where patients felt a sense of hope and optimism and \u201cvalued in the same way that you do if you walk into a new children\u2019s hospital or comprehensive cancer center.\u201d<\/p>\n

To begin delivering that message, the first floor features a light-filled atrium at the heart of the building that soars five stories high. A variety of design features including skylights, ambient warm light that lines the floors, curved wall edges, and wood wallcoverings and ceiling soffits, further grab attention, contributing to the overall experience.<\/p>\n

\u201cIt\u2019s a space that actually asks you to look up, which, in doing so, your body takes a posture that impacts how you feel as well,\u201d says Justin Brooks, principal at ZGF.<\/p>\n

The atrium also creates a sense of openness and connection by providing visibility into the operations of the building, including the waiting areas, consult rooms, dry labs, open-plan workspaces, and staff lounges that are arranged on different levels around the atrium.<\/p>\n

Design features to support patient safety, comfort<\/h2>\n

For patients or family members who might still prefer a more enclosed or private setting for waiting, the design team incorporated a variety of seating arrangements and furniture options that allow for different levels of engagement.<\/p>\n

Furthermore, State notes, the co-location of different physical and mental health services within the new building, from sleep studies to MRI services to obstetrical\/gynecological care and developmental pediatrics, is designed to help put people at ease while reinforcing the message: \u201cThere\u2019s not a distinction in seeking healthcare for your brain or for a broken leg.\u201d<\/p>\n

Recognizing that the facility would be welcoming patients seeking treatment for a variety of mental health needs, the project team addressed the need for enhanced safety throughout the space.<\/p>\n

For example, in the atrium, 6-foot tall glass guardrails were installed along the atrium to create a barrier without obscuring views and deterring potential suicide attempts.<\/p>\n

Other security elements are disguised throughout the UCSF Nancy Friend Pritzker Psychiatry Building to help deinstitutionalize the setting, as well. For example, the front desk on the first floor doubles as a security station, while patient areas on the clinical floors are placed behind controlled access.<\/p>\n

Inviting aesthetics, biophilic design in mental health environments<\/h2>\n

Another focus of UCSF\u2019s approach at the UCSF Nancy Friend Pritzker Psychiatry Building, which opened in April 2022, was to forego traditional palettes for mental health spaces that can carry a more institutional look. Instead, the project team introduced a bright, uplifting aesthetic using natural materials, colors, and textures that evoke the Bay Area region.<\/p>\n

\u201cThe goal was to do something inviting, inclusive, and that feels good to be in,\u201d Brooks says. \u201cThat translates into a place with a sense of timelessness and high level of fit and finishes, and that feels like it\u2019s part of the community,\u201d he says.<\/p>\n

Those details include terrazzo and white oak flooring and more than 100 photographs by artist Richard Misrach depicting the natural environment, such as oceans, clouds, landscapes, and vegetation.<\/p>\n

Biophilic principles<\/a> also play an important role in redefining this care environment. \u201cNatural forms and connectedness to natural light is essential to human experience, wellness, and healing,\u201d says Jan Willemse, partner at ZGF.<\/p>\n

Within the building, access to daylighting and views to the outdoors is provided via skylights and windows in the staff and clinical spaces as well as a garden on the fourth floor, which can be used for patient and staff meetings.<\/p>\n

Custom architectural features also help bring in biophilic elements, such as frit patterns on glazing elements coupled with perforation patterns in metal acoustical panels in the atrium, which together create a stylized wave pattern that complements the play of light with the skylight baffles.<\/p>\n

Parametric modeling was used to optimize the performance of the skylight baffles, which allow natural light to penetrate down to the ground floor while reducing glare, to retain occupant comfort.<\/p>\n

\u201cOne of the things about the Bay Area is the sky there changes nonstop \u2026 there are clouds, fog, the sun breaks through and the wind whips,\u201d Willemse says. \u201cWe knew that that stuff would translate into how the baffles mutated light and enliven the walls in the space. That whole experience of the diurnal change of sky during a day is this very natural biophilic response that human beings take into themselves.\u201d<\/p>\n

Supporting integrated care needs<\/h2>\n

To help guide the building form and programming pieces, a series of design charettes was held with more than 100 UCSF faculty and staff to gather program needs and identify synergies across the various practices. The result is a building that fosters a multidisciplinary approach with different programs and researchers working across connected floors.<\/p>\n

For example, with physical and mental health providers located on the same floor, a patient coming in with an eating disorder could be seen by a psychiatrist as well as a nutritionist to support a more comprehensive care approach.<\/p>\n

\u201cPart of the model is that patients who are primarily here for behavioral health, there\u2019s the ability for the consulting physicians to be able to have the tools that they need and the kind of space that they need to be able to treat them, as well,\u201d State says.<\/p>\n

To address the age range of patients seeking care within the building, care experiences are dedicated to specific ages on floors 2-4, with care for the youngest patients at the bottom of the building stack and the more adult patient services on the upper floors.<\/p>\n

\u201cThe decision was to keep the floors age related so that you could separate patient typologies where it was appropriate and keep programs for certain ages together,\u201d says Kim Bandy, medical planner at ZGF.<\/p>\n

Each floor has its own color palette inspired by the city\u2019s colorful \u201cPainted Ladies\u201d houses, including red, blue, and green, that helps with orientation and wayfinding. Interior design features such as furnishings and artwork address the unique needs of the patients the facility serves. For example, groupings of smaller furniture and child-friendly textures were used on the floors for children and teenagers.<\/p>\n

Moving through the building, the floor plan was designed to maximize flexibility, with consult offices located on either side of the atrium, flanked by open workspaces for staff, Bandy adds. A universal design approach in the consult and exam rooms allows spaces to flex to different needs depending on the time of day or patient base.<\/p>\n

New outpatient model for mental health design<\/h2>\n

State says while it\u2019s hard to quantify the impact of the building on patients and staff, indirect evidence points to it making a difference, including improved net promoter score and patient quality metrics for the organization.<\/p>\n

Additionally, he says the building is drawing more than just patients and staff through the doors. These include requests from across the university to use the auditorium or garden for meetings or presentations, healthcare organizations touring the building, or locals using the first-floor coffee shop as a gathering spot.<\/p>\n

That exposure, he notes, can further help break down the walls of mental health care and provide an aspirational model for other buildings. \u201cWe\u2019re very proud of this building, and love that people are interested in it,\u201d State says.<\/p>\n

Anne DiNardo is executive editor of <\/em>Healthcare Design and can be reached at anne.dinardo@emeraldx.com<\/a>.<\/em><\/p>\n

\u00a0<\/em><\/p>\n

Nancy Friend Pritzker Psychiatry Building project details<\/h2>\n

Project name: The University of California, San Francisco (UCSF), Nancy Friend Pritzker Psychiatry Building<\/p>\n

Project location: San Francisco<\/p>\n

Project completion date: April 2022<\/p>\n

Owner: SKS Partners and Prado Group<\/p>\n

Total building area: 173,000 sq. ft.<\/p>\n

Total construction cost: Confidential<\/p>\n

Cost\/sq. ft.: Confidential<\/p>\n

Architect: ZGF<\/p>\n

Exterior architect of record: Perkins&Will<\/p>\n

Interior design: ZGF<\/p>\n

General contractor: Hathaway Dinwiddie Construction Co.<\/p>\n

Acoustics consultant: Salter<\/p>\n

Behavioral health consultant: Architecture +<\/p>\n

Engineering: Tipping Structural Engineers (structural), Interface Engineering (MEP), Luk and Associates (civil), Teecom (telecom and security), International Parking Design (parking), Luma Lighting Design\/PAE Engineers (lighting)<\/p>\n

Carpet\/flooring: Terroxy, Heath Ceramics, Mosa, Upofloor, Tarkett, Mondo, Milliken<\/p>\n

Ceiling\/wall systems: USG, Armstrong, FSorb, Arktura, Levolux<\/p>\n

Doors\/locks\/hardware: AGA, Wausau,\u00a0 Boyett, Northwestern Design, Muraflex, McKeon, Smoke Guard, Schlage, Allegion, VonDuprin, Honeywell, Livers Bronze<\/p>\n

Furniture\u2014seating\/casegoods: Herman Miller, NaughtOne, Davis, Fermob, Figueras, Arper, Nevins, Hay, Viccarbe, Nofred, Geiger<\/p>\n

Upholstery: Camira, Knoll, HBF, Brentano, Maharam, HermanMiller<\/p>\n

Lighting: Finelite, Fluxwerx, Lumentruss, Aion, Philips, Focal Point, ETC, Lumenwerx, Vode, Luceplan, Nort, Bega, BK Lighting, Luminii, nLight<\/p>\n

Surfaces\u2014solid\/other: Muraflex, Northwestern Design<\/p>\n

Wallcoverings: Nufelt, Carnegie, Northwestern Design<\/p>\n

Interior glass partitions: Muraflex<\/p>\n

Skylights: AGA<\/p>\n

Project details are provided by the design team and not vetted by Healthcare Design.<\/em><\/p>\n

\u00a0<\/em><\/p>\n

\u00a0<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

The 173,000-square-foot outpatient facility for University of California, San Francisco, makes mental health care more accessible with an approachable, transparent facility that brings together multiple services under one roof.<\/p>\n","protected":false},"author":2812,"featured_media":61599,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[538,537],"tags":[],"acf":[],"aioseo_notices":[],"parsely":{"version":"1.1.0","meta":{"@context":"https:\/\/schema.org","@type":"NewsArticle","headline":"Nancy Friend Pritzker Psychiatry Building\u2019s New Approach To Outpatient Mental Health Care","url":"http:\/\/healthcaredesignmagazine.com\/projects\/nancy-friend-pritzker-psychiatry-buildings-new-approach-to-outpatient-mental-health-care\/","mainEntityOfPage":{"@type":"WebPage","@id":"http:\/\/healthcaredesignmagazine.com\/projects\/nancy-friend-pritzker-psychiatry-buildings-new-approach-to-outpatient-mental-health-care\/"},"thumbnailUrl":"https:\/\/healthcaredesignmagazine.com\/wp-content\/uploads\/2023\/09\/pritzkeropening-150x92.png","image":{"@type":"ImageObject","url":"https:\/\/healthcaredesignmagazine.com\/wp-content\/uploads\/2023\/09\/pritzkeropening.png"},"articleSection":"Acute Care","author":[{"@type":"Person","name":"Anne DiNardo"}],"creator":["Anne DiNardo"],"publisher":{"@type":"Organization","name":"HCD Magazine","logo":""},"keywords":[],"dateCreated":"2023-10-09T16:15:44Z","datePublished":"2023-10-09T16:15:44Z","dateModified":"2023-10-09T21:18:10Z"},"rendered":"