A SUPPORTIVE ENVIRONMENTAL COMMUNITY TREATMENT CENTER

FOR DEPRESSED PEOPLE

CHAPTER 3: CASE STUDIES

Chapter 3 is an extension of the data presented in the early part of the research. This chapter will give a contribution to the completion of
the study through conducting case studies of reliable cases wherein something is applicable for the success of the research. In that way, the
proponents will have better understanding regarding the problem that they are trying to solve. In this chapter, you will see similar existing cases
that can be additional knowledge and references aside from information from books and the internet.

A. SCOPE AND DELIMITATION

The study will cover the different kinds of treatment and relaxation for the patients suffering from depression. It will tackle on the
existing spaces that are necessary for providing the nurture and rejuvenation for the mental, physical, emotional and spiritual aspect of a
person. The different services offered by each facility will also be included in the study to attain the balance lifestyle and the relaxation
they needed. Lastly, the importance of nature as the number one element in healing depressed people in attaining the relaxation level will
also be covered by the study.
The study will no longer cover the financial and the detailed construction plans of the structures that are included in the case
studies of this research.

B. CASE STUDIES
Case Study No. 1 (Local Studies)

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NURTURE TROPICAL SPA AND CAF

Location: Brgy. Maitim II west, Tagaytay City
Nurture Tropical spa and caf is a Filipino spa set in a tropical garden amidst the coffee
orchards and pineapple plantations of Tagaytay. Nurture lets nature soothe the body and soul
with therapeutic grade essential oils prepared ingredients. The Nurture Tropical spa and caf is
much more than a spa. They have restaurants that serve Asian cuisine.
Also, guest can enjoy unique accommodation strategies in authentic ifugao huts

with modern amenities. The scenic view of the wide forest and blue clear sky is also relaxing.
Nurture Tropical Spa and caf provides guest with a sanctuary of peace and comfort fig. 3.1 The trail made of cutted stones
in a tropical setting with a warm, personalized and distinctly Filipino touch. leads to the market and gardens around
the site.
Peak Season
Every Friday to Sunday but mostly holidays are the busiest and most crowded days in the spa. The least amount of people visiting
the spa is during rainy seasons.
Types of clients:
Filipino people especially Filipino women
Foreigners but mostly Canadian and Korean

Existing structures:

Landscapes with individual tents used for resting and coffee place
Man-made lagoon

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Mountain Trail
Meditation nook
Valley- residential types of unit accommodation
Spa treatment area

Fig. 3.2 Valley- the Ifugao inspired units Fig. 3.3 Spa treatment areas
Similarity to the Project: of the Nurture tropical spa.

Nurture Tropical Spa and cafs similarity to our study is that it involves the environment in its design and in helping the people
to relax their body and mind. It is also much more than a spa, because it will also be a community treatment center with individual residential
units to house each patient. Just like in Nurture, it has this community like accommodation units which they called Valley; its composed of
ifugao units that are built near each other to create that community home-like feeling.

Case Study No. 2 (Local Studies)

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SUBIC BAY MEDICAL CENTER

Location: Complex of Subic Bay Hospital, Subic bay Freeport Zone,Olongapo City

Subic Bay medical center is a 5.6 hectare hospital complex located on top of
the hill surrounded by a lush tropical forest. The environment is very ideal for health and
healing. It is only a 2-hr drive from Manila. Subic is also accessible by land, sea and
international flights. The hospital complex was once the US Naval Hospital in Subic Bay.
It is also known before as the Institute of natural healing. Fig. 3.4 The aerial shot of the whole
hospital complex in Subic.
Services Offered:

Ultrasound therapy Lifestyle seminars

Physical therapy Hot sitz Bath
Salt rub Massage
Dry skin scrub Acupuncture
Nebulizer treatment Meditation
Mud, herbal packs Spiritual and Psychological Counseling
Cleansing diets Music Therapy
Detoxification/Rejuvenation Health Lectures
Martial art: Kung fu Biozappe
Taichi , Qi jong Steam Bath

Peak Season:

October and November is the busiest and crowded time because it is the time when a person seeks for rest and relaxation from work.

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5-10 person visits every day, this are the Out Patient Department (OPD)
5-8 persons are admitted every day

Types of Clients:

75% of the people who needs treatment for their disease like cancer, heart disease and others. Also the people who are laboratory
examined alright but physically not. Lastly, the people from hospital and needs to be admitted to the wellness for monitoring.
10%-25% of the people who visits are those suffering from stress and depression. And others who just need a relaxing place for
rejuvenation.

Existing and Operating Spaces:

Hydrotherapy room
Massage and acupuncture room
Enema room
OPD department
Administration room
Mini Herbal Botika
Physicians room
Landscape
Mini chapel

Similarity to the Project:

Subic Bay Medical Center is similar to our study because it is located in a site surrounded by a tropical forest wherein it has a scenic
view that can help relax the mind and body of a depressed patient. Another similarity is that it is also a complex that is composed of different

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structures that will help in the healing process of the patient. The services offered in the center are also similar because it offers many therapies
and activities that can help through the healing and relaxation of depressed people. Lastly, the site is just a 2-hr drive from Manila, this means
that there target patients are also the people from Manila.

Case Study No. 3 (Foreign Studies)

THE RAINBOW CONNECTION CENTER FOR SPIRITUAL HEALTH, WELLNESS AND MIND-BODY-SOUL MEDICINE
Healing is a sacred process, a process that involves understanding a conscious awareness and communication with God and self. The
Rainbow Connection Center for spiritual health, wellness and mind-body-soul medicine integrates programs, workshops, seminars and
personalized systems of healing that are intended to give people better insight into understanding the underlying causes of mental, emotional,
physical and spiritual dysfunctions.

Services Offered:
Psychoneuroimmunology

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Psychoneuroimmunology (PNI), is a relatively recent branch of science that enforces beliefs that physicians have held for many
centuries, perhaps well before the times of the ancient Greeks. The premise is that a patient's mental state influences diseases and healing.
Specifically, PNI studies the connection between the brain and the immune system. Psychoneuroimmunology provides a scientific framework
for researchers to investigate the aspects of healing that go beyond standard clinical therapy. PNI researchers look for the physical links that
allow the immune system to respond to psychological factors, such as the will to live to a certain date. They look at the ways that mental states,
such as hopelessness, can signal the immune system to lower the body's defenses.

More than a particular therapy, PNI is a field of research. However, PNI has explored the benefits of many nontraditional or holistic
approaches to healing. These include psychotherapy and counseling for people with cancer, and biofeedback and relaxation therapies to reduce
stress. It is possible that PNI studies will lead to the discovery of new ways to enhance the immune system, just as it has already shown new
ways the immune system can be suppressed. PNI gives credibility to many long-held folk beliefs about the effect of the mind on disease and
healing. By demonstrating the physical means by which the mind influences the body, and vice versa, PNI provides a measure of validity to
holistic approaches to healing.

Behavioral Medicine

Behavioural medicine is the interdisciplinary field concerned with the development and integration of behavioural, psychosocial, and
biomedical science knowledge and techniques relevant to the understanding of health and illness, and the application of this knowledge and
these techniques to prevention, diagnosis, treatment and rehabilitation. Consumers and a wide variety of health professionals are involved in
behavioural medicine research and practice, including cardiologists, counsellors, epidemiologists, exercise physiologists, family physicians,
health educators, internists, nurses, nutritionists, paediatricians, psychiatrists and psychologists. Behavioural medicine takes a lifespan approach
to health and health care, working with children, teens, adults and seniors individually and in groups, and working with racially and ethnically
diverse communities in the United States and abroad.

Areas of behavioural medicine research include adolescent health, aging, anxiety, arthritis, asthma, cancer, cardiovascular disease (heart
disease, hypertension, stroke), children's health, chronic pain, cystic fibrosis, depression, diabetes, disease-related pain, eating disorders,
environmental health, headaches, HIV/AIDS, incontinence, insomnia, low back pain, minority health, myofascial pain, obesity, public health,
pulmonary disease, quality of life, rehabilitation, sexually transmitted diseases, social support, sports medicine, substance abuse (alcohol,
tobacco, and other drugs) and women's health.
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Holistic Healing

Holistic healing bypasses the band-aid fix approach of conventional medicine, looks beyond a
persons physical state and sees the holistic view of their state of being or functioning. It acknowledges that the
root cause of a physical illness may in fact be non-physical. Holistic healing works when we approach life from all
aspects of being physical, emotional, mental and spiritual.

Therefore, a holistic approach is considered to be more effective because change occurs on all levels and
as a result, positive changes are more likely to last long-term and improve a persons overall quality of life.

Fig. 3.5 The effects of Mental, Physical,

spiritual and emotional therapies in your
life.

When we heal holistically, we address imbalances on all levels, rather than one or two, and so it becomes a life-long process in achieving
overall life balance. The ultimate goal of aligning the body, mind and soul promises a happier, healthier, more balanced state of being.

Similarity to the Project:

The healing process is a slow and sacred process. It is a process that cant be done only by medicine and therapies, you need prayer, and
you need God. The similarity of this structure to our study is that it prioritize the patients communication with God through spiritual therapies
and others. It also offers workshops and seminars that can help in the healing process of depressed patients.

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Case Study No. 4 (Foreign Studies)

ADVOCATE GOOD SHEPHERD HOSPITAL CENTER
Location: 450 West Highway 22, Barrington, Illinois 60010

Advocate Good Shepherd Hospital Center is a comprehensive community

resource for the treatment of stress related or illness conditions. It also offers
individualized therapy as well as workshops and specialized
programs that promotes healing and recovery.

Fig. 3.6 The perspective view of the

hospital center.

Behavioral Health Services:

Workshops

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Understanding depression workshop

Introduction to stress management workshop
Anxiety and panic disorder
Anger management
Biofeedback or neurofeedback
Managing Pre-surgical stress program

Approaches to Psychotherapy and counseling:

Behavior Therapy

People most commonly seek behavioral therapy to treat: depression, anxiety, panic disorders and anger issues. Behavior therapy is
focused on helping an individual understand how changing their behavior can lead to changes in how they are feeling. The goal of behavior
therapy is usually focused on increasing the persons engagement in positive or socially reinforcing activities. Behavior therapy is a structured
approach that carefully measures what the person is doing and then seeks to increase chances for positive experience. Common techniques
include:

Self-Monitoring this is the first stage of treatment. The person is asked to keep a detailed log of all of their activities during the day. By
examining the list at the next session, the therapist can see exactly what the person is doing.

Schedule of Weekly Activities this is where the patient and therapist work together to develop new activities that will provide the patient
with chances for positive experience.

Role Playing this is used to help the person develop new skills and anticipate issues that may come up in social interactions.

Behavior Modification in this technique the patient will receive a reward for engaging in positive behavior.

Cognitive-Behavior Therapy

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Cognitive behavioral therapy (CBT) is a short-term, goal-oriented psychotherapy treatment that takes a hands-on, practical approach to
problem-solving. Its goal is to change patterns of thinking or behavior that are behind peoples difficulties, and so change the way they feel. It is
used to help treat a wide range of issues in a persons life, from sleeping difficulties or relationship problems, to drug and alcohol abuse
or anxiety and depression. CBT works by changing peoples attitudes and their behavior by focusing on the thoughts, images, beliefs and
attitudes that are held (a persons cognitive processes) and how these processes relate to the way a person behaves, as a way of dealing with
emotional problems.

Cognitive behavioral therapy can be thought of as a combination of psychotherapy and behavioral therapy. Psychotherapy emphasizes the
importance of the personal meaning we place on things and how thinking patterns begin in childhood. Behavioral therapy pays close attention to
the relationship between our problems, our behavior and our thoughts. Most psychotherapists who practice CBT personalize and customize the
therapy to the specific needs and personality of each patient.

Multi-modal therapy

Multimodal therapy refers to a combination of two or more methods of treatment used for more effective results. The ultimate goal of this
type of therapy is to control the cancer and all of the associated symptoms.

The most common and specialist-recommended modalities used to treat pleural mesothelioma are surgery, chemotherapy and radiation. This tri-
modal therapy is highly recommended to early stage patients by many cancer centers, including the NCI National Comprehensive Cancer Center
and Brigham and Womens Hospital in Massachusetts.

In more recent years, the use of experimental therapies, including immunotherapy and photodynamic therapy, in conjunction with more
traditional modalities, have also improved patient survival rate and overall quality of life.

Similarity to the Project:

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The similarity of the Advocate Good Shepherd Hospital Center to our study is that it offers individualized therapies and workshops for a
specific behavior or problem. It also offers many approaches that can be a great help for the study. Lastly, it is a comprehensive community
resource.

C. COMPARISONS

Table 3.1

LOCAL CASE STUDIES

NURTURE TROPICAL SPA AND CAF SUBIC BAY MEDICAL CENTER

Nurture is a Filipino themed spa and caf located in Tagaytay.
It is much more than a vacation place because it is a fusion of a
spa and a caf wherein these two contributes in a persons
relaxation and peace of mind.
It has a unique accommodation strategy, a vernacular
architecture inspired of the Ifugao houses that is why people
tend to visit here because of the good ambiance.
The climate in Tagaytay is also a bit cold compared to the
climate in Manila. The cold climate helps in the comfort and
relaxation level of a person visiting the place.
What makes nurture unique is because of the incorporation of
the environment in its design that helps in the natural healing of
the people.
Subic Bay Medical Center is a 5.6 hectare hospital complex on
a top of a hill surrounded by forest.
It is isolated and away from urban noise; a 2-hr drive from
Manila.
The site is a perfect place for healing and relaxation.
What makes the facility unique is that it uses their own herbal
medicine
They have friendly services that treat the patients not as
patients but as a friend or family member.
It is a complex that is composed of many buildings that can
help in the treatment of patients

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It is composed of individual residential units that gives of a

home-like feeling to the people.

Table 3.2

FOREIGN CASE STUDIES

THE RAINBOW CONNECTION CENTER FOR SPIRITUAL
HEALTH, WELLNESS AND MIND-BODY-SOUL MEDICINE
For them, healing is a sacred process
They do not only focus on the mental, physical and emotional
health but also on the spiritual health of the person
Rainbow Connection Center conducts workshops and seminars
about health that will help patients and their families
understand more about their sickness
Implementation of natural healing
The use of holistic approach and psychoimmunology
ADVOCATE GOOD SHEPHERD HOSPITAL CENTER
This facility specializes in the treatment of stress related or
illness conditions
It offers individualized therapies and workshops that promotes
healing and recovery
Its unique because it specializes seminars and workshops in
depression because only few structures offers this kind of
services

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D. SUMMARY

After studying each case study, we have learned and identified some useful elements that can be adapted to our study and could
be a great help for future researchers.

Nurture Tropical Spa and Caf

The use of landscape as an environmental element in increasing the energy level and the speed of recovery of a depressed patient
The unique way of accommodating patients/clients by using indigenous dwelling (Ifugao houses) are used in giving a comfortable and
relaxing feeling while inside.
The home-like feeling and comfortability of the place.
The promotion of having a healthy lifestyle
Focuses on the physical beautification and rejuvenation of the clients/patients

Subic Bay Medical Center

The limitation of the services with the used of holistic approach.

The facility is more on preventing and curing but not as physical beautification of the person.
Promotion of herbal medicine makes them unique
Beyond 20ft without obstruction, a persons view can be relaxing enough.
The application of friendly services wherein the patients are treated not as patients but as one of the friends or family member.
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Rainbow Connection Center

The use and application of holistic approach.

The service of psychoimmunology
The application of the natural healing in their facility.

Advocate Good Shepherd Hospital Center

The conducting of therapies and workshops for stress and depression related issues is good and can be a great help to the patients and
people who are not aware of this illnesses.
Specialization of programs that promotes healing and recovery from depression related medical problems because there are only few
structures that offers this kind of services especially to depressed people.

E. RECOMMENDATIONS

With the given case studies, the researchers will have to implicate the methods that have potential to be good contributors for the
project. The researchers will carefully analyze what are the possible threats or the possible advantages among the healthcare facilities, so
that it will be taken out as consideration for the project. The case studies that have been conducted brought awareness of what are the
phenomenons that can exist in our country so that it can be taken note of.

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