PLANNING Modern

Psychiatric Care Facilities

Rusk State Hospital + Beyond
A TEXAS HOSPITAL
PLANNING Modern
Psychiatric Care Facilities
Rusk State Hospital + Beyond
2017

This study was PREPARED by THE:

Center for Sustainable Development
The University of Texas at Austin
School of Architecture

ON BEHALF OF THE:
TEXAS DEPARTMENT OF STATE HEALTH SERVICES

csd
Center for Sustainable Development
csd
Center for Sustainable Development

Principal Investigator

Dean Almy, RA, Associate Professor and Director of the

Graduate Program in Urban Design

Collaborating Investigators

Elizabeth Danze, FAIA, Professor and Acting Dean

Frances Gale, Conservation Scientist

Carmen Garufo, AIA, Research Consultant

Allyssa Hrynyk, Research Fellow, Center for Sustainable

Development

Allan W. Shearer, Ph.D., Associate Professor and Co-Director

of the Center for Sustainable Development

Stephen Sonneberg, M.D., Adjunct Professor

Sarah Wu, Program Manager, Center for Sustainable

Development

Graduate Research Assistants

Aparajita Bhatt, MSUD Candidate
Tian Bian, MLA Candidate
Kathleen Conti, MSHP Candidate
Zhun Jiaoz, M Arch II Candidate
Jason Melling, MLA Candidate
JinWon Lee, MSHP Candidate
CONTENTS
SUMMARY

1 Introduction 7

PART 1 _RESEARCH
2 Best Practices 15
3 Consultations 31
4 Programming 37
5 Idealized Model 67

PART 2 _RUSK STATE HOSPITAL

6 Existing Conditions 79
7 Design Process 103
8 Applied Model 109
9 Visualization 123
10 Implementation 133

Appendices
A Sources 148
B Photo References 151
C Exterior Building Conditions 152
D Letter from THC 160

Acknowledgements 168
 The new model for Texas hospitals should
include outdoor therapeutic space for
patients and staff to circulate. This
naturally landscaped esplanade is a
central axis between the residential quads,
connecting them to the central services.

W_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

SUMMARY
The most current global trends in mental
health care and treatment focus on a
patient-centered model that supports
empowerment and recovery. Such
recovery-oriented models replace
paternalistic, illness-oriented perspectives
with collaborative, autonomy enhancing
approaches. These approaches have
proven successful at treating people
suffering from mental illness and helping
them to cope with everyday life. Identified
as the patient-centered care model, this
approach understands that services for
individuals with mental health issues
cannot be optimized without attention to
all aspects of their health and well-being.
However, these programs are only effective
if the physical environment of the mental
health facilities is mutually supportive. As
mental health care practices shift to a more
patient-centered care model, the design of
facilities for psychiatric care and treatment
must change to support new treatment and
care approaches.
Recognizing that current mental health
care best practices are in conflict with its
system of aging state hospital facilities, the
Texas Legislature approved a long-term
plan addressing fundamental changes for
state and local hospitals in 2015 (DSHS,
2015). A supplementary study to the
State Hospital System Long-Term Plan
concluded that a number of the state’s
mental health facilities did not meet
current criteria for clinical best practices
(Cannon et. al., 2014).
Rusk State Hospital (RSH), which has
been providing comprehensive psychiatric
treatment and care in east Texas since
1919, was identified as one of five facilities
assessed to be most in need of major
repairs and system improvements. As
one the largest inpatient mental health
hospitals, RSH has been providing
comprehensive psychiatric treatment
and care for the citizens of Texas since
1919. It has funding for 325 patients but
currently only serves 245 patients due to
the deplorable state of its facilities.
ASSIGNMENT
To address a number of these concerns
the Texas Department of State Health
Services (DSHS) retained The University
of Texas at Austin’s Center for Sustainable
Development (CSD) to undertake a study
to investigate how mental health facilities
should be designed to support modern
psychiatric care models so that physicians,
nurses, administrators, and staff can
provide the best possible treatment and
care for the people of Texas.
The purpose of the study, to which this
report concludes, was to understand how
architecture can—and should—support
the programs and care models for mental
health treatment. The study engaged in
design-based research to explore and
demonstrate a planning process and spatial
model that could be specifically applied and
then tested as a preliminary development
plan for RSH, but could also be applicable
to all DSHS mental health facilities.
The UT Austin team was composed of a
multi-disciplinary group of professionals
with expertise in urban design,
architecture, landscape architecture,
clinical psychology, and historic
preservation. The disciplinary diversity
of the team created a collaborative
environment thru which an integrated
approach could be derived.
The research was conducted in two
parts: Part 1 focused on research into
the best qualitative practices, identifying
programming goals, and developing a
design for an “Idealized Model”. The
research synthesizes the key principles and
critical spatial relationships into a flexible
planning strategy that has applicability
around the state. Part 2 then applied the
principle components from Part 1 to a
preliminary planning strategy for the RSH
campus in order to establish a scenario
for the future campus. This final planning
scenario is referred to as the “Applied
Model”.
PART 1: RESEARCH
Part 1 involved a lengthy review of literature
on best practices, successful precedents,
and current design trends for modern
mental health facilities across the U.S.,
Canada, and Europe, in the interest of
determining the state of knowledge on the
relationship between mental health and the
physical environment.
This research confirmed a fundamental
concept that therapeutic design principles
must extend beyond traditional interior
spaces to accommodate a more normalized
physical environment with clear and
meaningful access to the outdoors and to
natural landscapes. Design approaches
that focus on the therapeutic properties
of landscape are paramount to a patient’s
well-being and recovery.
The research also pointed to design
approaches that are more modular and
are determined by a manageable (defined)
number of patients and support staff per
unit. Spaces should be appropriately zoned
for optimizing treatment opportunities and
SUMMARY_1
 LEGEND
OUTDOOR SPACE

LANDSCAPE HARDSCAPE GREEN SPACE

PRIVATE SEMI-PRIVATE PUBLIC

PATIENT ROOM

UNIT UNIT
ACTIVITY SUPPORT FACILITIES
UNIT CENTRAL COMMUNITY
CONTROL POINT MEDICAL SERVICES SERVICES
UNIT CENTRAL
ADMISSION
STORAGE SUPPORT FACILITY
CENTRAL
ADMINISTRATION
ENVIRONMENTAL SERVICES

CENTRAL FOOD SERVICES

MAINTENANCE
ROAD
GROUNDKEEPING

WAREHOUSE VACANT

Diagram of the Idealized Model: The

Idealized Model explores optimal spatial
relationships needed to support best
practices for treatment and operations of
Texas state hospitals.

2_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

should focused on patient privacy, social
activities, and physical health, all of which
should be arranged around a central,
organizing outdoor space.
The elements of best practices were
organized into a series of programmatic
modules or planning diagrams at varying
scales in order to illustrate fundamental
design properties, differing levels of
freedom, and the scalability of various
programming components.
Through extensive consultation with DSHS
and staff at RSH, this qualitative research
helps to identify best practices in the
Texas context and further defines Texas-
specific programming goals, establishing
a platform from which a new spatial and
functional model can be defined for modern
mental health care facilities in Texas.
This work provides DSHS very specific
programming goals that will help to lay
the groundwork for all future facilities, set
within the financing and staffing regimes
mandated by the Texas Legislature.
This research underpins the design of the
“Idealized Model”, which was created to
spatially establishe the goals and objectives
for treatment and operations of state
hospital systems as a whole. The Idealized
Model is an exercise in visualizing optimal
spatial relationships with no immediate
contextual influence.
Fundamental to the Idealized Model is the
establishment of “home-like” therapeutic
units comprised of a small number of
private bedrooms around a welcoming and
directly accessible outdoor courtyard. This within a broader community.
is in contrast to traditional units, which
tend to be centered on the nurse’s stations,
an unintentional focus which adversely
hinders patient-centered care models.
Architecture that focuses on the
therapeutic properties of nature and the
powers of choice for patients has been
proven to help reduce stress and incidents
of aggression, and to promote healing. The
Idealized Model also incorporates elements
that may seem simple but are revolutionary
in the design of mental health facilities;
elements such as a window in every room,
allowing for natural light and a direct visual
connection to nature.
Furthermore, new therapeutic care
models encourage patients to take an
active role in their treatment. Therefore,
the architectural programming must
support the therapeutic programs such
that the buildings and outdoor spaces
become recovery-focused tools in
themselves. In attempting to reflect the
ranges of environments in which people
typically conduct their daily lives, the
Idealized Model organizes four units into
a quad that provides shared space for
therapeutic treatment, dining, recreation,
and staff operations: a neighborhood of
sorts. Central support programs are
organized into what best practices refer to
as a “therapy mall” or “treatment mall,”
offering patients an opportunity to interact
with amenities or functions they are likely
to utilize in their communities, such as
clothing stores, libraries, cafes, movie
theaters, fitness rooms, and salons. The
Idealized Model centrally organizes these
uses around a series of outdoor social
spaces, reestablishing patient opportunities
to occupy a hierarchy of outdoor spaces and
providing patients with a sense of existing
Finally, the Idealized Model has been
designed and organized in order to provide
for a general planning process that can
be applied to other DSHS facilities. The
program is organized into a “kit of parts”
that can be adjusted to the context of a
specific hospital site, scale, and program.
PART 2: RUSK STATE HOSPITAL
To verify the applicability of the Idealized
Model, Part 2 focused on its employment
within the historically sensitive context
of the RSH campus. To appropriately
apply the model to RSH, a compendium
of the history of RSH and a chronology
of its construction was investigated and
documented; existing site conditions were
assessed, which included a survey of the
exterior and interior conditions of the
existing buildings, and were then evaluated
based on their physical capability for re-
use, their adaptability to “best practice,”
and how best to integrate them into a new
development plan.
One of the most notable features of the
existing campus is the 1886 Administrative
Building (Building 501). Originally
constructed to house prisoners, it was
subsequently renovated from a two-story
structure to a three-story structure in 1919
to accommodate the growing psychiatric
population of the state. At about 600 feet
long, it is an iconic piece of architecture for
the entire campus.
During the process, the components and
principles of the Idealized Model were
applied to the spatial, physical, and cultural
landscape of the RSH, and resulted in a
series of spatial and functional tests that
quantified the spatial and operational
relationships among departments. In
consultation with staff at RSH and DSHS,
test-fit scenarios were considered in
the contexts of best practices, legislated
staffing and funding, the historic identity
of the RSH, and the sites topographic and
spatial constraints.
SUMMARY_3
 The architectural form for the residential
units is determined by the therapeutic role
of nature. Visualization of a unit courtyard
in the Applied Model looking from the day
space towards the dining hall.

4_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

Through ongoing refinement, review,
and discussion with the project team and
steering committee, an “Applied Model” was
finalized into a preliminary development
plan for RSH. The Applied Model provides
significant opportunity and gives
meaningful consideration to the quality
of critical landscape spaces between the
buildings, working with the noteworthy
topography to provide opportunities for
stimulating outdoor therapeutic spaces.
CONCLUSIONS
Designing spaces that support the care and
treatment programs that are necessary
for people with mental illness is a complex
and multifaceted issue. This research
establishes significant insight into the
opportunities and constraints involved with
designing a new, state-of-the-art Texas
model for RSH and other DSHS facilities
that best supports current care models.
There are three innovative themes
expressed through the Idealized Model and
its application to RSH in the Applied Model
that are transformative to the way mental
health care facilities should be designed:
A campus of healing and living:
The fundamental organization of “home-
like” therapeutic units around a directly
accessible outdoor courtyard provides the
much-needed access to the therapeutic
properties and relief of stressors provided
by nature. This arrangement, coupled with
a hierarchy of other outdoor spaces and
therapeutic programs, helps to support
best practices in mental health care and
treatment that are patient centered to
support empowerment and recovery.
Passive versus active surveillance: One of the cornerstones of the patient-
centered care model is caring for patients
The design-based research has been
in environments that simulate everyday
innovative in promoting a therapeutic
life in order to provide them with tools to
model that moves from one based on active
be functioning members of society. The
surveillance to one that promotes a patient-
campus-like arrangement of buildings
focused treatment programs using passive
better replicates the home environment
surveillance. Models based on active
through the design of discrete social
surveillance and security goals use direct
units, building up to a larger community
sightlines as the primary determinate
environment through programs like the
of architectural form. The result is an
treatment mall. The facility not only
architectural form that always places the
becomes a place for healing, but a place for
nurse’s station at a central and prominent
living as well.
location within the residential unit.
This research intends to highlight
Contrary to these previous designs, the
the active role architecture has in
courtyard model is an architectural form
establishing the patient care regime, just
that allows for degrees of freedom, choice,
as the programming has an active role
and privacy, while still providing necessary
in organizing the architecture. There is
surveillance to patient-occupied spaces,
a reciprocal relationship between the
such as the day space or courtyard.
form and the therapy. The results of the
Rather than having the nurse’s station as
research will continue to deliver insight
the central focus, the outdoor courtyard
into all future investment in mental health
and access to nature are the foci and
facilities, for the state of Texas and beyond.
the nurse’s station is provided in a more
Through research, documentation and
discreet location, which results in the
the application of this knowledge, the
improved mental state of patients and in
goal of this study is to raise the level of
better relationships between patients and
design-based knowledge on therapeutic
staff.
environments and to lay the groundwork for
A campus of healing and living: the creation of better mental health care
facilities in Texas.
A final fundamental approach that makes
this research and design innovative, is
based on strategically moving away from
a singular institutional building, towards a
series of buildings that are organized into
compact, pedestrian-focused, campus-like
settings. This not only allows for greater
adaptability to a wide variety of sites
and the flexibility to support a range of
demographic profiles, but it also provides
a better simulation of the social and
community dimensions of public life.
SUMMARY_5
1 INTRODUCTION
_Research Assignment
_Research Process
_Schedule
_Strategic Issues
_Performance Objectives
 North Texas State Hospital
Vernon Campus
North Texas State Hospital
Wichita Falls Campus

Terrell State Hospital

Big Spring State Hospital
El Paso Psychiatric Center
Waco Center for Youth

Rusk
State
Hospital
Austin State Hospital
Kerrville State Hospital

San Antonio State Hospital

Texas Center for Infectious Disease

Rio Grande
State Center &
South Texas
Health Care system

LOCATION OF TEXAS STATE HOSPITALS

8_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Research Assignment
Recognizing that current mental health RSH was identified as one of five facilities
care best practices are in conflict with its
system of aging state hospital facilities, the
assessed to be most in need of major
repairs and system improvements. As
How CAN
Texas Legislature approved a long-term
plan addressing fundamental changes for
one of the largest inpatient mental
health hospitals, RSH has been providing
TEXAS State Hospitals
state and local hospitals in 2015 (DSHS, comprehensive psychiatric treatment and be DESIGNED to
2015). A supplementary study to the
State Hospital System Long-Term Plan
care for the citizens of Texas since 1919. It
currently has funding for 325 patients but support
concluded that a number of the state’s
mental health facilities did not meet
currently only serves 245 patients due to
the aging state of its facilities. According to the best possible
current criteria for clinical best practices
(Cannon et. al., 2014). Furthermore, the
the State Hospital System Long-Term Plan
(January 2015), RSH has been identified for
behavioral health
study forecasted that over the next ten
years demands on state hospitals will
on-site replacement as a 350 bed facility.
Treatment and care?
increase due to growing populations This work focused on more-precisely
across all age groups, increasing forensic identifying and testing strategic options
commitments and adding patients with related to the future redevelopment of the
medically complex or co-occurring physical facilities in a manner that would
conditions. support the best possible mental health
treatment at RSH and other state facilities.
To address a number of these concerns, It is anticipated that the outcome of this
the Texas Department of State Health study will have considerable influence on
Services (DSHS) retained The University future hospital redevelopment plans and
of Texas at Austin’s Center for Sustainable change the way Texas delivers mental
Development (CSD) to undertake a study health care.
to investigate how mental health facilities
should be designed to support modern
psychiatric care models so that physicians,
nurses, administrators, and staff can
provide the best possible treatment and
care for the people of Texas.

The purpose of this study is to understand

how architecture can—and should—support
the programs and care models for mental
health treatment. The study engaged in
design-based research to explore and
demonstrate a planning process and spatial
model that could be specifically applied and
then tested as a preliminary development
plan for Rusk State Hospital (RSH), but
could also be applicable to all DSHS
facilities.

SECTION 1 INTRODUCTION_9
_Research Process
PHASE 1
Phase 1 commenced in January 2016 and
was focused on the development of both an
ideal model for patient care and alternative
physical planning options for RSH
buildings and grounds based on preferred
relationships between treatment options
and facilities configurations.
The study began with a thorough review
of all background documents, site visits
to RSH, analysis of existing conditions at
RSH, and research on best practices for
mental health care facilities. Consultations
with state hospital physicians, nurses,
administrators, and staff assisted in more
precisely defining:
“Hope, Resilience, and Recovery for Everyone.
10_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL
• Goals for treatment and care services PHASE 2
with respect to the expected operations
(Best Practices); Phase 2 expanded upon the work
completed in Phase 1 by further developing
• The range of RSH’s expected hospital and testing the Applied Model for the RSH
operations (Programming); property. Additional studies investigated in
more detail the particular characteristics
• Stakeholder ideas, expertise, and of a preferred scenario for RSH. Phase
concerns (Consultation); 2 concluded the study with a refined
development plan for RSH, visualizations,
• Strategic plan questions related to
and a phasing strategy..
the design of facilities (buildings,
landscape, and infrastructure) that
need to be addressed in pursuit of a
new model for treatment and care;
• Idealized and applied design options
related to the strategic plan questions.
vision statement of the Mental Health and Substance Abuse Division of
the Department of State Health Services
1
 _Schedule

Phase 1 Phase 2

Review_Internal Report
DSHS

DSHS

Phase 2_Draft Report

Phase 1_Final Report
Documentation and Assessment
of Existing Facilities

HUNT

RUSK
RUSK

RUSK
Best Practices_
Research and Documentation
Diagramming
Documentation

2
DSHS
Programming_
Spatial and Functional Requirements
Diagramming

DSHS
Scenarios_
Development and Evaluation

RUSK
Test Fit Alternatives
Analysis

DSHS

DSHS

DSHS
Design Development Production of

Final Report
Final Report
Final Recommendations
and Deliverables
Renderings
Production

September

November

December
February

October
January

January
August
March

April

June
May

July

SECTION 1 INTRODUCTION_11
_Strategic Issues
Foremost, the team identified the following
strategic issues to inform the research
directives and design solutions:
How do you create the most therapeutic
environment focused on recovery and
rehabilitation?
RSH is focused on stabilizing psychiatric
symptomatology (recovery) and providing
education and treatment (rehabilitation) in
order to successfully transition patients to
a less restrictive environment. To achieve
this goal, the built environment has to
be designed and organized to support
therapeutic programs and improve mental
health.
What are the most advanced models for
psychiatric care and how do these models
inform the design of a world-class, state-
of-the-art hospital?
Research and review of the most current,
state-of-the-art hospitals identified
successful design elements and functions
necessary to deliver the most advanced
care and treatment for mental illness.
12_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL
How can the hospital create an efficient,
comfortable, and desirable place for staff
to work?
A critical part of the care provided at RSH
is dependent on providing the best work
environment for staff so that the physical
environment supports the care they provide
and their own personal needs are met.
How can quality of care be assured and
supported through optimal operational
efficiencies?
A new plan for RSH should maximize all
operational strategies in staff work flow,
management, and movement of materials
and services; use advanced technology;
support environmental sustainability;
and provide long-term flexibility and
adaptability.
What is the most appropriate location for
a new hospital complex within the physical
and cultural landscape of Rusk?
With over 600 acres of property, a thorough
site analysis is necessary to understand
appropriate location for the future hospital
within the RSH property.
How can the facility establish an
appropriate new identity while preserving
the cultural importance of the historic
campus and buildings?
A number of buildings within the existing
hospital campus are fifty or more years
old and may have historical and cultural
importance for the community and State.
Any preservation, modernization and
adaptive re-use of significant buildings
needs to be done with regard to the
suitability of achieving best practices and
the use of economic resources.
Can the hospital continue to be an
exemplary social and economic benefit to
the greater community of Rusk?
The redevelopment of RSH provides a
prime opportunity to create a new “face”
for the town of Rusk and the greater
community. The new plan should continue
to support RSH as an exemplary neighbor
and help to further de-stigmatize mental
illness and its treatment.
_Performance Objectives
The following performance objectives
were identified based on discussion and Valuation of Establish an attractive
consideration of the strategic issues and Embodied Energy and welcoming
other current best practices for planning Respect presence in the
and design. Design solutions for the Rusk Historical Significance community
State Hospital should be evaluated and & Integrity
Consider
considered in the context of the defined
Financial
creiteria, all with equal importance.
Implications

Consider Building
Conditions
Achieve Best Practices in
Patient Care and Treatment
Design for
Adaptability
Use
Sustainable
Design
Principles
Create a desirable
and safe work
environment
Optimize Operating Plan for Phasing &
Efficiencies Sequencing

SECTION 1 INTRODUCTION_13
2 BEST PRACTICES
_Overview
_Precedents
_Patient Room Scale
_Unit Scale
_Quad Scale
_Institution Scale
_Landscape Scale
 “architecture which aids healing for patients
is based on classic ingredients such as light and shade,
quietness, materials, colors, green landscape elements,…(and)
ingenious architectural solutions which result in a calming
layout and engaging spaces.”
Gideon Sykes
Psychiatric Hospital Demonstrates the Healing Power of Good Architecture
8
2

16_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Overview
In recent years, mental health care has
evolved to include active treatment,
integration with primary care, normalizing
environments, community care, patient
empowerment, and a focus on the
overall continuum of care. Identified as
the patient-centered care model, this
approach understands that services for
individuals with mental health issues
cannot be optimized without attention to all
aspects of their health and well-being. It
is a proactive model addressing wellness,
medical, mental, psychosocial, and
basic human needs in an integrated and
coordinated manner. This model places
emphasis on non-traditional services such
as wellness and fitness, nutrition and
access to healthy foods, development of
coping strategies, everyday living skills,
educational and training programs for
gainful employment, and housing support.
As mental health care practices shift to
a more patient-centered care model, the
design of facilities for psychiatric care
must change to support new treatment
and care approaches. Antiquated mental
health facilities far from support patient
empowerment and recovery; in fact,
studies show they may actually exacerbate
mental illness. In these facilities, patients
perceive treatment as an incomprehensible
and unhelpful process that is out of their
control simply based on the aesthetics
and condition of the facility alone. When
treatment has no perceived positive effect,
patients feel that the effort needed to
control their illness is also meaningless
(Golembiewski, 2015).
Current guidelines on the design of
mental health facilities appear to reflect
only society’s main concerns with people
with mental illness: that of suicide risk
and the threat of violence, crime, and
arson. (Golembiewki, 2015). Mental
health facilities cannot simply be designed
primarily to improve staff efficiencies and
patient management protocols, as this may
be at the expense of patient well-being and
chances for recovery.
Although the process can be lengthy, and
the length of treatment varies from patient
to patient, admittance to a psychiatric
hospital is not meant to be permanent.
Hospital environments must be designed to
be support recovery in a manner that helps
patients recover from their illnesses and
prepares them to be functional in society or
in a less restrictive environment.
The quality of the physical environment
and access to nature, is intrinsically
linked to a patient’s well-being and
recovery, as well as the comfort, safety,
and performance of staff (Karlin, 2016).
Research affirms that the environment
influences mental health and illness in
neither a passive or inconsequential way.
The built environment has considerable
influence on the behaviors, relationships,
stress, health, and happiness of people
regardless of whether they have a mental
illness or not. “Psychiatric patients are
much more reactive to the physical milieu
than healthy controls – which suggests
that the environment is a critical element
of psychiatric intervention” (Golembiewski,
2015). Mental illnesses can intensify when
a patient is being confined in locked rooms
or wards. A facility that is noisy, lacks
privacy, and/or hinders communication
with staff increases stress and agitation in
patients.
Best practices for mental health care
facilities emphasize design that minimizes
noise and crowding, decreases the sense
of confinement, increases a patient’s sense
of control, and offers a variety of home
and community-like activities. Features
like single-patient bedrooms with private
toilets may increase the building cost, but
research suggests that initial costs are
arguably offset by the reduced stress and
trauma for patients and hospital caregivers.
Providing day rooms and other shared
spaces with movable seating, for example,
gives patients the ability to control their
personal space and interactions with
others.
The therapeutic platform must extend
beyond traditional interior spaces to
include outdoor environments: that is,
buildings and sites that offer a holistic
setting with access to natural landscape,
views, and daylight. The positive influence
nature has on a person’s state of mind
has long been recognized. Physical
environments that take advantage of the
therapeutic properties of landscape are
paramount to a successfully-designed
health care facility. The impact of the views
from a patients’ room and day-spaces
must be thoughtfully considered, as must
be a patient’s ability to easily access the
outdoors.
An equally critical part of any modern
mental health care and treatment strategy
is the quality of the work environment for
staff and caregivers. Staff are only able
to provide the best client care when they
are in the best possible work environment
to support their programs and meet their
daily needs.
The exterior impression of the hospital is
even fundamental to the overall design as
it can work to de-stigmatize mental illness
and convey an attractive and welcoming
presence to the community, patients,
and staff. Mental health facilities can
be exemplary neighbors for the larger
community; therefore, the appearance
should reflect the importance of the work
done there.
SECTION 2 BEST PRACTICES_17
 3
Air PHoto of OREGON STATE HOSPITAL

collective space

view on gardens

view on courtyards

focus on daylight and

view to gardens

efficent grouping
around gardens
compact
focus on efficiency, short walking distances and
ideal treatment conditions

extending terraced gardens towards the south:

a subtle addition to the historic image

extending terraced gardens in between the new

winter gardens, providing a comfortable ward buildings: garden hospital
climate while connecting the inner patios,
restaurants, shops, and foyer

new axes, interweaving the old and new

hospital while connecting with the city
4
Diagramming the LANDSCAPE of the Bispebjerg Hospital, Copenhagen, DENMARK

18_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Precedents
Global trends in mental health care and
treatment strategies focus on patient care,
empowerment and recovery. These care
and treatment strategies need to be housed
in well-designed, state-of-the-art facilities
that support therapeutic programs which
promote these patient care strategies.
A key component on this study was to
review and document a number of current
state-of-the-art public mental health
facilities in the United States, Canada,
United Kingdom, Scandinavia, and beyond
that reflect current best practices in patient
care and treatment. The facilities identified
included:
Worcester Recovery Center and Hospital,
Worcester, Massachusetts (2012),
Oregon State Hospital, Salem, Oregon
(2013) and Junction City, Oregon (2015),
Vermont Psychiatric Care Hospital, Berlin,
Vermont (2014),
VA Palo Alto Mental Health Center, Palo
Alto, California (2012),
Centre for Addiction and Mental Health,
Toronto, Canada (2014),
Southwest Centre for Forensic Mental
Health Care, St. Thomas, Canada (2013),
Broadmoor Hospital, United Kingdom
(2017),
St Bernard’s Hospital, Thames Lodge
Medium Secure Unit, United Kingdom
(2016),
Our Lady of Lourdes Hospital: Acute
Psychiatric Facility, Drogheda, Ireland
(2015),
Danish psychiatric regional hospital in
Slagelse, Demark (2014),
Kronstad Psychiatric Hospital / Origo
Arkitektgruppe, Bergen, Norway (2013),
Helsingor Psychiatric Hospital, Helsingor,
Denmark (2005),
Helix, Forensic Psychiatric Clinic of
Stockholm, Sweden (2012), and
Psychiatric Building, Östra Hospital,
Gothenburg, Sweden (2007).
Rigorous review and research of the
physical design qualities and spatial
requirements of these hospitals and other
research on best practices was a key
component of the study. Through gathering
and sharing of information, the goal is to
raise the level of design of therapeutic
environments and lay the groundwork for
the creation of better mental health care
facilities.
The following provides a target of the best
practice elements at the various scales of
a hospital – patient bedroom, unit, quad,
institution and landscape – as identified
through the research, precedents, and
consultation with staff from DSHS, RSH,
and other state hospitals.
SECTION 2 BEST PRACTICES_19
 15 8

2’-7”
Storage Low Shelving Desk

Sitting
3’-6”

Storage
zone Patient zone
12’
5’-11”

Bed

Corridor

24’-0”
minimum 7 feet wide
Bathroom
Nature

1’-6”
3’-6”
3’-6”

11’-9”
12’

6’-6”

Storage
3’-6”

zone Patient zone

2’-1”

Duplex bedroom DIAGRAM

4’-10” 4’-2” 4’-6” 1’-8”
15 8
2’-7”

Storage
zone
3’-6”

Patient zone
12’
5’-11”

Bathroom
24’-0”

Corridor Nature
1’-6”

minimum 7 feet wide

Bathroom
3’-6”
3’-6”

11’-9”
12’

6’-6”
3’-6”

Patient zone
Storage
zone
Single-person
2’-1”

bedroom DIAGRAM
4’-10” 4’-2” 4’-6” 1’-8”

20_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Patient Room Scale

• Patient accommodations have • Multi-functional, with focus away

shifted to single-occupancy from the bed by providing “living”
or duplex bedrooms. Double- spaces and amenities, such as a
occupancy bedrooms are also desk and window seat.
feasible where risk management
and safety allow and patient care • Rooms should provide
may be optimized. opportunities and choices in
• All bedrooms are equipped with personalizing.
attached bathrooms that provide • Increased degree (as
appropriate levels of privacy and appropriate) of choice, privacy,
autonomy. and autonomy.
• Ample natural light and views to •
nature through sufficiently sized
windows.
• Room should be comfortable
and “home-like” equipped with
a typical looking bed, desk, and
fixture that create a residential
feel.

5 6 7

SECTION 2 BEST PRACTICES_21

 Flexible Maximum Rooms
support+ Shade 6 beds in a with ample,
treatment row natural

View of nature

View of nature
spaces light

Short Corridors
Easy + free access to
passive, therapuetic landscaping

Nursing
station with
Open, centralized, sightlines
home-like day space to rooms,
dayspaces,
and
courtyard
Short Corridors Unit Entrance

Comfortable, residential-like rooms

View of nature

UNIT SCALE DIAGRAM

Courtyard
Patient Rooms
Unit Activities
Unit Control Point
Unit Support Facility
Landscape

22_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Unit Scale
• Appropriate zoning of resident
units is essential for providing
optimized care and treatment
opportunities. Zones, such
as privacy, social activity, staff
control, and support areas,
should be organized around a
central identifying space.
• A unit is defined as a small
grouping of approximately 6-15
patients.
• Shared centralized living room,
reading room, exercise room,
kitchen facilities, and laundry to
support daily living functions.
• A greater variety of activity and
social spaces that provide more
choice and control for patients.
8 9
• Located at grade for free and
easy access to outdoor spaces
that can act as an extension of
dayroom.
• Meaningful, appropriately
secured outdoor spaces without
the sense of confinement.
• Open nurse desk with increased
communication and maximum
visibility of patient areas.
• Intimate, home-like setting using
furnishings, textiles, color, art,
and design.
• Replace long, monotonous
corridors with short corridors
that are no longer than six
patient rooms.
• Ample natural light and access to
nature.
• Separate staff breakrooms and
work rooms from the patient
activities.
• Clear separation between patient
areas and food / environmental
services.
• Minimize the sense of
confinement, noise, and
crowding; create a calming
environment and access to a
variety of activities.
10
SECTION 2 BEST PRACTICES_23
 Direct access for delivery of food and environmental services

Shared
Shared staff communal Shared indoor recreation
breakroom dinning

Safe, secure,
semi-private,
shared outdoor
space
Multi-purpose and shared support spaces

Support choice of activities

Unit 1 Unit entrance Unit 2

Access to
basketball
court

Unit 3 Unit entrance Unit 4

Visual screening through Visual screening through

appropriate landscaping appropriate landscaping

Quad Entrance
Easy access to central activities and support

QUAD SCALE DIAGRAM

Courtyard
Patient Rooms
Unit Activities
Unit Control Point
Unit Support Facility
Semi-private landscape
Semi-public landscape

24_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Quad Scale
• Grouping units to allow for
shared and multi-purpose
spaces and operational
efficiencies.
• Informal, easy, and patient-
appropriate access to therapeutic
activities.
• Standardized and modular, with a
focus on the flexibility to adapt to
shifts in patient demographics.
• Promote staff efficiencies by
minimizing distance between
frequently used spaces.
• Ample natural light and views of
nature.
• Easy visual supervision of
patients for effective use of staff.
11
• Safe and secure outdoor
activities and therapies (such as
basketball, gardening, walking,
etc).
• The degree of normalization and
social spaces should increase as
patients move from the initial,
more acute, treatment setting to
a transitional, more residential-
like setting as their illness
becomes more stabilized.
• Consider products, fixtures and
furnishings new to the market
that are specifically designed for
the mental health environment
and offer an improved balance
among safety and security
features, durability, privacy, and
clinical functionality.
12 13
SECTION 2 BEST PRACTICES_25
 Seperate secure admission entry
Direct delivery for
food services and environmental services

Centralized
support and
treatments
programs and
services

Semi-public outdoor space Minimized distances Semi-public outdoor space

between frequently used
Plenty access to fresh air outdoors spaces Plenty access to fresh air outdoors

INSTITUTION SCALE DIAGRAM

Courtyard
Hospital Entrance
Patient Rooms (Distinct, welcoming entrance)
Unit Activities
Unit Control Point
Unit Support Facility
Central Support and Services
Semi-private landscape
Semi-public landscape
Public landscape

26_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Institution Scale
• Create an overall environment
that promotes wellness and
rehabilitation.
• Contribute to “place-making”
through design excellance.
• Overall building design focused
on access to nature, fresh air,
outdoor, views, and daylight.
• Distinct, welcoming main lobby
and admissions area, both of
which are filled with natural light
and clear wayfinding.
• Separate patient admission
processing area from main public
entrance.
• Integration of research and on-
site education.
14
• Expanded use of peer support
services to complement clinical
care by licensed staff.
• Active patient-focused treatment
offered in “therapy malls” which
offer amenities that consumers
are likely to utilize in their
communities, including clothing
stores, libraries, cafes, movie
theaters, fitness rooms, and
salons.
• Share support rooms to create
multi-purpose/flexible spaces.
• Incorporate space and functions
for community access to help
reduce stigma associated with
behavioral health issues.
15 16
SECTION 2 BEST PRACTICES_27
 Semi-private,
Active
GARDENS
Private
Secure,
COURTYARDS

Semi-public, Public,
Passive Active
COMMONS CENTRAL
GREEN

LANDSCAPE HEIRARCHY DIAGRAM

Courtyard
Semi-private landscape
Semi-public landscape
Public landscape

28_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Landscape Scale

• Use a variety of landscape • Security fences should have a

scales and functions as a “soft” and friendly quality.
key therapeutic treatment
component. • Comfortable yet durable
seating should be provided
• Provide direct and open access to to accommodate a variety of
controlled outdoor spaces. activities and uses.
• Include areas for outdoor sports • Use low-impact design
and other activities. for parking and vehicular
infrastructure.
• Highlight culturally important
landscapes and structures.
• Outdoor spaces should have
provision for shading from sun.
• Create the ambience of a
domestic garden.

17 18 19

SECTION 2 BEST PRACTICES_29

3 CONSULTATION
_Engagement Overview
_What Was Learned
 20
TEXAS DEPARTMENT OF STATE HEALTH SERVICES

32_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Engagement Overview
SUMMARY OF MEETINGS DSHS RUSK COMMUNITY

2016:
February 8_Project Kick Off Meeting
March 4_Austin State Hospital Visit
March 11_Rusk State Hospital Visit and
Stakeholder Meeting
March 30_Huntsville Prison Site Visit
April 6_Steering Committee Meeting
May 16_Steering Committee Meeting
May 20 + 25_RSH Site Visit and Stakeholder
Meeting
June 7_RSH Site Visit
Consultation with RSH clinical staff and
physicians, as well as with staff from other
DSHS operated hospitals within the State
of Texas, proved invaluable in confirming
best practices for a mental health care
facility and defining a usable program for
the hospital. The Hospital Superintendent,
Assistant Superintendent, and their
staff of administrators, physicians, and
clinical staff were critical participants
in the stakeholder process and provided
vital information regarding hospital
programming, needs, and deficiencies.
Consultation with Rusk community
stakeholders provided useful feedback
regarding strategic issues and was
characterized by innovation and an
overwhelming desire to construct a first-
class facility that supports patient care and
recovery and continues to benefit the local
community and those who work there.

June 29_Steering Committee Meeting

July 7_Meeting at State Capitol
July 21_Stakeholder Consultation at Rusk
State Hospital
August 8_Steering Committee Meeting
September 20_Steering Committee Meeting
September 27_Comissioner’s Briefing
October 25_Steering Committee
November 16_UT Systems Meeting
December 6_Meeting at State Capitol
December 13_Steering Committee
December 16_UT Systems Meeting
2017:
RSH
Consultation with both clinical and
community stakeholders was a critical
component to the overall process for
identifying strategic issues within Rusk
State Hospital. While the project team’s
intentions were to conduct stakeholder
meetings at key points in the project
schedule, it became quickly apparent that
in order to identify realistic options and
specify intended goals for treatment and
care for the hospital, the team needed to
speak with the clinical and community
stakeholders frequently, who best know the
hospital itself.

January 19_Steering Committee

SECTION 3 CONSULTATIONS_33
 21

22 23
STAKEHOLDERS CONSULTATION AT RUSK STATE HOSPITAL

34_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_What Was Learned
STAKEHOLDER CONSULTATION JULY 21
While many meetings and conversations
took place prior, the primary stakeholder
consultation took place on-site at the Rusk
State Hospital on July 21, 2016. In the
morning, the project team and members
of the DSHS staff met with the clinical and
staff stakeholder group. In the afternoon,
the team met with members of the greater
Rusk community. A summary of findings
from each meeting follows.
CLINICAL STAKEHOLDERS GROUP
Feedback from this group upheld the
consistent theme of a desire for patient
well-being and for a facility that reduces
the stress on both patients and staff.
Staff provided feedback on project team’s
programmatic diagrams of best practices
and hospital usages through a variety of
group exercises. A desire for the hospital
site to allow for better movement and
access for patients and staff was heard
repeatedly, through improvements to
central therapy, location of maintenance
and storage facilities, and designing spaces
that are both therapeutic and functional for
both patients and clinical staff.
COMMUNITY STAKEHOLDERS GROUP
Members of this stakeholder group
repeatedly conveyed that the Rusk State
Hospital is seen as a thriving part of the
local community and employment base.
This group was asked to provide feedback
regarding the exterior influences of the
hospital campus and the role, or lack
thereof, of the older buildings on the
hospital site. Many stakeholders from
this group shared that they believed state
hospitals like Rusk have old buildings
that are not designed for the mental
health treatment of today. The group does
understand there are some historical
buildings on the site that may not be able
to be removed, and thus time was spent
discussing what is the most cost-effective
way to achieve the desired facility and the
best possible configuration to achieve the
ideal hospital.
SECTION 3 CONSULTATIONS_35
4 PROGRAMMING
_Overview
_Programmatic Components
_Patient Unit
_Patient Quad
_Maximum Security Unit
_Maximum Security Quad
_Adminstration
_Admissions
_Central Medical Clinic +Pharmacy
_Central Support + Treatment
_Central Kitchen +
Environmental Services
_Maintenance + Groundskeeping
_Community Services
_Outdoor Recreation
24
_Overview
In order to create design options for how
the buildings and grounds of the RSH might
be composed and support best practices,
it was necessary to understand and define
the expected functional and operational
requirements of RSH and of their care and
treatment programs. A new programmatic
model was prepared through a review and
analysis of:
• The existing programs and floor areas
at RSH today;
• State-of-the-art hospital precedents;
• Best practices in mental health care;
• Consultation with both clinical and
community stakeholders; and
• Legislative funding for beds and
staffing.
Operational efficiencies and space
optimization were also reviewed in light of
the spatial and programmatic requirements
in order to be as efficient as possible.
The following sections provide more detail
regarding each of the components of the
hospital and their spatial requirements.
The floor areas identified should be read
as general estimates. They are based
on the understanding of the program
requirements in order to understand the
general size of the overall hospital and
the necessary spatial and operational
requirements of the institution.
In summary, the ideal plan for the RSH
would accommodate:
• 320 residential beds of which, 40 beds
are reserved for “swing”. Swing units
are additional units and bed in addition
to the funded capacity that are only
used in the event that a populated Unit
needs to be temporarily relocated.
• Residential Units that are composed • Pharmacy prepares and dispenses
of no more then 18 – 22 patients with medicine to Units, maintains drug
similar illnesses and/or treatment inventory, and provides consultation to
requirements. They provide secured, clinicians.
unrestricted access to communal day
spaces and that are serviced/surveyed • Central Food and Nutrition Services
by a nurse’s station. prepares and serves food to patients;
provides consultation to clinicians, and
• 45 maximum security beds in three ensures patient therapeutic dietary
Maximum Security Units to receive requirements are met.
male patients who are admitted on
criminal commitments because • Environmental Services and Laundry
of used a deadly weapon, causing/ provides a safe, clean, and pleasant
threating serious bodily injury or environment.
other offenses, therefore requiring
• Community Services includes a Court
heightened security.
of Law, the Tyler Junior College of
Nursing, and Family visitation facilities.
• Administration which is the
overarching bodies responsible for
• Maintenance and Groundskeeping
running all facets of the hospital.
provides a safe and therapeutic
environment by managing the physical
• A separate Admissions area where
patients are admitted to the hospital plant, mechanical systems, and
and undergo an initial psychiatric outdoors.
evaluation .
• Outdoor recreation and gardens could
include a number of sports fields,
• Central Support Programs to provide
a centralized system of therauptic passive outdoor gardens, mediation
spaces and programs which are gardens, greenhouses and vegetable
accessed by the general population. gardens, walking trails, cookout space,
The desire is to create a community- therapy animals, and the lake.
like setting to promote patient recovery
by providing functions patients would
find in everyday life, such as a cafe,
salon, library, gymnasium, medical
clinics, classrooms, central park, etc.
• Central Medical Clinic which
completes the admissions evaluation,
annual physical assessments,
provides service calls to patients, and
coordinates services with outside
medical providers (i.e. Optometry and
Dental).
SECTION 4 PROGRAMMING_39
_Programmatic Components

NATURE

MAIN ENTRY
PATIENT ENTRY

ADMISSIONS ADMINISTRATION
COURT
1700 sq ft
7,000 34,000
sq ft sq ft

NATURE

60,000
CENTRAL 60,000
QUAD 1 sq ft MEDICAL QUAD 2 sq ft

10,500
sq ft
UNIT 1 UNIT 2 UNIT 1 UNIT 2

NATURE
15,000 15,000 15,000 15,000
sq ft sq ft sq ft sq ft

SWING SPACE SWING SPACE UNIT 3 UNIT 4

A B

15,000 15,000 15,000 15,000

sq ft sq ft sq ft sq ft

60,000 60,000
QUAD 3 sq ft CENTRAL QUAD 4 sq ft
SUPPORT
UNIT 1 UNIT 2 UNIT 1 UNIT 2

15,000 15,000 15,000 15,000

sq ft sq ft sq ft sq ft

UNIT 3 UNIT 4 UNIT 3 UNIT 4

15,000 15,000 15,000 15,000

31,000 sq ft sq ft
sq ft sq ft sq ft

SCALE

1,000 VEHICULAR ACCESS AROUND PERIMETER FOR EMT, SERVICES, AND MAINTENANCE
sq ft

40_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

 The entire program for the hospital combines all the
components previously described in an orderly and
logical arrangement. The illustrated arrangements
NATURE
includes 4 separate quads (320 beds) and a
separatment maximum security quad (45 beds) for a
total of 365 beds.
NURSING FAMILY
SUITES
STAFF
RESIDENCE
COLLEGE
1,600
sq ft

5,000 3,200
sq ft sq ft Bedrooms 280
Swing Bedrooms 40
NATURE
Maximum Security Bedrooms 45

TOTAL BEDROOMS: 365

MAX SECURITY
60,000 sq ft

UNIT 1 UNIT 2

15,000 15,000
sq ft sq ft

UNIT 3 SUPPORT
15,000 15,000
sq ft sq ft

MAINTENANCE AND
GROUNDSKEEPING
20,000
sq ft
Square Feet

Residential Units 240,000

CENTRAL FOOD
SERVICES AND Maximum Security Units 60,000
ENVIRONMENTAL
SERVICES LARGE TRUCK Administration 34,000
LOADING BAYS
Admissions 7,000
25,000
sq ft Central Medical Clinic and Pharmacy 10,500
Central Support Programs 31,000

CLOTHING WAREHOUSE Central Food and Environmental Services 25,000

STORAGE
15,000 Maintenance and Groundskeeping 20,000
3,000
sq ft sq ft
Community Services 2,000
Warehousing 18,000
TOTAL ESTIMATED FLOOR AREA 447,500

SECTION 4 PROGRAMMING_41
_Residential Unit

FACILITIES SHARED WITH ANOTHER UNIT

PATIENT ENTRY

SIZED TO FIT UNIT (18-22 BEDS)

ONE UNIT AT A TIME,
BUT SHARED WITH UP
TO 3 OTHER UNITS

DE-ESCLATION ROOM
COMMUNAL DINING /
300 sq ft UNIT
MED. STO-
ROOM RAGE
SECLUSION
MULTI-PURPOSE
OFFICE ROOM
MEETING ROOM 200 200 200
FOOD
SERVICES 300 sq ft sq ft sq ft sq ft

900 TREATMENT ROOM 600 NURSE’S NATURE

sq ft 300 sq ft sq ft STATION

CLEANING
STORAGE /
ENVIRONMENTAL REFUSE /
SERVICES LINEN
900
sq ft

PATIENT PATIENT PATIENT

LAUNDRY DAY SPACE READING EXCERCISE

300 1500 300 300

sq ft sq ft sq ft sq ft

1 6 11 16

2 7 12 17

3 8 13 18

4 9 14 19
NATURE NATURE NATURE
5 10 15 20
HALLWAYS SHOULD BE HALLWAYS SHOULD BE
NO LONGER THAN 6 ROOMS NO LONGER THAN 6 ROOMS

250 RESTROOMS
sq ft

300 STORAGE
sq ft

3,000 CIRCULATION & MECHANICAL OPS

sq ft

SCALE

100
sq ft

42_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

 A residential Unit consists of a small grouping
of twenty (20) patients in single or duplex type
bedrooms. Within each secure Unit, patients should
have unrestricted access to communal day spaces
(social, TV, laundry, exercise, quiet room, etc.) and a
secure courtyard. The Unit is secured, serviced, and
surveyed by a nurse’s station which includes an open
desk, offices, medication control, and storage. The
Unit entry should be adjacent to the nurse’s station
for ease of surveillance. A Unit has controlled and
direct access to support program space, which is
STAFF ENTRY VISITOR
ENTRY shared with another Unit(s). This includes communal
dining space, a group therapy/multi-purpose room, a
recreation room, and outdoor basketball court.
STAFF MEETING
LOCKERS, ROOMS / FLEX
BREAKROOM, OFFICES
VISITATION Square Feet
& RESTROOM
(RECOVERY
400
sq ft
Patient Bedrooms (20 beds x 200 sq ft/each) 4,000
TEAM &
SUPPORT
STAFF)
Unit Activity
Communal / Day Room 1,500
Quiet / Reading Room 300
1000 1000
sq ft sq ft
Excerise Room 300
Patient Laundry 300
Unit Support
Interview / Meeting Room 300
Treatment / Medical Exam 300
De-escalation Room 300
Seclusion Room 200
Group Therapy / Multi-purpose Room* 400
Activity Room* 400
GROUP THERAPY / HALF Communal Dining Room and Service Kitchen* 450
MULTI-PURPOSE BASKETBALL
800
sq ft COURT Visitation* 200
Recovery Plan Meeting / Team Offices* 500
INDOOR ACTIVITY
800 1600
Staff Breakroom, Lockers, and Restrooms* 500
sq ft sq ft
Unit Control
Unit Office and Nurse’s Station 600
Medication Room 200
Storage 200
Other
Environmental Services: Storage/Refuse/Linen* 500
Additional Restrooms 250
Additional Storage 300
Circulation and Mechanical / OPS 3,000
TOTAL ESTIMATED FLOOR AREA 15,000
*Shared with another unit, therefore 1/2 of floor area only included

SECTION 4 PROGRAMMING_43
_Residential Quads
QUAD ENTRY
EASY CONNECTION TO CENTRAL
SUPPORT AND MEDICAL

UNIT ENTRY
STAFF ENTRY

UNIT 1

STAFF LOCKERS,
BREAKROOM & RESTROOMS
1000 sq ft

MEETING ROOMS / FLEX OFFICES

(RECOVERY TEAM & SUPPORT STAFF)

1000 sq ft

NATURE

GROUP THERAPY / MULTI-PURPOSE ACTIVITY

800 sq ft

COMMUNAL DINING / VISITATION INDOOR

MULTI-PURPOSE ACTIVITY
FOOD SERVICE & 900 sq ft
ENVIRONMENTAL
SERVICES
STORAGE / REFUSE / HALF
LINEN BASKETBALL
1000 sq ft
400
sq ft
800
sq ft
COURT

NATURE
UNIT 3

GROUP THERAPY / MULTI-PURPOSE ACTIVITY

800 sq ft

MEETING ROOMS / FLEX OFFICES

NATURE (RECOVERY TEAM & SUPPORT STAFF)
1000 sq ft

STAFF LOCKERS,
BREAKROOM & RESTROOMS
1000 sq ft

UNIT ENTRY

SCALE

100
sq ft

44_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

 A Residential Quad is a grouping of four (4) Units,
which share program, therapy, and service spaces. A
Residential Quad services eighty (80) patients.
UNIT ENTRY

UNIT 2

# of rooms
NATURE
Patient Bedrooms (20x4) 80
Communal / Social / Day Room 4
Quiet / Reading Room 4
Excerise Room 4
Patient Laundry 4
Interview / Meeting Room 4
INDOOR VISITATION COMMUNAL DINING / Treatment / Medical Exam 4
ACTIVITY MULTI-PURPOSE
900 sq ft FOOD SERVICE & De-escalation Room 4
ENVIRONMENTAL
SERVICES
STORAGE / REFUSE / Seclusion Room 4
LINEN
800 400 Group Therapy / Multi-purpose Room 2
sq ft sq ft 1000 sq ft
Activity Room 2
Communal Dining Room and Service Kitchen 2
UNIT 4
Visitation 2
Recovery Plan Meeting / Team Offices 2
Staff Breakroom, Lockers, and Restrooms 2
Unit Office and Nurse’s Station 4
Medication Room 4

NATURE

Square
Feet
UNIT ENTRY
1 Quad (4 Units / 80 Beds) 60,000
3.5 Quads (14 Units / 280 Beds) 210,000
2 Swing Units (40 Beds) 30,000
FOUR QUADS FLOOR AREA 240,000

SECTION 4 PROGRAMMING_45
_Maximum Security Unit

FACILITIES SHARED WITH ANOTHER MAXIMUM SECURITY UNIT

PATIENT ENTRY

MAXIMUM SECURITY UNIT

SIZED TO FIT (MAX 15 BEDS)
ONE UNIT AT A TIME,
BUT SHARED WITH UP
TO 3 OTHER UNITS

DE-ESCLATION ROOM MED. STO-

COMMUNAL DINING /
MULTI-PURPOSE 300 sq ft UNIT ROOM RAGE SECLUSION
OFFICE ROOM
MEETING ROOM 200 200 200
FOOD
SERVICES 300 sq ft sq ft sq ft sq ft

900 TREATMENT ROOM 600 NURSE’S NATURE

sq ft 300 sq ft sq ft STATION

CLEANING
STORAGE /
ENVIRONMENTAL REFUSE /
SERVICES LINEN
900
sq ft

PATIENT PATIENT PATIENT

LAUNDRY DAY SPACE READING EXCERCISE

300 1500 300 300

sq ft sq ft sq ft sq ft

200 200 200 200

1 sq ft 5 sq ft 9 sq ft 13 sq ft

200 200 200 200

2 sq ft 6 sq ft 10 sq ft 14 sq ft

200 200 200 200

3 sq ft 7 sq ft 11 sq ft 15 sq ft

4 200
sq ft 8 200
sq ft 12 200
sq ft
NATURE NATURE NATURE
HALLWAYS SHOULD BE HALLWAYS SHOULD BE
NO LONGER THAN 6 ROOMS NO LONGER THAN 6 ROOMS

250 RESTROOMS
sq ft

500 STORAGE
sq ft

3,000 CIRCULATION & MECHANICAL OPS

sq ft

SCALE

100
sq ft

46_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

 The Maximum Security Units are spatially the same as
residential units except that they require heightened
levels of security, less patients per Unit, and separate
support program space. MSU should contain no then
fifteen 15 beds.

STAFF ENTRY

STAFF MEETING
LOCKERS, ROOMS / FLEX *Shared with another unit therefore 1/2 of area only Square Feet
BREAKROOM, OFFICES
& RESTROOM
(RECOVERY
Patient Bedrooms (15 beds x 200 sq ft) 3,000
TEAM &
SUPPORT Unit Activity
STAFF)

Communal / Day Room 1,500

Quiet / Reading Room 300
1000 1000
sq ft sq ft
Excerise Room 300
Patient Laundry 300
Unit Support
Interview / Meeting Room 300
Treatment / Medical Exam 300
De-escalation Room 300
Seclusion Room 200
Group Therapy / Multi-purpose Room* 400
Activity Room* 400
GROUP THERAPY / HALF Communal Dining Room and Service Kitchen* 450
MULTI-PURPOSE BASKETBALL
800
sq ft
COURT Recovery Plan Meeting / Team Offices* 500
Staff Breakroom, Lockers and Restrooms* 500
INDOOR ACTIVITY
800 1600
Unit Control
sq ft sq ft
Unit Office and Nurse’s Station 600
Medication Room 200
Storage 200
Security / Sallyport Entrance 200
Other
Environmental Services: Storage/Refuse/Linen 1,500
Additional Restrooms 250
Additional Storage 300
Circulation / Mechanical and OPS 3,000
TOTAL ESTIMATED FLOOR AREA 15,000
*Shared with another unit, therefore 1/2 of area only included

SECTION 4 PROGRAMMING_47
_Maximum Security Quad
QUAD ENTRY

SECURE SALLY PORT

UNIT ENTRY STAFF ENTRY

UNIT 1
STAFF LOCKERS,
BREAKROOM & RESTROOMS
1000 sq ft

NATURE MEETING ROOMS / FLEX OFFICES

(RECOVERY TEAM & SUPPORT STAFF)
1000 sq ft

GROUP THERAPY / MULTI-PURPOSE ACTIVITY

800 sq ft

NATURE

COMMUNAL DINING / VISITATION INDOOR HALF

MULTI-PURPOSE ACTIVITY BASKETBALL
900 sq ft
COURT
FOOD SERVICE &
ENVIRONMENTAL
SERVICES
STORAGE / REFUSE /
LINEN
400 800 1600
1000 sq ft sq ft sq ft sq ft

SECURE
SALLY PORT

UNIT 3

GROUP THERAPY / MULTI-PURPOSE ACTIVITY

800 sq ft
NATURE

MEETING ROOMS / FLEX OFFICES

(RECOVERY TEAM & SUPPORT STAFF)
1000 sq ft

STAFF LOCKERS,
BREAKROOM & RESTROOMS
1000 sq ft

SCALE UNIT ENTRY

100
sq ft

48_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

 A Maximum Security Quad contains three (3)
Maximum Security Units instead of four like in a
standard Quad. The remaining space is occupied by
uses found in the central support within the confines
of the maximum security environment. Having most
UNIT ENTRY services within the maximum security quad reduces
risk of elopement.
UNIT 2

NATURE

INDOOR VISITATION COMMUNAL DINING /

ACTIVITY MULTI-PURPOSE
900 sq ft FOOD SERVICE &
ENVIRONMENTAL
SERVICES
STORAGE / REFUSE /
LINEN Square Feet
800 400
sq ft sq ft 1000 sq ft
Security 500
SECURE
SALLY PORT Visitation 1,000
Tele-conference Room 1,000
ARTS &
EXERCISE MEDICAL CRAFTS / Gymnasium 3,500
MUSIC
1000
sq ft 700 sq ft 400 sq ft Indoor Recreation 1,000
Excerise 1,000
RECREATION
1000 BARBER Barber 400
sq ft TELE- / SALON
CONFERENCE Library and Reading 400
400
ROOM sq ft
Arts and Crafts / Music 400
SECURITY / SURVEILLANCE
500 sq ft Computer Room 400
VISITATION LIBRARY Medical Exam / Treatment Rooms 400
1000
sq ft
1000
sq ft
400
sq ft
Staff Breakroom, Lockers, and Restrooms 1,000
Additional Restrooms 250
Additional Storage 250
Circulation / Mechanical and OPS 2,500
Three (3) Units (45 Beds) 45,000
TOTAL ESTIMATED FLOOR AREA 60,000

SECTION 4 PROGRAMMING_49
_Administration

MAIN HOSPITAL
ENTRY

CENTRAL
SECURITY MEETING ROOMS LOBBY &
WELCOME
400 400 400
sq ft sq ft sq ft CENTER
LOCATED NEAR 1200
ADMISSIONS CONFERENCE sq ft
ROOM
800 RECEPTION
sq ft 200 sq ft

NURSING CHIEF ACCOUNTING CHIEF ASST. SUPER- ADMIN. CLINICAL DIREC-

SUPPORT FINANCIAL INTENDENT SUPPORT TOR
OFFICER
600 200 600 200 200 400 400 400 200
BUSINESS OFFICE sq ft sq ft sq ft sq ft sq ft sq ft sq ft sq ft sq ft
STORAGE
800 sq ft

HOSPITAL JOB CENTER & SAFETY AND REIM- PATIENT RIGHTS CENTRAL
RECORDS FILES WORKERS BURSEMENT I.T.
COMPENSATION
900 900 1200 900
sq ft sq ft sq ft sq ft

1600 1600
sq ft sq ft

REIMBURSEMENT
STORAGES
STAFF TRAINING FLEX ADMIN. STAFF
MEETING SPACE BREAKROOM
1200
sq ft 400 sq ft 400 sq ft 800 sq ft

1200
sq ft CONFERENCE
ROOM
FLEX
800 sq ft
OFFICE SPACE
200 200 200 200
LECTURE ROOM sq ft sq ft sq ft sq ft

800
sq ft

300 RESTROOMS
sq ft

300 STORAGE
sq ft
convenient ACCESS TO CENTRAL SUPPORT AND CENTRAL MEDICAL
800 CIRCULATION & MECHANICAL OPS
sq ft

SCALE

100
sq ft

50_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

 The Administration body is a multifaceted department
which houses the leadership offices associated
with the Superintendent, Chief Financial Officer,
Chief Nurse Executive, Clinical Director, Director of
Psychology, Community Relations Director, as well
as a number of support functions. Administration
should be located near the main entrance to the
hospital and provide a welcoming presence for
visitors, staff, and patients alike. Administration
benefits from a strong but separate connection to
Admissions and Central Support Services.

Square Feet

Lobby, Welcome Center, and Reception 1,400

RESIDENTIAL PSY- COMMUNITY DIREC- PATIENT Superintendent and Support 1,000
SERVICES CHOLOGY RELATIONS TOR TRANSPORTATION

400 200 400 200

Chief Nurse Executive and Nursing Support 800
sq ft sq ft sq ft sq ft 300 sq ft
Chief Financial Officer and Accounting 800
Clincial Director and Clincial Support 600
Director of Psychology and Res. Services 600
UTILIZATION QUALITY
MANAGEMENT MANAGEMENT HEALTH INFO. Director of Community Relations and Support 600
MANAGEMENT
Central Security 400
600 600 1200 Information Technology 900
sq ft sq ft sq ft
Utilization Management 600
Quality Management 600
HEALTH INFO.
MANAGEMENT Health Information Management and Storage 4,200
STORAGE
Patient Rights 1,200
Patient Transportation 300
Safety and Worker’s Compensation 900
3000 Job Center 1,600
sq ft
Reimbursement and Storage 2,100
Administration Storage and Hospital Records 2,400
Facility Training 1,200
Conference / Lecture / Training Rooms (3) 2,400
Meeting / Multi-purpose Rooms (4) 1,600
Flex Staff Offices (8) 800
Staff Breakroom, Lockers, and Restrooms 800
Additional Restrooms 800
Additional Storage 900
Circulation / Mechanical and OPS 4,500
TOTAL ESTIMATED FLOOR AREA 34,000

SECTION 4 PROGRAMMING_51
_Admissions
PATIENT ENTRY
SECURE CONNECTION TO CENTRAL MEDICAL AND PATIENT UNIT

VAN ENTRY
(SALLY PORT)
400
sq ft

LOBBY /
WAITING
ROOM

VISITOR ENTRY 800

sq ft

RECEPTION
PATIENT SNACK OFFICE SECURITY OFFICE MEDICAL
(KITCHEN) (SWITCH BOARD)
OPTIONAL 200 sq ft OFFICER ON
DUTY
CENTRAL 200 PHOTO & ID 200
VISITATION sq ft 200 sq ft sq ft 400 sq ft

INTERVIEW OBSERVATION

3000 ROOM1 ROOM1

sq ft 200 sq ft 200 sq ft

NEAR ADMISSION + CENTRAL SECURITY ROOM2 OFFICE

200 sq ft 200 sq ft

ROOM3 ROOM2
200 sq ft 200 sq ft

STAFF FLEX (SHARED) OFFICES HOUSE STAFF BREAKROOM / LOCKERS

100 100 100 SUPERVISOR (MULTI-PURPOSE ROOM)
sq ft sq ft sq ft
STAFF ENTRY
100 100 100 800
sq ft sq ft sq ft sq ft

600
sq ft

300 RESTROOMS
sq ft

300 STORAGE
sq ft

800 CIRCULATION & MECHANICAL OPS

sq ft

SCALE

100
sq ft

52_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

Admissions operates 24 hours a day, 365 days a year,
and requires a close connection to the Central Medical
Clinic and Central Security. A Sally Port is needed for
secure transfer of patients from transportation into
the hospital.

Visitation may be centralized to Admissions and

removed from each Quad.

Square Feet

Sallyport / Van Entrance 400

Lobby / Waiting Room 800
Reception 200
Photo ID Preparation 200
Snacks and Beverages 200
Security / Switchboard 200
Interview Rooms (3) 600
Observation Rooms (2) and Attached Office 600
Admissions Supervisor 600
Flex Staff Offices (6) 600
Medical Officer on Duty (MOD) 400
Staff Breakroom, Lockers, and Restrooms 800
Additional Restrooms 300
Additional Storage 300
Circulation / Mechanical and OPS 800
TOTAL ESTIMATED FLOOR AREA 7,000

SECTION 4 PROGRAMMING_53
_Central Medical Clinic + Pharmacy

PATIENT ENTRY
SECURE CONNECTION TO ADMISSIONS AND CENTRAL SUPPORT

WAITING
AREA
600 PHYSICAL & OCCUPATIONAL
sq ft
THERAPY
PODIATRY &
OPTOMETRY DENTAL MEDICAL
TREATMENT
SPACE
FLEX EXAM ROOMS DENTAL EXAM ROOMS MD EXAM ROOMS 800
150 sq ft 150 sq ft 150 sq ft 150 sq ft 150 sq ft 150 sq ft sq ft

FLEX OFFICES DENTAL OFFICES MD OFFICES OFFICES

150 sq ft 150 sq ft 150 sq ft 150 sq ft 150 sq ft 150 sq ft 150 sq ft 150 sq ft

EKG & ISOLATION

EMPLOYEE HEALTH INFECTION CONTROL LAB IMAGING
400 400
200 sq ft 200 sq ft 200 sq ft sq ft sq ft

ISOLATION ENTRY

250 RESTROOMS
sq ft

250 STORAGE
sq ft

1,500 CIRCULATION & MECHANICAL OPS

sq ft

SCALE

100
sq ft

54_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

 The Central Medical Clinic provides annual
physical health assessments and service calls to
patients within Residential Units, completes health
assessments during the admissions process, and
coordinates outside medical professionals. It requires
a close and secure connection to Admissions and
benefits from a nearby relationship with Pharmacy
and Central Support Services, which is easily
accessible to all Units.

STAFF ENTRY
RECEIVING
DELIVERY

STAFF
PHARMACY LOCKERS,
BREAKROOM,
& RESTROOM

Square Feet

Pharmacy 2,400
800 sq ft
Lobby, Waiting Room, and Reception 600
2000 sq ft Medical Professional Offices (6) 900
MEETING ROOMS
200 sq ft Medical Exam / Treatment Rooms (2) 300
OFFICES
200 sq ft 200 sq ft 200 sq ft
Medical Lab and EKG / Imaging 600
Dental Exam / Treatment / Imaging (2) 300
Flex Exam / Treatment Rooms (Opt., Pod., etc) (2) 300
Physical and Occupational Therapy 1,100
Infection Control Office 200
Isolation Room / Negative Air 400
Employee Health Offices 200
Multi-purpose Meeting Rooms (2) 400
Staff Breakroom, Lockers, and Restrooms 800
Additional Restrooms 250
Additional Storage 250
Circulation / Mechanical and OPS 1,500
TOTAL ESTIMATED FLOOR AREA 10,500

SECTION 4 PROGRAMMING_55
_Central Support + Treatment

STAFF ENTRY

STAFF
LOCKERS, FLEX
BREAKROOM,
& RESTROOM STAFF OFFICES

AUDITORIUM /
CHURCH & PLACE OF
WORSHIP 800 1200 SERVICE KITCHEN
sq ft sq ft 500 sq ft

CAFE CANTEEN &

SOCIAL SPACE
CASHIER / POST OFFICE /
CLOTHING FLEX TRUST PATIENT MAIL ROOM
PROPERTY
CENTER SPACE FUNDS 1500 900
400 400 400 400 400 sq ft sq ft
sq ft sq ft sq ft sq ft sq ft

CENTRAL GREEN SPACE

3000~5000
sq ft

CHAPEL
600
sq ft PROGRAM ROOMS BARBER / READING LIBRARY COMPUTER PEER
SALON ROOM ROOM SUPPORT
400 400 400 400 800 400 400
sq ft sq ft sq ft sq ft sq ft sq ft sq ft

400 400
sq ft sq ft
FLEX SPACE

SECURE, convenient CONNECTIONS TO CENTRAL MEDICAL, ADMINISTRATION, AND PATIENT UNITS

500 RESTROOMS
sq ft

800 STORAGE
sq ft

3,000 CIRCULATION & MECHANICAL OPS

sq ft

SCALE

100
sq ft

56_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL


GYMNASIUM
(BASKETBALL, VOLLEYBALL, ETC)
Central Support Services comprise all programs,
services, and therapy in a central location to service
all patients. Central Support Services benefit from
a central location which is easily accessible from
the Units. The identified spaces should generally
be located near each other. In a number of the best
practice hospitals these uses have been described
as being a “therapy mall” or “downtown”. A central
common outdoor space/square/green helps to define
an important social and functional space for the
community. A number of rooms/spaces should be
provided that can serve multiple purposes and adapt
to a variety of functions.

Square Feet

Gymnasium 5,000
Central Recreation 2,000
Auditorium / Stage / Church 5,000
ART & MUSIC TEACHING
CRAFT ROOM KITCHEN Chapel / Spiritual Center 600
400 400 400
sq ft sq ft sq ft
Cafe with Service Kitchen 2,000
Canteen & Social Space 900
5000
sq ft Library 800
Reading Room 400

INDOOR RECREATION Computer Room 400

(TABLE GAMES, POOL, ETC)
Post Office and Mail Room 400
Barber / Salon / Cosmetics 400
Arts and Crafts 400
2000
PATIENT PROGRAM ROOMS sq ft
Music 400
EDUCATION
400 400 400
sq ft sq ft sq ft Patient Education 400
Teaching Kitchen 400

400 400 Peer Support 400

sq ft sq ft

FLEX SPACE
Trust Funds 400
Cashier and Patient Property 400
Clothing Center (Distribution) 400
Flex Room 400
Flex Program / Meeting Rooms (8) 3,200
Staff Offices / Computers (~8) 1,200
Staff Breakroom, Lockers, and Restrooms 800
Additional Restrooms 500
Additional Storage 800
Circulation / Mechanical and OPS 3,000
TOTAL ESTIMATED FLOOR AREA 31,000

SECTION 4 PROGRAMMING_57
_Central Kitchen + Environmental Services

SERVICE CONNECTION TO UNITS

EQUIPMENT FOOD SERVICE RETURN &

STORAGE DELIVERY DISH CLEAN

600 400 600

sq ft sq ft sq ft

CENTRAL KITCHEN
(PREPARATION & COOKING)

STAFF ENTRY

4000
sq ft OFFICES
PANTRY/ STAFF
FOOD STORAGE WALK-IN FOOD STORAGE OFFICES LOCKERS, 200
sq ft
200
sq ft
REFRIGERATOR FREEZER BREAKROOM,
& RESTROOM
600 400 200 200 200 200
sq ft sq ft sq ft sq ft sq ft sq ft FLEX
SPACE
400
FOOD WAREHOUSE FLEX COMPUTER sq ft
REFRIGERATOR FREEZER SPACE STATIONS
400 400 400 800
sq ft sq ft sq ft sq ft COMPUTER
STATION
1000 400
sq ft sq ft

1200
sq ft

LOADING BAYS

400 RESTROOMS
sq ft

400 STORAGE
sq ft

2,400 CIRCULATION & MECHANICAL OPS

sq ft

SCALE

100
sq ft

58_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

 Central Food and Nutrition Services prepare meals in
a central kitchen and serves them to patients within
their communal dining rooms located in each pair of
Units. Easy and direct access from the central kitchen
is required by van/trolly to deliver food directly into the
service kitchens within the communal dining facilities
in the Unit. Loading Bays are required to support
sixteen-wheel trucks that deliver food directly into
refrigerators, freezers, or pantries.

Environmental Services is responsible for cleaning all

SERVICE CONNECTION TO UNITS SERVICE CONNECTION TO UNITS
facets of the hospital. They require a central location
for supplies and assembly. A central refuse location
is also needed to collect waste and recyclables from
Units and other areas of the hospital to eventually be
picked up by large trucks. Laundry requires space
to collect, sort, and send out dirty linens and then
receive, sort, and deliver clean linens to the Units.
Like Food Services, they require easy and direct
access to the service areas of each Unit by a van/
trolley.
Square Feet

LAUNDRY Central Kitchen 4,000

DIRTY LINEN
DROP CLEANING CENTRAL Food Delivery 400
OUT TO SUPPLIES & REFUSE
DISTRIBUTE ASSEMBLY Food / Dish Return and Clean 600
TO UNITS
DIRTY LINEN Food Storage / Pantry 1,000
SORT

CLEAN LINEN Equipment Storage 600

SORT
Walk-in Refrigerator 600
OUT TO
LAUNDRY
Walk-in Freezer 400
CLEAN LINEN 1800 1800
sq ft sq ft Warehouse Refrigerator 1,200

5000 sq ft Warehouse Freezer 400

Central Kitchen Offices (4) 800
Computer Rooms 800

LOADING BAYS LOADING BAYS Flex Meeting Rooms 800

Staff Breakroom, Lockers, and Restrooms 800
Environmental Services Offices (2) 400
Central Laundry 5,400
Laundry Supply and Storage 1,000
Clean Supply and Storage 1,800
Refuse Collection 1,800
Additional Restrooms 400
Additional Storage 400
Circulation / Mechanical and OPS 2,400
TOTAL ESTIMATED FLOOR AREA 25,000

SECTION 4 PROGRAMMING_59
_Maintenance + Groundskeeping

METAL SHOP

LOADING BAY

3200
sq ft

CARPENTRY

STAFF ENTRY
LOADING BAY

3200 RECEPTION ASST.

sq ft DIRECTOR DIRECTOR

200 400 200

sq ft sq ft sq ft

MOTOR POOL

FLEX MEETING ARCHIVES

LOADING BAY ROOM
800 400
sq ft sq ft

3200
sq ft

STAFF BREAKROOM & COMPUTER

LOCKER ROOM
STATIONS
800 400
LANDSCAPE AND GROUNDSKEEPING sq ft sq ft

LOADING BAY

3200
sq ft

EQUIPMENT PARTS & STORAGE

LOADING BAY

3200
sq ft

150 RESTROOMS
sq ft

150 STORAGE
sq ft

500 CIRCULATION & MECHANICAL OPS

sq ft

SCALE

100
sq ft

60_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

With a new facility, maintenance staff will be able
to focus on supporting the mechanical and systems
components of new buildings and equipment, in
addition to keeping the important landscape features
and outdoor spaces beautiful and functional.

Square Feet

Equipment and Parts Storage 3,200

Carpentry Shop 3,200
Metal Shop 3,200
Motor Pool 3,200
Groundskeeping 3,200
Reception 200
Staff Offices (2-3) 600
Staff Computers 400
Flex Meeting Room(s) 800
Archives 400
Staff Breakroom, Lockers, and Restrooms 800
Additional Restrooms 150
Additional Storage 150
Circulation / Mechanical and OPS 500
TOTAL ESTIMATED FLOOR AREA 20,000

SECTION 4 PROGRAMMING_61
_Community Services

COURT OF LAW TYLER JR. FAMILY RESOURCE CENTER

(BOARDING ROOMS)
COLLEGE OF
WITHIN
ADMINISTRATION NURSING 400
sq ft
400
sq ft
POSSIBLE CONNECTION TO
ADMINISTRATION , AUDITORIUM,
AND UNITS FOR LECTURE/
TRAINING ROOMS, RESIDENCY
1700 PROGRAM 400 400
sq ft sq ft sq ft
INCLUSIVE TO 1600
ALL DSHS HOSPITALS sq ft

5000
sq ft

USES EXCLUSIVE TO RUSK STATE HOSPITAL

SCALE

100
sq ft

62_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

Community Services includes those uses within the
Hospital that liaison with the greater community
beyond the hospital, such as the Court of Law. The
Court of Law requires a close and connected spatial
relationship within or near Administration.

Specific to RSH, the Tyler Junior College of Nursing

and the Family Resource Center and Lodging (guest
lodging for families visiting patients) are identified
under the umbrella of Community Services. These
uses can be near the greater complex, but must
not be embedded within it for security and access
reasons. The floor area for the Tyler Junior College
of Nursing and Family House are not included in the
total floor area estimate for all the programmatic
components.

Square Feet

Court of Law 2,000

Tyler Junior College of Nursing 5,000
Family House 1,600
TOTAL ESTIMATED FLOOR AREA 8,600

SECTION 4 PROGRAMMING_63
_Outdoor Recreation

SPORTS FIELD GARDENS / GREENHOUSE

32,000
sq ft

COOKOUT
SPACE

96,000
sq ft

* SHARED : 1 SOCCER FIELD + 1 BASEBALL FIELD

WALKING TRAILS

SCALE

500
sq ft

64_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

 Physical wellness plays an important role in mental
health recovery. Outdoor recreation and gardens
could include a number of sports fields, passive
outdoor gardens, mediation gardens, greenhouses
and vegetable gardens, walking trails, cookout space,
therapy animals, and the lake.

BASKETBALL COMMON /
COURT CENTRAL
COURTYARD

5,000
sq ft

8,000
sq ft

ANIMALS / LAKESIDE
FARM ACTIVITIES

Square
Feet

Multi-Sport Field (Soccer, Baseball, etc.) 96,000

Unit Courtyards 9,000
Greenhouse and Vegetable Gardens 32,000
Central Courtyard and Entry 8,000
Basketball 5,000
Walking Trails -
Cook-out / Picnic -
Therapy / Farm Animals -
Lake Activities -
TOTAL ESTIMATED FLOOR AREA 150,000

SECTION 4 PROGRAMMING_65
5 IDEALIZED MODEL
_Overview
_Plan
_Axonometric Model
_Total Floor Area
_Control + Security
_Landscape Structure + Function
_Pedestrian Circulation
_Vehicular Circulation + Parking
_Medical Access + Medication Delivery
_Food + Environmental Services Access
_Overview
The Idealized Model has been developed
based upon the need to establish the
critical design parameters for a psychiatric
hospital. These principle components
are scalable and can be applied anywhere
in the state. Codifying the critical
programming requirements and their
relationships, best practice principles, and
RSH’s staffing parameters, this Idealized
Model is a demonstration of the optimum
spatial relationships necessary to establish
best practices in mental health care.
Fundamental to the Idealized Model is
the organization of individual therapeutic
units. Each unit contains twenty (20) single
bedrooms along with shared support
spaces, organized around a controlled
outdoor courtyard space. The courtyards
are approximately 80 x 80 feet in size or
6,000 square feet. Four units are organized
into a quad to allow for efficiencies with
space sharing, security, and operations.
Focused around a central treatment mall,
each quad has the ability to be self-
contained and flexible in its arrangement.
Central administration and associated
medical functions are located within a
two-story main building that provides a
public face and identity for the hospital.
Service roads and deliveries are organized
peripherally in order to maintain a
walkable, campus-like setting. Appropriate
provisions for service and emergency
access is provided through easements
designed to be “shared spaces.”
The Idealized Model also provides a general
planning paradigm that can be applied
to other DSHS facilities. Components of
the plan are intended to be utilized as a
“kit of parts”, that can be reorganized in
the context of a specific hospital site and
program. It is important to note that this
exact model would be difficult to replicate
identically on an existing site, which will
have a number of contextual influences,
such as topography, servicing, access,
vegetation, historical structures, etc.
The Idealized Model equals approximately
451,000 square feet of floor area.

“(Gardens) have the capacity to

restore the body, mind, and spirit.”
D Winterbottom and A WagenFeld
Therapeutic Gardens: Design for healing spaces
25

68_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Plan

LEGEND
OUTDOOR SPACE

LANDSCAPE HARDSCAPE GREEN SPACE

WAREHOUSE SPORTS FIELD PRIVATE SEMI-PRIVATE PUBLIC

LOADING ZONE
ALLOTMENT GARDENS GREENHOUSE
PATIENT ROOM

UNIT UNIT
LOADING ZONE

ACTIVITY SUPPORT FACILITIES

VISITATION THERAPY SECLUSION THERAPY SHOWER THERAPY SECLUSION THERAPY SHOWER SHOWER THERAPY SECLUSION THERAPY SHOWER THERAPY SECLUSION THERAPY VISITATION

COMMUNITY
REFUSE
UNIT CENTRAL
ROOMS ROOMS ROOMS ROOMS

STAFF BREAKROOM,
LOCKER ROOM &
MULTI-PURPOSE ROOM
PATIENT LAUNDRY PATIENT LAUNDRY PATIENT
LAUNDRY
PATIENT
LAUNDRY
STAFF BREAKROOM,
LOCKER ROOM &
MULTI-PURPOSE ROOM
CONTROL POINT MEDICAL SERVICES SERVICES
SERVICE MEETING ROOMS /
UNIT CENTRAL
ADMISSION
FLEX OFFICE

READING
READING

READING

READING
STORAGE SUPPORT FACILITY

ROOM
ROOM

ROOM

ROOM
MEETING ROOMS /
DAY DAY DAY ROOM DAY ROOM
FLEX OFFICE
ROOM ROOM

ARCHIVE DINING HALL

CENTRAL

EXERCISE
EXERCISE

EXERCISE

EXERCISE

PATIENT
PATIENT

PATIENT

PATIENT
DINING HALL

ADMINISTRATION

PATIENT ROOMS

PATIENT ROOMS
MULTI-
PURPOSE LANDSCAPE METALS 20 BEDS NURSE’S
MR
20 BEDS NURSE’S
MR NURSE’S 20 BEDS NURSE’S 20 BEDS
ENVIRONMENTAL SERVICES

STORAGE
STORAGE

STORAGE

STORAGE
STATION STATION STATION STATION
ROOM:
PATIENT ROOMS PATIENT ROOMS PATIENT ROOMS PATIENT ROOMS
LOADING ZONE

STAFF MEDICATION MEETING MEDICATION MEETING MEDICATION MEDICATION

ROOM ROOM
PARTS

LOADING ZONE STORAGE DE-ESCALATION TREATMENT DE-ESCALATION TREATMENT DE-ESCALATION DE-ESCALATION STORAGE
CENTRAL FOOD SERVICES
CONFERENCE FOOD FOOD ROOM ROOM ROOM ROOM ROOM ROOM

ROOM WAREHOUSE WAREHOUSE FLEX

DIRECTOR’S REFRIGERATOR FREEZER SPACE MAINTENANCE
OFFICE OFFICE ROAD
GROUNDKEEPING
INDOOR BASKETBALL COURT INDOOR
RECREATION RECREATION
ASST. DIRECTOR
REFRIGERATOR FREEZER
SERVICE

OFFICE
FOOD

MULTI-PURPOSE

WAREHOUSE VACANT
DISH CLEAN

STORAGE DE-ESCALATION DE-ESCALATION

DE-ESCALATION DE-ESCALATION STORAGE
RECEPTION
RETURN &

CARPENTRY VEHICULAR REPAIR TREATMENT TREATMENT ROOM ROOM

SERVICE

ROOM ROOM
STAFF

ROOM ROOM
LOADING ZONE

KITCHEN
MEDICAL MEDICAL MEDICATION MEDICATION
ROOM MEETING ROOM MEETING
PATIENT ROOMS PATIENT ROOMS PATIENT ROOMS PATIENT ROOMS
O

OFFICE ROOM ROOM

EQUIPMENT NURSE’S NURSE’S NURSE’S NURSE’S

STORAGE
STORAGE
STORAGE

STORAGE
LAUNDRY STORAGE 20 BEDS STATION 20 BEDS STATION STATION 20 BEDS STATION 20 BEDS
O

PANTRY STORAGE OFFICE

DINING HALL

DINING HALL

READING
READING
READING

READING

ROOM
ROOM
ROOM

ROOM
FLEX MEETING ROOMS /
DAY ROOM DAY ROOM DAY ROOM DAY ROOM
FLEX OFFICE
SPACE MEETING ROOMS /

CLEANING FLEX OFFICE

EXERCISE
EXERCISE
EXERCISE

EXERCISE

PATIENT
LAUNDRY SUPPLIES

PATIENT
PATIENT

PATIENT
LOADING ZONE STAFF BREAKROOM, STAFF BREAKROOM,
PATIENT LAUNDRY PATIENT LAUNDRY PATIENT PATIENT
LOCKER ROOM & LOCKER ROOM &
LAUNDRY LAUNDRY
MULTI-PURPOSE ROOM MULTI-PURPOSE ROOM

SHOWER THERAPY THERAPY SHOWER THERAPY THERAPY VISITATION

SECLUSION SECLUSION SECLUSION SECLUSION

SHOWER ROOMS SHOWER THERAPY SECLUSION THERAPY FLEX STAFF BREAKROOM,

SECLUSION
VISITATION THERAPY ROOMS THERAPY SHOWER THERAPY ROOMS THERAPY ROOMS
ROOMS
OFFICE

ROOMS
LOCKER ROOM &

SHOWERS

THERAPY

THERAPY
MULTI-PURPOSE ROOM
FLEX
OFFICE
CONFERENCE ROOM

LAUNDRY
PATIENT ROOMS

PATIENT
FLEX
OFFICE
FLEX

READING ROOM / LIBRARY

OFFICE
FLEX STAFF TRAINING
CAFE FOR PATIENTS PROGRAM PROGRAM PROGRAM OFFICE

READING
ROOM
STORE SALON MUSIC ROOM ROOM ROOM DAY ROOM FLEX

DAY ROOM
OFFICE
PEER COMPUTER PROGRAM FLEX

RESTAURANT
OFFICE MEETING ROOM MEETING ROOM

PATIENT EXERCISE
SUPPORT ROOM ROOM
KITCHEN

EXERCISE
PATIENT
PATIENT READING PROGRAM
LIBRARY WAITING ATRIUM

20 BEDS
CHAPEL EDUCATION ROOM ROOM
NURSE’S AREA

NURSE’S

STORAGE
AUDITORIUM / CHURCH PROGRAM PROGRAM PROGRAM

STATION
TEACHING

STORAGE
STATION
CLOTHING STORAGE RESTROOMS CAFE FOR STAFF GYMNASIUM KITCHEN ART ROOM ROOM ROOM PATIENT ROOMS
MEDICATION CONFERENCE ROOM BUSINESS OFFICE STORAGE

MEDICAL
ROOM
SUPERINTEN-
DENT’S OFFICE
ASST.SUPERIN-
TENDENT’S

GROUP THERAPY/
MULTI-PURPOSE
SALLY PORT OFFICE

STORAGE
ROOM DE-ESCALATION STENOGRAPHY COPY CENTER CHIEF

MEDICAL
RESTROOMS RESTROOMS

ACTIVITY
DE-ESCALATION ROOM FINANCIAL
OFFICER
SAFETY CHIEF
MANAGEMENT NURSE
VISITATION THERAPY SECLUSION THERAPY SHOWER THERAPY SECLUSION THERAPY SHOWER SHOWER THERAPY SECLUSION THERAPY VISITATION WORKER’S EXECUTIVE
SHOWERS PATIENT ROOMS PATIENT ROOMS SHOWERS
ROOMS ROOMS ROOMS COMPENSA- REIMBURSEMENT STORAGE
TION CLINICAL
POST DIRECTOR
PATIENT
OFFICE RIGHTS
DIRECTOR OF
RESIDENTIAL
MEETING ROOM PATIENT EXERCISE READING ROOM / LIBRARY EXERCISE PATIENT MEETING ROOM
STAFF BREAKROOM,
PATIENT LAUNDRY PATIENT LAUNDRY PATIENT
STAFF BREAKROOM,
PATIENT FILES / RECORDS / SERVICES
DE-ESCALATION

DE-ESCALATION

STORAGE VISITATION SECURITY VISITATION READING ROOM / LIBRARY LOCKER ROOM & LOCKER ROOM &
STORAGE TRANSPORTA- DIRECTOR OF
LAUNDRY LAUNDRY
MULTI-PURPOSE ROOM
LAUNDRY
MULTI-PURPOSE ROOM CLOTHING STORAGE PSYCHIATRIC
TION
ROOM

ROOM

TREATMENT TREATMENT SERVICES

DAY ROOM
DAY ROOM CENTER REIMBURSEMENT DE-ESCALATION HEALTH INFORMATION DIRECTOR OF HEALTH INFO MANAGEMENT
NURSE’S MEDICATION MEDICATION NURSE’S MEETING ROOMS /
ROOM
NURSING SOCIAL
STORAGE STORAGE
ROOM MANAGEMENT M.E.P. STORAGE
STATION STATION SUPPORT

STORAGE
SERVICES
SOCIAL
DE-ESCALATION
FLEX OFFICE

EXERCISE
BARBER /
SALON
ARTS/ LIBRARY

READING
SECURITY
READING

READING

CRAFTS

ROOM
ROOM

ROOM

DAY DAY DAY ROOM

STORAGE

STORAGE
20 BEDS 20 BEDS MEETING ROOMS /
FLEX OFFICE
ROOM ROOM MEDICATION
UTILIZATION DIRECTOR OF
ADDITIONAL
TRUST MANAGEMENT MAINTENANCE STORAGE
SECLUSION SECLUSION DINING HALL PATIENT ROOMS
ROOMS ROOMS
EXERCISE
FUNDS COURT
EXERCISE

EXERCISE

NURSE’S
PATIENT
PATIENT

PATIENT

STORAGE
NURSE’S
MEDIC

STATION
BASKETBALL COURT DINING HALL

STORAGE
PATIENT ROOMS
CASHIER/ STATION
PATIENT ROOMS

PATIENT ROOMS

ADMIN

20 BEDS
TEL-

ENTRY
GROUP THERAPY/
PATIENT ON DUTY SUPPORT
CONFERENCE MULTI-PURPOSE
20 BEDS NURSE’S 20 BEDS NURSE’S NURSE’S 20 BEDS
STORAGE
STORAGE

STORAGE

ACTIVITY
PROPERTY ACCOUNT-

READING ROOM / LIBRARY

THERAPY THERAPY STATION STATION STATION
ING
PATIENT ROOMS

PATIENT ROOMS

OFFICE OFFICE
PATIENT ROOMS PATIENT ROOMS PATIENT ROOMS CENTRAL

READING
MEETING MEDICATION MEETING MEDICATION

ROOM
MEDICATION
ROOM ROOM CENTRAL IT SECURITY OFFICE OFFICE JOB CENTER
DAY ROOM

DAY ROOM
STAFF MEETING ROOMS / DINING HALL DINING HALL MEETING ROOMS / STAFF
BREAK FLEX OFFICE BREAK OFFICE OFFICE
FLEX OFFICE INDOOR

PATIENT EXERCISE
STORAGE /
ROOM/ RECREATION ROOM/ STORAGE / WAITING AREA QUALITY

EXERCISE
STORAGE

PATIENT
MAINT LOCKER MAINT DE-ESCALATION TREATMENT DE-ESCALATION TREATMENT DE-ESCALATION STORAGE MANAGE-
LOCKER OFFICE OFFICE

OFFICE
ROOM ROOM ROOM ROOM ROOM MENT
RESTROOMS STORAGE
OFFICE PATIENT
HOUSE STAFF BREAKROOM, LOCKER

LAUNDRY
PATIENT
LAUNDRY

OFFICE
OFFICE SUPERVISOR ROOM & MULTI-PURPOSE ROOM
INDOOR BASKETBALL COURT INDOOR TREATMENT SPACE
SECOND FLOOR DETAIL RECREATION OFFICE SHOWER THERAPY THERAPY

INFECTION EMPLOYEE
RECREATION

SECLUSION
CONTROL HEALTH
SECLUSION

ROOMS
SHOWERS
OFFICE ISOLATION

THERAPY

THERAPY
ROOMS
SALLY PORT
ECG +
STORAGE DE-ESCALATION
IMAGING MEDICAL

MAXIMUM SECURITY 2ND FLOOR PLAN QUAD 2ND FLOOR PLAN MAIN BUILDING 2ND FLOOR PLAN BASEMENT FLOOR PLAN
DE-ESCALATION DE-ESCALATION STORAGE EXAM MEDICAL
ROOM TREATMENT ROOM TREATMENT ROOM ROOM OFFICE
ROOM ROOM LAB MEDICAL
EXAM MEDICAL
ROOM OFFICE
DENTAL
EXAM DENTAL
MEDICAL MEDICAL MEDICATION AFTER ROOM OFFICE
ROOM MEETING ROOM MEETING HOURS
CART
PHARMACY FLEX
EXAM FLEX
PATIENT ROOMS PATIENT ROOMS PATIENT ROOMS

UPPER LEVEL PLANS

ROOM ROOM ROOM OFFICE
FLEX
NURSE’S NURSE’S NURSE’S FLEX
STORAGE

EXAM
STORAGE

STORAGE

20 BEDS STATION 20 BEDS STATION STATION 20 BEDS STAFF MEETING MEETING

ROOM
FLEX
OFFICE

EXAM FLEX
LOCKERS ROOM ROOM ROOM OFFICE
DINING HALL
BREAKROOM
& SECURITY
DINING HALL
RESTROOMS STORAGE OFFICE
READING
READING

READING

ROOM
ROOM

ROOM

MEETING ROOMS /
DAY ROOM DAY ROOM DAY ROOM OBSERVATION
FLEX OFFICE ROOM 1
MEETING ROOMS /
FLEX OFFICE
OFFICE
EXERCISE
EXERCISE

EXERCISE

PATIENT
PATIENT

PATIENT

OBSERVATION
ROOM 2 LOBBY
STAFF BREAKROOM, STAFF BREAKROOM,
PATIENT LAUNDRY
PHOTO & ID

PATIENT LAUNDRY PATIENT

LOCKER ROOM &
INTERVIEW

INTERVIEW

INTERVIEW

LOCKER ROOM &

KITCHEN

LAUNDRY
OFFICE
ROOM 1

ROOM 2

ROOM 3

MULTI-PURPOSE ROOM MULTI-PURPOSE ROOM

SHOWER THERAPY THERAPY VISITATION

SECLUSION SECLUSION SECLUSION

VISITATION ROOMS SHOWER THERAPY ROOMS THERAPY SHOWER ROOMS
THERAPY THERAPY

SECOND FLOOR DETAIL

GUARD
STATION

1 ACRE
FIRST FLOOR PLAN

OVERALL PLAN OF THE IDEALIZED MODEL 50 200

0 100 FT.

SECTION 5 IDEALIZED MODEL _69

_Axonometric Model
LEGEND
OUTDOOR SPACE

LANDSCAPE HARDSCAPE GREEN SPACE

PRIVATE SEMI-PRIVATE PUBLIC

PATIENT ROOM

UNIT UNIT
ACTIVITY SUPPORT FACILITIES
UNIT CENTRAL COMMUNITY
CONTROL POINT MEDICAL SERVICES SERVICES
UNIT CENTRAL
ADMISSION
STORAGE SUPPORT FACILITY
CENTRAL
ADMINISTRATION
ENVIRONMENTAL SERVICES

CENTRAL FOOD SERVICES

MAINTENANCE
ROAD
GROUNDKEEPING

WAREHOUSE VACANT

AXONOMETRIC OF THE IDEALIZED MODEL

70_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Total Floor Area
Square Feet

Residential Units 255,000

Maximum Security Unit 51,700
Administration 28,800
Admissions 5,200
Central Medical Clinic and Pharmacy 11,200
Central Support Programs 22,000
Central Food and Environmental Services 32,200
Maintenance and Groundskeeping 22,500
Community Services 1,800

Warehousing 21,100

TOTAL ESTIMATED FLOOR AREA 451,500

26

SECTION 5 IDEALIZED MODEL_71

_Control + Security

WAREHOUSE SPORTS FIELD

ALLOTMENT GARDENS GREENHOUSE

LOADING ZONE
LOADING ZONE

VISITATION THERAPY SECLUSION THERAPY SHOWER THERAPY SECLUSION THERAPY SHOWER SHOWER THERAPY SECLUSION
SECLU
USION THERAPY SHOWER THERAPY SECLUSION
SECLU
USION THERAPY VISITATION
REFUSE ROOMS ROOMS ROOM
ROOMS
MS ROOM
MS
ROOMS

STAFF BR
BREAKROOM,
RREAKROOM,
EAKROOOM STAFF BR
BREAKROOM,
RREAKROOM,
EAKROOOM
PATIENT LAUNDRY PATIENT LAUNDRY
R PATIENT PATIENT
LOCKER ROOM & LOCKER ROOM &
LAUNDRYY LAUNDRYY
MULTI-PURPOSE ROOM MULTI-PURPOSE ROOM

SERVICE MEETING ROOMSM /

FLEX OOFFICE

READING
READING

READING

READING

ROOM
M
ROOM
M

ROOM
M

ROOM
M

D
D

D
MEETING ROOMSS /
DAY DAY DDAY
A ROOM DDAY ROOM
FLEX OFFICE
F
ROOM ROOM

ARCHIVE DINING HALL

EXERCISE
EXERCISE

EXERCISE

EXERCISE

PATIENT
PATIENT

PATIENT

PATIENT

N
N

C
N
C

C
DINING HALL

PATIENT ROOMS

PATIENT ROOMS
MULTI-

R
PURPOSE LANDSCAPE METALS 2 BEDSS
20 NURSE’S 20 BEDSS NURSE’S 200 BEDS NURSE’S 200 BEDS
MR MR NURSE’S

STORAGE
STORAGE

STORAGE

STORAGE
STATION STATION STATION STATION
ROOM:
PATIENT
PA
AATIENT RO
ROOMS
OMS PA
PATIENT
AATIENT ROOMS
ROOMS PATIENT
PAT
TIENT ROOM
ROOMS
M
MS PATIENT
PAT
TIENT ROOMS
ROOM
M
MS
ZONE

STAFF MEDICATION MEETING MEDICATION MEETING MEDICATION MEDICATION

Z

ROOM ROOM
PARTS
LOADING
A

LOADING ZONE
SECURE UNIT
STORAGE DE-ESCALATION TREATMENTT DE-ESCALATION TTREATMENT DE-ESCALATION DE-ESCALATION STORAGE

CONFERENCE FOOD FOOD ROOM ROOM ROOM ROOM ROOM ROOM

ROOM WAREHOUSEE WAREHOUSE FLEX

DIRECTOR’S REFRIGERATOR FREEZER SPACE
OFFICE
ASST. DIRECTOR
DIRECTOR
OFFICE
2 UNITS CAN BE SECURED
INDOOR
RECREATION
BASKETBALL
A COURT INDOOR
RECREATION
REFRIGERATOR FREEZER
SERVICE

OFFICE
FOOD

MULTI-PURPOSE
DISH CLEAN

STORAGE DE-ESCALATION DE-ESCALATION

DE-ESCALATION DE-ESCALATION STORAGE
RECEPTION
RECEPTION
RETURN &

CARPENTRY VEHICULAR REPAIR TREATMENTT TTREATMENT ROOM

R ROOM
SERVICE

ROOM ROOM
STAFF

ROOM ROOM
D ZONE

KITCHEN
LOADING

MEDICAL MEDICAL MEDICATION MEDICATION

ROOM MEETING ROOM MEETING
PA
ATIENT ROOMS
PATIENT ROOMS PPATIENT
ATIENT
A ROOMS
ROOMS PATIENT
PAT
TIENT ROOMS
ROOM
M
MS PATIENT
PAT
TIENT ROOM
ROOMS
M
MS
O

OFFICE ROOM ROOM

EQUIPMENT NURSE’S NURSE’S NURSE’S NURSE’S

STORAGE
STORAGE
STORAGE

STORAGE
LAUNDRY STORAGE 220 BEDSS STATION 20 BEDSS STATION STATION 200 BE
BEDS STATION 200 BE
BEDS
O

PANTRY
R STORAGE OFFICE
DINING HALL

DINING HALL

READING
READING
READING

READING

ROOM
ROOM
ROOM

ROOM

D
D

O
FLEX

A
O
O

MEETING
N ROOMSS /
DAY ROOM
M DAY ROOM
M DAY
AY ROOM DAY ROOM
FLEX OFFICE
F
SPACE MEETING
E ROOMS
O /

CLEANING FLEXX OFFICE

EXERCISE
EXERCISE
EXERCISE

EXERCISE

PATIENT
LAUNDRY SUPPLIES

PATIENT
PATIENT

PATIENT

E
R
E
E

E
R

LOADING ZONE STAFF BREAKROOM,

R O STAFF BREAKROOM,
R O
PATIENT LAUNDRY
R PATIENT LAUNDRYY PATIENT
N N
PATIENT
LOCKER ROOM & LOCKER ROOM &
LAUNDRY
D D
LAUNDRY
MULTI-PURPOSE ROOM MULTI-PURPOSE ROOM

SHOWER THERAPY THERAPY SHOWER THERAPY THERAPY VISITATION

SECLUSION SECLUSION SECLUSION

U U
SECLUSION
VISITATION ROOMS SHOWER THERAPY ROOMS THERAPY SHOWER ROOMS
ROOM
MS ROOM
MS
ROOMS
THERAPY THERAPY

2 QUAD CAN BE SECURED

CAFE FOR PATIENTS PROGRAM PROGRAM PROGRAM
STORE SALON MUSIC ROOM ROOM ROOM
PEER COMPUTER PROGRAM

RESTAURANT
SUPPORT ROOM ROOM
KITCHEN
PATIENT READING PROGRAM
CHAPEL EDUCATION ROOM LIBRARY ROOM
AUDITORIUM / CHURCH TEACHING PROGRAM PROGRAM PROGRAM
CLOTHING STORAGE RESTROOMS
O CAFE FOR STAFF GYMNASIUM KITCHEN ART ROOM ROOM ROOM

SALLY PORT

VISITATION THERAPY SECLUSION THERAPY SHOWER THERAPY SECLUSION T

THERAPY SHOWER SHOWER THERAPY SECLUUSION
SECLUSION THERAPY VISITATION
SHOWERS PATIENT ROOMS PATIENT ROOMS SHOWERS
ROOMS ROOMS ROOM
MS
ROOMS

POST
OFFICE
STAFF BR
RREAKROOM,
EAKROOM
BREAKROOM, STAFF BR
BREAKROOM,
RREAKROOM,
EAKROOOM
MEETING ROOM PATIENT EXERCISE READING ROOM / LIBRARY EXERCISE PATIENT MEETING ROOM PATIENT LAUNDRY
R PATIENT LAUNDRY
R PATIENT
DE-ESCALATION

DE-ESCALATION

STORAGE VISITATION SECURITY

SECURRRITY VISITATION READING ROOM / LIBRARY LOCKER ROOM & LOCKER ROOM &
STORAGE LAUNDRY
LAUNDRY LAUNDRY
MULTI
MULTI-P
PURPOSE
URPOSE ROOM
MULTI-PURPOSE MULTI-PPURPOSE
MULTI PURPOSE ROOM
MULTI-PURPOSE CLOTHING
ROOM

ROOM

TREATMENT TREATMENT
DAY ROOM
DAY ROOM CENTER REIMBURSEMENT
NURSE’S MEDICATION
STORAGE STORAGE
MEDICATION NURSE’S MEETING ROOMSM /
STATION STATION
ARTS/ LIBRARY
FLEX OOFFICE
SOCIAL
READING

SECURITY
READING

READING

CRAFTS
ROOM
M
ROOM
M

ROOM
M

D
D

DAY DAY DDAY

A ROOM
20 BEDS
E 200 BE
BEDS
BEDS MEETINGG ROOMSS /
F
FLEX OFFICE
ROOM ROOM
TRUST
SECLUSION SECLUSION DINING HALL
ROOMS ROOMS FUNDS COURT
EXERCISE
EXERCISE

EXERCISE

PATIENT
PATIENT

PATIENT

N
N

C
C

BASKETBALL
A COURT DINING HALL
CASHIER/
PATIENT ROOMS

PATIENT ROOMS

TEL-

ENTRY
GROUP THERAPY/
PATIENT
R

CONFERENCE MULTI-PURPOSE
2 BEDSS
20 NURSE’S 20 BEDSS NURSE’S NURSE’S 200 BEDS
STORAGE
STORAGE

STORAGE

THERAPY
ACTIVITY
THERAPY STATION STATION STATION PROPERTY
PATIENT ROOMS

PATIENT ROOMS

PATIENT
PA
AATIENT ROO
ROOMS
OOMS PA
PATIENT
AATIENT ROO
ROOMS
OMS PATIENT
PAT
TIENT ROOM
TIENT ROOMS
MS CENTRAL
A
R

MEDICATION MEETING MEDICATION MEETING MEDICATION

ROOM ROOM TRAL IT SECURIT
CENTRAL
CENT TY
SECURITY
STAFF MEETING
MEETINNNG ROOMS / DIN
NING HALL
DINING DINING HA
AALL
HALL MEETING RROOMS
OOMS / STAFF
BREAK OFFICE
FLEX OFFIC
CE BREAK
FLEX OFFICE
OFFFICE INDO OR
INDOOR
STORAGE /
ROOM/ RECR
RREATION
RECREATION ROOM/ STORAGE /
STORAGE
WAITING AREA
MAINT LOCKER MAINT DE-ESCALATION TREATMENTT DE-ESCALATION TTREATMENT
REATMENT DE-ESCALATION STORAGE
LOCKER

OFFICE
SECURE UNIT
ROOM ROOM ROOM RROOM
OOM ROOM
RESTROOMS
R STORAGE
OFFICE
OFFICE

OFFICE
INDOOR BASKETBALL COURT INDOOR TREATMENT SPACE
SECOND FLOOR DETAIL
DETAIL RECREATION OFFICE
INFECTION EMPLOYEE

RECREATION
CONTROL HEALTH

OFFICE ISOLATION
MAXIMUM SECURITY
SALLY PORT

STORAGE DE-ESCALATION
ECG +
IMAGING MEDICAL
DE-ESCALATION DE-ESCALATION STORAGE EXAM MEDICAL
ROOM T
TREATMENT ROOM TTREATMENT
REATMENT ROOM ROOM OFFICE
ROOM RROOM
OOM LAB MEDICAL
EXAM MEDICAL
ROOM OFFICE
DENTAL
EXAM DENTAL
MEDICAL MEDICAL MEDICATION AFTER ROOM OFFICE
ROOM MEETING ROOM MEETING HOURS
CART
PHARMACY FLEX
EXAM FLEX
PATIENT
AATIENT ROOMS
PA ROOOOMS ROOM PATIENT
AATIENT ROOMS
PA ROOOMS ROOM PATIENT
PAT
TIENT ROOMS
ROOM
M
MS ROOM OFFICE
FLEX
NURSE’S NURSE’S NURSE’S FLEX
STORAGE

EXAM
STORAGE

STORAGE

220 BEDSS STATION 20 BEDSS STATION STATION 200 BE

BEDS STAFF MEETING MEETING
ROOM
FLEX
OFFICE

EXAM FLEX
LOCKERS ROOM ROOM ROOM OFFICE
DINING HALL
BREAKROOM
& SECURITY
DINING HALL
RESTROOMS STORAGEE OFFICE
READING
READING

READING

ROOM
ROOM

ROOM
D

O
A
O

O
A

MEETING ROOMSS /
DAY ROOM DAY ROOM DAYY ROOM OBSERVATION
FLEX OFFICE
F ROOM 1
MEETING
E ROOMS
O /
FLEXX OFFICE
OFFICE
EXERCISE
EXERCISE

EXERCISE

PATIENT
PATIENT

PATIENT

E
R

OBSERVATION
E

E
R

ROOM 2 LOBBY
STAFF BREAKROOM,
R O STAFF BREAKROOM,
R O
PATIENT LAUNDRYY PATIENT LAUNDRYY
PHOTO & ID

PATIENT
LOCKER ROOM &
INTERVIEW

INTERVIEW

INTERVIEW

LOCKER ROOM &

KITCHEN

LAUNDRY
OFFICE
ROOM 1

ROOM 2

ROOM 3

MULTI-PURPOSE ROOM MULTI-PURPOSE ROOM

SHOWER THERAPY THERAPY VISITATION

SECLUSION SECLUSION SECLUUSION

SECLUSION
VISITATION ROOMS SHOWER THERAPY ROOMS THERAPY SHOWER ROOM
MS
ROOMS
THERAPY THERAPY

SECOND FLOOR DETAIL

DETAIL

ENTIRELY SECURED
GUARD
STATION

FIRST FLOOR PLAN

Fundamental to the architectural form Quad if needed. The arrangement also

of the Idealized Model is the arrangement allows for the entire campus to be secured.
of four (4) individual Units into a Quad. Additional, heighten levels of security and
Multiple Quads together form a campus control are provided through the separate
centered on central support facilities and maximum security quad.
anchored by an administrative building.
This typology allows for a hierarchy of
control and security.

A single unit of twenty (20) beds is secured.

Two (2) units combined share facilities
and have appropriate levels of control and
security, allowing for security of an entire

72_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Landscape Structure + Function

WAREHOUSE SPORTS FIELD

ALLOTMENT GARDENS GREENHOUSE SPORTS FIELD

LOADING ZONE
ALLOYMENT GARDENS
LOADING ZONE

VISITATION THERAPY SECLUSION THERAPY SHOWER THERAPY SECLUSION THERAPY SHOWER SHOWER THERAPY SECLUSION
SECLU
USION THERAPY SHOWER THERAPY SECLUSION
SECLU
USION THERAPY VISITATION
REFUSE ROOMS ROOMS ROOM
ROOMS
MS ROOM
MS
ROOMS

STAFF BR
BREAKROOM,
RREAKROOM,
EAKROOOM STAFF BR
BREAKROOM,
RREAKROOM,
EAKROOOM
PATIENT LAUNDRY PATIENT LAUNDRY
R PATIENT PATIENT
LOCKER ROOM & LOCKER ROOM &
LAUNDRYY LAUNDRYY
MULTI-PURPOSE ROOM MULTI-PURPOSE ROOM

SERVICE MEETING ROOMSM /

FLEX OOFFICE

READING
READING

READING

READING

ROOM
M
ROOM
M

ROOM
M

ROOM
M

D
D

D
MEETING ROOMSS /
DAY DAY DDAY
A ROOM DDAY ROOM
FLEX OFFICE
F
ROOM ROOM

ARCHIVE DINING HALL

EXERCISE
EXERCISE

EXERCISE

EXERCISE

PATIENT
PATIENT

PATIENT

PATIENT

N
N

C
N
C

C
DINING HALL

PATIENT ROOMS

PATIENT ROOMS
MULTI-

R
PURPOSE LANDSCAPE METALS 2 BEDSS
20 NURSE’S 20 BEDSS NURSE’S 200 BEDS NURSE’S 200 BEDS
MR MR NURSE’S

STORAGE
STORAGE

STORAGE

STORAGE
STATION STATION STATION STATION
ROOM:
PATIENT
PA
AATIENT RO
ROOMS
OMS PA
PATIENT
AATIENT ROOMS
ROOMS PATIENT
PAT
TIENT ROOM
ROOMS
M
MS PATIENT
PAT
TIENT ROOMS
ROOM
M
MS
ZONE

STAFF MEDICATION MEETING MEDICATION MEETING MEDICATION MEDICATION

Z

ROOM ROOM
PARTS
LOADING
A

LOADING ZONE STORAGE DE-ESCALATION TREATMENTT DE-ESCALATION TTREATMENT DE-ESCALATION DE-ESCALATION STORAGE

CONFERENCE FOOD FOOD ROOM ROOM ROOM ROOM ROOM ROOM

WAREHOUSEE WAREHOUSE FLEX

SITTING
ROOM
DIRECTOR’S REFRIGERATOR FREEZER SPACE
OFFICE OFFICE INDOOR BASKETBALL
A COURT INDOOR
RECREATION RECREATION
ASST. DIRECTOR
DIRECTOR
REFRIGERATOR FREEZER
SERVICE

OFFICE
FOOD

MULTI-PURPOSE

BASKETBALL BASKETBALL
DISH CLEAN

STORAGE DE-ESCALATION DE-ESCALATION

DE-ESCALATION DE-ESCALATION STORAGE
RECEPTION
RECEPTION
RETURN &

CARPENTRY VEHICULAR REPAIR TREATMENTT TTREATMENT ROOM

R ROOM
SERVICE

ROOM ROOM
STAFF

ROOM ROOM
D ZONE

KITCHEN
LOADING

MEDICAL MEDICAL MEDICATION MEDICATION

ROOM MEETING ROOM MEETING
PA
ATIENT ROOMS
PATIENT ROOMS PPATIENT
ATIENT
A ROOMS
ROOMS PATIENT
PAT
TIENT ROOMS
ROOM
M
MS PATIENT
PAT
TIENT ROOM
ROOMS
M
MS
O

OFFICE ROOM ROOM

EQUIPMENT NURSE’S NURSE’S NURSE’S NURSE’S

STORAGE
STORAGE
STORAGE

STORAGE
LAUNDRY STORAGE 220 BEDSS STATION 20 BEDSS STATION STATION 200 BE
BEDS STATION 200 BE
BEDS
O

PANTRY
R STORAGE OFFICE
DINING HALL

DINING HALL

READING
READING
READING

READING

ROOM
ROOM
ROOM

ROOM

D
D

O
FLEX

A
O
O

MEETING
N ROOMSS /
DAY ROOM
M DAY ROOM
M DAY
AY ROOM DAY ROOM
FLEX OFFICE
F
SPACE MEETING
E ROOMS
O /

CLEANING FLEXX OFFICE

EXERCISE
EXERCISE
EXERCISE

EXERCISE

PATIENT
LAUNDRY SUPPLIES

PATIENT
PATIENT

PATIENT

E
R
E
E

E
R

LOADING ZONE STAFF BREAKROOM,

R O STAFF BREAKROOM,
R O
PATIENT LAUNDRY
R PATIENT LAUNDRYY PATIENT
N N
PATIENT
LOCKER ROOM & LOCKER ROOM &
LAUNDRY
D D
LAUNDRY
MULTI-PURPOSE ROOM MULTI-PURPOSE ROOM

SHOWER THERAPY THERAPY SHOWER THERAPY THERAPY VISITATION

SECLUSION SECLUSION SECLUSION

U U
SECLUSION
VISITATION ROOMS SHOWER THERAPY ROOMS THERAPY SHOWER ROOMS
ROOM
MS ROOM
MS
ROOMS
THERAPY THERAPY

SITTING
CAFE FOR PATIENTS PROGRAM PROGRAM PROGRAM
STORE SALON MUSIC ROOM ROOM ROOM
PEER COMPUTER PROGRAM

RESTAURANT
SUPPORT ROOM ROOM
KITCHEN
PATIENT READING PROGRAM
CHAPEL EDUCATION ROOM LIBRARY ROOM
AUDITORIUM / CHURCH TEACHING PROGRAM PROGRAM PROGRAM
CLOTHING STORAGE RESTROOMS
O CAFE FOR STAFF GYMNASIUM KITCHEN ART ROOM ROOM ROOM

SALLY PORT
PERGOLA

SHOWERS PATIENT ROOMS PATIENT ROOMS SHOWERS

SITTING VISITATION THERAPY SECLUSION THERAPY SHOWER THERAPY SECLUSION T
THERAPY SHOWER SHOWER THERAPY SECLUUSION
SECLUSION THERAPY VISITATION

VISUAL BUFFER VISUAL BUFFER

ROOMS ROOMS ROOM
MS
ROOMS

POST
OFFICE
STAFF BR
RREAKROOM,
EAKROOM
BREAKROOM, STAFF BR
BREAKROOM,
RREAKROOM,
EAKROOOM
MEETING ROOM PATIENT EXERCISE READING ROOM / LIBRARY EXERCISE PATIENT MEETING ROOM PATIENT LAUNDRY
R PATIENT LAUNDRY
R PATIENT
DE-ESCALATION

DE-ESCALATION

STORAGE VISITATION SECURITY

SECURRRITY VISITATION READING ROOM / LIBRARY LOCKER ROOM & LOCKER ROOM &
STORAGE LAUNDRY
LAUNDRY LAUNDRY
MULTI
MULTI-P
PURPOSE
URPOSE ROOM
MULTI-PURPOSE MULTI-PPURPOSE
MULTI PURPOSE ROOM
MULTI-PURPOSE CLOTHING
ROOM

ROOM

TREATMENT TREATMENT
DAY ROOM
DAY ROOM CENTER REIMBURSEMENT
NURSE’S MEDICATION
STORAGE STORAGE
MEDICATION NURSE’S MEETING ROOMSM /
STATION STATION
ARTS/ LIBRARY
FLEX OOFFICE
SOCIAL
READING

SECURITY
READING

READING

CRAFTS
ROOM
M
ROOM
M

ROOM
M

D
D

DAY DAY DDAY

A ROOM
20 BEDS
E 200 BE
BEDS
BEDS MEETINGG ROOMSS /
F
FLEX OFFICE
ROOM ROOM
TRUST
SECLUSION SECLUSION DINING HALL
ROOMS ROOMS FUNDS COURT
EXERCISE
EXERCISE

EXERCISE

PATIENT
PATIENT

PATIENT

N
N

C
C

BASKETBALL
A COURT DINING HALL
CASHIER/
PATIENT ROOMS

PATIENT ROOMS

TEL-

ENTRY
GROUP THERAPY/
PATIENT
R

CONFERENCE MULTI-PURPOSE
2 BEDSS
20 NURSE’S 20 BEDSS NURSE’S NURSE’S 200 BEDS
STORAGE
STORAGE

STORAGE

THERAPY
ACTIVITY
THERAPY STATION STATION STATION PROPERTY
PATIENT ROOMS

PATIENT ROOMS

PATIENT
PA
AATIENT ROO
ROOMS
OOMS PA
PATIENT
AATIENT ROO
ROOMS
OMS PATIENT
PAT
TIENT ROOM
TIENT ROOMS
MS CENTRAL
A
R

MEDICATION MEETING MEDICATION MEETING MEDICATION

ROOM ROOM TRAL IT SECURIT
CENTRAL
CENT TY
SECURITY

BASKETBALL
STAFF MEETING
MEETINNNG ROOMS / DIN
NING HALL
DINING DINING HA
AALL
HALL MEETING RROOMS
OOMS / STAFF
BREAK OFFICE
FLEX OFFIC
CE BREAK
FLEX OFFICE
OFFFICE INDO OR
INDOOR
STORAGE /
ROOM/ RECR
RREATION
RECREATION ROOM/ STORAGE /
STORAGE
WAITING AREA
MAINT LOCKER MAINT DE-ESCALATION TREATMENTT DE-ESCALATION TTREATMENT
REATMENT DE-ESCALATION STORAGE
LOCKER

OFFICE
ROOM ROOM ROOM RROOM
OOM ROOM
RESTROOMS
R STORAGE
OFFICE
OFFICE

OFFICE
SECOND FLOOR DETAIL
DETAIL INDOOR BASKETBALL COURT INDOOR
RECREATION OFFICE
TREATMENT SPACE
PUBLIC LANDSCAPE
INFECTION EMPLOYEE

RECREATION
CONTROL HEALTH

OFFICE ISOLATION
SITTING
SALLY PORT
ECG +
IMAGING
BASKETBALL BASKETBALL SEMI-PUBLIC LANDSCAPE
STORAGE DE-ESCALATION MEDICAL
DE-ESCALATION DE-ESCALATION STORAGE EXAM MEDICAL
ROOM T
TREATMENT ROOM TTREATMENT
REATMENT ROOM ROOM OFFICE
ROOM RROOM
OOM LAB MEDICAL
EXAM MEDICAL
ROOM OFFICE
DENTAL
EXAM DENTAL
MEDICAL MEDICAL MEDICATION AFTER ROOM OFFICE
ROOM MEETING ROOM MEETING HOURS PHARMACY FLEX
EXAM FLEX

SEMI-PRIVATE LANDSCAPE
PATIENT
AATIENT ROOMS
PA ROOOOMS ROOM PATIENT
AATIENT ROOMS
PA ROOOMS ROOM PATIENT
PAT
TIENT ROOMS
ROOM
M
MS CART ROOM OFFICE
FLEX
NURSE’S NURSE’S NURSE’S FLEX
STORAGE

EXAM
STORAGE

STORAGE

220 BEDSS STATION 20 BEDSS STATION STATION 200 BE

BEDS STAFF MEETING MEETING
ROOM
FLEX
OFFICE

EXAM FLEX
LOCKERS ROOM ROOM ROOM OFFICE
DINING HALL
BREAKROOM
SECURITY
PRIVATE LANDSCAPE
&
DINING HALL
RESTROOMS STORAGEE OFFICE
READING
READING

READING

ROOM
ROOM

ROOM
D

O
A
O

O
A

MEETING ROOMSS /
DAY ROOM DAY ROOM DAYY ROOM OBSERVATION
FLEX OFFICE
F ROOM 1
MEETING
E ROOMS
O /
FLEXX OFFICE
OFFICE
EXERCISE
EXERCISE

EXERCISE

PATIENT
PATIENT

PATIENT

E
R

OBSERVATION
E

E
R

ROOM 2 LOBBY
STAFF BREAKROOM,
R O STAFF BREAKROOM,
R O
PATIENT LAUNDRYY PATIENT LAUNDRYY
PHOTO & ID

PATIENT
LOCKER ROOM &
INTERVIEW

INTERVIEW

INTERVIEW

LOCKER ROOM &

KITCHEN

LAUNDRY
OFFICE
ROOM 1

ROOM 2

ROOM 3

MULTI-PURPOSE ROOM MULTI-PURPOSE ROOM

SHOWER THERAPY THERAPY VISITATION

SECLUSION SECLUSION SECLUUSION

SECLUSION
VISITATION ROOMS SHOWER THERAPY ROOMS THERAPY SHOWER ROOM
MS
ROOMS
THERAPY THERAPY

SECOND FLOOR DETAIL

DETAIL

GUARD
STATION

FIRST FLOOR PLAN

The architectural form of the Idealized

Model is derived from the need to provide
for a hierarchy of outdoor, therapeutic
spaces, from the private, serene courtyard
of a unit to the more active, formal
landscapes or the central therapy mall.

SECTION 5 IDEALIZED MODEL_73

_ Pedestrian Circulation

WAREHOUSE SPORTS FIELD

ALLOTMENT GARDENS GREENHOUSE

LOADING ZONE
LOADING ZONE

VISITATION THERAPY SECLUSION THERAPY SHOWER THERAPY SECLUSION THERAPY SHOWER SHOWER THERAPY SECLUSION
SECLU
USION THERAPY SHOWER THERAPY SECLUSION
SECLU
USION THERAPY VISITATION
REFUSE ROOMS ROOMS ROOM
ROOMS
MS ROOM
MS
ROOMS

STAFF STAFF BR
BREAKROOM,
RREAKROOM,
EAKROOOM
PATIENT LAUNDRY PATIENT LAUNDRY
R PATIENT PATIENT
STAFF BR
BREAKROOM,
RREAKROOM,
EAKROOOM
STAFF
ENTRY ENTRY
LOCKER ROOM & LOCKER ROOM &
LAUNDRYY LAUNDRYY
MULTI-PURPOSE ROOM MULTI-PURPOSE ROOM

SERVICE MEETING ROOMSM /

FLEX OOFFICE

READING
READING

READING

READING

ROOM
M
ROOM
M

ROOM
M

ROOM
M

D
D

D
MEETING ROOMSS /
DAY DAY DDAY
A ROOM DDAY ROOM
FLEX OFFICE
F
ROOM ROOM

ARCHIVE DINING HALL

EXERCISE
EXERCISE

EXERCISE

EXERCISE

PATIENT
PATIENT

PATIENT

PATIENT

N
N

C
N
C

C
DINING HALL

PATIENT ROOMS

PATIENT ROOMS
MULTI-

R
PURPOSE LANDSCAPE METALS 2 BEDSS
20 NURSE’S 20 BEDSS NURSE’S 200 BEDS NURSE’S 200 BEDS
MR MR NURSE’S

STORAGE
STORAGE

STORAGE

STORAGE
STATION STATION STATION STATION
ROOM:
PATIENT
PA
AATIENT RO
ROOMS
OMS PA
PATIENT
AATIENT ROOMS
ROOMS PATIENT
PAT
TIENT ROOM
ROOMS
M
MS PATIENT
PAT
TIENT ROOMS
ROOM
M
MS
ZONE

STAFF MEDICATION MEETING MEDICATION MEETING MEDICATION MEDICATION

Z

ROOM ROOM
PARTS
LOADING
A

LOADING ZONE STORAGE DE-ESCALATION TREATMENTT DE-ESCALATION TTREATMENT DE-ESCALATION DE-ESCALATION STORAGE

CONFERENCE FOOD FOOD ROOM ROOM ROOM ROOM ROOM ROOM

ROOM WAREHOUSEE WAREHOUSE FLEX

DIRECTOR’S REFRIGERATOR FREEZER SPACE
OFFICE
PATIENT ENTRY PATIENT ENTRY PATIENT ENTRY PATIENT ENTRY
OFFICE INDOOR BASKETBALL
A COURT INDOOR
RECREATION RECREATION
ASST. DIRECTOR
DIRECTOR
REFRIGERATOR FREEZER
SERVICE

OFFICE
FOOD

MULTI-PURPOSE
DISH CLEAN

STORAGE DE-ESCALATION DE-ESCALATION

DE-ESCALATION DE-ESCALATION STORAGE
RECEPTION
RECEPTION
RETURN &

CARPENTRY VEHICULAR REPAIR TREATMENTT TTREATMENT ROOM

R ROOM
SERVICE

ROOM ROOM
STAFF

ROOM ROOM
D ZONE

KITCHEN
LOADING

MEDICAL MEDICAL MEDICATION MEDICATION

ROOM MEETING ROOM MEETING
PA
ATIENT ROOMS
PATIENT ROOMS PPATIENT
ATIENT
A ROOMS
ROOMS PATIENT
PAT
TIENT ROOMS
ROOM
M
MS PATIENT
PAT
TIENT ROOM
ROOMS
M
MS
O

OFFICE ROOM ROOM

EQUIPMENT NURSE’S NURSE’S NURSE’S NURSE’S

STORAGE
STORAGE
STORAGE

STORAGE
LAUNDRY STORAGE 220 BEDSS STATION 20 BEDSS STATION STATION 200 BE
BEDS STATION 200 BE
BEDS
O

PANTRY
R STORAGE OFFICE
DINING HALL

DINING HALL

READING
READING
READING

READING

ROOM
ROOM
ROOM

ROOM

D
D

O
FLEX

A
O
O

MEETING
N ROOMSS /
DAY ROOM
M DAY ROOM
M DAY
AY ROOM DAY ROOM
FLEX OFFICE
F
SPACE MEETING
E ROOMS
O /

CLEANING FLEXX OFFICE

EXERCISE
EXERCISE
EXERCISE

EXERCISE

PATIENT
LAUNDRY SUPPLIES

PATIENT
PATIENT

PATIENT

E
R
E
E

E
R

LOADING ZONE
STAFF STAFF BREAKROOM,
R
LOCKER ROOM &
O

MULTI-PURPOSE ROOM
PATIENT LAUNDRY
R PATIENT LAUNDRYY PATIENT
N
LAUNDRY
D
N
PATIENT
D
LAUNDRY
STAFF BREAKROOM,
R
LOCKER ROOM &
O

MULTI-PURPOSE ROOM
STAFF
ENTRY SHOWER THERAPY THERAPY SHOWER THERAPY THERAPY VISITATION
ENTRY
QUAD ENTRY
SECLUSION SECLUSION SECLUSION
U U
SECLUSION
VISITATION ROOMS SHOWER THERAPY ROOMS THERAPY SHOWER ROOMS
ROOM
MS ROOM
MS
ROOMS
THERAPY THERAPY

CAFE FOR PATIENTS PROGRAM PROGRAM PROGRAM

STORE SALON MUSIC ROOM ROOM ROOM
PEER COMPUTER PROGRAM

AUDITORIUM / CHURCH CAFÉ RESTAURANT

SUPPORT ROOM ROOM
KITCHEN
PATIENT READING PROGRAM
CHAPEL EDUCATION ROOM LIBRARY ROOM
AUDITORIUM / CHURCH TEACHING PROGRAM PROGRAM PROGRAM
CLOTHING STORAGE RESTROOMS
O CAFE FOR STAFF GYMNASIUM KITCHEN ART ROOM ROOM ROOM

SALLY PORT

SHOWERS PATIENT ROOMS PATIENT ROOMS SHOWERS

VISITATION THERAPY SECLUSION
ROOMS
THERAPY SHOWER THERAPY SECLUSION
ROOMS
T
THERAPY SHOWER
QUAD ENTRY SHOWER THERAPY SECLUUSION
SECLUSION
ROOM
MS
ROOMS
THERAPY VISITATION

STAFF STAFF BR
RREAKROOM,
EAKROOM
BREAKROOM, STAFF BR
BREAKROOM,
RREAKROOM,
EAKROOOM
POST
OFFICE

ENTRY
MEETING ROOM PATIENT EXERCISE READING ROOM / LIBRARY EXERCISE PATIENT MEETING ROOM PATIENT LAUNDRY
R PATIENT LAUNDRY
R PATIENT
DE-ESCALATION

DE-ESCALATION

STORAGE VISITATION SECURITY

SECURRRITY VISITATION READING ROOM / LIBRARY LOCKER ROOM & LOCKER ROOM &
STORAGE LAUNDRY
LAUNDRY LAUNDRY
MULTI
MULTI-P
PURPOSE
URPOSE ROOM
MULTI-PURPOSE MULTI-PPURPOSE
MULTI PURPOSE ROOM
MULTI-PURPOSE CLOTHING
ROOM

ROOM

TREATMENT TREATMENT
DAY ROOM
DAY ROOM CENTER REIMBURSEMENT
NURSE’S MEDICATION
STORAGE STORAGE
MEDICATION NURSE’S MEETING ROOMSM /
STATION STATION
ARTS/ LIBRARY
FLEX OOFFICE
SOCIAL
READING

SECURITY
READING

READING

CRAFTS
ROOM
M
ROOM
M

ROOM
M

D
D

DAY DAY DDAY

A ROOM
20 BEDS
E 200 BE
BEDS
BEDS MEETINGG ROOMSS /
F
FLEX OFFICE
ROOM ROOM
TRUST
SECLUSION SECLUSION DINING HALL
ROOMS ROOMS FUNDS COURT
EXERCISE
EXERCISE

EXERCISE

PATIENT
PATIENT

PATIENT

N
N

C
C

BASKETBALL
A COURT DINING HALL
CASHIER/
PATIENT ROOMS

PATIENT ROOMS

TEL-

ENTRY
GROUP THERAPY/
PATIENT
R

CONFERENCE MULTI-PURPOSE
2 BEDSS
20 NURSE’S 20 BEDSS NURSE’S NURSE’S 200 BEDS
STORAGE
STORAGE

STORAGE

MAIN ENTRY
THERAPY
ACTIVITY
THERAPY STATION STATION STATION PROPERTY
PATIENT ROOMS

PATIENT ROOMS

PATIENT
PA
AATIENT ROO
ROOMS
OOMS PA
PATIENT
AATIENT ROO
ROOMS
OMS PATIENT
PAT
TIENT ROOM
TIENT ROOMS
MS CENTRAL
A
R

MEDICATION MEETING MEDICATION MEETING MEDICATION

ROOM ROOM TRAL IT SECURIT
CENTRAL
CENT TY
SECURITY
STAFF MEETING
MEETINNNG ROOMS / DIN
NING HALL
DINING DINING HA
AALL
HALL MEETING RROOMS
OOMS / STAFF
BREAK OFFICE
FLEX OFFIC
CE BREAK
FLEX OFFICE
OFFFICE INDO OR
INDOOR
STORAGE /
ROOM/ RECR
RREATION
RECREATION ROOM/ STORAGE / WAITING AREA

MEDICAL ENTRY
MAINT MAINT STORAGE DE-ESCALATION TREATMENTT DE-ESCALATION TTREATMENT
REATMENT DE-ESCALATION
LOCKER LOCKER STORAGE

OFFICE
ROOM ROOM ROOM RROOM
OOM ROOM
RESTROOMS
R STORAGE
OFFICE
OFFICE

OFFICE
SECOND FLOOR DETAIL
DETAIL INDOOR BASKETBALL COURT
PATIENT ENTRY PATIENT ENTRY PATIENT ENTRY INDOOR
RECREATION OFFICE
TREATMENT SPACE
INFECTION EMPLOYEE

RECREATION
CONTROL HEALTH

OFFICE ISOLATION
SALLY PORT
ECG +
STORAGE DE-ESCALATION
IMAGING MEDICAL
DE-ESCALATION DE-ESCALATION STORAGE EXAM MEDICAL
ROOM T
TREATMENT ROOM TTREATMENT
REATMENT ROOM ROOM OFFICE
ROOM RROOM
OOM LAB MEDICAL
EXAM MEDICAL
ROOM OFFICE
DENTAL
EXAM DENTAL
MEDICAL MEDICAL MEDICATION AFTER ROOM OFFICE
ROOM MEETING ROOM MEETING HOURS
CART
PHARMACY FLEX
EXAM FLEX
PATIENT
AATIENT ROOMS
PA ROOOOMS ROOM PATIENT
AATIENT ROOMS
PA ROOOMS ROOM PATIENT
PAT
TIENT ROOMS
ROOM
M
MS ROOM OFFICE
FLEX
NURSE’S NURSE’S NURSE’S FLEX
STORAGE

EXAM
STORAGE

STORAGE

220 BEDSS STATION 20 BEDSS STATION STATION 200 BE

BEDS STAFF MEETING MEETING
ROOM
FLEX
OFFICE

EXAM FLEX
LOCKERS ROOM ROOM ROOM OFFICE
DINING HALL
BREAKROOM
& SECURITY
DINING HALL
RESTROOMS STORAGEE OFFICE
READING
READING

READING

ROOM
ROOM

ROOM
D

O
A
O

O
A

MEETING ROOMSS /
DAY ROOM DAY ROOM DAYY ROOM OBSERVATION
FLEX OFFICE
F ROOM 1
MEETING
E ROOMS
O /
FLEXX OFFICE
OFFICE
EXERCISE
EXERCISE

EXERCISE

PATIENT
PATIENT

PATIENT

E
R

ADMISSIONS ENTRY
OBSERVATION
E

E
R

LOBBY

STAFF
ROOM 2
STAFF BREAKROOM,
R O STAFF BREAKROOM,
R O
PATIENT LAUNDRYY PATIENT LAUNDRYY
PHOTO & ID

PATIENT
LOCKER ROOM &
INTERVIEW

INTERVIEW

INTERVIEW

LOCKER ROOM &

KITCHEN

LAUNDRY
OFFICE
ROOM 1

ROOM 2

ROOM 3

MULTI-PURPOSE ROOM MULTI-PURPOSE ROOM

ENTRY SECLUSION SECLUSION

SHOWER THERAPY
SECLUUSION
SECLUSION
THERAPY VISITATION

VISITATION ROOMS SHOWER THERAPY ROOMS THERAPY SHOWER ROOM

MS
ROOMS
THERAPY THERAPY

SECOND FLOOR DETAIL

DETAIL
PEDESTRIAN ROUTE

GUARD
STATION

FIRST FLOOR PLAN

The Idealized Model is focused on the

goal of creating a compact, pedestrian-
scaled campus. It provides for orderly
and accessible pedestrian routes from
individual units to central support uses,
removing the need to transport patients by
bus to various programs of the hospital.
The heirarchy of landscapes gives patients
and staff walkways and outdoor landscapes
to circulate.

74_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Vehicular Circulation + Parking

WAREHOUSE SPORTS FIELD

ALLOTMENT
O GARDENS
G S GREENHOUSE
OUS
LOADING ZONE

STAFF PARKING 33 CARS

LOADING ZONE

REFUSE
VISITATION THERAPY SECLUSION
ROOMS
THERAPY SHOWER THERAPY SECLUSION
ROOMS
THERAPY SHOWER SHOWER THERAPY SECLUSION
SECLU
ROOM
USION
ROOMS
MS
THERAPY SHOWER THERAPY SECLUSION
SECLU
ROOM
USION
MS
ROOMS
THERAPY VISITATION
STAFF PARKING 206 CARS
STAFF BR
BREAKROOM,
RREAKROOM,
EAKROOOM STAFF BR
BREAKROOM,
RREAKROOM,
EAKROOOM
PATIENT LAUNDRY PATIENT LAUNDRY
R PATIENT PATIENT
LOCKER ROOM & LOCKER ROOM &
LAUNDRYY LAUNDRYY
MULTI-PURPOSE ROOM MULTI-PURPOSE ROOM
14 CARS

SERVICE MEETING ROOMSM /

FLEX OOFFICE

READING
READING

READING

READING

ROOM
M
ROOM
M

ROOM
M

ROOM
M

D
D

D
MEETING ROOMSS /
DAY DAY DDAY
A ROOM DDAY ROOM
FLEX OFFICE
F
ROOM ROOM

ARCHIVE DINING HALL

EXERCISE
EXERCISE

EXERCISE

EXERCISE

PATIENT
PATIENT

PATIENT

PATIENT

N
N

C
N
C

C
DINING HALL

PATIENT ROOMS

PATIENT ROOMS
MULTI-

R
PURPOSE LANDSCAPE METALS 2 BEDSS
20 NURSE’S 20 BEDSS NURSE’S 200 BEDS NURSE’S 200 BEDS
MR MR NURSE’S

STORAGE
STORAGE

STORAGE

STORAGE
STATION STATION STATION STATION
ROOM:
PATIENT
PA
AATIENT RO
ROOMS
OMS PA
PATIENT
AATIENT ROOMS
ROOMS PATIENT
PAT
TIENT ROOM
ROOMS
M
MS PATIENT
PAT
TIENT ROOMS
ROOM
M
MS
ZONE

STAFF MEDICATION MEETING MEDICATION MEETING MEDICATION MEDICATION

Z

ROOM ROOM
PARTS
LOADING
A

LOADING ZONE STORAGE DE-ESCALATION TREATMENTT DE-ESCALATION TTREATMENT DE-ESCALATION DE-ESCALATION STORAGE

CONFERENCE FOOD FOOD ROOM ROOM ROOM ROOM ROOM ROOM

ROOM WAREHOUSEE WAREHOUSE FLEX

DIRECTOR’S REFRIGERATOR FREEZER SPACE
OFFICE OFFICE INDOOR BASKETBALL
A COURT INDOOR
RECREATION RECREATION
STAFF PARKING

ASST. DIRECTOR
DIRECTOR
REFRIGERATOR FREEZER
SERVICE

OFFICE
FOOD

MULTI-PURPOSE
DISH CLEAN

STORAGE DE-ESCALATION DE-ESCALATION

DE-ESCALATION DE-ESCALATION STORAGE
RECEPTION
RECEPTION
RETURN &

CARPENTRY VEHICULAR REPAIR TREATMENTT TTREATMENT ROOM

R ROOM
SERVICE

ROOM ROOM
STAFF

ROOM ROOM
D ZONE

KITCHEN
LOADING

MEDICAL MEDICAL MEDICATION MEDICATION

ROOM MEETING ROOM MEETING
PA
ATIENT ROOMS
PATIENT ROOMS PPATIENT
ATIENT
A ROOMS
ROOMS PATIENT
PAT
TIENT ROOMS
ROOM
M
MS PATIENT
PAT
TIENT ROOM
ROOMS
M
MS
O

OFFICE ROOM ROOM

EQUIPMENT NURSE’S NURSE’S NURSE’S NURSE’S

STORAGE
STORAGE
STORAGE

STORAGE
LAUNDRY STORAGE 220 BEDSS STATION 20 BEDSS STATION STATION 200 BE
BEDS STATION 200 BE
BEDS
O

PANTRY
R STORAGE OFFICE
DINING HALL

DINING HALL

READING
READING
READING

READING

ROOM
ROOM
ROOM

ROOM

D
D

O
FLEX

A
O
O

MEETING
N ROOMSS /
DAY ROOM
M DAY ROOM
M DAY
AY ROOM DAY ROOM
FLEX OFFICE
F
SPACE MEETING
E ROOMS
O /

CLEANING FLEXX OFFICE

EXERCISE
EXERCISE
EXERCISE

EXERCISE

PATIENT
LAUNDRY SUPPLIES

PATIENT
PATIENT

PATIENT

E
R
E
E

E
R

LOADING ZONE STAFF BREAKROOM,

R O STAFF BREAKROOM,
R O
PATIENT LAUNDRY
R PATIENT LAUNDRYY PATIENT
N N
PATIENT
LOCKER ROOM & LOCKER ROOM &
LAUNDRY
D D
LAUNDRY
MULTI-PURPOSE ROOM MULTI-PURPOSE ROOM

SHOWER THERAPY THERAPY SHOWER THERAPY THERAPY VISITATION

SECLUSION SECLUSION SECLUSION

U U
SECLUSION

Service Only VEHICULAR ACCESS

VISITATION ROOMS SHOWER THERAPY ROOMS THERAPY SHOWER ROOMS
ROOM
MS ROOM
MS
ROOMS
THERAPY THERAPY

STAFF PARKING 16 CARS STORE

CAFE FOR PATIENTS
SALON MUSIC
PROGRAM PROGRAM PROGRAM
ROOM ROOM ROOM
PEER COMPUTER PROGRAM

RESTAURANT
SUPPORT ROOM ROOM

CLOTHING
KITCHEN
PATIENT READING PROGRAM
25 CARS

CHAPEL EDUCATION ROOM LIBRARY ROOM

DROP OFF
AUDITORIUM / CHURCH TEACHING PROGRAM PROGRAM PROGRAM
CLOTHING STORAGE RESTROOMS
O CAFE FOR STAFF GYMNASIUM KITCHEN ART ROOM ROOM ROOM

PEDESTRIAN ACCESS
SALLY PORT

VISITATION THERAPY SECLUSION THERAPY SHOWER THERAPY SECLUSION T

THERAPY SHOWER SHOWER THERAPY SECLUUSION
SECLUSION THERAPY VISITATION
SHOWERS PATIENT ROOMS PATIENT ROOMS SHOWERS
ROOMS ROOMS ROOM
MS
ROOMS

POST
STAFF PARKING 8 CARS

OFFICE

16 CARS
STAFF BR
RREAKROOM,
EAKROOM
BREAKROOM, STAFF BR
BREAKROOM,
RREAKROOM,
EAKROOOM
MEETING ROOM PATIENT EXERCISE READING ROOM / LIBRARY EXERCISE PATIENT MEETING ROOM PATIENT LAUNDRY
R PATIENT LAUNDRY
R PATIENT
DE-ESCALATION

DE-ESCALATION

STORAGE VISITATION SECURITY

SECURRRITY VISITATION READING ROOM / LIBRARY LOCKER ROOM & LOCKER ROOM &
STORAGE LAUNDRY
LAUNDRY LAUNDRY
MULTI
MULTI-P
PURPOSE
URPOSE ROOM
MULTI-PURPOSE MULTI-PPURPOSE
MULTI PURPOSE ROOM
MULTI-PURPOSE CLOTHING
ROOM

ROOM

TREATMENT TREATMENT
DAY ROOM
DAY ROOM CENTER REIMBURSEMENT
NURSE’S MEDICATION
STORAGE STORAGE
MEDICATION NURSE’S MEETING ROOMSM /
STATION STATION
ARTS/ LIBRARY
FLEX OOFFICE
SOCIAL
READING

SECURITY
READING

READING

CRAFTS
ROOM
M
ROOM
M

ROOM
M

D
D

DAY DAY DDAY

A ROOM
20 BEDS
E 200 BE
BEDS
BEDS MEETINGG ROOMSS /
F
FLEX OFFICE
ROOM ROOM
TRUST
SECLUSION SECLUSION DINING HALL
ROOMS ROOMS FUNDS COURT
EXERCISE
EXERCISE

EXERCISE

PATIENT
PATIENT

PATIENT

N
N

C
C

BASKETBALL
A COURT DINING HALL
CASHIER/
PATIENT ROOMS

PATIENT ROOMS

TEL-

ENTRY
GROUP THERAPY/
PATIENT
R

CONFERENCE MULTI-PURPOSE
2 BEDSS
20 NURSE’S 20 BEDSS NURSE’S NURSE’S 200 BEDS
STORAGE
STORAGE

STORAGE

THERAPY
ACTIVITY
THERAPY STATION STATION STATION PROPERTY
PATIENT ROOMS

PATIENT ROOMS

PATIENT
PA
AATIENT ROO
ROOMS
OOMS PA
PATIENT
AATIENT ROO
ROOMS
OMS PATIENT
PAT
TIENT ROOM
TIENT ROOMS
MS CENTRAL
A

DIFFERENTLY-ABLED PARKING
R

VISITOR PARKING 98 CARS

MEDICATION MEETING MEDICATION MEETING MEDICATION
ROOM ROOM TRAL IT SECURIT
CENTRAL
CENT TY
SECURITY
STAFF MEETING
MEETINNNG ROOMS / DIN
NING HALL
DINING DINING HA
AALL
HALL MEETING RROOMS
OOMS / STAFF
BREAK OFFICE
FLEX OFFIC
CE BREAK
FLEX OFFICE
OFFFICE INDO OR
INDOOR
STORAGE /
ROOM/ RECR
RREATION
RECREATION ROOM/ STORAGE /
STORAGE
WAITING AREA
MAINT LOCKER MAINT DE-ESCALATION TREATMENTT DE-ESCALATION TTREATMENT
REATMENT DE-ESCALATION STORAGE
LOCKER

OFFICE
ROOM ROOM ROOM RROOM
OOM ROOM
RESTROOMS
R STORAGE
OFFICE
OFFICE

OFFICE
INDOOR BASKETBALL COURT INDOOR TREATMENT SPACE
SECOND FLOOR DETAIL
DETAIL RECREATION OFFICE
INFECTION EMPLOYEE

RECREATION
CONTROL HEALTH

OFFICE ISOLATION
LOADING AREA
SALLY PORT
ECG +
STAFF PARKING

STORAGE DE-ESCALATION
IMAGING MEDICAL
DE-ESCALATION DE-ESCALATION STORAGE EXAM MEDICAL
ROOM T
TREATMENT ROOM TTREATMENT
REATMENT ROOM ROOM OFFICE
ROOM RROOM
OOM LAB MEDICAL
EXAM MEDICAL
ROOM OFFICE
DENTAL
EXAM DENTAL
MEDICAL MEDICAL MEDICATION AFTER ROOM OFFICE
ROOM MEETING ROOM MEETING HOURS
CART
PHARMACY FLEX
EXAM FLEX
PATIENT
AATIENT ROOMS
PA ROOOOMS ROOM PATIENT
AATIENT ROOMS
PA ROOOMS ROOM PATIENT
PAT
TIENT ROOMS
ROOM
M
MS ROOM OFFICE
FLEX
NURSE’S NURSE’S NURSE’S FLEX
STORAGE

EXAM
STORAGE

STORAGE

220 BEDSS STATION 20 BEDSS STATION STATION 200 BE

BEDS STAFF MEETING MEETING
ROOM
FLEX
OFFICE

EXAM FLEX
LOCKERS ROOM ROOM ROOM OFFICE
DINING HALL
BREAKROOM

STAFF PARKING 70 CARS

& SECURITY
DINING HALL
RESTROOMS STORAGEE OFFICE
READING
READING

READING

ROOM
ROOM

ROOM
D

O
A
O

O
A

MEETING ROOMSS /
DAY ROOM DAY ROOM DAYY ROOM OBSERVATION
FLEX OFFICE
F ROOM 1
MEETING
E ROOMS
O /
FLEXX OFFICE
OFFICE
EXERCISE
EXERCISE

EXERCISE

PATIENT
PATIENT

PATIENT

E
R

OBSERVATION
E

E
R

ROOM 2 LOBBY
STAFF BREAKROOM,
R O STAFF BREAKROOM,
R O
PATIENT LAUNDRYY PATIENT LAUNDRYY
PHOTO & ID

PATIENT
LOCKER ROOM &
INTERVIEW

INTERVIEW

INTERVIEW

LOCKER ROOM &

KITCHEN

LAUNDRY
OFFICE
ROOM 1

ROOM 2

ROOM 3

MULTI-PURPOSE ROOM MULTI-PURPOSE ROOM

SHOWER THERAPY THERAPY VISITATION

SECLUSION SECLUSION SECLUUSION

SECLUSION
VISITATION ROOMS SHOWER THERAPY ROOMS THERAPY SHOWER ROOM
MS
ROOMS
THERAPY THERAPY

SECOND FLOOR DETAIL

DETAIL

STAFF PARKING 35 CARS

GUARD STATION
GUARD
STATION

TRUCK ROUTE MAIN ENTRY TO HOSPITAL

FIRST FLOOR PLAN

Vehicular access is limited within the

central, pedestrian-only campus created
through the Idealized Model. Parking is
exteriorly located but still within convenient
vicinity. Emergency and service vehicle
access is provided through a road around
the exterior of the campus and through a
controlled route through the central mall.

SECTION 5 IDEALIZED MODEL_75

_Medical Access + Medication Delivery

WAREHOUSE SPORTS FIELD

ALLOTMENT GARDENS GREENHOUSE

LOADING ZONE
LOADING ZONE

VISITATION THERAPY SECLUSION THERAPY SHOWER THERAPY SECLUSION THERAPY SHOWER SHOWER THERAPY SECLUSION
SECLU
USION THERAPY SHOWER THERAPY SECLUSION
SECLU
USION THERAPY VISITATION
REFUSE ROOMS ROOMS ROOMS
ROOM
MS ROOM
MS
ROOMS

STAFF BR
BREAKROOM,
RREAKROOM,
EAKROOOM STAFF BR
BREAKROOM,
RREAKROOM,
EAKROOOM
PATIENT LAUNDRY PATIENT LAUNDRY
R PATIENT PATIENT
LOCKER ROOM & LOCKER ROOM &
LAUNDRYY LAUNDRYY
MULTI-PURPOSE ROOM MULTI-PURPOSE ROOM

SERVICE MEETING ROOMSM /

FLEX OOFFICE

READING
READING

READING

READING

ROOM
M
ROOM
M

ROOM
M

ROOM
M

D
D

D
MEETING ROOMSS /
DAY DAY DDAY
A ROOM DDAY ROOM
FLEX OFFICE
F
ROOM ROOM

ARCHIVE DINING HALL

EXERCISE
EXERCISE

EXERCISE

EXERCISE

PATIENT
PATIENT

PATIENT

PATIENT

N
N

C
N
C

C
DINING HALL

PATIENT ROOMS

PATIENT ROOMS
MULTI-

R
PURPOSE LANDSCAPE METALS 2 BEDSS
20 NURSE’S 20 BEDSS NURSE’S 200 BEDS NURSE’S 200 BEDS
MR MR NURSE’S

STORAGE
STORAGE

STORAGE

STORAGE
STATION STATION STATION STATION
ROOM:
PATIENT
PA
AATIENT RO
ROOMS
OMS PA
PATIENT
AATIENT ROOMS
ROOMS PATIENT
PAT
TIENT ROOM
ROOMS
M
MS PATIENT
PAT
TIENT ROOMS
ROOM
M
MS
ZONE

STAFF MEDICATION MEETING MEDICATION MEETING MEDICATION MEDICATION

Z

ROOM ROOM
PARTS
LOADING
A

LOADING ZONE STORAGE DE-ESCALATION TREATMENTT DE-ESCALATION TTREATMENT DE-ESCALATION DE-ESCALATION STORAGE

CONFERENCE FOOD FOOD ROOM

ROOM ROOM ROOM ROOM ROOM ROOM

ROOM WAREHOUSEE WAREHOUSE FLEX

DIRECTOR’S REFRIGERATOR FREEZER SPACE
OFFICE OFFICE INDOOR BASKETBALL
A COURT INDOOR
RECREATION RECREATION
ASST. DIRECTOR
DIRECTOR
REFRIGERATOR FREEZER
SERVICE

OFFICE
FOOD

MULTI-PURPOSE
DISH CLEAN

STORAGE DE-ESCALATION DE-ESCALATION

DE-ESCALATION DE-ESCALATION STORAGE
RECEPTION
RECEPTION
RETURN &

CARPENTRY VEHICULAR REPAIR TREATMENTT TTREATMENT R

ROOM ROOM
SERVICE

ROOM ROOM
STAFF

ROOM ROOM
D ZONE

KITCHEN
LOADING

MEDICAL MEDICAL MEDICATION MEDICATION

ROOM MEETING ROOM MEETING
PA
ATIENT ROOMS
PATIENT ROOMS PPATIENT
ATIENT
A ROOMS
ROOMS PATIENT
PAT
TIENT ROOMS
ROOM
M
MS PATIENT
PAT
TIENT ROOM
ROOMS
M
MS
O

OFFICE ROOM ROOM

EQUIPMENT
MEDICINE DELIVERY
NURSE’S NURSE’S NURSE’S NURSE’S

STORAGE
STORAGE
STORAGE

STORAGE
LAUNDRY STORAGE 220 BEDSS STATION 20 BEDSS STATION STATION 200 BE
BEDS STATION 200 BE
BEDS
O

PANTRY
R STORAGE OFFICE
DINING HALL

DINING HALL

READING
READING
READING

READING

ROOM
ROOM
ROOM

ROOM

D
D

O
FLEX

A
O
O

MEETING
N ROOMSS /
DAY ROOM
M DAY ROOM
M DAY
AY ROOM DAY ROOM
FLEX OFFICE
F
SPACE MEETING
E ROOMS
O /

CLEANING FLEXX OFFICE

EXERCISE
EXERCISE
EXERCISE

EXERCISE

PATIENT
LAUNDRY SUPPLIES

PATIENT
PATIENT

PATIENT

E
R
E
E

E
R

LOADING ZONE STAFF BREAKROOM,

R O STAFF BREAKROOM,
R O
PATIENT LAUNDRY
R PATIENT LAUNDRYY PATIENT
N PATIENT
N
LOCKER ROOM & LOCKER ROOM &
LAUNDRY
D LAUNDRY
D
MULTI-PURPOSE ROOM MULTI-PURPOSE ROOM

SHOWER THERAPY THERAPY SHOWER THERAPY THERAPY VISITATION

SECLUSION SECLUSION SECLUSION

U SECLUSION
U
VISITATION ROOMS SHOWER THERAPY ROOMS THERAPY SHOWER ROOMS
ROOM
MS ROOMS
ROOM
MS
THERAPY THERAPY

CAFE FOR PATIENTS PROGRAM PROGRAM PROGRAM

STORE SALON MUSIC ROOM ROOM ROOM
PEER COMPUTER PROGRAM

RESTAURANT
SUPPORT ROOM ROOM
KITCHEN
PATIENT READING PROGRAM
CHAPEL EDUCATION ROOM LIBRARY ROOM
AUDITORIUM / CHURCH TEACHING PROGRAM PROGRAM PROGRAM
CLOTHING STORAGE RESTROOMS
O CAFE FOR STAFF GYMNASIUM KITCHEN ART ROOM ROOM ROOM

SALLY PORT

VISITATION THERAPY SECLUSION THERAPY SHOWER THERAPY SECLUSION T

THERAPY SHOWER SHOWER THERAPY SECLUSION
SECLU
USION THERAPY VISITATION
SHOWERS PATIENT ROOMS PATIENT ROOMS SHOWERS
ROOMS ROOMS ROOM
MS
ROOMS

POST
OFFICE
STAFF BR
RREAKROOM,
EAKROOM
BREAKROOM, STAFF BR
BREAKROOM,
RREAKROOM,
EAKROOOM
MEETING ROOM PATIENT EXERCISE READING ROOM / LIBRARY EXERCISE PATIENT MEETING ROOM PATIENT LAUNDRY
R PATIENT LAUNDRY
R PATIENT
DE-ESCALATION

DE-ESCALATION

STORAGE VISITATION SECURITY

SECURRRITY VISITATION READING ROOM / LIBRARY LOCKER ROOM & LOCKER ROOM &
STORAGE LAUNDRY
LAUNDRY LAUNDRY
MULTI-P
MULTI PURPOSE
URPOSE ROOM
MULTI-PURPOSE MULTI-PPURPOSE
MULTI PURPOSE ROOM
MULTI-PURPOSE CLOTHING
ROOM

ROOM

TREATMENT TREATMENT
DAY ROOM
DAY ROOM CENTER REIMBURSEMENT
NURSE’S MEDICATION
STORAGE STORAGE
MEDICATION NURSE’S MEETING ROOMSM /
STATION STATION
ARTS/ LIBRARY
FLEX OOFFICE
SOCIAL
READING

SECURITY
READING

READING

CRAFTS

MEDICINE DELIVERY
ROOM
M
ROOM
M

ROOM
M

D
D

DAY DAY DDAY

A ROOM
20 BEDS
E 200 BE
BEDS
BEDS MEETINGG ROOMSS /
FLEX OFFICE
F
ROOM ROOM
TRUST
SECLUSION SECLUSION DINING HALL
ROOMS ROOMS FUNDS COURT
EXERCISE
EXERCISE

EXERCISE

PATIENT
PATIENT

PATIENT

N
N

C
C

BASKETBALL
A COURT DINING HALL
CASHIER/
PATIENT ROOMS

PATIENT ROOMS

TEL-

ENTRY
GROUP THERAPY/
PATIENT
R

CONFERENCE MULTI-PURPOSE
2 BEDSS
20 NURSE’S 20 BEDSS NURSE’S NURSE’S 200 BEDS
STORAGE
STORAGE

STORAGE

THERAPY
ACTIVITY
THERAPY STATION STATION STATION PROPERTY
PATIENT ROOMS

PATIENT ROOMS

PATIENT
PA
AATIENT ROO
ROOMS
OOMS PA
PATIENT
AATIENT ROO
ROOMS
OMS PATIENT
PAT
TIENT ROOM
TIENT ROOMS
MS CENTRAL
A
R

MEDICATION MEETING MEDICATION MEETING MEDICATION

ROOM ROOM TRAL IT SECURIT
CENTRAL
CENT TY
SECURITY
STAFF MEETING
MEETINNNG ROOMS / DIN
NING HALL
DINING DINING HA
AALL
HALL MEETING RROOMS
OOMS / STAFF
BREAK OFFICE
FLEX OFFIC
CE BREAK
FLEX OFFICE
OFFFICE INDO OR
INDOOR
STORAGE /
ROOM/ RECR
RREATION
RECREATION ROOM/ STORAGE /
STORAGE
WAITING AREA
MAINT LOCKER MAINT DE-ESCALATION TREATMENTT DE-ESCALATION TTREATMENT
REATMENT DE-ESCALATION STORAGE
LOCKER

OFFICE
ROOM ROOM ROOM RROOM
OOM ROOM
RESTROOMS
R STORAGE
OFFICE
OFFICE

OFFICE
INDOOR BASKETBALL COURT INDOOR TREATMENT SPACE
SECOND FLOOR DETAIL
DETAIL RECREATION OFFICE
INFECTION EMPLOYEE

RECREATION
CONTROL HEALTH

OFFICE ISOLATION
SALLY PORT
ECG +
STORAGE DE-ESCALATION
IMAGING MEDICAL
DE-ESCALATION DE-ESCALATION STORAGE EXAM MEDICAL
ROOM T
TREATMENT ROOM TTREATMENT
REATMENT ROOM ROOM OFFICE
ROOM RROOM
OOM LAB MEDICAL
EXAM MEDICAL
ROOM OFFICE
DENTAL
EXAM DENTAL
MEDICAL MEDICAL MEDICATION AFTER ROOM OFFICE

PHARMACY
ROOM MEETING ROOM MEETING HOURS
CART
PHARMACY FLEX
EXAM FLEX
PATIENT
AATIENT ROOMS
PA ROOOOMS ROOM PATIENT
AATIENT ROOMS
PA ROOOMS ROOM PATIENT
PAT
TIENT ROOMS
ROOM
M
MS ROOM OFFICE

MEDICINE DELIVERY
FLEX
NURSE’S NURSE’S NURSE’S FLEX
STORAGE

EXAM
STORAGE

STORAGE

220 BEDSS STATION 20 BEDSS STATION STATION 200 BE

BEDS STAFF MEETING MEETING FLEX
ROOM OFFICE

FLEX
LOCKERS ROOM ROOM EXAM ROOM OFFICE
DINING HALL
BREAKROOM
& SECURITY
DINING HALL
RESTROOMS STORAGEE OFFICE
READING
READING

READING

ROOM
ROOM

ROOM
D

O
A
O

O
A

MEETING ROOMSS /
DAY ROOM DAY ROOM DAYY ROOM OBSERVATION
FLEX OFFICE
F ROOM 1
MEETING
E ROOMS
O /
FLEXX OFFICE
OFFICE
EXERCISE
EXERCISE

EXERCISE

PATIENT
PATIENT

PATIENT

E
R

OBSERVATION
E

E
R

ROOM 2 LOBBY
STAFF BREAKROOM,
R O STAFF BREAKROOM,
R O
PATIENT LAUNDRYY PATIENT LAUNDRYY
PHOTO & ID

PATIENT
LOCKER ROOM &
INTERVIEW

INTERVIEW

INTERVIEW

LOCKER ROOM &

KITCHEN

LAUNDRY
OFFICE
ROOM 1

ROOM 2

ROOM 3

MULTI-PURPOSE ROOM MULTI-PURPOSE ROOM

SHOWER THERAPY THERAPY VISITATION

SECLUSION SECLUSION SECLUUSION

SECLUSION
VISITATION ROOMS SHOWER THERAPY ROOMS THERAPY SHOWER ROOM
MS
ROOMS
THERAPY THERAPY

SECOND FLOOR DETAIL

DETAIL

GUARD
STATION

FIRST FLOOR PLAN MEDICAL SUPPLIES

The orderly and compact nature of the

architectural form of the Idealized Model
allows for the easy and secure distribution
of medications. A central pharmacy
and medical clinic is located in the main
administrative building, with convenient
distribution routes into the medication
storage rooms in the nurse’s station of
each unit. Patients can easily walk to the
medical clinic for appointments and the
medical clinic is adjacent to Admissions for
ease of admissions medical exams.

76_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Food + Environmental Services Access

WAREHOUSE SPORTS FIELD

ALLOTMENT GARDENS GREENHOUSE

LOADING ZONE

REFUSE
LOADING ZONE

VISITATION THERAPY SECLUSION THERAPY SHOWER THERAPY SECLUSION THERAPY SHOWER SHOWER THERAPY SECLUSION
SECLU
USION THERAPY SHOWER THERAPY SECLUSION
SECLU
USION THERAPY VISITATION
REFUSE ROOMS ROOMS ROOM
ROOMS
MS ROOM
MS
ROOMS

STAFF BR
BREAKROOM,
RREAKROOM,
EAKROOOM STAFF BR
BREAKROOM,
RREAKROOM,
EAKROOOM
PATIENT LAUNDRY PATIENT LAUNDRY
R PATIENT PATIENT
LOCKER ROOM & LOCKER ROOM &
LAUNDRYY LAUNDRYY
MULTI-PURPOSE ROOM MULTI-PURPOSE ROOM

SERVICE MEETING ROOMSM /

FLEX OOFFICE

READING
READING

READING

READING

ROOM
M
ROOM
M

ROOM
M

ROOM
M

D
D

D
MEETING ROOMSS /
DAY DAY DDAY
A ROOM DDAY ROOM
FLEX OFFICE
F
ROOM ROOM

ARCHIVE DINING HALL

EXERCISE
EXERCISE

EXERCISE

EXERCISE

PATIENT
PATIENT

PATIENT

PATIENT

N
N

C
N
C

C
DINING HALL

PATIENT ROOMS

PATIENT ROOMS
MULTI-
FOOD DELIVERY/

R
PURPOSE LANDSCAPE METALS 2 BEDSS
20 NURSE’S 20 BEDSS NURSE’S 200 BEDS NURSE’S 200 BEDS
MR MR NURSE’S

DISH COLLECTION

STORAGE
STORAGE

STORAGE

STORAGE
STATION STATION STATION STATION
ROOM:
PATIENT
PA
AATIENT RO
ROOMS
OMS PA
PATIENT
AATIENT ROOMS
ROOMS PATIENT
PAT
TIENT ROOM
ROOMS
M
MS PATIENT
PAT
TIENT ROOMS
ROOM
M
MS
ZONE

STAFF MEDICATION MEETING MEDICATION MEETING MEDICATION MEDICATION

Z

ROOM ROOM
PARTS
LOADING

LAUNDRY DELIVERY/
A

FOOD
LOADING ZONE
FOOD
COLLECTION
STORAGE DE-ESCALATION
ROOM
TREATMENTT
ROOM
DE-ESCALATION
ROOM
TTREATMENT
ROOM
DE-ESCALATION
ROOM
DE-ESCALATION
ROOM
STORAGE

CONFERENCE
ROOM WAREHOUSEE WAREHOUSE FLEX
DIRECTOR’S REFRIGERATOR FREEZER SPACE
OFFICE OFFICE INDOOR BASKETBALL
A COURT INDOOR
RECREATION RECREATION
ASST. DIRECTOR
DIRECTOR
REFRIGERATOR FREEZER
SERVICE

FOOD SERVICE
OFFICE
FOOD

MULTI-PURPOSE
DISH CLEAN

STORAGE DE-ESCALATION DE-ESCALATION

DE-ESCALATION DE-ESCALATION STORAGE
RECEPTION
RECEPTION
RETURN &

CARPENTRY VEHICULAR REPAIR TREATMENTT TTREATMENT ROOM

R ROOM
SERVICE

ROOM ROOM
STAFF

ROOM ROOM
D ZONE

KITCHEN
LOADING

MEDICAL MEDICAL MEDICATION MEDICATION

ROOM MEETING ROOM MEETING
PA
ATIENT ROOMS
PATIENT ROOMS PPATIENT
ATIENT
A ROOMS
ROOMS PATIENT
PAT
TIENT ROOMS
ROOM
M
MS PATIENT
PAT
TIENT ROOM
ROOMS
M
MS
O

OFFICE ROOM ROOM

PANTRY
EQUIPMENT NURSE’S NURSE’S NURSE’S NURSE’S

STORAGE
STORAGE
STORAGE

STORAGE
LAUNDRY STORAGE 220 BEDSS STATION 20 BEDSS STATION STATION 200 BE
BEDS STATION 200 BE
BEDS
O

PANTRY
R STORAGE OFFICE
DINING HALL

DINING HALL

READING
READING
READING

READING

ROOM
ROOM
ROOM

ROOM

D
D

O
FLEX

A
O
O

MEETING
N ROOMSS /
DAY ROOM
M DAY ROOM
M DAY
AY ROOM DAY ROOM
FLEX OFFICE
F
SPACE MEETING
E ROOMS
O /

CLEANING FLEXX OFFICE

EXERCISE
EXERCISE
EXERCISE

EXERCISE

PATIENT
LAUNDRY SUPPLIES

PATIENT
PATIENT

PATIENT

E
R
E
E

E
R

LOADING ZONE STAFF BREAKROOM,

R O STAFF BREAKROOM,
R O
PATIENT LAUNDRY
R PATIENT LAUNDRYY PATIENT
N N
PATIENT
LOCKER ROOM & LOCKER ROOM &
LAUNDRY
D D
LAUNDRY
MULTI-PURPOSE ROOM MULTI-PURPOSE ROOM

SHOWER THERAPY THERAPY SHOWER THERAPY THERAPY VISITATION

SECLUSION SECLUSION SECLUSION

U U
SECLUSION
VISITATION ROOMS SHOWER THERAPY ROOMS THERAPY SHOWER ROOMS
ROOM
MS ROOM
MS
ROOMS
THERAPY THERAPY

CAFE FOR PATIENTS PROGRAM PROGRAM PROGRAM

STORE SALON MUSIC ROOM ROOM ROOM
PEER COMPUTER PROGRAM

RESTAURANT
SUPPORT ROOM ROOM
KITCHEN
PATIENT READING PROGRAM
CHAPEL EDUCATION ROOM LIBRARY ROOM
AUDITORIUM / CHURCH TEACHING PROGRAM PROGRAM PROGRAM
CLOTHING STORAGE RESTROOMS
O CAFE FOR STAFF GYMNASIUM KITCHEN ART ROOM ROOM ROOM

SALLY PORT

VISITATION THERAPY SECLUSION THERAPY SHOWER THERAPY SECLUSION T

THERAPY SHOWER SHOWER THERAPY SECLUUSION
SECLUSION THERAPY VISITATION
SHOWERS PATIENT ROOMS PATIENT ROOMS SHOWERS
ROOMS ROOMS ROOM
MS
ROOMS

POST
OFFICE
STAFF BR
RREAKROOM,
EAKROOM
BREAKROOM, STAFF BR
BREAKROOM,
RREAKROOM,
EAKROOOM
MEETING ROOM PATIENT EXERCISE READING ROOM / LIBRARY EXERCISE PATIENT MEETING ROOM PATIENT LAUNDRY
R PATIENT LAUNDRY
R PATIENT
DE-ESCALATION

DE-ESCALATION

STORAGE VISITATION SECURITY

SECURRRITY VISITATION READING ROOM / LIBRARY LOCKER ROOM & LOCKER ROOM &
STORAGE LAUNDRY
LAUNDRY LAUNDRY
MULTI
MULTI-P
PURPOSE
URPOSE ROOM
MULTI-PURPOSE MULTI-PPURPOSE
MULTI PURPOSE ROOM
MULTI-PURPOSE CLOTHING
ROOM

ROOM

TREATMENT TREATMENT
DAY ROOM
DAY ROOM CENTER REIMBURSEMENT
NURSE’S MEDICATION
STORAGE STORAGE
MEDICATION NURSE’S MEETING ROOMSM /
STATION STATION
ARTS/ LIBRARY
FLEX OOFFICE
SOCIAL
READING

SECURITY
READING

READING

CRAFTS
ROOM
M
ROOM
M

ROOM
M

D
D

DAY DAY DDAY

A ROOM
20 BEDS
E 200 BE
BEDS
BEDS MEETINGG ROOMSS /
F
FLEX OFFICE
ROOM ROOM
TRUST
SECLUSION SECLUSION DINING HALL
ROOMS ROOMS FUNDS COURT
EXERCISE
EXERCISE

EXERCISE

PATIENT
PATIENT

PATIENT

N
N

C
C

BASKETBALL
A COURT DINING HALL
CASHIER/
PATIENT ROOMS

PATIENT ROOMS

TEL-

ENTRY
GROUP THERAPY/
PATIENT
R

CONFERENCE MULTI-PURPOSE
2 BEDSS
20 NURSE’S 20 BEDSS NURSE’S NURSE’S 200 BEDS
STORAGE
STORAGE

STORAGE

THERAPY
ACTIVITY
THERAPY STATION STATION STATION PROPERTY
PATIENT ROOMS

PATIENT ROOMS

PATIENT
PA
AATIENT ROO
ROOMS
OOMS PA
PATIENT
AATIENT ROO
ROOMS
OMS PATIENT
PAT
TIENT ROOM
TIENT ROOMS
MS CENTRAL
A
R

MEDICATION MEETING MEDICATION MEETING MEDICATION

ROOM ROOM TRAL IT SECURIT
CENTRAL
CENT TY
SECURITY

LAUNDRY DELIVERY/ FOOD DELIVERY/

STAFF MEETING
MEETINNNG ROOMS / DIN
NING HALL
DINING DINING HA
AALL
HALL MEETING RROOMS
OOMS / STAFF
BREAK OFFICE
FLEX OFFIC
CE BREAK
FLEX OFFICE
OFFFICE INDO OR
INDOOR
STORAGE / STORAGE / WAITING AREA
DISH COLLECTION
ROOM/ ROOM/

COLLECTION
MAINT RECR
RREATION
RECREATION MAINT STORAGE DE-ESCALATION TREATMENTT DE-ESCALATION TTREATMENT
REATMENT DE-ESCALATION
LOCKER LOCKER STORAGE

OFFICE
ROOM ROOM ROOM RROOM
OOM ROOM
RESTROOMS
R STORAGE
OFFICE
OFFICE

OFFICE
INDOOR BASKETBALL COURT INDOOR TREATMENT SPACE
SECOND FLOOR DETAIL
DETAIL RECREATION OFFICE
INFECTION EMPLOYEE

RECREATION
CONTROL HEALTH

OFFICE ISOLATION
SALLY PORT
ECG +
STORAGE DE-ESCALATION
IMAGING MEDICAL
DE-ESCALATION DE-ESCALATION STORAGE EXAM MEDICAL
ROOM T
TREATMENT ROOM TTREATMENT
REATMENT ROOM ROOM OFFICE
ROOM RROOM
OOM LAB MEDICAL
EXAM MEDICAL
ROOM OFFICE
DENTAL
EXAM DENTAL
MEDICAL MEDICAL MEDICATION AFTER ROOM OFFICE
ROOM MEETING ROOM MEETING HOURS
CART
PHARMACY FLEX
EXAM FLEX
PATIENT
AATIENT ROOMS
PA ROOOOMS ROOM PATIENT
AATIENT ROOMS
PA ROOOMS ROOM PATIENT
PAT
TIENT ROOMS
ROOM
M
MS ROOM OFFICE
FLEX
NURSE’S NURSE’S NURSE’S FLEX
STORAGE

EXAM
STORAGE

STORAGE

220 BEDSS STATION 20 BEDSS STATION STATION 200 BE

BEDS STAFF MEETING MEETING
ROOM
FLEX
OFFICE

EXAM FLEX
LOCKERS ROOM ROOM ROOM OFFICE
DINING HALL
BREAKROOM
& SECURITY
DINING HALL
RESTROOMS STORAGEE OFFICE
READING
READING

READING

ROOM
ROOM

ROOM
D

O
A
O

O
A

MEETING ROOMSS /
DAY ROOM DAY ROOM DAYY ROOM OBSERVATION
FLEX OFFICE
F ROOM 1
MEETING
E ROOMS
O /

GARBAGE TRUCK
FLEXX OFFICE
OFFICE
EXERCISE
EXERCISE

EXERCISE

PATIENT
PATIENT

PATIENT

E
R

OBSERVATION
E

E
R

ROOM 2 LOBBY
STAFF BREAKROOM,
R O PATIENT LAUNDRYY PATIENT LAUNDRYY
STAFF BREAKROOM,
R O
FOOD DELIVERY/
PHOTO & ID

PATIENT
LOCKER ROOM &
INTERVIEW

INTERVIEW

INTERVIEW

LOCKER ROOM &

DISH COLLECTION
KITCHEN

LAUNDRY
OFFICE
ROOM 1

ROOM 2

ROOM 3

MULTI-PURPOSE ROOM MULTI-PURPOSE ROOM

SHOWER THERAPY THERAPY VISITATION

FOOD SUPPLY
SECLUSION SECLUSION SECLUUSION
SECLUSION
VISITATION ROOMS SHOWER THERAPY ROOMS THERAPY SHOWER ROOM
MS
ROOMS
THERAPY THERAPY

SECOND FLOOR DETAIL

DETAIL LAUNDRY DELIVERY/
COLLECTION
CLEAN LAUNDRY
GUARD
STATION

GARBAGE TRUCK

CLEAN LAUNDRY
FIRST FLOOR PLAN FOOD SUPPLY

The Idealized Model is serviced by an

efficient, centralized system for food
service, environmental service and
laundry, and maintenance. Delivery and
access of food delivery, laundry pickup and
delivery, and cleaning teams is provided
through access routes around the exterior
of the campus into each individual unit.
Groupings of units share distributed dining
facilities, environmental services, and
indoor recreation facilities

SECTION 5 IDEALIZED MODEL_77

6 EXISTING
CONDITIONS
_Rusk State Hospital
_Site Analysis
_Built Form
_Landscape Structure + Function
_Topography + Drainage
_Infrastructure + Parking
_Programmatic Distribution
_Historical Timeline
_Historical Analysis
_Exterior Building Conditions
_Interior Building Conditions
_Rusk State Hospital
The state-owned property is approximately
623 acres in size with the majority of the
hospital related buildings situated within
a fifty (50) acre area. It consists of two
irregularly shaped parcels, which are
divided by North Dickinson Drive (Route 69).
The property is located about one mile
to the northwest of downtown Rusk.
Surrounding land uses include retail and
commercial businesses along Routh 69 and
62; the Cherokee County Sheriff’s Office
along the south edge of the north parcel;
rural residential dwellings to the south;
and the Skyview Maximum Security Prison
to the west.
80_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL
The parcel located on the south side of
North Dickinson Drive contains the existing
hospital buildings in a somewhat campus-
like setting. The remainder of this parcel
is either heavily treed or contains buildings
associated with the Skyview Prison, which
is located on lands leased to the Texas
Department of Correction and Justice
(TDCJ).
The parcel on the north side of North
Dickinson Drive (“north parcel”) is occupied
by only a few associated buildings primarily
used for maintenance and storage. The
parcel is also heavily treed and contains
a small lake, picnic facilities, and a hobby
farm with therapy animals.
DOWNTOWN RUSK
 .
DR
SON
IC KIN
ND

RUSK STATE HOSPITAL PROPERTY

SECTION 6 EXISTING CONDITIONS_81

 27
AIR PHOTO OF RUSK STATE HOSPITAL CAMPUS (2016)

82_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Site Analysis
RSH is an inpatient hospital that has been
providing comprehensive psychiatric
treatment and care for the citizens of Texas
since 1919. Located in the town of Rusk,
it is one of the nine state mental health
hospitals owned and operated under the
supervision of the DSHS. As one of the
largest behavioral health facilities in Texas
accepting civil patients from East Texas and
forensic patients from across the State.
RSH is currently funded for 325 patients
but serves only 245 given the availability of
usable bed space.
A site analysis was completed to identify
the most appropriate location for a new
hospital within the existing property.
Given a number of site issues, such as
topography, vegetation, visibility, access,
servicing and historical perception, it was
concluded through consultation with DSHS
that the existing location of the hospital
was the most appropriate location for a
new hospital facility. The following existing
condition analysis therefore investigates
the opportunities and constraints within the
context of the current hospital location.
28
Building 501_Orginial prison building, now partly used for administrative functions_2016
SECTION 6 EXISTING CONDITIONS_83
 CJ
TD
to

Property Boundary
eds
ea
:L
dary

29
,5
Property Boun

28
,5
529

27

Sk
g5

yv
Bld

ie
w
S
659

D
528 527

r.
649

607
Av e D 641
626

606 513
D a

615 514 515 517 611

S t

630 617
Av e C Av e C
vi

Ca mp be l l
ds on

516
508 A v e B 519 520 524
Av e B
S t
S t

B a ke r

512
A
Av e

510
523
506 505 504 614
563
605 511
509
501
532 613
Property Boundary
Av e A

y
ar

y
nd

ar
ou

nd
B

ou
627

ty

B
er

ty
op

er
Pr

op
Pr
535

r
533 D
n
o

643
s
in
k

536
ic
D

0 30 120
N
N

10 60

EXISTING BUILDINGS AT RSH

Three-story
Two-story
One-story

84_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Built Form
There are a variety and number of buildings
located on the RSH campus. The existing
built form ranges from one (1) to three (3)
story buildings. There is no consistent
logic for the location of buildings. However,
they are located in a somewhat compact
arrangement to the rear (west) of the
main building (501). The space between
buildings is fragmented and occupied
by a mix of parking lots, roads, gardens,
courtyards, and open spaces.
The most prominent building on the
campus is the main building (501) at three
(3) stories. It was constructed in the late
19th century. Given its height, length
(almost 600 feet), and stature on the hill,
with most other hospital buildings located
behind, it presents itself as the identity of
29
the campus. The chapel building (517) also
provides a strong presence given that it
is three (3) stories in height. It employs a
clear span structure to support auditorium
like uses.
The arrangement and organization of the
buildings appears somewhat ad hoc as the
hospital grew and evolved from a prison
into a mental health institution. There is no
clear organizing elements to the buildings;
however, historical analysis seems to
indicate a central axis of buildings from the
main building to the chapel.
There is approximately 550,000 square feet
of existing building floor area, accounting
for all the buildings within this study area.
30 31
SECTION 6 EXISTING CONDITIONS_85
 CJ
TD
to

Property Boundary
eds
ea
:L
dary

29
,5
Property Boun

28
,5
529

27

Sk
g5

yv
Bld

ie
w
S
659

D
528 527

r.
649

607
Av e D 641
626

606 513
D a

615 514 515 517 611

S t

630 617
Av e C Av e C
vi

Ca mp be l l
ds on

516
508 A v e B 519 520 524
Av e B
S t
S t

B a ke r

512
A
Av e

510
523
506 505 504 614
563
605 511
509
501
532 613
Property Boundary
Av e A

y
ar

y
nd

ar
ou

nd
B

ou
627

ty

B
er

ty
op

er
Pr

op
Pr
535

r
533 D
n
o

643
s
in
k

536
ic
D

0 30 120
N
N

10 60

EXISTING LANDSCAPE FEATURES

Passive AT RSH
Landscape
Significant Trees
PROGRAMMED LANDSCAPE Lawn / Forest
Important Open Space Seating area
Courtyard Active Landscape
Basketball Court Basketball Court
Shade Structure Allotment Garden
Bench (w/o shade) Important Trees

86_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Landscape Structure + Function
RSH benefits from its location within the baseball field are identified as popular
natural and rural setting of East Texas. recreation spaces. A number of courtyards
This area of Texas is known for its pine provide shaded seating and passive
forests, which occupy most of the natural recreation activities across the campus
landscape and consist of a rich variety of for both patients and staff. However,
trees, shrubs, woody vines, and herbaceous given their disconnect with buildings and
vegetation. These pine forests offer programming, they prove difficult to access
well-vegetated views and vistas from the for both patients and staff. It is also noted
hospital property. that there is not sufficient amount or the
appropriate types of outdoor space that
Within the RSH campus, there are a patients and staff can access securely.
number of existing landscapes. The most
prominent and historic is the central
“park” in front of the main building (501).
Since the early 1900s, the space in front
of the hospital has served as an informal,
passive park for patients and visitors
alike. It contains a number of large trees
and seating. Basketball courts and a

32 33 34

SECTION 6 EXISTING CONDITIONS_87

 CJ
TD
to

Property Boundary
eds
ea
:L
dary

29
,5
Property Boun

28
,5
529

27

Sk
g5

yv
Bld

ie
w
S
659

D
528 527

r.
649

607
Av e D 641
626

606 513
D a

615 514 515 517 611

S t

630 617
Av e C Av e C
vi

Ca mp be l l
ds on

516
508 A v e B 519 520 524
Av e B
S t
S t

B a ke r

512
A
Av e

510
523
506 505 504 614
563
605 511
509
501
532 613
Property Boundary
Av e A

y
ar

y
nd

ar
ou

nd
B

ou
627

ty

B
er

ty
op

er
Pr

op
Pr
535

r
533 D
n
o

643
s
in
k

536
ic
D

0 30 120
N
N

10 60

EXISTING HYDROLOGY AT RSH

Major Water Flows
Secondary Water Flows
Possible Flood Damage
Mold Issue

88_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Topography + Drainage
Both the south and north parcel feature
rather dramatic topographical changes.
Generally, the topography slopes uphill
from a low point in the southeast to higher
elevations in the west and north.
On the south parcel where the main
hospital buildings are located the
topography rises about twenty (20) feet to
the west from the main building to Avenue
D. From Avenue D further west the land
form is characterized by a dramatic incline
up to the Skyview Prison, hence its name.
All storm water drains west to the
southeast from the top of the hill at the
Skyview Prison to a depression just south
and east of the existing maximum security
unit. A number of buildings have suffered
35
from water damage as a result of the site’s
topography and drainage characteristics,
most notably are buildings 501, 505, and
513.
This topography creates significant
challenges in locating a new hospital.
Consideration needs to be given not only
to building typologies that can work with
the grade changes, but also to landscape
infrastructure to direct and slow storm
water drainage.
36 37
SECTION 6 EXISTING CONDITIONS_89
 CJ
TD
to

Property Boundary
eds
ea
:L
dary

29
,5
Property Boun

28
,5
529

27

Sk
g5

yv
Bld

ie
w
S
659

D
528 527

r.
649

607
Av e D 641
626

606 513
D a

615 514 515 517 611

S t

630 617
Av e C Av e C
vi

Ca mp be l l
ds on

516
508 A v e B 519 520 524
Av e B
S t
S t

B a ke r

512
A
Av e

510
523
506 505 504 614
563
605 511
509
501
532 613
Property Boundary
Av e A

y
ar

y
nd

ar
ou

nd
B

ou
627

ty

B
er

ty
op

er
Pr

op
Pr
535

r
533 D
n
o

643
s
in
k

536
ic
D

0 30 120
N
N

10 60

EXISTING PARKING DISTRIBUTION AT RSH

Pavement
Parking

90_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Infrastructure + Parking
Parking lots and road infrastructure The current landscape is predominately
dominate the landscape of RSH, with characterized by a number of paved
almost 250,000 square feet of paved areas, reducing the natural landscape
parking areas. Formal and informal and intensifying the storm water drainage
parking locations are provided in an ad issues. The result of this arrangement
hoc manner across the campus. Roads is a disconnected campus which is not
generally run in a north-south or east- supportive of pedestrian activities.
west grid-like manner through the
entire campus. These facilities are also
aging and in poor condition, requiring
continuous maintenance and repair. This
arrangement of infrastructure and parking
was necessary in order to easily transport
patients across an unsecured campus from
residential units to recreation facilities,
treatment programs, the medical clinic,
and other programs. It also allowed
service vehicles to make deliveries and
access residential units.

38 39 40

SECTION 6 EXISTING CONDITIONS_91

 CJ
TD
to

Property Boundary
eds
ea
:L
dary

29
,5
Property Boun

28
,5
529

27

Sk
g5

yv
Bld

ie
w
S
659

D
528 527

r.
649

607
Av e D 641
626

606 513
D a

615 514 515 517 611

S t

630 617
Av e C Av e C
vi

Ca mp be l l
ds on

516
508 A v e B 519 520 524
Av e B
S t
S t

B a ke r

512
A
Av e

510
523
506 505 504 614
563
605 511
509
501
532 613
Property Boundary
Av e A

y
ar

y
nd

ar
ou

nd
B

ou
627

ty

B
er

ty
op

er
Pr

op
Pr
535

r
533 D
n
o

643
s
in
k

536
ic
D

0 30 120
N
N

10 60

EXISTING BUILDING USES AT RSH

Patient Rooms
Unit Activities
Unit Control Point
Unit Support Facility
Central Support Facilities
Central Medical Services
Administration
Admissions
Community Services
Central Food Services
Central Environment Services
Maintenance and Groundkeeping
Warehouse
Vacant / No information

92_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Program Distribution
The program at RSH consists of Patient
Rooms, Unit Activities, Unit Control,
Unit Support Facilities, Central Support
Facilities, Central Medical Services,
Administration, Admissions, Community
Services, Central Food Services, Central
Environment Services, Maintenance and
Groundskeeping, and Warehouses.
Currently, the majority of patients and
their associated unit activities and support
facilities are located in the southern portion
of the site (Buildings 509, 510, 511, 512,
514, 563, 605, and 643), while a number of
the central support uses are located across
the site in the northwest (Buildings 611,
630, etc.) making access to these programs
difficult.
41
Medical uses and administrative uses are treatment and therapy programs work
disconnected across a number of buildings within the building and room configuration
(Buildings 501, 505, and 515). of the existing campus. It is estimated
that just over twenty-five percent of the
This program distribution is inefficient. available floor area is vacant, and the
Of greatest concern is the need to move existing program occupies about 350,000
patients long distances by van from one out of 500,000 square feet of total available
treatment space to another. This is not floor area.
only inefficient, but italso creates serious
concerns for safety and operational
logistics. Aside from the disorganized,
disconnected locational characteristics
of the program for RSH, the actual rooms
and spaces used for care and treatment
programs are not optimal in terms of size
and configuration.
Nonetheless, the staff at RSH have done
a commendable job of making their
42 43
SECTION 6 EXISTING CONDITIONS_93
 - Prisoners serve in the construction of the State Capitol at Austin

- Prisoners build railroad connection to State’s railroad network

_Historical Timeline
In 1875, Texas’ Fourteenth Legislature

- Electric power generator (300kW) is erected

authorized an act to establish the East

- The first furnace (25 ton) is established

Texas Penitentiary in Rusk, Texas,
_Historical Timeline
which was built between 1877 and 1883.
Construction at this time included a

- The furnace is replaced (50 ton)

three-story sandstone administration
Lorem ipsum dolor sit amet, nunc egestas
building, connected to a sandstone and
venenatis aenean sodales eros ullam. In

- Pipe foundary is added

- Iron operation closes

brick cell house capable of housing 1,056
quis nec quis lacus, aliquam nunc interdum
prisoners, as well as a two-story sandstone
sapien amet, pellentesque quisque
and brick domestic building containing
sollicitudin. Velit libero turpis vestibulum
a chapel, kitchen, library, and hospital.
urna. Quis facilisis eget purus, ut dignissim,
Between 1885 and 1887, Rusk prisoners
suspendisse nullam urna massa. At sem,
manufactured virtually all of the state
per iaculis a nulla non, a lorem luctus, elit
Capitol’s interior cast-iron. The East Texas
vehicula wisi risus, do pede. A amet cursus

1884
1885
1886

1888

1904

1909
1910
Penitentiary remained in operation until
erat, platea purus donec consequat sed Iron operation
1917.
justo. State Penitentiary
In 1919, after building renovations, the site
Elementum vitae duis at est laoreet cursus.
1870

1875

1877

1883

1917
was reopened by the Texas State Board
Deleniti euismod turpis non odio a a.
of Control as the East Texas Hospital for
Mauris urna, lobortis odio nec sit, cupidatat
Rusk is chosen
for a state commissioned prison
Legislative Act approves the recommendation

Prison construction begins

Prison opens

Prison closes
the Insane, later renamed Rusk State
- Brick wall (7 acre, 20’ high, 30” thick)

- 3 sandstone buildings + foundary, etc

vel, molestie integer et fringilla in dictumst,
Hospital in 1925. The former penitentiary
pellentesque natoque sed. Amet dolor
cell building began to serve as the
eget odio mattis, ipsum ante nisl tristique.
administrative center for the hospital, and
Varius tortor faucibus, id vel facilisis vel,
the site continued to grow to accommodate
magnis urna. Phasellus libero magna, elit
patient and facility needs. The Texas
nunc eu habitasse, dolor a dolor rutrum,
Department of State Health Services was
vitae vestibulum id. Eget tellus non viverra.
- 1056 prisoners

created in 2003 and remains the governing

Accumsan fugit, tristique odio vestibulum,
agency of the hospital.
eleifend volutpat, vel nulla nibh sed urna
est. As of September 1, 2017, responsibility of
state hospitals will be transfered to the
Viverra irure. Etiam lobortis mattis hac
1870

1880

1890

1900

1910
Health and Human Services Commission
neque magna lobortis, est eros, at mauris
(HHSC).

1870-1900

1_PLANNING
94_PLANNING
FOR THE FUTURE
MODERNOF RUSK STATECARE
PSYCHIATRIC HOSPITAL
FACILITIES A TEXAS HOSPITAL
 1910 1909 - Prisoners build railroad connection to State’s railroad network
1910 - Iron operation closes

1900
Prison closes 1917

1920 Renovated into hospital 1919

East Texas State Hospital for Insane opens 1919 - Iron facilities sold to Texas Steel Co., a private company that
manufactures steel & iron in response to their demand
during World War I
Rename to Rusk State Hospital 1925

State Hospital
1930 1929 - Ironwork facilities are returned to the State

Original cell blocks 1931 1931 - Ironwork facilities are demolished

are renovated

RUSK

1900-1931
1940

Main building becomes 1949 1949 - Board for Texas State Hospitals and Special Schools
Administration only is established

Skyview Maximum Security Unit opens 1953

Patient disturbance 1955
1960

1963 - Texas Department of Mental Health and Mental Retardation

is established

1931-1960
New maximum security unit 1973
is established

A subject marker is acquired through 1979

1980 the Texas Historical Commission

Maximum security unit is transferred 1988

to Vernon State Hospital

SECTION 6 EXISTING
SECTION
2000

1960-2016

CONDITIONS
2003 - Texas Department of State Health Services (DSHS)

# SECTION
New maxiumum security unit is established
established 2012

_95TITLE _2
2017
 J
DC
T
to

y
Property Boundar
eds
ea
1925

:L
dary

529

29
,5
Property Boun

28
,5
529

27

Sk
g5

yv
Bld
1980 1929 1930

ie
656 528 527

w
S
659

D
528 527 1963

r.
1962 611
649
607 1983 Prison wall
607 659 1937 Av e D 641 1969
1928 1977
626
513 1930 1937 617
514 626/641
515 517
1975
1969 606
1962 513 630
D a

615
615 606 514 515 517 611
S t

630 617
1934 Av e C
Av e C
vi

519
1926
C a m p b e l l
ds o n

1938 1935
516 520
1938 516 1879 524
512
1928 508 A v e B 505 519 5201967 524
1933
Av e B
S t

509/510
S t

614 523
1932
B a ke r

512 1917 504

A

1925
506 Trellis with
1953 508
Av e

563 510 wisteria vine

523
506 505 504 614
563 1937 Prison wall 1929
605 511511 613
1962 509
605 1879 501 1929
501 532 613
532
Property Boundary
Av e A

Railroad spurs
1974
627

y
ar

y
nd

ar
ou

nd
1977

B
1931

ou
627

ty
643 Historic

B
535

er

ty
op
landscape

er
Pr

op
1950

Pr
533
535

r
533 D
n
o

643
s

1934
in

536
k

536
ic
D

0 30 120
N
N

10 60

ASSESSMENT OF HISTORICAL SIGNIFICANCE AND INTEGRITY

Contributing Features

Probably has significance

May have significance
Probably lacks significance
Lacks significance
Probably has integrity
May have integrity
Probably lacks integrity
Lacks integrity

96_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Historical Analysis
The RSH campus contains several
buildings with potential historical
significance. Historical significance is
related to the age of a building and whether
it reflects any architectural features of
significance or whether the site was the
location of important cultural or social
events. Buildings with potential historcial
significance have varying degrees of
historical integrity. Historical integrity
relates to the degree the historical
architectural features of the building are
intact or have been modified.
Given the potential for historically
significant buildings on the RSH campus,
the Texas Historical Commission (THC)
was notified of this project. Under the
Antiquities Code of Texas, when notified
by another state agency of a project, THC the most historically significant building on
will inform the agency if any historic the property and would qualify under the
properties or archaeological sites involved National Registry unto itself.
in the proposed project are designated as
State Antiquities Landmarks (SAL) or are Prior to any demolition, disposition, major
eligible for SAL designation. Regardless of renovation, or other capital improvement
a property’s eligibility for designation, THC project at the RSH campus, additional
may also provide advisory comments or research is recommended to provide a
technical guidance. greater level of detail on the significance,
integrity, and existing condition of buildings.
THC was invited to join the Steering
Committee and has been actively involved
in the process to date. Appendix D includes
a copy of the letter from THC offering their
preliminary comments on the preliminary
test fits scenarios and potential impacts
on historic properties. THC has advised
the Steering Committee that the Main
Administration Building (Building 501) is
44 45
SECTION 6 EXISTING CONDITIONS_97
 46 47

48 49
Photos of EXTERIOR BUILDING CONDITIONS

98_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Exterior Building Conditions
An on-site, preliminary assessment of
exterior conditions of several buildings
was conducted on June 7, 2016. The
assessment was conducted from the
ground level using binoculars to inspect
elevated locations. Although some
background information about RSH was
reviewed prior to the inspection, elevation
drawings were not available. Because
time at the site was limited, the following
buildings were selected for preliminary
inspection as they represented different
construction periods:
• Administration Building (501)
• Pharmacy (505)
• Record Storage (506)
• Clothing Center (516)
• Chapel (517)
The primary materials of the buildings
surveyed include sandstone and brick.
Wood, stucco, steel, and aluminum
were also noted. There are a variety of
deterioration conditions affecting exterior
materials of the buildings surveyed and the
extent of deterioration ranges from slightly
deteriorated to severe.
All of the buildings surveyed have been
painted, making it difficult to identify some
of the underlying substrates. For example,
it was not possible to determine whether
the window sills and stringcourse of the
Chapel are precast concrete or limestone.
Paint may also mask deterioration
conditions and old repair work on the RSH
buildings.
Much of the existing deterioration noted
during our survey appears to be related
to water intrusion. With some buildings,
the upward migration of water from the
ground level (rising damp) affects masonry
materials up to the first-story sills. The
drainage ditch (moat) that surrounds
building 501 appears to be an attempt to
address rising damp, but this measure has
not been successful in preventing water
intrusion. In fact, the building 501 exhibits
the most severe deterioration related to
rising damp.
Included in Appendix C is the complete
preliminary documentation of the exterior
building conditions. The following briefly
summarizes some of the challenges with
historic preservation of these buildings as
represented in the images on page 98 of
this report.
Several of the buildings are affected by the
upward migration of water from the ground
level. The rising damp seen on building 501
has resulted in deterioration of masonry
materials up to the first story sill level
(Photo 46).
Extensive structural cracks were noted on
and around building 501 turrets, located
at the northeast and southeast corners
(Photo 47).
The step cracks on 506 are indications
of building movement and should be
monitored to assess whether they are
stable or still active (Photo 48).
Existing paint coatings have trapped
moisture within the brick and sandstone
walls of several buildings. This example on
505 has resulted in masonry deterioration
and peeling paint (Photo 49).
Some of the old repair work may be
contributing to deterioration. The condition
of the sandstone below spray-applied
cement repair coating on 505 is not known,
but we expect that the coating will be
difficult to remove.
.
SECTION 6 EXISTING CONDITIONS_99
 CJ
TD
to

Property Boundary
eds
ea
:L
ry

29
da

,5
Property Boun

28
,5
529

27

Sk
g5

yv
Bld

ie
w
S
659

D
528 527

r.
649

607
Av e D 641
626

606 513
D a

615 514 515 517 611

S t

630 617
Av e C Av e C
vi

Ca m p be l l
ds on

516
508 A v e B 519 520 524
Av e B
S t
S t

B a ke r

512
A
Av e

510
523
506 505 504 614
563
605 511
509
501
532 613
Property Boundary
Av e A

ry
da

y
r
un

da
Bo

un
627

Bo
ty
er

ty
op

er
Pr

op
Pr
535

r
533 D
n
o

643
s
in
k

536
ic
D

0 30 120
N
N

10 60

ASSESSMENT OF INTERIOR BUILDING CONDITIONS

Good
Fair
Poor
Possible Flood Damage
Mold Issues

100_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Interior Building Conditions
The basic structure of almost all of the
buildings at RSH is cast-in-place concrete,
flat slab construction. Cracks in some
of the exterior walls indicate that the
foundations of some of the exterior walls
are settling. All of the building systems, i.e.
plumbing, electrical, fire safety, are surface
mounted on the concrete. The buildings
in the center of the campus, 501 to 520
inclusive, are only partially occupied and
in some cases unoccupied. The original
piping, still visible in the unoccupied
areas of buildings, is cast-iron pipe. The
electrical system is surface mounted
conduit and devices. Some active spaces
have outdated push button switches and
devices.
RSH has had difficulty, for a number of
years, controlling moisture and mold in
all of these buildings. Although the basic
structure of these buildings is essentially
solid, the interior materials, especially the
inside of the exterior walls, have required
constant, costly maintenance to control the
moisture and mold that still exists.
The Cannon, et al., Report made the
following conclusions regarding building
assessement:
• The majority of the ventilation systems
are in poor condition.
• The administration buildings, support
buildings, and consumer quarters
interiors are in poor condition.
• The voice communication system is
past its useful life.
• The fiber network is in good condition,
however, the voice network is poor.
This is typical across all campus
facilities.
• The majority of the ventilation systems
are in poor condition.
Building 501 is the signature building on
the campus. It visibly marks the location
of RSH from the road and its extraordinary
length makes it unique. The building can
easily be repurposed to accommodate
administrative and related facilities that are
not required in the unit complexes. Even if
the exterior wall of 501 is not salvageable,
the building has the potential, if redesigned
well with the existing basic structure, to
be a remarkable building that redefines
its presence on the site as contemporary
architecture and maintains its visible
presence from the road.
Building 517 contains an auditorium with
several hundred seats. The structure
is a clear span with no interior columns
obstructing sight lines to the stage. This
is a useful building type for both Hospital
and possible public use. A completely
renovated building that reuses this long
span structure with its sloped seating can
achieve some economy while bringing
all the building systems up to date. The
feasibility of such a renovation should be
examined.
Buildings 511 and 512 were built in 1937
and 1938, respectively, and buildings
563 and 605 were built in 1953 and 1962,
respectively. These buildings are well
maintained and in sound condition. In their
present condition, they will be required to
accommodate patients who are displaced
by any new construction in the central part
of the campus. The physical dimensions
of these buildings lend themselves easily
adaptable to Best Practices. With careful
renovation and possibly some addition,
these buildings can be renovated as a self-
sustaining psychiatric unit that includes
all the required support and activity
spaces. Perhaps, these buidings could be
repurposed to accommodate maximum
security.
SECTION 6 EXISTING CONDITIONS_101
7 DESIGN PROCESS
_Preliminary Test Fits
_Scenario A
_Scenario B
 PRELIMINARY LATTICE SCHEME

BUILDING OPS

ADMISSIONS OUTREACH
SUPPORT

MAXIMUM SECURITY COMMUNITY

SERVICES
SHARED FACILITIES
COMMUNITY
SERVICES
MEDICAL

BUILDING OPS

ADMINISTRATION ADMINISTRATION

MAXIMUM SECURITY

N N

0 10 30 60 120 0 10 30 60 120

Adaptive ReUSE PRECINCT

104_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Preliminary Test Fits
In order evaluate the spatial and structural Precinct infrastructure, leaving existing roadways
possibilities for the Rusk site and to The Precinct scheme sought to use many and creating smaller semi-enclosed
identify the important variables that of the most relevant historic and intact courtyards for the patients. Patient
would influence any potential redesign buildings, proposing to adapt them to the residences are located on the ground floors
of the campus, a series of “Test Fits” new programmatic requirements of the while collective services are distributed
were developed that were intended to institution by strategically placing additions throughout the campus in second and third
help establish the design direction for so as to create a series of large courtyard floor areas. While spatially rich, the Linear
the project. Initial schemes investigated spaces. The intention was to construct a scheme does not easily fulfill the best
variables such as number of floors, mediated response between the patients’ programmatic distribution practices of the
adaptive re-use of existing buildings, need for access to nature, controlled institution.
reorganization of public spaces, and communal areas, and a clear identity for Lattice
programmatic fit. The initial programming the new campus. Due to the position and The Lattice scheme drew from a
was based upon the sizes of reference scale of the existing buildings, this scheme number of design tactics that have been
institutions around the country as the created a varied and identifiable series demonstrated by a series of recent
precise programming had yet to be of precincts for patients to occupy and international competition schemes for
established. orient towards. Given the diverse sizes similar institutions around the world.
and the distribution of existing buildings It was focused on creating a series of
Adaptive Re-use across the site, this scheme did not easily outdoor courtyards that patient rooms
The Adaptive Re-use scheme attempted
accommodate the number and size of oriented towards, while controlling the
to repurpose as many of the existing
units and quad areas that would establish distribution and amount of access to open
structures as possible. Evaluating
an efficient system for programmatic space for the patient population. The
each building for programmatic fit and
distribution across the site, nor do the Lattice scheme was the most flexible
distribution. While there is a considerable
staffing requirements match the spatial with regard to programmatic distribution,
amount of unused floor area within the
configuration of the campus. security, and institutional needs. The
existing campus, the reality is that the
repetition of courtyards along with the
position of the buildings, the configuration Linear associated infrastructure is split along
of the structures, and possible distribution Similar to the Precinct scheme, the Linear the original axis of the historic campus,
of functions in meeting best practices scheme organized the site into a series in order to accommodate the most
for health care make this approach of identifiable zones that are intended to significant historic structures on the site.
problematic at best. In addition, many, mediate between a number of adaptively It introduces the concept of a “Therapy
if not most, of the existing buildings reused existing structures and the sloping Mall” for accommodating the large support
are too compromised by deteriorating topography of the site. It attempted to work programs that need to be accessible to the
infrastructure to be economically within the parameters of the existing site community at large.
repurposed (Cannon et. al. Report).

COMMUNITY
SERVICES OUTREACH OUTREACH

BUILDING OPS

CIVIL/ GERIATRIC THERAPY MALL

ADMISSIONS

THERAPY MALL

ADMINISTRATION ADMINISTRATION

MAXIMUM SECURITY MAXIMUM SECURITY

N N

0 10 30 60 120 0 10 30 60 120

Linear lattice

SECTION 7 DESIGN PROCESS_105

_Scenario A
BUILDING OPS
MAXIMUM SECURITY
PARKING
After developing the final programmatic
requirements and establishing the
organizational principles through the
Idealized Model, a new series of test fits
were performed upon the Rusk site.
The purpose of these applied design
plans was to evaluate the appropriate
spatial application of the Idealized Model
components on the Rusk site. The
consideration for best practices that were
embedded in the Idealized Model were
combined with the topographic constraints
of the site, and the position of those historic
structures that were considered the most
impactful in preserving the cultural identity
of the site, in order to establish schemes
that would test the future design direction.
106_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL
CENTRAL SUPPORT SERVICES ADMISSIONS | MEDICAL | ADMIN
PRELIMINARY TEST FIT OF SINGLE STORY QUADS
Scenario A reorganizes the single story
Idealized Model onto the site and only
preserves the main building {501]. All
other structures have been removed
in order to accommodate the spatial
requirements of the single-story design.
It tests an approach that does not re-
use Building 501 for any purposes of the
institution; however, it simply remains as
a historic structure adjacent to the new
campus. This approach would require
research into acceptable means to preserve
building 501 while not in use.
Although this scenario accomplishes the
best practice goals of organizing all of
the patient rooms onto the ground floor,
PARKING
the size of the overall program and the
constraints of the site limit the amount
of available landscape related public
space distributed across the campus. The
therapy mall, administrative, medical,
and admissions programs are organized
into a series of linear buildings located
between building 501 and the new series of
residential quads.
Scenario B, on the other hand, utilizes a
two-story design approach as a response
to the limited acreage, topological, and site
constraints of the RSH campus. Patient
units are organized into four two-story
“stacked” quads, each organized around
two interior courtyards. This approach
_Scenario B
BUILDING OPS
MAXIMUM SECURITY
provides for more appropriately sized
landscaped space between buildings.
Scenario B provides a generous
organization of landscape spaces between
buildings that have been structured for the
benefit of the patient population and staff.
Minimizing the footprint by introducing a
two-story scheme also more readily solves
drainage and foundation problems on the
site by introducing green infrastructure as
a remediative strategy.
In addition to resolving the spatial and
functional requirements of the future
hospital, Scenario B integrates three
historically important buildings into the
CENTRAL SUPPORT SERVICES
PARKING
ADMISSIONS | MEDICAL | ADMIN
PARKING
PRELIMINARY TEST FIT OF TWO STORY QUADS
proposed design: building 501, the original number of reasons, primarily for providing
prison occupied in 1880, which currently for more generous space between new
houses administration; the mule barn; quads and buildings for therapeutic
and building 517, the current auditorium/ landscapes. Although Scenario A achieved
chapel. Building 501 is repurposed to be the one (1) story best practice it was
shared between support service spaces in considered to require greater investment
the form of a “therapy mall” on the ground in foundations and structural elements to
floor with administration on the upper deal with grade and storm water drainage
floors. Three other existing buildings have infrastructure.
the potential to be adaptively reused within
this model. A new, iconic building presents
itself to the town on the Northeast corner
of the campus, containing program for
admissions and medical facilities.
Scenario B was identified by the project
team as the preferred approached for a
SECTION 7 DESIGN PROCESS_107
8 APPLIED MODEL
_Overview
_Plan
_Axonometric Model + Section
_Total Floor Area
_Adaptive Re-use
_Control + Security
_Landscape Structure + Function
_Stormwater Infrastructure
_Pedestrian Circulation
_Vehicular Circulation + Parking
_Medical Access + Medication Delivery
_Food + Environmental Services Access
_Overview
Given the various site constraints present
on the RSH campus, the project team has
identified Scenario B as the preferred
planning approached for the new campus.
Notably, the existing topographic situation
on the property, along with the desire to
adaptively reuse historically important
buildings on the site, limits the application
of the model to a compact scenario that
is based upon a series of two-story quad
typologies. Scenario B has therefore been
further refined into an “Applied Model” for
RSH.
The Applied Model capitalizes on the
axial spatial framework established by
the position of the remaining historically
significant buildings on the site, and
organizes them into sets of stacked units,
with two on each floor. This arrangement
is organized around a central landscape
esplanade that connects the elements of
the campus along a north-south spine.
Additionally, Building 501, which houses
the administrative and central therapeutic
spaces, is organized into a “treatment
mall” arrangement, and Building 517,
which houses the existing auditorium
and non-denominational chapel together
reframe a social heart for the new campus
along a central east-west axis. Meaningful
attention to a series of landscaped spaces
between the buildings has been established
in order to capitalize upon the noteworthy
topography on the site, providing
opportunities for a range of outdoor
therapeutic environments.

“Truly, happiness is looking out across fresh fields, gazing

at a distant tree, feeling the sun on your back and the wind
brushing your skin.”
Dr. Jeremy Dean, PSYBLOG

50

110_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Plan

A
LEGEND
OUTDOOR SPACE

LANDSCAPE HARDSCAPE GREEN SPACE

PRIVATE SEMI-PRIVATE PUBLIC

PATIENT ROOM
STAFF
VEHICULAR REPAIR

METALS

PARTS

CARPENTRY

LANDSCAPE

ARCHIVE
UNIT UNIT
ACTIVITY SUPPORT FACILITIES
DIRECTOR’S
OFFICE
SERVICE
REFUSE ASST. DIRECTOR
CONFERENCE
ROOM RECEPTION UNIT CENTRAL COMMUNITY
LOADING ZONE LOADING ZONE LOADING ZONE CONTROL POINT MEDICAL SERVICES SERVICES
CLOTHING
UNIT CENTRAL
ADMISSION
STORAGE SUPPORT FACILITY
LAUNDRY STORAGE

SUPPLIES
CLEANING

STORAGE / STAFF BREAKROOM FOOD PREP STAFF BREAKROOM STORAGE / STAFF BREAKROOM STAFF BREAKROOM
FOOD MEETING ROOMS / FOOD PREP MEETING ROOMS / STORAGE / MEETING ROOMS / FOOD PREP FOOD PREP MEETING ROOMS / STORAGE /
FREEZER FLEX INDOOR INDOOR
LOADING ZONE

MAINT LOCKER ROOM & LOCKER ROOM & MAINT MAINT LOCKER ROOM & LOCKER ROOM & MAINT
WAREHOUSE FLEX OFFICE FLEX OFFICE FLEX OFFICE FLEX OFFICE
SPACE DINING HALL RECREATION RECREATION

CENTRAL
FREEZER MULTI-PURPOSE DINING HALL MULTI-PURPOSE MULTI-PURPOSE DINING HALL DINING HALL MULTI-PURPOSE

ROOM ROOM ROOM ROOM

AUDITORIUM
ADMINISTRATION
THERAPY PATIENT PATIENT THERAPY THERAPY PATIENT PATIENT THERAPY
KITCHEN ROOMS ROOMS ROOMS ROOMS
/ CHURCH
ENVIRONMENTAL SERVICES
PANTRY

LAUNDRY

LOADING ZONE
BASKETBALL COURT BASKETBALL COURT
SECLUSION SECLUSION
SECLUSION SECLUSION

CENTRAL FOOD SERVICES

ROOMS ROOMS
ROOMS ROOMS
BASKETBALL COURT
FOOD FOOD EQUIPMENT FLEX
WAREHOUSE
LOADING ZONE

WAREHOUSE STORAGE
FREEZER FREEZER SPACE
THERAPY DAY ROOM MEDICAL MEDICAL THERAPY THERAPY
DAY ROOM MEDICAL MEDICAL THERAPY
ROOM ROOM DAY ROOM ROOM ROOM DAY ROOM LAUNDRY
LAUNDRY

DE-ESCALATION
DE-ESCALATION

DE-ESCALATION
DE-ESCALATION
LAUNDRY LAUNDRY

MAINTENANCE
OFFICE OFFICE PATIENT PATIENT NURSE’S NURSE’S PATIENT PATIENT PATIENT PATIENT NURSE’S NURSE’S PATIENT
FLEX FLEX PATIENT

ROOM
ROOM

ROOM
STATION STATION

ROOM
EXERCISE EXERCISE EXERCISE EXERCISE EXERCISE EXERCISE STATION STATION EXERCISE

ROAD
SPACE SPACE EXERCISE
SHOWERS SHOWERS SHOWERS SHOWERS

PATIENT ROOMS
MEETING
ROOM
MEETING
ROOM PATIENT ROOMS PATIENT ROOMS
MEETING
ROOM
MEETING
ROOM PATIENT ROOMS GROUNDKEEPING

WAREHOUSE VACANT

PATIENT ROOMS MEETING PATIENT ROOMS MEETING MEETING

SHOWERS MEETING SHOWERS SHOWERS
PATIENT ROOMS PATIENT ROOMS SHOWERS

ROOM ROOM ROOM ROOM

DE-ESCALATION
DE-ESCALATION
DE-ESCALATION
DE-ESCALATION
PATIENT PATIENT NURSE’S PATIENT PATIENT PATIENT PATIENT NURSE’S PATIENT PATIENT
THERAPY NURSE’S THERAPY THERAPY
LAUNDRY
NURSE’S LAUNDRY
THERAPY
LAUNDRY EXERCISE EXERCISE
LAUNDRY EXERCISE EXERCISE STATION STATION EXERCISE LAUNDRY STATION STATION EXERCISE LIBRARY

ROOM
ROOM
ROOM
ROOM
LAWN
MEDICAL MEDICAL
DAY ROOM
MEDICAL MEDICAL DAY ROOM
DAY ROOM ROOM ROOM DAY ROOM ROOM ROOM
GYMNASIUM

SECLUSION SECLUSION SECLUSION SECLUSION

ROOMS BASKETBALL COURT ROOMS ROOMS ROOMS
BASKETBALL COURT BASKETBALL COURT
EXTERIOR COURTYARD

THERAPY THERAPY
THERAPY THERAPY FLEX P TR DCR
MULTI USE

OFFICE

OFFICE

OFFICE
FLEX BUS STOR QUA MAN COM REL JOBS PATIENT REGISTER SAF DO DO DE DE
PROGRAM PROGRAM
PATIENT PATIENT
ROOMS ROOMS RESTROOMS STORAGE COURT MO MO FO FO
STAFF BREAKROOM STAFF BREAKROOM STAFF BREAKROOM
MEETING ROOMS / MEETING ROOMS / STAFF BREAKROOM TREATMENT
MEETING ROOMS /
DINING HALL DINING HALL MEETING ROOMS / DINING HALL INDOOR DINING HALL FLEX FLEX PROGRAM PROGRAM PROGRAM
BUS STOR PSY RES C DR ACCOUNTING CENTRAL IT
ISO
STORAGE /
LOCKER ROOM &
FLEX OFFICE INDOOR FLEX OFFICE LOCKER ROOM &
STORAGE / STORAGE /
LOCKER ROOM &
FLEX OFFICE FLEX OFFICE LOCKER ROOM &
STORAGE / ROOM ROOM ROOM CLINIC CFO RESTROOM RESTROOM CNE NURSING SUPPLY PROGRAM PROGRAM PROGRAM PROGRAM ME ME FE FE
SECURITY SALLY PORT
MAINT MULTI-PURPOSE RECREATION MULTI-PURPOSE MAINT MAINT
MULTI-PURPOSE RECREATION MULTI-PURPOSE
MAINT
ROOM FOOD PREP FOOD PREP
ROOM ROOM FOOD PREP STORAGE FOOD PREP ROOM
EH
MTG RESTROOM
SHOWER PATIENT ROOMS PATIENT ROOMS SHOWER STORAGE IC

MOD ECO
MTG MTG MTG
THERAPY PATIENT TEL-CONFERENCE ROOM READING ROOM / LIBRARY PATIENT THERAPY
DE-ESCALATION

DE-ESCALATION

STORAGE VISITATION SECURITY VISITATION TEL-CONFERENCE ROOM READING ROOM / LIBRARY

LAUNDRY STORAGE
LAUNDRY
HOUSE SUPPLY STAFF
ROOM

ROOM

CONFERENCE LAB
DAY ROOM
DAY ROOM
NURSE’S MEDICAL
STORAGE STORAGE
MEDICAL NURSE’S
STATION ROOM ROOM STATION
ARTS / LIBRARY
CRAFTS
CENTRAL
20 BEDS 20 BEDS VISITATION SECURITY PHARMACY

EDUCATION
PATIENT
KITCHEN
TEACHING

SUPPORT
PEER
CLOTHING

ART

MUSIC

READING
CAFE
SALON

KITCHEN

CANTEEN

COMPUTER

OFFICE
POST

CENTER
CLOTHING
LIBRARY

CASH

FUNDS
TRUST
SECLUSION SECLUSION
ROOMS ROOMS

TEL-
BASKETBALL COURT
BASKETBALL COURT
GROUP THERAPY/
SECURITY
2ND FLOOR
CONFERENCE MULTI-PURPOSE
ACTIVITY
TREATMENT TREATMENT
PATIENT ROOMS

PATIENT ROOMS

MEETING ROOM REIMBURSEMENT STORAGE REIMBURSEMENT STAFF

MEETING ROOM HEAL INFO STORAGE HEAL INFO MANAGEMENT
SECURITY

INTERVIEW

INTERVIEW

INTERVIEW
OFFICE

ROOM 1

ROOM 2

ROOM 3
STORAGE OFFICE STAFF TREATMENT
LOCKER MEETING ROOMS / DINING HALL DINING HALL MEETING ROOMS / LOCKER
ROOM FLEX OFFICE INDOOR FLEX OFFICE ROOM OFFICE
STORAGE/ STORAGE/ FLEX STAIRS STAFF BREAKROOM OFFICE OFFICE OFFICE OFFICE LEC STAFF C
RECREATION OFFICE OFFICE OFFICE OFFICE OFFICE OFFICE FLEX FLEX RESTROOM
MAINT MAINT OFFICE OFFICE FLEX RESTROOM
STORAGE

RESTROOMS

RESTROOMS
PHOTO & ID

KITCHEN
OFFICE

OFFICE
LOBBY

SECOND & THIRD FLOOR DETAIL SECOND FLOOR DETAIL

ADMINISTRATION

SECOND & THIRD FLOOR DETAIL

STAFF DIRECTOR
ADMINISTRATION

3RD FLOOR

SHOWERS PATIENT ROOMS PATIENT ROOMS SHOWERS

PATIENT ROOMS PATIENT ROOMS

DE-ESCALATION
DE-ESCALATION
PATIENT PATIENT EXERCISE READING ROOM / LIBRARY PATIENT PATIENT PATIENT NURSE’S

DE-ESCALATION

DE-ESCALATION
THERAPY STORAGE STORAGE
PATIENT EXERCISE READING ROOM / LIBRARY THERAPY
NURSE’S PATIENT PATIENT
LAUNDRY LAUNDRY
EXERCISE EXERCISE STATION EXERCISE LIBRARY
STATION

ROOM
ROOM
ROOM

ROOM
DAY ROOM
DAY ROOM
NURSE’S STORAGE STORAGE
MEDICAL NURSE’S DAY ROOM
MEDICAL MEDICAL DAY ROOM
STATION ROOM STATION ROOM ROOM
BARBER / MEDICAL
SALON

SECLUSION 20 BEDS 20 BEDS SECLUSION 20 BEDS 20 BEDS

ROOMS ROOMS
SECLUSION SECLUSION
ROOMS ROOMS

EXERCISE GROUP THERAPY/ EXTERIOR COURTYARD

MULTI-PURPOSE
ACTIVITY
THERAPY THERAPY

MAXIMUM SECURITY 2ND FLOOR PLAN QUAD 2ND FLOOR PLAN

UPPER LEVEL PLANS

N.
IC D
KE
NS
O
N 1 ACRE
DR
.

FIRST FLOOR PLAN

A

OVERALL PLAN OF THE APPLIED MODEL FOR RUSK STATE HOSPITAL 50 200

0 100 FT.

SECTION 8 APPLIED MODEL_111

_Axonometric Model + Section

natural internal street bio swales retaining pathways sidewalks roads parking buildings patient central unit unit interior
landscape courtyard landscape wall rooms support activity support circulation 0 25 100

SECTION AA 50 FT.

AXONOMETRIC AND SECTION OF THE APPLIED MODEL FOR RUSK STATE HOSPITAL
112_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL
_Total Floor Area
Square Feet

Residential Units 255,000

Maximum Security Unit 51,700

Building 501 86,600

Administration (52,000 square feet)
Central Support Programs (29,200 square feet)
Courtroom (3,000 square feet)
Central Visitation (2,400 square feet)

Chapel 14,800

Gymnasium 4,800

Admissions 8,500

Central Medical Clinic and Pharmacy 11,500

Central Food and Environmental Services 23,600

Maintenance and Groundskeeping 21,300

Warehousing 17,800

TOTAL ESTIMATED FLOOR AREA 495,600

51

SECTION 8 APPLIED MODEL_113

_Adpative Re-use
The architectural importance established
by the history, position, scale and identity
of Building 501, the most historically
significant structure on site, provides a
prime opportunity for adaptive re-use.
Building 501 is an obvious choice for
renovation into a modern building given
the compatibility between its existing
spatial structure and the programmatic
requirements of the hospital. More than
any other building on campus, it can be
appropriately incorporated back into
an important central role in the overall
114_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL
52 53
55
hospital functions. The Applied Model
proposes that Building 501 be renovated to
house administrative functions (generally
on the level two and three) and central
support services (on levels one and parts
of level two). Central support services
are proposed to be incorporated on the
ground floor in a “treatment mall” type
arrangement that connects the west facade
of the building to other central support
services proposed along the central
axis (chapel and gymnasium). Repair
and updates to facades and entry would
54
56
establish a new, welcoming main entrance
for the hospital juxtaposed next to the new
admissions and medical building. Similarly,
it is proposed that the existing chapel be
renovated and adaptively reused for central
support services, particularly, auditorium,
church, chapel and associated uses. It
is recommended that further studies be
completed to investigate the feasibility
of this recommendation with regards to
the condition of the structure and the
associated costs.
_Control + Security

STAFF
VEHICULAR REPAIR

METALS

PARTS

CARPENTRY

LANDSCAPE

ARCHIVE

DIRECTOR’SS
OFFICE
SERVICE
REFUSE DIRECCTOR
ASST. DIRECTOR
CONFERENCE
ROOM RECEPTION

LOADING ZONE LOADING ZONE LOADINGG ZONE

CLOTHING
LAUNDRY STORAGE

SUPPLIES
CLEANING

STORAGE / STAFF BREAKRO

BREAKROOM
OOM FOOD PREP BREAKROOM
STAFF BREAKRO
OOOM STORAGE / STAFF
F BREAKROOM BREAKROOM
STAFF BREAKRO
OOOM
FOOD MEETING
T ROOMS / FOOD PREP MEETINGG ROOMS / STORAGE / MEETING
N ROOMS / FOOD PREP FOOD PREP MEETINGG ROOMS / STORAGE /
FREEZER FLEX INDOORR INDOOR
O
ZONE

MAINT LOCKER ROOM & LOCKER ROOM & MAINT MAINT LOC
CKER ROOM &
LOCKER LOCKER ROOM & MAINT
WAREHOUSE FLEX OFFICE FLEX OFFICE
F FLEX OOFFICE FLEX OFFICE
I
O

FREEZER SPACE MULTI-PURPOS

SE
MULTI-PURPOSE DININGG HALL RECREATION
A N HALL
DINING MULTI-PURPOSE
MULTI-PURPOS
SE MUL
LTI-PURPOSE
MULTI-PURPOSE DININGG HALL RECREATION
R N HALL
DINING MULTI-PURPOSE
MULTI-PURPOS
SE
LOADING

ROOM ROOM ROO

OM
ROOM ROOM
A

THERAPY PATIENT PATIENT THERAPY AUDITORIUM THERAPY PATIENT PATIENT THERAPY

KITCHEN ROOMSS ROOMSS ROOMSS ROOMSS
/ CHURCH
PANTRY

LAUNDRY
LOADING ZONE

BASKETBALL COURT BASKETBALL COURT

SECLUSION SECLUSION
SECLUSION
ON SEC
SECLUSION
ROOMS ROOMS
ROOOMS
OMS
ROOMS ROO
ROOMS

FOOD FOOD EQUIPMENT FLEX

WAREHOUSE
ZONE

WAREHOUSE STORAGE
FREEZER SPACE
O

FREEZER
DAY ROOM MEDICAL
ME
EDICAL
DICAL MEDICAL MEDICAL
ME
EEDICAL MEDICAL
LOADING

THERAPY
THERAPY
A ROOM
DAY M
THERAPY DAY
A ROOM
M DAYY ROOM
THERAPY
ROOM
ROOM ROOM LAUNDRY ROOM
RO
OOM ROOM LAUNDRY

DE-ESCALATION
DE-ESCALATION
A

ON
DE-ESCALATION

DE-ESCALATION
ON
ON
DE-ESCALATION
LAUNDRY

O
DE-ESCALATIO
LAUNDRY

I
DE-ESCALATI

DE-ESCALATI
OFFICE OFFICE PATIENT PATIENT NURSE’S NURSE’S PATIENT PATIENT PATIENT PATIENT NURSE’S NURSE’S PATIENT
FLEX FLEX PATIENT

ROOM ROOM
ES
ROOM

ROOM
STATION STATION

ROOM
STATION STATION

ROO
EXERCISE EXERCISE EXERCISE EXERCISE EXERCISE

RO
SPACE SPACE EXERCISE EXERCISE EXERCISE

DE

DE
SHOWERS SHOWERS SHOWERS SHOWERS

SECURE UNIT
MEETING
MEEETING
EETIN MEETING
E NG MEETING MEETING
PATIENTT ROOMSS ROOM
R
ROOM ROOM
ROOM PATIENTT ROOMSS PATIENTT ROOMSS ROOM
ROOM ROOM
ROOM PATIENTT ROOMSS

QUAD SECURED

PAT
TIENT RO
TIENT
PATIENT OOMS
ROOMS MEETING PATIENTT ROOMSS MEETING MEETING
SHOWERS MEETING SHOWERS SHOWERS
PATIENT ROOMS
TIENT RO
OOMS PATIENTT ROOMSS SHOWERS

ROOM OOO
ROOM ROOM ROOM

DE-ESCALATION
TTION
IONN
ALATION
DE-ESCALATION
DE-ESCALATION
ION
ION
LATION
DE-ESCALATION

NURSE’S PATIENT PATIENT NURSE’S

DE-ESCALATI

PATIENT

DE-ESCALAT
DE-ESCALATI
ALATII

T
SCALAT
DE-ESCALAT
ALAT
PATIENT PATIENT NURSE’S PATIENT NURSE’S PATIENT PATIENT
CALAT

THERAPY THERAPY THERAPY THERAPY

LAUNDRY LAUNDRY LAUNDRY
EXERCISE EXERCISE STATION EXERCISE LAUNDRY EXERCISE EXERCISE STATION EXERCISE LIBRARY
LAUNDRY
STATION STATION

ROOM
ROOM
ROOM
ROOM

W
LAWN
MEDICAL
ME
EEDICAL MEDICAL
D ROOM
DAY M
MEDICAL
ME
EEDICAL MEDICAL DAY ROOM
O
DAY ROO
ROOM
OOOOM ROOM
RO
OOM ROOM DAY
A ROOM
M ROOM
RO
OOM ROOM
ROOM
GYMNASIUM

SECLUSION
ON SECC
SECLUSION SECLUSION
ON SEC
SECLUSION
ROOMS ROO
ROOMS ROOMS ROOMS
ROO
BASKETBALL COURT BASKETBALL COURT
EXTERIOR COURTYARD
R COUR R
RTYARD

THERAPY THERAPY
THERAPY THERAPY

PATIENT
PAT PATIENT
PAT
ROOMS ROOMS RESTROOMSS STORAGE
STAFF BREAKRO
BREAKROOM
OOM BREAKROOM
STAFF BREAKRO
OOOM
O STAFF
ST
TAFF BREAKROO
BREAKROOM
O
OM STAFF
ST
TTAFF BREAKROOM
AFF BREAKROO
OM
MEETING
T ROOMS / MEETINGG ROOMS / MEETING
MEETINNNG ROOMS / DINING
N HALL
A MEETING ROOMS
MS /
DINING
N HALL
L DINING
N HALL
A DINING
N HALL
L IND
INDOOR
STORAGE /
LOCKER ROOM &
FLEX OFFICE INDOOR FLEX OFFICE LOCKER ROOM &
STORAGE / STORAGE /
LO
OOCKER
CKER ROOM &
LOCKER
FLEX OOFFICE FLEX OFFICE
I LOCKER
LO
OOCKER
CKER ROOM &
STORAGE /
SECURITY SALLY PORT
MAINT MU
MULTI-PURPOS
S
SE
MULTI-PURPOSE RECREATION
E MULTI-PURPOSE
MULTI-PURPOS
SE MAINT MAINT
MULTI-PURPOSE
MULTI-PURPOSE RECREATION
E MULTI-PURPOSE
MULTI-
ULTI-PURPOSE
MAINT
ROOM
M FOOD PREP FOOD PREP
ROOM
OOM ROOM FOOD PREP STORAGE FOOD PREP ROOM
O

SHOWER PATIENT ROOMS PATIENT ROOMS

ROOMS SHOWER

THERAPY PATIENT TEL-CONFERENCE ROOM READING ROOM / LIBRARY PATIENT THERAPY

DE-ESCALATION

DE-ESCALATION

STORAGE VISITATION SECURITY VISITATION TEL-CONFERENCE ROOM READING ROOM / LIBRARY

LAUNDRY
LAUNDRY STORAGE
LAUNDRY
ROOM

ROOM

D ROOM
DAY
DAY ROOM
NURSE’S MEDICAL
STORAGE STORAGE
MEDICAL NURSE’S
STATION ROOM ROOM STATION
ARTS / LIBRARY
CRAFTS
CENTRAL
20 BEDS
BE 20 BBEDS
BE
BED
EDS VISITATION SECURITY PHARMACY
EDUCATION
PATIENT
KITCHEN
TEACHING

SUPPORT
PEER
CLOTHING

ART

MUSIC

READING
CAFE
SALON

KITCHEN

CANTEEN

COMPUTER

OFFICE
POST

CENTER
CLOTHING
LIBRARY

CASH

FUNDS
TRUST
SECLUSION SECLUSION
ROOMS ROOMS

BASKETBALL
A COURT SECURITY
TEL- GROUP THERAPY/
CONFERENCE MULTI-PURPOSE
ACTIVITY
TREATMENT TREATMENT
PATIENT ROOMS

PATIENT ROOMS

ENTIRELY SECURED
R

MEETING ROOM MEETING ROOM

SECURITYY

INTERVIEW

INTERVIEW

INTERVIEW
OFFICE

ROOM 1

ROOM 2

ROOM 3
STORAGE OFFICE
LOCKERR MEETING
N ROOMS / DINING HALL DINING HALL MEETING ROOMS / LOCKER
ROOM FLEX OFFICE
F INDOOR FLEX OFFICE
C ROOM OFFICE
STORAGE/ STORAGE/
RECREATION MAINT
MAINT
STORAGE

RESTROOMS

RESTROOMS
PHOTO & ID

KITCHEN
OFFICE

OFFICE
SECURE UNIT
LOBBY

FLOOR DETAIL
SECOND & THIRD FLOOR DETAIL SECOND FLOOR
FLOOR DETAIL
DETAIL

QUAD SECURED FLOOR DETAIL

SECOND & THIRD FLOOR DETAIL

N.
IC D
KE
NS
O
N
DR
.

Similar to the Idealized Model, the Applied

Model for the RSH campus provides a
hierarchy of security and control through
individual securable units, quads and
a completely secure entire campus.
This provides for a hierarchy of patient
accessible space depending on a patient-
appropriate levels of freedom. Like the
Idealized Model, maximum security is
slightly separate from the main campus
and provides for even higher levels of
security and control with necessary fencing
and sally ports.

SECTION 8 APPLIED MODEL_115

_Landscape Structure + Function

STAFF
VEHICULAR REPAIR

METALS

PARTS

CARPENTRY

LANDSCAPE

ARCHIVE

DIRECTOR’S
OFFICE
SERVICE
REFUSE ASST. DIRECTOR
CONFERENCE
ROOM RECEPTION

LOADING ZONE LOADING ZONE LOADING ZONE

CLOTHING
LAUNDRY STORAGE

SUPPLIES
CLEANING

STORAGE / STAFF BREAKROOM FOOD PREP STAFF BREAKROOM STORAGE / STAFF BREAKROOM STAFF BREAKROOM
FOOD MEETING ROOMS / FOOD PREP MEETING ROOMS / STORAGE / MEETING ROOMS / FOOD PREP FOOD PREP MEETING ROOMS / STORAGE /
FREEZER FLEX INDOOR INDOOR
LOADING ZONE

MAINT LOCKER ROOM & LOCKER ROOM & MAINT MAINT LOCKER ROOM & LOCKER ROOM & MAINT
WAREHOUSE FLEX OFFICE FLEX OFFICE FLEX OFFICE FLEX OFFICE

REFLECTIVE RETREAT
FREEZER SPACE MULTI-PURPOSE DINING HALL RECREATION DINING HALL MULTI-PURPOSE MULTI-PURPOSE DINING HALL RECREATION DINING HALL MULTI-PURPOSE

AUDITORIUM
ROOM ROOM ROOM ROOM

THERAPY PATIENT PATIENT THERAPY AUDITORIUM THERAPY PATIENT PATIENT THERAPY

KITCHEN ROOMS ROOMS / CHURCH ROOMS ROOMS

SERENE
/ CHURCH
PANTRY

LAUNDRY
LOADING ZONE

BASKETBALL COURT

PASSIVE PASSIVE
BASKETBALL COURT
SECLUSION
ROOMS COURTYARD SECLUSION
ROOMS
SECLUSION
ROOMS
SECLUSION
ROOMS

FOOD FOOD EQUIPMENT FLEX TRANSITIONAL TRANSITIONAL

BASKETBALL BASKETBALL
WAREHOUSE
LOADING ZONE

WAREHOUSE STORAGE
FREEZER FREEZER SPACE

LAWN LAWN
THERAPY DAY ROOM MEDICAL MEDICAL THERAPY THERAPY
DAY ROOM MEDICAL MEDICAL THERAPY
ROOM ROOM DAY ROOM ROOM ROOM DAY ROOM LAUNDRY
LAUNDRY

DE-ESCALATION
DE-ESCALATION

DE-ESCALATION
DE-ESCALATION
LAUNDRY LAUNDRY

OFFICE OFFICE PATIENT PATIENT NURSE’S NURSE’S PATIENT PATIENT PATIENT PATIENT NURSE’S NURSE’S PATIENT
FLEX FLEX PATIENT

ROOM
ROOM

ROOM
STATION STATION

ROOM
EXERCISE EXERCISE EXERCISE EXERCISE EXERCISE EXERCISE STATION STATION EXERCISE EXERCISE
SPACE SPACE
SHOWERS SHOWERS SHOWERS SHOWERS

MEETING MEETING
STEP + SEATING STEP + SEATING MEETING MEETING

LANDSCAPE BUFFER
PATIENT ROOMS ROOM ROOM PATIENT ROOMS PATIENT ROOMS ROOM ROOM
LANDSCAPE BUFFER
PATIENT ROOMS

NATURAL TEXAS LANDSCAPE ESPLANADE EVENT NATURAL TEXAS LANDSCAPE ESPLANADE PEDESTRIAN CONNECTION
PLAZA
EXISTING SHOWERS PATIENT ROOMS MEETING MEETING PATIENT ROOMS SHOWERS SHOWERS
PATIENT ROOMS MEETING MEETING PATIENT ROOMS SHOWERS

CAMPUS GREEN
ROOM ROOM ROOM ROOM

ACTIVE

DE-ESCALATION
DE-ESCALATION
DE-ESCALATION
DE-ESCALATION

SOCIAL
PATIENT PATIENT NURSE’S PATIENT PATIENT PATIENT PATIENT NURSE’S PATIENT PATIENT
THERAPY NURSE’S THERAPY THERAPY
LAUNDRY
NURSE’S LAUNDRY
THERAPY
LAUNDRY EXERCISE EXERCISE
LAUNDRY EXERCISE EXERCISE STATION STATION EXERCISE LAUNDRY STATION STATION EXERCISE LIBRARY

ROOM
ROOM
ROOM
ROOM

LAWN
MEDICAL MEDICAL
DAY ROOM
MEDICAL MEDICAL DAY ROOM
DAY ROOM
BASKETBALL
DAY ROOM
MEETING OPEN BASKETBALL
ROOM ROOM ROOM ROOM
GYMNASIUM

SPACE SECLUSION

LAWN
SECLUSION SECLUSION SECLUSION
ROOMS ROOMS ROOMS ROOMS
BASKETBALL COURT BASKETBALL COURT
EXTERIOR COURTYARD

THERAPY THERAPY
THERAPY THERAPY

PATIENT PATIENT
ROOMS ROOMS RESTROOMS STORAGE

LANDSCAPE BUFFER LANDSCAPE BUFFER

STAFF BREAKROOM STAFF BREAKROOM STAFF BREAKROOM STAFF BREAKROOM
MEETING ROOMS / MEETING ROOMS / MEETING ROOMS / DINING HALL MEETING ROOMS /
DINING HALL DINING HALL DINING HALL INDOOR
STORAGE /
LOCKER ROOM &
FLEX OFFICE INDOOR FLEX OFFICE LOCKER ROOM &
STORAGE / STORAGE /
LOCKER ROOM &
FLEX OFFICE FLEX OFFICE LOCKER ROOM &
STORAGE /
SECURITY SALLY PORT MULTI-PURPOSE RECREATION MULTI-PURPOSE MULTI-PURPOSE RECREATION MULTI-PURPOSE

GARDENS GARDENS
MAINT MAINT MAINT MAINT
ROOM FOOD PREP FOOD PREP
ROOM ROOM FOOD PREP STORAGE FOOD PREP ROOM

SHOWER PATIENT ROOMS PATIENT ROOMS SHOWER

VIBRANT PEDESTRIAN MALL

THERAPY PATIENT TEL-CONFERENCE ROOM READING ROOM / LIBRARY PATIENT THERAPY
DE-ESCALATION

DE-ESCALATION

STORAGE VISITATION SECURITY VISITATION TEL-CONFERENCE ROOM READING ROOM / LIBRARY

LAUNDRY STORAGE
LAUNDRY
ROOM

ROOM

DAY ROOM
DAY ROOM
NURSE’S MEDICAL
STORAGE STORAGE
MEDICAL NURSE’S
STATION

BASKETBALL
ROOM ROOM STATION
ARTS / LIBRARY
CRAFTS
CENTRAL
20 BEDS 20 BEDS VISITATION SECURITY PHARMACY

PRIVATE
EDUCATION
PATIENT
KITCHEN
TEACHING

SUPPORT
PEER
CLOTHING

ART

MUSIC

READING
CAFE
SALON

KITCHEN

CANTEEN

COMPUTER

OFFICE
POST

CENTER
CLOTHING
LIBRARY

CASH

FUNDS
TRUST
SECLUSION SECLUSION
ROOMS ROOMS

BASKETBALL COURT SECURITY

TEL- GROUP THERAPY/

COURTYARD
CONFERENCE MULTI-PURPOSE
ACTIVITY
TREATMENT TREATMENT
PATIENT ROOMS

PATIENT ROOMS

MEETING ROOM MEETING ROOM

PUBLIC
SECURITY

INTERVIEW

INTERVIEW

INTERVIEW
OFFICE

ROOM 1

ROOM 2

ROOM 3
STORAGE OFFICE
LOCKER MEETING ROOMS / DINING HALL DINING HALL MEETING ROOMS / LOCKER
ROOM FLEX OFFICE INDOOR FLEX OFFICE ROOM OFFICE
STORAGE/ STORAGE/
RECREATION MAINT
MAINT
STORAGE

PLAZA

RESTROOMS

RESTROOMS
PHOTO & ID

KITCHEN
OFFICE

OFFICE
LOBBY

SECOND & THIRD FLOOR DETAIL SECOND FLOOR DETAIL

SECOND & THIRD FLOOR DETAIL

PEDESTRIAN CONNECTION

FRONT
HISTORIC LAWN PUBLIC LANDSCAPE

To the re
SEMI-PUBLIC LANDSCAPE cr
Farm + eational lake,
Playing
SEMI-PRIVATE LANDSCAPE field ->
N.
D

PRIVATE LANDSCAPE
IC
KE
NS
O
N
DR
.

The Applied Model generously provides A central esplanade will be a great place
a variety and hierarchy of therapeutic for patients and staff to circulate and be
landscapes as a fundamental component with nature, while the therapy mall and
of the research on best practices. Unlike central event spaces around the existing
the Idealized Model, which was an exercise chapel and new gymnasium will be more
in compactness and efficiency, the active and vibrant. These outdoor spaces
application of the components onto the help to simulate the various environs
existing landscape of RSH in a two-story patients may encounter in a community,
quad model not only allows for a plan that and play a critical role in their patient-
deals with the grading constraints and focused care and treatment plans.
incorporates existing buildings, but also
produces significant central therapeutic
landscapes.

116_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

 _Stormwater Infrastructure

LEGEND
GREEN OUTDOOR SPACE : FROM PRIVATE TO PUBLIC

HARDS CAPE SOFT SCAPE GREEN SPACE

(ACTIVATED) (ACTIVATED) (INACTIVATED)

WARM COLOR : PATIENT ORIENTED, FROM PRIVATE TO SEMI-PRIVATE

UNIT
PATIENT ROOM
STORAGE & MAINT.
UNIT UNIT
STAFF
VEHICULAR REPAIR

METALS

PARTS

CARPENTRY

LANDSCAPE

ARCHIVE

ACTIVITY SUPPORT FACILITIES DIRECTOR’S

OFFICE
SERVICE
REFUSE
UNIT CENTRAL CONFERENCE
ROOM
ASST. DIRECTOR

CONTROL POINT MEDICAL SERVICES

RECEPTION

LOADING ZONE LOADING ZONE LOADING ZONE

CENTRAL CLOTHING

SUPPORT FACILITY
LAUNDRY STORAGE

SUPPLIES
CLEANING

STORAGE / STAFF BREAKROOM FOOD PREP STAFF BREAKROOM STORAGE / STAFF BREAKROOM STAFF BREAKROOM
FOOD MEETING ROOMS / FOOD PREP MEETING ROOMS / STORAGE / MEETING ROOMS / FOOD PREP FOOD PREP MEETING ROOMS / STORAGE /
FREEZER FLEX INDOOR INDOOR
LOADING ZONE

MAINT LOCKER ROOM & LOCKER ROOM & MAINT MAINT LOCKER ROOM & LOCKER ROOM & MAINT
WAREHOUSE FLEX OFFICE FLEX OFFICE FLEX OFFICE FLEX OFFICE
FREEZER SPACE MULTI-PURPOSE DINING HALL RECREATION DINING HALL MULTI-PURPOSE MULTI-PURPOSE DINING HALL RECREATION DINING HALL MULTI-PURPOSE

COOL COLOR : INSTITUTIONAL SUPPORTS, FROM SEMI-PUBLIC TO PUBLICKITCHEN

ROOM ROOM ROOM ROOM

THERAPY PATIENT PATIENT THERAPY AUDITORIUM THERAPY PATIENT PATIENT THERAPY

ROOMS ROOMS ROOMS ROOMS
/ CHURCH
PANTRY

LAUNDRY

COMMUNITY
LOADING ZONE

BASKETBALL COURT BASKETBALL COURT

SECLUSION

SERVICES
SECLUSION SECLUSION SECLUSION
ROOMS ROOMS
ROOMS ROOMS

FOOD FOOD EQUIPMENT FLEX

WAREHOUSE
LOADING ZONE

WAREHOUSE STORAGE
FREEZER FREEZER SPACE
THERAPY DAY ROOM MEDICAL MEDICAL THERAPY THERAPY
DAY ROOM MEDICAL MEDICAL THERAPY
ROOM ROOM DAY ROOM ROOM ROOM DAY ROOM LAUNDRY

ADMINISTRATION ADMISSION
LAUNDRY

DE-ESCALATION
DE-ESCALATION

DE-ESCALATION
DE-ESCALATION
LAUNDRY LAUNDRY

OFFICE OFFICE PATIENT PATIENT NURSE’S NURSE’S PATIENT PATIENT PATIENT PATIENT NURSE’S NURSE’S PATIENT
FLEX FLEX PATIENT

ROOM
ROOM
STATION STATION

ROOM
ROOM
EXERCISE EXERCISE EXERCISE EXERCISE EXERCISE EXERCISE STATION STATION EXERCISE EXERCISE
SPACE SPACE
SHOWERS SHOWERS SHOWERS SHOWERS

MEETING MEETING MEETING MEETING

PATIENT ROOMS ROOM ROOM PATIENT ROOMS PATIENT ROOMS ROOM ROOM PATIENT ROOMS

CENTRAL ENVIRONMENTAL SERVICES / HOUSEKEEPING

CENTRAL FOOD

MAINTENANCE WAREHOUSE MEETING

SHOWERS PATIENT ROOMS MEETING MEETING PATIENT ROOMS SHOWERS SHOWERS
PATIENT ROOMS MEETING PATIENT ROOMS SHOWERS

GROUND KEEPING ROOM ROOM ROOM ROOM

DE-ESCALATION
DE-ESCALATION
DE-ESCALATION
DE-ESCALATION

PATIENT PATIENT NURSE’S PATIENT PATIENT PATIENT PATIENT NURSE’S PATIENT PATIENT
NURSE’S NURSE’S

PLANT
THERAPY THERAPY THERAPY THERAPY

VACANT ROAD
LAUNDRY LAUNDRY LAUNDRY
EXERCISE EXERCISE STATION EXERCISE LAUNDRY EXERCISE EXERCISE STATION EXERCISE LIBRARY
LAUNDRY
STATION STATION

ROOM
ROOM
ROOM
ROOM

LAWN
MEDICAL MEDICAL
DAY ROOM
MEDICAL MEDICAL DAY ROOM
DAY ROOM ROOM ROOM DAY ROOM ROOM ROOM
GYMNASIUM

SECLUSION SECLUSION SECLUSION SECLUSION

ROOMS ROOMS ROOMS ROOMS
BASKETBALL COURT BASKETBALL COURT
EXTERIOR COURTYARD

THERAPY THERAPY
THERAPY THERAPY
FLEX MULTI USE P TR DCR
OFFICE

OFFICE

OFFICE

FLEX BUS STOR QUA MAN COM REL JOBS PATIENT REGISTER SAF DO DO DE DE
PROGRAM PROGRAM
PATIENT PATIENT
ROOMS ROOMS RESTROOMS STORAGE
COURT MO MO FO FO STAFF BREAKROOM STAFF BREAKROOM STAFF BREAKROOM STAFF BREAKROOM
MEETING ROOMS / MEETING ROOMS / MEETING ROOMS / DINING HALL MEETING ROOMS /
TREATMENT DINING HALL DINING HALL DINING HALL INDOOR
FLEX FLEX PROGRAM PROGRAM PROGRAM
BUS STOR PSY RES C DR ACCOUNTING CENTRAL IT
ISO LOCKER ROOM &
FLEX OFFICE INDOOR FLEX OFFICE LOCKER ROOM & LOCKER ROOM &
FLEX OFFICE FLEX OFFICE LOCKER ROOM &
CLINIC CFO RESTROOM RESTROOM CNE NURSING SUPPLY PROGRAM PROGRAM PROGRAM PROGRAM ME ME FE FE STORAGE / STORAGE / STORAGE / STORAGE /
ROOM ROOM ROOM SECURITY SALLY PORT
MAINT MULTI-PURPOSE RECREATION MULTI-PURPOSE MAINT MAINT
MULTI-PURPOSE RECREATION MULTI-PURPOSE
MAINT
ROOM FOOD PREP FOOD PREP
ROOM ROOM FOOD PREP STORAGE FOOD PREP ROOM

EH
MTG RESTROOM
SHOWER PATIENT ROOMS PATIENT ROOMS SHOWER
STORAGE IC

MOD ECO
MTG MTG MTG
THERAPY PATIENT TEL-CONFERENCE ROOM READING ROOM / LIBRARY PATIENT THERAPY
DE-ESCALATION

DE-ESCALATION

STORAGE VISITATION SECURITY VISITATION TEL-CONFERENCE ROOM READING ROOM / LIBRARY

LAUNDRY STORAGE
LAUNDRY
ROOM

ROOM

DAY ROOM HOUSE SUPPLY STAFF

CONFERENCE DAY ROOM LAB
NURSE’S MEDICAL
STORAGE STORAGE
MEDICAL NURSE’S
STATION ROOM ROOM STATION
ARTS / LIBRARY
CRAFTS
CENTRAL
20 BEDS 20 BEDS VISITATION SECURITY PHARMACY
EDUCATION
PATIENT
KITCHEN
TEACHING

SUPPORT
PEER
CLOTHING

ART

MUSIC

READING
CAFE
SALON

KITCHEN

CANTEEN

COMPUTER

OFFICE
POST

CENTER
CLOTHING
LIBRARY

CASH

FUNDS
TRUST
SECLUSION SECLUSION
ROOMS ROOMS

BASKETBALL COURT SECURITY

TEL-
CONFERENCE
GROUP THERAPY/
MULTI-PURPOSE 2ND FLOOR
ACTIVITY
TREATMENT TREATMENT
PATIENT ROOMS

PATIENT ROOMS

MEETING ROOM MEETING ROOM

REIMBURSEMENT STORAGE REIMBURSEMENT STAFF
HEAL INFO STORAGE HEAL INFO MANAGEMENT SECURITY

INTERVIEW

INTERVIEW

INTERVIEW
OFFICE

ROOM 1

ROOM 2

ROOM 3
STORAGE OFFICE
LOCKER MEETING ROOMS / DINING HALL DINING HALL MEETING ROOMS / LOCKER
ROOM FLEX OFFICE STAFF TREATMENT INDOOR FLEX OFFICE ROOM OFFICE
STORAGE/ STORAGE/
STAFF BREAKROOM OFFICE OFFICE OFFICE OFFICE LEC RECREATION
FLEX STAIRS MAINT STAFF C MAINT
OFFICE OFFICE OFFICE OFFICE OFFICE OFFICE OFFICE OFFICE FLEX FLEX FLEX RESTROOM RESTROOM STORAGE

RESTROOMS

RESTROOMS
PHOTO & ID

KITCHEN
OFFICE

OFFICE
LOBBY

SECOND & THIRD FLOOR DETAIL SECOND FLOOR DETAIL

ADMINISTRATION

SECOND & THIRD FLOOR DETAIL

STAFF DIRECTOR
ADMINISTRATION

3RD FLOOR

SHOWERS PATIENT ROOMS PATIENT ROOMS SHOWERS

PATIENT ROOMS PATIENT ROOMS
DE-ESCALATION
DE-ESCALATION

PATIENT PATIENT EXERCISE READING ROOM / LIBRARY PATIENT PATIENT PATIENT NURSE’S
DE-ESCALATION

DE-ESCALATION

THERAPY STORAGE STORAGE

PATIENT EXERCISE READING ROOM / LIBRARY THERAPY
NURSE’S PATIENT PATIENT
LAUNDRY LAUNDRY
EXERCISE EXERCISE STATION EXERCISE LIBRARY
STATION
ROOM
ROOM
ROOM

ROOM

DAY ROOM
DAY ROOM
NURSE’S STORAGE STORAGE
MEDICAL NURSE’S DAY ROOM
MEDICAL MEDICAL DAY ROOM
STATION ROOM STATION ROOM ROOM
BARBER / MEDICAL
SALON

SECLUSION 20 BEDS 20 BEDS SECLUSION 20 BEDS 20 BEDS

ROOMS ROOMS
SECLUSION SECLUSION
ROOMS ROOMS

EXERCISE GROUP THERAPY/ EXTERIOR COURTYARD

MULTI-PURPOSE
ACTIVITY
THERAPY THERAPY

MAXIMUM SECURITY 2ND FLOOR PLAN QUAD 2ND FLOOR PLAN

N.
IC D
KE
NS
O
N
DR

1 ACRE
.

50 200

0 100 FT.
The complete redesign and rebuilding of A prudent design choice would be a Implementation will require subsoil
RSH offers the opportunity to construct a redundant combination of surface analyses to determine the height of
new subgrade utility system that resolves drainage, subsurface drainage, foundation the water table and the permeability of
problems of excessive storm water runoff waterproofing and damp-proofing, and the soils. The selected system should
and moisture intrusion. Currently, there enough area drains and catch basins to effectively remove surface runoff, store
can be one to two inches of flowing surface drain the surface as quickly as possible. excessive runoff during extraordinary
water during rain events and several Special attention to the drainage, events, and efficiently release and recharge
areas of standing water after rain events. particularly to the enclosed courtyards, ground water.
Standing water, i.e. ponds and swales, a system that provides ground water
are a safety hazard. The buildings in the recharge, and an extended subgrade
central part of the campus have a history retention system that stores overflow and
of moisture penetration and mold; both slowly releases it into the ground.
interior and exterior materials have been
compromised by moisture penetration.

SECTION 8 APPLIED MODEL_117

_ Pedestrian Circulation

PEDESTRIAN ENTRY CIRCULATION

PEDESTRIAN CIRCULATION

STAFF
VEHICULAR REPAIR

METALS

PARTS

CARPENTRY

LANDSCAPE

ARCHIVE

DIRECTOR’SS
OFFICE
SERVICE
REFUSE DIRECCTOR
ASST. DIRECTOR
CONFERENCE
ROOM RECEPTION

LOADING ZONE LOADING ZONE LOADINGG ZONE

STAFF STAFF STAFF STAFF CLOTHING

LAUNDRY STORAGE

SUPPLIES
CLEANING

STORAGE / STAFF BREAKRO

BREAKROOM
OOM FOOD PREP BREAKROOM
STAFF BREAKRO
OOOM STORAGE / STAFF
F BREAKROOM BREAKROOM
STAFF BREAKRO
OOOM
FOOD MEETING
T ROOMS / FOOD PREP MEETINGG ROOMS / STORAGE / MEETING
N ROOMS / FOOD PREP FOOD PREP MEETINGG ROOMS / STORAGE /
FREEZER FLEX INDOORR INDOOR
O
ZONE

MAINT LOCKER ROOM & LOCKER ROOM & MAINT MAINT LOCKER
LOC
CKER ROOM & LOCKER ROOM & MAINT
WAREHOUSE FLEX OFFICE FLEX OFFICE
F FLEX OOFFICE FLEX OFFICE
I
O

FREEZER SPACE MULTI-PURPOS

SE
MULTI-PURPOSE DININGG HALL RECREATION
A DINING
N HALL MULTI-PURPOSE
MULTI-PURPOS
SE MUL
LTI-PURPOSE
MULTI-PURPOSE DININGG HALL RECREATION
R DINING
N HALL MULTI-PURPOSE
MULTI-PURPOS
SE
LOADING

ROOM ROOM ROO

OM
ROOM ROOM
A

THERAPY PATIENT PATIENT THERAPY AUDITORIUM THERAPY PATIENT PATIENT THERAPY

KITCHEN ROOMSS ROOMSS ROOMSS ROOMSS
/ CHURCH
PANTRY

LAUNDRY
LOADING ZONE

BASKETBALL COURT BASKETBALL COURT

AUDITORIUM / CHURCH
SECLUSION SECLUSION
SECLUSION
ON SEC
SECLUSION
ROOMS ROOOMS
OMS
ROOMS
ROOMS ROO
ROOMS

FOOD FOOD EQUIPMENT FLEX

UNIT ENTRY

UNIT ENTRY
WAREHOUSE
ZONE

WAREHOUSE STORAGE
FREEZER SPACE
O

FREEZER
DAY ROOM MEDICAL
ME
EDICAL
DICAL MEDICAL MEDICAL
ME
EEDICAL MEDICAL
LOADING

THERAPY
THERAPY
DAY
A ROOM
M
THERAPY DAY
A ROOM
M DAYY ROOM
THERAPY
ROOM
ROOM ROOM LAUNDRY ROOM
RO
OOM ROOM LAUNDRY

DE-ESCALATION
DE-ESCALATION
A

ON
DE-ESCALATION

DE-ESCALATION
ON
ON
DE-ESCALATION
LAUNDRY

O
DE-ESCALATIO
LAUNDRY

I
DE-ESCALATI

DE-ESCALATI
OFFICE OFFICE PATIENT PATIENT NURSE’S NURSE’S PATIENT PATIENT PATIENT PATIENT NURSE’S NURSE’S PATIENT
FLEX FLEX PATIENT

ROOM
ES
ROOM

ROOM
STATION STATION

ROOM
STATION STATION

ROO
EXERCISE EXERCISE EXERCISE EXERCISE EXERCISE

RO
SPACE SPACE EXERCISE EXERCISE EXERCISE
DE

DE
SHOWERS SHOWERS SHOWERS SHOWERS

MEETING
MEEETING
EETIN MEETING
E NG MEETING MEETING
PATIENTT ROOMSS ROOM
R
ROOM ROOM
ROOM PATIENTT ROOMSS PATIENTT ROOMSS ROOM
ROOM ROOM
ROOM PATIENTT ROOMSS

QUAD ENTRY QUAD ENTRY

QUAD ENTRY QUAD ENTRY

UNIT ENTRY

UNIT ENTRY
PAT
TIENT RO
TIENT
PATIENT OOMS
ROOMS MEETING PATIENTT ROOMSS MEETING MEETING
SHOWERS MEETING SHOWERS SHOWERS
PATIENT ROOMS
TIENT RO
OOMS PATIENTT ROOMSS SHOWERS

ROOM OOO
ROOM ROOM ROOM

DE-ESCALATION
TTION
IONN
ALATION
DE-ESCALATION
DE-ESCALATION
ION
ION
LATION
DE-ESCALATION

NURSE’S PATIENT PATIENT NURSE’S

DE-ESCALATI

PATIENT

DE-ESCALAT
DE-ESCALATI
ALATII

T
SCALAT
DE-ESCALAT
ALAT
PATIENT PATIENT NURSE’S PATIENT NURSE’S PATIENT PATIENT
CALAT

THERAPY THERAPY

GYM
THERAPY THERAPY
LAUNDRY LAUNDRY LAUNDRY
EXERCISE EXERCISE STATION EXERCISE LAUNDRY EXERCISE EXERCISE STATION EXERCISE LIBRARY
LAUNDRY
STATION STATION

ROOM
ROOM
ROOM
ROOM

W
LAWN
MEDICAL
ME
EEDICAL MEDICAL
D ROOM
DAY M
MEDICAL
ME
EEDICAL MEDICAL DAY ROOM
O
DAY ROO
ROOM
OOOOM ROOM
RO
OOM ROOM DAY
A ROOM
M ROOM
RO
OOM ROOM
ROOM
GYMNASIUM

ON
SECLUSION SECC
SECLUSION SECLUSION
ON SEC
SECLUSION
ROOMS ROO
ROOMS ROOMS ROOMS
ROO
BASKETBALL COURT BASKETBALL COURT
EXTERIOR COURTYARD
R COUR R
RTYARD

THERAPY THERAPY
THERAPY THERAPY

QUAD ENTRY
PATIENT
PAT PATIENT
PAT
ROOMS ROOMS RESTROOMSS STORAGE
STAFF BREAKRO
BREAKROOM
OOM BREAKROOM
STAFF BREAKRO
OOOM
O STAFF
ST
TAFF BREAKROO
BREAKROOM
O
OM STAFF
ST
TTAFF BREAKROOM
AFF BREAKROO
OM
MEETING
T ROOMS / MEETINGG ROOMS / MEETINNNG ROOMS /
MEETING DINING
N HALL
A MEETING ROOMS
MS /
DINING
N HALL
L DINING
N HALL
A DINING
N HALL
L IND
INDOOR
STORAGE /
LOCKER ROOM &
FLEX OFFICE INDOOR FLEX OFFICE LOCKER ROOM &
STORAGE / STORAGE /
LO
OOCKER
CKER ROOM &
LOCKER
FLEX OOFFICE FLEX OFFICE
I LOCKER
LO
OOCKER
CKER ROOM &
STORAGE /
SECURITY SALLY PORT
MAINT MU
MULTI-PURPOS
S
SE
MULTI-PURPOSE RECREATION
E MULTI-PURPOSE
MULTI-PURPOS
SE MAINT MAINT
MULTI-PURPOSE
MULTI-PURPOSE RECREATION
E MULTI-PURPOSE
M ULTI-
ULTI-PURPOSE
MAINT
ROOM
M FOOD PREP FOOD PREP
ROOM
OOM ROOM FOOD PREP STORAGE FOOD PREP ROOM
O
UNIT ENTRY

SHOWER PATIENT ROOMS PATIENT ROOMS

ROOMS SHOWER

THERAPY PATIENT TEL-CONFERENCE ROOM READING ROOM / LIBRARY PATIENT THERAPY

STAFF STAFF STAFF STAFF
DE-ESCALATION

DE-ESCALATION

STORAGE VISITATION SECURITY VISITATION TEL-CONFERENCE ROOM READING ROOM / LIBRARY

LAUNDRY STORAGE
LAUNDRY

MEDICAL ENTRY
ROOM

ROOM

D ROOM
DAY
DAY ROOM
NURSE’S MEDICAL
STORAGE STORAGE
MEDICAL NURSE’S
STATION ROOM ROOM STATION
ARTS / LIBRARY
CRAFTS
CENTRAL
20 BEDS
BE 20 BBEDS
BE
BED
EDS VISITATION SECURITY PHARMACY
EDUCATION
PATIENT
KITCHEN
TEACHING

SUPPORT
PEER
CLOTHING

ART

MUSIC

READING
CAFE
SALON

KITCHEN

CANTEEN

COMPUTER

OFFICE
POST

CENTER
CLOTHING
LIBRARY

CASH

FUNDS
TRUST
SECLUSION SECLUSION
ROOMS ROOMS

BASKETBALL
A COURT SECURITY
TEL- GROUP THERAPY/
CONFERENCE MULTI-PURPOSE
ACTIVITY
TREATMENT TREATMENT
PATIENT ROOMS

PATIENT ROOMS
R

MEETING ROOM

ADMISSIONS ENTRY
MEETING ROOM
SECURITYY

INTERVIEW

INTERVIEW

INTERVIEW
OFFICE

ROOM 1

ROOM 2

ROOM 3
STORAGE OFFICE
LOCKERR MEETING
N ROOMS / DINING HALL DINING HALL MEETING ROOMS / LOCKER
ROOM FLEX OFFICE
F INDOOR FLEX OFFICE
C ROOM OFFICE
STORAGE/ STORAGE/
RECREATION MAINT
MAINT
STORAGE

RESTROOMS

RESTROOMS
PHOTO & ID

KITCHEN
OFFICE

OFFICE
LOBBY

SECOND & THIRD FLOOR

FLOOR DETAIL
DETAIL SECOND FLOOR
FLOOR DETAIL
DETAIL
STAFF STAFF
MAIN ENTRY SECOND & THIRD FFLOOR
LOOR DETAIL
DETAIL

N.
DI
CK
EN
SO
N
DR
.

Building off the central organizing form

of the Idealized Model, the Applied Model
is also organized to establish a compact,
pedestrian scaled campus. It provides
for orderly and accessible pedestrian
routes from the central support uses
around building 501 to the individual units
through a central esplanade. The internal
landscape arrangement gives patients
and staff generous walkways and various
outdoor landscapes to disseminate.

118_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Vehicular Circulation + Parking

STAFF PARKING
328 CARS

STAFF
VEHICULAR REPAIR

METALS

PARTS

CARPENTRY

LANDSCAPE

ARCHIVE

DIRECTOR’SS
OFFICE
SERVICE
REFUSE DIRECCTOR
ASST. DIRECTOR
CONFERENCE
ROOM RECEPTION

LOADING ZONE LOADING ZONE LOADINGG ZONE

STAFF PARKING 24 CARS STAFF PARKING 40 CARS
CLOTHING
LAUNDRY STORAGE

SUPPLIES
CLEANING

STORAGE / STAFF BREAKRO

BREAKROOM
OOM FOOD PREP BREAKROOM
STAFF BREAKRO
OOOM STORAGE / STAFF
F BREAKROOM BREAKROOM
STAFF BREAKRO
OOOM
FOOD MEETING
T ROOMS / FOOD PREP MEETINGG ROOMS / STORAGE / MEETING
N ROOMS / FOOD PREP FOOD PREP MEETINGG ROOMS / STORAGE /
FREEZER FLEX INDOORR INDOOR
O
ZONE

MAINT LOCKER ROOM & LOCKER ROOM & MAINT MAINT LOCKER
LOC
CKER ROOM & LOCKER ROOM & MAINT
WAREHOUSE FLEX OFFICE FLEX OFFICE
F FLEX OOFFICE FLEX OFFICE
I
O

FREEZER SPACE MULTI-PURPOSE

MULTI-PURPOS
SE DININGG HALL RECREATION
A DINING
N HALL MULTI-PURPOSE
MULTI-PURPOS
SE MULTI-PURPOSE
MUL
LTI-PURPOSE DININGG HALL RECREATION
R N HALL
DINING MULTI-PURPOSE
MULTI-PURPOS
SE
LOADING

ROOM ROOM ROOM

ROO
OM ROOM
A

THERAPY PATIENT PATIENT THERAPY AUDITORIUM THERAPY PATIENT PATIENT THERAPY

KITCHEN ROOMSS ROOMSS ROOMSS ROOMSS
/ CHURCH
PANTRY

LAUNDRY
LOADING ZONE

BASKETBALL COURT BASKETBALL COURT

SECLUSION SECLUSION
SECLUSION
ON SECLUSION
SEC
ROOMS ROOMS
ROO
OMS
OMS
ROOMS ROO
ROOMS

FOOD FOOD EQUIPMENT FLEX

WAREHOUSE
ZONE

WAREHOUSE STORAGE
FREEZER SPACE
O

FREEZER
DAY ROOM MEDICAL
ME
EDICAL
DICAL MEDICAL MEEEDICAL
MEDICAL MEDICAL
LOADING

THERAPY
THERAPY
A ROOM
DAY M
THERAPY DAY
A ROOM
M DAYY ROOM
THERAPY
ROOM
ROOM ROOM LAUNDRY ROOM
RO
OOM ROOM LAUNDRY

DE-ESCALATION
DE-ESCALATION
A

DE-ESCALATION
ON

DE-ESCALATION
ON
ON
DE-ESCALATION
LAUNDRY

O
DE-ESCALATIO
LAUNDRY

I
DE-ESCALATI

DE-ESCALATI
OFFICE OFFICE PATIENT PATIENT NURSE’S NURSE’S PATIENT PATIENT PATIENT PATIENT NURSE’S NURSE’S PATIENT
FLEX FLEX PATIENT

ROOM ROOM
ES
ROOM

ROOM
STATION STATION

ROOM
STATION STATION

ROO
EXERCISE EXERCISE EXERCISE EXERCISE EXERCISE

RO
SPACE SPACE EXERCISE EXERCISE EXERCISE

DE

DE
SHOWERS SHOWERS SHOWERS SHOWERS

MEETING
MEEETING
EETIN MEETING
E NG MEETING MEETING
PATIENTT ROOMSS ROOM
R
ROOM ROOM
ROOM PATIENTT ROOMSS PATIENTT ROOMSS ROOM ROOM PATIENTT ROOMSS
STAFF PARKING 16 CARS

PAT
TIENT RO
TIENT
PATIENT OOMS
ROOMS MEETING PATIENTT ROOMSS MEETING MEETING
SHOWERS MEETING SHOWERS SHOWERS
PATIENT ROOMS
TIENT RO
OOMS PATIENTT ROOMSS SHOWERS

ROOM ROOM
OOO ROOM ROOM

DE-ESCALATION
TTION
IONN
DE-ESCALATION
ALATION
DE-ESCALATION
ION
ION
LATION
DE-ESCALATION

NURSE’S PATIENT PATIENT NURSE’S

DE-ESCALATI

PATIENT

DE-ESCALAT
DE-ESCALATI
ALATII

T
DE-ESCALAT
SCALAT
ALAT
PATIENT PATIENT NURSE’S PATIENT NURSE’S PATIENT PATIENT
CALAT

THERAPY THERAPY THERAPY THERAPY

LAUNDRY LAUNDRY LAUNDRY
EXERCISE EXERCISE STATION EXERCISE LAUNDRY EXERCISE EXERCISE STATION EXERCISE LIBRARY
LAUNDRY
STATION STATION

ROOM
ROOM
ROOM
ROOM

W
LAWN
MEDICAL
ME
EEDICAL MEDICAL
D ROOM
DAY M
MEDICAL
ME
EEDICAL MEDICAL DAY ROOM
O
DAY ROO
ROOM
OOOOM ROOM
RO
OOM ROOM DAY
A ROOM
M ROOM
RO
OOM ROOM
GYMNASIUM

ON
SECLUSION SECC
SECLUSION ON
SECLUSION SEC
SECLUSION
ROOMS ROO
ROOMS ROOMS ROO
ROOMS
BASKETBALL COURT BASKETBALL COURT
R COUR
EXTERIOR R
RTYARD
COURTYARD

THERAPY THERAPY

STAFF PARKING 17 CARS

THERAPY THERAPY

PATIENT
PAT PATIENT
PAT
ROOMS ROOMS RESTROOMSS STORAGE
STAFF BREAKRO
BREAKROOM
OOM BREAKROOM
STAFF BREAKRO
OOOM
O STAFF
ST
TAFF BREAKROO
BREAKROOM
O
OM STAFF
ST
TTAFF BREAKROOM
AFF BREAKROO
OM
MEETING
T ROOMS / MEETINGG ROOMS / MEETINNNG ROOMS /
MEETING DINING
N HALL
A MEETING ROOMS
MS /
DINING
N HALL
L DINING
N HALL
A DINING
N HALL
L IND
INDOOR
STORAGE /
LOCKER ROOM &
FLEX OFFICE INDOOR FLEX OFFICE LOCKER ROOM &
STORAGE / STORAGE /
LOCKER
LO
OOCKER
CKER ROOM &
FLEX OOFFICE FLEX OFFICE
I LOCKER
LO
OOCKER
CKER ROOM &
STORAGE /
SECURITY SALLY PORT
MAINT MULTI-PURPOSE
MU
MULTI-PURPOS
S
SE RECREATION
E MULTI-PURPOSE
MULTI-PURPOS
SE MAINT MAINT
MULTI-PURPOSE
M ULTI-PURPOSE RECREATION
E MULTI-PURPOSE
M ULTI-
ULTI-PURPOSE
MAINT
ROOM
M FOOD PREP FOOD PREP
ROOM
OOM ROOM FOOD PREP STORAGE FOOD PREP ROOM
O

SHOWER PATIENT ROOMS PATIENT ROOMS

ROOMS SHOWER

THERAPY PATIENT TEL-CONFERENCE ROOM READING ROOM / LIBRARY PATIENT THERAPY

LOADING AREA
DE-ESCALATION

DE-ESCALATION

STORAGE VISITATION SECURITY VISITATION TEL-CONFERENCE ROOM READING ROOM / LIBRARY

LAUNDRY STORAGE
LAUNDRY
ROOM

ROOM

D ROOM
DAY
DAY ROOM
NURSE’S MEDICAL
STORAGE STORAGE
MEDICAL NURSE’S
STATION ROOM ROOM STATION

VEHICULAR ACCESS
ARTS / LIBRARY
CRAFTS
CENTRAL
20 BEDS
BE 20 BBEDS
BE
BED
EDS VISITATION SECURITY PHARMACY
EDUCATION
PATIENT
KITCHEN
TEACHING

SUPPORT
PEER
CLOTHING

ART

MUSIC

READING
CAFE
SALON

KITCHEN

CANTEEN

COMPUTER

OFFICE
POST

CENTER
CLOTHING
LIBRARY

CASH

FUNDS
TRUST
SECLUSION SECLUSION
ROOMS ROOMS

BASKETBALL
A COURT SECURITY
TEL- GROUP THERAPY/
CONFERENCE MULTI-PURPOSE
ACTIVITY
TREATMENT TREATMENT
PATIENT ROOMS

PATIENT ROOMS
R

MEETING ROOM MEETING ROOM

SECURITYY

INTERVIEW

INTERVIEW

INTERVIEW
OFFICE

ROOM 1

ROOM 2

ROOM 3
STORAGE OFFICE
LOCKERR MEETING
N ROOMS / DINING HALL DINING HALL MEETING ROOMS / LOCKER
ROOM FLEX OFFICE
F INDOOR FLEX OFFICE
C ROOM OFFICE
STORAGE/ STORAGE/
RECREATION MAINT
MAINT
STORAGE

RESTROOMS

RESTROOMS
PHOTO & ID

KITCHEN
OFFICE

OFFICE
LOBBY

FLOOR DETAIL
SECOND & THIRD FLOOR DETAIL SECOND FLOOR
FLOOR DETAIL
DETAIL

SECOND & THIRD FFLOOR

LOOR DET
DETAIL
AIL

293 CARS ACCESSIABLE PARKING

VISITOR PARKING
STAFF PARKING
108 CARS
STAFF PARKING

GUARD STATION

MAIN ENTRY TO HOSPITAL

N.
IC D

TRUCK ROUTE
KE
NS

VEHICLE ROUTE
O
N
DR
.

Within the Applied Model, the current main

vehicular access from North Dickenson
Drive is improved and enhanced. Two
parking lots are proposed, one to the north
of the campus and one to the southeast of
building 501 to service visitors and staff.
Like the Idealized Model, the Applied Model
limits vehicular access within the central,
pedestrian-only campus through road ways
around the exterior of the main campus.
Emergency and service vehicle access is
provided through a controlled route along
the therapy mall.

SECTION 8 APPLIED MODEL_119

_Medical Access + Medication Delivery

MEDICINE DELIVERY
EMT ACCESS

STAFF
VEHICULAR REPAIR

METALS

PARTS

CARPENTRY

LANDSCAPE

ARCHIVE

DIRECTOR’SS
OFFICE
SERVICE
REFUSE DIRECCTOR
ASST. DIRECTOR
CONFERENCE
ROOM RECEPTION

LOADING ZONE LOADING ZONE LOADINGG ZONE

CLOTHING
LAUNDRY STORAGE

SUPPLIES
CLEANING

STORAGE /
STORAGE STAFF BREAKRO
BREAKROOM
OOM FOOD PREP BREAKROOM
STAFF BREAKRO
OOOM STORAGE / STAFF
F BREAKROOM BREAKROOM
STAFF BREAKRO
OOOM
FOOD MEETING
T ROOMS / FOOD PREP MEETINGG ROOMS / STORAGE / MEETING
N ROOMS / FOOD PREP FOOD PREP MEETINGG ROOMS / STORAGE /
FREEZER FLEX INDOORR INDOOR
O
ZONE

MAINT LOCKER ROOM & LOCKER ROOM & MAINT MAINT LOCKER
LOC
CKER ROOM & LOCKER ROOM & MAINT
WAREHOUSE FLEX OFFICE FLEX OFFICE
F FLEX OOFFICE FLEX OFFICE
I
O

FREEZER SPACE MULTI-PURPOSE

MULTI-PURPOS
SE DININGG HALL RECREATION
A DINING
N HALL MULTI-PURPOSE
MULTI-PURPOS
SE MULTI-PURPOSE
MUL
LTI-PURPOSE DININGG HALL RECREATION
R N HALL
DINING MULTI-PURPOSE
MULTI-PURPOS
SE
LOADING

ROOM ROOM ROOM

ROO
OM ROOM
A

THERAPY PATIENT PATIENT THERAPY AUDITORIUM THERAPY PATIENT PATIENT THERAPY

KITCHEN ROOMSS ROOMSS ROOMSS ROOMSS
/ CHURCH
PANTRY

LAUNDRY
LOADING ZONE

BASKETBALL COURT BASKETBALL COURT

SECLUSION SECLUSION
SECLUSION
ON SECLUSION
SEC
ROOMS ROOMS
ROO
OMS
OMS
ROOMS ROO
ROOMS

FOOD FOOD EQUIPMENT FLEX

WAREHOUSE
ZONE

WAREHOUSE STORAGE
FREEZER SPACE
O

FREEZER
DAY ROOM MEDICAL
ME
EDICAL
DICAL MEDICAL MEDICAL
ME
EEDICAL MEDICAL
LOADING

THERAPY
THERAPY
A ROOM
DAY M
THERAPY DAY
A ROOM
M DAYY ROOM
THERAPY
ROOM
ROOM ROOM LAUNDRY ROOM
RO
OOM ROOM LAUNDRY

DE-ESCALATION
DE-ESCALATION
A

DE-ESCALATION
ON

DE-ESCALATION
ON
DE-ESCALATION
ON
LAUNDRY

O
DE-ESCALATIO
LAUNDRY

I
DE-ESCALATI

DE-ESCALATI
OFFICE OFFICE PATIENT PATIENT NURSE’S NURSE’S PATIENT PATIENT PATIENT PATIENT NURSE’S NURSE’S PATIENT
FLEX FLEX PATIENT

ROOM
ES
ROOM

ROOM
STATION STATION

ROOM
STATION STATION

ROO
EXERCISE EXERCISE EXERCISE EXERCISE EXERCISE

RO
SPACE SPACE EXERCISE EXERCISE EXERCISE

DE

DE
SHOWERS SHOWERS SHOWERS SHOWERS

MEETING
MEEETING
EETIN MEETING
E NG MEETING MEETING
PATIENTT ROOMSS ROOM
R ROOM PATIENTT ROOMSS PATIENTT ROOMSS ROOM ROOM PATIENTT ROOMSS

PAT
TIENT RO
TIENT
PATIENT OOMS
ROOMS MEETING PATIENTT ROOMSS MEETING MEETING
SHOWERS MEETING SHOWERS SHOWERS
PATIENT ROOMS
TIENT RO
OOMS PATIENTT ROOMSS SHOWERS

ROOM ROOM
OOO ROOM ROOM

DE-ESCALATION
TTION
IONN
DE-ESCALATION
ALATION
DE-ESCALATION
ION
ION
DE-ESCALATION
LATION

NURSE’S PATIENT PATIENT NURSE’S

DE-ESCALATI

PATIENT

DE-ESCALAT
ALATI
DE-ESCALATII

DE-ESCALAT
SCALAT
T
ALAT
PATIENT PATIENT NURSE’S PATIENT NURSE’S PATIENT PATIENT
CALAT

THERAPY THERAPY THERAPY THERAPY

LAUNDRY LAUNDRY LAUNDRY
EXERCISE EXERCISE STATION EXERCISE LAUNDRY EXERCISE EXERCISE STATION EXERCISE LIBRARY
LAUNDRY
STATION STATION

ROOM
ROOM
ROOM
ROOM

LAWN
W
MEDICAL
ME
EEDICAL MEDICAL
D ROOM
DAY M
MEDICAL
ME
EEDICAL MEDICAL DAY ROOM
O
DAY ROO
ROOM
OOOOM ROOM
RO
OOM ROOM DAY
A ROOM
M ROOM
RO
OOM ROOM
GYMNASIUM

ON
SECLUSION SECLUSION
SEC
C ON
SECLUSION SECLUSION
SEC
ROOMS ROO
ROOMS
ROOMS ROOMS ROO
ROOMS
BASKETBALL COURT BASKETBALL COURT
EXTERIOR
R COUR R
RTYARD
COURTYARD

THERAPY THERAPY
THERAPY THERAPY

PATIENT
PAT PATIENT
PAT
ROOMS ROOMS RESTROOMSS STORAGE
STAFF BREAKRO
BREAKROOM
OOM BREAKROOM
STAFF BREAKRO
OOOM
O STAFF
ST
TAFF BREAKROO
BREAKROOM
O
OM STAFF
ST
TTAFF BREAKROOM
AFF BREAKROO
OM
MEETING
T ROOMS / MEETINGG ROOMS / MEETINNNG ROOMS /
MEETING DINING
N HALL
A MEETING ROOMS
MS /
DINING
N HALL
L DINING
N HALL
A DINING
N HALL
L IND
INDOOR
STORAGE /
STORAGE
LOCKER ROOM &
FLEX OFFICE INDOOR FLEX OFFICE LOCKER ROOM &
STORAGE / STORAGE /
LOCKER
LO
OOCKER
CKER ROOM &
FLEX OOFFICE FLEX OFFICE
I LOCKER
LO
OOCKER
CKER ROOM &
STORAGE /
SECURITY SALLY PORT
MAINT MULTI-PURPOSE
MU
MULTI-PURPOS
S
SE RECREATION
E MULTI-PURPOSE
MULTI-PURPOS
SE MAINT MAINT
MULTI-PURPOSE
MULTI-PURPOSE RECREATION
E MULTI-PURPOSE
MULTI-
ULTI-PURPOSE
MAINT
ROOM
M FOOD PREP FOOD PREP
ROOM
OOM ROOM FOOD PREP STORAGE FOOD PREP ROOM
O

SHOWER PATIENT ROOMS PATIENT ROOMS

ROOMS SHOWER

THERAPY PATIENT TEL-CONFERENCE ROOM READING ROOM / LIBRARY PATIENT THERAPY

DE-ESCALATION

DE-ESCALATION

STORAGE VISITATION SECURITY VISITATION TEL-CONFERENCE ROOM READING ROOM / LIBRARY

LAUNDRY STORAGE
LAUNDRY

PHARMACY
ROOM

ROOM ROOM

D ROOM
DAY
DAY ROOM
NURSE’S MEDICAL
STORAGE STORAGE
MEDICAL NURSE’S
STATION ROOM ROOM STATION
ARTS / LIBRARY
CRAFTS
CENTRAL
20 BEDS
BE 20 BBEDS
BE
BED
EDS VISITATION SECURITY PHARMACY
EDUCATION
PATIENT
KITCHEN
TEACHING

SUPPORT
PEER
CLOTHING

ART

MUSIC

READING
CAFE
SALON

KITCHEN

CANTEEN

COMPUTER

OFFICE
POST

CENTER
CLOTHING
LIBRARY

CASH

FUNDS
TRUST
SECLUSION SECLUSION
ROOMS ROOMS

BASKETBALL
A COURT SECURITY
TEL- GROUP THERAPY/
CONFERENCE MULTI-PURPOSE
ACTIVITY
TREATMENT TREATMENT
PATIENT RROOMS

PATIENT RROOMS

MEETING ROOM MEETING ROOM

SECURITYY

INTERVIEW

INTERVIEW

INTERVIEW
OFFICE

ROOM 1

ROOM 2

ROOM 3
STORAGE OFFICE
LOCKERR MEETING
N ROOMS / DINING HALL DINING HALL MEETING ROOMS / LOCKER
ROOM FLEX OFFICE
F INDOOR FLEX OFFICE
C ROOM OFFICE
STORAGE/ STORAGE/
RECREATION MAINT
MAINT
MAINT
STORAGE

RESTROOMS

RESTROOMS
PHOTO & ID

KITCHEN
OFFICE

OFFICE
LOBBY

SECOND & THIRD FLOOR

FLOOR DETAIL
DETAIL SECOND FLOOR
FLOOR DETAIL
DETAIL

SECOND & THIRD FFLOOR

LOOR DET
DETAIL
AIL

N.
IC D
KE
NS
O
N
DR
.

The central medical clinic and pharmacy

will be housed in the new Admissions
and Medical Building proposed north of
Building 501, again providing easy walking
access to appointments for patients and
secure delivery of medications to the
individual nursing stations within each unit.

120_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Food + Environmental Services Access

FOOD DELIVERY/
DISH COLLECTION
FOOD SUPPLY
LAUNDRY DELIVERY/
COLLECTION
CLEAN LAUNDRY

STAFF
VEHICULAR REPAIR

METALS

PARTS

CARPENTRY

LANDSCAPE

ARCHIVE

DIRECTOR’SS
OFFICE
SERVICE
REFUSE
CONFERENCE
DIRECCTOR
ASST. DIRECTOR
LAUNDRY DELIVERY/
COLLECTION
ROOM RECEPTION

LOADING ZONE LOADING ZONE LOADINGG ZONE

CLOTHING

FOOD SERVICE
LAUNDRY STORAGE

SUPPLIES
CLEANING

STORAGE / STAFF BREAKRO

BREAKROOM
OOM FOOD PREP BREAKROOM
STAFF BREAKRO
OOOM STORAGE / STAFF
F BREAKROOM BREAKROOM
STAFF BREAKRO
OOOM
FOOD MEETING
T ROOMS / FOOD PREP MEETINGG ROOMS / STORAGE / MEETING
N ROOMS / FOOD PREP FOOD PREP MEETINGG ROOMS / STORAGE /
FREEZER FLEX INDOORR INDOOR
O
ZONE

MAINT LOCKER ROOM & LOCKER ROOM & MAINT MAINT LOCKER
LOC
CKER ROOM & LOCKER ROOM & MAINT
WAREHOUSE FLEX OFFICE FLEX OFFICE
F FLEX OOFFICE FLEX OFFICE
I

FOOD DELIVERY/
O

FREEZER SPACE MULTI-PURPOSE

MULTI-PURPOS
SE DININGG HALL RECREATION
A N HALL
DINING MULTI-PURPOSE
MULTI-PURPOS
SE MULTI-PURPOSE
MUL
LTI-PURPOSE DININGG HALL RECREATION
R N HALL
DINING MULTI-PURPOSE
MULTI-PURPOS
SE
LOADING

ROOM ROOM ROOM

ROO
OM ROOM
A

PATIENT PATIENT AUDITORIUM

DISH COLLECTION
THERAPY THERAPY THERAPY PATIENT PATIENT THERAPY
KITCHEN ROOMSS ROOMSS ROOMSS ROOMSS
/ CHURCH
PANTRY

LAUNDRY

PANTRY
LOADING ZONE

BASKETBALL COURT BASKETBALL COURT

SECLUSION SECLUSION
SECLUSION
ON SEC
SECLUSION
ROOMS ROOMS
ROOOMS
OMS
ROOMS ROOMS
ROO

FOOD FOOD EQUIPMENT FLEX

LAUNDRY SERVICE
WAREHOUSE
ZONE

WAREHOUSE STORAGE
FREEZER SPACE
O

FREEZER
DAY ROOM MEDICAL
ME
EDICAL
DICAL MEDICAL MEEEDICAL
MEDICAL MEDICAL
LOADING

THERAPY
THERAPY
A ROOM
DAY M
THERAPY DAY
A ROOM
M DAYY ROOM
THERAPY
ROOM
RO OM ROOM LAUNDRY ROOM
RO
OOM ROOM LAUNDRY

DE-ESCALATION
DE-ESCALATION
A

ON
DE-ESCALATION

DE-ESCALATION
ON
ON
DE-ESCALATION
LAUNDRY

O
DE-ESCALATIO
LAUNDRY

I
DE-ESCALATI

DE-ESCALATI
OFFICE OFFICE PATIENT PATIENT NURSE’S NURSE’S PATIENT PATIENT PATIENT PATIENT NURSE’S NURSE’S PATIENT
FLEX FLEX PATIENT

ROOM ROOM
ES
ROOM

ROOM
STATION STATION

ROOM
STATION STATION

ROO
EXERCISE EXERCISE EXERCISE EXERCISE EXERCISE

RO
SPACE SPACE EXERCISE EXERCISE EXERCISE

DE

DE
SHOWERS SHOWERS SHOWERS SHOWERS

MEETING
MEEETING
EETIN MEETING
E NG MEETING MEETING
PATIENTT ROOMSS ROOM
R
ROOM ROOM
ROOM PATIENTT ROOMSS PATIENTT ROOMSS ROOM
ROOM ROOM
ROOM PATIENTT ROOMSS

PAT
TIENT RO
TIENT
PATIENT OOMS
ROOMS MEETING PATIENTT ROOMSS MEETING MEETING
SHOWERS MEETING SHOWERS SHOWERS
PATIENT ROOMS
TIENT RO
OOMS PATIENTT ROOMSS SHOWERS

ROOM OOO
ROOM ROOM ROOM

DE-ESCALATION
IONN
TTION
DE-ESCALATION
ALATION
DE-ESCALATION
ION
ION
LATION
DE-ESCALATION

NURSE’S PATIENT PATIENT NURSE’S

DE-ESCALATI

PATIENT

DE-ESCALAT
DE-ESCALATI
ALATII

T
DE-ESCALAT
SCALAT
ALAT
PATIENT PATIENT NURSE’S PATIENT NURSE’S PATIENT PATIENT
CALAT

THERAPY THERAPY THERAPY THERAPY

LAUNDRY LAUNDRY LAUNDRY
EXERCISE EXERCISE STATION EXERCISE LAUNDRY EXERCISE EXERCISE STATION EXERCISE LIBRARY
LAUNDRY
STATION STATION

ROOM
ROOM
ROOM
ROOM

W
LAWN
MEDICAL
ME
EEDICAL MEDICAL
D ROOM
DAY M
MEDICAL
ME
EEDICAL MEDICAL DAY ROOM
O
DAY ROO
ROOM
OOOOM ROOM
RO
OOM ROOM DAY
A ROOM
M ROOM
RO
OOM ROOM
ROOM
GYMNASIUM

ON
SECLUSION SECC
SECLUSION ON
SECLUSION SEC
SECLUSION
ROOMS ROO
ROOMS ROOMS ROO
ROOMS
BASKETBALL COURT BASKETBALL COURT
R COUR
EXTERIOR R
RTYARD
COURTYARD

THERAPY THERAPY
THERAPY THERAPY

PATIENT
PAT PATIENT
PAT
ROOMS ROOMS RESTROOMSS STORAGE
STAFF BREAKRO
BREAKROOM
OOM BREAKROOM
STAFF BREAKRO
OOOM
O STAFF
ST
TAFF BREAKROO
BREAKROOM
O
OM STAFF
ST
TTAFF BREAKROOM
AFF BREAKROO
OM
MEETING
T ROOMS / MEETINGG ROOMS / MEETINNNG ROOMS /
MEETING DINING
N HALL
A MEETING ROOMS
MS /
DINING
N HALL
L DINING
N HALL
A DINING
N HALL
L IND
INDOOR
STORAGE /
LOCKER ROOM &
FLEX OFFICE INDOOR FLEX OFFICE LOCKER ROOM &
STORAGE / STORAGE /
LOCKER
LO
OOCKER
CKER ROOM &
FLEX OOFFICE FLEX OFFICE
I LOCKER
LO
OOCKER
CKER ROOM &
STORAGE /
SECURITY SALLY PORT
MAINT MULTI-PURPOSE
MU
MULTI-PURPOS
S
SE RECREATION
E MULTI-PURPOSE
MULTI-PURPOS
SE MAINT MAINT
MULTI-PURPOSE
MULTI-PURPOSE RECREATION
E MULTI-PURPOSE
M ULTI-
ULTI-PURPOSE
MAINT
ROOM
M FOOD PREP FOOD PREP
ROOM
OOM ROOM FOOD PREP STORAGE FOOD PREP ROOM
O

SHOWER PATIENT ROOMS PATIENT ROOMS

ROOMS SHOWER

THERAPY PATIENT TEL-CONFERENCE ROOM READING ROOM / LIBRARY PATIENT THERAPY CLEAN LAUNDRY
DE-ESCALATION

DE-ESCALATION

STORAGE VISITATION SECURITY VISITATION TEL-CONFERENCE ROOM READING ROOM / LIBRARY

LAUNDRY
LAUNDRY STORAGE
LAUNDRY
ROOM

ROOM

D ROOM
DAY
DAY ROOM

FOOD SUPPLY
NURSE’S MEDICAL
STORAGE STORAGE
MEDICAL NURSE’S
STATION ROOM ROOM STATION
ARTS / LIBRARY
CRAFTS
CENTRAL
20 BEDS
BE 20 BBEDS
BE
BED
EDS VISITATION SECURITY PHARMACY
EDUCATION
PATIENT
KITCHEN
TEACHING

SUPPORT
PEER
CLOTHING

ART

MUSIC

READING
CAFE
SALON

KITCHEN

CANTEEN

COMPUTER

OFFICE
POST

CENTER
CLOTHING
LIBRARY

CASH

FUNDS
TRUST
SECLUSION SECLUSION
ROOMS ROOMS

BASKETBALL
A COURT SECURITY
TEL- GROUP THERAPY/
CONFERENCE MULTI-PURPOSE
ACTIVITY
TREATMENT TREATMENT
PATIENT ROOMS

PATIENT ROOMS
R

MEETING ROOM MEETING ROOM

SECURITYY

INTERVIEW

INTERVIEW

INTERVIEW
OFFICE

ROOM 1

ROOM 2

ROOM 3
STORAGE OFFICE
LOCKERR MEETING
N ROOMS / DINING HALL DINING HALL MEETING ROOMS / LOCKER
ROOM FLEX OFFICE
F INDOOR FLEX OFFICE
C ROOM OFFICE
STORAGE/ STORAGE/
RECREATION MAINT
MAINT
MAINT
STORAGE

RESTROOMS

RESTROOMS
PHOTO & ID
FOOD DELIVERY/

KITCHEN
OFFICE

OFFICE
LOBBY

DISH SECOND
COLLECTION FLOOR DETAIL
& THIRD FLOOR DETAIL SECOND FLOOR
FLOOR DETAIL
DETAIL

FLOOR DETAIL
SECOND & THIRD FLOOR DETAIL

LAUNDRY DELIVERY/
COLLECTION

N.
IC D
KE
NS
O
N
DR
.

Food Services, Environmental Services, and

Maintenance are proposed to be located in
a new service quad in the south east corner
of the new campus. These centralized
services provide an organized and efficient
location for the delivery of goods for
the hospital. Deliveries and access to
individual units are provided through
service routes around the exterior of the
main campus.

SECTION 8 APPLIED MODEL_121

9 VISUALIZATION
_Overview
_Axonometric Model
_Level 1 Plan
_Rendering of Central Esplanade
_Level 2 Plan
_Rendering of Unit Courtyard 1
_Level 3 Plan
_Rendering of Unit Courtyard 2
_Rendering of Basketball Court
_Overview
The following visualization illustrate the
application of the components of the new
campus structure for RSH. The Applied
Model for RSH organizes the campus
into a compact arrangement of buildings
and landscape spaces that resolves the
relationships of the new institutional
program, the remaining existing buildings,
and the topographic constraints of the site.
_Axonometric Model
124_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL
This arrangement integrates new Spatial qualities of the new campus are
construction with key historically significant illustrated in a series of drawings that
structures that have been adaptively demonstrate the scale and quality of new
re-used to house new programmatic landscaped spaces within the unit, the
requirements. The new campus structure quad, and the central esplanade.
is designed around three primary levels
that terrace with the existing topography,
the site has a slope which descends twenty
six feet (26’) from west to east.
_Level 1 Plan

LEGEND
OUTDOOR SPACE

LANDSCAPE HARDSCAPE GREEN SPACE

PRIVATE SEMI-PRIVATE PUBLIC

PATIENT ROOM

UNIT UNIT
STAFF
ACTIVITY SUPPORT FACILITIES
VEHICULAR REPAIR

METALS

PARTS

CARPENTRY

LANDSCAPE

ARCHIVE
DIRECTOR’S
OFFICE UNIT CENTRAL COMMUNITY
CONTROL POINT MEDICAL SERVICES SERVICES
SERVICE
REFUSE ASST. DIRECTOR
CONFERENCE
ROOM RECEPTION

UNIT CENTRAL
LOADING ZONE LOADING ZONE LOADING ZONE
ADMISSION
CLOTHING
STORAGE SUPPORT FACILITY
CENTRAL
ADMINISTRATION
LAUNDRY STORAGE

ENVIRONMENTAL SERVICES
SUPPLIES
CLEANING

STAFF BREAKROOM STAFF BREAKROOM STORAGE / STAFF BREAKROOM STAFF BREAKROOM

FOOD STORAGE / MEETING ROOMS / FOOD PREP FOOD PREP MEETING ROOMS / STORAGE / MEETING ROOMS / FOOD PREP FOOD PREP MEETING ROOMS / STORAGE /
FREEZER FLEX INDOOR INDOOR
LOADING ZONE

MAINT LOCKER ROOM & LOCKER ROOM & MAINT MAINT LOCKER ROOM & LOCKER ROOM & MAINT
WAREHOUSE FLEX OFFICE FLEX OFFICE FLEX OFFICE FLEX OFFICE
FREEZER SPACE MULTI-PURPOSE DINING HALL RECREATION DINING HALL MULTI-PURPOSE MULTI-PURPOSE DINING HALL RECREATION DINING HALL MULTI-PURPOSE

ROOM ROOM ROOM ROOM

THERAPY PATIENT PATIENT THERAPY THERAPY PATIENT PATIENT THERAPY

KITCHEN ROOMS ROOMS ROOMS ROOMS
AUDITORIUM
PANTRY

LAUNDRY
CENTRAL FOOD SERVICES

LOADING ZONE
SECLUSION SECLUSION SECLUSION SECLUSION
ROOMS BASKETBALL COURT ROOMS ROOMS BASKETBALL COURT ROOMS

FOOD FOOD EQUIPMENT FLEX

MAINTENANCE
ROAD
WAREHOUSE
LOADING ZONE

WAREHOUSE STORAGE
FREEZER FREEZER SPACE
MEDICAL MEDICAL

GROUNDKEEPING
MEDICAL MEDICAL
THERAPY
DAY ROOM DAY ROOM
THERAPY THERAPY
DAY ROOM DAY ROOM
THERAPY

LAUNDRY ROOM ROOM LAUNDRY

LAUNDRY ROOM ROOM LAUNDRY

DE-ESCALATION
DE-ESCALATION

DE-ESCALATION
DE-ESCALATION
OFFICE OFFICE PATIENT NURSE’S NURSE’S PATIENT PATIENT NURSE’S NURSE’S PATIENT
FLEX FLEX PATIENT PATIENT PATIENT PATIENT

ROOM
ROOM

ROOM
STATION STATION

ROOM
EXERCISE EXERCISE STATION STATION EXERCISE EXERCISE EXERCISE EXERCISE EXERCISE EXERCISE
SPACE SPACE
SHOWERS SHOWERS SHOWERS SHOWERS

WAREHOUSE VACANT
MEETING MEETING MEETING MEETING
PATIENT ROOMS ROOM ROOM PATIENT ROOMS PATIENT ROOMS ROOM ROOM PATIENT ROOMS

MEETING MEETING MEETING MEETING

SHOWERS
PATIENT ROOMS PATIENT ROOMS SHOWERS SHOWERS
PATIENT ROOMS PATIENT ROOMS SHOWERS
ROOM ROOM ROOM ROOM

DE-ESCALATION
DE-ESCALATION
DE-ESCALATION
DE-ESCALATION
PATIENT PATIENT NURSE’S PATIENT PATIENT PATIENT PATIENT NURSE’S PATIENT PATIENT
THERAPY
LAUNDRY
NURSE’S LAUNDRY
THERAPY THERAPY
LAUNDRY
NURSE’S LAUNDRY
THERAPY
EXERCISE EXERCISE STATION EXERCISE LIBRARY EXERCISE EXERCISE STATION EXERCISE LIBRARY
STATION STATION

ROOM
ROOM
ROOM
ROOM
DAY ROOM
MEDICAL MEDICAL DAY ROOM DAY ROOM
MEDICAL MEDICAL DAY ROOM
ROOM ROOM ROOM ROOM
GYMNASIUM

SECLUSION SECLUSION SECLUSION BASKETBALL COURT SECLUSION

BASKETBALL COURT
ROOMS ROOMS ROOMS ROOMS

EXTERIOR COURTYARD EXTERIOR COURTYARD

THERAPY THERAPY RECREATION THERAPY THERAPY

INDOOR RESTROOMS STORAGE

INDOOR
CENTRAL CENTRAL CENTRAL CENTRAL
SECURITY SALLY PORT
SUPPORT CENTRAL SUPPORT RECREATION CENTRAL SUPPORT SUPPORT SUPPORT CENTRAL SUPPORT RECREATION CENTRAL SUPPORT SUPPORT
CENTRAL CENTRAL
CENTRAL CENTRAL
SUPPORT SUPPORT
SUPPORT SUPPORT

SHOWER PATIENT ROOMS PATIENT ROOMS SHOWER

THERAPY PATIENT TEL-CONFERENCE ROOM READING ROOM / LIBRARY PATIENT THERAPY

DE-ESCALATION

DE-ESCALATION

STORAGE VISITATION SECURITY VISITATION TEL-CONFERENCE ROOM READING ROOM / LIBRARY

LAUNDRY STORAGE
LAUNDRY
ROOM

ROOM

DAY ROOM
DAY ROOM
NURSE’S MEDICAL
STORAGE STORAGE
MEDICAL NURSE’S
STATION ROOM ROOM STATION
ARTS / LIBRARY
CRAFTS

OFFICE

OFFICE

OFFICE
CENTRAL DO DO DE DE
20 BEDS 20 BEDS VISITATION SECURITY PHARMACY

EDUCATION
PATIENT
KITCHEN
TEACHING

SUPPORT
PEER
CLOTHING

ART

MUSIC

READING
CAFE
SALON

KITCHEN

CANTEEN

COMPUTER

OFFICE
POST

CENTER
CLOTHING
LIBRARY

CASH

FUNDS
TRUST
SECLUSION SECLUSION
MO MO FO FO
ROOMS ROOMS
TREATMENT
ISO
BASKETBALL COURT SECURITY ME ME FE FE
TEL- GROUP THERAPY/
CONFERENCE MULTI-PURPOSE
ACTIVITY
TREATMENT TREATMENT EH
RESTROOM
PATIENT ROOMS

PATIENT ROOMS

MEETING ROOM
STORAGE IC
MEETING ROOM
SECURITY

INTERVIEW

INTERVIEW

INTERVIEW
OFFICE

ROOM 1

ROOM 2

ROOM 3
STORAGE MOD OFFICE
LOCKER MEETING ROOMS / DINING HALL DINING HALL MEETING ROOMS / LOCKER
MTG MTG ECO
ROOM FLEX OFFICE INDOOR FLEX OFFICE ROOM OFFICE
STORAGE/ STORAGE/
RECREATION MAINT
MAINT
HOUSE SUPPLY STAFF STORAGE

RESTROOMS

RESTROOMS
LAB

PHOTO & ID

KITCHEN
OFFICE

OFFICE
LOBBY

1 ACRE

LEVEL ONE PLAN OF THE APPLIED MODEL FOR RUSK STATE HOSPITAL 50 200

0 100 FT.

SECTION 9 VISUALIZATION_125
_Rendering of Central Esplanade

The Applied Model for RSH includes an

esplanade between the residential quads
connecting them to the central services.
This naturally landscaped central axis
would provide a therapeutic space for
patients and staff to circulate.

126_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Level 2 Plan

LEGEND
OUTDOOR SPACE

LANDSCAPE HARDSCAPE GREEN SPACE

PRIVATE SEMI-PRIVATE PUBLIC

PATIENT ROOM

UNIT UNIT
STAFF
ACTIVITY SUPPORT FACILITIES
VEHICULAR REPAIR

METALS

PARTS

CARPENTRY

LANDSCAPE

ARCHIVE
DIRECTOR’S
OFFICE UNIT CENTRAL COMMUNITY
CONTROL POINT MEDICAL SERVICES SERVICES
SERVICE
REFUSE ASST. DIRECTOR
CONFERENCE
ROOM RECEPTION

UNIT CENTRAL
LOADING ZONE LOADING ZONE LOADING ZONE
ADMISSION
CLOTHING
STORAGE SUPPORT FACILITY
CENTRAL
FOOD PREP FOOD PREP FOOD PREP FOOD PREP

ADMINISTRATION
LAUNDRY STORAGE

ENVIRONMENTAL SERVICES
SUPPLIES
CLEANING

STAFF BREAKROOM STAFF BREAKROOM STAFF BREAKROOM STAFF BREAKROOM

FOOD STORAGE / MEETING ROOMS / MEETING ROOMS / STORAGE / STORAGE / MEETING ROOMS / MEETING ROOMS / STORAGE /
FREEZER FLEX INDOOR DINING HALL INDOOR DINING HALL
LOADING ZONE

MAINT MAINT
WAREHOUSE LOCKER ROOM &
FLEX OFFICE DINING HALL FLEX OFFICE
LOCKER ROOM & MAINT LOCKER ROOM &
FLEX OFFICE DINING HALL FLEX OFFICE LOCKER ROOM & MAINT
FREEZER SPACE MULTI-PURPOSE KITCHEN RECREATION KITCHEN MULTI-PURPOSE MULTI-PURPOSE KITCHEN RECREATION KITCHEN MULTI-PURPOSE

AUDITORIUM
ROOM ROOM ROOM ROOM

KITCHEN / CHURCH
PANTRY

LAUNDRY
CENTRAL FOOD SERVICES

LOADING ZONE
EXTERIOR COURTYARD EXTERIOR COURTYARD

SECLUSION SECLUSION SECLUSION SECLUSION

ROOMS BASKETBALL COURT ROOMS ROOMS BASKETBALL COURT ROOMS

FOOD FOOD EQUIPMENT FLEX

20 BEDS 20 BEDS 20 BEDS 20 BEDS
MAINTENANCE
ROAD
WAREHOUSE
LOADING ZONE

WAREHOUSE STORAGE
FREEZER FREEZER SPACE

GROUNDKEEPING
MEDICAL MEDICAL MEDICAL MEDICAL
DAY ROOM DAY ROOM DAY ROOM DAY ROOM
ROOM ROOM ROOM ROOM

ROOM
DE-ESCALATION
ROOM
DE-ESCALATION

ROOM
DE-ESCALATION

ROOM
DE-ESCALATION
NURSE’S NURSE’S NURSE’S NURSE’S
OFFICE OFFICE PATIENT PATIENT PATIENT PATIENT PATIENT PATIENT
FLEX FLEX STATION STATION PATIENT
STATION STATION PATIENT
EXERCISE EXERCISE EXERCISE LIBRARY EXERCISE EXERCISE EXERCISE LIBRARY
SPACE SPACE

PATIENT ROOMS PATIENT ROOMS PATIENT ROOMS PATIENT ROOMS

WAREHOUSE VACANT

PATIENT ROOMS PATIENT ROOMS PATIENT ROOMS PATIENT ROOMS

DE-ESCALATION
DE-ESCALATION

DE-ESCALATION
DE-ESCALATION
PATIENT PATIENT NURSE’S PATIENT PATIENT PATIENT PATIENT NURSE’S PATIENT
NURSE’S NURSE’S PATIENT
EXERCISE EXERCISE STATION EXERCISE LIBRARY EXERCISE EXERCISE STATION LIBRARY
STATION STATION EXERCISE

ROOM
ROOM

ROOM
ROOM
DAY ROOM
MEDICAL MEDICAL DAY ROOM DAY ROOM
MEDICAL MEDICAL DAY ROOM
ROOM ROOM ROOM ROOM
GYMNASIUM
20 BEDS 20 BEDS 20 BEDS 20 BEDS
SECLUSION BASKETBALL COURT SECLUSION SECLUSION BASKETBALL COURT SECLUSION
ROOMS ROOMS ROOMS ROOMS

STAFF BREAKROOM STAFF BREAKROOM STAFF BREAKROOM STAFF BREAKROOM

MEETING ROOMS / KITCHEN INDOOR KITCHEN MEETING ROOMS / LOCKER ROOM & MEETING ROOMS / KITCHEN INDOOR KITCHEN MEETING ROOMS / LOCKER ROOM &
STORAGE / LOCKER ROOM & DINING HALL DINING HALL STORAGE / STORAGE / LOCKER ROOM & DINING HALL DINING HALL STORAGE /
MAINT MULTI-PURPOSE FLEX OFFICE RECREATION FLEX OFFICE MULTI-PURPOSE MAINT MAINT MULTI-PURPOSE FLEX OFFICE RECREATION FLEX OFFICE MULTI-PURPOSE MAINT
ROOM ROOM ROOM ROOM

FOOD PREP FOOD PREP FOOD PREP FOOD PREP

SHOWERS PATIENT ROOMS PATIENT ROOMS SHOWERS

PATIENT PATIENT EXERCISE READING ROOM / LIBRARY PATIENT

DE-ESCALATION

DE-ESCALATION

THERAPY STORAGE VISITATION SECURITY VISITATION PATIENT EXERCISE READING ROOM / LIBRARY THERAPY
STORAGE
LAUNDRY LAUNDRY
ROOM

ROOM

DAY ROOM
DAY ROOM
NURSE’S STORAGE STORAGE
MEDICAL NURSE’S
STATION ROOM STATION
BARBER / MEDICAL
SALON
FLEX MULTI USE P TR DCR

OFFICE

OFFICE

OFFICE
FLEX BUS STOR QUA MAN COM REL JOBS SAF DO DO DE DE
SECLUSION 20 BEDS 20 BEDS SECLUSION
PATIENT REGISTER PROGRAM PROGRAM
ROOMS ROOMS
COURT MO MO FO FO
TREATMENT
FLEX FLEX PROGRAM PROGRAM PROGRAM ISO
BASKETBALL COURT BUS STOR PSY RES C DR CLINIC CFO ACCOUNTING RESTROOM RESTROOM CNE NURSING SUPPLY CENTRAL IT PROGRAM PROGRAM PROGRAM PROGRAM ME ME FE FE
ROOM ROOM ROOM
EXERCISE GROUP THERAPY/
MULTI-PURPOSE
ACTIVITY
THERAPY THERAPY EH
MTG RESTROOM
STORAGE IC

MOD ECO
MTG MTG MTG

HOUSE SUPPLY STAFF

CONFERENCE LAB

1 ACRE

LEVEL TWO PLAN OF THE APPLIED MODEL FOR RUSK STATE HOSPITAL 50 200

0 100 FT.

SECTION 9 VISUALIZATION_127
_Rendering of Unit Courtyard 1

The architectural form for the residential

units is determined by the therapeutic role
of nature. Visualization of unit courtyard
looking from the day space towards the
dining hall.

128_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Level 3 Plan

LEGEND
OUTDOOR SPACE

LANDSCAPE HARDSCAPE GREEN SPACE

PRIVATE SEMI-PRIVATE PUBLIC

PATIENT ROOM

UNIT UNIT
STAFF
ACTIVITY SUPPORT FACILITIES
VEHICULAR REPAIR

METALS

PARTS

CARPENTRY

LANDSCAPE

ARCHIVE
DIRECTOR’S
OFFICE UNIT CENTRAL COMMUNITY
SERVICE
REFUSE
CONFERENCE
ASST. DIRECTOR
CONTROL POINT MEDICAL SERVICES SERVICES
ROOM RECEPTION

UNIT CENTRAL
LOADING ZONE LOADING ZONE LOADING ZONE
ADMISSION
CLOTHING
STORAGE SUPPORT FACILITY
CENTRAL
ADMINISTRATION
FOOD PREP FOOD PREP FOOD PREP FOOD PREP
LAUNDRY STORAGE

SUPPLIES
CLEANING

ENVIRONMENTAL SERVICES
STAFF BREAKROOM STAFF BREAKROOM STAFF BREAKROOM STAFF BREAKROOM
FOOD STORAGE / MEETING ROOMS / MEETING ROOMS / STORAGE / STORAGE / MEETING ROOMS / MEETING ROOMS / STORAGE /
FREEZER FLEX INDOOR DINING HALL INDOOR DINING HALL
LOADING ZONE

MAINT MAINT
WAREHOUSE LOCKER ROOM &
FLEX OFFICE DINING HALL FLEX OFFICE
LOCKER ROOM & MAINT LOCKER ROOM &
FLEX OFFICE DINING HALL FLEX OFFICE LOCKER ROOM & MAINT
FREEZER SPACE MULTI-PURPOSE KITCHEN RECREATION KITCHEN MULTI-PURPOSE MULTI-PURPOSE KITCHEN RECREATION KITCHEN MULTI-PURPOSE

AUDITORIUM
ROOM ROOM ROOM ROOM

KITCHEN / CHURCH
PANTRY

LAUNDRY
CENTRAL FOOD SERVICES

LOADING ZONE
EXTERIOR COURTYARD EXTERIOR COURTYARD

SECLUSION SECLUSION SECLUSION SECLUSION

ROOMS BASKETBALL COURT ROOMS ROOMS BASKETBALL COURT ROOMS

FOOD FOOD EQUIPMENT FLEX

20 BEDS 20 BEDS 20 BEDS 20 BEDS
MAINTENANCE
ROAD
WAREHOUSE
LOADING ZONE

WAREHOUSE STORAGE
FREEZER FREEZER SPACE
MEDICAL MEDICAL MEDICAL MEDICAL

GROUNDKEEPING
DAY ROOM DAY ROOM DAY ROOM DAY ROOM
ROOM ROOM ROOM ROOM

ROOM
DE-ESCALATION
ROOM
DE-ESCALATION

ROOM
DE-ESCALATION
NURSE’S NURSE’S

ROOM
DE-ESCALATION
NURSE’S NURSE’S
OFFICE OFFICE PATIENT PATIENT PATIENT PATIENT PATIENT PATIENT
FLEX FLEX STATION STATION PATIENT
STATION STATION PATIENT
EXERCISE EXERCISE EXERCISE LIBRARY EXERCISE EXERCISE EXERCISE LIBRARY
SPACE SPACE

PATIENT ROOMS PATIENT ROOMS PATIENT ROOMS PATIENT ROOMS

WAREHOUSE VACANT

BASKETBALL COURT BASKETBALL COURT

REIMBURSEMENT STORAGE REIMBURSEMENT STAFF

HEAL INFO STORAGE HEAL INFO MANAGEMENT

STAFF TREATMENT

BASKETBALL COURT FLEX STAIRS STAFF BREAKROOM OFFICE OFFICE OFFICE OFFICE LEC STAFF C
OFFICE OFFICE OFFICE OFFICE OFFICE OFFICE OFFICE OFFICE FLEX FLEX FLEX RESTROOM RESTROOM

ADMINISTRATION

STAFF DIRECTOR
ADMINISTRATION

1 ACRE

LEVEL THREE PLAN OF THE APPLIED MODEL FOR RUSK STATE HOSPITAL 50 200

0 100 FT.

SECTION 9 VISUALIZATION_129
_Rendering of Unit Courtyard 2

Direct patient access from dayroom to

a passive courtyard garden provides a
place for solace. Visualization of interior
courtyard looking from the dining hall
across the courtyard towards the day space.

130_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Rendering of Basketball Court

An active sports court is a key component

of the therapeutic programming within
each quad.

SECTION 9 VISUALIZATION_131
1
10 IMPLEMENTATION
_Phasing Overview
_Existing Conditions
_Phase 1
_Phase 2
_Construction Squencing
_Conclusions
_Phasing Overview
The following provides general direction
regarding the implementation of the
Applied Model within the existing hospital
campus. If necessary, the project can
be constructed in two distinct phases.
Phase 1 focuses on the construction of
the new Medical/Admissions building,
two new residential quads, the kitchen,
environmental services, and maintenance
facilities. The construction sequencing
section gives general details to illustrate
how the hospital can maintain its
operations throughout the various stages of
construction.
—be it untouched wilderness or a backyard tree—
134_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL
It is our recommendation that building
501 be renovated early on in the process,
specifically in phase 1, given its cultural
importance and its important role in
the Applied Model as the central therapy
support and administrative head for
the hospital, as well as providing a
new, modern image for the campus.
Nonetheless, it is understood, given need
and financial constraints, renovation or
another alternative may need to occur
at the later end of the project. Although
this will require temporary solutions
for housing the therapy mall functions
proposed on level 1 and administrative
“When we get closer to nature
we do our overstressed brains a favor.”
uses, we have illustrated the following
phasing and construction sequencing in a
manner that has 501 being resolved at the
later end of the construction project.
It should also be noted that all
infrastructure is recommended to be
located underground so that it does not
interfere with the goal of providing a
harmonious and patient-focused exterior
landscape. The following does not provide
details with regard to the phasing or
sequencing of updates needed to the
infrastructure to support the Applied Plan.
Florence Williams
57
_Existing Conditions

CJ
TD
to

y
Property Boundar
d
se
ea
:L
dary

29
,5
Property Boun

28
,5
529

27

Sk
g5

yv
Bld

ie
w
S
659

D
528 527

r.
649

607
Av e D 641
626

606 513
D a

615 514 515 517 611

S t

630 617
Av e C Av e C
vi

Ca mp be l l
ds on

516
508 A v e B 519 520 524
S t Av e B
S t

B a ke r

512
A
Av e

510
523
506 505 504 614
563
605 511
509
501
532 613
Property Boundary
Av e A

y
ar

y
nd

ar
ou

nd
B

ou
627

ty

B
er

ty
op

er
Pr

op
Pr
535

r
D
533
n
o
643
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in
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536
ic
D

0 30 120
N
N

10 60

Patient Rooms
Unit Activities
Unit Control Point
Unit Support Facility
Central Support Facilities
Central Medical Services
Administration
Admissions
Community Services
Central Food Services
Central Environment Services
Maintenance and Groundkeeping
Warehouse
Vacant / No information

SECTION 10 IMPLEMENTATION_135
_Phase 1

SECOND & THIRD FLOOR DETAIL SECOND FLOOR DETAIL

SECOND & THIRD FLOOR DETAIL

N.
DI
KE C
SO N
N
DR
.

Patient Rooms Construction of the Applied Model is If funds are available, it is recommended
Unit Activities possible in two phases. Phase 1 would that building 501 be renovated and
Unit Control Point include construction of approximately half adaptively reused as proposed for
Unit Support Facility of the project, including two new quads are administration and central support services
Central Support Facilities constructed for a total of 160 new beds. during Phase 1. If funding is not available,
Central Medical Services These new beds, together with the existing existing facilities such as 501, 514, 515 and
Administration beds, would exceed the funded capacity, 611 take on a greater role in the central
Admissions so some old units can be retired. The new support programs in the interim. Building
Community Services Medical and Admissions building would be 501 would remain as is, housing current
Central Food Services constructed in Phase 1 helping to establish administrative functions and if necessary,
Central Environment Services a new image and front for the hospital. temporaily house central support services.
Maintenance and Groundkeeping New service buildings, the kitchen,
Warehouse laundry, and maintenance would need to be
Vacant / No information constructed to support the new facilities.

136_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Phase 2

SECOND & THIRD FLOOR DETAIL SECOND FLOOR DETAIL

SECOND & THIRD FLOOR DETAIL

N.
DI
CK
EN
O S
N
DR
.

Patient Rooms Phase 2 would complete the project and

Unit Activities include the construction of the remaining
Unit Control Point half of the Applied Model, including two
Unit Support Facility more Quads (160 beds), a new maximum
Central Support Facilities security building, and, if not completed
Central Medical Services during phase 1, the renovation of 501 to
Administration house Administration and the Central
Admissions Support therapy mall.
Community Services
Central Food Services
Central Environment Services
Maintenance and Groundkeeping
Warehouse
Vacant / No information

SECTION 10 IMPLEMENTATION_137
_Construction Sequencing

SECOND & THIRD FLOOR DETAIL SECOND FLOOR DETAIL

SECOND & THIRD FLOOR DETAIL

N.
DI
CK
EN
O S
N
DR
.

The following provides a general
understanding of the sequencing of
construction in terms of what order
demolition and construction need to occur
in order to maintain operation of the
building throughout.
Stage 1
Stage 1 commences with the temporary
relocation of Maintenance and
Groundskeeping. Next, existing vacant
building 513 and noted maintenance
buildings 606, 607, 649, and 659 are
demolished and the site is prepared for
construction.
Concurrently, buildings 532 and 613 can
be demolished, except for their historic
walls, followed by preparation of the
site for construction of new medical and
admissions building.

138_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Construction Sequencing

SECOND FLOOR DETAIL

A
SECOND & THIRD FLOOR DETAIL

SECOND & THIRD FLOOR DETAIL

N.
DI
CK
EN
O S
N
DR
.

Stage 2

A: Construct new Medical and Admissions
building (20,000 sq ft). Upon completion,
relocate all medical and admissions
services into new building.
B: Construct new Central Food Services
Building (15,600 sq ft). Renovate building
607 or construct new Maintenance
and Groundskeeping (21,300 sq ft).
Renovate building 615 or construct new
Environmental Services (8000 sq ft).
Upon completion of stage 2B, relocate
Central Food Services, Environmental
Services, and Maintenance into new
buildings. Relocate central support
therapies from buildings 617, 626, 630, and
641 into available space in either building
501 and/or 515 and/or other temporarily
available space. Demolish buildings 504,
505, 504, 519, 520, 523, 524, 614, 617, 626,
630, and 641. Prepare site for construction
of new quads.

SECTION 10 IMPLEMENTATION_139
_Construction Sequencing

B
1
C
2

A
SECOND & THIRD FLOOR DETAIL SECOND FLOOR DETAIL

SECOND & THIRD FLOOR DETAIL

N.
DI
CK
EN
O S
N
DR
.

Stage 3

C: Construct new Avenue D road from Upon completion of Stage 3, where

North Dickerson Drive to new service
area,including associated infrastructure
within they roadway needed to service
new quads. Following the construction
of Avenue D, construct residential Quad
1 (80 beds in 4 Units = 63,600 sq ft) and
Quad 2 (80 beds in 4 Units = 63,600 sq ft).
Construct new gymnasium (4800 sq ft) and
renovate existing Chapel (14,800 sq ft).
Complete associated landscape and north
parking lot.
applicable, relocate patients from buildings
509, 510, and 514 into new residential
quads.
If required, can move central support
services into therapy space in new quads
and now available vacant space in building
514.
The end of Stage 3 coincides with the
completion of Phase 1.

140_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Construction Sequencing

B
1
C

A
SECOND & THIRD FLOOR DETAIL SECOND FLOOR DETAIL

SECOND & THIRD FLOOR DETAIL

N.
DI
CK
EN
O S
N
DR
.

Stage 4

Stage 4 commences Phase 2. Demolish

buildings 508, 509, 510, 514, 515, and 516.
Prepare site for construction.

Prior to demolition, central support

services located in any of the above noted
buildings will need to be temporarily
relocated.

SECTION 10 IMPLEMENTATION_141
_Construction Sequencing

B
3 1
D C

4 2

A
SECOND & THIRD FLOOR DETAIL SECOND FLOOR DETAIL

SECOND & THIRD FLOOR DETAIL

N.
DI
CK
EN
O S
N
DR
.

Stage 5

D: Construct new southern access

road (Campbell Street) and associated
infrastructure. Followed by the
construction of residential Quad 3 (80 beds
in 4 Units = 63,600 sq ft), residential Quad
4 (60 beds in 3 Units = 47,700 sq ft), and
complete surrounding landscape. Upon
completion of 5D, relocate patients from
buildings 511, 512, 563, and 605 into new
residential quads. Demolish buildings 511,
563, and 605.

142_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Construction Sequencing

B
3 1

F D C

4 2

MSU A

E
SECOND & THIRD FLOOR DETAIL SECOND FLOOR DETAIL

SECOND & THIRD FLOOR DETAIL

N.
DI
CK
EN
O S
N
DR
.

Stage 6

E: Construct Avenue A, Davidson Street

and associated infrastructure. Construct
new Maximum Security Quad (45 beds in 3
Units = 63,600 sq ft).

Upon completion of Phase 6E, relocate

patients from MSU building 643 into
new Maximum Security Quad. Demolish
existing MSU building 643, and buildings
533 and 535.

F: “Mothball” Building 512.

SECTION 10 IMPLEMENTATION_143
_Construction Sequencing

B
3 1
D C
F

4 2

MSU A
E
SECOND & THIRD FLOOR DETAIL
H SECOND & THIRD FLOOR DETAIL
SECOND FLOOR DETAIL

G N.
DI
CK
EN
O S
N
DR
.

Stage 7

G: Construct new main road, Avenue A, I: Renovate existing building 611 or

and associated infrastructure. Construct construct new warehouse (17,800 sq ft).
eastern parking lot. Construct entry
J: “Mothball” Skyview buildings.
features, landscaping, and storm water
management infrastructure.

H: Renovate 501 to house Administrative

and Central Support (86,600 sq ft of new/
rehab space). Temporarily relocate existing
functions and uses currently in building 501
to vacant space on campus or a temporary
structure.

144_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

_Conclusions
This project has provided tremendous
insight into the opportunities and
constraints within designing a new, state-
of-the-art Texas model for RSH and other
DSHS facilities that best support modern
care models. Designing spaces that
support the care and treatment programs
for people with mental illness is a complex
and multi-faceted issue. This research
establishes significant insight into the
opportunities and constraints involved with
designing a new, state-of-the-art Texas
model for RSH and other DSHS facilities
that best supports current care models.
There are three innovative themes
expressed through the Idealized Model
and its application to RSH that are
transformative to the way mental health
care facilities are arranged:
Central role of nature and access to
outdoors
The fundamental organization of “home-
like” therapeutic units around a directly
accessible outdoor courtyard provides the
much-needed access to the therapeutic
properties and relief of stressors provided
by nature. This arrangement, coupled with
a hierarchy of other outdoor spaces and
therapeutic programs, helps to support
best practices in mental health care and
treatment that are patient-centered to
support empowerment and recovery.
Passive versus active surveillance
The design-based research has been
innovative in promoting a therapeutic
model that moves from one based on active
surveillance to one that promotes a patient-
focused model using passive surveillance.
Models based on active surveillance and
security goals use direct sightlines as
the primary determinate of architectural
form. The result is an architectural form
that always places the nurse’s station at a
central and prominent location within the
residential unit.
Contrary to these previous designs,
the courtyard model is an architectural
form that allows for degrees of freedom,
choice, and privacy, while still providing
necessary surveillance to patient-
occupied spaces, such as the day space or
courtyard. Rather than having the nurse’s
station as the central focus, the outdoor
courtyard and access to nature are the
foci and the nurse’s station is provided in
a more discreet location, which results in
improved mentality for patients and better
relationships between patient and staff.
A campus of healing and living
A final fundamental approach that makes
this research and design innovative is
strategically moving away from a singular
“mega-building” and moving towards
a series of buildings in a compact,
pedestrian-focused, campus-like setting.
This not only allows for greater adaptability
to a wide variety of sites and flexibility to
support a range of demographic profiles,
but also provides for a better simulation of
the social and community dimensions of
public life.
One of the corner pins of the patient-
centered care model is caring for patients
in environments that simulate everyday
life in order to provide them with tools to
be functioning members of society. The
campus-like arrangement of buildings
better replicates the home environment
through the design of separate units up to
the community environment through the
treatment mall. It becomes not only a place
for healing but a place for living.
This research intends to highlight the
active role architecture has in the care
program, just as the programming has an
active role in the architecture. There is a
reciprocal relationship between the form
and the therapy. The results have and will
continue to provide great insight into all
future investment in the behavioral health
facilities particularly for the state of Texas
but also beyond. By researching, sharing,
and applying information, the goal was to
raise the level of design for therapeutic
environments and lay the groundwork for
the creation of better mental health care
facilities.
SECTION 10 IMPLEMENTATION_145
APPENDICES
_Sources
_Photo References
_Assessment of Exterior
Building Conditions
_Letter from Texas Historical
Commission
A
_Sources
Background Documents
Texas Department of State Health Services
(September 2009). Texas Comprehensive
Mental Health Plan; Update Report for
Fiscal 2010.
Texas Department of State Health Services
(January 2015). State Hospital System
Long Term Plan. As required by S.B. 1,
83rd Legislature, Regular Session, 2013
(Article II, Department of State Health
Services, Rider 83).
Texas Department of State Health Services
(2015). Texas Laws Relating to Mental
Health; 20th Edition. Order for Extended
Mental Heath Services, pp101-103; Order of
Care and/or Commitment, p. 103.
Texas Department of State Health Services
(May 2015). Design Guide for the Built
Environment for Behavioral Health
Facilities; p. 27 -28, p. 29-37, Patient
Rooms, p. 45-47, Admissions.
Texas Department of State Health Services
(2010). Friends and Family Guide to Adult
Mental Health Services.
Cannon Design et al. (November 2014).
Analysis for the Ten-Year Plan for the
Provision of Services to Persons Served
by State Psychiatric Hospitals. For the
Texas Health and Human Commission in
collaboration with the Texas Department of
State Health Services.
Department of Health and Human
Services (2003), Achieving the Promise,
Transforming Mental Health Care in
America; The President’s New Freedom
Commission on Mental Health, 2003.
148_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL
Other Sources
Texas House Select Committee on Mental
Health (December 2016). Intermin Report
to the House of Representatives 85th Texas
Legislature.
Centre for Addiction and Mental Health
(CAMH) (January 2008). Master Vision –
Transforming Lives. C3 Community Care
Consortium.
Golembiewski, Jan Alexander (2015).
Mental Health Facility Design: The Case for
Person-centered Care. Australian & New
Zealand Journal of Psychiatry, 49 (3).
Karlin, Bradley E. and Zeiss, Robert A
(2006). Environmental and Therapeutic
Issues in Psychiatric Hospital Design:
Toward Best Practices. Psychiatric
Services, October 2006, 57 (10).
McCuskey-Shepley, Mardelle; Pitts, Francis;
Kelkar, Janhawi; Fronsman, Andrea
(2016). Mental and Behavioral health
environments: Critical considerations for
facility design. General Hospital Psychiatry,
June 2016.
Novotna, Gabriela; Urbanoski, Karen A.;
and Rush, Brian R (2011). Client-Centered
Design of Residential Addiciton and Mental
Health Facilities: Staff Perceptions of Their
Work Environments. Qualitative Health
Research, 21(11). 1527-1538.
Sharfstein, SS, and Dickenson, FB (2008).
Textbook of Hospital Psychiatry, edited.
Psychiatric Publishing Inc., Washington,
D.C., 2008
Glick, Ira D.; Sharfstein, Steven S; and
Schwartz, Harold I. (2011). Inpatient
Psychiatric Care in the 21st Century: The
Need for Reform; Psychiatric Services,
February. 2011, Vol. 62, No. 2.
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https://www.healthdesign.org/
http://www.citylab.com/design/2014/11/
what-architecture-is-doing-to-your-
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programs.aspx
http://www.mentalhealthportland.org/
oregon-state-hospital-opens-new-wing-
offers-public-tours-and-more/
http://www.oregon.gov/oha/osh/Pages/
trails-video-tour.aspx
http://www.nytimes.com/2013/04/01/us/
cuckoos-nest-hospital-is-now-a-museum.
html?_r=0
http://nbc16.com/news/local/new-
psychiatric-hospital-in-junction-city-to-
welcome-first-patients-this-week
http://journalism.uoregon.edu/newsroom/
newscasts/psychiatric-hospital-opens-
junction-city/
http://designawards.architects.org/wp-
content/uploads/2015/02/Ellenzweig5-
1920x1280.jpg
http://iidanc.org/honorawards/oregon-
state-hospital-junction-city/
Vermont Psychiatric Care Hospital –
Berlin, Vermont (2014)
http://www.aplususa.com/Portfolio/
ProjectDetail.aspx?project=Vermont_
Psychiatric_Care_Hospital
http://www.wptz.com/news/vermont-
new-york/burlington/New-Vt-psychiatric-
hospital-under-construction-in-
Berlin/18057718
VA Palo Alto Mental Health Center - Palo
Alto, California (2012)
http://www.dpsf.com/va-palo-alto-mental-
health-center.html
http://www.mccarthy.com/projects/va-palo- Medium Secure Unit – United Kingdom
alto-mental-health-facility
https://www.behance.net/gallery/4130609/
VA-Palo-Alto-Mental-Health-Facility-
Photography
http://www.paloalto.va.gov/features/
designguide.asp
http://www.oneworkplace.com/our-clients/
portfolio/office-design-portfolio-pava/
http://www.dpsf.com/va-palo-alto-mental-
health-courtyard.html
Centre for Addiction and Mental Health,
Queen Street Redevelopment – Toronto,
Canada (2014)
http://www.camh.ca/en/hospital/about_
camh/CAMH_redevelopment/Pages/
CAMH_redevelopment.aspx
Southwest Centre for Forensic Mental
Health Care – St. Thomas, Canada (2013)
http://www.lfpress.com/2013/06/14/this-is-
as-close-as-you-want-to-get
https://s-media-cache-ak0.
pinimg.com/564x/ae/ca/e3/
aecae345e2e9041e3af5204dd42c0a0e.jpg
http://www.parkin.ca/projects/southwest-
centre-for-forensic-mental-health-care/
http://www.parkin.ca/blog/parkin-private-
public-partnerships-past-and-present/
http://revlite.com/pages/institutional-
rmhc-st-thomas
Our Lady of Lourdes Hospital: Acute
Psychiatric Facility - Drogheda, Ireland
(2015)
http://www.westernbuild.com/portfolio-
item/our-lady-of-lourdes-hospital-acute-
psychiatric-facility/
Broadmoor Hospital - United Kingdom
(2017)
http://www.wlmht.nhs.uk/about-wlmht/
redevelopment/broadmoor-hospital-
redevelopment/
St Bernard’s Hospital, Thames Lodge
(2016)
http://www.wlmht.nhs.uk/about-
wlmht/redevelopment/st-bernards-
redevelopment/
http://www.buildingconstructiondesign.
co.uk/news/new-60m-mental-health-
building-opens-at-st-bernards-hospital/
http://www.buildingtalk.com/wp-content/
uploads/ABCD_0816_p047.jpg
Psychiatric Regional Hospital – Slagelse,
Demark (2015)
http://www.psbj.co.uk/features/from-the-
magazine/healthcare/866-psychiatric-
hospital-demonstrates-the-healing-power-
of-good-architecture
http://backstage.worldarchitecturenews.
com/wanawards/project/the-new-
psychiatric-hospital-in-slagelse/?source=s
ector&mode=listing&selection=longlist
http://www.vla.dk/english/nyheder/
news_31082015.htm
APPENDIX A SOURCES_149
New psychiatric hospital in Ballerup
Demark

http://www.archdaily.com/579811/we-
shares-first-prize-for-danish-psychiatric-
hospital

New Psychiatry Bispebjerg - Demark

http://worldarchitecture.org/authors-links/
cchgf/henning-larsen-architects-wins-
competition-of-new-mental-health-
Water Infrastructure Sources

Handbook of Water Sensitive Planning

and Design; Edit. Robert L. France, Lewis
Publishers, pp 11 - 34

Wetland Design, Principles and Practices

for Landscape Architects and Land-Use
Planners; Robert L. France, W. W. Norton,
New York, pp 13 – 16.

Time Saver Standards for Architectural

B
building-at-bispebjerg-hospital.html Design Data, Seventh Edition, D. Watson, M.
J. Crosbie, J. H. Callendar in mem. McGraw
Helsingor Psychiatric Hospital - Helsingor,
Hill, Newy York, pp. 12 – 18
Denmark (2005)
Architectural Graphic Standards, Twelfth
http://jdsa.eu/psy/
Edition, Ramsey / Sleeper; John Ailey and
http://architizer.com/projects/psychiatric- Sons New York, pp. 148 – 152
hospital-helsingor/
Building Design and Construction
http://www.worldarchitecturenews.com/ Handbook, Fifth Edition; Fredrick S. Merritt,
project/2009/11370/bjarke-ingels-group/ Jonathan T. Ricketts; McGraw Hill, New
helsingor-psychiatric-hospital-in- York, pp 3.14 – 3.18
helsingor.html
www.stormtech.com
Helix, Forensic Psychiatric Clinic of
www.biocleanenvironmental.com
Stockholm – Sweden (2012)
www.contech.com
http://www.archdaily.com/306960/
helix-forensic-psychiatric-clinic-of- www.hdswaterworks.com
stockholm-bsk-arkitekter/50c981f9b3fc
4b7062000149-helix-forensic-psychiatric-
clinic-of-stockholm-bsk-arkitekter-photo

New Psychiatric Clinic, Borås, Sweden

http://backstage.worldarchitecturenews.
com/wanawards/project/the-new-
psychiatric-clinic/?source=sector&selecti
on=all

Kronstad Psychiatric Hospital / Origo

Arkitektgruppe - Bergen, Norway (2013)

http://www.archdaily.com/451158/
kronstad-origo-arkitektgruppe

Psychiatric Building, Östra Hospital –

Gothenburg, Sweden (2007)

http://en.white.se/good-architecture-
improves-care-new-study-at-ostra-
hospital/

http://en.white.se/projects/healthcare-
building-for-psychiatry-ostra-hospital/

150_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

B
_Photo References
Figures, diagrams, plans, models, and
renderings with no numerical reference have
been produced by The University of Texas
at Austin School of Architecture Center for
Sustainable Development (UTSOA CSD) for
the purpose of this study.
1_https://s-media-cache-ak0.pinimg.com/
originals/00/57/4b/00574b42a54ccbba3ada
26719d854b3a.jpg
2_UTSOA CSD
3_Google Earth
4_http://venhoevencs.nl/projects/health-
park-bispebjerg/
5_http://www.aplususa.com/Portfolio/
ProjectDetail.aspx?project=Vermont_
Psychiatric_Care_Hospital
6_http://iidanc.org/wp/wp-content/
uploads/2016/07/HEAL_OSH-Junction-
City-16-9-1024x683.jpg
7_http://www.archdaily.com/306960/helix-
forensic-psychiatric-clinic-of-stockholm-
bsk-arkitekter/50c981b6b3fc4b7062000
13c_helix-forensic-psychiatric-clinic-of-
stockholm-bsk-arkitekter_5-jpg/
8_http://www.aplususa.com/Portfolio/
ProjectDetail.aspx?project=Vermont_
Psychiatric_Care_Hospital
9_ http://www.archdaily.com/451158/
kronstad-origo-arkitektgruppe/528ebd
8de8e44e53680001e9-kronstad-origo-
arkitektgruppe-photo
10_http://iidanc.org/honorawards/oregon-
state-hospital-junction-city/
11_http://www.hok.com/about/
news/2016/04/15/hok-designed-oregon-
state-hospital-wins-iida-northern-
california-merit-award/
12_http://www.mimoa.eu/projects/
Denmark/Slagelse/Psychiatric%20
Hospital/?abvar1&utm_expid=3171585-1.
Zst3sBQAQPev0fWzS8OUQg.1&utm_
referrer=https%3A%2F%2Fwww.google.
com%2F
13_http://www.archdaily.com/306960/helix-
forensic-psychiatric-clinic-of-stockholm-
bsk-arkitekter/50c981c8b3fc4b7062000
13f-helix-forensic-psychiatric-clinic-of-
stockholm-bsk-arkitekter-photo
26_ http://www.westernbuild.com/
portfolio-item/our-lady-of-lourdes-
hospital-acute-psychiatric-facility/
27_Google Earth 2016
28-43_UTSOA CSD
44_RUSK CONVICTS WORKING ON THE
TEXAS CAPITOL, Sandra Allen Fuller
Thesis, 1982
45_Texas State Archives
46-49_UTSOA CSD
14_http://www.ellenzweig.com/projects/
health/commonwealth-massachusetts 50_ http://www.archdaily.com/780583/
san-martin-de-la-mar-square-zigzag-ar
15_ http://backstage.
quitectura/569db086e58eceadb00000a3-
worldarchitecturenews.com/wanawards/
san-martin-de-la-mar-square-zigzag-
project/the-new-psychiatric-hospital-in-sla
arquitectura-photo
gelse/?source=sector&mode=listing&selec
tion=longlist 51_ https://davisla5.files.wordpress.
com/2014/06/queen-elizabeth-olympic-
16_http://www.buildingtalk.com/wp-
park-stratford-london-steps-and-landings.
content/uploads/ABCD_0816_p047.jpg
jpg
17_http://www.aplususa.com/Portfolio/
52_ http://www.alliesandmorrison.com/
ProjectDetail.aspx?project=Vermont_
project/boarding-house-test/
Psychiatric_Care_Hospital
53_http://thesetingstaketime.com/
18_http://www.archdaily.com/451158/
post/54421434849/thegiftsoflife
kronstad-origo-arkitektgruppe/528eb
dd1e8e44efc1f000204-kronstad-origo- 54_https://www.architonic.com/en/story/
arkitektgruppe-photo alyn-griffiths-help-the-aged-innovative-
adaptive-reuse-in-architecture/7000565
19_ http://www.rhaa.com/
uploads/5775ac13a2675.jpg 55_http://ssigc.com/wp-content/
uploads/2014/10/GentryLibrary.jpg
20_ https://commons.wikimedia.org/wiki/
File:TexasDeptStateHealthServAustinTX. 56_https://s-media-cache-ak0.
JPG#metadata pinimg.com/originals/2f/b0/
21-23_UTSOA CSD af/2fb0af9380cfb9c02051ce4c9c6b3e03.jpg
57_UTSOA CSD
24_http://www.archdaily.com/579811/we-
shares-first-prize-for-danish-psychiatric-
58_ https://s-media-cache-ak0.pinimg.
hospital
com/originals/86/98/28/8698286b7b9bd4
25_ http://files.archinect.com/uploads/ai/ 343b86df7d18dd7d98.jpg
aiu_081001_CP_WPC_102.jpg
APPENDIX B PHOTO REFERENCES_151
C
_Assessment of Exterior Building Conditions
Introduction
As part of the University of Texas Rusk
State Hospital project, we conducted an
on-site assessment of exterior conditions
of several buildings on June 7, 2016. The
weather was sunny with temperatures in
the 80s. Our assessment was conducted
from the ground level using binoculars
to inspect high-up locations. Although
some background information about Rusk
State Hospital was reviewed prior to our
inspection, elevation drawings were not
available. Because our time at the site was
limited, we selected several Rusk State
Hospital buildings that represent different
construction periods:
• 501, Administration Building
• 505, Pharmacy
• 506, Record Storage
• 516, Clothing Center
• 517, Chapel
The following is a summary of exterior
conditions affecting the above buildings
with comments about possible sources
of deterioration. Additional information
about each of the buildings inspected
and photographs of conditions follow
the summary. Our report concludes
with a brief discussion of work that may
be required to preserve the Rusk State
Hospital buildings.
152_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL
Summary of Conditions
The primary materials of the buildings
surveyed include sandstone and brick.
Wood, stucco, steel and aluminum
were also noted. There are a variety
of deterioration conditions affecting
exterior materials of the Rusk State
Hospital buildings surveyed and the extent
of deterioration ranges from slightly
deteriorated to severe.
All of the buildings surveyed have been
painted, making it difficult to identify some
of the underlying substrates. For example,
it was not possible to determine whether
the window sills and stringcourse of the
Chapel are precast concrete or limestone.
Paint may also mask deterioration
conditions and old repair work on the Rusk
State Hospital buildings.
Much of the existing deterioration noted
during our survey appears to be related
to water intrusion. With some buildings,
the upward migration of water from the
ground level (rising damp) affects masonry
materials up to the first story sills. The
drainage ditch (moat) that surrounds the
Administration Building (501) appears to
be an attempt to address rising damp, but
this measure has not been successful in
preventing water intrusion. In fact, the
Administration Building exhibits the most
severe deterioration related to rising damp.
Some of the water-related deterioration
appears to be from poorly functioning
gutters and downspouts. Although roofs
and downspouts have been recently
replaced, the existing deterioration
conditions provide evidence of previous
problems with water drainage.
The deterioration conditions related
to rising damp and water drainage
problems have been exacerbated by the
application of paint coatings that do not
allow for water vapor transmission. The
existing conditions indicate that moisture
has been trapped within the brick and
sandstone walls, eventually resulting in
masonry deterioration and peeling paint.
These conditions are sometime severe.
Exposed sandstone of the Administration
Building and Building 505 is friable in
many locations with associated losses and
delamination.
The reddish brown color of Rusk State
Hospital sandstone is from its high iron
content. Based on existing water-related
deterioration, water absorption of the Rusk
State Hospital sandstone is relatively high.
Although the exact source of the building
stone is not known, there are several
formations of ferruginous sandstone in
Cherokee County. It seems likely that
the source of the Rusk State Hospital
sandstone is located near the iron ore
deposits that were mined for the prison’s
iron smelting operations.
Brick walls are also affected by water-
related deterioration but conditions are not
as severe as those affecting the sandstone.
Brick of the Rusk Hospital Buildings
appears to be of two types. Some of the
older buildings have a smooth-faced brick;
other buildings have an extruded, striated
brick
In many locations, old repair work appears
to be contributing to deterioration. An
example is the Administration Building
where many of the mortar joints have
been repointed. In many areas, the
mortar appears to be less deteriorated
than adjacent sandstone, suggesting
that the repointing mortar is harder and
less permeable than the sandstone.
Another problematic repair is the cement
coating (e.g., shotcrete) that was noted on
sandstone of the Administration Building
and Building 505. This material is likely
a mixture of cement, sand, and water
that was applied through a pressure
hose, producing a dense hard layer. The
condition of the sandstone below this
repair material is not known, but we expect
that the cement coating will be difficult to
remove.
Cracks were occasionally noted in several
buildings, but most do not appear to pose
an immediate health and safety risk.
However, the step cracks are indications
of building movement and should be
monitored to assess whether they are
stable or still active. The cracks that were
noted in the Administration Building turrets
are a more serious concern. Extensive
structural cracks were noted in the turrets,
located at the northeast and southeast
corners. According to a Rusk State
Hospital staff member, these cracks were
first noticed approximately six months ago.
There also are cracks in several keystones
of window lintels and sill stones of the
Administration Building. Displacement
of some of the window lintels may be an
associated condition. We recommend
having a structural engineer assess the
cracks and displacement affecting the
Administration Building turrets.
501, Administration Building
Construction of Building 501 was
completed in 1878, and it now serves as
the Rusk State Hospital Administration
Building. Primary exterior materials
include reddish brown sandstone and brick.
Both materials have been painted with
white paint coatings. The enclosed porch
on the second story of the east elevation is
now covered with wood clapboard. Window
frames and sash are also wood. At the east
elevation entrance, below grade walls are
concrete. The drainage ditch or “moat”
which surrounds much of the building
appears to be concrete that was poured
over brick or sandstone.
APPENDIX C ASSESSMENT OF EXTERIOR BUILDING CONDITIONS_153
The sandstone walls of the Administration
building are affected by severe erosion and
losses throughout. These deterioration
conditions are exposed by peeling paint.
Deterioration affects sandstone from grade
level to the first story sills throughout
the building. Paint losses and sandstone
deterioration are also present at the
downspouts and at the east elevation soffit.
In some areas, the exposed sandstone is
delaminating and efflorescence was noted
on exposed sandstone in several locations.
Cracks are present at keystones of the
window lintels and at sill stones, especially
near the turrets. Displacement of some of
the window lintels was also noted. There
are extensive vertical cracks in sandstone
of the turrets.
Peeling paint also affects brick walls of
the Administration Building but brick
deterioration is not as severe as that
described for sandstone. Step cracks were
noted in several locations and open joints
were occasionally noted in both sandstone
and brick walls. Wood rot affects many of
the window sashes.
505, Business Building, Pharmacy
Like the Administration Building, the
construction of Building 505 dates from
the late 19th century. Building 505 has
sandstone walls on the first story that have
been painted. Peeling paint on some of the
sandstone lintels has exposed the original
bush-hammered sandstone finish. Second
story walls are brick that is covered with
stucco that has been painted. The second
story walls project slightly over the first
story. A Rusk State Hospital staff member
suggested that the second story may
have been a later addition to the building.
Although most of the windows have non-
original metal sash, a few windows retain
their original wood frames.
Sandstone of Building 505 is deteriorated
throughout the first story with severe
erosion and losses in some areas.
Biological growth is present on some of
the exposed sandstone that is adjacent
to downspouts. The north elevation
has extensive paint loss and sandstone
deterioration. Erosion and losses are also
severe along the grade on all elevations. In
some areas, the sandstone appears to have
a shotcrete or other cement slurry mixture
below the existing paint.
Deterioration of stucco and brick at the
second story level is sometimes severe just
below the roof level. In some areas, stucco
losses have exposed open joins and brick
that appears to be deteriorated. There
are large areas of peeling paint on stucco
surfaces.
154_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL
The wood window frames of Building 505
have peeling paint and wood rot. Several
window openings have been infilled with
brick and stucco.
506, Record Storage
Building 506 was constructed in 1917 and
now serves as a space for record storage.
Materials of Building 506 include a smooth-
faced brick that has been painted, wood
window frames and sashes and steel
window lintels. Window sills appear to be
cast concrete, but the existing paint made
identifying the underlying material difficult.
There are metal tie rods on the south
elevation wall. Building 506 has a new
metal roof, gutters and downspouts.
The overall condition of Building 506
is good, but, like the other Rusk State
Hospital buildings that we inspected,
peeling paint is present throughout.
Most of the peeling paint appears
to be associated with previous roof
and downspout drainage issues; this
deterioration seems to have been stabilized
by replacement of the roof, gutters and
downspouts. Peeling paint and associated
brick deterioration were also noted at the
southeast corner of the building and along
the grade, especially on the east elevation.
The deterioration conditions near grade
may be from rising damp.
Open mortar joints and step cracking
affect the brick walls, and there is severe
brick deterioration with losses adjacent
to window openings on the east elevation.
Wood rot affects many of the window
sashes. Some of the window openings have
brick infill.
516, Clothing Center
Building 516 was constructed in 1926.
Materials include extruded brick with
vertical striations, wood windows, steel
window lintels and precast concrete sills.
There is brick corbelling just below the roof
line. Like the other Rusk State Hospital
buildings that we inspected, masonry
materials of Building 516 are painted.
The overall condition of Building 516 is also
good. Deterioration conditions present on
Building 516 include step cracks affecting
brick walls, open head joints at window
sills and wood rot. There are also open
joints and peeling paint near grade. Some
window openings have brick infill.
517, Chapel
The Chapel was constructed in 1937.
Materials include extruded brick with
vertical striations that is similar to brick of
Building 516, and steel windows. Masonry
materials of the Chapel have been painted,
and it was not possible to determine
whether the trim material, including sills,
horizontal string course and cap stone,
are precast concrete or limestone. The
metal roof and downspouts are recent
replacements. Some of the downspouts
were installed in new locations, and there
are unpainted areas where the previous
downspouts were located.
The overall condition of the Chapel is
good. Existing conditions include dark-
colored biological growth in many areas.
This condition is especially noticeable
at mortar joints. There is deterioration
at grade along the west elevation of the
Chapel. The limestone or precast trim
has numerous cracks, including extensive
vertical cracks on the east elevation entry.
The string course has open head joints
throughout. Corrosion affects most of the
steel windows.
Next Steps
Regarding preservation of the historic
buildings of Rusk State Hospital, the
existing conditions described above
certainly pose challenges. Addressing
the rising damp that affects sandstone of
the Administration Building and Building
505 as well as brick of other buildings
may be difficult. In many cases, similar
problems have been corrected by improving
site drainage. This solution should
be thoroughly investigated. On some
projects, however, improving drainage
has not been effective in arresting rising Our brief inspection of several of the
damp. Alternative solutions have included Rusk State Hospital buildings was carried
installing a chemical or physical damp out during one site visit. The goal of our
course to stop the upward migration of inspection was to identify some of the
water. Both treatments are costly and existing conditions affecting exterior
intrusive. building materials and to consider
possible sources of deterioration. This
Removing the impermeable paint coatings
report provides an overview of some of
from sandstone and brick walls may also
the problems that we observed. A more
be problematic. Although chemical or
thorough inspection of the Rusk State
mechanical paint strippers may be effective
Hospital Buildings will be required before
in removing the exterior paint coatings,
planning any preservation work.
conditions of the underlying substrates
are not known. Repair work as well as
replacement of severely deteriorated
sandstone and brick may be required. Frances Gale
Some of the previously installed repair
materials may also require removal, July 5, 2016
including the hard, impermeable mortars
and the cement coatings that were applied
to sandstone in several locations. Based
on our experience with similar projects,
the cement coatings will be particularly
difficult to remove. We recommend
conducting on-site testing to evaluate
appropriate materials and methods for
removing exterior paint as well as the
cement coatings.
As was previously stated, the existing
cracks in sandstone and brick walls are a
concern. Because cracks are indications of
building movement, a structural engineer
should evaluate brick step cracking as
well as the extensive cracks that affect
sandstone of the Administration Building.
APPENDIX C ASSESSMENT OF EXTERIOR BUILDING CONDITIONS_155
501, east elevation entry 501, sandstone deterioration near grade

501, sandstone deterioration at downspout 501, sandstone efflorescence

501, vertical crack at turret & lintel displacement 501, extensive crack at turret 501, brick step crack

156_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

505, west elevation 505, biological growth on exposed sandstone

505, extensive paint loss on north elevation 505, cement slurry applied to sandstone

505, deterioration of stucco and brick at second story 505, stucco loss and open mortar joints below roof level

APPENDIX C ASSESSMENT OF EXTERIOR BUILDING CONDITIONS_157

506, southwest 506, paint loss at grade

506, step cracking with open mortar joints 506, brick deterioration at east elevation window

516, north elevation 516, step crack

158_PLANNING MODERN PSYCHIATRIC CARE FACILITIES A TEXAS HOSPITAL

516, open head joint at window sill 516, peeling paint at grade

517, east elevation 517, biological growth at mortar joints

517, west elevation deterioration at grade 517, corrosion of steel windows

APPENDIX C ASSESSMENT OF EXTERIOR BUILDING CONDITIONS_159

D
 Rusk State Hospital Feasibility Study: Texas Historical
Commission Report

INTRODUCTION
Thank you for the opportunity to participate in the working group studying the potential redevelopment of the
Rusk State Hospital (RSH). In accordance with House Bill 1 (84th Legislature, Regular Session) and the Antiquities
Code of Texas, the Texas Historical Commission (THC) offers the following comments on the potential effect of
the redevelopment proposals on historic and cultural resources.

REGULATORY FRAMEWORK
Under the Antiquities Code of Texas, when notified of a project by another state agency, THC will inform the
agency if historic properties or archaeological sites involved in the proposed project are designated as State
Antiquities Landmarks (SAL) or are eligible for SAL designation. Regardless of a properties eligibility for
designation, THC may also provide advisory comments or technical guidance.

Should any redevelopment of RSH include federal involvement, such as federal funding for capital improvements
(in whole or in part), federal permits, or other federal approvals, compliance with Section 106 of the National
Historic Preservation Act will also be necessary. Section 106 requires the responsible federal agency to consider the
effect of their undertaking on historic properties—those properties listed in, or eligible for listing in, the National
Register of Historic Places—and seek ways to avoid, minimize, or mitigate any adverse effects.

HISTORIC CONTEXT
Although the Rusk State Hospital opened in 1919, the site and the Administration Building date back more than
four decades prior, to the East Texas Penitentiary. Established by the Legislature in 1875 to ease overcrowding at
the Texas State Penitentiary in Huntsville, then the only state prison, the East Texas Penitentiary was sited in Rusk
to take advantage of the local iron ore resources. A series of furnaces and foundries on the prison grounds utilized
prison labor to produce pig iron and cast iron finished products for distribution across the country. The most
notable examples of the prison’s work are the columns and other cast iron elements used in the construction of the
State Capitol in Austin.

The iron mining and production operations never proved profitable, even with the construction of the Texas State
Railroad from Rusk to Palestine, and the foundries closed in 1910.1 In 1917, the penitentiary closed altogether and
the Legislature ordered the facility converted into a mental hospital. Though originally slated to house only African
American patients, the property reopened as the East Texas Hospital for the Insane in 1919 with 600 patients of all
races. Renamed the Rusk State Hospital in 1925, the site continued to expand adding a chapel, specialty clinics,
patient wards, and a variety of farms and support services to meet the facility’s needs. The patient population
peaked in the 1940s with a capacity of over 2,400, before gradually declining as mental health practices evolved.2

The Administration Building (#501) is the largest and most significant building on the RSH campus. Constructed of
brick and locally quarried sandstone between 1877 and 1883 by the firm of Henry Kanmacher and Rush S. Denig of
Columbus, Ohio, with Frederick Ernst Ruffini serving as supervisory architect, the two-story building held a multi-

1 Handbook of Texas Online, Paul M. Lesko, “Rusk Penitentiary,” accessed July 22, 2016,
http://www.tshaonline.org/handbook/online/articles/jjr01.
Texas Historical Commission, “Rusk Penitentiary Building,” (Historic Marker Application File).
2 Handbook of Texas Online, James W. Markham, “Rusk State Hospital,” accessed July 22, 2016,
http://www.tshaonline.org/handbook/onlin/articles/sbr03.
Rusk State Hospital Redevelopment 1 THC #201609251, August 2016
story system of 528 cells, each holding two inmates.3 The only other remaining building that dates to the prison era
is the Business Building/Pharmacy (#505), which originally served as the dining hall and chapel. In 1979, an Official
Texas Historical Marker for the Rusk Penitentiary Building was dedicated outside of the Administration Building.

The RSH campus contains a high number and concentration of historically significant buildings and spaces that
retain a high degree of historic integrity. Therefore, THC concurs with the recommendations of the University of
Texas (UT) team that a Rusk State Hospital Historic District is eligible for listing in the National Register at the
state level of significance under Criterion A for its association with social and medical history and under Criterion C
for its architecture, with a period of significance of 1877–1966. At a minimum, the proposed historic district would
encompass the following buildings and structures as contributing resources:

 501 Administration Building (c.1883)  524 Patient Storage/Mattress Shop (1935)

 504 Warehouse (1932)  532 Power House (1929)
 505 Pharmacy (c.1883)  533 Pavilion (1950)
 506 Record Storage Building (1917)  535 Officers’ Dorm (1931)
 508 Reimbursement Building (1925)  536 Superintendent’s House (1934)
 511 Patient Ward (1937)  563 Patient Ward (1953)
 512 Patient Ward (1938)  605 Patient Ward (1962)
 513 Patient Ward (1937)  606 Sewer Lift Station/Motor Pool (1962)
 514 Patient Ward (1928)  607 Supply Room/Motor Pool (1962)
 515 Medical Building (1930)  611 Central Rehabilitation (1963)
 516 Clothing Center (1926)  613 Water Treatment Plant (1929)
 517 Chapel (1937)  East Open Space
 519 Central Kitchen (1934)  Prison Wall Remnants (c.1883)
 520 Central Kitchen (1938)  Railroad Remnants
 523 Environmental Services (1933)
We also recommend that buildings 527, 528, and 529 be included within the boundary of the proposed historic
district as they were constructed during the period of significance to serve as additional patient wards. However, as
they are now part of the Texas Department of Criminal Justice Skyview Unit, are not anticipated to be part of any
RSH campus redevelopment, and were not accessible for inspection, no recommendation is made here on their
contributing or non-contributing status. THC recommends that the Administration Building is also individually
eligible for listing in the National Register and designation as a Recorded Texas Historic Landmark.

RECOMMENDATIONS
The working group studying the feasibility of rehabilitation and new construction of the Rusk State Hospital
facilities is considering various options that include some combination of constructing new facilities, rehabilitating
existing buildings, and demolishing existing buildings. The THC offers the following recommendations for best
practices in historic preservation relative to these topics.

Additional Research
Prior to any demolition, disposition, major renovation, or other capital improvement project at the RSH campus,
THC recommends additional research, especially on the history and condition of the specific subject building(s).
This research will allow THC, project consultants, and the public to provide comments, guidance, and
recommendations in a greater level of detail, tailored to the existing conditions of each building.

Construction of New Facilities

3 Susan Jean Dickey, “F.E. and Oscar Ruffini, Texas Architects, 1877–1917” (PhD Dissertation, Texas Tech University, 1993), 143–144.
Rusk State Hospital Redevelopment 2 THC #201609251, August 2016
The RSH campus contains one individually significant building and a historic district eligible for historic
designations, as described above. These historic properties should be among the constraints considered when
determining the locations, footprints, massing, and design for any new construction. Significant landscape features,
such as mature trees and designed open spaces, should also be preserved where possible.

New construction should be sited to minimize the need for demolition. The studies prepared by UT team
developed ideal diagrams for the distribution of various functions required for RSH and test fit these prototypes
with consideration for how they can be integrated into the historic campus. Therefore, of these, our preference is
for the first option, as presented to the working group on August 11, 2016, that incorporates a minimum of four
historic buildings including Building 501. Without the retention of Building 501 the remaining buildings and
features of the historic district will have no context, greatly diminishing their historic integrity.

The THC evaluates modifications to historic buildings and their environs using the Secretary of the Interior’s Standards
for Rehabilitation, ten standards that establish best practices for historic preservation. Regarding additions to or new
construction in the vicinity of historic buildings, they state that “new work shall be differentiated from the old and
shall be compatible with the massing, size, scale, and architectural features to protect the historic integrity of the
property and its environment.” Given that most new buildings are proposed to be a single story in height, they will
be in keeping with the one- to two-story buildings that characterize the RSH campus. Attention should also be paid
to the buildings’ form, materials, and other aspects of their design. Differentiated yet compatible construction can
take a range of appearances from traditional to modern. 4

Rehabilitation of Existing Buildings

Rehabilitation of historic buildings for modern use should be fully explored as part of any redevelopment proposal.
To the maximum extent feasible, available historic properties should be used to fulfill the mission of Rusk Hospital.
Administrative and support functions, and to some extent recreational/vocational uses, have considerable flexibility
and compatibility with the existing building fabric. The UT study identified that administrative functions can be
housed in multi-level buildings, specifically Building 501. Residential and medical/therapy areas must conform to
current best practices for patient care and may have more limited potential to work within the historic buildings, but
the feasibility of reuse should nevertheless receive careful consideration. Those historic buildings to remain that are
not identified for use by RSH functions could be made available for lease by other state agencies, non-profit
organizations, or business offices, as appropriate.

Given its historic significance, its unique architecture, and its prominent location, the preservation and compatible
rehabilitation of the Administration Building, and respect for its historic setting, must be of utmost importance
when planning for the future of RSH. Based on historic significance and historic integrity, not on an in-depth
analysis of their structural condition or suitability for reuse, we recommend the preservation and compatible
rehabilitation of the other contributing buildings in the historic district be prioritized as follows:

 Tier I (High): 505, 508, 516, 517, and the East Open Space
 Tier II (Medium): 506, 511, 512, 513, 535, 536, 563, and the Prison Wall Remnants
 Tier III (Low): 504, 509/510, 514, 515, 519, 520, 523, 524, 532, 533, 605, 606, 607, 611, 613, 615 and the
Railroad Remnants

Rehabilitation of historic buildings should conform to the Secretary of the Interior’s Standards for Rehabilitation. These
standards emphasize retention of significant, character-defining features—including those features that are not
original but that have acquired significance over time—and historic materials while offering flexibility to

4 36 C.F.R. 67. See https://www.nps.gov/tps/standards/rehabilitation.htm; The Secretary of the Interior’s Standards for Rehabilitation &
Illustrated Guidelines for Rehabilitating Historic Buildings, https://www.nps.gov/tps/standards/rehabilitation/rehab/index.htm; and additional
guidance documents on a variety of topics at https://www.nps.gov/tps/how-to-preserve/by-topic.htm.
Rusk State Hospital Redevelopment 3 THC #201609251, August 2016
accommodate efficient modern use through compatible alterations, additions, code-mandated upgrades, and
accessibility improvements.

Demolition of Existing Buildings

Prior to selecting a proposal that would require demolition of historic buildings, the THC strongly recommends
careful evaluation of alternate locations or configurations for new facilities and the feasibility of reusing existing
buildings. In particular, the buildings identified above as high- or medium-priority for preservation should be
retained where possible.

Should historic buildings be proposed for demolition, Historic American Buildings Survey (HABS) documentation
would provide a permanent archival record for future study. Beyond individual building-by-building recordation,
comprehensive documentation of an entire campus would also capture the setting of those historic buildings to
remain before new construction occurs. HABS documentation includes large-format, black-and-white photography
that may be accompanied by written history and measured drawings. The THC and the National Park Service can
consult on the appropriate level of documentation. HABS is the federal government’s oldest preservation program,
and the Library of Congress maintains records on more than 40,000 historic properties, which are available to the
public without copyright limitations. Other potential repositories for documentation materials include the THC and
the Cherokee County Historical Commission.

If some but not all of the historic buildings on a campus will be demolished, materials such as brick, stone,
windows, doors, and decorative details could be salvaged to repair those buildings that remain.

Long-Term Preservation Strategies

National Register of Historic Places Listing
At this time, no buildings on the RSH campus are listed in the National Register of Historic Places, individually or
as part of a historic district. Although this designation is primarily honorary, it does confer some significant
advantages. Federal and state tax credits for rehabilitation, further described below, are available to qualifying
projects in National Register-listed buildings. The State of Texas also offers a sales tax exemption on labor to repair,
restore, or remodel buildings listed in the National Register. As stated above, THC concurs that the Administration
Building (#501) is eligible for individual listing in the National Register and that the overall RSH campus is eligible
as a historic district.

State Antiquities Landmark Designation

Designation as a State Antiquities Landmark (SAL) is the highest form of historic recognition available at the state
level and offers the strongest legal protection. For a building designated as an SAL, THC must review and issue an
Antiquities Permit for proposed work to the exterior or to publicly-accessible interior spaces to ensure compliance
with the Secretary of the Interior’s Standards for Rehabilitation. As a prerequisite for SAL designation, buildings and
structures must first be formally listed in the National Register of Historic Places, either individually or as a
contributing resource within a historic district. Because RSH is not currently listed in the National Register, it is not
eligible for designation as an SAL at this time.

Recorded Texas Historic Landmark Designation

A subset of the Official Texas Historical Marker program, the Record Texas Historic Landmark (RTHL)
designation is given to historically and architecturally significant properties that are worthy of preservation. The
designation comes with a measure of protection under Texas law and requires the property owner to notify the
THC of any proposed exterior work and allow the THC the opportunity to comment. The other type of marker,
called subject markers, are solely for educational and informational purposes only and do not confer landmark
status on the property and do not require THC notification.

At this time, no buildings on the RSH campus are designated as Recorded Texas Historic Landmarks (RTHL); the
existing Rusk Penitentiary Building marker is a subject marker only, but the Administration Building is eligible for

Rusk State Hospital Redevelopment 4 THC #201609251, August 2016

designation as an RTHL. Typically, RTHL designation is applied only to individual buildings, not districts or
multiple buildings.

Preservation Covenant or Easement

The THC holds preservation covenants and easements that offer strong legal protection for significant historic
properties. These instruments are filed in county deed records and are binding on future owners in perpetuity or for
a specified duration. Such protections could be attached to the deed or made a requirement of any sale from the
State of Texas to a private owner and would guide future redevelopment in a preservation-oriented direction. A
covenant or easement can provide a similar level of protection as SAL designation without the lengthy designation
process.

Federal and State Tax Credits for Rehabilitation

The Federal Historic Preservation Tax Incentives Program includes a 20 percent income tax credit for the
rehabilitation of historic buildings listed in the National Register. The Texas Historic Preservation Tax Credit
Program offers a 25 percent franchise tax credit for the rehabilitation of historic buildings listed in the National
Register or designated as SALs or Recorded Texas Historic Landmarks. The federal tax credit is available to
income-producing properties, while the state tax credit is also available to non-profit organizations. These programs
spur economic development and incentivize the adaptive use of significant historic buildings by making projects
more viable. The federal and state tax credits are not available to government agencies or political subdivisions of
the state, but are available to long-term private lease holders.

FEASIBILITY STUDY OPTIONS

The RSH studies prepared by the UT team includes a current programmatic distribution of the campus, historical
significance analysis of each building, preliminary building conditions, and preliminary interior building conditions.
Road infrastructure analysis, on-site parking, existing landscaping, and a surface hydrology analysis is also included.
A breakdown of how best practices can be integrated into the hospital campus is also underway. The most recent
version, discussed on August 11, 2016, includes three approaches for the redevelopment of the campus. We look
forward to future consultation as plans continue to develop.

Option 1
The first option includes the retention of 501, 506, 517, and 532. The plan also incorporates the possibility of
retaining buildings 511, 512, 513, 535, 536, 563, 605, and 611. This option would be optimal since it retains the
most historic buildings. The new one and two story infill buildings follow best practices and allow the campus to be
compact while providing the ability to expand at a later date if necessary.

Option 2
The second option includes the retention of 501, 506, and 532. The plan also incorporates the possibility of
retaining buildings 511, 512, 513, 535, 536, 563, 605, and 611. While this option does not include the preservation
of building 517, it allows a greater amount of focus to be made on the preservation of Building 501. As a center
point of the campus, 501 should be top priority when preservation efforts begin.

After the proposed demolition plan, infill is suggested in a grid like pattern connecting various wards of patients
with their respective administrative staff while keeping an open concept so all patients have access to natural light
and can view a central courtyard within each ward. This plan also sections off various areas of the of the campus
which will include, building operations, maximum security, administration, admissions, outreach, and a therapy mall.

Option 3
The third option would entail replacing all but 501, 506, and 532. Several infill buildings are proposed including
both one- and two-story buildings, though two-story may not be required based on the number of new structures.
Building 501 would be used mostly for administrative purposes and the newly constructed buildings would house
patients and support staff. As with Options 1 and 2, the new buildings will be in a grid pattern allowing all of the

Rusk State Hospital Redevelopment 5 THC #201609251, August 2016

building to be exposed to natural sun and a small courtyard. This design will also allow for easy additions or
sectioning off for alternative use, such as maximum security.

CONCLUSION
We appreciate this chance to be involved early in the planning process for the future of the Rusk State Hospital.
THC staff members in the History Programs, Architecture, and Archeology Divisions are available for further
consultation and discussion of any of the recommendations listed above. If you have any questions concerning our
recommendations regarding potential historic designation of the property, please contact Justin Kockritz in our
History Programs Division at 512/936-7403 or justin.kockritz@thc.texas.gov. For more information regarding our
comments on redevelopment plans, please contact Lydia Woods in our Division of Architecture at 512/463-9122
or lydia.woods@thc.texas.gov.

We look forward to further consultation with your office and the feasibility study working group, and hope to
maintain a relationship that will foster effective historic preservation. Thank you for your efforts to preserve the
irreplaceable heritage of Texas.

Rusk State Hospital Redevelopment 6 THC #201609251, August 2016

_Acknowledgements
The University of Texas at Austin School of Architecture Center
for Sustainable Development would like to thank the following
individuals for their time and input into this study:
DSHS STEERING COMMITTEE
Mike Maples, DSHS Assistant Deputy Commissioner
Kirk Cole, DSHS Senior Advisor
Tim Bray, DSHS State Hospitals Section Director
Peggy Perry, DSHS State Hospitals Section
Ricky Garcia, DSHS Center for Policy and External Affairs (CPEA)
Director
Kerry Raymond, DSHS State Hospitals Section Assistant Director
Brenda Slaton, RSH, Superintendent
Michelle Foster, RSH, Assistant Superintendent
Victor Moore, HHSC Special Projects Manager
David McCormick, DSHS Hospital Construction Projects, Executive
and Staff Operations
Rachael Hendrickson, DSHS CPEA Legislative Affairs Director
Jordan Hill, DSHS CPEA Legislative Liaison
Rhonda Transier, DSHS Workforce Specialist Director
Sylvia Ibanez, DSHS Executive Operations and Support, Center for
Policy and External Affairs
Justin Kockritz, Historian, Federal Programs, Texas Historical
Commission
Elizabeth Brummett, State Coordinator for Project Review, Texas
Historical Commission
Lydia Woods, East Texas Project Review, Texas Historical
Commission
OTHER DSHS HOSPITALS
Alan Isaacson, Superintendent, Austin State Hospital
Rick Hoban, Assistant Superintendent, North Texas State Hospital/
Wichita Falls
Jessica Gutierrez-Rodriguez, Quality Management Director, Texas
Center for Infectious Disease (TCID), also on the Board of National
Healthcare Symposium on Design
Matt Schoenfeld, Plant Engineer, Terrell State Hospital
Matt Faubion, Clinical Director, Kerrville State Hospital
RUSK STATE HOSPITAL
Leah Alexander, Business Manager
Stephanie Allred, Director, Quality and Information Management
Stacey Ambroson, Angelina/San Jacinto Unit Director
Tim Birmingham, Safety/Security Director Community LEADERS
Caanan Blakemore, Nurse Manager, Maximum Security Unit Robert Nichols, Texas Senator
Katie Blakemore, Nurse Manager, San Jacinto Unit Travis Clardy, Texas Representative
Betty Bowden, Supervisor, Switchboard Chris Davis, County Judge, Cherokee County, Texas
Kendra Brown, Job Requisition Coordinator Janice Stone, Court at Law Judge, Cherokee County, Texas
Diedra Clark, Director, Community Relations James Campbell, Sheriff, Cherokee County, Texas
Carmen Cook, Director, Ancillary Services Jim Perkins, President, Citizens 1st Bank
Harold Dement, Assistant Director, Maintenance Charles Hassell, Vice-President, Citizens 1st Bank
Lisa Dudley, Director, Reimbursement Services Larry Long, Austin Bank
Brandy Ellis, Nurse Manager, Nueces Unit Angela Raiborn, Mayor, Rusk, Texas
Burt Gabbert, Director, Psychology Mike Murray, City Manager, Rusk, Texas
Jon Guidry, M.D., Clinical Director Carrie Kesler, President, Rusk Chamber of Commerce
Jeanna Heidel, Director, Pharmacy Scott Davis, Superintendent, Rusk Independent School District
Tylin Jones, Case Manager Bob Goldsberry, President, Rusk Economic Development
Corporation
Marla Kozlovsky, Director, Central Patient Education and
Recreation (PEAR) Bobby Tosh, Owner, Harry’s Building Materials, Rusk, Texas
James LaRue, Unit Director, Hope Residential Unit Ben Middlebrooks, President, RSH Volunteer Service Council
Penny Leake, Nurse Manager, Angelina/San Jacinto Unit David Blackwell, Warden, Texas Department of Criminal Justice,
Rusk, Texas
Pam Marroquin, Director, Utilization Management
Susan Rushing, Executive Director, Burke Center
Cobey May, Director, Food Service
Kathy Mooney, Director, Information Systems
Matthew Moravec-Gallagher, Unit Director, Nueces Unit
Janett Morton, Director, Risk Management
Caron Orbison, Director, Health Information Management (HIM)
Chanda Perry, Chief Nurse Executive
Lynda Roberson, Director of Residential Services
Brooke Rodriguez, Chief Accountant
Linell Sessions, Unit Director, Cypress Unit
Gracie Simon, House Supervisor
Jess Slider, Director, Maintenance
Lana Starkey, Director, Environmental Services
Kerri Taylor, Director, Client Rights, Facility Competency and
Training Development
Rachel Trawick, Unit Director, Maximum Security Unit
58
csd
Center for Sustainable Development
The Center for Sustainable Development
(CSD) was founded in 2001 with a mission
to lead the study and practice of sustainable
development in Texas, the nation, and the
world through complementary programs
of research, education, and community
outreach. The CSD is unique in its
integration of diverse interests to develop
creative, balanced, achievable solutions
to the physical and social challenges
facing the planning, construction, and
preservation of buildings, neighborhoods,
and regions.

The CSD supports the interconnected

nature of the ‘sustainability challenge’
as central to our work; in an attempt—
through research projects, interdisciplinary
teaching and ongoing working groups—to
better understand the connections between
environment, economic prosperity and
social justice.

For more information:

The University of Texas at Austin
School of Architecture
Center for Sustainable Development
310 Inner Campus Drive B7500
Austin, TX 78712-1009
512.471.1922
csd@austin.utexas.edu

www.soa.utexas.edu/libraries-centers/
center-sustainable-development

A Texas Hospital © The University of Texas at

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Center for Sustainable Development
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