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Architecture and design


The full Queen Street frontage of Building D1 – a Crisis and Critical Care Centre.


enhancing campus gateways and creating points of entry from the surrounding streets. The urban park created on the corner of Shaw and Queen Streets is one example. This is CAMH land given over to public amenity. A photo (which he showed) of a community art event on the B1 site is typical of the kind of community activity that now takes place; ‘the type CAMH is seeking to engage with, and involve service-users in’.


An exploded axonometric view of the functional elements within the B1 building was shown to illustrate the principles of planning a vertically organised mental healthcare facility. Jonathan Wilson commented on how different this is to designs delegates had seen before lunch in other presentations. “This building incorporates public and outpatient functions on the lower floors, such as a ‘Patient and Family’ area, a ‘Therapeutic Neighbourhood’, and a ‘Retail’ area,” he explained. “On the upper levels are the inpatient facilities and services. It’s very much a semi-high rise, multi-use building.” The challenge for the design team was: ‘How do you make that work, and how do you make it a safe, manageable environment from a mental healthcare standpoint?’ The D1 building is ‘very similar’, although it has a slightly different floorplate. While it is bigger, it shares the same challenges, with different ‘public- facing’ functions on the lower levels, and inpatient facilities on the upper floors.


‘INTELLIGENT’ BUILDING CONTROLS “What I noticed very, very clearly,” Jonathan Wilson continued, “is that there is a whole integrated system of digital ‘intelligent’ building controls embedded in the buildings’ fabric – from staff location tracking to internal business systems, and IT systems for back office use. There are also systems that control lighting, access via doorways, access to and from elevators, and video surveillance. On the emergency admission ward, for example, service-users are assessed on entry and given a digital ‘bracelet’. Their access privileges are programmed into this bracelet, and this forms a really important part of the building’s infrastructure.” Alongside the technology, the design team also developed ‘a comprehensive interior design strategy, using evidence-based theory’. Out of this emerged a series of colour schemes to help enhance mood ‘in a way helpful to the patient experience, and to the delivery of effective care’. By way of example, Jonathan Wilson showed an image of a wide window seat with strong colour tones and decorative wallcovering. “You can see how this has manifested itself in the very intimate personal


The Community room on level 1 of D1.


The Emergency Waiting area within the Centre.


The entry area and main north/south street in D1.


spaces at the upper levels of the building, where people who are living there for a period of time can feel comfortable and relaxed,” he observed.


‘PERMEABLE’ BUILDINGS In closing, Jonathan Wilson showed a series of rendered images of the B1 and D1 buildings, ‘to illustrate their urban qualities within the new masterplan’. He said: “B1 is very much an urban gateway building, which announces the presence of CAMH in the city centre, set within a public green space. Its ground floor plan has pathways driven through it, which invite people in. I talked earlier about the Centre’s commitment to community engagement and education, and a key facility in B1 is a resource centre, which invites members of the local community to come in and find out about mental health issues. Maybe they are encountering an issue within their own family, and want to discover what therapy for mental health issues is all about, or maybe they simply want to ask somebody for advice.” Both buildings are ‘very permeable at


ground level’, Jonathan Wilson said. Showing a slide of the entrance to B1, he commented: “You can see this in the design of the public spaces. Anyone can walk in here; it’s a welcoming entrance lobby. It has a performance space for members of the community or service- users. Some of the occupational therapy spaces are right on a public footpath, so the activities there can be seen from the public realm.”


A PUBLIC ROUTE THROUGH IT While the D1 building was ‘much more of an urban fabric building’, Jonathan Wilson said it


nonetheless has ‘a major public route’ through it, running from West Queen Street right through to a new, smaller public park, created to the other side. A café, which is part of the CAMH Recovery Service, overlooks this new green space. Called the ‘Community Room’, it is accessed from the concourse, and provides an informal space where service-users can sit and talk, have a coffee, and use computer workstations. It is also, importantly, open to the public. Members of the local community are encouraged to come in and enjoy healthy food, which is on sale.


ENGAGED WITH THE BRIEF


“I think one point is obvious,” said Jonathan Wilson, summing up. “This client has a very powerful vision and ethos which it has embedded in all its development briefs. The vision inspires design teams to engage with the brief, and to do something exceptional which has the potential to change the face of mental healthcare. Secondly, this is all about ‘no walls’ mental healthcare and community integration. The question is: does it work? I offer this scheme to delegates for consideration. I was somewhat concerned when I first saw the extent to which digital technology has been used to manage high-risk patients. I had not seen this before in the UK. What we have here, “he continued, “are multi-storey, multi- functional buildings that rely on their ICT infrastructure, and highly tailored space planning to be able to deliver services in a compressed urban environment. The big plus is that care is delivered in a normal city centre environment without barriers and stigma.” n


THE NETWORK OCTOBER 2018 11


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