Policy Innovation In European Health Insurance: Building A Sustainable Future

Policy Innovation In European Health Insurance: Building A Sustainable Future – Outdoor access is an essential design feature for mental health facilities like the UTHealth Houston John S. Dunn Behavioral Science Center designed by Perkins&Will. Image: © James Steinkamp

Two-fifths of the more than 488,000 people who live in Knox County, Tenn., are dealing with some form of mental impairment, according to a recent report by the East Tennessee Mental Health Association.

Policy Innovation In European Health Insurance: Building A Sustainable Future

In late October, the Knox County Commission, along with Mayor Glenn Jacobs, urged the state to provide financial support for the construction and operation of a mental health hospital for ‘residents who currently have to travel two hours to the nearest mental health facility in Chattanooga. , one of four mental health hospitals in Tennessee, whose Department of Mental Health already invests more than $20.5 million annually in community health services. critical behavior in Knox County.

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Knox County is symptomatic of a national problem. Nearly 50 million American adults, 20% of the nation’s total, experienced a mental illness in 2019, the most recent year for which data are available, according to the “2022 State of Mental Health in America,” published by Virginia-based Mental Health America, which has been serving the needs of people with mental illness since 1909.

Fifteen percent of American youth have had an episode of major depression in the previous year, and nearly 11% experience major depression. Less than 5% of adults have seriously considered suicide, an increase since 2011. More than half of adults and more than 60% of youth with mental illness have not. receive treatment.

Mental Health America’s estimates match those of the National Institute of Mental Health, which estimated that 52.9 million adults in 2020 experienced mental health problems. The NIMH found that the prevalence of mental illness was highest among 18- to 25-year-olds, women and adults reporting two or more races.

Last July, there were 988 national suicide prevention hotlines, supported by a network of over 200 24/7 grief centers. As of the end of November 2022, 23 states have passed laws to support the new number. Mental health care services are also growing, despite uncertainty about insurance reimbursement for telehealth and mental health care in general.

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Although there are different levels of mental illness based on the level of job loss, the rise in Americans struggling with mental health problems coincides with the rise of external stressors. including the coronavirus pandemic, drug abuse, social isolation, and a troubled economy. job market.

The rise of mental illness has led to an increase in the demand for new health centers and hospitals, according to AEC companies such as CannonDesign, which claims to be the first design company to establish a practice / studio dedicated to mental and behavioral health. As of last October, CannonDesign has worked on projects for no fewer than eight mental health-related projects in North America, according to the Mental Health and Behavioral Sciences Association. -really in the company of Shary Adams, AIA, ACHA, EDAC, LEED AP, and Tim Rommel. , AIA, Principal.

Architecture Plus and NBBJ designed the Nationwide Children’s Hospital Large Behavioral Health Pavilion in Columbus, Ohio. The clinic—one of the nation’s largest child health research centers—is the hub of an extensive network of community-based mental health services. community and will serve pediatric patients from toddlers to teenagers offering a full range of services, including the emergency department, the hospital. care, partial hospitalization, intensive and routine outpatient services, liaison services and integrated research. Photo: Edward Caruso Photography

Between 1980 and 2017, Architecture Plus in Troy, New York undertook one major health project each year, where they designed, planned and programmed. In 2018, that number jumped to seven, in 2019 and 2020 three to four per year, and in 2021 seven, according to Francis Pitt, FAIA, FACHE, OAA, founder and Principal Architecture Plus. Half of these projects are already under construction.

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The architecture firm HED recently proposed a $325 million, 180-bed psychiatric and behavioral hospital in Michigan that is funded by the American Rescue Plan Act (ARPA). “Three years ago, we had never seen a mental health project like this,” said David Jaeger, AIA, LEED AP, EDAC, the company’s principal and mental health leader.

In the past, general contractor JE Dunn Construction might have built one health center at a time; now, “it’s multiple projects for multiple clients,” says Senior Project Manager Jonathan Vande Krol, who

Several AEC sources contacted for this article confirm that what is being built depends on the state’s commitment to mental health provision. Hospital systems must be creative about how to pay for new construction, renovations and operations, Jaeger said. And that means tapping into the private sector and donors.

An $89 million behavioral health center, developed by HDR, is slated to open in late 2022 at Immanuel Medical Center in Omaha. Leading the fundraising effort for the 103,500-sf facility, which will have 38 beds for children ages 5 to 18, is the Mental Health Innovation Foundation, led by former president Ken Stinson. formerly and CEO of construction company Kiewit Corporation. About $15 million of the $16 million is expected to come from ARPA.

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“Society knows you can’t ignore mental health, and there’s more emphasis on that since the pandemic,” said CannonDesign’s Rommel. He and other AEC sources refer to mental health facilities as part of the “continuum of care.”

The new behavioral health center is needed to relieve stress on emergency departments and acute care centers that, due to a shortage of hospital beds, are “overwhelmed” by the number of patients with mental or behavioral problems, said HED’s Jaeger. The construction and renovation project also expands the emergency department to include psychiatric care.

AEC companies are announcing the value of “good disruption” as part of their plans for healthcare facilities. The 108,000-sf Healing Spirit House in Coquitlam, BC, designed by HDR and built by PCL Constructors, is one example. Working closely with the Kwikwetlem First Nation, HDR has integrated art and First Nations themes throughout the design, from graphic projects inspired by indigenous agriculture to traditional art. -traditionally penetrated the exposed concrete facade of the gymnasium. Most of the exterior is covered in a warm, wood finish, reminiscent of a traditional material palette while complementing the modern West Coast design. The facility also includes a full-size basketball court. Photo: Courtesy HDR © 2020 Ed Whit

“Today’s healthcare is more inclusive than it was 10 years ago,” said Anindita Mukherjee, AIA, ACHE, LEED AP, Director of Health Planning for LEO A DALY. “Planning and planning requirements are more reflective [about] the relationship between safety and health.”

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Among industry sources who are seeing more projects with more attention to pediatric behavioral care are Diane Davis, AIA, LEED AP, Managing Director, Principal and Health Leader for of Perkins & Will in Houston. He specifically points to Texas Children’s Hospital, which is expanding mental and behavioral health services across its departments, including those focused on child and adolescent care.

One of Architecture Plus’ recent projects, in collaboration with NBBJ, is the Nationwide Children’s Hospital Big Lots! Behavioral Health Pavilion, a nine-story, 386,000-sf, $159 million building that opened in Columbus, Ohio, in March 2020 as the largest pediatric medical center for this This is a specialist in the country, with 48 patient beds, psychiatric crisis unit, 10 observation rooms stay up to 24 hours, confirmation room 12 beds for staying up to 72 hours, and type of outpatient treatment.

In the second week of November 2022, the HED-designed Genesee Health System Center for Integrated Children’s Services opened in Flint, Mich. A third of this building offers care related to Flint’s contaminated water crisis.

As part of her participation in a recent “sketch-a-thon” at AIA Virginia, to share ideas about incorporating family spaces into mental health facilities, she worked on Stantec’s 60-bed hospital for children and youth patients with additional rooms. beds so family members can sleep, says Jon Sell, Principal and Behavioral Health Planner for Stantec’s Philadelphia office.

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Among Stantec’s recent projects for clients are psychiatric emergency centers and crisis clinics. One of Stantec’s customers (whom Sell said he would not name) wants to build dozens of homes across North America. Another developer’s client is identifying old health care buildings that can be demolished or renovated to convert into a health center.

Innovation and re-alignment play an important role in providing greater access to mental health care. However, mental health facilities are difficult to monitor because they vary widely in size, depending on the patients served and whether the clients are for-profit or not-for-profit, Sell said. Stantec’s most recent projects include the $650 million Center for Addiction and Mental Health, which consists of several buildings spread across four boroughs in Toronto, Ont.; to a dementia care facility with only four beds and dozens of providers.

Recently discovered in Europe, recovery villages that combine mental health and substance abuse treatment are emerging in the United States. The 69,000-sf

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