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The Cherokee Indian Hospital Authority (CIHA) in Cherokee, North Carolina is trying to provide simplified care for members of the Eastern Cherokee Indian Tribe (EBCI) who need mental, behavioral or emotional health or substance abuse services. To help achieve this goal, the organization built an alternative facility for its Cherokee Indian Hospital in 2015, where the emergency department (ED) provides crisis care, followed by a 20-bed residential treatment center in Graham County in 2018 Kanvwotiyi NC, provides hospitalization and planning for adults. But there is still a gap: a safe and secure environment where these patients can be stabilized before being transferred from the hospital to residential care. The solution will help alleviate the long-term use of emergency beds due to inpatient behavioral health needs and provide designated spaces for mental health care services. “We decided that if we really want to provide help and treatment to this community, we need a whole set of continuous services,” said CIHA CEO Casey Cooper.
CIHA decided to build an additional one on the campus, but the hospital in the 1970s blocked the way, and part of the vacated building was still used as administrative and storage space.Cooperation with construction companies Macmillan Pazdan Smith Architectse (Charlotte, NC) and construction management company Robbins and Morton (Birmingham, Alabama) The leadership next considered demolishing the 77,000-square-foot hospital, but soon realized it was too expensive. Instead, Robins & Morton director Josh Farr said that the team ultimately chose to demolish only part of the building, rescue and refurbish 34,000 square feet for continued administrative use, and add 43,000 square feet to create an outpatient clinic and crisis department, connected to Major hospitals-this initiative saved approximately US$1 million.
Opened in June 2020, there is a behavioral health clinic on the first floor of the additional building, with 13 consultation rooms, an examination room, large and small group rooms, and two large classrooms. The crisis stabilization unit on the second floor includes 18 inpatient wards for behavioral health patients, 4 emergency care wards equipped to support health crisis patients, and two large group treatment rooms.
To ensure that the building fits the campus and reflects the EBCI culture, the project team regularly meets with committees of tribal members and elders for comments. “External cultural symbols, materials, and elements are seamlessly matched with Cherokee Indian Hospital, conveying the message that the procedures contained in it are equally important to the mission and vision of the facility,” McMillan Pazdan, head of the health care department and project Manager Christy Adams said Smith Construction. For example, the design of the terrazzo floor in the entrance area of ??the hospital and the main corridor illustrates a local legend-this detail is brought into the newly added floor and represents the legend of a magic lake on the floor. In appearance, the unique pattern depicting wind symbols matches the appearance of the new hospital. Fall said: “This new project seems to have always been part of the campus.”
Project details:
Project Title: Cherokee Indian Hospital, Phase II-Addition of Behavioral Health and Crisis Stabilization Unit
Location: Cherokee, North Carolina
Project completion date: June 2020
Owner: Cherokee Indian Hospital Authority
Total floor area: 80,000 square feet
Total construction cost: 36 million US dollars
Cost per square foot: 469 USD
Building: McMillan Pazdan Smith
Interior design: Macmillan Pazdan Smith
General Contractor: Robins & Morton
Engineering: RN&M (mechanical), 4D engineering (civil engineering), SKA consulting engineer (structure)
Builder: Robins & Morton
Art Consultant: Eastern Cherokee Indians
Art/Picture: Eastern Cherokee Indians
Carpet/Floor: McMillan Pazdan Smith
Fabric/Textile: McMillan Pazdan Smith
Furniture-Seat/Luggage: McMillan Pazdan Smith
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