Different flavors of Secure Holding Rooms

Hi All,

I’m taking a poll on how people have designed and furnished ED psychiatric observation secure holding rooms in the past and if there are things you’d never do again. The adult occupants in my current project will include all levels of acuity/ aggression, including non-violent. I’d like to integrate some measure(s) for positive distraction or control, if I can….

I appreciate any feedback you might have. Thanks!

Gina,

Great question. It’s hard to say what I wouldn’t do again because it depends on a lot of factors. For example, we fit out a secure holding room almost like a small inpatient bedroom in one project, and in another the client asked to add padding to the room (walls, floors and door) shortly after move-in. So the spectrum of what these rooms could like is vast with a lot of variables. Given the wide range of needs in your project I would lean towards an flexible space without too many fixed in place elements. A recessed impact resistant serenity panel might be worth considering. I’d also look at opportunities for lighting control and music. Just some quick thoughts. Reach out if you want to chat more.

Brian Giebink

M 763 203 5221

hdrinc.com/follow-us

To echo Brian, I’ve done almost med-psych rooms due to enclosed head wall wanting to be maintained, which are rarely left undamaged. I’ve had mostly platform beds but some have wanted med beds to roll in and out. I’ve removed that bolted down chair for the sitter and built in benches to clear up floor space and provide an alternate sitting option for the patient.

Some provincial requirements have meant bathroom fixtures have to be installed in rooms covered in Gold Medal, which has many issues to navigate.

I agree full spectrum lighting with Liberty switches, haptic projectors and flexible furniture options that can safely make the room dual use as an ad-hoc calm or sensory room so the space doesn’t become the “bad place” but a space where patients can safely self-regulate and de-escalate in other scenarios. I’ve provided windows with integral blinds when views are possible (and safety/privacy accommodated). I’ve added LightArt panels to interior rooms to better orient patients. I’ve hidden card readers in walls. Besides Serenity, Recornect has an interactive panel. Hope these help Gina!

SP

Stephen N. Parker, Architect

Mental & Behavioral Health Planner

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Thanks, Brian and Stephen! Great insights and very much appreciated.

Gina,

Hello. I hope you are doing well.

I reached out to the FGI editors to confirm one way or another if you can share that information with the audience. There may be some caveats to what you can share.

I will let you know when I hear back from them.

I look forward to seeing you in KC.

Thank you,