The Cherokee Indian Hospital Authority (CIHA) in Cherokee, N.C., sought to supply extra streamlined look after members of the Jap Band of Cherokee Indians (EBCI) who require psychological, behavioral, or emotional well being or substance abuse companies. To assist obtain that aim, the group constructed a alternative facility for its Cherokee Indian Hospital in 2015, the place disaster care is supplied within the emergency division (ED), adopted in 2018 by Kanvwotiyi, a 20-bed residential therapy heart in Graham County, N.C., which homes inpatient therapy and packages for adults. However a void remained: a safe, protected surroundings the place these sufferers might be stabilized earlier than being transferred from the hospital to residential care. The answer would assist alleviate the extended use of ED beds for inpatient behavioral well being wants and supply a chosen area for psychological well being care companies. “It was determined that if we actually needed to assist and supply therapy for this group, we wanted a complete continuum of companies,” says Casey Cooper, CEO of CIHA.
CIHA determined to construct an addition on campus, however the former Seventies-era hospital stood in the way in which, with a part of the vacated constructing nonetheless getting used for administrative and space for storing. Working with structure agency McMillan Pazdan Smith Structure (Charlotte, N.C.) and development administration agency Robins & Morton (Birmingham, Ala.), management subsequent thought-about demolishing the 77,000-square-foot hospital however quickly realized it could be too costly. As an alternative, says Josh Farr, superintendent at Robins & Morton, the crew finally opted to tear down solely a part of the constructing, salvaging and renovating 34,000 sq. toes for continued administrative use and including 43,000 sq. toes to create an outpatient clinic and disaster unit that connects to the principle hospital—a transfer that saved roughly $1 million.
Opened in June 2020, the addition’s first flooring homes a behavioral well being outpatient clinic with 13 counseling rooms, an examination room, small and huge group rooms, and two giant lecture rooms. The second-floor disaster stabilization unit contains 18 inpatient rooms for behavioral well being sufferers, 4 acute-care affected person rooms which are geared up to help somebody in a well being disaster, and two giant group remedy rooms.
To make sure the constructing slot in on campus and displays the EBCI tradition, the venture crew met often with a committee of tribal members and elders to hunt enter. “Exterior cultural symbols, supplies, and components match the Cherokee Indian Hospital seamlessly to convey the message that the packages contained inside are equally necessary to the mission and imaginative and prescient of the ability,” says Christie Adams, healthcare section chief and venture supervisor at McMillan Pazdan Smith Structure. For instance, the design of the terrazzo flooring within the entry space and essential hall on the hospital illustrates a neighborhood legend—a element that’s carried into the brand new addition with the legend of a magic lake represented within the flooring. On the outside, a singular motif depicting the image for wind matches the brand new hospital’s exterior. “The addition appears to be like prefer it has at all times been part of the campus,” Farr says.
Mission particulars:
Mission title: Cherokee Indian Hospital, Part II – Behavioral Well being and Disaster Stabilization Unit Addition
Location: Cherokee, N.C.
Mission completion date: June 2020
Proprietor: Cherokee Indian Hospital Authority
Whole constructing space: 80,000 sq. ft.
Whole development price: $36 million
Value/sq. ft.: $469
Structure: McMillan Pazdan Smith
Inside design: McMillan Pazdan Smith
Common contractor: Robins & Morton
Engineering: RN&M (mechanical), 4D Engineering (civil), SKA Consulting Engineers (structural)
Builder: Robins & Morton
Artwork marketing consultant: Jap Band of Cherokee Indians
Artwork/footage: Jap Band of Cherokee Indians
Carpet/flooring: McMillan Pazdan Smith
Cloth/textiles: McMillan Pazdan Smith
Furnishings—seating/casegoods: McMillan Pazdan Smith