Louisville Medicine Volume 67, Issue 10 | Page 19

INTERSECTION OF DESIGN & MEDICINE also made economic sense. He wanted to cut down on waste, energy cost and usage, and utilize environmentally friendly products. As he saw it, economic sense also meant increased productivity for the occupants. He described a movement in architecture and city planning that is more deliberate. This movement involves planning for resilient, thriving living and work spaces where mental health and well-being are promoted. It is the step beyond “going green” – it is “going well.” distinct situations. The addition of a door in the psychiatric emer- gency room decreased the use of restraints, and the expansion of the inpatient unit with single-patient rooms decreased agitation that required medication. Our experience suggested that patients were safer with intelligent architectural planning. Design has been the orphan child of health care, but perhaps there is room to ex- pand patient-centered care to include the areas where patients are centered. In a practical sense, Holland employed certain techniques to help make The Green Building “green.” He cut down on the use of volatile organic compounds found in certain commercial paints, increased natural light within, used solar and geothermal power, planted native sedums and trees, and paid close attention to pedes- trian-oriented spaces. The result was the first commercial building in Louisville to receive a Leadership in Energy and Environmental Design platinum certification. Additionally, he started noticing a Dr. Farooqui is a resident at the University of Louisville Department of Psychiatry. trend of decreased employee sick days and increased employee productivity at green buildings across the country. The disease burden of mental illness is large (about 14% of the world population) and disproportionately affects city dwellers. Citizens in the urban areas are at an increased risk of depression, anxiety and schizophrenia compared to suburban and country dwellers. Many theories and hypotheses try to explain why this is, including pre-existing risk factors, population migration trends, income disparity and the overwhelming stimuli of city living. The design-oriented answer to these problems focuses on four main areas: access to green spaces, integration of people’s daily lives and activities, creation of pro-pedestrian and social spaces, and safety. From a design perspective, Holland has opted for green roofs and has placed an increased emphasis on natural light. He has also focused on pedestrian spaces with wider sidewalks allowing for foot traffic and seating. Regarding a feeling of safety, Holland remarks that he tries to keep buildings under four stories or tapering them if they need to be taller, allowing sunlight to penetrate onto the street. These efforts create an atmosphere of walkability and well-being, a trend that has been transformative in many cities around the world.   After my meeting with Holland, I started to wonder if a “mental health code” could be introduced in population centers with health disparities, or if hospitals and physicians’ offices should look a little more closely on the impact of design on patients. There is no doubt that the way we structure our cities and neighborhoods affects the emotional and mental well-being of its occupants. It is therefore reasonable that design would impact the way our patients feel in the hospital, which in turn affects their levels of satisfaction and responses to treatment. Our psychiatry department has noticed the phenomenon of design-related patient care anecdotally in two PROFESSIONAL ANNOUNCEMENT PACKAGE The GLMS Professional Announcement Package provides mailings and printed announcements in the monthly publications to let your colleagues know about changes in your practice. Outsource your next mailing to GLMS. CONTACT Amanda Edmondson Director of Communications & Marketing 502.736.6330 [email protected] MARCH 2020 17