The challenges created by today’s growing mental health crisis, especially in light of the pandemic, reach far beyond the behavioral health unit into a myriad of care settings. Now, more than ever, it is imperative that these settings respond to complexities of care, are flexible to respond to fluid care needs, and offer equity to patients.
To support improved care and enhance patient and staff safety, today’s design, facility and care professionals have to advance their understanding of the environment’s impact on behavioral health care and learn how to incorporate the best and latest design solutions throughout all healthcare settings.
This virtual workshop provides the latest in design thinking for behavioral health care and settings and offers state-of-the-art best practices through thought leader presentations, case studies, and panel discussions. Attendees will have opportunities to pose questions to workshop faculty and interact with fellow attendees in fun and innovative ways.
Welcome Opening Remarks & Introductions
Avein Saaty-Tafoya, EDAC, Principal, AST Consulting
Opening Keynote—State of the Practice in Behavioral and Mental Health Care
Harsh K. Trivedi, MD, MBA, President & CEO, Sheppard Pratt
Panel Discussion: The Evolution of Care and Design
Shary Adams, AIA, ACHA, EDAC, LEED AP BD+C, Senior Vice President, CannonDesign
Kayvan Madani Nejad, PhD, AIA, Director, Senior Healthcare Architect, U.S. Department of Veterans Affairs, CES | OFP | CFM
Marsden McGuire, Director, Continuum of Care & General Mental Health Services, U.S. Department of Veterans Affairs
Elizabeth Czekanski, DNP, MS, RN-BC, NE-BC, VHA-CM, Mental Health Clinical Nurse Advisor, U.S. Department of Veterans Affairs
Janine Scheiner, PhD., Retired Professor, Psychological & Brain Sciences, Dartmouth College; Retired Professor of Psychiatry at The Geisel School of Medicine at Dartmouth
Audience Q&A with Panel
Medical Complexity: A Case Study
Thomas Heinrich MD, Family Medicine, Neuropsychiatry, Psychiatry, Froedtert Hospital
Christine S. Buth, MHA, BSN, RN, NE-BC, Director of Nursing Inpatient Medicine, Froedtert Hospital
Panel Discussion: Outside the Box—Next Gen Solutions
Samia Mansour, Assoc. AIA, EDAC, LEED Green Associate, Architectural Designer, Cuningham Group
Jacob Richie, Designer III, Associate, Perkins & Will
Hannah Shultz, Assoc. AIA, Design Professional I – Architecture, HKS
Scott Bales, AIA, LEED Green Associate, Associate, Cuningham Group
Audience Q&A with Next Gen Panel
Children and Adolescents: Design and Operations Across the Continuum of Care
Ed Cheshire, RA, Senior Project Manager, Nationwide Children's Hospital
Panel Discussion: Behavioral Health Design—Now and into the Future
Facilitator: Shary Adams, AIA, ACHA, EDAC, LEED AP BD+C, Senior Vice President, CannonDesign
Tonia Burnette, RA, Sr. Director | Architecture + Planning, Johns Hopkins Health System
Jill Johnson, FACHE, Chief Operating Officer, MedStar Franklin Square Medical Center
Observations and Wrap Up
Avein Saaty-Tafoya, the 2014 Changemaker Award recipient, is an inspirational leader with 32 years of healthcare experience providing leadership and advocating for healthcare equity in primary care, hospitals, health plans, public and community health. As an artist and humanitarian, her mission is to improve the health of the underserved through patient experience and by addressing the social determinants of health.
While President & CEO of Adelante Healthcare for over 13 years, a Federally Qualified Community Health Center in the Greater Phoenix area, she completed several Pebble ambulatory projects including the first LEED Platinum community health center in the nation in Mesa, AZ in 2012. She became EDAC certified and co-chaired the Center for Health Design's Research Coalition and now serves on the Center's Board of Directors. With her consultancy, she is actively working with health systems to advance the impact of evidence-based design and the patient experience across the country.
Harsh K. Trivedi, MD, MBA, is the sixth president and chief executive officer of Sheppard Pratt since its founding in 1853. He has served in this role since 2016. Dr. Trivedi is also a clinical professor of psychiatry at the University of Maryland School of Medicine. Previously, he served as chief executive officer of Vanderbilt Psychiatric Hospital, vice chair for clinical affairs in the Vanderbilt University Department of Psychiatry, and associate professor of psychiatry in the Vanderbilt University School of Medicine. Dr. Trivedi is a nationally-renowned expert in healthcare, hospital systems, care delivery, population health, and behavioral health.
A graduate of the Mount Sinai School of Medicine, Dr. Trivedi completed his general psychiatry residency at the Zucker Hillside Hospital/Albert Einstein College of Medicine. He completed his child and adolescent psychiatry training at Children's Hospital Boston/Harvard Medical School. Dr. Trivedi then served as director of adolescent services at Bradley Hospital and as assistant professor of psychiatry at Brown University.
Access to adequate mental health care and resources is one of the most pressing crises facing the world. Shary has committed her career to helping organizations expand their mental health services as well as develop new strategies and innovations that improve treatment for those needing this complex medical mental care.
With more than 30 years’ experience in healthcare design and leading integrated teams, Shary excels in getting laser-focused on a problem and defining the best possible solutions. She has shared her expertise in media outlets and has spoken about mental healthcare at domestic and global conferences.
As a senior healthcare architect in the Office of Construction and Facilities Management, Mr. Madani leads the design team for all existing and new “geriatrics” and “mental health” facilities in the VA. A member of the Facilities standards group he has created the national VA design guides for Community Living Centers, Outpatient and Inpatient Mental Health and, has represented VA on the US Access Board. These standards ensure efficient and effective use of resources aimed at increasing the quality of care for the most vulnerable patients- our aging veterans. Prior to his position at the VA, Mr. Madani was at the Department of Health and Human Services overseeing Primary Care Construction grants to the underserved regions of the country. Mr. Madani Has a MS in Aerospace Engineering from University of Maryland and Ph.D. in Healthcare Architecture from Texas A&M University.
Dr. Marsden McGuire currently serves as Director, Continuum of Care and General Mental Health in the Office of Mental Health and Suicide Prevention at the Department of Veterans Affairs Central Office (VACO) in Washington, DC. His portfolio includes oversight of the continuum of mental health care, including inpatient, residential, specialty and general outpatient services as well as cross-cutting services including evidence-based psychotherapies, substance use disorders, geriatric mental health, psychosocial rehabilitation and recovery services, women’s mental health, family services and military sexual trauma. During his 8 years at VACO, Dr. McGuire has led numerous interprofessional and collaborative initiatives within VA, with other federal agencies, and with private sector stakeholders aimed at promoting Veteran-centered care that is effective, safe, and measurable. Previously, Dr. McGuire held leadership positions in psychiatry at the Johns Hopkins Bayview Medical Center, Sheppard Pratt Health System, and the VA Maryland Health Care System.
Dr. McGuire received a BA (History, the Arts and Letters) from Yale University, an MD from the University of North Carolina, and completed his internship, psychiatry residency and a geriatric psychiatry fellowship at Johns Hopkins (where he later completed an MBA in medical services management). He holds academic positions at Johns Hopkins and the University of Maryland Schools of Medicine and is board certified in General and Geriatric Psychiatry. He is a recent President of the Maryland Psychiatric Society, a Fellow of the American College of Psychiatrists, a Distinguished Life Fellow of the American Psychiatric Association and a 2018 recipient of the National Alliance on Mental Illness’ Exemplary Psychiatrist Award.
Elizabeth Czekanski, DNP, MS, RN-BC, NE-BC, VHA-CM has over 30 years of nursing practice experience and joined the VA Pittsburgh Health System in 2006 as a Psychiatric-Mental Health Nurse Manager. Before joining the VA, she worked for the University of Pittsburgh Medical Center as a staff nurse and multi-unit manager of inpatient psychiatry and chemical dependency units contributing to her 18 years’ experience as a nurse manager managing inpatient psychiatric units. Dr. Czekanski has also worked as the Director of a residential program, as an independent legal nurse consultant, and since 2008 as Adjunct Faculty at Carlow University in Pittsburgh, teaching Psychiatric-Mental Health Nursing. She earned her Doctor of Nursing Practice degree from Carlow University and holds two ANCC Board Certifications as a Nurse Executive and Psychiatric-Mental Health Nurse and is also certified as a VHA certified mentor. Dr. Czekanski is a graduate of the VA Network Executive Healthcare Leadership Institute. She currently serves as the Office of Nursing Services national Mental Health Clinical Nurse Advisor and has worked with other national program offices for the past 11 years to address national policy and practice for safe mental health nursing and inpatient psychiatric care.
University at Buffalo: Child/Clinical Psychology/Law, retired professor of Psychological & Brain Sciences (Dartmouth College); retired professor of Psychiatry at The Geisel School of Medicine at Dartmouth. Special interests: developmental psychopathology, systems of care, forensics. Independent practice, complex case consultation and clinical practice focusing on children, youth and families.
Thomas completed a combined residency in psychiatry and family medicine. This was followed by a fellowship in consultation psychiatry at Massachusetts General Hospital. He is board-certified in family medicine and general adult psychiatry and holds subspecialty certification in consultation-liaison psychiatry and neuropsychiatry. Clinically, Dr. Heinrich remains active in consultation psychiatry, working on a busy academic psychiatric consultation service at Froedtert Hospital, a quaternary care academic medical center that serves as MCW’s primary teaching hospital. The consultation service specializes in the assessment and treatment of the diverse and complex presentations of medical, surgical, and neuropsychiatric illnesses in patients admitted to the general medical hospital. Administratively, Dr. Heinrich currently serves as Director of the Division of Consultation-Liaison Psychiatry and Executive Vice-Chair in the Department of Psychiatry and Behavioral Medicine at MCW. In addition, he is the Medical Director of Process Improvement for inpatient medical and surgical services at Froedtert Hospital and Physician Lead for the implementation of Froedtert and the Medical College of Wisconsin’s multidisciplinary behavioral health strategic plan. In these roles, he has collaborated with multiple stakeholders to develop and implement several innovative cross-disciplinary and inter-institutional clinical programs.
I have 40 years of nursing experience in many different roles. I’ve been with Froedtert for 18 years. I was the co-lead in forming our Behavioral Emergency Response Team (BERT) to support our staff in dealing with aggressive/agitated patients. I’m the Director of Nursing for our 6 Inpatient Medicine Units and soon also over the Complexity Intervention Unit (CIU).
Laurie A. Salerno is just as passionate about caring for patients today as she was over three decades ago—when she started off as an RN. “My work gives me so much energy,” Laurie says, “and I feel blessed to give senior patients the kind of care they deserve.” Laurie has also developed a Heart Failure Clinic and Education Series for JenCare that has helped keep our patients out of the hospital and improve their quality of life. “I love that while I’m building close relationships with patients, I also get to change the course of disease,” she adds.
A nurturer at heart, she has cared for loved ones as they’ve battled illness, and has traveled to Nicaragua, Haiti, and Appalachia on mission to help others. In her free time she gardens, spends time with their rescue animals, or travels to the Eastern Shore, Washington, DC, and Western New York to see their children and grandchildren.
Samia Mansour is a healthcare architectural designer currently located in San Diego, CA. Through her time as a designer at Cuningham, she has had experience working on a range of healthcare projects with a focus on Behavioral Health facilities. This experience has allowed Samia to develop a passion for using evidence-based design to create environments most conducive for healing and overall wellbeing. Through thoughtful design that helps to humanize these spaces, she strives to create environments that meet the mental health needs of the individual and provide long-lasting positive outcomes.
Jacob Richie is a talented healthcare designer with over five years of experience. As a job captain who oversees projects of many scales, he is versatile as a medical planner, technical coordinator and design leader. He has strong skills in leading usergroups and coordinating with consultants. Jacob is currently Chair of the AIA Academy of Architecture for Health NextGen committee.
Hannah Shultz is an Architectural Designer at HKS, working alongside design teams within the Health studio. A recipient of the 2019 HKS Health Fellowship, Hannah has studied mental and behavioral crisis care environments during the one-year fellowship term. She is also a participant in the firm’s Research Incubator, which supports practice-based research.
Over the course of his career, Scott has cultivated an enthusiasm for creating spaces that allow providers to deliver the highest level of care and afford users the maximum chances of successful outcomes.
Ed is a graduate of the Ohio State University and architect at Nationwide Children’s Hospital. Over the past 15 years, he has helped facilitate the physical growth of NCH from a regional hub to one of the largest pediatric medical campuses in the nation. Ed managed the 2012 Backfill project which renovated more than 362,000 square feet of the hospital’s main campus. He is proud to have established a successful construction program which provides a “housing vaccine” as part of the hospital’s population health initiatives. He led the design and construction of the Big Lots Behavioral Health Pavilion and continues to advocate for children facing mental health challenges. Ed enjoys being an amateur celloist and woodworker. He also serves as chairman of his local Keep America Beautiful affiliate.
Jill Johnson serves as the vice president of Operations for MedStar Harbor Hospital, a member of MedStar Health, the largest healthcare provider in Maryland and the Washington, D.C., region. In this role, she is a key architect of strategies that define the hospital’s growth and drive its journey from good to great. She oversees Clinical Engineering, Clinical Laboratory, Emergency Preparedness, Environmental Services, Facility Services, Food Services, Imaging, Physician Enterprise, Protective Services and Safety. Johnson additionally serves as MedStar’s regional vice president for Behavioral Health—a service line dedicated to providing critical patient populations with a range of professional care for behavioral and mental health issues, as well as addiction treatment services.
Tonia Burnette, RA is the Senior Director for Architecture + Planning for Johns Hopkins Health System. Prior to joining JHHS, Tonia was a Principal and Leader of the Health Practice for large international firms specializing in healthcare design. Throughout her 37 years of practice she has worked on projects ranging from $50,000 renovations to $1+ billion new building programs.