Behavioral health settings guided by strict safety design measures often result in spaces that are stark, plain, and isolated - potentially exacerbating environmental stressors and escalating already difficult patient situations. Acute care emergency settings have a particular set of challenges as EDs are predicting increased visits from behavioral health patients. Faced with the challenge of designing a behavioral health care setting in the Emergency Department at UnityPoint Health in Rock Island, IL, the project team hypothesized that the creation of a Crisis Stabilization Unit (CSU) with a “Living Room Concept” would provide a higher quality of care to patients while assisting in the staff’s ability to quickly consult and treat a diverse set of patients entering the ED.