Bottom of Glass Lites in Doors Now 43 inches Maximum Above Floor

Both the ADA and ICC A117.1 now require that the bottom on vision panels in doors or sidelights be no more than 43″ above the floor.  This requirement has been overlooked in several sets of drawings we have reviewed recently.  Complying with this requirement is complicated by the fact that this lite may now conflict with either a lockset or exit device also provided on the door.  Therefore, the glazing may be required to be located farther away from the strike edge of the door than has been previously considered the normal distance.  Also, exit devices may need to be mounted lower than typically done (but within the required mounting height range) so they do not restrict sight lines through the lite.

We suggest that a check be performed on all applicable requirements at the location of any project to determine if the maximum 43″ bottom of glass panels is needed.  More information is available by clicking here.

Applications of Color Temperature Options with LED Lighting

“Warm white” and “Cool white” have been standard colors of fluorescent lighting for decades.  The maturation of LED light sources now give us many more choices in the colors of light we use in buildings.  Some fixtures allow the occupants to manually select the color they want and the use of wall-washing or ceiling-washing fixtures allow visible color of the surface to be changed by turning a dial or slicing a switch.  Other fixtures allow the light color to automatically change with the time of day to align the interior light sources to mimic the changes in natural light that occur from sunrise to sunset.  It is thought that these subtle changes of color help the human body to wake up and prepare for sleep.  Therefore, replicating them in artificial indoor light sources may also assist the occupants’ sleep patterns.  Circadian light sources were provided to replace the previous fluorescent lighting fixtures on the International Space Station in 2017 in an effort to aid astronauts sleep patterns, which was a significant issue.  For more information on the study of circadian lighting on the International Space Station click here.

Color temperature is measured on the Kelvin system of measure as degrees Kelvin.  Cool white is typically around 7,000K and warm white in in the 3,000K range as shown in the graphic below.  This illustration is available if you click here.

Expanding Our View of Mental Health

Expanding Our View of Mental Health. by Sara Millburn, MHCL

This article makes a great case for integrated care in the world of primary care practice.  Among the salient points made are the following:

  • About half of all mental health care for common psychiatric disorders (like depression and anxiety) is provided in primary care settings.
  • If a primary care provider refers a patient to an outside mental health provider, only about half of the patients actually follow through with making an appointment.
  • In an integrated care approach, a behavioral health care manager is just another member of the primary care team.
  • The behavioral health care manager regularly checks in with the patient to see if they are still liking and following the plan.

Read the full article at the following link, click here

Behavioral Health Clinic in a Wallmart store

Beacon Health Options has launched Beacon Care Services’ first outpatient mental health clinic location inside a Walmart store in Carrollton, Texas.  This is the first of several planned retail locations for these services which will provide convenient  neighborhood access and evening hours to work with patients’ schedules.

The title of the article is “Beacon brings mental healthcare to retail locations” by Tom Valentino, Senior Editor.  Read the full article as published in Behavioral Healthcare Executive at the following link:

TJC Incidence and Method of Suicide in Hospitals – 2018 Study

The Joint Commission’s (TJC) newly released study of the Incidence and Method of Suicide in Hospitals is a very comprehensive review of data available from the Center for Disease Control’s (CDC) National Violent Death Reporting System (NVDRS) for hospital related incidents and The Joint Commission’s Sentinel Event Database.  It disproves the often quoted study that concluded there were 1,500 inpatient suicides per year.  It goes into great detail about inpatient suicides, the location of the incidents and methods used.  The full text of this study is available here:

TJC Incidence and method of suicide in hospitals 2018

Study of Falls in Psychiatric Inpatient Units

Sara Baramzadeh, PhD, MArch et-al published a study in 2018 in the Journal of the American Psychiatric Nurses Association to determine the built environment’s influence on falls by inpatients in psychiatric hospitals.  Their conclusion was that “The physical environment plays an often-unexamined role in fall events and and specific locations.”  Read the full study here: Bayramzadeh-et-al-Psychiatric-falls

5 Levels of Inpatient Safety Risk Study

Sara Baramzadeh, PhD, MArch published an independent study in 2017 in the Health Environments Research and Design Journal to determine if the Five Levels of Safety framework is an accurate way of evaluating the levels of risk of the various areas of inpatient psychiatric units.   This concept has been included in every edition of the Behavioral Health Design Guide since its first edition in 2003.  Her conclusion was the “Overall findings support the five levels of safety pattern…”.  Read the entire study here: levels of safety (2)