SB 863 Sonoma County Adult Detention Behavioral Health Unit

Design-Build Stipulated Sum Contractor selected based on qualifications, capabilities and experience Allows for greater cost control by owner Design and construction are performed by a single team Agency specifies how much it will pay for project construction Request for Qualifications/Request for Proposals procedure

Bridging Architect/Construction Manager One contract for owners consulting team Integrated concept – all RFP documents are complimentary Teamwork is established early on Allows for early Construction Manager involved Provides for greater cost validation Facilitated enforcement of the criteria documents

County of Sonoma: Santa Rosa, California

County Team Makeup

County of Sonoma Department Commitment Sheriff Department County Administrator’s Office General Services Department Department of Health Services County Counsel Board of Supervisors

Outside County of Sonoma Commitment BSCC California State Fire Marshall Other State Departments

Community Outreach Recently the County held community outreach meetings with local mental health organizations- County of Sonoma Mental Health Board, CHIPA, Interlink and NAMI- to outline the proposed facility and to discuss the challenges, pressures and solutions facing both inmates and correctional staff within the MADF. The positive feedback from these meetings has further informed the design and program development of the new detention facility as well as promoting the continuing dialog between the Sheriff’s Office and the community.

DRC Report & DRC Public Records Request The recent Disability Rights California (DRC) report raised issues and concerns associated with the care of County inmates. The County has significant pressure upon it to address these concerns in a timely, cost-efficient and humane manner. Additionally, the County has received Public Records Request from DRC related to the documents for the new Behavioral Health Housing Unit. This serves to highlight the scrutiny this detention facility faces- even from the onset of design.

Concepts and Tools Transparency Facilitation Manage Information Schedules Monthly Reports Budget Reporting

Program and Design Development The bridging architectural team, in conjunction with the Sheriff’s Office, CAO, Department of Health Services and General Services, has made significant progress toward designing an efficient and innovative facility with a progressive program of care. This goes far in addressing many of the issues currently facing the County and MADF with respect to care of incarcerated inmates requiring mental health care.

Facility Design Research & Evidence Based Practices Driven Design… Compact- Simplified Circulation Organized Around Secure Internal Courtyard Residential Scaled- Single Level Inward Focused Views to Non-Inmate Landscaped Areas

Sonoma County Behavioral Health Housing Unit Video Walkthrough Quality of Environment – Natural Light, Views, Color, Acoustics, Normative Environment, Access to the Outdoors Avoid long corridors and linear spaces Reduce the sense of crowding and the “Apparent” density Flexible furnishings to accommodate group interaction and treatment on the housing unit Create dynamic therapeutic communities Provide space for staff to rest and recharge – indoor lounge with outdoor patio Views of Nature Small Housing Units for Classification and Treatment Sonoma County Behavioral Health Housing Unit

DRC Observations and Facility Assessment

Addressing Undue & Excessive Isolation 20 Bed Housing Unit High Security Unit 10 Bed Unit Views to Nature Visiting Unit

Improper Mental Health Practices Maximum Visibility Multiple Treatment Rooms Dividable Dayrooms Work Stations Near Units Out of Cell & Outdoor Access Nursing Office/Med Room Views to Nature Restoration to Competency

Ineffective Cell Front Interviews Based on Nearly Solid Doors Larger Cell Windows Larger Windows Provide Positive Distraction Cell Front Interviews No Longer Needed

Not enough outdoor recreation time Outdoor recreation space in each unit plus central courtyard

Quiet Cells too Isolated & ADA Accessibility High Security Unit Quiet Rooms Less Trafficked Area ADA Accessible Cells 8 Total

Mentally Ill Inmates Need Least Restrictive Setting Multiple treatment setting options Sectioned Units High Security Unit

Mentally Ill Inmates Must Have Consistent Treatment Plan and Spaces Backdrop for Therapeutic Environment Integrated Spaces and Services Group Spaces Courtyards for Recreation Time Staff Satisfaction with Work Environment

No LPS (Lanterman-Petris-Short) Beds for Patients with Acute Symptoms Safe High-Observation Area Small Dayrooms Secure Group Rooms Increase of Staff Contact Potential Future LPS Designation

Sonoma County Behavioral Health Housing Unit The Power of Collaboration Compact- Simplified Circulation Organized Around Secure Internal Courtyard Residential Scaled- Single Level Inward Focused Views to Non-Inmate Landscaped Areas Urban Jail- No View Into or Out of Facility Sonoma County Behavioral Health Housing Unit