Introduction Whitehall’s BestCare products are designed to meet the unique application challenges faced by behavioral healthcare facilities seeking to maintain the balance between patient safety and security. All BestCare products are designed to ensure patient safety. Toilets Urinals Wash BasinFlush Valve Cover Showers Wash Basin Faucets Shower Heads and Handles Recessed Shelves Soap DishToilet Paper Holders Towel and Clothing Hooks Mirrors Fire Extinguisher CabinetGrab Bars The BestCare Product Family Includes:

What is Behavioral Healthcare? Staying healthy is more than just taking care of one’s physical health. Staying healthy is more than just taking care of one’s physical health.

What is Behavioral Healthcare? Staying healthy is more than just taking care of one’s physical health. Staying healthy is more than just taking care of one’s physical health. Behavioral Healthcare is a term that is often used interchangeably with mental health, encompassing all treatment of psychiatric illness and/or substance abuse.

Market Dynamics Suicide Suicide now outpace car crashes as the leading cause of death from injury suicides yearly % of suicides occur in the patient’s bathroom, bedroom, or closet % of all suicides result in legal claims. 4 It only takes 4-5 minutes of pressure on the carotid arteries for death to occur, making the current system of 15-minute checks on patients insufficient. 5 The Joint Commission reports that in 309 of 685 reported suicides, physical environment was one of the root causes. 6

Market Dynamics Behavioral Healthcare Facilities Consensus Target for Public Psychiatric Beds: 50 beds per 100,000 people. Only one state meets this target. The shortfall of public psychiatric beds results in: – Higher rate of suicide. – Higher rate of homelessness. – Higher rate of arrest related deaths. – Higher rate of violent crime in communities.

Market Requirements The Whole Building Design Guide Website cited several important categories for the design of behavioral health facilities, including: Security and Safety Aesthetics Therapeutic Environment Efficiency and Cost-Effectiveness Cleanliness Sustainability

Market Requirements All codes in place for general or acute care hospitals also apply to behavioral hospitals. Two publications outline best practices in behavioral healthcare: – VA Design Guide for Mental Health Facilities. – Design Guide for the Built Environment of Behavioral Health Facilities, published by National Association of Psychiatric Health Systems (NAPHS).

The Joint Commission 7 Accreditation Organization for Hospital Facilities Defined Environmental issues as root cause of Inpatient Suicides – 84% environmental Hanging is the most common suicide method in Behavioral Health Facilities Inpatient Suicides require a thorough review and TJC provides guidelines for reviews TJC provides Environmental Checklists 620 TJC accredited Hospitals in

Sentinel Event A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. The phrase, "or the risk thereof" includes any process variation for which a recurrence would carry a significant chance of a serious adverse outcome. Such events are called "sentinel" because they signal the need for immediate investigation and response. 9

Toilets Model No. WH2142 Series (Standard) Stainless steel siphon jet toilet: The BestCare stainless steel toilet: * Wider behind the bowl reducing ligature points. * Constructed of unbreakable stainless steel with a durable white powder coat. * On-floor, Top supply (-T) or Wall (-W) supply versions available (flush valve and cover sold separately or as a package) (ADA compliant versions also available) Model No. WH2142ADA Series Top supply (-T) (shown w/ Flush Valve and Cover) Wall supply (-W)

Urinals Model No. WH2158 W/ 2802 Flush Valve Cover *ADA Compliant High-Efficiency Urinal is designed to eliminate ligature points. *Constructed of unbreakable stainless steel with a durable white powder coat. *Must use Hydraulic or Electric Flush Valve to be ADA compliant. (flush valve and cover sold separately or as a package) Model No. WH2158 *ADA Compliant High-Efficiency Urinal is designed to eliminate ligature points. *Constructed of unbreakable stainless steel with a durable white powder coat. *Enclosed bottom panel provided to limit vandalism yet provide access for installation and servicing. Top supply (-T) Wall supply (-W)

Flush Valve Covers Model No. WH2803 Series (Right) * Flush Valve with wall flush cover for concealed application. Mechanical flush Valve is not ADA compliant. Hydraulic flush valve is considered ADA compliant. This model can be sold separately Model No. WH2802 Series (Left) *Flush valve with flush valve cover with sloping top for ligature resistant application. Mechanical flush valve is not ADA compliant. Hydraulic flush valve is considered ADA compliant. This model can be sold separately * To be considered ADA complaint, Push Button must not require more than 5lbs of force for activation.

Faucets Model No. WH WH3374 Series Faucets WH3373 Single Temp / WH3374 Hot and Cold Faucet: *Center-set replacement for existing faucets on 4” centers. *Valve available with 9v programmable piezo or pneumatic controlled push buttons. *Stainless steel/or chrome plated brass-meeting lead-free requirement. Can also be purchased with the (–BPH) option. WH3373-PPZ WH3374

Wash Basin Model No. WH (Left) Stainless Steel Curved Front Wash Basin: *21 1/2 “ deep solid surface with integral “D” shaped bowl. * Ligature resistant. Model No. WH (Right) Solid Surface Curved Front Wash Basin: *21 1/2 “ deep solid surface with integral “D” shaped bowl. * Ligature resistant. * Can be ordered with optional ligature resistant faucet.

Wall Shower Solutions Model No. WH538-CSH-SRCH (Left) Conical Shower Head and Mixing Valve: *Conical design preventing ligature related injuries. *T/P valve – WHSV16. *ADA Compliant Shower Valve. Model No. WH538-FH-CSH-SRCH (Right) Dual Shower Head w/ Diverter and Mixing Valve: *Conical design preventing ligature related injuries. *T/P valve – WHSV16. *ADA Compliant Shower Valve.

Wall Shower Solutions Model No. WH418 Series (Right) Conical showerhead w/ Diverter (if dual) and Mixing Valve: *Conical design preventing ligature related injuries. *T/P balancing valve – WHSV16. *ADA Compliant Shower Valve. *Flush Mounted. Model No. WH458 Series (Left) Conical showerhead w/ Diverter (if dual) and Mixing Valve: *Conical design preventing ligature related injuries. *T/P balancing valve – WHSV16. *ADA Compliant Shower Valve. *Surface Mounted.

Wall Shower Solutions Model No. WH1832 Recessed Soap Dish: *Tamper resistant. *Stainless steel. *Flush Mounted. Model No. WH1741 Series (Right) Conical showerhead w/ Diverter (if dual) and Mixing Valve: *Conical design preventing ligature related injuries. *T/P balancing valve – WHSV16. *ADA Compliant Shower Valve. *Flush Mounted.

Shower Solutions Model No. WHSV16 Ligature Resistant Shower Valve Trim: *Patent pending valve and trim that is ADA compliant. *Non-rising stem to prevent the handle from protruding further from the wall when opened. *Custom retrofit for other manufacturer’s valves are available. *T/P Valve. Model No. WHDIV Ligature Resistant Shower Diverter Model No. WHCSH Series Ligature Resistant Shower Head

Bathroom Accessory Solutions Model No. WH1840FA (Right) Recessed Toilet Paper Holder: *Recessed design eliminating ligature points. *5” diameter and 4 ½” deep matching standard paper roll. Model No. WH1845FA (Left) Auto-Release Toilet Paper Holder: *Auto-release under load pressure of 40lbs.

Bathroom Accessory Solutions Model No. WH1829/1830 (Right) Towel/Clothing Hook: *Eliminates potential ligature points. *Auto-release with 40lbs pressure. Model No. WH1846FA (Left) Auto-Release Paper Towel Roll Holder: *Auto-release under load pressure of 40lbs.

Bathroom Accessory Solutions Model WH1811(Left) Framed Security Mirror: *Front mounted stainless steel. *Countersunk screw holes with tamper resistant screws. Model No. WH1820 (Right) Recessed Shelf: *Recessed for ligature resistant injury. *Design tall and deep enough to hold typical bathroom items.

Bathroom Accessory Solutions Model No. WH1110 (Left) Ligature Resistant, ADA Compliant Grab Bars: *Stainless steel. *Variety of length available. Grab Bars Model No. WH1109 (Right) Ligature Resistant Grab Bars: *Enclosure design to prevent ligature related injury.

Facility Safety Solutions Model No. WH1754-FS-ANTL Ligature Extinguisher Cabinet: *20 gauge steel box and door. *Mitered corners and sloping surfaces for safety. *Surface Mounted cabinet with a key lock. *Comes in three varieties: Recessed Mounted – WH1704 Semi-Recessed Mounted – WH1724 Surface Mounted – WH1754 Recessed Fire Extinguisher Cabinet

Under Development And Now For Something Completely Different Model No. WH2145 Ligature Resistant Tank Style Toilet: The BestCare stainless steel toilet: * Wider behind the bowl reducing ligature points. * Constructed of unbreakable stainless steel with a durable white powder coat. * Works with a ½” NPS water supply line.

Additional Resources & Contact Additional Resources Sales Information Document Morris Group International Business Development Team Tel (800) Morris Group International Business Development Team Tel (800) Whitehall Manufacturing is a Division of Morris Group International Contact

Citations 1.Warner, Jennifer “Suicide, Not Car Crashes, #1 Cause of Injury Death,” WebMD Health News, September 20, 2012, (Accessed March 15, 2013). 2.Knoll IV, James L. “Inpatient Suicide: Identifying Vulnerability in the Hospital Setting,” Psychiatric Times, May 22, (Accessed April 3, 2013). 3.Knoll IV, James L. “Inpatient Suicide: Identifying Vulnerability in the Hospital Setting,” Psychiatric Times, May 22, (Accessed April 3, 2013). 4.Knoll IV, James L. “Inpatient Suicide: Identifying Vulnerability in the Hospital Setting,” Psychiatric Times, May 22, (Accessed April 3, 2013). 5.Knoll IV, James L. “Inpatient Suicide: Identifying Vulnerability in the Hospital Setting,” Psychiatric Times, May 22, (Accessed April 3, 2013) “Sentinel Event Data Root Causes by Event Type ,” The Joint Commission, Perspectives in Psychiatric Care (January 2009), Revisiting “Suicide Proofing” an Inpatient Unit Through Environmental Safeguards: A Review 8.The Joint Commission Guide (2009) 9.Sentinel Event Description (Accessed Oct 24, 2013)