Upload
theo-staats
View
31
Download
0
Embed Size (px)
Citation preview
Developments in building for
mentally disabled persons
Fred Bisschop, Leo Mimpen, Theo Staats
24 November 2016 nCZB - EuHPN Workshop Madrid 1
Who we are
• 35 years of experience in healthcare building design and construction
• Backgrounds in economics and construction
• Reviewed numerous healthcare projects andbusinesscases
• We support large insurance companies and health care providers
• We make publications of general interest, including guidelines and standards
• We do our work independent
• Therefore our valuation of healthcare projects is important for attracting loans from banks
24 November 2016 nCZB - EuHPN Workshop Madrid 2
Content
• Developments in the care for mentally disabled
• Benchmark project
• Examples of recent projects
• Concerns for the future
24 November 2016 nCZB - EuHPN Workshop Madrid 3
Developments concerning building projects
until 2009
• Until 2009 institutions needed approval for their building plans
• Investments were without financial risks
• New projects needed to comply building guidelines and costs
• For existing buildings there were more moderate criteria
24 November 2016 nCZB - EuHPN Workshop Madrid 4
The quality of housing used to be very bad
• In 2003 we carried out a survey about the quality of the buildings forhousing patients
• Conclusions: over 50% of the buildings did not meet the standards set by the government itself
• A lot of people were just being “put away”
• Result: the government gave extra money for quality improvement
24 November 2016 nCZB - EuHPN Workshop Madrid 5
• Since 2009 institutions need no longer approval for projects
• Building guidelines do no longer exist
• Budget for housing costs however is derived from the formerguidelines
• Risk was introduced by making budget depending on number of clients
• Institutions professionalized their real estate departments
• Obsolete housing has been replaced in many cases
• Patients with relatively few disabilities are no longer entitled to home care
Developments concerning building projects
since 2009
24 November 2016 nCZB - EuHPN Workshop Madrid 6
Consequences of deregulation
• Government advocated in the past decentralisation and small groups.
• Institutions are now forced to move clients back to the campus and increase the size of groups.
• The exchange of information and knowledge betweeninstitutions stopped
24 November 2016 nCZB - EuHPN Workshop Madrid 7
Benchmark project
• Institutions are starting to share information about their building activities again
• Together with 3 large institutions we created a benchmarkgroup
• They represent 7% of the total capacity in the Netherlands
• Each institution gave extensive data of 3 or more recent projects
• We analysed the projects on aspects like m², m² per patient, costs etc
• This will result in reference data which may help optimizing futureprojects
24 November 2016 nCZB - EuHPN Workshop Madrid 8
Benchmark some results
• We defined 4 different patient groups in relation to the building demands
• For each group we analysed several projects
• Most projects seem to fit in this approach
• Output will be presented as a range of m2 and cost per patient
• Although the number of projects is limited it seems that building on a campus is cheaper than in a residential neighbourhood
24 November 2016 nCZB - EuHPN Workshop Madrid 9
4 examples of projects from the benchmark
1. Regular care for mentally handicapped and people with braindamage
2. Regular care for mentally handicapped on the campus
3. Care for clients with difficult behaviour on the campus
4. Care for ageing clients on the campus
24 November 2016 nCZB - EuHPN Workshop Madrid 10
Project 1: Project 1: Project 1: Project 1: 48 clients, regular care and care for
people with brain damage
24 November 2016 nCZB - EuHPN Workshop Madrid 11
Project 1: Project 1: Project 1: Project 1: 48 clients, regular care and care for
people with brain damage
24 November 2016 nCZB - EuHPN Workshop Madrid 12
Living room 24,3m²
Bedroom 9,3m²
Bathroom 6,8m²
Project 1:Project 1:Project 1:Project 1: 48 clients, regular care and care for
people with brain damage
24 November 2016 nCZB - EuHPN Workshop Madrid 13
Project 2Project 2Project 2Project 2: regular care for 62 mentally
handicapped clients on the campus
24 November 2016 nCZB - EuHPN Workshop Madrid 14
Project 2Project 2Project 2Project 2: regular care for 62 mentally
handicapped clients on the campus
24 November 2016 nCZB - EuHPN Workshop Madrid 15
Living room
Bedroom 19,7m²
Bathroom 4,5m²
Project 2: Project 2: Project 2: Project 2: regular care for 62 mentally
handicapped clients on the campus
24 November 2016 nCZB - EuHPN Workshop Madrid 16
Project 3Project 3Project 3Project 3: care for 20 clients with difficult
behaviour on the campus
24 November 2016 nCZB - EuHPN Workshop Madrid 17
Project 3: Project 3: Project 3: Project 3: care for 20 clients with difficult
behaviour on the campus
24 November 2016 nCZB - EuHPN Workshop Madrid 18
Project 3 : Project 3 : Project 3 : Project 3 : care for 20 clients with difficult
behaviour on the campus
Living room 15,4m²
Bedroom 8,1m²
Bathroom 5,2m²
24 November 2016 nCZB - EuHPN Workshop Madrid 19
Project 4: Project 4: Project 4: Project 4: care for 64 ageing clients on the
campus
24 November 2016 nCZB - EuHPN Workshop Madrid 20
Project 4:Project 4:Project 4:Project 4:care for 64 ageing clients on the
campus
24 November 2016 nCZB - EuHPN Workshop Madrid 21
Bedroom 20,9m²
Bathroom 8,1m²
Project 4: Project 4: Project 4: Project 4: care for 64 ageing clients on the
campus
24 November 2016 nCZB - EuHPN Workshop Madrid 22
Concerns for the future
• Due to the improving economy building projects become more expensive.
• Reimbursement for housing costs will go down
• The government no longer feel resonpsable for the quality of housing
24 November 2016 nCZB - EuHPN Workshop Madrid 23