Smitthipong & Rosamond Associates Inc.

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Ft. Defiance Indian Hospital - Ft. Defiance, Arizona

Total Gross Building Area: 240,000 SF
Total Construction Cost: $61,731,838

  This facility is a new 240,000 SF replacement facility located in the Navajo Nation. It provides health care services to Native Americans from Arizona and New Mexico. A full range of medical services is provided including 53 beds of inpatient care, labor and delivery, primary care and specialty clinics, dental clinic and comprehensive community health services.

  Opened in 2002, the Hospital includes Mental Health & Social Work Departments and perhaps the only IHS operated Adolescent Psychiatric Unit in the country today. The unit provides a full continuum of Mental Health Services coordinating with community providers and referral sources through pre-admission inpatient to aftercare treatment. The Adolescent Care Unit is a 16 bed facility for adolescents age 13 through 17 with psychiatric and / or substance abuse problems. Common psychiatric problems treated are mood disorders, psychotic disorders, suicidality, self harm, trauma, anxiety disorders, behavioral disorders and substance abuse or dependence as a secondary diagnosis. Treatment revolves around the adolescent and their family. Treatment is provided through an integrated team approach coordinating with referral sources, community agencies and outpatient providers.

  A Hogan-shaped rotunda was created at the intersection of the east entrance and the mall to serve as a point of orientation as well as a transition point up to the second level. Natural light was brought into the lobby through a high clerestory above. Additional clerestory elements were also provided along the length of the mall to admit natural light into the space to further enhance the “patient-friendly” environment.