On any given day, the Dallas (Texas) County Jail adds between 300 and 350 inmates to its population of about 6,000. Among those new arrivals, at least half are ill, and about one in every six has some kind of mental illness.
Providing medical care within a correctional facility poses difficult logistical problems. On a busy day, the Dallas County Jail has to send up to 10 patients to nearby Parkland Hospital for higher levels of care in Parkland’s emergency department or inpatient area. Those transfers represent a security risk and add to the cost of guarding prisoners.
Since taking over the correctional health services for the jail in 2006, Parkland Health & Hospital System has remade the facility into a recognized national model for providing efficient healthcare to the incarcerated. More recently, Parkland has been using $38 million of county money to retrofit the three bottom floors of the jail’s North Tower into medical and mental health infirmaries totaling 300 beds, an expanded pharmacy, classrooms, and administrative offices.
Sharon Phillips, RN, Chief Administrative Officer for Parkland Health & Hospital Services, says the new facility will allow Parkland to better monitor its more acutely ill inmates, perform minor surgery, and provide IV treatments without having to transport prisoners outside the jail. A new mental health floor will offer classes in anger management, personal hygiene, and health maintenance.
Phillips says that once the new facility is up and running, most of the sick or injured inmates who previously had to be sent to area medical centers will be able to be treated at the jail’s infirmary or medical/surgical unit. “One of the most common reasons we send individuals to the Parkland campus is for chest pain,” she says. “When the new infirmary opens, we will be able to keep most of those inmates at the jail.”
Architecture firm HDR, which designed the jail more than two decades ago, is handling the renovation. HDR Senior Project Manager Jeffrey Forrest says clearing, demolishing, and rebuilding the interiors of three bottom floors without disturbing the six floors above led to some surprises, such as a deeply buried underground sewer system that needed to be uprooted.
The medical facility is scheduled to open next May. Azteca + Russell + Turner is the joint venture GC. Hill International is the project manager.
Read about more innovations from BD+C's 2014 Great Solutions Report.
Related Stories
Giants 400 | Aug 7, 2015
K-12 SCHOOL SECTOR GIANTS: To succeed, school design must replicate real-world environments
Whether new or reconstructed, schools must meet new demands that emanate from the real world and rapidly adapt to different instructional and learning modes, according to BD+C's 2015 Giants 300 report.
Giants 400 | Aug 7, 2015
MULTIFAMILY AEC GIANTS: Slowdown prompts developers to ask: Will the luxury rentals boom hold?
For the last three years, rental apartments have occupied the hot corner in residential construction, as younger people gravitated toward renting to be closer to urban centers and jobs. But at around 360,000 annual starts, multifamily might be peaking, according to BD+C's 2015 Giants 300 report.
Giants 400 | Aug 7, 2015
UNIVERSITY SECTOR GIANTS: Collaboration, creativity, technology—hallmarks of today’s campus facilities
At a time when competition for the cream of the student/faculty crop is intensifying, colleges and universities must recognize that students and parents are coming to expect an education environment that foments collaboration, according to BD+C's 2015 Giants 300 report.
Giants 400 | Aug 7, 2015
RECONSTRUCTION AEC GIANTS: Restorations breathe new life into valuable older buildings
AEC Giants discuss opportunities and complications associated with renovation, restoration, and adaptive reuse construction work.
BIM and Information Technology | Aug 6, 2015
After refueling its capital tank, WeWork acquires BIM consultant Case
The merger is expected to help standardize how WeWork designs and builds out office space.
Giants 400 | Aug 6, 2015
BIM GIANTS: Robotic reality capture, gaming systems, virtual reality—AEC Giants continue tech frenzy
Given their size, AEC Giants possess the resources and scale to research and test the bevy of software and hardware solutions on the market. Some have created internal innovation labs and fabrication shops to tinker with emerging technologies and create custom software tools. Others have formed R&D teams to test tech tools on the job site.
Giants 400 | Aug 6, 2015
GIANTS 300 REPORT: Top 115 Healthcare Architecture Firms
HDR, Stantec, and Perkins+Will top Building Design+Construction's 2015 ranking of the largest healthcare architecture and architecture/engineering firms in the U.S.
Giants 400 | Aug 6, 2015
HEALTHCARE AEC GIANTS: Hospital and medical office construction facing a slow but steady recovery
Construction of hospitals and medical offices is expected to shake off its lethargy in 2015 and recover modestly over the next several years, according to BD+C's 2015 Giants 300 report.
Codes and Standards | Aug 6, 2015
ConsensusDocs releases new CM agency contract standard agreement
For use when owner acts as the construction manager, hires a construction manager, or uses multiple prime contractors
Giants 400 | Aug 5, 2015
GIANTS 300 REPORT: Top 135 Office Sector Architecture Firms
Gensler, HOK, and Perkins+Will top BD+C's ranking of the nation's largest office sector architecture and architecture/engineering firms.