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
| Feb 15, 2011
Iconic TWA terminal may reopen as a boutique hotel
The Port Authority of New York and New Jersey hopes to squeeze a hotel with about 150 rooms in the space between the old TWA terminal and the new JetBlue building. The old TWA terminal would serve as an entry to the hotel and hotel lobby, which would also contain restaurants and shops.
| Feb 15, 2011
New Orleans' rebuilt public housing architecture gets mixed reviews
The architecture of New Orleans’ new public housing is awash with optimism about how urban-design will improve residents' lives—but the changes are based on the idealism of an earlier era that’s being erased and revised.
| Feb 15, 2011
LAUSD commissions innovative prefab prototypes for future building
The LA Unified School District, under the leadership of a new facilities director, reversed course regarding prototypes for its new schools and engaged architects to create compelling kit-of-parts schemes that are largely prefabricated.
| Feb 15, 2011
New 2030 Challenge to include carbon footprint of building materials and products
Architecture 2030 has just broadened the scope of its 2030 Challenge, issuing an additional challenge regarding the climate impact of building products. The 2030 Challenge for Products aims to reduce the embodied carbon (meaning the carbon emissions equivalent) of building products 50% by 2030.
| Feb 15, 2011
New Urbanist Andrés Duany: We need a LEED Brown rating
Andrés Duany advocates a "LEED Brown" rating that would give contractors credit for using traditional but low cost measures that are not easy to quantify or certify. He described these steps as "the original green," and "what we did when we didn't have money." Ostensibly, LEED Brown would be in addition to the current Silver, Gold and Platinum ratings.
| Feb 15, 2011
AIA on President Obama's proposed $1 billion investment in energy conservation
The President’s budget increases the value of investment in energy conservation in commercial buildings by roughly $1 billion, reports AIA 2011 President Clark Manus, FAIA. The significant increase from the current tax deduction of $1.80 per sq. ft. now on the books is an increase for which the AIA has been advocating in order to encourage energy conservation.
| Feb 14, 2011
Sustainable Roofing: A Whole-Building Approach
According to sustainability experts, the first step toward designing an energy-efficient roofing system is to see roof materials and systems as an integral component of the enclosure and the building as a whole. Earn 1.0 AIA/CES learning units by studying this article and successfully completing the online exam.