Camillus House Turns Setbacks into Success: Financial Barriers Drive Key Design Improvements for Miami Treatment Center's New Campus

By Mahar, Karen M. | Behavioral Healthcare, May-June 2011 | Go to article overview

Camillus House Turns Setbacks into Success: Financial Barriers Drive Key Design Improvements for Miami Treatment Center's New Campus


Mahar, Karen M., Behavioral Healthcare


Two years ago, the management team of Camillus House (which operates 15 facilities throughout Miami-Dade County) was ready to break ground on the New Camillus House Center, a seven-building campus designed to hold 340 beds for short-term housing, residential treatment, medical respite, and permanent, low-demand housing for persons with severe mental illness, addiction, and/or serious medical disabilities.

Of course, even the best laid plans often end up changing and this ambitious endeavor was no exception. Faced with the effects of the financial crisis and a variety of unforeseen changes, Camillus House was forced to make significant changes to its plans, yet has relied on adaptability, flexibility and creativity to keep construction moving.

Now approximately 30 percent complete, the revised $80 million project is on track to deliver its first housing units in July--and is predicted to meet or possibly exceed the expectations of the original construction plan.

Making the right adjustments

The first factor driving the need for change was financing. Due to the economic crisis, Camillus had difficulty obtaining the temporary financing needed to fund construction. In the end, a significant loan would have been needed to follow the teams original plan--building all seven buildings at once. Since the banks were unwilling to help, the project was broken into two phases.

[ILLUSTRATION OMITTED]

Phasing decisions were made based on how space could be configured to allow on-site services to be provided as soon as Phase 1 was complete. However, scheduling decisions were largely out of the organizations control.

In addition to the looming expiration of Low Income Housing Tax Credits, the zoning and funding agreement with the City of Miami required that Camillus vacate its existing emergency and treatment center upon completion of the new facility. Consequently, funders' needs were not aligned with those of the program.

With the emergency services center not scheduled until Phase 2, the organization had to redesign space in Phase 1 to temporarily accommodate the needs of individuals living on the street. And, this all needed to be done without mixing the emergency services population with clients of the residential treatment center.

To satisfy both objectives, the design team took the following steps:

* The wellness center was redesigned into a temporary clothing exchange and mail room;

* The maintenance area in the parking garage ground floor was converted to client storage, an industrial-sized laundry facility, and temporary showers;

* The data center was relocated into the HIV/AIDS prevention suite, while that suite was moved to leased space offsite; and

* Residential suites were reconfigured to accommodate medical exam rooms.

[ILLUSTRATION OMITTED]

Had the architectural firm (Wolfgerg Alvarez) and the general contractor (Coastal Construction) not been personally committed to the mission of Camillus House, the changes would have been costly and drawn out. Instead, long problem-solving sessions kept everything moving along with a small impact on the budget.

[ILLUSTRATION OMITTED]

And, although the economic downturn caused up-front financing problems, it also provided an unanticipated financial benefit. Throughout the delay period, construction prices dropped dramatically. The general contractor bids came in 25 percent lower than projected and subcontractors were willing to offer five-year warranties on labor and materials.

Adding a splash of green

The second component driving changes in our project plan was a desire to improve the sustainability of the development. Camillus had set out to attain certification under the U.S. Green Building Councils Leadership in Energy and Environmental Design (LEED) at the Stiver Level, but as the project gained momentum, the goal was increased to Gold Level. …

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