April 2017 Edition 7.

James M. Hunt, AIA, NCARB

David M. Sine, DrBE, CSP, ARM, CPHRM

Includes a
Patient Safety Risk Assessment Tool

The Facility Guidelines Institute

The hospital plans activities to minimize risks in the environment of care.
Risks are inherent in the environment because of the types of care provided and
the equipment and materials needed to provide that care. The best way to manage
these risks is through a systematic approach that involves proactive evaluation of
the harm that could occur. By identifying one or more individuals to coordinate and
manage risk assessment and reduction activities—and to intervene when
conditions immediately threaten life and health—organizations can be more
confident that they have minimized the potential for harm.

The hospital manages safety and security risks.

Beginning in March 2017, the Joint Commission is emphasizing assessment of
ligature, suicide, and self-harm observations in psychiatric hospitals and inpatient
psychiatric patient areas in general hospitals. A March 1, 2017, Joint
Commission Online article details specific steps surveyors will take during on-site
surveys to document all observations of ligature or self-harm risks in the
environment. Each observation of a ligature or self-harm risk will be considered a
requirement for improvement (RFI).

Joint Commission Online

March 1, 2017

“Listen to the patients; they’ll tell you what you need to know.”
J.J., Safety Officer
Greystone Park State Psychiatric Hospital
New Jersey
 Behavioral Health
Design Guide
Edition 7.2

April 2017

© 2017 Behavioral Health Facility Consulting, LLC

In an effort to keep up with the rapid increase in the number of

products available for use in behavioral health facilities, this
document will be updated frequently. The date of each edition is
on the cover and at the bottom of each page of the document.
Readers are urged to check:
http://www.fgiguidelines.org/resource/design-guide-built-
environment-behavioral-health-facilities/
whenever referring to this document to assure the latest
information is being accessed.

EDITION 7.2
This edition has been heavily revised and edited since the last
edition. Therefore, text that has been revised since the last edition
is not shown in blue, as has been our practice in the past.

The Facility Guidelines Institute

[email protected]
www.fgiguidelines.org
CONTENTS
Introduction ................................................................................................................. 5
A Word from the Authors ............................................................................................ 6
Share Your Bright Ideas ............................................................................................. 7
Acknowledgments ..................................................................................................... 7
A Word from FGI: The Value of Focusing on the Behavioral Health Environment ..... 8
General Comments
1. Space Planning Considerations .................................................................. 9
2. Safety ........................................................................................................ 11
3. Outdoor Areas ........................................................................................... 14
Construction and Materials Considerations
Level I. Staff and Service Areas .................................................................... 16
Level II. Corridors, Counseling Rooms, and Interview Rooms ...................... 16
Level III. Lounges and Activity Rooms .......................................................... 27
Level IV-a. Patient Rooms ............................................................................. 29
Level IV-b. Patient Toilets .............................................................................. 37
Level V-a. Admissions ................................................................................... 45
Level V-b. Seclusion Rooms ......................................................................... 46
Summary .................................................................................................................. 48
Appendix .................................................................................................................. 49
About the Authors ................................................................................................... 109
About FGI ............................................................................................................... 110
Definitions/Resources ............................................................................................ 110
List of Manufacturers .............................................................................................. 111

Design Guide...Behavioral Health Edition 7.2. – April 2017

INTRODUCTION
This document is intended to address the built environment of the general adult
inpatient behavioral health care unit. Additional considerations that are not addressed
here are required for child and adolescent patients, patients with medical care needs,
dementia patients, and some patients with diagnoses such as substance abuse and
eating disorders.
This document is not a replacement for regulatory requirements, but rather augments
them to detail practical means of protecting patients and staff. It is intended to
represent best current practices, in the opinion of the authors. It is not intended to
represent minimum acceptable conditions and should not be interpreted as establishing
a legal “standard of care” that facilities are required to follow.

PLEASE NOTE:
Product information included in this document is intended for illustration of
one or more specific items that are deemed appropriate for use in this type
of facility. Comparable products by other manufacturers that meet the
same design criteria may be substituted after careful comparison.

Design Guide...Behavioral Health Edition 7.2 – April 2017 5

A WORD FROM THE AUTHORS
The Design Guide continues to be based on our experiences in the field as operators,
designers, consultants, and surveyors. Our goal is to share what we have seen that is
working and what we have seen that has not worked. Since the document was first
electronically published by the National Association of Psychiatric Health Systems
(NAPHS) in 2003, we have received and welcomed countless suggestions,
recommendations, and comments from users of the Design Guide, which continue to
inform and lead us to new discoveries. We are grateful and humbled by how well our
suggestions have been received and that they have inspired others to think of new
solutions to the inherent challenges of the behavioral health built environment.
We hope this edition of the Behavioral Health Design Guide (formerly the Design Guide
for the Built Environment of Behavioral Health Facilities) will meet the expectations of
and prove useful to the designers, operators, and clinicians who are entrusted with both
the care of behavioral health patients and with the environment of care in which those
people are cared for and treated.
As always, we introduce this edition with the same reminder we used to introduce the
inaugural edition in 2003: “While a safe environment is critical, no environment of care
can be totally safe and free of risk. No built environment—no matter how well designed
and constructed—can be relied upon as an absolute preventive measure. Staff
awareness of their environment, the latent risks of that environment, and the behavioral
characteristics and needs of the patients served in that environment are absolute
necessities. We also know that different organizations and different patient populations
will require greater or lesser tolerance for risk; an environment for one patient
population will not be appropriate for another. Each organization should continually visit
and revisit their tolerance for risk and changes in the dynamics of the patient population
served.”
As in earlier editions, we have highlighted products we have found to be both safe and
able to withstand the rigors of use in the behavioral health care environment. However,
inclusion or exclusion of a product does not indicate endorsement or disapproval of that
product, nor does it suggest that any product we identify is free of risk. As well, there
may be equivalent products available; all facilities should continually look to the
marketplace to find products that are safer and more cost-effective.
James M. Hunt, AIA, NCARB David M. Sine, DrBE, CSP, ARM,
President CPHRM
Behavioral Health Facility Consulting, President
LLC. SafetyLogic Systems
2342 SE Alamar Road Austin, TX
Topeka, KS 66605 [email protected]
[email protected] www.safetylogicsystems.com
www.bhfcllc.com SafetyLogic Systems

Design Guide...Behavioral Health Edition 7.2 – April 2017 6

SHARE YOUR BRIGHT IDEAS
A continuing feature in this updated edition is the inclusion of
Bright Ideas, which are indicated by the graphic shown at the
left. These are applications that we have thought of, or that
have been suggested by readers, that do not require the use
of any specific product, but make use of readily available
items in creative ways to improve the safety of behavioral
health units. Most of these Bright Ideas can be implemented
by maintenance staff at nominal cost. We thank those who
have contributed these ideas and information on new
products. We encourage this kind of input and invite feedback
from you, the readers. With your help, this can become a
compilation of the best thinking of the industry. We promise to
include more of your Bright Ideas in the future.

ACKNOWLEDGMENTS
We want to express our appreciation to the following professionals who have shared
their insight and experience with us and helped make this edition more helpful to other
readers:
Larry Denoyer – The Menninger Clinic
Steve Lindquist – Avera McKennan Behavioral Health Services
Tom Hess – Sheppard Pratt Health System
Byron Kitagawa – Sharp Healthcare Corp.
Steve Sullivan – Britton Construction
Tim Rappold – The Good Shepherd Center
Tom Ferrel – Systems West Engineers
Steven Shilts, RN – La Jolla Veterans’ Medical Center
Tom Loats – St. Joseph Hospital
Carter Wright – CWC Corporation

Design Guide...Behavioral Health Edition 7.2. – April 2017

A WORD FROM FGI
The Importance of Recognizing the Unique Needs of
Behavioral Health Environments
We at the Facility Guidelines Institute are expanding our mission to publish documents
that go beyond the fundamental health care design requirements we are known for. We
are pleased to have been asked to publish this valuable document, which goes beyond
basic design requirements to provide information that will help those in the behavioral
health field develop safe and effective care environments for patients and staff.
Whether you are designing new construction, renovating existing space, or maintaining
a facility, the Design Guide is intended to help you think through how the physical
environment affects patient and staff safety. Keeping a behavioral health environment
safe is an ongoing endeavor and requires a continuous process of review and
evaluation.
For any health care facility type, it is essential to base decisions about the built
environment on potential risks to the patient populations served. However, as noted by
the National Association of Psychiatric Health Systems (NAPHS), previous publisher of
this guide, this is particularly important in behavioral health facilities, where many
patients are admitted because they are at risk of harming themselves or others.
We hope the Design Guide will help users engage all the stakeholders in a project or
facility’s operation in the discussions needed to develop and maintain an appropriate
care environment. As identified by NAPHS, some questions to consider are:

• Could a patient be hurt by a particular element of the environment? Could that

element be used to harm someone?
• Can staff easily navigate the environment to get to patients in need of assistance?
• Is it possible to maintain patient privacy in this environment?
• Is the environment a respectful, therapeutic one that will contribute to recovery?
FGI does not endorse or recommend any specific product, and exclusion of a product
from this document does not indicate disapproval. However, we support the authors’
belief that providing information about specific products can help designers find
solutions that work in the unique circumstances of behavioral health environments.
Douglas S. Erickson, FASHE, CHFM, HFDP, CHC
CEO, The Facility Guidelines Institute

Facility Guidelines Institute Ÿ www.fgiguidelines.org Ÿ [email protected]

Design Guide...Behavioral Health Edition 7.2 – April 2017 8

GENERAL COMMENTS
Space Planning Considerations

A. Behavioral health units and facilities should be designed to appear

comfortable, attractive, and as residential in character as possible. The focus
on patient and staff safety has often pushed the aesthetics of these units toward the
appearance of a prison environment. To better meet the needs of patients, the final
design must avoid an “institutional look” while meeting the array of applicable codes
and regulations and addressing the therapeutic and safety needs of patients and
staff. The challenge is to strike a balance between the safest possible healing
environment and a non-institutional appearance that is correct for the unique
conditions that exist in each facility.
B. Nurse stations should provide the least possible barrier between staff and
patients. This goal is sometimes felt to conflict with staff safety concerns as
patients may be able to reach or jump over counters, but some facilities have found
ways to design nurse stations that protect against these actions without preventing
conversation and exchange of objects between staff and patients. HIPAA (Health
Insurance Portability and Accountability Act of 1996) privacy regulations can make
use of an “open” design challenging because patient records, electronic or
otherwise, must be protected from view by other patients, visitors, and unauthorized
staff. However, advancements in electronic medical records have somewhat
reduced the need to locate all charting-related activities and spaces in the area
behind the nurse station. Since the electronic “chart” can be accessed from many
locations, the area around the nurse station can often be used for more patient-
centered activities. When a more open nurse station is achieved, other areas where
clinical staff can discuss patients without being overheard and appropriately secure
storage for charts and patients’ valuables are needed.
C. Location of gathering areas for patients near the nurse station is encouraged
because patients often congregate by the nurse station to socialize. It is far
better to plan for this behavior and accommodate it in the original design. Such
gathering areas should include comfortable seating and places for conversation,
card or board games, and other quiet activities that will not distract staff working in
the nurse station. Television sets, CD players, etc. should not be included at these
locations.
Many facilities are now experiencing issues, especially with younger patient
populations, regarding use of personal electronic devices (e.g., iPods, MP-3
players, and similar devices). Patients say these electronics help keep them calm,
but the wires on the earphones can be hazardous. The decision about how to
handle this potential hazard is just one of many decisions that behavioral health
organizations need to weigh to determine the level of risk they are willing to accept
for the perceived benefit. It should always be remembered that a patient who has
been assessed as safe to use a player may set it down where another patient may
pick it up to gain access to the wires.

Design Guide...Behavioral Health Edition 7.2 – April 2017 9

D. Chart rooms and other staff areas should be located so staff members can
have conversations regarding patients and other clinical matters without
being overheard by patients or visitors. Teaching hospitals that have a large
number of residents and/or students making rounds will need larger spaces for
confidential conversations. The expanded use of electronic medical record
technology is continuing to change the needs and configurations of these spaces.
E. Facilities for medication distribution should support the organization’s
practices but allow for flexibility. Medication management has evolved over the
years from patients lining up at a window at designated times to staff taking
medications to patients wherever they are on the unit. While the trend is strongly
toward the latter, some facilities prefer the former or some variation of the two. This
practice should be clearly defined for every facility, and flexibility should be
designed into the built environment to allow for future changes in how this critical
function is provided. Medication rooms and/or zones should be sized to
accommodate the number of staff who will be necessary at peak times and
designed for current and future computer systems. HVAC and electrical systems
should have sufficient capacity to accommodate the cooling load of the refrigerator,
computer, automated medication systems, and number of people who may be
working in the area at peak times. The medication area should also have a hand-
washing sink and be sized to accommodate storage of the medication cart when it
is not in use without restricting staff use of the space. (See Section 2.1-2.6.6.2 (1) in
the FGI Guidelines for Design and Construction of Hospitals and Outpatient
Facilities, 2014 edition.)
F. Where possible, locate service areas (such as trash rooms and clean and
soiled utility rooms) so they are accessible from both the unit and a service
corridor. This eliminates the need for environmental staff servicing these rooms to
enter the treatment areas of the unit and possibly disturb patient activities. All doors
to these rooms must be kept locked at all times.
G. Traditional nurse call systems for patients to request assistance from nursing
staff are not required in behavioral health units. Significant new developments in
duress alarm systems greatly improve safety for staff who find themselves
threatened by patients. Sensors located in all patient-accessible areas are activated
using a small device that the staff members wear.650 Staff activate the alarm when
they feel threatened and want other staff to come. Different alarm products
annunciate in different ways, but many provide the exact location of the staff
member activating the alarm.
H. All electrical outlets in patient rooms should be tamper-resistant, hospital-
grade units on ground-fault interrupted circuits. The breakers for these circuits
should be located so staff can easily access them without entering patient rooms.
This is easy to accomplish in new construction, but can be very difficult to achieve in
remodeling projects. If receptacles with individual reset buttons are provided, they
should be wired so that activation of one receptacle’s breaker does not deactivate
the entire circuit.

Design Guide...Behavioral Health Edition 7.2 – April 2017 10

I. All electrical circuits with receptacles near water sources (e.g., sinks,
lavatories, and toilets) must be protected by ground-fault circuit interrupted
(GFCI) breakers.
J. Where possible, locate water shut-off valves in corridor walls so they can be
accessed from the corridor by opening a locked access door. This has been
successfully accomplished during remodeling projects of existing units.
K. Where possible, locate serviceable parts of patient room HVAC systems where
they can be serviced without entering the room. In new construction,
consideration may be given to radiant heating and cooling systems that greatly
reduce the need for mechanical devices in patient rooms.
L. Housekeeping rooms should be large enough to lock away carts when not in
use. All cleaning materials must be locked inside these carts at all times when carts
are in patient areas or corridors and not attended by staff.
M. Smoking areas (if provided) should be outdoors. These can be screened-in
porches using heavy stainless steel screen fabric81 similar to that specified in Level
III-H.1 in this document. Furniture should be securely anchored in place. Provision
should be made for staff observation without having to breathe secondhand smoke.
No wastebaskets should be allowed in these areas. Indoor smoking is not permitted
in most facilities, and many hospitals have gone to smoke-free campuses.
N. At the time of this writing, the applicable standards (the FGI Guidelines for Design
and Construction of Hospitals and Outpatient Facilities, 2014 edition, published by
the Facility Guidelines Institute) require 100 net usable square feet per private
patient room and 80 net usable square feet per patient in semi-private rooms
(Section 2.5-2.2.2.2). All requirements of the FGI Guidelines, NFPA 101: Life
Safety Code® (2012 edition), and the Joint Commission standards as well as state
and local regulations and building codes must be incorporated into project planning.

2. Safety

The level of concern for how the design of the built environment affects the safety of
patients and staff is not the same in all parts of a behavioral health unit or facility. The
level of precautions necessary depends on the staff’s knowledge of the patient’s
intentions regarding self-harm and the amount of supervision the patient will have while
using that part of the facility.
Previous editions of this Design Guide have proposed that the level of concern for
patient safety in the behavioral health built environment can be stratified into five
categories (with five being the highest level of concern). The concept is that some
latitude in design, construction, and materials used could be allowed for the lowest
level (Level I), described as spaces having no patient access or spaces where patients
are under constant supervision (e.g., staff and service areas). Much stricter
requirements would need to be met for Level IV, described as an area where patients with
unknown or unassessed risks are present or an area in which highly agitated patients could
be cared for. Level V areas are those that present special considerations that need to be

Design Guide...Behavioral Health Edition 7.2 – April 2017 11

addressed individually. The concept of this level system has been confirmed by
independent and peer-reviewed research (Bayramzadeh, S, Health Environments
Research & Design Journal 2017, Vol.10(2) 66-80).

Many have adopted this approach of assessing levels of concern based on a functional
statement of intended use and have agreed on the level of risk for rooms or spaces with
similar occupant functions (e.g., admissions rooms, examination rooms, etc.). However,
caution is necessary as some rooms or room functions can fit comfortably into more than
one category or sit on a blurry boundary between two categories. As well, the categories
do not anticipate every use of every room. This blurriness can result in clinical staff and
facility designers basing design choices on assumptions about the use of a room and its
corresponding level of concern that may not meet the actual needs of the stakeholders in
an operating environment. For example, a day room may be located within the sight line of
a nurse station that “always has staff present.” However, if a patient who can’t sleep is in
the day room watching television at 2 a.m. and the only staff member on duty is making
rounds, the patient may be “completely alone” for a period of time in a space that may
contain hazards.

The authors of the Design Guide propose use of a patient safety risk assessment (PSRA)
to facilitate conversation between clinical staff and designers regarding patient safety. The
PSRA uses a Cartesian matrix to relate an opportunity for a patient to be alone in a space
on one axis to a level of risk of self-harm on the other axis. The greater the opportunity for
a patient to be alone, the greater the opportunity for self-harm and the greater the caution
that should be taken regarding design choices and materials.

Although patient intent for self-harm is often opaque and difficult to assess, in the matrix we
have placed “actively suicidal” on the far end of the scale and describe the opposite end as
“self-harm not anticipated.” Privacy ranges from close observation (such as “1:1
observation”) on one end of the opportunity scale and the patient “completely alone” on the
opposite end.

This risk matrix is informed by Veterans Health Administration longitudinal studies that
have identified frequent locations of acts of self-harm by inpatients, Joint Commission data,
and Richard Prouty’s seminal work on risk maps. Designers and clinicians, rather than
seeking agreement on what is meant by the name of a room, may now seek to agree on
the actual or anticipated degree of aloneness or privacy a patient will experience in a room
or space (independent of its name), and it is that agreement that will drive design choices
for the room or space.

For example, a patient bathroom in which the patient is anticipated to be alone and have
privacy would be far along the privacy axis. If that assessment intersects far along the
patient intent for self-harm axis, the space should be designed with the attributes of a Level
IV space as described in this document. In sum, no matter the name of the room, a high
level of privacy warrants a high level of concern if it is anticipated that patients who are
actively suicidal (or patients with an unknown or unassessed intent for self-harm) are to be
treated or housed in that space. While different products may be used for spaces with risk

Design Guide...Behavioral Health Edition 7.2 – April 2017 12

 Level I: Areas where patients are not allowed or are under constant supervision, such
as staff and service areas

Level II: Areas where patients are highly supervised and are not left alone, such as
corridors, counseling rooms, activity rooms, and interview rooms

Level III: Areas where patients may spend time with minimal supervision, such as
lounges and day rooms

Level IV: Areas where patients spend a great deal of time alone with minimal or no
supervision, such as patient rooms (semi-private and private) and patient toilets

Level V: Areas where staff interact with newly admitted patients who present potential
unknown risks or where patients may be in a highly agitated condition. Due to these
conditions, these areas fall outside the parameters of the risk map and require special
considerations for patient (and staff) safety. Such areas include seclusion rooms,
examination rooms, and admission rooms.

Design Guide...Behavioral Health Edition 7.2 – April 2017 13

assessments located in the Level IV quadrant of the risk matrix than for spaces in the Level
I quadrant, the higher risk locations do not necessarily need to look more “institutional.”

The authors believe the use of a tool such as the patient safety risk assessment matrix
will facilitate necessary conversations regarding patient safety and design between
operators, clinicians, and designers. However, the tool is not intended to predict risk
levels in a facility, which the authors believe to be dynamic and non-static. Rather, it is
intended to encourage dialog and promote a common understanding of the patients a
designed space is intended for and the risks of that anticipated patient population.
Also note that use of the matrix should not be interpreted as a suggestion that patient
privacy is not important or is a risk to be avoided. On the contrary, privacy is generally
considered desirable in the behavioral health built environment, although it is
associated with a risk that should be considered and mitigated through good design
where possible.

3. Outdoor Areas

Outdoor areas (e.g., enclosed courtyards, fenced areas adjacent to a treatment unit, or
an open campus) are considered to have great therapeutic benefit. Because levels of
staff supervision for patients using outdoor areas may vary widely between facilities, or
even between different groups using the same space at different times, the need for
supervision should be carefully reviewed by management early in a design and
construction project. The final design for outdoor areas must respond to the acuity and
assessment of the most acute patients using the area.
In all cases, careful consideration should be given to exterior landscaping and furniture
in the vicinity of buildings used by patients. Trees should be located away from
buildings to prevent access to roofs. Climbable fences can permit, if not encourage,
unauthorized access to windows and roofs or elopement over walls. Shrubbery should
be non-toxic and low-growing. Avoid planting shrubbery close together as it can create
visual barriers that patients or unauthorized visitors may hide behind. Landscape or
decorative rocks that can be thrown and injure staff or other patients should not be
used.
All outdoor furniture660 should be firmly anchored in place. This will prevent the furniture
from being moved to create barricades or stacked to allow climbing over fences, into
windows, or onto buildings. Many types of commercially available furniture can be
anchored or are made of concrete or other heavy materials.
Buildings, walls, or fences may be used to establish clear boundaries and impede
elopement to a degree appropriate to the patient population being served. Some
behavioral health organizations are comfortable with a perimeter enclosure that is not
particularly difficult to climb and simply make elopements a treatment issue if the
patients return. Other organizations have a very high need to reduce elopements to the
extent possible. Where this is the case, the enclosures may take on a very prison-like
appearance. If views to the distance are not required, one approach is to treat the

Design Guide...Behavioral Health Edition 7.2 – April 2017 14

outdoor areas as meditation gardens with solid masonry walls that have a smooth
interior surface and are 12 to 14 feet high.
One facility installed large diameter (22”-24”) plastic pipe on
top of the wall to make it difficult for patients to get a grip on
the top surface. This pipe can be painted to match the color
scheme of the building and provides a much less institutional
appearance than concertina wire. If views to the distance are
desired, “windows” glazed with polycarbonate201 or security
glass200 may be used. These view panels should not have
sills or cross bars that could provide toeholds for climbing.
Another option is installation of a fine mesh chain-link fence
fabric675 on top of existing fence material. This fabric, which
comes in a range of sizes down to as small as 3/8” openings, makes the fence more
difficult to climb and has openings that are too small for most bolt cutters. When
installing such material, fence posts and rails must be strong enough to support the
fabric and the wind loading it will add. In at least one instance, a patient successfully
climbed a mini-mesh fence, so it is suggested a section at the top be angled inward to
further increase the difficulty of climbing.
Maximum security fencing,676 which has a very prison-like appearance, may be
selected for some facilities with involuntarily admitted patients. However, use of less
institutional-looking solutions should be explored before deciding to use this material.
Where portions of the building walls will enclose exterior courtyards for patient use,
these walls should not be easily climbable, especially if they are only one story high.
Windowsills, rain gutters, and similar features may support efforts to climb walls to gain
access to the roof. The exterior surface of all windows patients can access from
exterior courtyards must have security glazing,200 polycarbonate glazing,201 or security
window film,190 as described under Level II-D.
All areas surrounding patient use buildings, areas where staff will walk or escort
patients at night, and courtyards should be well-lighted. Exterior lights should not shine
directly into patient room windows.
Parking areas for staff and visitors should be well-lighted and reviewed regularly for
design features that encourage personal and property security. While security is
generally beyond the intended scope of this document, closed-circuit television
monitoring and video surveillance recording of these semi-public areas, where there is
no expectation of privacy, should be considered.
All manhole covers, access panels, and area drain grates should be anchored firmly in
place to discourage easy removal and use as weapons and to make it difficult for
patients to enter the underground piping.

Design Guide...Behavioral Health Edition 7.2 – April 2017 15

CONSTRUCTION AND MATERIALS CONSIDERATIONS
Each level of concern in the patient safety risk assessment matrix requires increased
attention to the built environment to reduce the potential for patients harming
themselves or others. The levels are cumulative, and all steps taken for lower levels
are also required for the next higher level. For example, all steps recommended for
Levels I, II, and III are also recommended for Level IV.

Level I. Staff and Service Areas

Comply with all applicable codes and regulations. All unattended service areas should
be locked at all times to reduce the possibility of patients entering these spaces.

Level II. Corridors, Counseling Rooms, and Interview Rooms

Minimize blind spots in corridors where patients cannot be observed from an attended
nurse station. All unattended counseling and interview rooms should be locked at all
times to reduce the possibility of patients entering these areas. Counseling rooms and
interview rooms should have a “classroom”-type lockset that requires a key to lock or
unlock the outer handle, but the inside handle is always free.
A. Floors – Carpet255 or sheet vinyl245 meeting class A rating should be used. Avoid
patterns and color combinations that may appear to “animate” into objects that
could contribute to visual misperception by patients. Anti-microbial carpet with
solution-dyed yarn and moisture-resistant backing generally works well in these
facilities and is available from most major carpet companies.
B. Walls – Abrasion-resistant and impact-resistant gypsum board230, 231 hung on 20-
gauge or heavier metal studs spaced no more than16 inches on center is typically
considered minimum construction for these areas. Sound-deadening gypsum
board232 is now available to help reduce noise levels from traditional hard services.
Consult manufacturers regarding the characteristics of the material determined
most appropriate for a particular installation. These products are available from
several manufacturers.
A painted finish is preferred because it is easy to repair and the cost of renewing or
changing colors to keep up with current trends is relatively low. Also, painted
finishes help create a residential or home-like ambience while still meeting
institutional requirements.
C. Ceiling – A solid ceiling is preferred for all areas of a behavioral health facility.
However, where accessibility to mechanical, electrical, and communication
equipment is needed, a lay-in ceiling may be used if the ceiling is high enough to
make the tiles and grid system difficult to reach. Where a lay-in ceiling is used,
consideration should be given to the use of clipped-in-place ceiling tiles. If clips are
used, regular safety rounds should include checking to see that they remain in place

Design Guide...Behavioral Health Edition 7.2 – April 2017 16

 as often clips are not replaced after maintenance is performed on equipment above
the ceiling. Some facilities report installing motion sensors above lay-in ceilings to
alert staff to patient activity above the ceilings.
D. Glazing (Interior and Exterior) – When it is broken, all glazing that is exposed in
patient-accessible areas should stay in the frame and not yield sharp shards that
patients could use as weapons. Terminology can be confusing in that laminated
glass like that used in vehicle windows is often referred to as “safety glass” but,
when broken, can yield large sharp pieces. Some forms of glazing recommended
for use in behavioral health facilities are listed here:
1. Standards – All glazing in patient-accessible areas should be safety glass.
The 2018 edition of the FGI Guidelines for Design and Construction of Hospitals
will contain the following reference to window testing:

“2.5-7.2.2.5 Windows...
“(2) To prevent opportunities for suicide, self-harm, and escape, the entire
window system and the anchorage for windows and window assemblies,
including frames and glazing, shall be:
“(a) Designed to resist impact loads of 2,000 foot-pounds applied from the
inside
“(b) Tested in accordance with AAMA 501.8-13: Standard Test Method for
Determination of Resistance to Human Impact of Window Systems
Intended for Use in Psychiatric Applications. Where operable windows
are used, hinges and locking devices shall also be tested.”
2. Impact-Resistant Glass Products – Several glass manufacturers200 offer
products that may be appropriate for use in behavioral health facilities. The
products chosen will vary depending on the size of the opening, type of frame,
patient population being served, and location of the glazing in the unit (as
determined by the patient safety risk assessment) including the distance the
opening is above grade. We suggest contacting manufacturers directly to
determine which products may be appropriate for a specific project.
a. Heat-Strengthened Glass – Although more difficult to break than regular
float glass, heat-strengthened glass has about half the strength of tempered
glass. Heat-strengthened glass may be a good choice if it is laminated and
high-impact resistance is not required for the location.
b. Tempered Glass – This may be acceptable for use in some patient-
accessible areas such as small windows in doors, portions of glass walls
separating activity rooms from corridors, and patient toilet room mirrors.
Tempered glass is more impact-resistant than float glass or laminated glass,
but will break into many small pieces and fall out of the frame, which may
allow a patient to elope. As well, each piece may have sharp edges. Patients

Design Guide...Behavioral Health Edition 7.2 – April 2017 17

 have been known to break tempered glass mirrors and rub the inside of their
wrists on the broken surface to cut themselves or swallow the small pieces of
glass. This hazard may be reduced by covering the tempered glass with a
security film as described below.
c. Tempered/Laminated Glass200 – Two layers of tempered glass are bonded
to a PVB interlayer, which helps the glass stay in the frame when broken.
d. Glass-Clad Polycarbonate Glazing200 – Two layers of heat-strengthened
glass are bonded to a polycarbonate core. This combination keeps the broken
material in the frame and reduces patient access to shards of glass that could
be used as weapons.
e. Window Film – If replacing existing glass is cost-prohibitive, applying a
window film security laminate190 to existing glass may be an alternative.
Although these films are susceptible to scratching and defacement by
patients, they may be removed and replaced at less cost than replacing glass
or polycarbonate panels. Additional protection may be obtained by using
impact-protection adhesives and a perimeter tape system to help hold the
glass in the frame if broken. In our opinion, claims that these window films will
prevent glass from breaking should not be relied upon.
f. Wire Glass – This will break and yield sharp shards of glass and is generally
not permitted by many current codes and regulations. Any use of wire glass
should be verified with all authorities having jurisdiction as many codes have
placed restrictions on its use.
g. Fire-Rated Glass205 – Clear fire-rated glass products are now available in a
variety of types and ratings.
h. Polycarbonate201 (Lexan) – Polycarbonate panels are highly impact-resistant
and available in a variety of thicknesses from several manufacturers. These
products will deflect upon impact, and large pieces have been known to pop
out of their frames. Care should be taken to assure that the depth of the stop
securing the panel will be able to hold it when subjected to strong impact near
the center of the panel. This material is also highly susceptible to scratching
and is a frequent target of patients who write profanity and draw pictures.
Mar-resistant coatings are available, but they do not eliminate this concern.
Recent projects have indicated this may be the most expensive option.
E. Doors
1. Elopement Buffers (formerly called sally ports) – The FGI Guidelines calls for
the “primary access point to the locked unit to be through a sally port” (Section
2.5-2.2.1). A sally port has two doors (or two sets of cross-corridor doors) that
are spaced far enough apart for the first door to be closed and locked before the
second door is allowed to unlock.

Design Guide...Behavioral Health Edition 7.2 – April 2017 18

 2. Access Control – Provide intercom (or telephone) for communication to nurse
stations from outside the unit if needed. Electronically controlled access systems
are preferred. These may be operated by a switch at the nurse station if the door
is clearly visible from the location of the release button. (Care should be taken to
assure that patients are not in the area when the door is released.) Card readers
or keypads adjacent to the door are also commonly used. These are readily
available from hardware suppliers and are generally extensions of systems
already in place at the facility.
3. Cross-Corridor Doors – These doors are provided for several reasons, and
each has its own unique function and requirements. Often, they are required to
be locked as a rule and to automatically unlock when the fire alarm is activated
(fail safe operation). When there is concern that electromagnetic locks may not
be sufficient to hold these doors, concealed deadbolts with the electric release in
the lever handle109 may be provided.
4. Other Doors – Doors in behavioral health facilities
are subject to heavy use and possibly extensive
abuse. They make up a significant percentage of the
exposed wall surface in corridors and thus have a
strong visual impact on these spaces.
Painted steel doors are durable, easily touched up or
refinished, but more institutional in appearance.
Doors with wood veneer faces and stain and varnish
finish are more “residential” in character, but are
easily damaged and difficult to repair. Plastic
laminate covered doors are also easy to chip on the
edges and may soon become unsightly. One way to
address the damage these doors receive is to add
stainless steel kickplates, door edges, and other add-
on devices, although these add to an institutional
look. (NOTE: The installation of kickplates may
invalidate the fire rating of doors in some
jurisdictions.) Kickplates and other protective devices
are also available in durable synthetic materials that
come in a variety of colors, which soften the stainless
steel look but can still result in a patchwork
appearance.
A possible solution to these issues is doors faced
with a durable synthetic that has a wood grain
appearance. Some of these doors have removable
end caps,25a which can be replaced if they become
damaged at much less expense than replacing the
entire door. Doors with synthetic faces without the
replaceable end caps25b are available for a lower
initial cost.

Design Guide...Behavioral Health Edition 7.2 – April 2017 19

 Although the first cost for these synthetic-faced doors
is higher than for doors of other materials, they do
not require the added expense of finishing the doors
and purchasing and installing kickplates, etc. Thus,
the life cycle cost can potentially be much less than
for other doors, and the appearance over time may
be a significant improvement.
F. Hardware
1. Hinges – Geared-type continuous hinges are preferred for all
patient-accessible areas because they minimize possible
attachment points. These hinges are available with a closed-
sloped top and continuous gears that resist ligature
attachment.111
2. Closers – Closers are generally not required for patient room
doors in most jurisdictions, but may be required for other doors.
Where installed, it is suggested that track closers100 be
mounted on the corridor side of the door, away from rooms
where patients will be alone or in groups.
3. Locksets – Use of some type of ligature-resistant lockset is
recommended for all doors in patient-accessible areas. A lockset can be used
for ligature attachment in three ways: pulling down, pulling up
and over the top of the door, and tying something around the
latch edge of the door using both the inside and outside
handles (transverse). The latchbolt itself has even been used
successfully as an attachment point as has the opening behind
the strike plate; for this reason, a box should always be
provided behind the strike plate. In our opinion, the perfect
solution for this dilemma does not exist at this time. Several of the better options
are discussed below.
a. Locksets with a Lever Handle130 – These effectively
deal with up and down pressure, but are susceptible
to transverse attachment. The lever should move
freely in both directions when locked to reduce
ligature attachment risks. This type of handle is more
typical (less institutional) in appearance and
operation than other choices. Both of these qualities
are very desirable in items that patients will touch
and use on a regular basis. However, lever handles
may present more risk than some of the other
choices.

Design Guide...Behavioral Health Edition 7.2 – April 2017 20

 b. Crescent Handle Lockset136 – This type of lockset has
a lever handle and thumb turn that are ligature-
resistant and may meet ADA requirements. It is
available with a handle that can be mounted in a
horizontal position and allows the user’s hand to
easily slip off the free end.
c. Push/Pull Handle Locksets137 – When installed with
both handles pointing down, this type of lockset
resists pulling down and, to some extent, transverse
attachment. However, it is very easy to pull up on the
handle and loop something over the top of the door.
This hazard can be reduced by installing an over-the-
door alarm as discussed later in this document.
d. Push/Pull Hardware – This type of door handle is
available with a flush push pad on one side and a
ligature-resistant pull handle on the other.137b
e. Modified Lever Handles – These provide minimal
ligature attachment risk but have an unusual
appearance and operating motion. They are available
in various designs.
4. Unit Entrance Door Hardware – Electronically controlled
access systems with electric strikes or electromagnetic
locks are preferred. See Level II-E-2 (Doors – Access
Control).
The two doors or two sets of cross-corridor doors in an elopement buffer (sally
port) are electronically interlocked so that only one door can be open at a time.
Care should be taken to assure that adequate space is provided for both doors
to be closed at the same time. Packaged systems for this hardware144 can be
used to satisfy this requirement.
5. Exit Door Hardware – Exit doors (including stairway doors)
in behavioral health facilities are often locked at all times.
They may be locked with electromagnetic locks110
connected to the fire alarm system and may stay locked
when the fire alarm is activated (fail secure) or release
when the alarm is activated (fail safe) as deemed
appropriate for the patient population. The acceptability of this type of hardware
and its operating mode should be verified with the local authorities having
jurisdiction. Electromagnetic exit door locks are available in varying holding
strengths, and the mounting position recommended by the manufacturer must
be carefully followed to provide the rated holding force. For extraordinary
circumstances, more than one electromagnetic lock can be provided per door or

Design Guide...Behavioral Health Edition 7.2 – April 2017 21

 electrically operated deadbolts or a vertical frame member at the strike jamb
may be required.
6. Hardware for All Unit Doors
a. Doors for which applicable codes and regulations
require a closer but that need to be open to allow
staff observation of patients must be provided with a
closer with a built-in release101 that permits the door
to close automatically when the fire alarm is
activated.
b. For doors that swing into rooms with patients in them, one of the barricade-
resistant methods discussed in Level IV-a should be used.
7. Door Smoke Seals – These may be required in some situations
and are often applied with adhesive strips that can allow
patients to remove them to use as ligatures. Smoke seals that
break into 8”-long pieces10 are preferred for use on all doors
that patients will pass through.
8. Hardware for Toilet and Shower Rooms – Patient-accessible
toilet rooms and shower rooms located near activity rooms and
other locations on the unit should have all the features of the
patient toilet rooms discussed in Level IV-b. In addition, they
will need to have a “classroom function” locking device to limit both unauthorized
use and entrance by others when in use.
G. Light Fixtures – If located at a height or location that is not
easily accessible to patients, these may be normal fixtures
and lamps as long as staff observation from the nurse station
is good and staff are in attendance; however, tamper-
resistant fixtures are preferred. Where fixtures can be
reached by patients or in areas that are not readily observable
by staff, light fixtures must be a tamper-resistant type620 or
have minimum ¼”-thick polycarbonate prismatic lenses634
securely fixed in the frame with covers that are firmly secured
with tamper-resistant screws.470 Many such fixtures are now
available with LED light sources.
Glass components that could be accessed by patients should not be used in any
fixture. Use of table lamps or desk lamps is strongly discouraged. Neither
incandescent lightbulbs nor fluorescent tubes should ever be accessible to patients.
Motion detector control of corridor light fixtures (other than minimal night-lighting)
has been suggested. This would allow staff to know immediately when a patient
leaves his or her room.

Design Guide...Behavioral Health Edition 7.2 – April 2017 22

H. Fire Sprinklers – Institutional heads521 that provide very
little opportunity for attachment should be provided.

I. HVAC Grilles and Equipment

1. Standard grilles with small perforations600 that are
secured in place with tamper-resistant fasteners are
generally acceptable in corridors, counseling rooms,
and interview rooms as long as they are mounted high
enough that patients cannot easily reach them.
2. Where existing fan/coil units (as well as fin-tube heaters
or old style radiators) are present in these spaces, they
should be protected with vandal-resistant covers.606

J. Window Coverings
1. Mini-Blinds – Mini-blinds mounted between layers of
safety glass200 are preferred because the blinds are not
accessible to patients. Care should be taken to assure
that any exposed devices for controlling the tilt of the
blinds do not create a potential ligature attachment
point. Some commercially available window assemblies
have all these features.430 Exposed mini-blinds should
never be used.

2. Roller Shades440 – Roller shades specifically

manufactured for use in psychiatric hospitals are
another option. These have enclosed security roller
boxes, security fasteners, cordless operation, and
locking devices that resist tampering by patients.
3. Curtains and Curtain Tracks – Curtains and
associated tracks of any type (including those
designated as “breakaway” and represented by their manufacturers as “safe for
psychiatric hospitals”) are not recommended for use in any patient-accessible
areas, especially patient rooms and patient showers.

Design Guide...Behavioral Health Edition 7.2 – April 2017 23

K. Operable Windows – Windows in all patient-accessible areas should comply with
all applicable codes and regulations for operable sash. Where operable windows
are provided, they should be equipped with sash control devices170 that limit how far
the window can be opened and that, where required, can be released to full opening
using a key for evacuation purposes. Window systems are also available that allow
fresh air434 through a rotating vent at the bottom
or by sliding the window open a few inches.
L. Miscellaneous
1. Trash Can Liners – Plastic trash can liners
should not be allowed in any space
accessible to patients. Breathable paper liners1 should be provided.
2. Telephones – Telephones located in corridors or common
spaces for patient use should have a stainless steel case,655 be
securely mounted to the wall, and have a non-removable
shielded cord of minimal length (14 inches maximum); they may
be equipped with or without touch pads for placing outbound
calls. It has been reported that if a patient pulls very hard on the
receiver that the armored cable can unwind and provide sharp
edges. This risk should be weighed against the ease of removal
of standard cords.
3. Cabinet Pulls – These should be recessed, with no protruding openings, or of a
closed ligature-resistant type.460
4. Cabinet Locks – These are very important in all
patient-accessible areas. Cabinets used to store
items that patients could use to harm themselves or
others should be kept locked at all times when
patients are present. This can lead to staff constantly
looking for the right key on a large keychain. One solution is to provide locks that
can be unlocked with a key that staff already carry, such as the key used to
activate the fire alarm. Another solution is to use existing key access cards or a
pushbutton keypad.465 These are becoming more affordable and should be
particularly helpful in examination/treatment rooms and any locked cabinets in
patient rooms.
5. Room Signs300 – Room signs are available in a flexible
material that is applied with adhesive and will not provide a
weapon to patients if removed. These can include braille
lettering and meet ADA requirements.

Design Guide...Behavioral Health Edition 7.2 – April 2017 24

 6. Fire Response Equipment – All fire alarm pull stations and all fire extinguisher
cabinets521 should be locked (with approval of all
applicable code authorities). All staff on duty must carry
keys for these at all times. These keys should be provided
with a red plastic ring or other means of providing quick
identification. In addition, fire extinguisher cabinets should
have continuous hinges, recessed pulls (if any), and
polycarbonate glazing if view windows are provided.
7. Lighted Exit Signs640 or Photoluminescent Signs642 –
These should be vandal-resistant and installed tight to the
ceiling with a full-length mounting bracket to avoid use as
a hanging device. Mounting these signs on a wall so they
are perpendicular to the wall is not recommended because
it leaves the top exposed as a possible attachment point.
8. Observation Mirrors – Convex mirrors installed in
corridors, seclusion rooms, and other patient-accessible
locations to assist with observation of patients should be
made of a polycarbonate that is a minimum of 1/4" thick,
be filled with high-density foam, and have a heavy metal
frame that fits tightly to the wall and ceiling.420 Convex
mirrors made of steel are also available. The perimeter
of the mirror should be sealed with pick-resistant
caulking.20
M. Furniture
1. Furniture used in behavioral health facilities should be easily
cleaned, easily reupholstered, very sturdy, and as heavy as
possible to minimize the likelihood of patients throwing chairs,
tables, etc. As much furniture as practical should be built-in or
securely anchored in place to prevent stacking or barricading
of doors. Remaining loose items (such as chairs) can vary
from high-quality wood- or steel-armed upholstered chairs482
that resemble typical residential furniture to polyethylene
rotationally molded483 and sand-ballasted seating, which is
now available with a less institutional look. The health care
organization should select furniture
appropriate for the patient population
served.
2. Lockable storage cabinets and drawers
should be provided, along with the means
to lock phones and computers away from
patients. Some organizations have a
switch installed in a staff area to deactivate patient use phones at times when
patients are not allowed to make calls.

Design Guide...Behavioral Health Edition 7.2 – April 2017 25

 3. All upholstery and foam used in furniture should have flame-spread ratings that
comply with the requirements of Section 10.3 of NFPA 101: Life Safety Code®.
N. Pictures and Artwork – All pictures and artwork in patient-accessible areas must
be given special consideration:
1. Murals – These can brighten and add interest to corridors
and day rooms and have been used very effectively in some
facilities. It is usually a good idea to cover them with at least
two coats of a clear sealer for protection, but patients
typically enjoy these and defacing them is not usually a
problem. Murals are also available on wall vinyl and wall
protection materials.
2. Wall Protection – Large sheets of durable wall protection
material are available with a wide variety of printed
artwork.304 However, the standard vinyl trim pieces that
come with this material should not be used for behavioral
health applications. Rather, the edges of the material should
be tightly fitted together and sealed with pick-resistant
caulk.20
3. Frames – Specially designed frames302 that slope away from
the wall and have polycarbonate201 or acrylic glazing are
recommended. The frames should be screwed to the walls
with a minimum of one tamper-resistant screw470 per side.
Care should be taken to reduce opportunities for attaching
ligatures to the frame or the joint between the top of the
frame and the wall, especially when the surface of the wall is
not perfectly flat, causing gaps between the wall and frame.
The joint at the top should be sealed with a pick-resistant
sealant.20 Some of these frames allow for easy replacement
of the images and provide the opportunity for patients to
customize the displays with personal photos, etc.
4. Printed Flexible Vinyl – Another option is to print artwork on flexible vinyl301 that
can be attached to walls with low-tack adhesive or regular wall vinyl adhesive for
more permanent installations. This method reduces the risk of patients obtaining
harmful materials. The low-tack adhesive used on smaller images makes it
easier to change the art displayed on a seasonal or other basis and allows
hospitals to offer patients a choice of artwork to display in their rooms, giving
them some control over their environment.

Design Guide...Behavioral Health Edition 7.2 – April 2017 26

O. Ligature-Resistant Drinking Water Stations – Drinking
fountains are often required or desired in common spaces on
units. Typical drinking fountains can prove problematic for
ligature and infection control reasons, but requiring patients to
ask staff every time they want a drink of water can rank high on
patient dissatisfaction surveys.
To address this issue, consider use of water cup-filing stations in
patient-accessible areas. Several options are available for cup-
filling stations599 that have either local or remote refrigeration units, in both wall-
mounted and countertop styles.

Level III. Lounges and Activity Rooms

A. Floors – Use sheet vinyl245 where wet or potentially messy activities will be
conducted. Carpet should be broadloom or sheet carpeting and have antimicrobial,
solution-dyed yarn and non-moisture absorbent backing.255
B. Walls – Same as for corridors in Level II.
C. Ceiling – Non-accessible, solid gypsum board ceilings are preferred. If more sound
attenuation is desired, apply 1’x1’ acoustic tile to the gypsum board with adhesive or
use sound attenuation gypsum board.232 A nine-foot-high ceiling is highly desirable
as the added height makes it more difficult to reach, decreasing patient tampering
with ceiling-mounted devices.
D. Glass – Same as for corridors in Level II.
E. Hardware – Same as for counseling and interview rooms in Level II.
F. Light Fixtures – Same as for corridors in Level II.
G. Fire Sprinklers, Institutional Type – Same as for corridors in Level II.
H. HVAC Grilles and Equipment – Only grilles with very small perforations600 that
comply with National Institute of Corrections standards should be used in behavioral
health facilities.
1. If other grille types exist and must remain, cover them with heavy-gauge stainless
steel screen fabric81 or a manufactured perforated cover.605
2. If individual fan/coil-type units exist and must remain, secure all access panels,
grilles, and controls. Same as for corridors in Level II-I.
I. Window-Covering Hardware – Same as for counseling and interview rooms in Level
II

Design Guide...Behavioral Health Edition 7.2 – April 2017 27

J. Furniture – All lounge furniture requirements listed
for counseling and interview rooms in Level II also
apply to this level. Where movable seating is
required (e.g., dining and activity rooms), very
lightweight polypropylene chairs481 that resist
breaking into sharp pieces are preferred. An
alternative is a chair that can be partially filled with
sand to make it difficult to throw or use as a weapon.480
K. Kitchen Appliances
1. All cooking appliances (ranges, microwaves, coffee makers, etc.) should have
key-operated lockout switches611 to disable the appliance.
2. Patient access to coffee should be carefully considered in each facility’s risk
management program. If access to this (and other potentially scalding liquids) is
allowed, an insulated plastic dispenser should be located so it is readily
observable by staff. Glass coffee pots should never be available to patients.
3. All garbage disposal units should have a key-operated lockout switch611 to
disable the device.
4. All receptacles located near sources of water, including sinks, as well as all
patient-accessible receptacles must be GFCI-protected.
L. Miscellaneous
All miscellaneous requirements listed for counseling and interview rooms in Level II
apply to this level also.
1. Electrical Device Cover Plates – All electrical device cover plates
(for switches, receptacles, etc.) must be attached with tamper-
resistant screws.470 Cover plates made of polycarbonate612
materials are preferred; each cover plate must have screws in each
corner to make it rigid enough to resist bending and protect patients
from access to electrical wiring and contacts. Standard stainless
steel cover plates that fit tightly to the wall are rigid enough to be
allowed for many patient populations. These may be secured
with a single tamper-resistant screw in the center as long as it is
securely tightened.
2. Television – TV sets should not be mounted
on walls using exposed brackets because of
the ligature risk this presents. Rather, all TV
sets should be installed in built-in TV or media
centers or manufactured tamper-resistant
covers with sloped tops.290 They should also have an isolation
switch that staff can control.

Design Guide...Behavioral Health Edition 7.2 – April 2017 28

 For maximum safety, the electrical outlet and cable TV outlet should be located
inside the cover to keep the wires and cables away from patients. One facility
utilized unused platform beds mounted vertically on the wall to house television
sets and conceal all wires and cables.

Level IV-a. Patient Rooms

A. Floors – Same as lounges and activity rooms in Level III. If some
patients are prone to urinate on the floor, provide some rooms
with seamless epoxy250 or sheet vinyl flooring with an integral
cove base. Metal or plastic strips should not be applied at the top
edge of the base.

B. Walls – Impact- and/or abrasion-resistant gypsum board230 installed on minimum

20-gauge metal studs spaced no more than 16 inches on center; paint finish
preferred. Sound-attenuating gypsum board232 may also be used on walls if
approved by the manufacturer for use in behavioral health applications.

C. Ceiling – Non-accessible solid gypsum board (sound-

attenuating if desired), painted. Provide key-lockable access
panels50 at all patient-accessible locations. If these access
panels do not fit tightly or are a larger size, it may be
necessary to provide tamper-resistant screws in the corners or
along the sides of the panels.

D. Doors – Patient room-to-corridor doors may present an opportunity for patients to

barricade themselves in their rooms to delay staff members’ access. One solution is
to hinge the door so it swings into the corridor, (although this may create its own
problem with the Life Safety Code and other building codes. As well, this
arrangement may (depending on the design) result in creation of an alcove that is
difficult to observe and that patients may use as a hiding place from which to attack
staff or other patients.
To avoid these problems, patient room-to-corridor doors may be mounted to swing
into patient rooms using several other barricade solutions:
1. Double-acting continuous hinges113 can
be used on patient room-to-corridor doors
to counteract barricading without the
hazard presented by pivot hinges. These
continuous hinges are available with a full-
height emergency stop115 that locks in
place and can be easily unlocked to allow
the door to swing into the corridor.

Design Guide...Behavioral Health Edition 7.2 – April 2017 29

 2. The door-within-a-door44 (sometimes referred to as a “wicket”
door) has a portion of the center of the door hinged to swing into
the corridor. This hinged panel is mounted on a continuous (or
concealed) hinge and secured with a deadbolt lock.

3. If space is available, a separate narrow (18”–24” wide) door that

swings into the corridor may be used for emergency access to the
room. This smaller leaf can either be mounted in the same frame
as the main door in a “double-egress” configuration or there can
be a mullion47 between the two leaves.

4. The top of all tight-fitting doors provides a

pinch point that allows a patient to tie a
knot (in a sheet, the leg of a pair of jeans,
or other object), place it over the top of
the door, and close the door to create a
hanging device. One way to reduce this
risk is with a pressure-sensitive or
photoelectric device placed near the top
of the door that can sound an alarm150 when
activated.

Design Guide...Behavioral Health Edition 7.2 – April 2017 30

 5. Some facilities have begun to address the
desire of some patients to lock themselves in
their rooms to avoid unwanted entrance by
other patients. The challenges with this are to
provide individual security for the patient
without restricting staff access to the room.
Options include locksets with specialized
locking functions and ligature-resistant
turnpieces140 that cannot be held from inside
the door to resist a key being turned to unlock
the door. A cylinder protector141 to cover the
lock cylinder on the corridor side of the door
resists attempts to insert objects in the
keyway. Card access technology is also available to control these locks.

E. Glass
1. Exterior Windows – See Level II-D-1 (Safety Glazing) and K. (Operable
Windows).
Advances in different types of safety glass make it worthwhile to consult an
expert for advice for a specific project. The height above the ground, patient
population, and many other factors should be taken into account in choosing
these materials. Comply with all applicable codes and regulations for operable
sash.
2. Security Screens - If replacing windows presents a prohibitive cost in
remodeling work, a security screen with a very sturdy steel frame80 designed to
resist deflection and equipped with multiple key locks and a heavy-gauge
stainless steel screen fabric81 may be used. These are functional and secure,
but create an “institutional” appearance and can be defaced by writing obscene
words with toothpaste (or other material).
3. Mirrors – Radiused stainless steel-framed security
mirrors360 are preferred for patient room mirrors. The
reflective surface may be polycarbonate, tempered
glass, stainless steel, or chrome-plated steel. Each has
durability and distortion characteristics. Some framed
mirrors have a flat surface on top and/or do not fit
tightly to the wall and provide opportunities for ligature attachment. Where this
occurs, a tapered strip361 may be installed to reduce this ligature risk.

Design Guide...Behavioral Health Edition 7.2 – April 2017 31

 4. View Windows to Corridors – Use of polycarbonate,201
security glazing, or tempered glass is recommended for
view windows to corridors in doors and sidelights. If a fire
rating is required by code, fire-rated glass should be
provided. Wire glass is no longer allowed by most codes
and jurisdictions.
Use of view windows in patient room-to-corridor doors or
sidelights brings up some conflicting issues. One point of
view is that they are necessary to allow staff observation,
while others believe the windows infringe on patient
privacy because anyone, including other patients, can see
into the room. One solution is to provide an operable blind220 that only staff can
control from the corridor side.
F. Hardware – See comments under Level II-E.
It is highly desirable to keep vacant patient rooms locked at all times to prevent
other patients from entering these rooms without staff knowledge. However,
because many jurisdictions do not permit provision of means to lock a patient in
a room, “classroom"-type locks are recommended. These can always be opened
from the inside, and the corridor side may be either locked or unlocked with a
key.
G. Light Fixtures – Same as in Level II except that all light
fixtures should be security-type fixtures.620
Advancements in LED lighting applications are rapidly
creating new options. The use of traditional 2’x4’
fluorescent light fixtures creates a very commercial or
institutional appearance in patient rooms, and the
placement of one of these directly over the bed is a
carryover from general hospital design that is seldom
needed in behavioral health facilities. Preference is for
using either round or oval surface-mounted, vandal-
resistant fixtures for general illumination and recessed
security downlights with polycarbonate lenses over the
beds for reading lights. Many of these fixtures are now
available with LED light sources.
Covers630 are available for existing (or new) downlights that
are secure and make the appearance more residential in
nature.
No glass components should be exposed to patients in any
fixture, and use of table lamps and desk lamps is strongly
discouraged.

Design Guide...Behavioral Health Edition 7.2 – April 2017 32

H. Fire Sprinklers, Institutional Type – Same as for corridors in Level II.
I. HVAC Grilles and Equipment
1. Fully recessed vandal-resistant grilles with S-shaped
air passageways 602are recommended for all ceiling
and wall-mounted grilles.
2. In new construction or major remodeling projects,
locate individual room HVAC equipment (such as
fan/coil units) in an adjacent corridor or another location (e.g., an interstitial
space) where they can be serviced without entering the patient room.
3. In existing facilities that have units located below the windows, manufactured
vandal-resistant enclosures606 should be provided or care should be taken to
secure all access panels with tamper-resistant screws. All supply and return air
grilles should also be covered with perforated grilles or stainless-steel screen
fabric.
J. Window-Covering Hardware – Same as for counseling and interview rooms in
Level II
K. Furniture
1. Furniture – Sturdy wood, thermoplastic, or composite
furniture should be bolted to the floor or walls whenever
possible. Care must be taken to assure the furniture will
withstand abuse, will not provide opportunities for
hiding contraband, does not have joints that will allow
penetration of liquids such as urine, and will resist
being dissembled to provide patients with weapons.
Open-front units with fixed shelves and no doors or
drawers495 are recommended. Doors should not be
provided because they can be used by patients to hang
themselves. Drawers should not be provided because
they can be removed by patients and broken to use as
weapons. All upholstery and foam used in furniture and
mattresses should have flame-spread ratings that
comply with the requirements of NFPA 101: Life Safety
Code, Section 10.3.
Desk chairs are preferred to be lightweight481 or
ballasted480 as discussed in Level III-J (Furniture).

Design Guide...Behavioral Health Edition 7.2 – April 2017 33

 2. Beds
a. Non-Adjustable Platform Beds493 – Beds without
wire springs or storage drawers are preferred. These
beds should be securely anchored in place to
prevent patients from using them to barricade the
door. If a portable lifting device will be used, beds
are available with an opening underneath to
accommodate the legs of the lift.494 Portable lifts can
also be accommodated by placing an existing
platform bed on a specially designed riser; this
arrangement also reduces the amount of bending
over staff need to do to work with the patient.494b

b. Mattresses for Platform Beds492 – These should be

specifically designed for use in behavioral health
facilities and be resistant to abuse and
contamination.
c. Manual Hospital Beds – Where hospital beds are
medically necessary, manual hospital beds491 are
preferred. The wheels of these beds should be
removed or rendered inoperable to reduce the
opportunity of using a bed to barricade the door. It
should be noted that the bed rails, headboard, and
footboard all present hazards for behavioral health
patients.
d. Electric Hospital Beds – If electrically operable
beds are needed to reduce risk of staff injuries
(especially for patients with co-existing medical
issues), beds that are specifically suited for use on
behavioral health units490 should be used rather than
standard electrically adjustable hospital beds. These
specialty beds will sense obstructions and reverse
direction and have lockout features for the controls, reduced-length cords,
and other tamper-resistant features.
If existing electrically operable beds must be used for financial reasons, use
only beds that require a constant pressure on a switch located on the bed rail
(not a remote control device or paddle that can be placed on the floor). Also,
provide a key lockout switch on the beds (or a removable pigtail) so only staff
can operate the beds. All electrical cords should be secured and shortened.
Use of a keyed lockout switch is preferred.611

Design Guide...Behavioral Health Edition 7.2 – April 2017 34

 As for other wheeled beds, the wheels of electric hospital-type beds should
be removed or rendered inoperable and the hazards presented to behavioral
health patients by bed rails, headboard, and footboard should be considered.
3. Wardrobe – Wardrobe units should not have doors and
should have fixed (non-adjustable) shelves.495 They
should be securely anchored in place and have sloped
tops. Wardrobes with clothes poles requiring hangers
are discouraged because, although the bar can be
made safe, the hangers present serious hazards. It
should be noted that starting with the 2010 edition, the
FGI Guidelines no longer calls for patient rooms to have
accommodations for “hanging full-length clothing.” The
average length of stay in many facilities is now in the 7-
to-10-day range, and patients seldom come with
clothing that needs to be hung up.
L. Miscellaneous
All requirements for lounges and activity rooms in Level III-L (Miscellaneous) apply
to this level also.
1. Pull Cords – Nurse call systems are generally not required for behavioral health
units. If they are provided, pushbutton-type activation switches653 are preferred.
If cords are provided, it is recommended they be no longer than 4” and as
lightweight as possible.
2. Electrical Receptacles – In new construction or major remodeling,
provide a dedicated circuit for all electrical outlets in each patient
room and bath. This will allow power to the outlets in a specific room
to be turned off if necessary for a patient’s safety. Where this is not
practical, the outlet may be temporarily covered.
It is strongly recommended that all electrical outlets in patient rooms
and patient toilet rooms be a hospital-grade, tamper-resistant type.
Use of GFCI receptacles610 is also preferred to reduce the risk of
patients being able to harm themselves by tampering with the receptacles.
All electrical switch and outlet cover plates should be as discussed in Level III.
4. Coat Hangers – Use of hangers is not recommended.
5. Cubicle Curtains and Tracks – These are not recommended for use in
behavioral health facilities because of the risk they present. If non-ambulatory
patients with co-existing medical conditions are being treated on these units, it is
recommended they be assigned to single-patient rooms.

Design Guide...Behavioral Health Edition 7.2 – April 2017 35

 5. Telephone – If desired, cordless phones may be provided to allow patients to
check out a phone for private conversations when appropriate. Phones should
not be left in patient rooms permanently because they can be used as weapons.
7. Television Sets – Typically, televisions should not be provided in patient rooms
to encourage patients to use activity areas with other patients, which allows
easier supervision. Some facilities that treat behavioral health patients with
medical conditions that prevent them from being ambulatory provide televisions
sets in tamper-resistant enclosures290 in patient rooms; these TVs have override
controls for staff use.
8. Medical Gas Outlets – These are not
normally required for behavioral health
units. If there is medical necessity or the
outlets are a preexisting condition in
remodeling projects, they should be
covered with lockable panels590 or
panels attached with tamper-resistant
screws. These should be removed only
to address the medical needs of the current patient and replaced when that
patient is discharged or moved. Special care must be taken in semi-private
rooms to assure that access to the medical gases does not present a safety risk
to the other patient. Some manufacturers offer lockable covers for outlets.
9. Trashcans and Liners – Trashcans and liner requirements listed for counseling
and interview rooms in Level II also apply to this level. In choosing trashcans
and liners, the potential for patient risk should always be assessed. Plastic liners
should be prohibited because of the risk of suffocation. A substitute liner made
of paper1 may be used.
10. Baseboards – Use of thin, flexible rubber or vinyl
baseboards that are applied only with adhesive and are
intended to cover the joint between the wall and floor is
strongly discouraged. These become prime targets for
patient tampering and can be used to conceal contraband.
Finishing the wall surface to the floor, sealing the joint with
pick-resistant sealant,20 and painting a contrasting color
stripe at the floor is preferred. There are several
alternatives for locations where finishing the wall material
to the floor is not practical:
a. Seamless epoxy flooring250 that has an integral coved
base is an exception to this as long as there is no
metal edge strip on the top of the base.
b. A pre-molded base240 that extends onto the floor plane, finishes flush with the
top of the floor tile, and is heat-welded to the flooring may be acceptable in

Design Guide...Behavioral Health Edition 7.2 – April 2017 36

 some locations. However, use of this product does not address the issue of
hiding contraband unless the top edge is sealed with a pick-resistant
sealant.20
c. A thick rubber base that resembles wood base profiles 241 is available and
provides a more “residential” appearance. All joints to the wall and floor and
all vertical joints should be sealed with a pick-resistant sealant.20
d. In some cases, a wood base with a minimum ¾”
thickness that is adhered to the wall, secured with
countersunk tamper-resistant fasteners, and sealed
with pick-resistant sealant20 has been used
successfully. If desired, this can be given a semi-
transparent stain finish to provide more of a residential
look.

Level IV-b. Patient Toilet Rooms

A. Floors – Choose one of the following depending on the acuity of the patient
population:
1. Seamless Epoxy Flooring250 – This flooring should have a slip-resistant finish
and integral cove base and can be used in a shower. Do not use a metal or
plastic strip at the top of the base as patients can remove it
for use as a weapon.
2. Ceramic and Porcelain Tile. Larger tiles may be used (to
reduce the number of joints) as long as the installation is
maintained in good condition.
3. One-Piece Floor Units – These units566 provide a
monolithic floor (European-style) for the entire patient toilet
room that drains the shower to a central location. If used in
conjunction with location of the shower enclosure and
shower head, this unit can eliminate the need for shower
curtains.

Design Guide...Behavioral Health Edition 7.2 – April 2017 37

 4. Solid-Surface Material Floors – These are available with a trench drain565
across the entire front opening of the stall, which not only helps keep water from
getting into the room, but also makes the drain more difficult for patients to
intentionally clog. Fiberglass shower stalls and floors are generally not durable
enough.
5. Pre-Built Bathrooms568 – These contain all finishes,
fixtures, and accessories and can reduce construction
time because they are shipped to the site ready to be
connected to the utilities.
B. Walls - Use one of the following depending on the acuity of
the patient population and the project budget:
1. Avonite320 (without trim pieces) or solid-surface sheet
material
2. Ceramic or porcelain tile in large pieces
3. Gypsum board that is impact-resistant and has mold- and moisture-resistant
facing230 with epoxy paint; solid-surface sheets in showers
C. Ceiling – Gypsum board with mold- and moisture-resistant facing230 with epoxy
paint is recommended.
D. Glass – Mirrors, same as for patient rooms in Level IV
E. Door – The first question to address for patient toilet room doors is whether the
facility ever has the need/desire to lock patients out of their bathrooms.
1. If there is a need to lock patients out of the bathroom, a full, out-swinging door
mounted on a single-acting coutinuous hinge with hospital tip and over-door
alarm150 will need to be installed. Also, a classroom function deadbolt144 (with a
ligature-resistant turn piece that will retract the bolt but not extend it), two flush
pulls121 mounted back to back, and a roller146 or ball145 latch should be installed.
2. If it is not necessary to lock patients out of their bathrooms, one of the following
options may be provided:
a. Soft Suicide Prevention Door (SSPDoor)40b – This door
eliminates many of the hanging hazards associated with a
typical door. It is attached with magnets and may be easily
removed by staff for use as a shield against an attacking
patient. A photograph can be printed on its faces. This door
cannot be locked or latched in any manner. (Use of this
product eliminates the need for the items listed under
“Hardware” below.)

Design Guide...Behavioral Health Edition 7.2 – April 2017 38

 b. Sentinel Event Reduction Door40 – One of these doors
without a movable top panel is another option. Privacy for
two patient rooms can be improved slightly by installing
the door a little higher than normal.
c. Some facilities with single-patient rooms are electing to
remove doors entirely from patient toilet rooms. The
practicality of this depends on the sight line into the toilet
room from the corridor door.
F. Hardware - See Section II-E.
G. Light Fixtures – Same as patient rooms in Level IV except that fixtures shall be
water-resistant with a sealed polycarbonate lens. No glass components should be
used in any fixture.

H. Fire Sprinklers, Institutional Type – Same as for corridors in Level II

I. HVAC Grilles and Equipment – Fully recessed, vandal-
resistant grilles with S-shaped air passageways602

J. Miscellaneous
1. Medicine Cabinets – These should not be provided because of the difficulty in
observing potentially dangerous items that may be placed in them.
2. Robe Hooks – Evaluate the risk of using these hooks. If they
are required, they should be the collapsible type.350
3. Towel Bars – Use collapsible hooks350 instead of towel bars
for towels.
4. Grab Bars – Because some patients may be
on medications that interfere with their
equilibrium, grab bars for toilets and
showers are recommended for all patient-
accessible toilets. A self-draining bar332 may
be installed on a slight slope with one end
cap on the higher end. These provide a high
degree of safety and are also easy to clean
and sanitize. If the wall surface behind the bar is not smooth and flat, provide
pick-resistant sealant to the joint between the bar and the wall.
5. Vertical Grab Bars – In locations where
vertical grab bars are required or desired,
typical ligature-resistant bars mounted
vertically can usually be grasped only from
one side. A ligature-resistant grab bar Cross-section Finished End

Design Guide...Behavioral Health Edition 7.2 – April 2017 39

 specifically designed to be mounted vertically337 can be grasped from either
side.
6. Shower Curtains and Curtain Tracks – No shower curtains
or their tracks of any type (including those designated as
“breakaway” and represented by their manufacturers as “safe
for psychiatric hospitals”) are recommended for use in any
patient-accessible areas, especially patient showers. In new
construction, showers could be designed to contain the spray
within the compartment without the use of a curtain. In existing
facilities, the use of a Soft Suicide Prevention Shower Door41
or Sentinel event reduction door40 mounted with a minimal gap between the
bottom of the door and the floor may be used for 36-inch or narrower openings.
A Sentinel Event Reduction Shower Door473 with a seal on the bottom may also
be provided.
7. Nurse Call Switches – Where nurse call switches are required
or provided, they should be a ligature-resistant, push-button
type.653 If pull cords are provided, they should be no longer than
4” and as lightweight as possible.
8. Lavatories – Typical commercial solid-surface countertops with
integral sinks offer a much less institutional appearance. They
also provide a place for patients to set their toothbrushes, etc.
Specialty vanity top-type lavatories541 provide many of the
same benefits.
9. Wall-Hung Solid-Surface Lavatories – These make it very
difficult to tie anything around them.540
Use of the optional filler panel is recommended to fill the space
between the side of the fixture and an adjacent wall when
there is one near the fixture. Stainless steel or high-impact
polymer pipe covers that fit beneath the unit should also be
provided.
If a wall-mounted lavatory is used, a shelf (surface-mounted or recessed)370 that
limits attachment of a ligature may be needed to hold toiletry items.

Design Guide...Behavioral Health Edition 7.2 – April 2017 40

 10. Lavatory and Sink Faucets and Valves – Faucets and
valves can provide attachment points for ligatures. A
lavatory valve unit is now available that uses a shower valve
fitted with a ligature-resistant handle574 to allow patients to
control the temperature (thermostatically limited to prevent
scalding) and duration of the water flow. This valve can be
used to replace the motion sensor activation of some
faucets. Faucets are available in a variety of materials and
configurations that range from push-button to motion sensor-
activated.570
11. Lavatory Waste and Supply Piping – All piping of this
type must be enclosed so it is not accessible to patients.410
Extreme care should be taken to trim the enclosing
material so it fits tightly to the underside of the lavatory
fixture to prevent the patient from using this space to hide
contraband.

12. Soap Dishes390 – These should not have handles and should
be recessed.
13. Soap Dispensers – Many facilities now use liquid or foam soap
in patient areas, but the commonly used hard-plastic
soap dispensers are problematic in that they are fairly
easy to pull off the wall and break into sharp shards that
can be used as weapons. At least one manufacturer now
offers steel covers for their standard dispensers. Another
solution is a dispenser made of solid-surface material391
commonly used for countertops that is relatively tamper-
resistant. Some commercially available stainless steel dispensers
are reasonably ligature-resistant.

14. Toilets – Toilets used by behavioral health patients should

be a floor-mounted, back outlet, back water supply type530
rather than a wall-mounted fixture, which can be broken off
its hangers. Currently, the only china fixtures in this
configuration are ADA handicapped-accessible fixtures.531
Where wall-hung toilets exist and replacing them is not
practical, a wall-hung toilet support538 can be used if it can
be secured so patients cannot remove it to use as a
weapon.

Design Guide...Behavioral Health Edition 7.2 – April 2017 41

 Movable seats provide attachment points for ligatures, so their use
should be considered carefully by each hospital. The solution is to
use a fixture with an integral seat as suggested above. Some
facilities feel this is too prison-like and choose to accept the risk of
the movable seat.
China fixtures themselves (both floor- and wall- mounted)
can be broken into large, sharp shards. Toilet fixtures
made of solid-surface material533 and stainless steel534 are
available and are much more resistant to breakage. The
stainless steel fixtures can be powder-coated for a less
“institutional” appearance.
Toilet fixtures that will support loads in excess of 2,500 pounds are available if
needed for patients of size.536
16. Toilet Waste Line Clog Removal Assistant – Patients in
behavioral health facilities have been known to attempt to clog toilets
with various materials. A product is now available to help simplify
removal of material clogging waste lines.537 This is installed in the
waste line immediately adjacent to the fixture and is intended to
catch the material at that location, where it can be removed more
easily by maintenance staff.
17. Flush Valves – Toilet flush valves that are recessed in the
wall580 and activated by a push button581, 582 are preferred.
Where this is not practical, the flush valve and all related
pipes should be enclosed with a stainless steel584 or plastic584
cover with a sloped top that incorporates a push-button
activator for the valve.

18. Toilet Paper Holders

a. A semi-recessed toilet paper holder400 that does not require a
bar or tube to hold the paper allows for safe, standard use of
the roll of toilet paper without requiring everyone using the roll
to handle it.

b. Fully recessed4010 stainless steel tube-type holders have been

used widely for years; however, some organizations feel this
creates an infection control problem because all users have to
handle the entire roll.

Design Guide...Behavioral Health Edition 7.2 – April 2017 42

 c. Other toilet paper holders use a bar(s) that pivots
down402 when vertical pressure is imposed.

19. Shower Control Valves

Note: Provide thermostatically limited hot water to
prevent accidental or intentional scalding in all patient-
accessible toilet rooms.
a. Single-knob mixing valves that provide minimal
opportunity for tying anything around them are
preferred.552 These give patients control of the water
temperature and duration of flow. Some of these are claimed
to be ADA-compliant by their manufacturers.
b. If it is only necessary to replace the valve handles and the
valve itself is working properly, use of a replacement valve
handle553 that can be adapted to a variety of valves might be
considered. Note: This may void any remaining warranty on
the existing valve.
c. A “no-touch” valve551 that appears to be clearly ADA
compliant is available. It utilizes infrared controls to
give patients control of a range of water
temperatures and the duration of flow.
d. One-piece shower assemblies that contain a
shower head, push-button valves, and a
recessed soap dish560 work well for remodeling
projects because they reduce the amount of
repair needed for wall finishes. These are also
available with a second head located 48” above
the floor and a diverter valve if needed for ADA
purposes.

20. Shower Heads – These should be a ligature-resistant

institutional type.550 Handicapped-accessible showers are
required to have either a handheld shower head or a second,
lower head 48” above the floor. The handheld shower head
should be on a ligature-resistant, quick-disconnect fitting that
allows removal of the head and attached hose when not in use. If
a hook is provided to hold the handheld showerhead, it should be
mounted on the part of the fitting that is removed when the hose
is removed. Another option is to provide a lockable cabinet to
house the handheld head and valve.563

Design Guide...Behavioral Health Edition 7.2 – April 2017 43

 21. Diverter Valve – If a diverter valve is needed to change the water flow from the
standard shower head to the ADA-required head, a ligature-resistant diverter
valve557 may be provided.
22. Folding Shower Seats – Shower seats that fold away typically
have many tubes and brackets that are hazardous. If a folding
shower seat is necessary, one without the tubes and brackets380 is
suggested.
23. Shelves – Shelves to hold miscellaneous items are often
requested in shower stalls and near wall-hung lavatories. A
stainless steel suicide-resistant shelf that is either surface-
mounted or recessed into the wall370, 371 may be considered
for these applications.
24. Paper Towel Dispensers – Paper towel dispensers are a
concern in patient-accessible toilets because they typically are
constructed of light-weight materials that can either be broken
or bent to form sharp objects that may be used as weapons.
Alternatives are as follows:
a. Place a small stack of paper towels on
a surface-mounted or recessed shelf.
b. Provide a heavy-gauge, vandal-
resistant dispenser.340b
c. Install a heavy-duty secure cover340a
over a standard-weight paper towel
dispenser.

25. Electrical Receptacles – Providing ground-fault circuit interrupter (GFCI)-type

electrical circuit breakers for all receptacles near sources of water (e.g.,
lavatories, toilets, and showers) and in all patient-accessible areas is required by
the FGI Guidelines.

Design Guide...Behavioral Health Edition 7.2 – April 2017 44

Level V-a. Admissions
If possible, the admissions function should not take place on an inpatient unit. At
admission, unit staff members know very little about a new patient and his or her trigger
points. A separate location for admission avoids disrupting either the unit or the new
patient due to the agitation of either.
This room should be pleasant and welcoming and should be minimally furnished (with a
few loose pieces of furniture).
The room should be large enough to allow for several staff to physically manage the
patient if necessary. If possible, the admitting staff member should not be in the room
alone with a patient. After the admitting process is complete, the patient can be
escorted to the unit. These precautions are particularly important for emergency
admissions, which frequently occur at night and on weekends.
A. Floors – Same as activity rooms and lounges in Level III
B. Walls – Same as patient rooms in Level IV
C. Ceiling – Same as patient rooms in Level IV
D. Glass
1. Same as in Level IV
2. Provide a small (12”x12” or 4”x24”) view window that can
be controlled by staff to restrict views into or out of this
room.
E. Hardware – Same as in Level IV
F. Light fixtures – Same as in Level IV
G. Fire Sprinklers, Institutional Type – Same as in Level IV
H. HVAC Grilles – Fully recessed, vandal-resistant grilles with
S-shaped air passageways602
I. Window Covering Hardware – Same as in Level IV
J. Miscellaneous
1. All miscellaneous requirements listed for corridors in Level II also apply to this
level.
2. An emergency call button for use by staff should be provided so staff may
summon additional staff members if necessary.
3. Baseboards same as patient rooms in Level IV

Design Guide...Behavioral Health Edition 7.2 – April 2017 45

K. Furniture
1. This room should have a built-in desk or table that is firmly attached to the floor or
walls and contains a lockable file drawer for forms and a lockable box drawer for
pens, pencils, staplers, etc. All loose items should be kept in drawers and out of
sight. The furniture arrangement should locate the patient chair so the patient,
when seated, will not be between the staff member and the door to the room.
2. The computer, printer, and telephone should be located so the patient cannot
easily reach them. The use of tablet computers and cordless phones in these
rooms is preferable.
3. Seating should be fixed in place or heavyweight as discussed in Level II-M
(Furniture).

Level V-b. Seclusion Rooms

Seclusion rooms are required by the FGI Guidelines to be no
less than 7 feet wide and no greater than 11 feet long to avoid
providing enough space for a patient to get a running start at the
opposite wall. They should be designed to minimize blind spots
where patients cannot be observed by staff without entering the
room. A minimum ceiling height of 9 feet is preferred. The
distance of the seclusion room from the nurse station needs to
be considered. The goal is to avoid excessive distance so staff
can be readily available as needed. The seclusion room door
should open directly into an anteroom to separate these
activities from other patients and give the patient access to a
toilet without entering the corridor.
A. Floor – Continuous sheet vinyl with foam backing and heat-welded seams272 or
padded flooring to match wall padding, if used
B. Walls – Impact-resistant gypsum board230 over 3/4”
plywood on 20-gauge metal studs at 16” on center with
high performance finish.280 If wall padding is desired, use
of systems with Kevlar-facing or heavy vinyl facing with a 1
1/2" thick foam backing270 may be considered.
One facility has encountered issues with authorities
having jurisdiction when using plywood for this purpose
and has substituted 25-gauge sheet metal, which stiffens the wall, is easily cut and
does not require wider door frames.
C. Ceiling – Impact-resistant and/or abrasion-resistant gypsum board230, 231 painted at
9’-0” minimum height.

Design Guide...Behavioral Health Edition 7.2 – April 2017 46

D. Glass – All glazing exposed to patients should be the same as in Level II-D. This
includes the exterior pane of any window accessible to patients from exterior
courtyards.
E. Hardware
1. Doors – Heavy-duty, commercial-grade steel doors with a minimum clear width
of 3’-8” that are hinged to open out of the room with a polycarbonate201 view
window not to exceed 100 square inches should be used. The window should be
installed at a height that allows shorter staff members to see into the room.
2. Door Hardware – Exposed door hardware is typically
not provided inside these rooms.
The anteroom side of the seclusion room door shall
have three-point latching, which may be individual
bolts162 or one piece of hardware with a single lever to
operate all three bolts.160 Consideration should be
given to whether the behavioral health organization
wants to have hardware that latches immediately
when the door is closed or hardware that requires
manual motion to latch the door. A self-latching door
may increase the risk of staff becoming locked in the
room with a patient, and a keyed cylinder (or
concealed card reader) may need to be accessible
from inside the room.
F. Light Fixtures – Fully recessed, moisture-
resistant, vandal-resistant light fixtures620
installed in the ceiling are recommended.

G. Fire Sprinklers, Institutional Type – Same as for Level IV

H. HVAC grilles
1. Fully recessed, vandal-resistant grilles with S-shaped
air passageways602
2. Thermostats – These should be a digital type with
control mounted on the wall in the anteroom and
sensor in the return air duct serving the room.

Design Guide...Behavioral Health Edition 7.2 – April 2017 47

I. Window Covering – No window covering material or hardware should be accessible
to the patient. All window coverings should be behind safety glazing as described in
Level II-D. Mini-blinds, roller shades, or other types of window covering may be used
behind the safety glazing as long as only staff can operate them and no ligature
attachment points are provided by the system. If electrically operated devices are
chosen, controls should be located in the anteroom.
J. Miscellaneous
1. No electrical outlets, switches, thermostats, blank cover plates, or similar devices
are permitted inside seclusion rooms.
2. Toilets – Same as those in Level IV-B. Powder-coated
stainless steel fixtures are preferred for some facilities.
3. No baseboards should be used in these rooms.
4. Observation Mirror – Install a convex mirror like that
required for glass in corridors in Level II-K-9 (Observation
Mirrors). Locate the mirror in the upper corner of the room opposite the seclusion
room door. Make sure the mirror can be seen when viewing it from the window in
the door. This mirror will give staff a 360-degree view of the room prior to
opening the door. Care shall be taken to assure the attachment is secure so the
patient cannot remove it and have a weapon.
K. Furniture – A seclusion room should have only a behavioral health care mattress492
on the floor or a special seclusion room bed.493a, 498 These beds are available with
loops to which mechanical restraints may be attached, if needed.

SUMMARY
Thoughtful consideration of these design elements and materials by design team
members and hospital staff can result in a very aesthetically pleasing environment that
will enhance the treatment process and help maximize safety for patients, staff, and
visitors. It is strongly recommended that wall-hung lavatories, 2’x4’ fluorescent light
fixtures, paddle-handle door hardware, and many other items typically found in general
hospitals NOT be used in behavioral health facilities. The reasons these are used in
general hospitals typically do not exist in behavioral health care units. Their elimination
will significantly reduce the institutional character of behavioral health facilities without
decreasing patient or staff safety. As stated in the introduction, this document is
intended to represent best current practices, in the opinion of the authors, and does not
establish minimum standards for behavioral health facilities.

Design Guide...Behavioral Health Edition 7.2 – April 2017 48

APPENDIX

1a. Trash can liner – paper

Sani-Liner®
Wisconsin Converting
1689 Morrow Street
Green Bay, WI 54302
920-593-8297
www.wisconsinconverting.com

1b. Trash can liner – paper

851-S36 SRTM Breathable Trash Can Liners
Weizel Security
800-308-3627
www.securinghospitals.com

1c. Trash can liner – paper

Psych-Select-BagTM
Dano Group
150 Harvard Avenue
Stamford, CT 06902
800-348-3266
www.danoinc.com

10. Sound and smoke/fire seals – breakaway

Cush ‘N’ Seal with breakaway anti-ligature option
Door and Hardware Systems, Inc.
17 Silver Street
Rochester, NY 14611
585-235-8543
www.dhsi-seal.com/

20a. Pick-resistant caulk

DynaflexTM SC
Pecora Corporation
165 Wambold Road
Harleysville, PA 19438
800-523-6688
www.pecora.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 49

20b. Pick-resistant caulk
SB-190 Everseal
Surebond
3925 Stern Avenue
St. Charles. IL 60174
877-843-1818
www.surebond.com

20c. Pick-resistant caulk

Mastereal® CR 190
BASF Construction Chemicals
889 Valley Park Drive
Shakopee, MN 55379
800-243-6739
www.master-builders-solutions.basf.us

25a. Synthetic faced door

C/S Acrovyn® Doors
Construction Specialties
3 Werner Way
Lebanon, NJ 08833
800-972-7214
www.c-sgroup.com

25b. Synthetic-faced door

Thermal-Fused Doors
ASSA ABLOY Door Group
c/o Maiman
3839 East Mustard Way
Springfield. MO 65803
417-616-8234
www.assaabloywooddoors.com

30. Quick-release hinge door

Quick-Release Hinge Door
Total Door Systems
6145 Delfield Dr.
Waterford, MI 48329
248-623-6899
www.total-door.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 50

40a. Patient toilet door
Sentinel Event Reduction Door
Norva Plastics, Inc.
3911 Killam Ave.
Norfolk, VA 23508
800-826-0758
www.norvaplastics.com

40b. Patient toilet door

Soft Suicide Prevention Door
Kennon Products, Inc.
2071 North Main Street
Sheridan, WY 82801
307-674-6498
www.suicideproofing.com

40e. Patient shower door

Suicide-Resistant Shower Door
Norva Plastics, Inc.
3911 Killam Ave.
Norfolk, VA 23508
800-826-0758
www.norvaplastics.com

44b. Wicket doors

C/S Acrovyn® Barrier-Resistant Doors
Construction Specialties
3 Werner Way
Lebanon, NJ 08833
800-972-7214
www.c-sgroup.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 51

44c. Wicket doors
Patient Room Access Door
Ceco Door
9159 Telecom Drive
Milan, TN 38358
888-264-7474
www.cecodoor.com

44d. Wicket doors

Wicket Door (Wood Doors)
Marshfield Door Systems
1401 East Fourth Street
Marshfield, WI 54449
800-869-3667
www.marshfielddoors.com

44e. Wicket doors

GCD-EC Flush Wicket Door with structural composite lumber core
Graham Wood Door
525 9th St. SE
Mason City, Iowa 50401
641-423-2444
www.grahamdoors.com

47a. Security sidelight

Security Sidelite Unit
Curries Company
1502 12th St. NW
Mason City, IA 50401
641-423-1334
www.curries.com

47b. Security sidelight

Security SideLite Unit
Ceco Door
9159 Telecom Drive
Milan, TN 38358
www.cecodoor.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 52

 50. Access panel – lockable
SP Steel Security Panel with mortise deadbolt prep
J. L. Industries, Inc.
4450 West 78th Street Circle
Bloomington, MN 55435
800-554-6077
www.jlindustries.com

430a. Aluminum window with integral blind

2450 Series Storefront with hinged sash and integral
blind
Manko Window Systems, Inc.
800 Hayes Drive
Manhattan, KS 66502
800-642-1488
www.mankowindows.com

430b. Aluminum window with integral blind

2187-DT Psychiatric Windows with integral blind
Wausau Window and Wall Systems
7800 International Drive
Wausau, WI 54401
877-678-2983
www.wausauwindow.com

430c. Aluminum window with integral blind - removable

SS-5100 Medium-Security Mental Health Security
Window
Sherwood Windows Group
37 Iron Street
Toronto, Ontario M9W 5E3
Canada
800-770-5256
www.sherwoodwindows.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 53

434a. Exterior windows - ventilation
Safevent Windows
Britplas
Unit 18 Kingsland Grange
Woolston, Warrington WA1 4RW
England
+44-1925-824317
www.britplas.com

434b. Exterior windows - ventilation

SW-6300 Operable Security Window
Sherwood Windows Group
37 Iron Street
Toronto, Ontario M9W 5E3
Canada
800-770-5256
www.sherwoodwindows.com

434c. Exterior windows - ventilation

512 Ventrow Ventilator
Kawneer North America
Technology Park / Atlanta
555 Guthridge Court
Norcross, GA 30092
770-449-5555
www.kawneer.com

80. Security screens

Security Screens
Kane Innovations
2250 Powell Avenue
Erie, PA 16506
800-773-2439
www.kanescreens.com

81. Stainless steel screen fabric

Type 304 Stainless Steel Woven Wire Cloth – standard grade
McMaster-Carr
P.O. Box 4355
Chicago, IL 60680-4355
630-833-0300
www.mcmaster.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 54

100. Security arm door closers
4510T SMOOTHEE® Series high-security track
closer
LCN
121 West Railroad Avenue
P.O. Box 100
Princeton, IL 61356-0100
877-671-7011
http://us.allegion.com/brands/lcn/Pages/default.aspx

101. Electrically controlled closer

Fire/Life Safety Series HSA Sentronic Electrically
Controlled Closer/Holder
LCN
121 West Railroad Avenue
P.O. Box 100
Princeton, IL. 61356-0100
815-875-3111
http://us.allegion.com/brands/lcn/Pages/default.aspx

108. Concealed electric power transfer device

Concealed Electrical Power Transfer (CEPT)
Securitron USA
10027 South 51st Street, Ste. 102
Phoenix, AZ 85044
800-624-5625
www.securitron.com

109. Electric-release concealed deadbolts

ELECTRATM concealed vertical rod latching lever locksets
Securitech Group, Inc.
54-60 46th Street
Maspeth, NY 11378
800-622-5625
www.securitech.com

110. Electromagnetic lock

3000 Series Electromagnetic Locks
DynaLock Corporation
705 Emmett Street
Bristol, CT 06010
877-396-2562
www.dynalock.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 55

111a. Continuous hinges – gear type with hospital tip
780-Series Roton Hinges
Hager Companies
139 Victor Street
St. Louis, MO 63104
800-325-9995
www.hagerco.com/Product-Listing.aspx?CatID=152&SubCatID=189

111b. Continuous hinges – gear type with hospital tip

112HD Concealed Continuous Hinge
Ives
2720 Tobey Dr.
Indianapolis, IN 46219
877-671-7011
http://us.allegion.com

111c. Continuous hinges – gear type with hospital tip

825-S22 SR™SR824-S22 SafeSupport Continuous Gear
Hinge
Weizel Security
800-308-3627
www.securinghospitals.com

111d. Continuous hinges – gear type with hospital tip

Continuous Gear Hinge with hospital tip, mortise mount –
DH430
Behavioral Safety Products
29A N. Main St., Suite 3
Watkinsville, GA 30677
706-705-1500
www.besafepro.com

111d. Continuous hinges – gear type with hospital tip

LG200 Logica Continuous Geared Hinge
Kingsway Group USA
2807 Samoset Road, Suite 200
Royal Oak, MI 48073
800-783-7980
www.kingswaygroupusa.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 56



113a. Double-acting continuous hinge

Double Swing Hinge –DSH1000 Barrel Type
Markar
P. O. Box 18966
Memphis, TN 38181
800-824-3018

113c. Double-acting continuous hinge

LG202 Swing Hinge
Kingsway Group USA
2807 Samoset Road
Royal Oak, MI 48073
800-783-7980
www.kingswaygroupusa.com

115b. Emergency stop

Emergency Release Stop - ERS
Pemko Manufacturing Company
5535 Distribution Drive
Memphis, TN 38141
800-824-3018
www.pemko.com

115c. Emergency stop

LG205, LG206 Swing Stop
Kingsway Group USA
2807 Samoset Road
Royal Oak, MI 48073
800-783-7980
www.kingswaygroupusa.com

115d. Swing-through strike plate

LG149 Swing-Thru Strike Plate
Kingsway Group USA
2807 Samoset Road, Suite 200
Royal Oak, MI 48073
800-783-7980
www.kingswaygroupusa.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 57

120. Door pull
VR910-DT Vandal-Resistant Door Pull Trim
Ives
2720 Tobey Dr.
Indianapolis, IN 46219
877-671-7011
http://us.allegion.com

121c. Door pull, recessed

D89 Heavy Duty Security Flush Pull
Rockwood Manufacturing Company
300 Main Street
Rockwood, PA 15557
800-458-2424
www.rockwoodmfg.com

130a. Ligature-resistant lockset

SPSL Anti Ligature Lockset
Best Access Systems
6161 East 75th Street
Indianapolis, IN 46250
317-849-2250
http://www.bestaccess.com/index.php/products/behavioral-
health-products/

130b. Ligature-resistant lockset

MRXLGrade 1 Mortise Lock with Ligature-Resistant
Escutcheon
Townsteel, Inc.
17901 Railroad Street
City of Industry, CA 91748
877-858-0888
www.townsteel.com

130c. Ligature-resistant lockset

Schlage L Series Extra Heavy Duty Mortise Lock with ligature
resistant lever
Allegion
877-671-7011
http://us.allegion.com/IRSTDocs/Brochure/106510.pdf

Design Guide...Behavioral Health Edition 7.2 – April 2017 58

130e. Ligature-resistant lockset
Series 5SS19 Institutional Life Safety Mortise
Locksets - Levers
Marks USA
365 Bayview Avenue
Amityville, NY 11701
800-526-0233
www.marksusa.com

130f. Ligature-resistant lockset

LSL Life Safety Lever Series
Grainger
100 Grainger Parkway
Lake Forest, IL 60045
800-472-4643
www.grainger.com

130g. Ligature-resistant lockset

8200 with BHW Trim
Sargent Manufacturing Company
100 Sargent Drive
P. O. Box 9725
New Haven, CT 06536-0915
800-727-5477
www.sargentlock.com

130i. Ligature-resistant lockset

8200 Mortise Lock with Push/Pull Trim (ALP)
SARGENT® Manufacturing Company
100 Sargent Drive
P. O. Box 9725
New Haven, CT 06536-0915
800-727-5477
www.sargentlock.com

130k. Ligature-resistant lockset

Crescent Handle – horizontal installation
Accurate Lock and Hardware
1 Annie Place
Stamford, CT 06902
203-348-8865
www.accuratelockandhardware.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 59

130l. Ligature-resistant lockset
Ligature Resistant Push/Pull 9125ALP
Accurate Lock and Hardware
1 Annie Place
Stamford, CT 06902
203-348-8865
www.accuratelockandhardware.com

130m. Ligature-resistant lockset

HD Ligature Resistant Cylindrical Lock CH-CYL Series
Accurate Lock and Hardware
1 Annie Place
Stamford, CT 06902
203-348-8865
www.accuratelockandhardware.com

140. Patient room privacy lockset

Patient Room Privacy Lockset
Best Access Systems
6161 East 75th Street
Indianapolis, IN 46250
800-392-5209
http://www.bestaccess.com/products/behavioral-
health-products/

141a. Cylinder protector

Securiguard Cylinder Protector; Model #63LR
Securitech Group, Inc.
54-60 46th Street
Maspeth, NY 11378
800-622-5625
http://www.securitech.com/securiguard/

Design Guide...Behavioral Health Edition 7.2 – April 2017 60

141b. Cylinder protector
ShieldX Cylinder Protector
Grainger
100 Grainger Parkway
Lake Forest, IL 60045
800-472-4643
www.grainger.com

143. Deadbolt
Deadbolt #PBL102-630 with ligature-resistant turn
piece (retract bolt only)
Securitech Group, Inc.
54-60 46th Street
Maspeth, NY 11378
800-622-5625
www.securitech.com

144. Sallyport interlock hardware

RACHIETM series lockset package
Securitech Group, Inc.
54-60 46th Street
Maspeth, NY 11378
800-622-5625
www.securitech.com

146. Remote authorization

Assa Cliq Remote Authorization System
Assa Abloy
www.assaboly.com

146. Ball catch

347 Dual Adjustable Ball Catch
Ives
2720 Tobey Dr.
Indianapolis, IN 46219
877-671-7011
http://us.allegion.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 61

147. Roller latch
RL30 Roller Latch
Ives
2720 Tobey Dr.
Indianapolis, IN 46219
877-671-7011
http://us.allegion.com

150a. Over-door alarm

Best; SEDA Door Alarm
Best Access Solutions, Inc.
6161 East 75th Street
Indianapolis, IN 46250
http://www.bestaccess.com/products/behavioral-
health-products/

150b. Over-door alarm

The Door Switch
11772 Westline Industrial Drive
St. Louis, MO 63146
877-998-5625
http://thedoorswitch.com

150c. Over-door alarm

Top Door Alarm®
Door Control Services, Inc.
321 VZ County Road 4500
Ben Wheeler, TX 75754
800-356-2025
www.doorcontrolservices.com

150d. Over-door alarm

LISA-Kit (Life Safety Alarm)
Grainger
100 Grainger Parkway
Lake Forest, IL 60045
800-472-4643
www.grainger.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 62

160a. Seclusion room door locks
Seclusion Room Time-Out Lock (surface mount)
Securitech
54-45 44th Street
Maspeth, NY 11378
800-622-5625
www.securitech.com

160b. Seclusion room door locks

Multi-Point Deadbolt Mortise Lock (concealed mount)
Securitech
54-45 44th Street
Maspeth, NY 11378
800-622-5625
www.securitech.com

160c. Seclusion room door locks

Schlage; LM9000 Multipoint Solution
Ingersoll Rand Security Technologies
11819 N. Pennsylvania Street
Carmel, IN 46032 US
877-671-7011
http://us.allegion.com/IRSTDocuments1/104833.pdf

161. Cross-corridor door locks

#109 Electra Concealed Vertical Rod Latching Lever Locksets
Securitech
54-45 44th Street
Maspeth, NY 11378
800-622-5625
www.securitech.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 63

162. Elopement buffer or sallyport door locks
RACHIE Entry & Exit Control Systems
Securitech
54-45 44th Street
Maspeth, NY 11378
800-622-5625
www.securitech.com

170. Life safety window hardware

Sash Control Devices
Truth Hardware
700 West Bridge St.
Owatonna, MN 55060
800-866-7884
www.truth.com

190a. Window film

ScotchshieldTM Ultra – 14 mil Ffilm with Attachment System
3M Specified Construction Products Department
3M Center
St. Paul, MN 55144
888-364-3577
www.3m.com

190b. Window film

200 Series – Safety and Security Laminate
ACE (Advanced Coatings Engineering)
2915 Ogletown Road
Newark, DE 19713
888-607-0000
www.usace.com

200a. Security glazing

121000 or 121100 ArmorProtect Plus®
Oldcastle BuildingEnvelope®
5005 LBJ Freeway, Suite 1050
Dallas, TX 75244
866-653-2278
www.obe.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 64

200b. Security glazing
9/16Psych-2118
Global Security Glazing
616 Selfield Road
Selma, AL 36703
(800) 633-2513
www.security-glazing.com

201a. Polycarbonate sheet glazing – abrasion-resistant

MR10 LEXANTM MARGARDTM II Sheet
SABIC Americas
One Plastics Avenue
Pittsfield, MA 01201
800-323-3783
www.sabic.com

201b. Polycarbonate sheet glazing

Makrolon® GP Sheet
Covestro LLC
1 Covestro Circle
Pittsburgh, PA 15205-9723
877-229-3778
www.sheets.covestro.com

205a. Fire-rated glazing

SaftiFirst – SuperLite
O’Keeffe’s, Inc. SaftiFirst
100 N. Hill Dr. #12
Brisbane, CA 94005
888-653-3333
www.safti.com

220a. Vision panels

Vision panels, key operation
VISTAMATIC®
11713 NW 39th Street
Coral Springs, FL 33065
866-466-9525
www.vistamaticvisionpanels.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 65

220b. Vision panels
Fixed or motorized louvers inside glass panels
Unicel Architectural Corp.
2155 Fernand Lafontaine Blvd.
Longueuil, Quebec, Canada J4G 2J4
800-668-1580
www.unicelarchitectural.com

220c. Vision panels

Between Glass Blinds vision panels
VISTAMATIC, LLC
11713 NW 39th Street
Coral Springs, FL 33065
866-466-9525
www.betweenglassblinds.com

220d. Vision panels

IE; Blinds® sealed, integral blind assemblies
IE Blinds
P.O. Box 442
Ben Wheeler, TX 75754
866-267-1917
www.ieblinds.com

220e. Vision panels

Clarity Privacy Glass (electric)
VISTAMATIC®
11713 NW 39th Street
Coral Springs, FL 33065
866-466-9525
www.vistamaticvisionpanels.com

230a. Impact-resistant gypsum board

Sheetrock® Brand engineered gypsum panels – abuse-resistant
USG Corporation
550 West Adams Street
Chicago, IL 60661
800-874-4968
www.usg.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 66

230b. Impact-resistant wallboard
Gold Bond® Brand Hi-Impact® XP® Gypsum Board – moisture- and fire-
resistant
National Gypsum Company
2001 Rexford Road
Charlotte, NC 28211
704-365-7300
www.nationalgypsum.com

231a. Abrasion-resistant wallboard

Gold Bond® Brand Hi-Abuse® XP® Gypsum Board
National Gypsum Company
2001 Rexford Road
Charlotte, NC 28211
704-365-7300
www.nationalgypsum.com

232. Sound-absorbing wallboard

QuietRock sound-reducing panels
PABCO® Gypsum
37851 Cherry Street
Newark, CA 94560
800-797-8159
www.quietrock.com

240. Wall base

Health DesignTM Wall Base
FLEXCO® Corporation
1401 East 6th Street
Tuscumbia. AL 35674
800-633-3151
www.flexcofloors.com

241a. Wall base

Visuelle Wall Base
Roppe Corporation, USA
1602 North Union Street
Fostoria, OH 44830
800-537-9527
www.roppe.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 67

241b. Wall base
Johnsonite “Millwork” Contours Wall Base – PV4065
Roppe Corporation, USA
1602 North Union Street
Fostoria, OH 44830
800-537-9527
www.roppe.com

245a. Sheet vinyl flooring

Homogeneous Vinyl Sheet Flooring
Armstrong Flooring, Inc.
P.O. Box 3025
Lancaster, PA 17604
888-276-7876
www.armstrong.com

245b. Sheet vinyl flooring

noraplan sheet flooring
nora® systems, Inc.
9 Northeastern Blvd.
Salem, NH 03079
800-332-NORA
www.nora.com/us

250a. Seamless floors and base

Cheminert K flooring
Dex-O-Tex
Division of Crossfield Products Corp.
140 Valley Road
Roselle Park, NJ 07204
908-245-2800
www.dexotex.com

250b. Seamless floors and base

Seamless flooring systems
Dur-A-Flex, Inc.
95 Goodwin Street
East Hartford, CT 06108
877-2 51-5418
www.dur-a-flex.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 68

255. Carpet
Mohawk Group GL 182 Exotic Fauna Sheet Carpet with Unibond Plus Bloc
backing
Mohawk Group
160 South Industrial Blvd.
Calhoun, GA 30701
800-554-6637
www.Mohawkgroup.com

270a. Wall padding

Gold Medal Safety Padding®
Marathon Engineering Corporation
5615 2nd Street West
Lehigh Acres, FL 33913
239-303-7378
https://goldmedalsafetypadding.com

270b. Wall padding

Surface padding systems
Padded Surfaces by B&E
2339 Distributors Drive
Indianapolis, IN 46241
888-243-8788
http://paddedsurfaces.com

272. Seclusion room wall and floor material

Lonfloor Plain – smooth
Lonseal, Inc.
928 East 238th Street
Carson, CA 90745
800-832-7111
www.lonseal.com

280. Wall finish (do not use on floors)

Sto; Decocoat®
Sto Americas
3800 Camp Creek Parkway SW
Building 1400, Suite 120
Atlanta, GA 30331
800-221-2397
www.stocorp.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 69

290a. TV enclosure – suicide-resistant
TE450 Ligature-Resistant Protective TV Enclosure
Behavioral Safety Products
29A N. Main St., Suite 3
Watkinsville, GA 30677
706-705-1500
www.besafepro.com

290b. TV Enclosure – suicide resistant

Protective Enclosures, FPE55F(H)-S
Peerless A-V
2300 White Oak Circle
Aurora, IL 60502
800-865-2112
www.perlessmounts.com

290c. TV enclosure – suicide-resistant

Ligature-resistant TV enclosure
ProEnc
101 Hudson Street
Jersey City, NJ 07302
862-234-5981
www.lcdtvenclosure.com

300a. Room signs

Flxsigns
2/90 Sign Systems
5350 Corporate Grove Blvd. SE
Grand Rapids, MI 49512
800-777-4310
http://www.290signs.com/images/stories/pdf/Literature/FlxSignFlyer_7.14.pdf

300b. Room signs

Secure + spec
Creative Signage Systems, Inc.
9101 51st Place
College Park, MD 20740
800-220-7446
www.creativesignage.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 70

300c. Room signs
KING KMS® Modular Sign System
King Architectural Products
31 Simpson Road
Bolton, ON, Canada, L7E 2R6
877-857-2804
www.kingarchitecturalproducts.com

301. Vinyl artwork

Soft Suicide Prevention Artwork (SSPA)
Kennon Products, Inc.
2071 N. Main Street
Sheridan, WY 82801
307-674-6498
www.suicideproofing.com

302a. Ligature-resistant frames

Solid surface frames
Custom Design Frameworks
3998 Fox Hunter Lane
Mechanicsville, VA 23111
804-476-4233
www.customdesignframeworks.com

302b. Ligature-resistant frames

AF550 Ligature-Resistant Art Frame
Behavioral Safety Products
29A N. Main St., Suite 3
Watkinsville, GA 30677
706-705-1500
www.besafepro.com

303. Display boards

Tak-Les Bulletin Board with Guardian Frame
RAO Contract Sales, Inc.
94 Fulton Street
Paterson, NJ 07501
800-445-7065
www.rao.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 71

320a. Synthetic wall protection
Avonite® Acrylic products - Wall Protection
Avonite
1945 Highway 304
Belen, NM 87002
800-4-AVONITE
www.avonitesurfaces.com

320b. Synthetic wall protection

Acrovyn by Design® Wall Protection
Construction Specialties
6696 State Road 405
Muncy, PA 17756
800-233-8493
www.c-sgroup.com

330a. Corridor handrail

Acrovyn® ligature-resistant handrail with continuous
aluminum mounting bracket
Construction Specialties
6696 State Road 405
Muncy, PA 17756
800-233-8493
www.c-sgroup.com

332a. Grab bar

SAFEBAR® grab bar
Cascade Specialty Hardware, Inc.
1413 Lincoln Avenue
Vancouver, WA 98660
360-823-3995
www.cascadesh.com

332b. Grab bar

811-S01 SafeSupport® Safe-T Grab Bar
Weizel Security
800-308-3627
http://www.securinghospitals.com/

Design Guide...Behavioral Health Edition 7.2 – April 2017 72

332c. Grab bar
NW SecurityBar®
Northwest Specialty Hardware, Inc.
15865 SE 114th Avenue, Suite C
Clackamas, OR 97015
503-557-1881
http://www.northwestsh.com/

337. Grab bar – vertical

SP-3V Vertical Grab Bar
Odd Ball Industries
P.O. Box 376
Greenlawn, NY 11740
631-754-0400
www.oddballindustries.com Cross-section with finished end

340. Paper towel dispenser

817-S45 SR™ Paper Towel Dispenser Cover
Weizel Security
800-308-3627
www.securinghospitals.com

340b. Paper towel dispenser

LG02 Paper Towel Dispenser
Kingsway Group USA
2807 Samoset Road, Suite 200
Royal Oak, MI 48073
800-783-7980
www.kingswaygroupusa.com

350e. Robe hook – breakaway

LG180 Logica Coat Hook
Kingsway Group USA
2807 Samoset Road, Suite 200
Royal Oak, MI 48073
800-783-7980
www.kingswaygroupusa.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 73

360a. Security mirrors
ROVALTM stainless steel mirror #20650-B
American Specialties, Inc.
441 Saw Mill River Road
Yonkers, NY 10701
914-476-9000
www.americanspecialties.com

360b. Mirror guard

SP-8 Mirror
Odd Ball Industries
P.O. Box 376
Greenlawn, NY 11740
631-754-0400
www.oddballindustries.com

361. Mirror guard

Mirror Guard
Odd Ball Industries
P.O. Box 376
Greenlawn, NY 11740
631-754-0400
www.oddballindustries.com

370a. Recessed shelf

SA47 Recessed Shelf – chase mounted
Bradley Corporation
W142N9101 Fountain Boulevard
Menomonee Falls, WI 53051
800-272-3539
www.bradleycorp.com

370c. Recessed shelf

WH1820FA BestCare® Recessed Shelf – front mount
Whitehall Manufacturing
P.O. Box 3527
City of Industry, CA 91744-0527
800-782-7706
www.whitehallmfg.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 74

371c. Shelf – surface-mounted
SA56 Bookshelf
Bradley Corporation
W142N9101 Fountain Boulevard
Menomonee Falls, WI 53051
800-272-3539
www.bradleycorp.com

380a. Shower seat

ADA Shower Seat
Norix Group, Inc.
1800 W. Hawthorne Lane, Suite N
West Chicago, IL 60185
800-234-4900
www.norix.com

380b. Shower seat

ADA Shower Seat
Brey-Krause Manufacturing Co.
1209 W. Lehigh Street
Bethlehem, PA 18018
610-867-1401
www.breykrause.com

390a. Soap dish

Recessed Soap Dish
Norix Group, Inc.
1800 W. Hawthorne Lane, Suite N
West Chicago, IL 60185
800-234-4900
www.norix.com

390b. Soap dish

S-2632-SS Heavy-Duty Recessed Soap Dish without lip
Brey-Krause Manufacturing Co.
1209 W. Lehigh Street
Bethlehem, PA 18018
610-867-1401
www.breykrause.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 75

391a. Soap dispenser
Suicide Prevention Soap Dispenser
Norva Plastics, Inc.
3911 Killam Ave.
Norfolk, VA 23508
800-826-0758
www.norvaplastics.com

391c. Soap dispenser

OPS® 1-TouchTM Foaming Hand Soap Dispenser – ligature-
resistant
Archer Manufacturing
Danville, CA
800-796-5545
www.vandalproof.org

391e. Soap dispenser

ADX-12TM Security Enclosure
GOJO Industries, Inc.
One GOJO Plaza, Suite 500
Akron, OH 44309
800-321-9647
www.gojo.com

400a. Toilet paper holder

LG13 Toilet Roll Holder
Kingsway Group USA
2807 Samoset Road, Suite 200
Royal Oak, MI 48073
800-783-7980
www.kingswaygroupusa.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 76

400b. Toilet paper holder
SP-5 Recessed Toilet Paper Holder
Odd Ball Industries Mfg. Co., Inc.
P.O. Box 376
Greenlawn, NY 11740
631-754-0400
www.oddballindustries.com

400c. Toilet paper holder

S-4080-SS Recessed Toilet Paper Holder – exposed mount
Brey-Krause Manufacturing Co.
1209 W. Lehigh Street
Bethlehem, PA 18018
610-867-1401
www.breykrause.com

400d. Toilet paper holder

Toilet Paper Holder
Norix Group, Inc.
1800 W. Hawthorne Lane, Suite N
West Chicago, IL 60185
800-234-4900
www.norix.com

400e. Toilet paper holder

C-400 Safety Toilet Paper Holder
Cascade Specialty Hardware, Inc.
1413 Lincoln Avenue
Vancouver, WA 98660
360-823-3995
www.cascadesh.com

400f. Toilet paper holder

WH1845A BestCare® Recessed Auto-Release Toilet
Paper Holder – front mount
Whitehall Manufacturing
P.O. Box 3527
City of Industry, CA 91744-0527
800-782-7706
www.whitehallmfg.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 77

400g. Toilet paper holder
817-S59 SRTM Maryland Toilet Paper Dispenser
Weizel Security
800-308-3627`
www.securinghospitals.com

400h. Toilet paper holder

Suicide-Resistant Toilet Paper Dispenser
Norva Plastics, Inc.
3911 Killam Ave.
Norfolk, VA 23508
800-826-0758
www.norvaplastics.com

410a. Undersink protection

Truebro® Lav Shield®
IPS® Corporation
455 W. Victoria Street
Compton, CA 90220
310-898-3300
www.truebro.com

410b. Undersink protection

831-S27 SRTM Undersink Enclosure
Weizel Security
800-308-3627
www.securinghospitals.com

420a. Convex mirrors

DuraVision Quarter Dome Mirror
Norix Group, Inc.
1800 W. Hawthorne Lane, Suite N
West Chicago, IL 60185
800-234-4900
www.norix.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 78

420c. Convex mirrors
815-S51 SRTM Steel Dome Mirror
Weizel Security
800-308-3627
www.securinghospitals.com

440a. Roller blinds

Webb Lok cordless roller shades
WebbShade
522 Front Street
El Cajon, CA 92020
800-262-9322
www.webbshade.com

440b. Roller blinds

FlexShades for Healthcare Facilities
Draper, Inc.
411 South Pearl Street
Spiceland, IN 47385
800-238-7999
www.draperinc.com

460a. Cabinet pulls

DP74C Cabinet Pull
Doug Mockett & Company, Inc.
1915 Abalone Ave.
Torrance, CA 90501
800-523-1269
www.mockett.com

460b. Cabinet pulls

UT-105/S Pressure Fit Recess Pull
Sugatsune America, Inc.
18101 Savarona Way
Carson, CA 90746
800-562-5267
www.sugatsune.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 79

460c. Cabinet pulls
Top Knobs – Mayfair Cup Pull attached with tamper-resistant fasteners
My Knobs.com
485 S. Broadway
Hicksville, NY 11801
866-695-6627
www.myknobs.com

460d. Cabinet pulls

104.66.200 Zinc Handle – polished chrome finish
Hafele America Co.
3901 Cheyenne Drive
Archdale, NC 27263
800-423-3531
www.hafele.com/us/en

465a. Cabinet locks – keyless

300 Series eLock®: Cabinet version
CompX Security Products
715 Center Street
Grayslake, IL 60030
847-752-2500
www.compxelock.com

465b. Cabinet locks – keyless

dialock
Hafele America Co.
3901 Cheyenne Drive
Archdale, NC 27263
800-423-3531
www.hafele.com/us/en

465c. Cabinet locks – keyless

100 Series eLock: Cabinet Version
CompX Security Products
P. O. Box 200
Mauldin, SC 29662
864-297-6655
www.compxelock.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 80

470a. Tamper-resistant screws
Tamperproof screws
Tamperproof Screw Company, Inc.
30 Laurel Street
Hicksville, NY 11801
516-931-1616
www.tamperproof.com

470b. Tamper-resistant screws

Security Pin Torx Screws and Bits
Northwest Specialty Hardware, Inc.
15865 SE 114th Avenue, Suite C
Clackamas, OR 97015
503-557-1881
www.northwestsh.com

473a. Shower doors

Sentinel Event Reduction Shower Door
Norva Plastics, Inc.
3911 Killam Ave.
Norfolk, VA 23508
800-826-0758
www.norvaplastics.com

480. Sand-ballasted seating

Ultra-Max Series
Norix Group, Inc.
1800 W. Hawthorne Lane, Suite N
West Chicago, IL 60185
800-234-4900
www.norix.com

481a. Lightweight seating

Integra Series chairs
Norix Group, Inc.
1800 W. Hawthorne Lane, Suite N
West Chicago, IL 60185
800-234-4900
www.norix.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 81

481b. Lightweight seating
RazorBack Chair
Cortech® USA
7530 Plaza Court
Willowbrook, IL 60527
800-571-0770
www.cortechusa.com

481c. Lightweight seating

5000-20 Modumaxx stackable chair
Moduform
172 Industrial Road
Fitchburg, MA 01420
800-221-6638
www.moduform.com

482a. Upholstered seating

Sierra Series chairs with solid end arms
Norix Group, Inc.
1800 W. Hawthorne Lane, Suite N
West Chicago, IL 60185
800-234-4900
www.norix.com

482b. Upholstered seating

ML30/27BH Meridian Behavioral Health Seating – chair
Nemschoff
909 North 8th Street
Sheboygan, WI 53081
800-203-8916
www.nemschoff.com

482c. Upholstered seating

Endurance Series
Blockhouse Company, Inc.
3285 Farmtrail Road
York, PA 17406
800-346-1126
www.blockhouse.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 82

482d. Upholstered seating
Dignity Series
Spec Furniture Inc.
65 City View Drive
Toronto, Ontario M9W 5B1
Canada
888-761-7732
www.specfurniture.com

482e. Upholstered seating

Carrara
Kwalu
6160 Peachtree Dunwoody Rd., Building C
Atlanta, GA 30328
877-695-9258
www.kwalu.com

482f. Upholstered seating

Arcadia Series
Blockhouse Company, Inc.
3285 Farmtrail Road
York, PA 17406
800-346-1126
www.blockhouse.com

484c. PVC molded seating

FortéTM Lounge
Norix Group, Inc.
1800 W. Hawthorne Lane, Suite N
West Chicago, IL 60185
800-234-4900
www.norix.com

484d. PVC molded seating

Hondo® Nuevo
Norix Group, Inc.
1800 W. Hawthorne Lane, Suite N
West Chicago, IL 60185
800-234-4900
www.norix.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 83

484e. PVC molded seating
RockSmart
Norix Group, Inc.
1800 W. Hawthorne Lane, Suite N
West Chicago, IL 60185
800-234-4900
www.norix.com

485a. Tables
Jupiter Series Tables
Norix Group, Inc.
1800 W. Hawthorne Lane, Suite N
West Chicago, IL 60185
800-234-4900
www.norix.com

485b. Tables
Madera Series Tables
Norix Group, Inc.
1800 W. Hawthorne Lane, Suite N
West Chicago, IL 60185
800-234-4900
www.norix.com

490a. Electrically adjustable hospital bed

Behavioral Health BedTM
Sizewise
8601 Monrovia Street
Lenexa, MO 66215
800-814-9389
www.sizewise.net

490b. Electrically adjustable hospital bed

Spirit Bed with Mental Health Package
CHG Hospital Beds
1020 Adelaide Street S.
London, ON N6E 1R6
Canada
866-516-5446
www.chgbeds.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 84

490c. Electrically adjustable hospital bed
S3 MedSurg Bed
Stryker
2825 Airview Avenue
Kalamazoo, MI 49002
269-385-2600
www.stryker.com

491. Manually adjustable hospital bed

Psych Bed
Stryker
3800 East Centre Avenue
Portage, MI 49002
269-385-2600
www.stryker.com

492b. Behavioral health mattresses

Comfort Shield® Remedy Sealed Seam
Mattress
Norix Group, Inc.
1800 W. Hawthorne Lane, Suite N
West Chicago, IL 60185
800-234-4900
www.norix.com

492d. Behavioral health mattresses

Behavioral Health Mattress with Bed Bug Protection &
BioArmour TM Infection Control Composite Lamination
Surface
American Innovation Products
12004 Trinity Road
Trinity, NC 27370
814-490-0660
www.americaninnovationproducts.com

492e. Behavioral health mattresses

Closed SystemTM Behavioral Health Mattress
Comfortex®
1680 Wilkie Drive
Winona, MN 55987
800-445-4007
www.comfortexinc.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 85

493a. Platform bed
Roto Cast Series
Norix Group, Inc.
1800 W. Hawthorne Lane, Suite N
West Chicago, IL 60185
800-234-4900
www.norix.com

493d. Platform bed

BHBP/68 and BHHD/68 Behavioral Health Beds
Nemschoff
909 North 8th Street
Sheboygan, WI 53081
800-203-8916
www.nemschoff.com/

493e. Platform bed

Endurance Bed
Cortech® USA
7530 Plaza Court
Willowbrook, IL 60527
800-571-0770
www.cortechusa.com

494a. Platform bed – lift-accessible

Sleigh Bed
Norix Group, Inc.
1800 W. Hawthorne Lane, Suite N
West Chicago, IL 60185
800-234-4900
www.norix.com

494b. Platform bed riser – lift-accessible

Platform Bed Riser
Norix Group, Inc.
1800 W. Hawthorne Lane, Suite N
West Chicago, IL 60185
800-234-4900
www.norix.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 86

495a. Patient room furniture
VISTA Series
Blockhouse Company, Inc.
3285 Farmtrail Road
York, PA 17406
800-346-1126
www.blockhouse.com

495b. Patient room furniture

Safehouse Series
Norix Group, Inc.
1800 W. Hawthorne Lane, Suite N
West Chicago, IL 60185
800-234-4900
www.norix.com

495c. Patient room furniture

Safe & Tough series
This End Up® Furniture Company, Inc.
500 N. 7th Street
Sanford, NC 27331
800-605-2130
www.thisendup.com/groupliving.com

495d. Patient room furniture

Endurance Series
Cortech® USA
7530 Plaza Court
Willowbrook, IL 60527
800-571-0770
www.cortechusa.com

495e. Patient room furniture

Attenda Series
Norix Group, Inc.
1800 W. Hawthorne Lane, Suite N
West Chicago, IL 60185
800-234-4900
www.norix.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 87

496a. Patient room furniture
Attenda Series
Norix Group, Inc.
1800 W. Hawthorne Lane, Suite N
West Chicago, IL 60185
800-234-4900
www.norix.com

496b. Patient room furniture

Fortress Wardrobes
Moduform
172 Industrial Road
Fitchburg, MA 01420
800-221-6638
www.moduform.com

498. Seclusion room bed

450 Series Seclusion Beds (restraint loops
optional)
Moduform
172 Industrial Road
Fitchburg, MA 01420
800-221-6638
www.moduform.com

499a. Nurse servers

WALLAroo®
Carstens®, Inc.
7310 West Wilson Avenue
Chicago, IL 60706
800-782-1524
www.carstens.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 88

499b. Nurse servers
Proximity EXT-28
Proximity Systems
800-437-8111
www.proximiitysystems.com

520a. Fire sprinklers

Raven 5.6K Institutional Sprinklers
TYCO Fire Protection Products
1400 Pennbrook Parkway
Lansdale, PA 19446
800-523-6512
www.tyco-fire.com

520b. Fire sprinklers

819-S17 SR Sprinkler
Weizel Security
800-308-3627
www.securinghospitals.com

521a. Fire extinguisher cabinet

BestCare® Ligature-Resistant Recessed Fire
Extinguisher Cabinet WH1704
Whitehall Manufacturing
P.O. Box 3527
City of Industry, CA 91744-0527
800-782-7706
www.whitehallmfg.com

531. Toilet fixture, ADA– floor-mounted, back outlet

Huron EverClean Flushometer Toilet with integral seat
American Standard
1 Centennial Avenue
Piscataway, NJ 08855
800-488-8049
www.americanstandard-us.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 89

533. Solid-surface toilet fixture
CWC-150 Behavioral HealthCare Toilet
Intersan Manufacturing Company
1748 West Fillmore Street
Phoenix, AZ 85007
602-254-3101
www.intersan.us

534a. Stainless steel toilet

ETW-1490 Series
Willoughby Industries
5105 West 78th Street
Indianapolis, IN 46268
800-428-4065
www.willoughby-ind.com

534b. Toilet fixture – stainless steel

BestCare® Ligature-Resistant Toilet, Top Supply, WH2142
Whitehall Manufacturing
P.O. Box 3257
City of Industry, CA 91744
800-782-7706
www.whitehallmfg.com

536. Bariatric toilet fixtures

BET-1490 Series – Bariatric toilets
Willoughby Industries
5105 West 78th Street
Indianapolis, IN 46268
800-428-4065
www.willoughby-ind.com

537. Toilet waste line clog removal assistant

Nallyator
Willoughby Industries
5105 West 78th Street
Indianapolis, IN 46268
800-428-4065
www.willoughby-ind.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 90

538. Wall-hung toilet support
Big John Toilet Support
Big John Products, Inc.
8533 Canoga Avenue, Suite D
Canoga Park, CA 91304
866-366-0669
www.bigjohnproducts.com

540a. Lavatories
HSL1 SafeCare Ligature-Resistant Lavatory – stainless
steel or high- impact polymer trap cover
Bradley Corporation
W142N9101 Fountain Boulevard
Menomonee Falls, WI 53051
800-272-3539
www.bradleycorp.com

540c. Lavatories
Intersan - Saniwave lavatory with extensions
Intersan Manufacturing Company
1748 West Fillmore Street
Phoenix, AZ 85007
602-254-3101
www.intersan.us

541a. Vanity top lavatory

Suicide Prevention Patient Sink Faucet
Norva Plastics, Inc
3911 Killam Ave.
Norfolk, VA 23508
800-826-0758
www.norvaplastics.com

541b. Vanity top lavatory

Avonite® Acrylic Solid Surfaces
Avonite Surfaces
7350 Empire Drive
Florence, KY 41042
800-354-9858
www.avonite.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 91

550a. Shower head – institutional
SP-7 Shower Head
Odd Ball Industries Mfg. Co., Inc.
P.O. Box 376
Greenlawn, NY 11740
631-754-0400
www.oddballindustries.com

550c. Shower head – institutional

Ligature-Resistant Shower Head – SH330
Behavioral Safety Products
29A N. Main St., Suite 3
Watkinsville, GA 30677
706-705-1500
www.besafepro.com

552a. Shower Control Valve

WH538-CSH Ligature-Resistant Shower Head and Valve
Whitehall Manufacturing
P.O. Box 3527
City of Industry, CA 91744-0527
800-782-7706
www.whitehallmfg.com

552b. Shower valve

Ligature-Resistant Shower Valve – SV230
Behavioral Safety Products
29A N. Main St., Suite 3
Watkinsville, GA 30677
706-705-1500
www.besafepro.com

552c. Shower valve

834-S40 SRTM Retrofit Shower Knob
Weizel Security
800-308-3627
www.securinghospitals.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 92

552d. Shower valve
SP-10 Shower Mixing Valve
Odd Ball Industries
P.O. Box 376
Greenlawn, NY 11740
1-631-754-0400
www.oddballindustries.com

552e. Shower valve

SenseTM DMV2 – Individual Shower concealed electronic
mixing valve with optional stainless steel cover
Armstrong International
816 Maple Street
Three Rivers, MI 49093
269-273-1415
www.armstronginternational.com

555a. Shower diverter valve

834-SN2 SRTM Diverter Valve Assembly
Weizel Security
800-308-3627
www.securinghospitals.com

555b. Shower diverter valve

SP-12 Diverter Valve for shower
Odd Ball Industries
P.O. Box 376
Greenlawn, NY 11740
631-754-0400
www.oddballindustries.com

560a. Shower assembly

BestCare® Flush-Mount Ligature-Resistant Security Shower
WH1741-CSH
Whitehall Manufacturing
P.O. Box 3527
City of Industry, CA 91744-0527
800-782-7706
www.whitehallmfg.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 93

560b. Shower assembly
SR834-S35 SRTM Shower Panel
Weizel Security
800-308-3627
www.securinghospitals.com

563a. Shower assembly – recessed hand-held

M0418-E508 in locking box
Acorn Engineering
15125 Proctor Avenue
City of Industry, CA 91746
800-488-8999
www.acorneng.com

563b. Shower assembly – handicapped accessible

Quick release hand held shower head; Model 40707
Intersan Manufacturing Company
1748 West Fillmore Street
Phoenix, AZ 85007
800-999-3101
www.intersanus.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 94

563c. Shower assembly – handicapped accessible
SP-7WC Shower Head with Quick Connect Hand Shower
Odd Ball Industries
P.O. Box 376
Greenlawn, NY 11740
1-631-754-0400
www.oddballindustries.com

563c. Shower assembly – handicapped accessible

BestCare® Flush-Mount Ligature-Resistant Security Shower with
Dual Heads WH1741-FH-CSH
Whitehall Manufacturing
P.O. Box 3527
City of Industry, CA 91744-0527
800-782-7706
www.whitehallmfg.com

564a. Shower linear drain

ProLine drain with “dots” cover
QuickDrain USA
101 W. Main Street #206
Frisco, CO 80443
866-998-6685
www.quickdrainusa.com

565a. Shower floor basin

Roll-in shower with front trench
Watermark
2969 armory Drive, Suite 400
Nashville, TN 37204
615-291-6111
www.watermarksolidsurface.com/product-category/all-
shower-systems/5

Design Guide...Behavioral Health Edition 7.2 – April 2017 95

565b. Shower floor basin
AquaSurf solid surface shower bases
Willoughby Industries
5105 West 78th Street
Indianapolis, IN 46268
800-428-4065
www.willoughby-ind.com

566. One-piece patient toilet room floor

UniFloor
Bestbath®
723 Garber Street
Caldwell, ID 83605
800-727-9907
www.bestbath.com

568a. Pre-built bathrooms

Pre-Built Bathrooms
Eggrock, LLC
265 Foster Street
Littleton, MA 01460
978-952-8800
www.eggrock.com

568b. Pre-built bathrooms

SurePodsTM
Oldcastle®
2300 Principal Row
Orlando, FL 32837
407-859-7034
https://oldcastlesurepods.com

570a. Lavatory faucet

Ligature-Resistant Metering Faucet – SF380
Behavioral Safety Products
29A N. Main St., Suite 3
Watkinsville, GA 30677
706-705-1500
www.besafepro.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 96

570b. Lavatory faucet
Suicide Prevention Patient Sink Faucet
Norva Plastics, Inc
3911 Killam Ave.
Norfolk, VA 23508
800-826-0758
www.norvaplastics.com

570c. Lavatory faucet

BestCare® Ligature-resistant, ADA-compliant faucet
3374-PPZ
Whitehall Manufacturing
P.O. Box 3527
City of Industry, CA 91744-0527
800-782-7706
www.whitehallmfg.com

570d. Lavatory Faucet

Two-button bubbler – R04 with hemispherical
pushbuttons (PBH)
Acorn Engineering Company
P.O. Box 3527
City of Industry, CA 91744
800-488-8999
www.acorneng.com

574. Lavatory with countertop valve

Lavatory Valve
Odd Ball Industries
P.O. Box 376
Greenlawn, NY 11740
631-754-0400
www.oddballindustries.com

580. Recessed flush valve

Royal 611 & WB-1-A Easy Access Wall Box
Sloan®
10500 Seymour Avenue
Franklin Park, IL 60131
800-982-5839
www.sloan.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 97

581a. Recessed flush valve
Regal 955 Hydraulic Concealed Flushometer & WB-1-A Easy
Access Wall Box
Sloan®
10500 Seymour Avenue
Franklin Park, IL 60131
800-982-5839
www.sloan.com

581b. Recessed flush valve

3-inch Push Button Assembly for Concealed Flush Valves – P6000-NL3
Zurn Industries
511 W. Freshwater Way
Milwaukee, WI 53204
855-663-9876
www.zurn.com

585a. Flush valve cover

HSC79 SafeCare Ligature-Resistant Flush Valve Cover
Bradley Corporation
W142N9101 Fountain Boulevard Menomonee Falls, WI
53051
800-272-3539
www.bradleycorp.com

585b. Flush valve cover

FV500 (2 piece) & FV600 (1 piece) Ligature Resistant Flush
Valve Cover
Behavioral Safety Products
29A N. Main St., Suite 3
Watkinsville, GA 30677
706-705-1500
www.besafepro.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 98

585c. Flush valve cover
831-S39 SRTM Flush Valve Cover
Weizel Security
Unit 9 – 62 Fawcett Road
Coquitlam, BC, Canada V3K 6V5
800-308-3627
www.securinghospitals.com

585d. Flush valve cover

Ligature-Resistant Box with Flush Valve WH2802 – for various
toilet or urinal
Whitehall Manufacturing
P.O. Box 3527
City of Industry, CA 91744-0527
800-782-7706
www.whitehallmfg.com

588. Recessed bedpan washer

Recessed Bedpan Washer
Willoughby Industries
5105 West 78th Street
Indianapolis, IN 46268
800-428-4065
www.willoughby-ind.com

590a. Medical gas covers

Security Patient Console
Hospital Systems, Inc.
750 Garcia Avenue
Pittsburg, CA 94565
925-427-7800
www.hsiheadwalls.com

590b. Medical gas covers

Recessed Security Console
Modular Services Company
500 East Britton Road
Oklahoma City, OK 73114
800-687-0938
www.modularservices.com/products-services/products-
type/secure

Design Guide...Behavioral Health Edition 7.2 – April 2017 99

590c. Medical gas covers
Security Headwalls w/ 3/8” polycarbonate locked cover
bottom hinge
Modular Services Company
500 East Britton Road
Oklahoma City, OK 73114
800-687-0938
www.heaswalls.com

599a. Drinking water cup filling stations

B103-C2-HR Water Bottle Filling Station Cup Dispenser and
Disposal with security features
Filtrine Manufacturing Company
15 Kit Street,
Keene, NH 03431
800-930-3367
www.filtrine.com

599b. Drinking water cup filling stations

Quench 755 Countertop Filtered Water Cooler with UV
Quench
780 5th Avenue, Suite 200
King of Prussia, PA 19406
888-877-0561
www.quenchonline.com

600a. Air grilles

Stamped, Perforated Diffuser; see catalog D-22
Carnes® Company
448 South Main Street
Verona, WI 53593
608-845-6411
www.carnes.com

600b. Air grilles

SEG-4P3 Security Grille – supply or return
Kees Incorporated
400 S. Industrial Drive, PO Box 327
Elkhart Lake, WI 53020-0327
920-876-3391
www.kees.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 100

602a. Air grilles
RRMX Extra Heavy Duty Grille with Removable Steel
Perforated Face Plate
Anemostat® Air Distribution
1220 Watson Center Road
Carson, CA. 90745
310-835-7500
www.anemostat.com

602b. Air grille

814-R17 SRTM V-Vent High Security Grille
Weizel Security
800-308-3627
www.securinghospitals.com

604. Air grille – max security

SG-SD Maximum Security Suicide Deterrent Grille, steel
with 3/16-inch holes
Titus
605 Shiloh Road
Plano, TX 75074
972-212-4800
www.titus-hvac.com

606. Fan coil enclosures

Fan Coil Covers - Security
ARSCO Manufacturing Company
5313 Robert Avenue
Cincinnati, OH 45248
800-543-7040
www.arscomfg.com

607. Thermostat – tamper-resistant

KTP Series Stainless Steel Flush-Mount Thermistor
Kele, Inc.
3300 Brother Blvd.
Bartlett, TN 38133
877-826-9045
www.kele.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 101

610a. Hospital-grade receptacles
Hospital Grade GFCI Receptacles
Hubbell Incorporated
Wiring Device-Kellems
40 Waterview Drive
Shelton, CT 06484
800-288-6000
www.hubbell-wiring.com

610b. Hospital-grade receptacles

Hospital Grade GFCI Receptacles
Cooper Industries
PO Box 4446
Houston, TX 77210-4446
713-209-8400
www.cooperindustries.com

611a. Key-operated electric switches

Pass & Seymour Locking Keyed Switch
Legrand North America, LLC
http://www.legrand.us/passandseymour.aspx

611b. Key-operated electric switches

Leviton 1221-2KL Key Locking Extra Heavy Duty Switch
Leviton Manufacturing Co., Inc.
www.leviton.com

612c. Polycarbonate electrical coverplates

Tiger Plates
Cortech® USA
7530 Plaza Court
Willowbrook, IL 60527
800-571-0700
www.cortechusa.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 102

620a. Light fixture
NASL-RND LED 2’ diameter w/ flat polycarbonate lens
and tamper resistant screws
Day-O-Lite
126 Chestnut Street
Warwick, RI 02888
401-467-8232
www.dayolite.com

620b. Light fixture

Fino® ceiling mount and wall mount light fixtures
Amerlux®, LLC
178 Bauer Drive
Oakland, NJ 07436
973-882-5010
www.amerlux.com

620c. Light fixture

Fail-Safe SGI recessed, sealed, and gasketed with
polycarbonate lens
Eaton’s Cooper Lighting
1121 Highway 74 South
Peachtree City, GA 30269
770-486-4800
www.cooperindustries.com

620d. Light fixture

818-R13 SRTM Recessed Ceiling Lighting with
polycarbonate lens
Weizel Security
800-308-3627
www.securinghospitals.com

620e. Light fixture

Mighty Mac WCBU Two-Aperture Bull Nose series
Kenall®
10200 55th Street
Kenosha, WI 53144
800-453-6255
www.kenall.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 103

620f. Light fixture
RDL/RHL Wet Label Downlight
Designplan
79 Trenton Avenue
Frenchtown, NJ 08825
908-996-7710
www.designplan.com

620g. Light fixture

Sonar 12 SPC12 Vandal Resistant wall mount fixture
Luminaire Lighting Corporation
5 Sutton Place
P. O. Box 2162
Edison, NJ 08818
732-549-0056
www.luminairelighting.com

620h. Light fixture

Anyx-13 ARV-13 Vandal Resistant round wall/ceiling
mount fixture
Luminaire Lighting Corporation
5 Sutton Place
P. O. Box 2162
Edison, NJ 08818
732-549-0056
www.luminairelighting.com

620i. Light fixture

CRN Series with clear polycarbonate external lens
and TP door fasteners
The L.C. Doane Company
P.O. Box 700
Ivoryton, CT. 06442
860-767-8295
www.lcdoane.com

624. Polycarbonate prismatic lens

CRN Series with prismatic polycarbonate lens
The L.C. Doane Company
P.O. Box 700
Ivoryton, CT. 06442
860-767-8295
www.lcdoane.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 104

630. Downlight cover
Recesso Lights
Recesso Lighting by Dolan Designs
13501 100th Avenue NE, #524
Kirkland, WA 98034
877-357-6127
http://recessolighting.com

637. Exterior lighting

Exterior Vandal Resistant Lighting
The Kirlin Company
3401 East Jefferson Avenue
Detroit, MI 48207
313-259-6400
www.kirlinlighting.com

639. Night-light
CM-25500 PathMaster Die Cast Mini LED Step LIght
Philips Lighting North America Corporation
(Chloride)
200 Franklin Square Drive
Somerset, NJ 08873
855-486-2216
www.lightingproducts.philips.com

640a. Exit signs, LED – vandal-resistant

Commercial Exist Signs SC Series – Cast Aluminum LED
with vandal-resistant lens and tamperproof hardware
Philips Lighting North America Corporation (Chloride)
200 Franklin Square Drive
Somerset, NJ 08873
855-486-2216
www.lightingproducts.philips.com

640b. Exit signs, lighted – vandal-resistant

Mighty Mac MMEX Surface, Wall, or Ceiling Mount
Single/Double Face Exit with full-length mounting
canopy
Kenall®
10200 55th Street
Kenosha, WI 53144
800-453-6255
www.kenall.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 105

642. Exit signs - photoluminescent
EX424246-100G Ecoglo® Photoluminescent Exit Sign
Access Products Inc.
241 Main Street, Suite 100
Buffalo, NY 14203
888-679-4022
www.us.ecoglo.com

650a. Wireless duress alarm

INSTANTalarm® 5000
Pinpoint®, Inc.
2100 Southbridge Parkway, Suite 650
Birmingham, AL 35209
205-414-7541
www.pinpointinc.com

650f. Wireless duress alarm

B3000n Communication Badge
Vocera®
525 Race Street
San Jose, CA 95126
888-986-2372
www.vocera.com

653. Nurse call system – vandal-resistant

HSS401 Responder Health Care Communications
System High Security Staff Duty Station
Rauland-Borg Corporation
1802 West Central Road
Mount Prospect, IL 60056
800-752-7725
www.rauland.com

654. Pushbutton switch – vandal-resistant

PV1-PV8 Anti-Vandal Switches
Lamb Industries
7153 Northland Drive
Minneapolis, MN 55428
800-867-2717
http://www.e-switch.com/

Design Guide...Behavioral Health Edition 7.2 – April 2017 106

655a. Stainless steel wall phones
GB306V-14 Vandal-Resistant Telephone with 14” armored cord
Allen Tel Products, Inc.
30 TVS Drive
Henderson, NV 89014
702-855-5700
www.allentel.com

655b. Stainless steel wall phones

SSW-321-X Ceeco Stainless Steel Wall Phone
TWAcomm.com
8700 Warner Avenue, Suite 120
Fountain Valley, CA 92708
877-389-0000
www.twacomm.com

655c. Stainless steel wall phones

CS400 Armored Courtesy Phone
G-Tel Enterprises, Inc.
16840 Clay Road, #118
Houston, TX 77084
800-884-4835
www.payphone.com

660. Outdoor furniture

Hilltop Outdoor Furniture
Norix Group, Inc.
1800 W. Hawthorne Lane, Suite N
West Chicago, IL 60185
800-234-4900
www.norix.com

675a. Security fencing

Mini-Mesh chain-link fencing
Fence Factory
29149 Agoura Road
Agoura Hills, CA 91301
800-613-3623
www.fencefactory.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 107

675b. Security fencing
WireWall® High Security Fencing - Maximum Security
Riverdale Mills Corporation
130 Riverdale Street; PO Box 920
Northbridge, MA 01534
800-762-6374
www.riverdale.com

675c. Security fencing

Steel fence systems
METALCO Fence & Railing Systems, Inc.
3050 Sirius Ave, Suite 104
Las Vegas, NV 89102
800-708-2526
fence-system.com

675d. Security fencing

Fortress Fencing
Britplas
18 Kingsland Grange
Woolston
Warrington, Cheshire, England WA1 4RW
+44(01)-1925-824317
www.britplas.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 108

ABOUT THE AUTHORS

James M. Hunt, AIA, is a practicing architect and facility management professional

with more than 40 years of experience. He is a registered architect and began his
career practicing architecture for several major health care projects. He then served as
director of facility management for the Menninger Clinic for 20 years. In addition to
managing the clinic’s main campus, he consulted on behavioral health care unit
remodeling projects for their Clinical Network program in eight states. During this time,
Mr. Hunt was a founding member of the Health Care Council of the International
Facility Management Association. He held several offices in the council, including chair.
He publishes articles and speaks at major conferences frequently. He is president of
Behavioral Health Facility Consulting, LLC (BHFC), an organization that consults with
behavioral health organizations and architects who design behavioral health facilities
regarding their unique requirements for patient and staff safety. He has worked with
behavioral health facilities in more than 30 states and Canada. He can be reached at
[email protected].

David M. Sine, DrBE, CSP, ARM, CPHRM, has had a career of more than 25
years in safety, risk management, human factors, and organizational consulting. He
has been state safety director of two eastern states, senior staff engineer for the Joint
Commission, and a senior consultant for the American Hospital Association. Founding
partner and one-time contributing editor for Briefings on Hospital Safety, co-author of
Quality Improvement Techniques for Hospital Safety, and one-time vice chair of the
board of Brackenridge Hospital in Austin, Texas, Mr. Sine is certified by the Joint Board
of the American Board of Industrial Hygiene and Certified Safety Professionals and as
a Certified Professional Healthcare Risk Manager by ASHRM. He has been a health
care risk management consultant since 1980 and has conducted more than 1,300 Joint
Commission compliance assessment surveys. He serves as a member of the NFPA
101 Life Safety Code Subcommittee on Health Care Occupancies, the Joint
Commission Committee on Healthcare Safety, and the FGI Health Guidelines Revision
Committee and acts as a risk management adviser to the National Association of
Psychiatric Health Systems. He served in the corporate offices of the Tenet
HealthSystem in Dallas as director of risk assessment and loss prevention and vice
president of occupational health and safety. Mr. Sine continues to write and lecture
extensively on health care policy, governance, quality improvement, and risk
management as President of SafetyLogic Systems. He can be reached at
[email protected].

Design Guide...Behavioral Health Edition 7.2 – April 2017 109

ABOUT FGI
The Facility Guidelines Institute is a not-for-profit corporation founded in 1998 to
provide leadership and continuity to the Guidelines revision process. FGI functions as
the coordinating entity for development of the Guidelines for Design and Construction
of hospitals, outpatient facilities, and residential long-term care facilities using a
multidisciplinary, consensus-based process and for provision of ancillary services that
encourage and improve their application and use. FGI invests revenue from sales of
the Guidelines documents to fund the activities of the next revision cycle and research
that can inform the Guidelines development process. For more information, visit
www.fgiguidelines.org or contact the Facility Guidelines Institute at
[email protected].

DEFINITIONS / RESOURCES
Americans with Disabilities Act (ADA). The Americans with Disabilities Act gives civil
rights protections to individuals with disabilities similar to those provided to individuals
on the basis of race, color, sex, national origin, age, and religion. It guarantees equal
opportunity for individuals with disabilities in public accommodations, employment,
transportation, state and local government services, and telecommunications. See
www.ada.gov/.

Guidelines for Design and Construction of Hospitals and Outpatient Facilities –

2014 edition. This book, published by the Facility Guidelines Institute, includes
chapters on psychiatric hospitals and outpatient psychiatric centers. For information on
purchasing the FGI Guidelines, visit www.fgiguidelines.org.

Health Insurance Portability and Accountability Act of 1996 (HIPAA). The Office
for Civil Rights in the U.S. Department of Health and Human Services (HHS) enforces
the HIPAA Privacy Rule, which protects the privacy of individually identifiable health
information; the HIPAA Security Rule, which sets national standards for the security of
electronic protected health information; and the confidentiality provisions of the Patient
Safety Rule, which protect identifiable information being used to analyze patient safety
events and improve patient safety. See www.hhs.gov/ocr/privacy.

The Joint Commission. See www.jointcommission.org for their standards.

National Fire Protection Association (NFPA). The NFPA publishes NFPA 101: Life
Safety Code®, which is available at
http://www.nfpa.org/catalog/product.asp?pid=10109&order_src=A291. For more on
NFPA or links to new publications, see www.NFPA.org.

National Institute of Corrections. See www.nicic.gov.

Design Guide...Behavioral Health Edition 7.2 – April 2017 110

LIST OF MANUFACTURERS
Access Products, www.us.ecoglo.com
Accurate, www.accuratelockandhardware.com
Ace Security, www.smashandgrab.com
Acorn Engineering Co., www.acorneng.com
Allen Tel Products, www.allentel.com
Alro Plastics, www.alro.com
American Innovation, www.americaninnovationproducts.com
American Specialties, www.americanspecialties.com
American Standard, www.americanstandard-us.com/
Anemostat, www.anemostat-hvac.com
Archer Manufacturing, www.vandalproof.org
Armstrong Flooring, www.armstrong.com
Armstrong International, http://armstronginternational.com
Arsco, www.arscomfg.com
Avonite, www.avonitesurfaces.com
BASF, www.master-builders-solutions.basf.us
Behavioral Safety Products, www.besafepro.com
Best Access Solutions, Inc., http://www.bestaccess.com/index.php/products/behavioral-health-products/
Bath, www.best-bath.com
Big John, www.bigjohntoiletseat.com
Blockhouse, www.blockhouse.com
Bradley, www.bradleycorp.com
Brey-Krause, www.breykrause.com
Britplas, www.britplas.com
Carnes, www.carnes.com
Carstens, www.carstens.com
Cascade, www.cascadesh.com
Ceco, www.cecodoor.com
CHG, www.chgbeds.com
Chloride, www.chloridesys.com/chloride
CompX, www.compx.com
Comfortex, www.comfortex.com
Cooper, www.cooperindustries.com
Cortech, www.cortechusa.com
CS Acrovyn, www.c-sgroup.com
Curries, www.curries.com
Custom Design Frameworks, www.customdesignframeworks.com
Dano Group, http://www.danogroup.com
Designplan, www.designplan.com
Dex-O-Tex, www.dexotex.com
DHSI, www.dhsi-seal.com
Door Control Services, www.doorcontrolsusa.com
Door Switch, http://thedoorswitch.com
Draper, Inc., www.draperinc.com
Dur-A-Flex, www.dur-a-flex.com
Dynalock Corp, www.dynalock.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 111

Eggrock, www.eggrock.com
Fence Factory, www.fencefactory.com
Filtrine Manufacturing Co.; www.filtrine.com
Flexco, www.flexcofloors.com/
Flxsigns, www.290signs.com
G-Tel, www.payphone.com/
Global, www.security-glazing.com
GoJo Industries, www.GOJO.com
Grahan Wood Doors, www.grahamdoors.com
Grainger, www.grainger.com
Hafele, www.hafele.com/us/index.htm
Hager Companies, www.hagerco.com
Hospital Systems Inc., www.HospitalSystems.com
Hubbell, www.hubbell-wiring.com
IE; Blinds, www.ieblinds.com
Intersan, www.intersan.us
Ives, http://us.allegion.com/
J. L. Industries, www.jlindustries.com
Johnsonite, www.roppe.com
Kane Mfg., www.kanescreens.com
Kawneer Company, Inc., www.kawneer.com
Kees, www.kees.com
Kele, Inc., www.kele.com
Kenall, www.kenall.com
Kennon Products, www.suicideproofing.com
King Architectural Products, www.kingarchitecturalproducts.com
Kingsway Group USA www.kingswaygroupusa.com
Kirlin, www.kirlinlighting.com
Kwalu, www.kwalu.com
L. C. Doane, www.lcdoane.com
LCN, http://us.allegion.com/brands/lcn/Pages/default.aspx
Lamb Industries, www.e-switch.com
Lee's Carpet, www.leescarpets.com
Lonseal, http://lonseal.com
Luminaire, www.luminairelighting.com
Manko Windows, www.mankowindows.com
Maiman, www.maiman.com
Marathon, www.flexcofloors.com
Marks USA, www.marksusa.com
Marshfield Door Systems, www.marshfielddoors.com
McMaster-Carr, www.mcmaster.com
Metalco, www.fence-system.com
Mockett, Doug, www.mockett.com
Moduform, www.moduform.com
Modular Services, http://headwalls.com
National Gypsum, www.nationalgypsum.com
Nemschoff, www.nemschoff.com
Nora Systems, Inc.; www.nora.com/us

Design Guide...Behavioral Health Edition 7.2 – April 2017 112

Norix, www.norix.com
Northwest Specialty Hardware. www.northwestsh.com
Norva Plastics, www.norvaplastics.com
Odd Ball, www.oddballindustries.com
O'Keeffe's, Inc., www.safti.com
Oldcastle, www.oldcastlebe.com
Pabco Gypsum, www.quietrock.com
Padded Surfaces, paddedsurfaces.com/CAD.html
Pecora, www.pecora.com
Peerless A-V, www.perlessmounts.com
Pemko, www.pemko.com/
Pinpoint, www.pinpointinc.com
Quench; www.quenchonline.com
Quick Drain USA, www.quickdrain.com
RAL & Associates, www.ieblinds.com
Rauland - Borg Corp., www.rauland.com
Re*cesso Lights, http://recessolighting.com/
Riverdale Mills, www.wirewall.com
ROA Contract Sales, www.rao.com
Rockwood, www.rockwoodmfg.com
Roppe, www.roppe.com
Sabic, www.sabic.com
SaftiFirst (O'Keeffe's, Inc.), www.safti.com
Sani-liner, www.wisconsinconverting.com
Sargent Lock, www.sargentlock.com
Schlage, http://us.allegion.com
Scotchshield,http://solutions.3m.com/
Securitech Group, Inc., www.securitech.com
Sheffield, www.sheffieldplastics.com
Sherwood Windows Group, www.sherwoodwindows.com
Sizewise, www.sizewise.net
Sloan, www.sloanvalve.com
Spec, www.specfurniture.com
Stanley Hardware, www.stanleyhardware.com
Stanley Security, www.stanleysecuritysolutions.com
Sto Americas, www.stocorp.com
Stryker, /www.stryker.com/en-
us/products/PatientHandlingEMSandEvacuationEquipment/index.htm
Sugatsune, www.sugatsune.com
Surebond, www.surebond.com
Tamperproof Screws, www.tamperproof.com
This End Up, www.thisendup.com
3M, www.3m.com
Titus, www.titus-hvac.com
Top Knobs, www.myknobs.com
Total Door, www.total-door.com
Total Lock and Security, www.totallock.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 113

Townsteel, www.townsteel.com
Truebro, www.truebro.com/plumbing/truebro/lavshield
Truth Hdw., www.truth.com
TWA Comm, www.twacomm.com
2/90 Sign Systems, www.290signs.com
Tyco, www.tyco-fire.com
Unicel, www.unicelarchitectural.com/en/index.php
USG Sheetrock, www.usg.com/content/usgcom/en.html
Vistamatic, www.vistamaticvisionpanels.com/
Vocera, www.vocera.com
Wausau Windows, www.wausauwindow.com
Webb Shade, www.webbshade.com
Weizel Security, www.securinghospitals.com
Whitehall, www.whitehallmfg.com
Willoughby Industries, www.willoughby-ind.com
Zurn, www.zurn.com

Design Guide...Behavioral Health Edition 7.2 – April 2017 114