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Publications

Reimagining the Future of State Hospital Design

"Designed to Last: The Future of State Hospitals," written in collaboration with Dr. Debra A. Pinals, M.D., HDR's Brian Giebink examines several topics related to behavioral health, mental health and state hospital systems to uncover new approaches to state hospital design and reimagine the standard approach. Considering national policy and funding while drawing upon inspiration from international design approaches that support better outcomes, the book incorporates insights from people with lived experience, including service users, frontline staff, and department leadership.

This reimagining of state hospital design, aims to inform solutions and inspire conversations that change perspectives while advocating for a new approach to state hospitals that will have a lasting impact. 

About Dr. Debra A. Pinals, M.D.

Debra A. Pinals, M.D. serves as the director of the Program in Psychiatry, Law, and Ethics, as an adjunct clinical professor of psychiatry at the University of Michigan Medical School and is a clinical adjunct professor at the University of Michigan Law School. She is board certified in psychiatry and forensic psychiatry, and is a diplomate of the American Board of Addiction Medicine.

Dr. Pinals has served as the assistant commissioner of forensic services, and the interim state medical director for the Massachusetts Department of Mental Health. And she has worked as a forensic psychiatrist and public mental health policy advisor for approximately two decades, working and consulting across state hospitals and community systems, including architectural projects for improved spaces that promote recovery and safety.

Brian Giebink HDR
Behavioral and Mental Health Practice Leader