CONSIDERATIONS OF

REHABILITATION
CENTRES

SUMITTED TO:
SUBMITTED BY:
Prof. Vibha Upadhyay
Kamakshi Sharma
 AIM :

To study the design consideration of

rehabilitation centre over a period of time,
propose and recommend the strategies for
rehabilitation centres
 OBJECTIVES :

The following objectives are proposed for study of design

considerations of rehabilitation centre.
To study the various types of residential shelters provided by different
rehab centres.
To study the size or the area required by the people using it.
To study the cost of rehabilitation centres according the facilities
providing.
To study the level of security required in rehabilitation centre.
To study the type of location needed by the people.
To study the role of planning and designing elements can be used in
rehabilitation centres .
 SCOPE :

The rehabilitation centre is to restore the victims

strength, so the main focus is to study the type
of environment provided by the rehabilitation
centre.
This study will guide the trafficking patterns
within a region and their geographical location.
The overall study is to carried out the facilities to
protect trafficked persons rights to prevent from
 LIMITATIONS :

The study shall include the size of rehab

according to the number of victims can be
admitted.
The study shall largely depend on the Primary
survey and secondary data.
The study shall include the age limit if the
victims and the shelter will not be provided for
childrens and mens.
 METHODOLOGY:
SELECTION OF PROJECT

IDENTIFICATION OF THE SCOPE AND OBJECTIVES

OF THE PROJECTS

COLLECTION OF DATA AS PER THE STANDARDS

AND LITERATURE SURVEY

CASE STUDY

DEVELOPMENT OF DESIGN CONSIDERATIONS

REHABILITATION

The nounrehabilitationcomes from

the Latin prefixre-, meaning again
andhabitare, meaning make fit.

When something falls in to disrepair

and needs to be restored to a better
condition, it needs rehabilitation.
People seek rehabilitation to restore
their strength, or to learn to live
without drugs or other addictive
substances or behaviors.
 VARIOUS RESIDENTIAL REHAB CENTRES
Emergency Shelters- Are usually the first destination for
victims of trafficking, following a rescue, police referral, or
escape, and typically provide for stays of a few nights to a
month. They emphasize the immediate provision of medical
and physical
Transit security
Centers- Arefor the victims.
similar to emergency centers but are
distinguished by their strategic location at significant
trafficking and migration border crossings. They provide
assistance to victims who are being trafficked or who are
coming back into the country after being trafficked. An
effective transit center needs strong coordination between
Short-Term Shelters-
service providers Commonly
and local provide assistance to
law enforcement.
victims of trafficking from one week to three months, either in
their country of origin or destination. Victims trafficked across
national borders may be referred to these shelters, sometimes
by an emergency shelter in the destination country or by
Long-Term Shelters-
police, or they may seek Prepare trafficking
out shelters victims for
themselves.
reintegration into society, whether within their families or in
new communities. Transition homes and reintegration centers
are two common types of long-term shelters. Transition homes
offer residents more freedom of movement. Reintegration
centers provide safety and long-term support in a structured,
REHABILITATION, RECOVERY,
REINTEGRATION
Education- Many shelters provide a range of educational
opportunities including formal & non-formal education,life
skills & vocational training. Foreign residents may need
special attention, such as those who intend to remain in the
destination country to testify against traffickers.
Reintegration
Economic Psycho Social Reintegration of
opportunities- Support- trafficking victims
To avoid Victims of often is a difficult,
retrafficking trafficking complex,& long
victims need the commonly term process. It is
skills to earn an experience severe difficult for each
adequate income. physical & victims & it
Skills training psychological involves not only
programs should trauma as a result the victim but also
be created to of the violence, the environment &
match the needs rape, threats, culture within
of the local job other means which
market traffickers use to reintegration is to
FACILITY SIZE
The size of the group residential facility is
usually determined by the location, the demand
shelter, security considerations, the type of
services offered & availability of external
support.

Shelters can be small enough to serve only a

dozen individuals of big enough to serve well
over 100 or 200 people, with no optimal size

There are shelters operating at below capacity

because trafficking patterns having changed;
the shelters location, size, & focus are no longer
meeting the needs of victims; or the victims
do not trust the agency operating the shelter.
 The cost of establishing &
maintaining group residential
rehabilitative facilities varies
significantly from shelter to
shelter. Providing clothes, food,
bed, & professional assistance
from social workers, health
workers, vocational trainers,
police & legal assistance is
costly. Funding may come from
govt. , NGOs, donor
governments, international
organizations, private
individuals & the private
sector. Shelters are very rarely
COST
self sustaining.
 Shelters located in
border areas may
be equipped to
Long term A short term
provide short-term
shelters are shelter may be
services to recently
more likely to be located close to
rescued victims
located where a point of transit,
but may not be an
the trafficked as is the case
appropriate site for
victims can with transit
mounting a
access services shelters located
rehabilitative care
while working at border
program that is
toward obtaining crossings.
dependent on
legal
access to
employment.
established social
care & vocational
networks.
location
 SECURITY

Security is a concern for all shelters

and includes protection against outside
break-ins and escape from the shelter
by victims. The practice of holding
trafficking victims against their will in
shelters is an issue in some places.

In a country with a number of shelters,

victims may be kept against their will
by some shelters and not by others. It
is particularly difficult when the
parents of underage children have
 SECURITY

There are many cases where allowing a

shelter resident to come and go from
the shelter freely would impact her
safety as well as the safety of other
shelter residents, or might have an
adverse effect on the ability to
prosecute a trafficker, but shelters
need to strike a delicate balance
between these concerns and the
human rights of the individual.
 General

1. The Inpatient Unit is an essential building block

for a PRC facility and provides many functions
beyond a typical hospital inpatient unit. Intensive
patient treatment will occur in the individual
patient rooms and in other spaces required on the
unit. Family members will assist in this treatment
and will require additional spaces for their needs.

The staffing model for the Inpatient PRC Unit

requires a inter-disciplinary team approach to
care. This would include their staff offices located
on the Unit.
Planning & Design Considerations

Inpatient room

The patient bedroom in a PRC facility requires a

larger area than a typical medical/surgical
Inpatient Room or ICU. This area is needed for
individualized patient treatments from multiple
staff members & therapists and the
accommodation for additional equipment for
patient treatment. The Guide Plates indicate two
optional layouts for Inpatient rooms to
accommodate these needs for greater space.
2. Nurse Stations

The intensive treatment of the patients require a

large number of staff to be in close relationship to
patient rooms. This can be accomplished by centering
the nurse station within the Inpatient Unit. In some
cases smaller de-centralized nurse stations can be
placed in several strategic locations. The Guide Plates
indicate both of these options for consideration.
3. Recreational Therapy and
Rehabilitation Gym

This space is required on the Inpatient Unit for

individual and group therapy activities because of the
acute injuries of the patient. Many of these patients
cannot tolerate interhospital transport. TBI / Cognitive
Therapy and Computer Training are activities that occur
in rooms adjacent to this Gym.
4. Dining Room

This space supports the dining functions for all

Inpatients but also serves as a private
therapeutic assessment and treatment space
for patients who require additional assistance
at meal time.
5. Family Multipurpose Room /
Family Room

Family members play a key role in a patients

treatment and are often in the patient room for
extended periods of time. This contributes to the size
requirements of the Inpatient Room. Family members
also require Multipurpose and Living room spaces on
the Inpatient Unit, which allows them to stay close to
the patient.
6. The major spaces required in the
Inpatient Unit are developed into Guide
Plates, and include the following
spaces:
A. Patient Room
B. Patient Room
C. Nurse Station
D. Nurse Station
E. Recreation Therapy / Day Room
F. Dining Room
G. Quiet Room
H. Family Multipurpose Room / Family Living
J. Rehabilitation Gym
K. Recreation Special Treatment Room
L. TBI Cognitive / Therapy Exam / Treatment Room /
Multipurpose Room
M . Computer Training
Transitional Rehabilitation Center

General

1. A distinctly separate environment is desired for the

Transitional Rehabilitation Center away from the
institutional hospital. Patients are moved from the
hospital Inpatient Unit to this Center in order to assist
them in the transition back to the community. In some
cases, patients who have relapsed in the community
may come to this Center for intensive assessments
and focused treatment.
 Planning & Design

Considerations
The Transitional Rehabilitation Center may be in
several locations: within the hospital but finished as a
separate environment of care, separate but
connected to the hospital sharing certain primary
hospital functions, or as a complete separate building
on the hospital campus
The Transitional Resident Bedroom is the size of a
typical residential bedroom and finished similarly.
Access to a handicapped-accessible toilet and shower
room is required to be adjacent to the bedroom.
Patients are encouraged to take part in programmed
activities throughout the day so their time spent in
the patient room is minimized.
The Apartment-type Unit closely simulates the
patients real world community. It allows for functional
assessment of the patient by staff members in a
controlled and supportive setting. Deficiencies in
 Outpatient Unit

General

1. The Outpatient Unit is a key function of the PRC

facility and provides specific cognitive training for
patients living in the community that make regular
outpatient visits. This Unit differs from a typical
hospital outpatient clinic by concentrating PRC
patients, staff and specialized treatment in one area.
Patients will be assessed and treated in group as well
as individualized settings.
 Planning & Design
Considerations
Lounge Space or Home Room
This is a place for patients to socialize, relax
and even dine in-between treatments and
provider appointments.
Physical / Occupational Therapy This space is a
large room that supports physical activities and
rehabilitation therapy.
Gait Lab This lab tests the patients gait and
balance abilities in an individualized room.
The major spaces required in the Inpatient Unit
are developed into Guide Plates, see Section 2.8,
and include the following spaces:
a. Lounge Space (Home Room)
b. Physical/Occupational Therapy
 Viability of Shelters
Sustainability and Quality
of Services
Finding a viable long-term means of self-support is difficult for
most shelters. The shelter, recovery, and integration services
provided by NGOs to victims of trafficking largely depend on
support from international donors and foundations. Many of
those interviewed for this study emphasized that organizations
that support shelter services for trafficking victims need to
think creatively about the sustainability of shelters.
Some interventions, such as collective enterprises for
economic rehabilitation, are being developed to address the
issue of sustainability.
Online case study on
rehabilitation centre
 Architectural programming is a decision-making
process with regard to purpose and function.

The project cycle is divided into seven consecutive stages:

1. Vision
2. Activation
3. Feasibility
4. Design
5. Tender
6. Construction
7. Handover
The first stage, Vision, applies to all construction projects. It
involves the elaboration of the project proposal. The problem
is analysed; the needs and relevance are identified, facts and
figures and statistics are provided; broad lines of responses
and objectives for solving the problem are set.

The Activation stage concerns the review of the Vision project proposal
at HQ. This review may lead to a formal decision as to whether or not to
activate the Protocol. Scope, complexity, human resources
requirements and availability, and country-specific implications are
among the aspects analysed.

The third stage, Feasibility, involves preparing a study that is a

working document, which should enable the Delegation
Management to decide whether or not to continue with the project
development. It incorporates a wide range of issues, including
areas such as:
background information on a given project, its context and aim
sounding out authorities concerning the project and their
perception
developing various technical options with sketches
providing diagnosis for each option
selecting/offering a viable option
preparing the Programme-Cost-Duration (PCD), where the project
is broadly outlined and basic estimates and timelines are worked
out.
 Concepts and needs are
addressed at the Feasibility
stage.
The main needs and schematic conceptualization
established in the Vision stage are developed in
the Feasibility stage in a dialogue between the
construction project manager and the project
owner. The finalized architectural programme is
incorporated into the Feasibility report.

A first Feasibility report template was introduced

by the WatHab Unit in 2011. It has been
continuously improved ever since.
THANKYOU