Larimer County’s Longview Behavioral Health Center nearing completion

Jun 12, 2023

Larimer County is nearing completion on construction of its new behavioral health facility, Longview Behavioral Health Center, which will provide acute mental health care for patients in an underserved area, according to Larimer County Behavioral Health Director Laurie Stolen.

The structure, situated on a 40-acre lot at the northwest corner of Trilby and Taft Hill roads almost directly between Fort Collins and Loveland, is prepared for a Sept. 22 ribbon cutting ceremony and will begin accepting patients on Dec. 4.

The product of a mental health initiative led by the county and funded by a voter-approved sales tax of .25%, which was passed in 2018, Stolen said that the facility is a rarity in the country.

Operated by SummitStone Health Partners and working in close collaboration with area hospitals and outpatient behavioral health providers, the facility will serve as a seamless way to help locals navigate some of the most frightening and difficult moments of their lives, provide short or medium term stabilization, and then continue to help clients receive the help they need in an outpatient setting, Stolen said.

Part of the funding from the sales tax includes a fund that can be used to help those without the means to cover their treatment.

Designed to be a one-stop shop that can treat a variety of mental health crises ranging from substance abuse disorders to suicidal ideation to psychotic episodes, the building houses its own pharmacy, suites of therapy rooms, a full withdrawal management, or detox, wing, a full-service kitchen and a docking bay for drop-offs by ambulances and law enforcement.

The last feature is crucial, Stolen said, as the entire purpose of the facility is to encourage first responders to bring residents who might be in the midst of a behavioral health crisis, whether that be a suicide attempt, a psychotic episode, or something similar, to the new facility rather than the hospital or the jail, neither of which might be the best place for them to recover and receive proper treatment.

"We want to incentivize them to use this building, and not the jail, not the emergency room, so we allowed them to kind of lay out the inside part of the building here with a transportation lounge area, their own bathrooms so they don't have to take off their utility belts and such," Stolen said.

There are of course more ways to enter the building as a client than via ambulance or police cruiser.

A stunning two-story entryway and lobby make up the center of the building, where patients who might not be at a stage in their mental health crisis to need an ambulance can enter and admit themselves, and where family and friends can visit. The pharmacy is located there, and while it is intended at first to serve only patients at Longview, Stolen said it could potentially become a retail pharmacy, serving anyone nearby if the location is convenient for them.

The structure emphasizes natural light, with floor-to-ceiling windows throughout the facility. In one area that is too far from any external walls to effectively light the area with windows, is a "light well," essentially a small courtyard with an open ceiling, enclosed with glass. It allows light to shine into what would otherwise be a dimly lit, gray area; clients, staff and visitors can even step out into the light well, weather permitting, to feel the sun.

The building was intentionally made to be welcoming and beautiful, and actively sought to avoid a clinical, institutional feel like a psychiatric hospital or a prison, Stolen said.

But as project engineer Wes Schlegel explains, there is a careful balancing act between beauty and safety. Many of Longview's clients are not the most predictable, and some are there in the first place because they want to hurt themselves.

A large staircase to the right of the entryway into the lobby will soon have what Stolen described as a transparent glass frame with inserted leaves that will cover the entire upper entryway. Beautiful, she explained, but also effective at keeping clients from trying to jump off of the staircase.

Bathroom door handles, showers, bed frames, and any other conceivable residential items are "non-ligature," essentially incapable of having anything tied to it. Towel hooks flick down if more than a few pounds of pressure is put on them. Door handles are situated within the door itself. Mirrors are made of highly reflective stainless steel instead of glass to prevent shattering and reduce the chance that a client might get a sharp object with which to hurt themselves or others.

Other clients might try to barricade themselves in rooms or smash their way out of one of the building's many windows, Stolen and Schlegel said. Residential doors are dual hinged, so if a client attempts to barricade themselves inside a room, a key can be turned and the door swings out rather than in. All the windows are made as a single unit, double paned with a shatterproof glass similar to that of a car windshield.

Stolen debated bolting chairs to the floor to reduce the odds of a client trying to use one to break through a window or otherwise cause damage, but because that seemed to contradict her belief that the facility should be as welcoming as possible, the facility bought chairs light enough to move across a floor but far too heavy to lift and throw.

The end result of all the thought and work, Stolen said, is a facility that is inviting, safe and above all, specialized to treat a variety of behavioral health crises.

"That's the beauty of having everything all in one building," Stolen said while standing in the crisis stabilization wing of the facility. "They really have the ability to transition and move people within the same building. And they can stay in the same bed and get different levels of care.

"So if there's someone who's on the withdrawal management level, and they’re also floridly psychotic and they’ve got depression, they can be treated with all of the meds and all of the specialties from this side without leaving that bed. Because all the services are available in one building. That's what makes it kind of unique."

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