Healing Spaces: Mental Health Design Dialogue

Pineapple Contracts

Join Pineapple hosts as they discuss the latest mental health design matters with industry experts, sharing perspectives and insights on the built environment and the challenges and opportunities in creating healing spaces for patients, staff and the wider communities. 

  1. 1d ago

    Making Room for Delight – Rethinking the Role of Art in Behavioural Health Design

    Art is often thought of as something added at the end of a project — a finishing touch once the walls, furniture, lighting, and layout are already in place. But in behavioral health design, art has the potential to do much more than decorate. It can help shape the emotional experience of a space, support wayfinding, reduce cognitive load, create moments of recognition and belonging, and communicate dignity before a single conversation begins. Pineapple's Melissa Steach delves into the varied contributions of art in behavioral health design with BCRA's Marissa Rosati and Jake Wagoner.  They talk about what happens when art is treated as an intentional part of the care environment rather than an afterthought. How can it help people feel that a space was created with them in mind? How can it support people who may be arriving in a moment of fear, uncertainty, or distress? And how do we move beyond generic ideas of 'calming' to create environments that feel thoughtful, human, safe, and emotionally resonant? They also look at the relationship between art and wayfinding. In settings where people may already feel anxious or overwhelmed, the environment has a responsibility to make things easier to understand, not harder. Imagery, color, landmarks, environmental graphics, and storytelling can all help people make sense of where they are and where they’re going without relying only on institutional signage. And importantly, they talk about delight. Behavioral health environments are rightly designed with safety, sensitivity, and risk reduction in mind. But that should not mean designing out beauty, curiosity, discovery, or joy. Supportive spaces can be safe and still feel alive. Join Melissa, Marissa and Jake for this conversation, where they share their perspectives on belonging, emotional experience, wayfinding, and what a behavioral health environment can communicate before anyone says a word. Our Guests:  Marissa Rosati, Senior Associate - Interior Designer at BCRA, NCIDQ Marissa is a senior associate and NCIDQ certified interior designer whose work focuses on creating thoughtful, human-centered environments that foster connection and a sense of belonging. Her approach considers not only how spaces function, but how they are experienced by the people who use them, and how design can help people feel welcomed, valued, and considered. Jake Wagoner, Director of Brand & Experiential Design at BCRA Aa Director of Brand & Experiential Design, Jake helps shape how people experience the built environment through art, wayfinding, environmental graphics, and storytelling. His work focuses on the intersection of creativity and function, using design to make spaces more intuitive, engaging, memorable, and connected to the people and communities they serve. With more than 20 years of experience as an artist, muralist, and designer, Jake’s work ranges from large-scale public art and murals to integrated experiential design and wayfinding systems. He is especially interested in how thoughtful design can influence the way people feel, navigate, connect with, and understand a place, and in creating environments that feel intentional, human, and rooted in their communities.    This episode is hosted by Pineapple, creators of mindfully designed furniture for behavioral and mental health environments.

    Making Room for Delight – Rethinking the Role of Art in Behavioural Health Design
  2. Jul 23

    The role of everyday life in recovery-oriented programs

    What changes when mental and behavioral healthcare is designed around the way people actually live? Join Pineapple's Melissa Steach and Shiva Mendez, founder and principal of Sage Lattice, LLC, for a wide-ranging conversation about recovery-oriented care, neighborhood-based service models and the role of the built environment in promoting dignity, trust and autonomy. Together, they explore how services, spaces and systems can move closer to the people they are intended to support - and how behavioural healthcare can become a more integrated, accessible and familiar part of everyday life. Our Guest:  Shiva Mendez, CID, IIDA, LEED AP BD+C, EDAC - Founder | Principal, Sage Lattice, LLC Shiva Mendez brings more than three decades of specialized experience in healthcare design, with a portfolio that spans variety of healthcare settings and unique expertise in behavioral health/correctional health. Her work is defined by a strategic, research‑guided approach that balances patient experience, operational efficiency, economic prudence, and design excellence. Trained in interior architecture, Shiva integrates aesthetics, human factors, and material performance to create environments that foster healing, support staff focus and enhance safety. A dedicated advocate for patients, caregivers, and organisational stakeholders, Shiva believes in the power of design to reduce stress, promote dignity, inspire hope, and spark delight. Her leadership is grounded in collaboration, curiosity, and a passion for elevating the built environment’s role in health and well‑being. Education: Rhode Island School of Design, Bachelor of Fine Arts, Bachelor of Interior Architecture. This episode is hosted by Pineapple, creators of mindfully designed furniture for behavioral and mental health environments.

    The role of everyday life in recovery-oriented programs
  3. May 21

    The Untapped Conversations in Behavioral Health - PART 2

    This is PART 2 of our podcast on the untapped conversations in behavioral health, where Pineapple’s Daniel White delves into real-world behavioral health examples that don't always match the theory ... Joining him are HKS’s Rachael Rome, Global Director of Mental & Behavioral Health Design & Studio Practice Leader of the Dallas Health Practice, and her colleague Martyna Falloni, Senior Medical Planner & Associate. Topics they cover in PART 2 include: It’s not all forensic - so why do we design like it is? Are we accidentally traumatizing people who come in asking for help? Why do we (still?) accept uncomfortable environments as the price of safety? Let's challenge the long-standing assumption that for whatever reason, comfort equals risk. Does everything need to cost money? Are there any quick wins that we can make easily by having more thoughtful conversation and dialogue?Our Guests:  Rachael Rome, AIA, NCARB, EDAC, LSSGB, LEED AP BD+C Global Director of Mental & Behavioral Health Design | Studio Practice Leader, Dallas Health Practice, HKS Rachael Rome is Global Director of Mental & Behavioral Health Design at HKS and a nationally recognized leader in behavioral health environments. She partners with health systems and institutions to translate complex clinical and operational needs into high-performance, evidence-based spaces that support safety, dignity, and healing. Her work spans the full continuum of care, from pediatric and outpatient settings to forensic facilities and medically complex inpatient units, with a strong focus on trauma-informed design and technical excellence. Rachael also advises on behavioral planning, simulation modeling, and long-range campus strategies, helping drive system-wide transformation through thoughtful, human-centered design. Through her leadership, Rachael continues to elevate mental and behavioral health design across the industry advancing integrated, human-centered spaces that promote resilience, equity, and hope. Martyna Falloni, ACHA, EDAC, LSSYB, AIA Senior Medical Planner, Associate, HKS Martyna’s goal is to create environments that put people first - because when they thrive, outcomes improve naturally. As a board-certified medical planner, Martyna is dedicated to improving patient outcomes through the creation of exceptional, safe environments for patients, staff, and caregivers. She brings particular focus to spaces that support children, thoughtfully accommodating their developmental, emotional, and safety needs. Leveraging expertise in Evidence-Based Design and Lean Six Sigma, she applies an analytical, human-centered approach to every project. Martyna works closely with interdisciplinary teams and clients to align design solutions with operational best practices, clinical effectiveness, and evidence-based strategies - driving measurable improvements in care delivery, enhancing patient and staff satisfaction, and maximizing facility value. This episode is hosted by Pineapple, creators of mindfully designed furniture for behavioral and mental health environments.

    The Untapped Conversations in Behavioral Health - PART 2
  4. Mar 30

    The Untapped Conversations in Behavioral Health - PART 1

    Pineapple’s Daniel White hosts a conversation grounded in real-world behavioral health delivery rather than theory. Joining him are HKS’s Rachael Rome, Global Director of Mental & Behavioral Health Design & Studio Practice Leader of the Dallas Health Practice, and her colleague Martyna Falloni, Senior Medical Planner & Associate. Together they examine how mental and behavioral health design is full of assumptions that often can become default standards – and they challenges these concepts, asking the questions we all debate quietly … but rarely say out loud. Topics they cover in PART 1 include: Single occupancy vs dual occupancy: Privacy, safety, or throughput – what are we really optimizing for? Are we designing for patient outcomes or operational fear?Ensuite vs shared bathrooms: Dignity, ligature risk, and the things no one likes to admit – is the ensuite about patient dignity or staff convenience?Our Guests:  Rachael Rome, AIA, NCARB, EDAC, LSSGB, LEED AP BD+C Global Director of Mental & Behavioral Health Design | Studio Practice Leader, Dallas Health Practice, HKS Rachael Rome is Global Director of Mental & Behavioral Health Design at HKS and a nationally recognized leader in behavioral health environments. She partners with health systems and institutions to translate complex clinical and operational needs into high-performance, evidence-based spaces that support safety, dignity, and healing. Her work spans the full continuum of care, from pediatric and outpatient settings to forensic facilities and medically complex inpatient units, with a strong focus on trauma-informed design and technical excellence. Rachael also advises on behavioral planning, simulation modeling, and long-range campus strategies, helping drive system-wide transformation through thoughtful, human-centered design. Through her leadership, Rachael continues to elevate mental and behavioral health design across the industry advancing integrated, human-centered spaces that promote resilience, equity, and hope. Martyna Falloni, ACHA, EDAC, LSSYB, AIA Senior Medical Planner, Associate, HKS Martyna’s goal is to create environments that put people first - because when they thrive, outcomes improve naturally. As a board-certified medical planner, Martyna is dedicated to improving patient outcomes through the creation of exceptional, safe environments for patients, staff, and caregivers. She brings particular focus to spaces that support children, thoughtfully accommodating their developmental, emotional, and safety needs. Leveraging expertise in Evidence-Based Design and Lean Six Sigma, she applies an analytical, human-centered approach to every project. Martyna works closely with interdisciplinary teams and clients to align design solutions with operational best practices, clinical effectiveness, and evidence-based strategies - driving measurable improvements in care delivery, enhancing patient and staff satisfaction, and maximizing facility value. This episode is hosted by Pineapple, creators of mindfully designed furniture for behavioral and mental health environments.

    The Untapped Conversations in Behavioral Health - PART 1
  5. Jan 22

    From Plans to Practice - What Mental Health Spaces Need to Work in the Real World

    Mental health environments are often designed with the best intentions, but the real test comes after opening day, when people, pressure, and unpredictability enter the space. Join Pineapple's Michelle Blackie and her guest Stacey Johnson, Hospital President and Vice President at Riverside Mental Health and Recovery Center in Virginia, USA, as they discuss what actually works in the real world - exploring how design, operations, and community intersect in mental health care, and what designers can learn from lived experience. Our Guest:  Stacey Johnson, Hospital President/VP of Riverside Mental Health and Recovery Center  Stacey Johnson, LCSW, MBA is the Hospital President/VP of Riverside Mental Health and Recovery Center in Hampton, Virginia. RMHRC is part of the Riverside Health System that offers a comprehensive range of medical services. Stacey has over 15 years of experience in the behavioral health field with prominent authority on the development and operation of behavioral health and addiction treatment programs. She started her career as a social worker, which provides a unique perspective now that she works primarily in administration. Stacey’s passion is to be able to meet the mental and behavioral health needs of all individuals as well as reducing stigma associated with mental illness. She hopes to break down the barrier to treatment and open the door to discuss mental health in a positive way while working to provide innovative and community centered treatment options.  This episode is hosted by Pineapple, creators of mindfully designed furniture for behavioral and mental health environments.

    From Plans to Practice - What Mental Health Spaces Need to Work in the Real World
  6. 11/25/2025

    The Hidden Design of Healing - How Macro Ergonomics Influences Behaviour and Recovery

    Pineapple’s Daniel White is joined in conversation by Melissa Steach, who is not only an industrial-organizational psychologist and behavioral health design strategist, but also Pineapple’s Regional Engagement Manager. Daniel and Melissa explore the impact of ergonomics on patient outcomes in behavioral health settings, a topic that reaches across design, safety and human wellbeing. Thoughtful ergonomic design extends beyond comfort, by influencing mood, behavior, recovery and the overall therapeutic experience. From furniture design and placement to sensory consideration given to materials, posture support and movement patterns, these details all shape how patients and care givers interact with their environment. Bringing her uniquely interdisciplinary lens to behavioral health design, Melissa unpacks how smart, evidence-based ergonomic choices can create safer, calmer and more empowering spaces that truly support healing. Our Guest:  Melissa Steach, Regional Engagement Manager, Pineapple   Dr Melissa Steach is an industrial-organizational psychologist and behavioral health design strategist whose research-driven work bridges environmental psychology, trauma-informed care, and design for emotional regulation. In her role at Pineapple, she collaborates with healthcare systems, architects, and clinical teams to create therapeutic environments that reduce harm and support staff resilience. A recognized speaker and educator, her insights on psychological safety, macro-ergonomics, and de-escalation environments have reached global audiences through LinkedIn Learning and national industry conferences.  This episode is hosted by Pineapple, creators of mindfully designed furniture for behavioral and mental health environments.

    The Hidden Design of Healing - How Macro Ergonomics Influences Behaviour and Recovery
  7. 09/26/2025

    Behavioral Health in Rural and Frontier Systems: Balancing Design, Safety, and Equity

    Pineapple’s Michelle Blackie explores behavioral health in rural and frontier systems in the United States, places where critical access hospitals often serve as the only point of care for miles in every direction. In these settings, a single hospital must be everything for everyone: emergency department, primary care, mental health provider, and community lifeline. That reality demands an extraordinary level of agility in service delivery, from staff who wear multiple hats to facilities that need to flex and adapt to every kind of need. Michelle is joined by Elizabeth Johnson, Assistant Professor at Montana State University, and together they examine the unique challenges of providing behavioral health care in these environments, explore the design solutions that make a difference, and hear stories from the frontlines about resilience, innovation, and the power of community. Our Guest:  Elizabeth Johnson, Assistant Professor, Montana State University Elizabeth is an Assistant Professor (tenure track) at Montana State University - Mark & Robyn Jones College of Nursing in Bozeman, Montana. She teaches Design of Healthcare Delivery Systems, which is an inter-professional graduate course offering with College of Nursing (Clinical Nurse Leader and DNP students) and College of Engineering students (industrial, mechanical, healthcare systems engineering students). Her nursing research background is in data and systems science, which shapes current projects evaluating the functioning of healthcare teams within various care delivery environments and settings. She is involved in technology innovation and digital health device development, with funding awarded from the Montana State University/U.S. Economic Development Administration, American Nurses Association, and the acceptance to the National Science Foundation- National Innovation Corps program.   This episode is hosted by Pineapple, creators of mindfully designed furniture for behavioral and mental health environments.

    Behavioral Health in Rural and Frontier Systems: Balancing Design, Safety, and Equity
  8. 07/30/2025

    The Healing Blueprint: How River Edge Reimagined Behavioural Health

    Pineapple’s Daniel White hosts an exploration of the River Edge Behavioral Health Center: a place where architecture and empathy work hand in hand, and the built environment becomes an agent of healing within the community.  With guests Greta O’Dell, River Edge’s Chief Intellectual & Developmental Disabilities Officer, and Rachel Azar, Project Manager at Azar + Walsh Architects, Daniel explores how this new 34,000-square-foot facility in Macon, Georgia, has embraced a therapeutic approach to design, prioritizing calm, patient dignity, and safety in every detail, from spatial layout and lighting to materials and outdoor access. And you’ll hear how these intentional choices have gone beyond aesthetics to shape behavior, support recovery, and deliver measurable, positive outcomes for service users and staff alike. Together, they explore how rethinking the environment of care can lead to more humane experiences and why River Edge is becoming a model for behavioral health facilities nationwide. Our Guests:  Greta O’Dell, B.S. NADD-DDS, CACTS Chief Intellectual & Developmental Disabilities Office, River Edge Greta has worked at River Edge for 30 years, and over the last 13 years, her passion for serving people living with intellectual and developmental disabilities has exploded with opportunities to advocate and support. She was named 2007 River Edge Employee of the Year, 2015 American Red Cross Home Town Hero – Special Needs Advocate and 2023 DBHDD Champion of Hope. She co-represents GACSB IDD committee participating in DBHDD Workforce Development Committee.  Out of this committee work, she has been asked spearhead the creation of an apprenticeship program with Georgia Department of Labor for DBHDD. Greta received her Bachelor of Science in Public Service Human Services from Macon State College. She is a Certified At-Risk Adult Crime Tactic Specialist to advocate for the state’s most vulnerable population and to provide abuse, neglect and exploitation education to others. Greta is a Dual Diagnosis Specialist, certified through NADD (National Association for those with mental illness and IDD) and serves as co-chair of the accreditation committee. Rachel Azar, Associate AIA, LEED AP BD+C Project Manager, Azar Walsh Architects  Rachel Azar is a Project Manager at Azar Walsh Architects in Macon, Georgia, with a passion for designing spaces that support behavioral health and community well-being. She leads projects ranging from intimate tiny home communities to large-scale recovery centers, with the goal of serving the behavioral health community with dignity, care, and purpose. Her ability to manage and design these sensitive projects is built on a broad foundation of experience across healthcare, education, government, religious, corporate, and mixed-use sectors. This includes her prior role as a civilian Architectural project manager with the 78th Civil Engineering Group at Robins Air Force Base, where she led secure, mission-driven projects requiring precision and adaptability. In her current role, Rachel brings this technical rigor and empathetic design approach to every behavioral health project, creating environments that foster healing and reflect each client’s unique vision. This episode is hosted by Pineapple, creators of mindfully designed furniture for behavioral and mental health environments.

    The Healing Blueprint: How River Edge Reimagined Behavioural Health

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Join Pineapple hosts as they discuss the latest mental health design matters with industry experts, sharing perspectives and insights on the built environment and the challenges and opportunities in creating healing spaces for patients, staff and the wider communities.