Changing with the times: reconfiguring a mental health facility in response to changing market conditions.

A 130-bed private mental health hospital in Ann Arbor, Michigan, was a state-of-the-art, progressive facility when it was built in 1986. Since then, changing reimbursement patterns and the shift from inpatient to outpatient services have led to an organizational and physical reconfiguration of the facility to accommodate both mental health and chemical dependency programs. This paper describes the original design of the building and how it was modified in 1990 to achieve organizational objectives and enhance patient care.