P.O. Box 22851
Rochester, NY 14692
585-232-7650
The Rochester chapter of The American Institute of Architects
Brighter Days Pediatric Mental Health Urgent Care Center
Dwyer Architectural

Brad Loperfido | Revette Studio
Photo:
The Brighter Days Pediatric Mental Health Urgent Care project addressed growing community needs by transforming an underused wing of an old University of Rochester Medical Center (URMC) building into a modern outpatient facility. The initial plan, a simple renovation, expanded into a comprehensive renovation, including asbestos and lead remediation. The facility was designed to accommodate various clinical spaces such as intake rooms, a sensory room for de-escalation, an anti-ligature toilet room, and spacious reception and waiting areas. Given the patient population, all furnishings were carefully chosen for safety and durability, featuring calming photographic wall protection and child-friendly elements like built-in waiting room seats and color-shifting lights in the sensory room.
The existing building posed mechanical challenges, as it lacked ventilation and relied on outdated heating and cooling systems. To address this, a new air handling unit was added, alongside a major electrical upgrade. The space’s low ceilings and large ductwork made it challenging to install modern finishes and lighting, but the design team overcame these issues. Additionally, the neglected, fenced in play yard was transformed to a new entrance path with seating and landscaping. Adding a new exterior canopy and vestibule to the front of the building, reactivating the original central entry point that had been converted to an office, and creating a new main entrance for the entire URMC Mental Health facility. This new entrance clarifies circulation and improves the patient intake experience.
The landscaping was designed to enhance the environment and support the therapeutic goals of the facility. Plants were chosen for their drought tolerance, healing properties, and connection to nature. Notably, Katsura Trees with heart-shaped leaves symbolize healing, and pollinator-friendly plants like Shenandoah Switch Grass support local wildlife. The project ultimately created a functional, safe, and welcoming environment for children in need of mental health services.