Perspectives October 24, 2025

Architecture as Medicine: Extending the Continuum of Care

By Debbie Beck, MPA, Ed.D., FACHA
Modern healthcare facility with staff and patient consultation.
The University of Cincinnati Gardner Neuroscience Institute is a leading treatment, research, and teaching center for complex neurological conditions.

Every interaction a person has at a healthcare facility, from the moment they arrive until the moment they leave, shapes their care experience and clinical outcomes. When designed intentionally, the built environment can become an active partner in healing, by fostering a sense of calm, safety, and mental restoration. At Perkins&Will, we see architecture as medicine—a powerful tool that can support care in healthcare environments, and beyond.  

In pediatric and behavioral health settings, design can fuel trust, dignity, and emotional safety; in research and neurological rehabilitation settings, it encourages curiosity, collaboration, and recovery. Nowhere exemplifies this philosophy more than specialty hospitals such as neurological and neuro-rehabilitation facilities, where every design choice can impact a patient’s journey towards regaining function, cognition, and quality of life. The built environment itself becomes a form of therapy, as certain design choices can support neuroplasticity, sensory integration, and emotional regulation through carefully calibrated spatial, acoustic, and visual cues. 

Designing for these patient populations requires balancing clinical precision with restorative experience, creating interdisciplinary spaces for active therapy, cognitive retraining, and family participation, as well as quiet, restorative areas. We incorporate evidence-based and neuro-architectural principles such as natural light, acoustic control, biophilic elements, and intuitive wayfinding to reduce cognitive load and promote neurological recovery. 

Two people walking in a modern hospital corridor.
As a patient centered facility, each component of the design was developed with patient, family, and caregiver input.
Modern rehabilitation gym with exercise equipment and people in therapy sessions.
The state-of-the-art outpatient facility provides innovative care to neurological patients.

In projects like the University of Cincinnati Gardner Neuroscience Institute, the building demonstrates how we are transforming biomedical research into design principles. Drawing on in-house neurophysiology expertise, the design accommodates the needs of patients with susceptibility to nausea, dizziness, fatigue, or movement disorders and responds to those needs along every step of the patient’s journey. On the exam and clinical care floors, patients move along exterior corridors lined with windows, rather than down disorienting dark internal pathways. For patients with mood and memory disorders who seek quiet spaces with fewer stimuli, enclosed spaces are available within the main waiting areas. 

There is great potential to use the built environment as a living tool for healing. We aim to create spaces that support clinicians’ therapeutic work, while speeding up recovery and enhancing lifelong brain health. Each environment can serve as a silent caregiver, naturally and compassionately aiding every stage from treatment to recovery.