PeaceHealth Sacred Heart Medical Center sought to connect patients to critical services while offering privacy and a safe place to heal from trauma. For this project, our paramount goal was relocating the existing adult behavioral health facility while minimizing hospital interruptions and continuing to provide excellent care. PeaceHealth originally planned to invest in upgrading existing buildings, but a detailed study with a general contractor revealed a better path. With minor demolition, we could deliver a more efficient solution that saves money, increases quality of care, and minimizes disruption to existing services. Rather than renovating within the hospital, we created a new 26,000 square foot, 35 bed behavioral health inpatient facility by infilling a level 1 parking structure within an occupied medical office building. Located close to the emergency room, the new unit streamlines patient transport and provides two different levels of safety based on individual needs, all within a private, home-like setting. Designed as a patient-focused intensive therapy facility, the new unit supports clinicians, staff, and managers through a flexible, modern layout shaped by work sessions with the PeaceHealth team. The planning enhances adaptability in therapy programming, while the exterior composition offers a gracious new image for the campus and a conscientious response to the surrounding neighborhood.