This publication examines several topics related to behavioral health, mental health and state hospital systems to uncover new approaches to state hospital design and reimagine the standard approach. Authored by Brian Giebink, AIA, NCARB, LEED AP BD+C, EDAC, Dr. Debra A. Pinals, MD, and Kyle Bauman-Burr, AIA, NCARB, the compilation of this material aims to inform solutions and inspire conversations that change perspectives on state hospital design.