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HEALTHCARE REAL ESTATE, CONSTRUCTION, DESIGN & FACILITY PLANNING



                                      COVID-19 and Behavioral Health Investment



          Behavioral health encom-                      cal and behavioral health   heightened levels of binge drinking and of   square foot in 2018 to $404.65 per square
        passes people’s psychologi-                     have been treated separately,   taking prescription drugs for non-medical   foot in 2019. Costs are expected to hold
        cal well-being and ability to                   but there is a growing argu-  reasons.                        steady in 2020 at an estimated $403.60 per
        function in everyday life.                      ment for a holistic approach.   More critically, the pandemic has high-  square foot.
        Behavioral health conditions                    The Affordable Care Act   lighted the increasingly important role of   Investment purchases of behavioral
        include mental health disor-                    (ACA) includes behavioral   telehealth as part of the provision of   health assets started to occur (in any sig-
        ders and substance use dis-                     health as one of the 10   behavioral healthcare services. While prior   nificant volume) in 2017. Total trades over
        orders. Counselors, social                      essential health conditions   adoption may have been slow, the pan-  the past three years are approximately $3.0
        workers, therapists, special-                   that all health insurance   demic has driven an increase in the use of   billion. Following an escalation in 2017 as
        ized nurses, psychologists,                     plans are required to cover.   telehealth as an effective way of treating   investor interest rose, pricing has held
        and psychiatrists help man-                       The need for behavioral   many behavioral health conditions. There   with the $320-$350 per square foot range.
        age patients’ behavioral                        health services is facing an   have also been rapid regulatory changes in   Average cost per bed averages around
        health needs. Treatment     BY ALEXANDER        unprecedented impact from   increasing insurer reimbursement for tele-  $330,000. Cap rates for behavioral health
        includes therapy, counseling    BROWN           COVID-19. The pandemic is   health services.                  assets average 9.0% compared with 6.6%
        and medication.                                 placing an increasing strain   Treating behavioral health conditions is   for medical office buildings.
          Behavioral health condi-                      on the public’s mental health   costly. The Colliers Advisory Board esti-  There is a need for greater collaboration
        tions cut across society and are wide-  with stressors including fear, anxiety, grief,   mates that treating patients with behav-  and coordination in the provision of
        spread, impacting one of four Americans   isolation and uncertainty.      ioral health diagnoses costs about $900   behavioral healthcare services. Successful
        in any given year. Within this spectrum   Mass unemployment and financial hard-  per month more than patients without   implementation is predicated upon a
        there are many people who have a dual   ship are compounding this. When consid-  such a diagnosis and this cost differential   model where physical and behavioral con-
        diagnosis. A person with dual diagnosis   ering those two factors alone, the Global   continues to rise. Spending on behavioral   ditions are treated in tandem and there is
        has both a mental disorder and an alcohol   Financial Crisis (GFC) of 2007-2008   health services is forecast to reach around   an increase in public/private partnerships.
        or drug problem and these conditions   drove higher rates of depression, alcohol   $280 billion this year, which is 5.5% of   At Colliers International, we are track-
        occur together frequently. About half of   and substance abuse, plus an estimated   total health care spending.    ing these national healthcare trends, and
        people who have a mental disorder will   13% increase in suicides attributable to   Nationally, construction of behavioral   we work to help position our Florida
        also have a substance use disorder at some   unemployment in 2008.        hospitals has accelerated in recent years.   healthcare clients to make the informed
        point in their lives and vice versa.   Early into the pandemic, a McKinsey   Following the delivery of 3.8 million   decisions to provide best-in-class care.
          There is a growing body of evidence that   survey from late March 2020 reported that   square feet in 2018, new supply levels
        links behavioral health to physical health.   63% of respondents were feeling anxious,   more than doubled in 2019 to 8.1 million   For more information, contact
        Approximately 70% of patients with a   depressed or both. This number rises to   square feet. A further 6.4 million square   Alexander.Brown@colliers.com.
        behavioral health diagnosis also have a   74% among those reporting a job loss or   feet is set to deliver in 2020. Average con-
        medical comorbidity. Traditionally, physi-  reduction. The survey also identified   struction costs rose from $346.80 per




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              C  o  m      r p  eh en  si ve
              Me              l a c i d   De si  n g
              Our g oal in medical facilities design
              includes de v eloping spaces that
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         18                        September 2020                                                       southfloridahospitalnews.com                                                                       South Florida Hospital News
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