AIA CES Credits
AV Office
Abstract Publication
Academic Affairs
Academic Calendar, Columbia University
Academic Calendar, GSAPP
Admissions Office
Advanced Standing Waiver Form
Alumni Board
Alumni Office
Anti-Racism Curriculum Development Award
Architecture Studio Lottery
Avery Library
Avery Review
Avery Shorts


STEM Designation
Satisfactory Academic Progress
Skill Trails
Student Affairs
Student Awards
Student Conduct
Student Council (All Programs)
Student Financial Services
Student Health Services at Columbia
Student Organization Handbook
Student Organizations
Student Services Center
Student Services Online (SSOL)
Student Work Online
Studio Culture Policy
Studio Procedures
Summer Workshops
Support GSAPP
This website uses cookies as well as similar tools and technologies to understand visitors' experiences. By continuing to use this website, you consent to Columbia University's usage of cookies and similar technologies, in accordance with the Columbia University Website Cookie Notice Group 6
Arch sample santiago alvarez sp22 section(3)

When Nurses become Patients

Who takes care of our caretakers?

This project prioritizes members of society who are often overlooked yet fulfill an essential role in our community: providing care and keeping its citizens healthy.

Architecture can create spaces conducive to better health outcomes, foster community engagement, and move beyond the sterile nature of health institutions, presenting a more caring and welcoming alternative.

The program is conceptualized through Maslow’s pyramid, which points to physiological, psychological, and self-fulfillment needs. The spaces are arranged linearly: first, mental health, then clinical care, and an in-between buffer space for community engagement, gathering, and leisure. Group spaces for psychotherapy are oriented towards the back and individual clinics towards the front for convenient access.

The massing is sliced to separate the volume into three components to differentiate the interior program from the outside. The space at the bottom becomes clinics for nurses, the larger mid-portion is allocated for housing, and the top volume is articulated into a saw-tooth roof. In addition, the larger mid-volume shifts upward to allow skylights to maximize natural light intake for the clinics on the ground floor.