A sustenaible health & care structure for children and their families
The project was born following the donation of land in Rome and is fully integrated into the vision and mission of the Andrea Tudisco Association ODV which wanted to conceive and implement a participatory process for the creation of an additional structure for associative services aimed at children with serious pathologies and their families as a resource for the development of social-health reception and policies to support health system in particular to health migration.
National
Italy
Lazio Region - Rome Municipality - Tor Vergata Area
Mainly urban
It refers to a physical transformation of the built environment (hard investment)
No
No
As individual(s) in partnership with organisation(s)
First name: Flaminia Last name: Vannini Gender: Female Please describe the type of organization(s) you work in partnership with: The Association "Andrea Tudisco" ODV promotes and supports actions that improve the quality of life of all and especially of children who, together with their families, go through particularly difficult developmental phases, to respond to the need for normalization of life of those families with a child with a serious pathology. It acts exclusively for humanitarian purposes and social solidarity, making use in a decisive and prevalent way of the personal, voluntary and free services of its members.
The Department of Architecture of Roma Tre University, carries out research activities in synergy with private subjects and public and university institutions and has among its research areas environmental and social sustainability applied to design, the development of construction technologies for the design of innovative and flexible systems. Age: 26 Please attach a copy of your national ID/residence card:
By ticking this box, I certify that the information regarding my age is factually correct. : Yes Nationality: Italy Address (country of permanent residence for individuals or address of the organisation)<br/>Street and number: Via degli Aldobrandeschi, 3 Town: Rome Postal code: 00163 Country: Italy Direct Tel:+39 06 8308 3777 E-mail:info@assandreatudisco.org Website:https://www.assandreatudisco.org
With the project "A child, a house, a garden" with the Andrea Tudisco Association and with the contribution of the Department of Architecture of the Roma Tre University we want to increase the response of reception and support to the people who need it most – minors and their families who temporarily migrate to Rome for treatment in health facilities of excellence from all over Italy and disadvantaged foreign countries – build a beautiful place, sustainable and inclusive that contributes to addressing the needs of the community and individuals who need special and urgent attention due to specific economic, social and physical characteristics by humanizing care through a place that becomes a community and that allows to humanize care. Therefore, we think a social and temporary housing project that is an architectural work base on house life that is configured as a sort of path that can also be a fun place for children, with different heights but without architectural barriers, lots of vegetation so that it can also be a changing place from a sensory point of view "a garden house" The final goal, of course, will be the construction of a new health&care structure with the project we want to enhance the paradigm of collaboration, or that as a volunteer you can be activators of concrete initiatives between public, profit and nonprofit. When the house is built it will be a common good because you will be first and foremost beneficiaries and then it will be of the territory and then it will be of the national health system and then it will be of the territorial social and health services not only those of Rome but also of those of origin. The idea is to really arrive at a shared administration that sees in the composition of complementary networks the ability to give answers, as Andrea Tudisco has been doing for 25 years.
Hospitality: it means "taking care"
Support: it means "being antifragile"
Ecosystem: means "cooperation"
Living: it means "being citizens whatever the condition you live"
Back to the future: it means "generating comprehensive care and support solutions"
The house in the garden, The project of the house inserted in the green is born from the specific functional needs of the association and from an idea of sustainability. Starting from the shape that, adapting to the morphology of the lot, arranges the environments in the correct way from the point of view of exposure and creates adequate spaces for a good bioclimatic functioning of the system. Environmental sustainability is thus pursued through form, proportions, materials, construction packages and technological systems. The interaction and synergy of the different systems aims to obtain a house at zero management costs.
To obtain these results, in addition to the correct orientation of the volume and technical elements, a bioclimatic greenhouse was placed. This solution makes it possible to create a functional and technological addition to the volume but also an element of mediation between the inside and the outside. A multifunctional filter space that allows flexibility in both winter and summer use, as well as the benefits of solar energy collection and energy saving. The main volume is dematerialized and the greenhouse becomes an element of visual and functional mediation between the garden and its house.
The outdoor environments are all designed with plant species, even in the perimeter wall, that can allow a game of shading, sunshine and mitigation of temperatures. The walkways for the travertine walkway allow an increased percentage of ground permeability. This was useful in anticipating the installation of a rainwater recovery system. The double-pitched roof then allows natural ventilation that does not impact on thermal insulation, thanks to a double casing: in the external wooden part, there will be a ceramic coating and to allow insulation, the internal mass will be in brick. The system of photovoltaic panels and solar panels, allow to keep the active envelope and its sustenance.
The main goal of the project is to create a family environment for children and families to give stability and joy in their transitional phase of care.
We try to encourage the meeting of the people who live in the house through the creation of common areas and outdoor spaces where children can play. The different levels on which the project is grafted generate different environments, more or less intimate. Carrying out the mission of the Association, the idea is that the time spent with other people and the sense of belonging to a community can favor, on a psychological level, the well-being of people.
Multipurpose and changing spaces are created, where is possible the exchange and participation of children in common life. in opposition o more intimate and private spaces, mainly dedicated to moments of relaxation mom / dad and child. to The goal is to generate three different environments: the garden, the intermediate space of the veranda and the interior spaces.
We have also thought of the care of the senses through the use of natural materials, of appropriate and soft colors, as well as grazing light also "captured" from above through openings and skylights will penetrate into the common areas. It will thus be guaranteed the view of the sky that is added to that of the green around captured inside through the large windows of the building. Even the external cladding, characterized by a mosaic of iridescent glass tiles, will enhance the changing character of the spaces and areas designed to create a child-friendly home within nature.
It becomes innovative because even if it is a small intervention it stands as a great experience of participatory architecture with the social, through the synergy of the world of associations, university research and the profession, thus opening the doors to the possibility of collaborations between administrations, institutions, associations
The goal is to improve the living conditions of pediatric cancer patients and their families through the development of an integrated operating system of social and health care and the consolidation of a national network of voluntary associations dealing with pediatric cancers. The project, therefore, intends to act on two levels: on the one hand, in response to the direct needs of the recipients, on the other hand by improving the dialogue and collaboration of associations with hospitals, institutions and social and health services of the territory. In particular, the project goals are :
1. to promote greater accessibility and usability of reception services, social assistance, psychological support and legal guidance for children with cancer and their families, both in the acute phase of the disease and in the follow-up phase, with a view to continuity of care;
2. to strengthen the network of territorial services offered by third sector associations engaged in the field of pediatric cancer, promoting an integrated organizational model, which govern the links between structures and professionals involved at various levels in oncological pathology and to plan shared social assistance paths at central level in order to overcome the fragmentation and dispersion of interventions;
3. to identify and share best practices and innovative methodologies implemented at local level, promoting their replicability in other contexts.
4. And, as an objective of "resulting", to promote collaboration between Institutions / Private Social / Private that use goods that become "common goods"
From a social point of view, the diagnosis of cancer to a child is disruptive for the family. With the increase in reception capacity, we want to influence the calculation of the social costs of oncological pathology, considering the impact on family life, primarily on the parents' work and mitigate psychological and relational consequences of patients and caregivers (FAVO Report 2015).
In recent decades in Italy there was a debate on the possibility of generating a shared administration concerning commons, public, tangible or intangible goods. According to the principle of subsidiarity, the Association moves in this direction, thanks also to the innovation and efficiency that characterizes its management model.
Then It would be easier to respond to the real needs of citizens and inhabitants, imagining co-design processes that respond to the needs of a specific neighborhood, of a specific service. Imagine that these spaces can also have transitory, temporary and changing functions, adaptable to different needs.
It is important that policies shed light on the possibility of implementing changes from below. A significant step in the project was made through collaboration and co-design between the Association and the University.
The territorial position is strategic, located a few kilometers from the Tor Vergata Policlinic. making an implementation to the National Health Service, expanding the range of action of the Association, to a wider perimeter in relation to its other health and care structure. The association, through its services, is able to help even the most economically fragile families, give them dignity during the period of care of their child in the structures of excellence, reducing the costs borne by the National Health Service, allowing day-hospital instead of hospital admissions.
In addition with the project, initiatives will be launched aimed at enhancing and sharing the model and experience of hospitality, as others associative structures do. The implementation of the project will take place through the involvement of diversified layers of the population, both by social and interest categories, and by age groups. The goal is to encourage education in prosociality and legality, and allow a wider promotion of the practices and results obtainable with the social use of a good that becomes a "common good".
In this phase of "conceptualization", as mentioned, the Department of Architecture of Roma Tre was involved with the Permanent Research Laboratory "Project and contexts", whose contribution was essential to decline all the aspects of environmental and social sustainability to which Andrea Tudisco wanted to refer. There were discussions with the Local Autonomies about the framework of planning tools and initiatives in the social field. In particular, the Municipality and the other competing institutions such as Region, Ministries, Euopean Union, according to the principle of horizontal subsidiarity in reference to Constitution (Art. 118 p4), which now provides that the State, Regions, Metropolitan Cities, Provinces and Municipalities "favor the autonomous initiative of citizens, individuals and associations, for the performance of activities of general interest, on the basis of the principle of subsidiarity". Furthermore, this fits fully within the framework of the provisions of the CTS (Third Sector Code) which provides that Third sector entities can be actively involved through co-programming, co-planning and accreditation.
To provide a summary of the context of action and initiatives, the acts to which the project refers are briefly recalled: a) Municipality of Rome - New Citizen Social Regulatory Plan and Technical Table for Social and Health Integration; c) Lazio Region - New Regional Social Plan "Taking care of a common good"; d) Lazio Region – Participatory Health Program; e) Ministry of Social Policies - Fund for the assistance of children suffering from oncological disease; f) EU Parliament Resolution 10/04/08 on combating cancer in an enlarged EU, in which among other requests in point 37. calls on the Member States and the EU Commission to take initiatives to provide support to people directly or indirectly affected by affected by cancer, in particular through the development throughout the EU of support and psychological assistance actions aimed at them.
Inspired by the themes of my master's degree thesis in urban planning, that will be discussed at the University of Roma Tre in the coming months and in which I talk about common goods, shared administration, transitional projects, architectural permanence, as part of the third mission of universities, the Andrea Tudisco Association has decided to develop a project with the laboratory of Permanent Research "Project and contexts". In this context, we arrived at the design of a complete project that could meet the needs of those who go to live there and the mission of the Association, with specific skills.
This has allowed us to work on the theme of "care" and aspects of "social and health" systems, combining the best energies and skills for the values of solidarity and sustainability that we want to transmit through the construction of a new health and care structure.
The added value was to combine combining into one: the sociological aspects of improving the quality of life of the sick people, pursued through the "care of the smile" and the house that becomes community; the environmental design for a new culture in the transformation of the environment, more focused on the available energy resources, emphasizing the aspects of sustainable architecture, innovation through the use of flexible and reversible systems, eco-compatibility and renewable energy. All this, aiming at the effectiveness of a solution that through the "beauty" of the place and the inhabiting community is part of the care.
A garden a house, this is the concept for the construction of the new Health&Care Structure. The project uses the material and immaterial constraints of the lot and the administrative condition as an opportunity to enhance a part of the territory. The closed fence that separates the lot from a rather dense building context, characterized by abusive interventions, becomes a starting point to rethink the entire area of the intervention as an overall system within which the life of the house will take place. A garden with a house inside.
The perimeter becomes a container of activities that will find their development through a spatial continuity and a functional synergy between external and internal. The project proposes a reversal of perspective: the "outside" and the "inside" are part of a single project and a great spatial morphology that includes them within the large space of the Garden. A conceptual idea that is proposed as a repeatable model with a view to an integrated design between anthropic and natural aspects within a new landscape.
The plant system is intertwined with the mineral one, forming a spatial unicum. The idea of the large path articulated on stairs, ramps and pools of water creates the opportunity to build a changing and fun space for children. A comfortable space dilated by light that allows you to create a system of urban gardens characterized by vertical vegetation on the white walls mainly exposed to the south. Inspired also by very ancient foreign experiences, such as the French gardens in Montreil, the project is based on an idea of fruit to espalier vegetation that makes the wall inhabited and expands the circumscribed space towards a potentially enlarged perspective. The spatial and vegetational ensemble becomes changeable also due to the passing of the seasons and also makes some aspects of construction and design didactic.
The provision of services to third parties, in particular when they are aimed at satisfying needs in areas of hardship and disadvantaged subjects, must be put in place through the continuous improvement of organizational and relational processes.
For this reason, and also in relation to what is reported in line with the objectives, the project provides pilot and experimental intervention methodologies, aimed at developing intervention models that can be transferred and / or used in other territorial contexts.
We therefore want to adopt a "closed cycle" process that goes from Planning Programming, to Qualification to Service Delivery, to Monitoring and again to the planning function "calibrated" according to the results.
cicle -> PLANS/PROG -> QUALIFATION -> DELIVERY -> MONITORING -> RESULTS -> cicle
Through this approach and the definition of the process and consequent model, we wanted to obtain improvements of:
• the quality perceived by the user which turns out to be a strong indicator of the levels of effectiveness and efficiency achieved by the service and can be a valid tool to detect some aspects related to the dimensions of the quality of the service
• the organizational quality which refers to organizational-managerial contents and skills that contribute to determining the functionality and efficiency of the service;
• the social quality that concerns the distribution of resources and the various health activities in relation to the actual needs and expectations of the population;
• the economic quality which refers to the value generated as a function of the cost of the service.
The global challenges that the concept addresses by providing local solutions refer to the UN 2030 AGENDA and the PNRR (National Recovery and Resilience Plan – The plan is part of Next Generation EU, an economic recovery project dedicated to EU member states).
Goal 1: End all forms of poverty in the world
Components
- Social infrastructure, families, communities and the third sector
- Special measures for territorial cohesion
- Proximity networks, facilities and telemedicine for territorial health care
Submeasures
- Integrated Urban Plans
- Community houses and taking charge of the person
- Definition of a new organizational model of the territorial health care network
Goal 3: Ensure health and well-being for all and for all ages
Components
- Social infrastructure, families, communities and the third sector
- Proximity networks, facilities and telemedicine for territorial health care
Submeasures
- Support for vulnerable people and prevention of institutionalisation - Action 3) Strengthen home social services to ensure early assisted discharge and prevent hospitalization
- Home as a first place of care (Adi)
- Community houses and taking charge of the person Definition of a new organizational model of the territorial health care network
Goal 10: Reduce inequality within and between nations
Components
- Social infrastructure, families, communities and the third sector
Submeasures
- Disability Framework Act
Goal 11: Make cities and human settlements inclusive, safe, durable and sustainable
Components
- Renewable energy, hydrogen, grid and sustainable mobility
- Social infrastructure, families, communities and the third sector
Submeasures
- Integrated urban plans - general projects
- Protection and enhancement of architecture and rural landscape
- Investments in urban regeneration projects, reducing marginalization and social degradation
- Social housing - Innovative models and tools for urban management.
