The existing Central State Hospital is comprised of a variety of very old buildings that have outlived their usefulness. The buildings are functionally and technologically obsolete and energy inefficient. The average age of the in-use buildings is 65 years. Central State Hospital serves both forensic and civil populations and has the only maximum security forensic program within the Commonwealth of Virginia.

Pursuant to the directive outlined by the 2018 Special Session I Act of General Assembly, Chapter 2 Item C-43.50; the Department of General Services (DGS) in cooperation with the Department of Behavioral Health and Developmental Services (DBHDS) developed a plan providing for the replacement of Central State Hospital to include phasing options. Succinctly, the project is to provide 300 patient beds, 111 for the maximum security zone of the facility and 189 beds for the civil/forensic, non-maximum security zone.

The new facility will consolidate all campus patient services and operational functions from the 23 buildings currently occupied (roughly 608,000 square feet) into a single, selfcontained facility of approximately 456,000 square feet and, in the process allow development of a state-of-the-art facility much like Western State Hospital.

Specifically the new facility will contain:

• Administrative space for admissions, executive management, human resources, program staff, etc.

• Court space for hearings and legal matters related to commitments/releases

• Visitation space for civil and maximum security patients

• Patient dining and food services

• Treatment Malls providing educational, vocational, recreational and treatment spaces for both civil and maximum security patients. These two patient populations cannot share treatment space due to security restrictions.

• Pharmacy

• Patient examination and assessment space (both psychological and physiological)

• Laboratory for infection control and biological testing

• Laundry

• Kitchen

• Central Security offices

• Buildings and Grounds maintenance and materials management support areas

• Energy plant to serve the new facility

DGS and DBHDS considered several sites on the existing Central State Hospital campus. The selected site straddles Accomac Street and is adjacent to the Civil War Fort Whitworth and cemetery. This site was chosen following collaboration with the Division of Real Estate Services (DRES) and Central State Hospital staff for optimal building location with respect to operational needs and the Commonwealth’s best use of the land.

The new facility on the selected site will result in:

• Construction of new water and sewer services connecting to Dinwiddie County service lines and abandonment of 37 miles of failing pipes.

• Elimination of Central State Hospital’s responsibility for maintenance and repairs of major utility distribution systems.

• Improved site features and infrastructure including lighting, parking, storm water management and water and sewer lines.

• Consolidation of the campus area from approximately 600 acres to 30 - 40 acres with the balance of the land then being available for surplus declaration and sale. To enhance the sale ability of the land, once the new facility is completed, all of the existing buildings will be demolished creating a brownfield site attractive to developers.

It is projected that the total project cost of the new replacement hospital, based on the information and estimates provided in this Study, will be as shown below.

If designed and built in:

• A single phase - $385,424,642; 84 months - June 2026 completion

• Two phases – $421,195,577 117; months - March 2029 completion

• Three phases – $451,442,615; 162 months - June 2032 completion

The above numbers include construction costs, demolition costs, soft costs and costs for the contingency repairs, maintenance reserve foreseeable prior to new facility completion and operational and maintenance impacts. The costs and durations assume that approval for the project is given by July 1, 2019 and where multi-phased, the next phase(s) begin immediately after the previous phase. The increase to the project cost per month from that date is approximately $1.3 million for the single-phase option and $1.4 million for the two-phase option.

A hybrid phasing approach, defined as a single designer responsible for the total project’s design in the initial phase but with two consecutive construction phases, could be used. This approach would take 87 months (7¼ years) and potentially save $15,000,000 over the two-phased option above.