Fundacion Kalida barcelona

Designed by: Benedetta Tagliabue -Patricia Urquiola
For client: Kālida Sant Pau Foundation Floor area: 2000.00 M² Year of completion: 2019
Submitted for: Healthcare Centre of the Year

Paola Acevedo Fundacio Kalida 9
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About the Project

Located just a few metres from the Oncology Service of the Hospital de la Santa Creu i Sant Pau [Santa Creu i Sant Pau Hospital], Kālida Sant Pau has opened its doors as a place where people with cancer can find support, information and feel able to share their feelings and concerns in an environment of total understanding. Staffed by professionals specialised in oncology support – psychologists, nurses, social workers and therapists – Kālida Sant Pau offers emotional, practical and social support. It is free and available to anyone with cancer and is located close to where they receive treatment.

This unique programme is based on the experience of the Maggie’s organisation, whose global network Kālida belongs to. Like all of the Scottish organisation’s sites, which are always designed by renowned architects, it was essential that this project had a specially-designed building. The design for the first Kālida Centre is by architect Benedetta Tagliabue of the Miralles Tagliabue EMBT studio, who worked pro bono to create a welcoming and friendly building that is unprecedented among hospital facilities. The interior design, in turn, is the work of interior designer and architect Patricia Urquiola who, together with her team at Studio Urquiola, has enabled the project receive donations from leading furniture, lighting and tile manufacturers.

The opening of this centre is the culmination of a pioneering project in Spain, which began more than a decade ago and has been driven by the Fundació Nous Cims* [Nous Cims Foundation] and the Fundació Privada Hospital de la Santa Creu i Sant Pau* [Santa Creu i Sant Pau Hospital Private Foundation], supported by Fundació de Gestió Sanitària de l’Hospital de la Santa Creu i Sant Pau* [Santa Creu i Sant Pau Hospital Health Management Foundation]. The international organisation Maggie’s*, whose work and services were its inspiration, has also supported and collaborated with the initiative.

Psychosocial needs of people with cancer

Over the past 30 years, cancer mortality has decreased while the rate of incidence has increased. It is estimated that one in two men and one in three women will bediagnosed with cancer. With a 53% survival rate over five years, similar to European figures1 , cancer tends to be a chronic illness. In Catalonia, there are 120,000 people2 living with cancer and this figure is estimated to double by 2030. As a result of their diagnosis and treatment, people with cancer face a range of emotions that can range from anxiety to loneliness and isolation. Most Catalan cancer patients currently have unmet psychosocial needs:

• Only 1 out of 10 receives psychological treatment.

• Most suffer from adjustment disorders.

• Stress has a highly damaging effect on the well-being and quality of life

and on the tolerance of and adherence to treatment.

• The emotional impact extends to those around each patient, i.e. their

relatives, caregivers, and even their social circle.

In the face of this situation, Kālida Sant Pau aims to complement the public health

system’s efforts by providing:

• High-quality, professional care.

• Support at all stages of the cancer process.

• A comprehensive programme of psychosocial support aimed at the patient and those closest to them. This consists of advice and supervision from a Monitoring Committee comprising the heads of services of Medical Oncology, Clinical Haematology, Palliative Care and Radiation Oncology and the Nursing Department at the Hospital de la Santa Creu i Sant Pau, whose chairman is Dr. Agusti Barnadas, a supporter of the project from its outset.

• A space whose design is based on the concept of caring architecture.

What’s unique about it

One of the key pillars of the centre is the programme “Drop in Kālida”, which encourages people to pop in -no appointment or referral required - so that the professional team, can assess their needs and advise them on the most appropriate activities and/or services at each point. People with cancer and their family members or caregivers may experience reactions that include fear, anxiety, anger, guilt or depression. To support them in managing their emotional needs at the different phases of the disease, Kālida provides courses in stress reduction, mindfulness, art therapy as well as individual and/or group sessions, all of which are provided by specialist psycho-oncology professionals. Group work is another pillar of the Kālida model as scientific research has shown that participating in advocacy groups can improve mood and quality of life.

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