This document describes Whitehall's BestCare product line for behavioral healthcare facilities. It aims to balance patient safety and security through ligature-resistant bathroom fixtures, accessories, and other products. The document provides an overview of the behavioral healthcare market needs, codes and standards, and then details over 30 individual BestCare product models ranging from toilets and urinals to grab bars and fire extinguisher cabinets.

2. Introduction
Whitehall’s BestCare products are designed to meet the unique application
challenges faced by behavioral healthcare facilities seeking to maintain the
balance between patient safety and security. All BestCare
products are designed to ensure patient safety.
The BestCare Product Family Includes:
Toilets Urinals
Wash Basin Flush Valve Cover
Showers Wash Basin Faucets
Shower Heads and Handles Recessed Shelves
Soap Dish Toilet Paper Holders
Towel and Clothing Hooks Mirrors
Fire Extinguisher Cabinet Grab Bars

3. What is Behavioral Healthcare?
Staying healthy
is more than
just taking care
of one’s physical
health.

4. What is Behavioral Healthcare?
Staying healthy
is more than
just taking care
of one’s physical
health.
Behavioral Healthcare is a term that
is often used interchangeably with
mental health, encompassing all
treatment of psychiatric illness
and/or substance abuse.

5. Market Dynamics
Suicide
• Suicide now outpace car crashes as the leading cause of death from injury. 1
• 1800 suicides yearly. 2
• 75% of suicides occur in the patient’s bathroom, bedroom, or closet. 3
• 50% of all suicides result in legal claims. 4
• It only takes 4-5 minutes of pressure on the carotid arteries for death to occur,
making the current system of 15-minute checks on patients insufficient. 5
• The Joint Commission reports that in 309 of 685 reported suicides,
physical environment was one of the root causes. 6

6. Market Dynamics
Behavioral Healthcare Facilities
• Consensus Target for Public Psychiatric Beds: 50 beds per 100,000 people.
Only one state meets this target.
• The shortfall of public psychiatric beds results in:
– Higher rate of suicide.
– Higher rate of homelessness.
– Higher rate of arrest related deaths.
– Higher rate of violent crime in communities.

7. Market Requirements
The Whole Building Design Guide Website cited several important
categories for the design of behavioral health facilities, including:
• Security and Safety
• Aesthetics
• Therapeutic Environment
• Efficiency and Cost-Effectiveness
• Cleanliness
• Sustainability

8. Market Requirements
• All codes in place for general or acute care
hospitals also apply to behavioral hospitals.
• Two publications outline best practices in
behavioral healthcare:
– VA Design Guide for Mental Health Facilities.
– Design Guide for the Built Environment of
Behavioral Health Facilities, published by
National Association of Psychiatric Health
Systems (NAPHS).

9. The Joint Commission7
• Accreditation Organization for Hospital Facilities
• Defined Environmental issues as root cause of Inpatient Suicides
– 84% environmental
• Hanging is the most common suicide method in Behavioral Health
Facilities
• Inpatient Suicides require a thorough review and TJC provides
guidelines for reviews
• TJC provides Environmental Checklists
• 620 TJC accredited Hospitals in 20128

10. Sentinel Event
A sentinel event is an unexpected occurrence involving death or serious
physical or psychological injury, or the risk thereof. The phrase, "or the risk
thereof" includes any process variation for which a recurrence would carry a
significant chance of a serious adverse outcome. Such events are called
"sentinel" because they signal the need for immediate investigation and
response. 9

11. Toilets
Model No. WH2142 Series (Standard)
Stainless steel siphon jet toilet:
The BestCare stainless steel toilet:
* Wider behind the bowl reducing ligature points.
* Constructed of unbreakable stainless steel with a
durable white powder coat.
* On-floor, Top supply (-T) or Wall (-W) supply
versions available (flush valve and cover sold
separately or as a package)
Top supply (-T)
(shown w/ Flush Valve and Cover)
Wall supply (-W)
(ADA compliant versions also available)
Model No. WH2142ADA Series

12. Urinals
Model No. WH2158 W/ 2802 Flush Valve Cover
*ADA Compliant High-Efficiency Urinal is designed to
eliminate ligature points.
*Constructed of unbreakable stainless steel with a durable
white powder coat.
*Must use Hydraulic or Electric Flush Valve to be ADA
compliant. (flush valve and cover sold separately or as a
package)
Model No. WH2158
*ADA Compliant High-Efficiency Urinal is designed to eliminate
ligature points.
*Constructed of unbreakable stainless steel with a durable white
powder coat.
*Enclosed bottom panel provided to limit vandalism yet provide
access for installation and servicing.
Top supply (-T)
Wall supply (-W)

13. Flush Valve Covers
Model No. WH2802 Series (Left)
*Flush valve with flush valve cover with sloping
top for ligature resistant application. Mechanical flush
valve is not ADA compliant. Hydraulic flush valve is
considered ADA compliant.
Model No. WH2803 Series (Right)
* Flush Valve with wall flush cover for concealed
application. Mechanical flush Valve is not ADA compliant.
Hydraulic flush valve is considered ADA compliant.
This model can be
sold separately
This model can be
sold separately
* To be considered ADA complaint, Push Button must not
require more than 5lbs of force for activation.

14. Faucets
Model No. WH3373 - WH3374 Series Faucets
WH3373 Single Temp / WH3374 Hot and Cold Faucet:
*Center-set replacement for existing faucets on 4” centers.
*Valve available with 9v programmable piezo or pneumatic
controlled push buttons.
*Stainless steel/or chrome plated brass-meeting lead-free
requirement.
WH3373-PPZ
WH3374
Can also be purchased
with the (–BPH) option.

15. Wash Basin
Model No. WH3740-09 (Left)
Stainless Steel Curved Front Wash Basin:
*21 1/2 “ deep solid surface with integral “D”
shaped bowl.
* Ligature resistant.
Model No. WH3775-09 (Right)
Solid Surface Curved Front Wash Basin:
*21 1/2 “ deep solid surface with integral “D”
shaped bowl.
* Ligature resistant.
* Can be ordered with optional ligature
resistant faucet.

16. Wall Shower Solutions
Model No. WH538-CSH-SRCH (Left)
Conical Shower Head and Mixing Valve:
*Conical design preventing ligature related
injuries.
*T/P valve – WHSV16.
*ADA Compliant Shower Valve.
Model No. WH538-FH-CSH-SRCH (Right)
Dual Shower Head w/ Diverter and Mixing Valve:
*Conical design preventing ligature related
injuries.
*T/P valve – WHSV16.
*ADA Compliant Shower Valve.

17. Wall Shower Solutions
Model No. WH458 Series (Left)
Conical showerhead w/ Diverter (if dual) and Mixing Valve:
*Conical design preventing ligature related injuries.
*T/P balancing valve – WHSV16.
*ADA Compliant Shower Valve.
*Surface Mounted.
Model No. WH418 Series (Right)
Conical showerhead w/ Diverter (if dual) and Mixing Valve:
*Conical design preventing ligature related injuries.
*T/P balancing valve – WHSV16.
*ADA Compliant Shower Valve.
*Flush Mounted.

18. Wall Shower Solutions
Model No. WH1741 Series (Right)
Conical showerhead w/ Diverter (if dual) and Mixing Valve:
*Conical design preventing ligature related injuries.
*T/P balancing valve – WHSV16.
*ADA Compliant Shower Valve.
*Flush Mounted.
Model No. WH1832
Recessed Soap Dish:
*Tamper resistant.
*Stainless steel.
*Flush Mounted.

19. Shower Solutions
Model No. WHSV16
Ligature Resistant Shower Valve Trim:
*Patent pending valve and trim that is ADA compliant.
*Non-rising stem to prevent the handle from protruding
further from the wall when opened.
*Custom retrofit for other manufacturer’s valves are
available.
*T/P Valve.
Model No. WHCSH Series
Ligature Resistant Shower Head
Model No. WHDIV
Ligature Resistant Shower Diverter

20. Bathroom Accessory Solutions
Model No. WH1845FA (Left)
Auto-Release Toilet Paper Holder:
*Auto-release under load pressure of 40lbs.
Model No. WH1840FA (Right)
Recessed Toilet Paper Holder:
*Recessed design eliminating ligature points.
*5” diameter and 4 ½” deep matching standard paper
roll.

21. Bathroom Accessory Solutions
Model No. WH1829/1830 (Right)
Towel/Clothing Hook:
*Eliminates potential ligature points.
*Auto-release with 40lbs pressure.
Model No. WH1846FA (Left)
Auto-Release Paper Towel Roll Holder:
*Auto-release under load pressure of 40lbs.

22. Bathroom Accessory Solutions
Model WH1811(Left)
Framed Security Mirror:
*Front mounted stainless steel.
*Countersunk screw holes with tamper
resistant screws.
Model No. WH1820 (Right)
Recessed Shelf:
*Recessed for ligature resistant injury.
*Design tall and deep enough to hold
typical bathroom items.

23. Bathroom Accessory Solutions
Model No. WH1110 (Left)
Ligature Resistant , ADA Compliant Grab Bars:
*Stainless steel.
*Variety of length available.
Grab Bars
Model No. WH1109 (Right)
Ligature Resistant Grab Bars:
*Enclosure design to prevent ligature related
injury.

24. Facility Safety Solutions
Model No. WH1754-FS-ANTL
Ligature Extinguisher Cabinet:
*20 gauge steel box and door.
*Mitered corners and sloping surfaces for
safety.
*Surface Mounted cabinet with a key lock.
*Comes in three varieties:
Recessed Mounted – WH1704
Semi-Recessed Mounted – WH1724
Surface Mounted – WH1754
Recessed Fire Extinguisher Cabinet

25. Under Development
And Now For Something
Completely Different
Model No. WH2145
Ligature Resistant Tank Style Toilet:
The BestCare stainless steel toilet:
* Wider behind the bowl reducing ligature points.
* Constructed of unbreakable stainless steel with a
durable white powder coat.
* Works with a ½” NPS water supply line.

26. Additional Resources & Contact
Additional Resources
• Sales Information Document
Contact
Morris Group International
Business Development Team
Tel (800) 591-9022
Email: Nacctservice@acorneng.com
www.whitehallmfg.com
www.morrisgroup.co
Whitehall Manufacturing is a Division of Morris
Group International

27. Citations
1. Warner, Jennifer “Suicide, Not Car Crashes, #1 Cause of Injury Death,” WebMD Health News, September 20, 2012,
http://www.webmd.com/mental-health/news/20120920/suicide-top-cause-of-injury-death (Accessed March 15, 2013).
2. Knoll IV, James L. “Inpatient Suicide: Identifying Vulnerability in the Hospital Setting,” Psychiatric Times, May 22, 2012
http://www.psychiatrictimes.com/suicide/content/article/10168/2075044 (Accessed April 3, 2013).
3. Knoll IV, James L. “Inpatient Suicide: Identifying Vulnerability in the Hospital Setting,” Psychiatric Times, May 22, 2012
http://www.psychiatrictimes.com/suicide/content/article/10168/2075044 (Accessed April 3, 2013).
4. Knoll IV, James L. “Inpatient Suicide: Identifying Vulnerability in the Hospital Setting,” Psychiatric Times, May 22, 2012
http://www.psychiatrictimes.com/suicide/content/article/10168/2075044 (Accessed April 3, 2013).
5. Knoll IV, James L. “Inpatient Suicide: Identifying Vulnerability in the Hospital Setting,” Psychiatric Times, May 22, 2012
http://www.psychiatrictimes.com/suicide/content/article/10168/2075044 (Accessed April 3, 2013).
6. “Sentinel Event Data Root Causes by Event Type 2004-2012,” The Joint Commission,
http://www.jointcommission.org/assets/1/18/Root_Causes_Event_Type_04_4Q2012.pdf
7. Perspectives in Psychiatric Care (January 2009), Revisiting “Suicide Proofing” an Inpatient Unit Through Environmental Safeguards: A
Review
8. The Joint Commission Guide (2009)
9. Sentinel Event Description (Accessed Oct 24, 2013) http://www.jointcommission.org/Sentinel_Event_Policy_and_Procedures/