This Design Guide is intended to be a transformational document, reflecting the important psychological impact environments have on patients and staff. In addition to providing technical architectural and engineering specifications, this Design Guide emphasizes principles and strategies for building state-of-the-art, recovery-oriented environments for mental health settings in the Department of Veterans Affairs (VA). As such, this Design Guide reflects a new vision and philosophy for designing mental health facilities that is rooted in hope, healing, and recovery. This vision and philosophy is conveyed and operationalized in words and images on the pages that follow. Strong emphasis is placed on design approaches that incorporate home-like, non-institutional, and patientcentered environments that imbue healing, familiarity, and a sense of being valued.