Architectural Resources assists in developing planning protocols, campus masterplans, and support service prototypes. The participatory approach taken with this work includes group design seminars, field surveys, interviews, and administrative programming sessions. This effort has produced long term campus plans with emphasis on flexibility, staffing efficiency and adherence to OMH/JCAHO standards. Recommendations for building and infrastructure consolidation opportunities for large hospital campuses allow for improved efficiency of space utilization, building utility systems and campus roadways.