Construction took place on the second floor above a sensitive, occupied patient care unit, and a floor below active staff spaces. To limit disruptions to patients and staff, site access for construction personnel and material was provided via scaffolding on the exterior face of the building.

The original brick vaults providing support to the floors above and below were a testament to the quality of the craftsmanship that took place nearly 160 years ago, yet provided added difficulty to various scopes of the project. Modifications to the existing structural, masonry walls included three new doorways supported with steel headers, countless penetrations for new ductwork runs and sprinkler piping, and trenching to provide pathways for new electrical rough-ins.

The renovated wing includes six patient bedrooms, each with their own bathroom, a staff locker room, two consultation rooms, a dining room, staff kitchen, financial office, computer room, and family therapy room.