Can the Design of Your Home Aid Recovery From Past Trauma? Research Says 'Yes'

Trauma informed design featuring a grey sofa with teal pillows sitting on a grey rug.

As interior designers, we operate from an awareness that because we create the built spaces that our clients inhabit, we exercise tremendous influence on their lived experiences and the ability to make a tangible difference in our clients' mental, physical, and emotional health. (1) While it is easy to accept this as a given in more passive terms, there is an increasing necessity around the active, rather than incidental, cultivation of safe and healing built spaces. At Sarah Barnard Design Studio, we aim to bring an inclusive and trauma-informed approach to home design.

Between 1995 and 1997, Kaiser Permanente conducted a study looking at the health effects resulting from the trauma of Adverse Childhood Experiences (ACEs). (2) The parameters around this study were narrow, focusing primarily on abuse, neglect, and domestic strife, without including factors such as trauma due to racism, deportation, illness, or war. The study's participants were also far from a broadly representative group, with nearly 75% of participants identifying as White. Yet, even within these minimal boundaries, the findings were stark—approximately 66% of the study's participants reported ACEs in their personal histories.

A curling wildflower beginning to bloom.

If we consider the types of trauma the study excluded and the adverse experiences that occur in adulthood, the implications of this study are significant. It is fair to assume that traumatic experiences are widespread among adults. Particularly in the context of the Covid-19 pandemic, the mental and emotional fallout of which we are only beginning to understand and measure, addressing the effects of trauma has taken on a new urgency.

Table top with gems, colored pencils, note and drawing mannequin

Much of the discussion around trauma-informed home design has focused, understandably, on public and institutional contexts often directly connected with health and social services (3). As understanding around the way that physical spaces affect our mental, emotional, and physical health have expanded, so too has demand for spaces designed with health and healing in mind. Where once function and safety were the primary concern in, for example, mental health facilities, home designers are now looking at how to make these spaces soothing and restorative.

Design for anxiety, design for stress, design for burnout featuring furry textured mushroom grey headboard, with warm grey linen pillows and white and green floral arrangement.

Knowing what we know about how widespread the experience of trauma is, it is reasonable to expand our thinking beyond institutional spaces and apply the principles of trauma informed practice to home design, as well as to the way we interact with clients. Our goal is to create spaces that manage the effects of trauma by reducing sudden sensory arousal, while also being actively healing and restorative.

This process begins with creating a safe and inclusive environment for our clients from a project's inception to completion. While it may be safe to assume that most adults carry some form of trauma with them, we don't know what a client's background is unless they feel safe to tell us. We aim to approach our clients with a sense of inclusiveness and sensitivity, allowing ample space to voice their needs. A certain amount of vulnerability and humility lies on us as designers as we hold ourselves accountable for maintaining this safe space for our clients. This accountability allows us to create homes that are not only aesthetically pleasing but also personalized and inclusive to each individual and their needs. As designers, we must keep an open flow of communication between ourselves and our clients, ensuring that communication remains understood on both ends. 

Dried poppy pods.

Creating an inclusive space starts with mindfulness and care around the way we communicate(4). There is no default listener. Our intention is to allow people from all walks of life feel heard and understood. We are committed to educating ourselves on inclusive language, as certain words may carry racist or ableist subtext. Finding alternatives to non-inclusive language is one component of this, and it helps to avoid language that presumes the ethnicity, gender identity, or experiences of the listener. To maintain our goal of holistic inclusion throughout our studio, we apply these communication values to our client interactions, internal conversations, and interaction with vendors. By holding ourselves accountable even out of sight of clients, we ensure that inclusivity remains a core principle of our studio.

A bright foyer designed by Sarah Barnard, a blue and white abstract painting by Michelle Jane Lee and a large green house plant in a pot.

Painting by Michelle Jane Lee

When we begin each project, our goal in taking a trauma-informed approach to home design and decorating includes finding ways to reduce sensory overstimulation. Sensory triggers can be hugely disturbing for neurodivergent people (particularly those on the autism spectrum), as well as people with chronic migraines, Post Traumatic Stress Disorder, Alzheimer's, and other chemical or sensory sensitivities (5). Spaces designed with inclusion in mind for neurodivergence and disability will create an environment that feels safe for all users along various spectrums of need. However, even neurotypical people can experience stress from sensory overstimulation, impacting their health and emotional resilience (6). We address this need in home design by creating varied paths to shelter from intrusive sounds, odors, and light. In addition, we empower our clients to limit and customize their exposure to sensory stimuli (7). One way to achieve this is to create smaller sensory retreats within the home, balancing the calming quality of openness with the comforting sense of being enveloped. We use color psychology, textures, and other sensory elements to comfort our clients. Some of this may overlap with general design knowledge of what is considered calming, and some may be specific to each client's taste and sense of comfort.

Design for stress, design for anxiety, design for PTSD in a bright living room features interior design by Sarah Barnard, a festive orange rug in a flatweave style, a blue sofa and a vintage chair.

Painting by Kevin Moore

Our goal as a studio is to create spaces where clients can relax and restore their senses. We achieve this in our projects by intersecting the client's sensory needs with their aesthetic tastes. There is much importance in including art in the spaces we design. At Sarah Barnard Design Studio, art is considered an integral part of home design. Great care is taken not only in the selection of art but also in how and where it is displayed. That said, while there are general notions of what makes a piece of art soothing for a viewer, from the color to subject matter. Ultimately, the most crucial factor is what the client wants to see every day. Clients will benefit most from seeing art that evokes a sense of calm or happiness; however, what that can look like varies widely from person to person. As designers, we offer our guidance and expertise in selecting art for the home.

Design for anxiety, design for stress, design for burnout in this home office featuring an open book on desk with plants and couch in background, agate inspired wallpaper

We can achieve restoration through home design by providing access to nature and integrating natural themes into the spaces themselves. The biophilic design movement has focuses on making nature an integral theme in the home. Biophilic design has tremendous benefits for our emotional, mental, and physical health (8). Views of nature, particularly ones that provide a sense of continuity with the indoors and outdoors, can be one way to achieve this. Prioritizing the use of natural and organic materials can also promote restoration and wellness for our clients. A connection to nature can be undermined by toxic materials that are produced in ecologically harmful ways. On a more symbolic level, we can incorporate nature into an indoor space through organic imagery that evokes the natural world through shape, texture, and color.

Design for stress, design for burnout, design for anxiety featured in white floating bookshelves and large woven pendant light in foreground

Recently, our homes have become even more of a center point in our lives. For many of us, our home has become a workplace, school, and place for recreation all at once, increasing the need for therapeutic and restorative spaces within the home. Unfortunately, mental and emotional restoration has become harder to achieve now that our homes serve more functions than ever. As designers, we must be creative in our approach. We can create boundaries in the home without putting up walls, for example, using a screen to designate an area as a workspace, where the day's stressors can remain out of sight when it's time to relax. We can place extra care and attention into places in the home that offer privacy, letting them act as retreats from the rest of the living space. Thinking beyond a room's most basic function in this way can open up opportunities to create calming, restorative environments in less traditional spaces.

reed planted partially dipped in black paint holding succulent, with figurine of a person next to it

As designers, we have a tremendous opportunity to alleviate trauma by creating healing spaces for our clients while implementing a warm, understanding, and inclusive design process. We may never know or see our clients' struggles, but we can approach each project with empathy, compassion, and practical design knowledge to address their needs. As gratifying as having our clients appreciate our work, it is even more gratifying to know that we can make a tangible difference in their health and happiness.

Ceramic slug by Joseph and Marjorie Lake 

Ceramic slug by Joseph and Marjorie Lake 

Sarah Barnard is a WELL and LEED accredited designer and creator of environments that support mental, physical and emotional wellbeing. She creates highly personalized, restorative spaces that are deeply connected to art and the preservation of the environment. An advocate for consciousness, inclusivity, and compassion in the creative process, Sarah’s work has been recognized by Architectural Digest, Elle Décor, Real Simple, HGTV and many other publications. In 2017 Sarah was recognized as a “Ones to Watch” Scholar by the American Society of Interior Designers (ASID).   

Sarah Barnard in black shirt with glasses and long brown hair

Sarah Barnard is a WELL and LEED accredited designer and creator of environments that support mental, physical and emotional wellbeing. She creates highly personalized, restorative spaces that are deeply connected to art and the preservation of the environment. An advocate for consciousness, inclusivity, and compassion in the creative process, Sarah’s work has been recognized by Architectural Digest, Elle Décor, Real Simple, HGTV and many other publications. In 2017 Sarah was recognized as a “Ones to Watch” Scholar by the American Society of Interior Designers (ASID).

Works Cited

(1) https://dcf.vermont.gov/sites/dcf/files/OEO/training/2019/Trauma-Informed.pdf

(2) https://www.cdc.gov/violenceprevention/aces/about.html

(3) https://www.nytimes.com/2021/01/05/business/mental-health-facilities-design.html

(4) https://www.linguisticsociety.org/resource/guidelines-inclusive-language

(5) https://www.hksinc.com/how-we-think/research/sensory-well-being-for-adolescents-with-developmental-disabilities-creating-and-testing-a-sensory-well-being-hub/

(6) http://universaldesign.ie/What-is-Universal-Design/The-7-Principles/

(7) https://www.asid.org/lib24watch/files/pdf/8477

(8) https://www.fastcompany.com/90333072/what-is-biophilic-design-and-can-it-really-make-you-happier-and-healthier

Curating a Mindful Experience: Focusing on Art at Home

Interior design by Sarah Barnard, Artwork by Renae Barnard.

Interior design by Sarah Barnard, Artwork by Renae Barnard.

Selecting and arranging artwork in a home can be a gratifying process for all involved. While science is only beginning to explore the emotional effects and benefits of art, people have been driven to produce and seek artwork throughout human existence. In a study at the University College London, researchers found that looking at beautiful artwork activates pleasure centers in their brain and elicits a neurological response similar to falling in love. 

Sarah Barnard helped this client curate and collect an extensive collection of feminist artworks.

Sarah Barnard helped this client curate and collect an extensive collection of feminist artworks.

It only makes sense that we should turn to artwork to influence emotional experiences in home design. As an interior designer with a fine art background, I recognize art's incredible power to enhance wellbeing in design. Commissioning artworks or objects by local artisans can be an incredibly rewarding way to elevate a client's home, and invest in the local creative community. 

A diverse collection of local and international artists.

A diverse collection of local and international artists.

When selecting artwork for a family or group, it's key to ensure that everyone has a voice. Inviting individuals to have control over their domains and some level of veto power in shared spaces can aid in decision making in the home design process. Having a say over designated personal spaces guarantees that everyone is getting something they love, at least in one part of the home.  In common areas, everyone should have a choice, and this is where having a designer with additional resources helps. I have developed relationships with many unique and talented artists throughout my career, which has helped me find and commission beautiful and obscure pieces.

Interior design by Sarah Barnard, Artwork by Susan Hannon.

Interior design by Sarah Barnard, Artwork by Susan Hannon.

When approaching all home design elements, it's essential to consider a room's use and intentions before purchasing or commissioning artwork. For family rooms that are often bustling, high traffic spaces, bold, energetic works of art can invigorate a room and inspire conversation. Large scale works can provide a welcome alternative to a television, and offer a focal point in spaces with many moving parts and multiple functions. Shared areas of congregation are ideal for bold abstract pieces or narrative works that inspire investigation and conversation.

Interior design by Sarah Barnard, Artwork by Kevin Moore.

Interior design by Sarah Barnard, Artwork by Kevin Moore.

In a recent home remodel for a family residenceScalar Field by Kevin Moore hangs above a breakfast nook composed of a custom dining sofa and handmade walnut dining table. The warm colors and textures of the pieces play off each other, for an inviting eating space that encourages both quiet daydreaming and lively discussion. The piece's unique, geometric shape adds architectural interest to the corner, expanding the room and adding to the area's significance in the home. The nook encourages a mindful dining experience, inviting the owner and guests to pause and enjoy the beauty and serotonin-boosting effects of an in-house art display. 

Interior design by Sarah Barnard, Artwork by Reid Winfrey.

Interior design by Sarah Barnard, Artwork by Reid Winfrey.

A small, sleek bar becomes increasingly expansive with a dreamy painting of a surfer by artist Reid Winfrey in a beachy bachelor pad. In areas without windows, artworks with natural themes or escapist qualities are often beautiful alternatives to a view. This piece reflects the homeowner's interests and passions, connecting them to natural locations and activities they love, and offering insight into their personality to guests. Creating intentionality in small areas of the house can significantly affect overall mood and pacing, offering small, meditative opportunities. Art can be a useful tool to train the mind to slow down and be appreciative of surroundings and experiences. 

Interior design by Sarah Barnard, Artwork by Renae Barnard.

Interior design by Sarah Barnard, Artwork by Renae Barnard.

Collecting artwork invites a level of personal connection and customization that can create a deep emotional experience of the home. A large wall sculpture by Renae Barnard entitled Aggregate Liberty compliments custom furniture in a residential redesign. Colors and textures in the artwork and the living room mimic each other, softening the boundaries of the artwork and the residence for an immersive and transcendent experience. Quiet rooms for focus may benefit from works that feel calm and soothing. Natural colors and themes help decompress, and textile pieces, in particular, can bring an added layer of comfort and calm. 

Interior design by Sarah Barnard, Artwork by Renae Barnard + Ruben Vincent.

Interior design by Sarah Barnard, Artwork by Renae Barnard + Ruben Vincent.

For a home office redesign, our studio commissioned a sculptural piece by artist Renae Barnard for artwork that referenced the home's natural surroundings. As an alternative to the already prominent ocean view, our studio saught to connect to nearby natural elements that required more careful observation. Ultimately, the studio found inspiration in the finches visiting the olive trees on the homeowner's patio. Noticing them requires careful consideration of the surroundings, inviting the homeowner and guests to become increasingly mindful. The finches' flight to the skyrise penthouse in the clouds inspired the final form of the fiber sculpture Cumulous. 

Interior design by Sarah Barnard, Artwork by Karrie Ross.

Interior design by Sarah Barnard, Artwork by Karrie Ross.

Fanciful imagery in muted earth tones creates an airy and uplifting mood for rest. Displaying artwork near a bed may contribute to peaceful habits before sleep, and provides mind-quieting observational opportunities. A watercolor and mixed media piece by artist Karrie Ross is an atmospheric addition to a residential bedroom redesign. The piece's overall effect is peaceful, guiding the viewer away from chaotic thoughts or visuals before bedtime. The details within the artwork hold the viewer's attention and offer avenues for thoughtful examination, pulling focus away from the stresses and memories of the day. Using the emotional experience of a work of art to guide a room's mood can provide ample opportunities to shape home design support and uplift its residents. 

Interior design by Sarah Barnard, Artwork by Brian Johnson.

Interior design by Sarah Barnard, Artwork by Brian Johnson.

Commissioning or curating artwork is ultimately about inviting positive emotions and experiences into the home. A piece does not need to mirror a pre-existing aesthetic to be the perfect fit for a client's home if it inspires pleasure and supports wellbeing. Incorporating artwork into living spaces can be an enriching process, inviting time to reflect, think, and appreciate the beauty of daily life.  

Interior design by Sarah Barnard.

Interior design by Sarah Barnard.

Sarah Barnard, WELL AP and LEED AP, designs healthy, happy, personalized spaces that connect deeply to nature and art. Barnard has been featured in publications internationally and was named a "Ones to Watch Scholar" by the American Society of Interior Designers. Empathy and mindfulness are the foundation of her practice creating healing, supportive environments that enhance life.

This image used with permission provided by  Gregory Firlotte @ LA Design Magazine

This image used with permission provided by Gregory Firlotte @ LA Design Magazine

This article was written by Sarah Barnard for Issue 2 of LA Design Magazine, Celebrating Design and the Arts. Published by the American Society of Interior Designers, Los Angeles, CA.

The Inclusive Kitchen: Universal Home Design Improves Quality of Life

Interior Design by Sarah Barnard. Photos by Steven Dewall. Originally published in LADESIGN Quarterly, by the Los Angeles chapter of the American Society of Interior Designers.

Interior Design by Sarah Barnard. Photos by Steven Dewall. Originally published in LADESIGN Quarterly, by the Los Angeles chapter of the American Society of Interior Designers.

Universal home design is intended to improve the quality of life for all users, regardless of age or ability. When applied to the kitchen, these principles should ensure safety, efficiency, and comfort. The term was first coined in the 1970s by architect and disability rights advocate Ronald Mace. Since then, universal home design practices have been rising steadily due to its inclusion in formal design education and support from professional associations like ASID, who provide research and case studies for universal design and aging in place.

In my practice, as a WELL and LEED accredited designer specializing in healthy, sustainable interiors, I often find that planning for the future can be intimidating for clients, but doing so ensures they will be happy spending a lifetime in their homes. 

I recently completed a home remodel for a retiree, who wanted the kitchen to function well when cooking for one. However, she often hosts friends and family, so it also had to be designed with entertaining in mind.

MinimalKitchen-5.jpg

Knowing the kitchen would be widely used, we considered universal home design principles to increase its functionality. The aesthetic was inspired by the cool, collected nature of the home's coastal locale and the utility and simplicity of Scandinavian design.

I specified a U-shape layout to provide unobstructed traffic flow and ample counter space. The kitchen is open to the dining area, and there are no barriers, such as steps or a doorway, to separate them. It's a confined space, which reduces the amount of back and forth travel. 

I find that most clients are unwilling to plan for a mobility challenge they may never have. While we can't always get them to agree to a design that accommodates a wheelchair, clients are often comfortable with a clearance of 54 inches for mobility aids such as a walker or cane. If designing for wheelchair mobility, knee to toe clearance allows for easy access.

NeutralKitchen10.jpg

I used both upper and lower cabinets to give the homeowner plenty of storage. Keeping countertops clear, in turn, mitigates safety risks. The slide-out drawers are gentler on the back — she doesn't have to bend over or reach up high to access what she needs.

A large window provides views of the outdoors and welcomes natural light. Connecting with nature, even through a window, positively impacts our wellbeing by reducing blood pressure, slowing down our heart rate, and alleviating stress. Natural light, combined with the recessed lighting and oversized pendants, relieves eye strain and helps the homeowner safely perform tasks like chopping or peeling. 

For the hardware, I chose large, integrated pulls instead of knobs because they're easier for stiff or shaky fingers to grasp. According to the Centers for Disease Control, 54.4 million Americans are affected by arthritis, the majority of whom are 65 and older. While a knob requires the user to bend their fingers to latch onto it, a cabinet with a pull can be opened with limited dexterity using only one or two fingers. 

Minimalitchen-8a.jpg

The homeowner preferred a single-lever faucet; however, if increased accessibility is the primary concern, touch-less faucets can be an excellent alternative. Clients may be hesitant to select this high-tech feature if their experience has been limited to unreliable public restrooms. Fortunately, more and more stylish options for residential spaces are becoming available. 

If the homeowner were to change her mind, the electrical components could be concealed in a base cabinet or behind an access panel. It's essential to consider your surroundings when installing a touch-less model as some products will not operate correctly if they are in proximity to other metals, like a copper sink or stainless-steel backsplash.

The French door refrigerator can be opened without much exertion thanks to its oversized pulls, and the efficient design means everyday ingredients are displayed for easy access. It has a well-lit interior to aid those with vision loss.

The kitchen countertop is white engineered quartz with subtle gray veining. This human-made material is durable and stain-resistant, requiring less maintenance on behalf of the homeowner. People with impaired vision will be better able to identify the kitchen tools and ingredients in front of them, as the brilliant white creates high contrast. I sourced a cream-colored matte glass tile backsplash to prevent surface glare.

Natural French oak flooring was used throughout the open-concept space, eliminating any unsafe transitions. The material has a matte finish and was designed to be slip-resistant — an absolute must in the kitchen where spills are common. It also feels comfortable underfoot and has more spring to it than other flooring types, which is easier on the joints.

Open shelving on the back of the peninsula adds a pop of color to the space. This bookshelf created an opportunity to display some of her most treasured collectibles, which spark joy each and every time she sees them.

The antique rosewood dining table, sourced from Thailand by the homeowner, is located within close reach of the kitchen, so heavy platters of food needn't be carried far. The open floor plan makes it easy to converse with guests who are seated at the table while she's whipping up hors d' oeuvres in the kitchen. The built-in server provides an additional surface to set down dishes and clears up the dining table to prevent any accidents.

Universal home design can and should be both stylish and seamless. Reexamine the products, materials, and finishes you already use, and consider how they might be implemented in a way that supports people of all abilities. With this project, the homeowner was conscious of her potential future needs and entrusted us with creating a healthy, natural, and minimalist space that would suit her well in the long-term.

Sarah Barnard, WELL AP, and LEED AP designs healthy, happy, personalized spaces that connect deeply to nature and art. Empathy and mindfulness are the foundation of her practice creating healing, supportive environments that enhance life.