The purpose of the investment project is the comprehensive modernization of Hospital Building No. 7 through the implementation of major capital renovation works, including the complete replacement of physically worn and structurally unsafe building elements, engineering systems, and roofing, in order to improve the reliability, safety, and efficiency of the facility’s further operation. The project is aimed at optimizing the use of existing premises and bed capacity, creating favorable conditions for all categories of patients, ensuring safe and comfortable working conditions for medical staff, and establishing an appropriate educational environment for students of the relevant academic department. The project is intended to enable the implementation of a modern, scientifically substantiated strategy for the treatment of mental disorders, adapted to international standards, without changing the functional purpose or geometric parameters of the building. Achievement of this objective is envisaged through a complete transformation of the building’s structural system due to the emergency condition of existing walls and floor structures, and through the application of a monolithic reinforced concrete frame within the existing building volume. The project предусматривает the demolition of most internal brick walls, partitions, and floor slabs, followed by the construction of a monolithic foundation slab, reinforced concrete pylons with variable spacing, monolithic floor and roof slabs, as well as reinforced concrete walls of elevator shafts and stairwells, which function as stiffness cores providing horizontal structural stability to the building. The foundations are designed as monolithic reinforced concrete slabs with a thickness of 400 mm, separated by expansion joints and arranged at different elevation levels depending on the depth of basement areas, with rigid connections between the pylons and foundation slabs ensured by reinforcing bar extensions. The use of a monolithic reinforced concrete frame allows for rational reconfiguration of internal spaces and efficient use of floor area in accordance with current national building and sanitary regulations, ensuring functional flexibility and the adaptability of premises to the requirements of modern medical practice. The existing external brick walls of the first floor, with a thickness of 640–770 mm, are to be repaired and retained as self-supporting enclosure structures, while the external walls of the second floor will be replaced with new brick walls 250 mm thick within the existing geometric dimensions of the building. Particular attention is given to replacing the existing roof structures with a monolithic reinforced concrete roof slab incorporating thermal insulation and waterproofing, which will improve the energy efficiency and operational performance of the facility. To ensure the safe operation of the building and adjacent areas, the project also provides for the construction of a monolithic reinforced concrete retaining wall for slope stabilization and access road arrangement. The integrated implementation of the planned measures will result in the creation of a modern, safe, and functionally efficient healthcare environment that meets current healthcare system requirements and international approaches to the treatment of mental disorders.

The key problem is the emergency technical condition of the building, which, if left unresolved, may lead to further deterioration of its operational performance, an increase in accident risks, and the limitation or complete suspension of the facility’s intended use. Additional negative consequences include the deterioration of conditions for patient treatment, increased difficulty in the work of medical staff, and the inability to implement modern treatment and training methods. Implementation of the investment project will make it possible to eliminate the emergency condition of the load-bearing structures and engineering systems, ensure stable and safe operation of the building while taking into account complex engineering and geological conditions, and modernize the internal layout in accordance with current sanitary, building, and medical standards. As a result, a functionally flexible, accessible, and safe healthcare environment will be created, adapted to the needs of all categories of patients, including persons with reduced mobility. The expected outcomes of the project include improved quality and safety of medical services, enhanced conditions for patients’ stay, the creation of a comfortable and efficient working environment for staff, and the establishment of an appropriate educational base for students. In addition, the project will contribute to increased energy efficiency, reduced operating costs, and the long-term, economically viable operation of Hospital Building No. 7.