
The Poinciana Rehabilitation Center (PRC) is a first-of-its-kind mental health treatment facility in the Cayman Islands that is redefining care through architecture, nature, and community support.
Designed by Montgomery Sisam Architects in association with DDL Studio, PRC is the Cayman Islands’ first purpose-built, government-run mental health treatment facility, which responds to the long-standing need for specialized, dignified care that allows residents to receive treatment closer to home.

The campus includes nine six-bedroom cottages, as well as separate building structures for administration, clinical functions, dining, and other indoor activities. The cottages are designed to reflect a small island settlement. Each cottage is painted in one of three natural tones: sun (ochre), sky (blue), or earth (terracotta).
At the heart of the campus is a series of buildings that form a central gathering area. These housing program spaces include staff offices, clinical exam rooms, counselling and treatment areas, multipurpose activity rooms, classrooms, and meeting spaces.

The buildings were carefully clustered to preserve the existing landscape, minimize ground disturbance, and reflect the spirit of a small community.
The project incorporates passive design strategies, permeable ground surfaces, rainwater harvesting, and hurricane-resistant construction, while maximizing daylight and natural ventilation in all spaces.
The new healthcare center is part of a continuum of mental health services fully funded by the Cayman Government Ministry of Health & Culture.