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Hopewell’s Outcomes/Research Program

In 2006, with support from The Margaret Clark Morgan Foundation and in consultation with Hiram College faculty, Hopewell began a systematic data collection program of outcome research to guide its efforts to help the seriously mentally ill on the grounds of our therapeutic farm community. 

As part of this program, Hopewell tracks attendance and participation of each resident on a daily basis and collects periodic systematic measurements of each resident’s progress.  The data recorded include participation in work crews, therapeutic clinical groups, social activities, exercises and community meetings.   

When residents are admitted to Hopewell, a baseline of information is collected for assessing outcomes, including Global Assessment of Functioning (GAF) scores, Individual Service Plan goals, Diagnostic Assessment information, medications, living situation, gender and diagnosis. Every three months residents are administered Hopewell Satisfaction Surveys, Brief Psychiatric Rating Scales (BPRS), Camberwell Assessment of Needs (CAN), Quality of Life Assessment and Hopewell Outcomes Worksheets (HOW). The GAF is completed at admission, periodically throughout a resident’s stay, and at discharge. 

GAF is a measure of the individual’s overall level of functioning. Ranging from 1 (lowest level of functioning) to 100 (highest level). It measures psychological, social and occupational functioning. It is widely used in studies of treatment effectiveness.   The Brief Psychiatric Rating Scale (BPRS) assesses psychopathology on the basis of a small number of items, usually 16 to 24, encompassing psychosis, depression and anxiety symptoms.  Camberwell Assessment of Needs (CAN) measures the needs of individuals with severe mental illness.  It covers domains including self-care, daytime activities, physical health, psychotic symptoms, information about condition and treatment, psychological distress, safety to self and others, intimate relationships, money, sexual expression, socialization and basic education.   The CAN has two versions, one for the resident’s self-report and the other for staff observations.  The Hopewell Outcome Worksheet (HOW) is an instrument to evaluate how residents are coping with their mental illness and how helpful the Hopewell program is for them. The instrument is divided into sections and includes the conditions that brought the residents to Hopewell, what they think of themselves, their concerns about how they influence others, future situation and goals, and what they thought about the experiences they have had while at Hopewell.

Integral to Hopewell’s Outcomes/Research Program is oversight by the Research Committee of the Board of Directors.

In 2014, Hopewell began to work with Dr. Sana Loue from Case Western Reserve University. Dr. Loue is in process of completing multiple research projects and outcomes studies, including program evaluation with former residents. 

Dr. Loue is a Professor in the Department of Bioethics and serves as the Vice Dean for Faculty Development and Diversity in the School of Medicine of Case Western Reserve University, Cleveland, Ohio. She has secondary appointments in the Departments of Epidemiology and Biostatistics, Psychiatry, and Global Health and at MSASS, the Mandel School of Applied Social Sciences. Dr. Loue holds graduate degrees in law (J.D.), epidemiology (Ph.D.), medical anthropology (Ph.D.), social work (M.S.S.A.), and secondary education (M.A.). She is also ordained as an interfaith minister. Dr. Loue’s primary research focus is on HIV risk and prevention and family violence in marginalized communities, such as non-English speakers, immigrants, sexual and ethnic/racial minorities, and persons with severe mental illness. Other research interests include forensic epidemiology, severe mental illness, and ethical issues in the conduct of research with vulnerable persons. She has authored over 70 peer-reviewed articles and 58 book chapters, and has authored and/or edited 27 books.