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Ecotherapy in Clinical Practice

Summer Solstice 2024

Navigating the Mental Health Crisis in Young Adults

Hopewell offers residential programming on the grounds of our therapeutic farm. 

Our program is developed and supervised by licensed mental health providers with many years of experience in a variety of settings. Clinicians are active in Hopewell's residential therapeutic program and family counseling, case coordination, psychiatric and medication management, and discharge transitions as part of our mental health treatment program.

Admission Prospects

Prospective residents applying to Hopewell will be assessed for admission based on the following factors:

Primary mental health issues:

  • Our most common diagnoses are schizophrenia, schizoaffective disorder, bipolar disorder, obsessive-compulsive disorder, and major depression.
  • That said, our admission focus is more on whether or not our program elements can help than it is on diagnostic labels.

Other characteristics:

  • Our most successful residents are compliant with medications and have sufficient insight and motivation to be willing to try residential care, and to engage in the specific elements of our program, for at least four months.
  • We are a voluntary, unlocked, unfenced property. We have staff present 24 hours a day, but do not have “eyes on” our residents at every moment. We thus only admit residents who can live safely in our setting, have some self-care skills, and are in reasonable physical health.
  • We can only serve residents 18 years old or older.

Factors that limit chances of admission:

  • Elements of history that will require an especially detailed review include evidence of recent violence, self-injuries or suicide attempts, or fire setting.
  • Some of our residents are recovering from drug or alcohol abuse. While we offer multiple program elements to help maintain sobriety, we do not have a drug treatment program. When a potential resident has a history of recent substance abuse, we may recommend drug treatment and/or a period of sobriety prior to entering our program.
  • Certain other characteristics are challenging for us to care for in our therapeutic community. We rarely admit potential residents whose principal diagnosis is a personality disorder, or whose relevant history includes sexual misconduct.

Hopewell is the only residential mental health facility in Ohio that provides this type of treatment-based, community-centered care, and is among one of very few facilities of its kind in the country that provides comprehensive mental health treatment in a working farm setting. To discuss a specific case, please call our admissions team at 440.426.2009.

Hopewell Therapeutic Farm Community

Pre-admission requirements include:

  • Signed release of information forms and copy of guardianship papers (if applicable)
  • Hopewell physician referral form
  • Current/recent psychiatric history and hospital records
  • Availability for virtual or in-person assessment interview with our admissions team
  • Physical exam form, and current 2-step TB test or chest x-ray (unless physical exam shows not at risk)


We are the first provider of mental health services in the country to be reviewed and accredited as a Therapeutic Community by the Commission on Accreditation of Rehabilitation Facilities (CARF). Hopewell is licensed and certified by the Ohio Department of Mental Health. We are a member of the National Alliance on Mental Illness (NAMI) and the American Residential Treatment Association (ARTA).