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Using the healing powers of nature, of meaningful work, of our therapeutic community, and of clinical engagement, Hopewell's program transforms the whole person: mind, body and spirit.

At Hopewell, we empower individuals to function at their highest level of effectiveness, leading to a more satisfying, self-reliant, and independent life, both during and after their stay.

We empower individuals to function at their highest level of effectiveness.

Healing Mental Illness with the Power of Nature

The findings on the mental health benefits of nature have been called “some of the strongest in the social sciences.” Hopewell’s program takes place in the low rolling foothills that begin the Appalachians, in the heart of Ohio’s Amish country in Mesopotamia, Ohio.

On our 300-acre farm, our residents benefit from our animals, our nature therapy program, and from self-discovery – in our barns, barnyards, pastures, gardens, fields, meadows, ponds, and an extensive maple-filled forest, all interconnected with paths and laced with streams.

Suffering happens in the context of a person living in a specific environment. Our setting in nature, and many other aspects of our program, change the environment in powerfully positive and healing ways, increasing the potential for personal transformation.

The Importance of Meaningful Work in Promoting Mental Health

Work has demonstrable positive effects on mental health, including improving medication compliance, lessening of symptoms, and reducing the number of relapses.

Through meaningful work, our residents learn personal responsibility, establish a routine to encourage structuring of their time, learn to stop focusing on symptoms, and make important contributions to community life.

Participation in our work teams – animal care, farm, garden, wood shop, kitchen, maintenance, maple-sugaring and others – is a key source of our residents’ success.

Our work teams and other elements of our program help our residents to become re-engaged active participants in their own lives, to discover strengths they did not know they had, and to build their capability and self-esteem.

Hopewell Residents work together to help themselves and each other as part of our residential therapeutic program.

Our Therapeutic Community is Central to our Approach    

At Hopewell, our therapeutic community is central to our approach to treatment. Studies find that therapeutic community participants show improvement in mental health symptoms, especially participants who enter treatment with the most severe problems.

Our entire therapeutic farm community, both staff and residents, works together to help residents help themselves and each other, to hold one another accountable, and to celebrate and sympathize together.

Our residents discover by example what people with similar challenges can accomplish.

Our community also provides multiple social, musical, artistic, wellness, spiritual, worship and recreational opportunities.

Because of their illnesses, many residents come to us lonely, alienated from their communities, and with a history of complications with their families. Our therapeutic residential community and other aspects of our program enable a new beginning in a safe yet productive setting, where our residents discover by example what people with similar challenges can accomplish.

A Focus on Clinical Engagement    

Our clinical team of psychiatrists, nurse practitioners, counselors, social workers, nurses, and other staff works with residents both in individual sessions and in groups, using evidence-based modalities and other best practices to shape change.

Our psychiatrists help with medication management and other issues. More generally, each resident works with a specific clinician to develop concrete goals for discharge that set a foundation for stability and increasing independence, and our clinicians lead our entire team in helping our residents accomplish their goals.

Among our therapeutic offerings are

  • Psychiatric evaluations
  • Medication monitoring and management
  • Case-managed integrated individual plans
  • Therapeutic work activity
  • Individual and group counseling
  • Acceptance and Commitment Therapy
  • Art Therapy and creative expression
  • Cognitive Behavioral Therapy
  • Dialectical Behavioral Therapy skills
  • Ecotherapy
  • EMDR
  • Equine-assisted learning
  • Sandplay Therapy
  • Family therapy and transition services

Residents with identical diagnoses bring very different constellations of symptoms; have different, often complicated treatment histories; and respond differently to different parts of our program.

Therefore we rely on no single approach. Rather, we select from our complete set of nature, work, community and clinical offerings those that are most helpful to each residents’ particular overall journey with us, and to the specific challenges a resident faces any given day.

Transition Support Begins Before Arrival

Our goal is to empower individuals to function at their highest level of effectiveness, leading to a more satisfying, self-reliant, and independent life.

We begin planning a transition to a more independent life beginning with our earliest conversations with potential residents and their families.

Once a resident is here, individual plans specify concrete goals for discharge. As discharge comes closer, we work extensively with the resident and resident’s family to identify the best next setting and its required supports—while helping residents develop deeper skills for independent living, and helping families prepare changed approaches for dealing with their transformed family member.

Our Club Hope program in particular offers tailored, individualized support to residents in their post-discharge period.

Transformative Healing at Hopewell

Hopewell is one of a very few facilities in the country that provides comprehensive mental health treatment in a working farm setting. We were the first therapeutic farm community in the United States to be accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF) for Therapeutic Community: Mental Health (Adults), and remain the only mental health facility so accredited.

Hopewell is a non-profit, private-pay facility. Our generous donors have enabled us to set our base fees at among the lowest levels in the country. Additional fees apply for professional services including psychiatrist and nutritionist appointments, medications, and lab services.

Most residents use private pay to cover the cost of services, but some use a combination of private pay and a limited period of insurance benefits. We are one of the few residential communities that maintains contracts with insurance companies and dedicates resources to help navigate the insurance process. Unfortunately, Medicaid and Medicare do not cover mental health residential treatment services.

During the application process, financially responsible parties must submit financial verification documentation to demonstrate adequate resources to pay Hopewell fees.

We recommend a minimum four month stay in our residential treatment program, and work with each resident to determine a length of stay that takes into account personal goals for treatment. Our admissions team is available to discuss individual care needs and assist you in determining if Hopewell is an appropriate treatment provider for your unique situation. Call us at 440-426-4009 or use the contact form here.