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Summer Solstice 2024

Navigating the Mental Health Crisis in Young Adults

Hopewell’s Outcomes/Research Program

In 2006, with support from Peg's 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 Performance Management Committee of the Board of Directors.