Author: Ann Thompson

I graduated from Malone University in 2011 with my BSN and passed the boards that year. My first job was at South Pointe, Cleveland Clinic on an observation unit.

Fun fact, I went to work at a camp in Pennsylvania for a summer as a lakefront director. It was there that mental health was presented to me as an interest. Many of the staff struggled with mental health. They felt safe coming to talk with me. I felt the Lord really lay on my heart that talking about mental health, and helping others through their difficulties, was a gift that I have, and I should pursue that career. I searched psychiatric nurse positions back in Cleveland and found Windsor Laurelwood Hospital.

I worked at Laurelwood for almost 5 years as a psychiatric nurse with kids from 5-18 years old. After two years I discovered that becoming a psychiatric nurse practitioner was a career path so I studied at Case Western Reserve University. In my studies, I started to develop certain beliefs with treating psychiatry. I believed in a holistic approach and that medication was not the only way to treat mental illness. I started working at Hopewell as a program facilitator with the hope of working here as a nurse practitioner one day.

In 2018, I started working at University Hospital in the outpatient child and adolescent psychiatry division. I saw mostly teens and young adults, diagnosing, prescribing and providing some psychotherapy. I was able to integrate working at Hopewell twice a month.

Within the last year I started teaching full time at Case Western Reserve University. I teach 3 classes in the BSN program: Wellness, Psychiatric Mental Health Nursing, and Teaching and Learning in the Community.

A Bit About Me Personally

I really love music and sports. My favorite instruments are piano and guitar and I play in the worship band with my husband at church. They are a good outlet and way of expression for me. I played soccer for one year at the college level. I love the Cleveland Browns… most of the time. We have a pickleball court in our driveway and really try every and any sport we can. I used to be a triathlete – I raced for 6 years and loved it. Now I would say that my two young sons are my hobby!

I love writing, creating, filming, and editing. Currently, I am trying to start a podcast with a friend about mental health and mindset. I also enjoy speaking in front of others. I’m consistently looking for opportunities to speak on meaningful topics to help others in their learning process.

Truthfully, my faith is my foundation. It holds me together and provides a path forward. Without a doubt, God has called me to this work. Looking back, I can see He’s been orchestrating everything to bring me to where I am today. This is my platform and how I’m to connect and love others well.

I realize that I can’t fix everyone with a mental illness. But I’m going to do the best I can to be there, support them, and help them manage their symptoms. Mental illness doesn’t have a formula. Yes, there are a group of symptoms that lead to a certain diagnosis, but symptoms also look different for everyone. I’ve seen the look of desperation in residents/patients, the look of “please help me.” If I can be present and be there for them in that moment, then it’s worth it.

Working at Hopewell

I see residents weekly for one-on-one appointments where we discuss their progress at Hopewell and their concerns with medication treatment. I collaborate with the clinical team to help provide the best care I possibly can. I love to walk and see residents outside in nature, as I find being outside can prompt richer conversations.

Hopewell is very important to me personally. I’ve seen Hopewell in different capacities, and I love every bit of it. No place is perfect. But Hopewell is one of those places that you fall in love with so much that the negatives don’t really matter as much. It’s so unique but in my eyes the best way to care for those with mental illness. It doesn’t make sense to me that more places like Hopewell don’t exist. I’m so honored to be a part of Hopewell. For however long my time is here, I appreciate every day that I have the privilege to serve these residents. The staff here genuinely care. It’s authentic. You can’t find that in many places in healthcare.

A great day at Hopewell is working with residents, checking their progress, spending time outside with them, joining the community for lunch and connecting, and collaborating with staff.

What Might the Future Hold?

I’m presenting a poster for Hopewell at the American Psychiatric Nursing Association national conference in October 2025. I plan to publish more in journals or other sources. One life goal is to write a book. In addition to teaching at Case, I’m currently in a Doctor of Nursing program and plan to do my project on engagement, specifically with nursing students’ engagement in their lecture classes. I’m trying to bring holistic and experiential learning into the classroom.

Food Service Manager and Wellness Educator Jenn Miller’s favorite Hopewell moments have to do with food. . . and no wonder! She started her Hopewell career in the kitchen as head cook in 2011 and in 2016 she moved into her present position. She also is a certified personal trainer. She said, “Nutrition and fitness are personal passions of mine – especially how they impact the mind and body.”

“Two of my favorite experiences with staff and residents are making apple cider with Hopewell apples and making maple syrup from our sugarbush,” Jenn said. “After they’ve been working a while, everyone loves to have hot maple syrup on cold vanilla ice cream as a treat.”

Before Hopewell, Jenn was in the workforce as a nursing assistant in a nursing home setting, which she found very stressful. When she found Hopewell through a friend of a friend, she knew she was home.

“My heart goes out to people with mental illness. I see their struggles to overcome their illnesses and I know that this is not what they want for themselves. It is personally meaningful to be a part of anything I can to help them heal, see things differently, and to help them have some sort of normalcy.”

Jenn plans three full meals a day seven days a week, cooking everything from scratch with the best and freshest foods. Some of the vegetables are sourced in our gardens, and chicken, ham, and beef comes from our livestock program. She works with Kelly Flynn, Garden and Landscape Manager, to select foods grown in the garden. She also schedules the animals to be processed, orders chicks, and works with other farm staff to bring pigs and cows to the farm.

Working Towards Residents’ Independence

When residents are getting ready to transition to more independence, Jenn works with them one on one or holds small class cooking instruction. “I put together transition packets with kitchen safety tips, shopping lists for pantry basics and healthy groceries, menu planning instructions, and more. As a group, we pick 5-6 things that are easy to prepare and nutritious. The goal is to learn to make something you can prepare for yourself even on a bad day.”

The class focuses on eggs, a breakfast menu, and pasta dishes, then cooks together once a week. “It’s rewarding when residents see that cooking was not as overwhelming as they thought. So many times when we eat what the residents make someone says, ‘Oh my gosh this is so good!’ They are proud of themselves for making it.”.

Part of the transition to independence is becoming familiar with and confident about new situations, so Jenn teaches residents how to go grocery shopping by visiting ALDI and Walmart. “We go over the lay of the grocery store, where to find basics, how to avoid junk food, and how to find the nutritious staples they need. I also teach them to compare prices.”

Jenn continued, “When you are having a bad day, your tendency is to grab the most convenient thing, but I teach residents how to find food that will help your brain. You can nourish your body and it does not have to be complicated or fast food.”

A Great Day at Hopewell

A great day at Hopewell for Jenn is “Just seeing the healing process. Residents come to Hopewell lost and confused, not joining the community much. Then I can watch their progress as they grow, see them laugh with a group of friends and come out of their shell. Food brings them together and is a shared experience. We recently changed our seating and many residents sit at a big table in the middle of the dining room, where they laugh and chat. This has made a tremendous difference.”

Some of her favorite memories are summertime Field Days that are organized with various team games, relay games, pool noodle polo, water balloon sling shots, and the like. “It’s great to see residents all of a sudden running, they lit up, they were competitive and laughing. They let down their hair and are kids again. Even some of the hardest ones to draw out came out to join the fun,” Jenn remembered.

Among Jenn’s goals are to continue to grow the nutrition program, keep things fresh and incorporate new recipes. She wants to get more hands on with people, get involved in gardening and preparing the food.

At home, Jenn loves to work in her garden in new raised beds that her husband built. They are empty nesters and she loves to spend time with her children and grandchildren. Hiking is another favorite activity, as is travel out west. Montana, Wyoming and Yellowstone are on their list for future trips.

Thank you, Jenn, for everything you do for Hopewell!

“It is immensely important to me to be part of a healing community where we are invested in each other’s growth. Residents and staff all work together. There’s nowhere else like Hopewell.” – Candace Carlton

Meet Candance Carlton, LISW-SP, RSP, clinician and Quality Improvement and Compliance Director – a true veteran who has been on staff since 2000. If you wanted to store all the hats she wears, you wouldn’t need a shelf – more like a closet! As a member of the Leadership Team, her many roles and far-reaching involvement exemplify her passion for the community and for personal growth.

Throughout her life you can see the influence of her grandmother, Pearl, who has encouraged her to pursue education and opportunities. “My grandmother taught school in Alaska, but she did not pursue her degree until she was 45. She always urged me to follow my dreams and continue to learn, even when others said I was ‘too old’ or ‘too busy’ to make time for education,” Candace said. She completed a bachelor’s degree in criminal justice at Kent State University at age 28 while working a full-time job and raising a daughter as a single mother.

When asked what drew her to working with people with mental illness, she said, “I had a loved one who was suffering, and I went to a support group fun by NAMI (National Alliance for the Mentally Ill). This experience deepened my understanding of mental illness, and I wanted to know more. It opened my eyes to mental health.”

“After I got my degree, I wanted to work here so I called the hiring manager every week for two months,” Candace laughs. When she began her tenure at Hopewell, the staff we currently call program facilitators were case managers. Her part-time evening position encompassed working directly with residents, taking people shopping and on outings. “We did not have as robust a clinical staff as we do now,” she remembered. “As I transitioned to full time, I was certified to pass medications and take blood pressure. I concentrated on supporting residents with their personal care goals, we went for walks in the woods, went fishing, played volleyball, and participated in work crews.”

With the encouragement of the Leadership Team, Candace went back to school to acquire her master’s in social work from Youngstown State University. Grandmother Pearl was there in spirit with words of support and encouragement.

Let’s Start Counting Hats

A major portion of Candace’s work at Hopewell is administration. Many years ago, she helped get Hopewell ready for accreditation from CARF (Commission on Accreditation of Rehabilitation Facilities), which stepped up our professionalism as an institution. She also eventually became the compliance director, which led to working on administrative pieces with CARF and ODMHAS (Ohio Department of Mental Health and Addiction Services) as well as overseeing research and outcomes. She has worked on implementing ODMHAS (Ohio Department of Mental Health and Addiction Services) and ODODD (Ohio Department of Developmental Disabilities) standards for our certification. Three times a year as a CARF surveyor, she travels to other residential treatment facilities to consult on meeting certification standards and improving services. On top of all of this, she prepares outcome studies and performance improvement projects and functions as the client rights officer.

Wearing her “clinician” hat, Candace carries a small caseload, develops treatment plans, provides individual therapy, and facilitates weekly Resident Council meetings. Over the years, Candace has been certified as a practitioner of several therapeutic modalities, including Sandplay therapy, which helps residents process inner emotions in a nonverbal way and EMDR (Eye Movement Desensitization and Reprocessing), an individual therapy which helps people process trauma, and Acceptance and Commitment Therapy. Two of her favorite resident activity groups are Spirituality, in which residents explore universal spiritual themes and become comfortable sharing their religion, and Mindfulness and Meditation. When wearing her “employee” hat, Candace leads the Diversity, Equity, Inclusion, and Accessibility group.

“A great day at Hopewell means residents helping one another and having a sense of belonging to the community,” Candace remarked. “Two recent special memories are when the residents, staff, and families gathered together for the eclipse and when our Musical Journey group held a concert. Everyone is so talented.”

Candace loves to go to concerts (blues rock and Joe Bonamassa are her current favorite), reads a great deal, crochets, sews, and loves being in nature. She enjoys painting, drawing and sketching, especially trees. She is a Lucille Ball fan and she has DVDs of all of the “I Love Lucy” episodes. Candace enjoys travel and has been to 35 states. She would love to see the states she has not visited yet and has considered Ireland, Wales, and England for future trips.

Thank you, Candace, for everything you do for Hopewell!

“I really like having a front row seat to people’s healing,” says Clinical Services Coordinator Sarah Turner.

A Hopewell Journey

Sarah always knew she wanted to work with and help people, not just hold a 9-5 desk job. Her Hopewell journey began in 2014 when she came onboard as a PRN program facilitator; she then worked her way into her current role.

Families first encounter Sarah when they consider Hopewell as an option for their loved one’s residential mental health care. “Talking to families in crisis makes this a tough job on some days,” Sarah said. “These conversations are crucial to determine whether the potential residents would be a good fit for Hopewell, and to be sure we can meet their needs.

“Hopewell is never the first go-to for residents,” she continued. “Listening to families, I hear about numerous hospitalizations, suicide attempts, and more. People call to talk about very heavy things. I listen empathetically, take notes, and talk them through the admissions process.”

Talking to families can make it a tough day and it’s necessary to process those emotions. “The stories that I hear are often difficult. It can really play on my emotions. There are times that I feel the need to decompress. We are lucky to have a gym here at Hopewell as well as a track to walk. Getting away from my desk and going for a quick walk is helpful. Talking with coworkers is also very helpful.”

By the time someone is admitted to Hopewell, Sarah and the admissions team know their whole story. Sarah shared, “I love it when I get to meet someone face to face and admit them, and they are so grateful for what we have done to get them here. Then over time it’s very satisfying so see their success.”

Some aspects of Sarah’s job are administrative in nature. She helps residents qualify for Medicaid to cover the cost of prescriptions and other medical services. She also assesses residents for disability benefits, which assures that they will have some funds coming in. As residents begin to look for options after Hopewell, she works on discharge planning with the clinical team and helps to ensure that residents are set up for success when they leave. “All of these parts of my job are self-taught. I did a lot of research, took some classes and found that I really enjoy it!”

Family Time and a Passion Project

Sarah finds a lot of joy in family time with her grown children and her youngest, a four-year-old. “She keeps me busy! Being with her brings a lot of kid-like wonder and joy that you lose when your kids get older. I have regained that through her.” She also enjoys metalworking with her dad, who is teaching her how to weld in his metal shop.

But Sarah’s real passion project is somewhat surprising. She devotes spare time to being a resource for families of children who have cleft lip or cleft palate. “I belong to a lot of online forums for parents of these children, where I try to answer questions from the standpoint of someone with experience.”

Sarah was born in 1981 when there was no ultrasound technology to show that she had a cleft. This shocked her young parents, barely out of their teens – here was a baby with a facial deformity. The only person available to talk to her mother was the surgeon, as there were no other support resources. “My parents had an unusual approach to my surgeries,” Sarah remembered. “They always planned them around the holidays so there was something to look forward to while I was recuperating.”

Sadly, Sarah was bullied at school and things were difficult. “This affected my mental health – I just did not feel good about myself and I became depressed. A turning point came after I graduated high school and I felt empowered to say I was done after roughly 25 surgeries. I chose to accept how I looked and start moving forward with life rather than focusing on what surgery would happen next.”

Talk about turning pain into promise!

Sarah pursued a double major in sociology and psychology at Youngstown State University. Eventually she accepted a position with Comprehensive Children & Family Services in Pennsylvania, where she did wraparound work with children who had autism and other mental health and behavioral issues. She worked with kids in school, at home, and in community settings, and developed treatment plans for them. This was very rewarding.

When her middle daughter started kindergarten, Sarah became a substitute teacher. She loved teaching and found working with kids with different abilities enjoyable.

Motivation and Meaning

When asked about what motivates her to work with people with mental illness, she mentioned, “I have a desire to help make a positive impact on the lives of those with mental health issues and find fulfillment in witnessing their progress and healing.”

The family environment at Hopewell means a lot to Sarah. “My favorite memory is when we had a Family Fun Day on campus. Residents, staff, and their families came together, made apple cider and s’mores. It was a neat feeling to watch my little girl interact with everyone. Hopewell is home for many residents, and they aren’t around children often. Seeing how they interested they were was heartwarming. That day wasn’t about their illnesses – it was about having fun. I was so happy to see joy on their faces as they all ran around to different activities together with their families.”

Some of Sarah’s future plans include traveling out west. She would love to do a family RV trip where they can stop whenever they want to look around. Given her energy and drive, we have no doubt that will happen someday soon.

Thank you, Sarah for everything you do!