Appalachian Center for Hope

The Appalachian Center for Hope is the rebirth of a 1939 medical building into an inpatient substance use disorder treatment and recovery center. The adapted facility includes 63 beds in varied configurations, two dining rooms supported by a commercial kitchen, an administrative suite, group meeting and visitation areas, recreation and outdoor spaces. Trauma-Informed Design principles guided the project, creating a sense of safety and predictability, supporting sensory awareness, and providing spaces for both community and solitude - ultimately fostering an environment for healing.

Appalachian Center for Hope, Inc. is a 501(c)(3) nonprofit organization whose mission is to provide and coordinate services that restore hope for people, families, and communities affected by substance use disorder in Smyth County, Virginia, and beyond. The Rehabilitation Building, formerly part of the Southwestern State Hospital campus established by an 1884 Act of the Virginia General Assembly, was constructed in 1939 as a therapeutic facility for patients with tuberculosis. Its abundant windows and linear plan were originally designed to promote daylight and cross-ventilation - features that continue to support the building’s healing environment today.

Location: Marion, Virginia
Date: 2026
Size: 19,000 SF

Photos by Nick Waite Photo.