Appalachian Center for Hope

Appalachian Center for Hope, Inc. (ACH) is a 501(c) 3 non-profit organization with a mission to provide and coordinate services to restore hope for people, families, and communities experiencing the devastating impact of substance use in Smyth County, VA and beyond. ACH was founded in 2021 by a multi-sector collection of community leaders responding to the findings of community health needs assessments.

This project supports renovations of a historic hospital building to meet the facility needs of ACH. The Rehabilitation (Rehab) Building, formerly part of the Southwestern State Hospital which was created by an 1884 Act of the Virginia General Assembly, was built in 1939 and designed to provide a therapeutic setting for patients with tuberculosis, hence the plenteous windows and linear plan for cross ventilation. The rebirth of this facility provides a trauma-informed inpatient treatment and recovery center.

Location: Marion, Virginia
Date: 2025
Size: 19,000 SF