To help accommodate a growing need at the Brattleboro Retreat, HPC converted the first floor of one of their existing buildings into a patient care facility. About 2/3 of the existing first floor received an intense upgrade. The exterior received new windows and insulation and existing interior plaster walls were removed. A completely updated mechanical system and new power feed that had to be brought from the power plant, it was routed underground in existing tunnels. A new one story addition was also created and housed patient exam rooms. Minor upgrades had to be completed on the second and third floors to create proper egress through the building. Interior finishes through the space are all ‘psych safe.’ Work was phased, flowing from the south end of the building where the patient rooms where through the center area and into the addition. The north end of the building received minor upgrades to accommodate staff offices, conference and break room. The outdoor area behind the building also received a new courtyard for patient use. A redirock retaining wall was created, fence installed at the perimeter and new brick walkways were installed.