Fulton State Hospital

Missouri Department of Mental Health

Fulton County, MO


Replacing the oldest public mental health facility west of the Mississippi River has improved the quality of care and better meets today’s standards for safety and security. This forensic psychiatric hospital is designed to meet the special requirements of maximum- and intermediate-security, severely mentally ill patients.

The design for this first-of-its-kind facility in the United States organizes 12 distinctive living areas into four unique program communities. Flexible treatment and residential spaces provide three levels of activity and security according to patient needs. All of the communities share the Hope Center, a town square-like mall that features shops and services, library, classrooms, restaurants, and gym, with access restricted by patients' condition.

EYP collaborated with WSP on this project.

Building Facts

  • 450,000 GSF
  • 300 beds
  • Behavioral Health

Awards & Honors

  1. Honor Award

    AIA Mid-Missouri

The Fulton State Hospital in Motion

The first-of-its-kind facility connects distinctive living areas by a central town square-like mall.