North Dakota State Hospital

In August 2025, state leaders broke ground on the new North Dakota State Hospital (NDSH) in Jamestown, ND. Designed in collaboration with the Department of Health and Human Services, the 289,963 SF facility has many similarities to your proposed Campus, including its emphasis on trauma-informed design. The new facility will replace the main 1980s building and several aging structures, now supporting more than 300 staff, with 140 beds in a modern, trauma-informed care environment. The facility’s organization supports the human journey by utilizing a ‘home,’ ‘neighborhood,’ and ‘downtown’ model that prioritizes comfort, healing, and support within safe and secure environments. Home relates to private spaces and eight-room sub-clusters that limit disruption. Neighborhood organizes gathering and daily need areas like group/living rooms, laundry, and medication spaces. Downtown refers to active spaces like gyms, skills classrooms, therapy, barber/banking services, and clinical exam spaces. The new State Hospital will be future-ready, with specialized therapeutic spaces, advanced security measures, and expanded capacity to meet evolving needs, including state-of-the-art psychiatric inpatient care, forensic evaluation and restoration, psychiatric rehabilitation, a Geriatric Psychiatric Unit, and the Sex Offender Treatment & Evaluation Program.