174 Years of Stepping In
In 1852, Cleveland was in the grip of a cholera epidemic. Families were torn apart. Children were left without parents, without homes, and without anyone responsible for their care. There were no child welfare systems, no safety nets, and no roadmap for what to do next.
But there were people who refused to look away.
A small group of women saw children in crisis and stepped in—simply because no one else would. That act of compassion gave rise to what was then known as the Cleveland Orphan Asylum, and what we now know as Beech Brook.
That moment—seeing a need and responding with courage—has defined Beech Brook for 174 years.
Beech Brook’s history is not just about longevity; it is about evolution—about making hard decisions in moments of uncertainty because children and families needed something different than before.
Over nearly two centuries, Beech Brook has lived through epidemics, wars, economic collapse, social upheaval, and dramatic shifts in how society understands child development and mental health. With each turning point came a choice: remain comfortable in familiar models, or adapt to what research, experience, and families themselves were telling us.
Time and again, Beech Brook chose to change.
What began as shelter for orphaned children evolved into residential treatment as awareness of children’s emotional and behavioral needs grew. Later, as evidence made clear that children thrive best when supported within families and communities, Beech Brook once again transformed—moving services into schools, homes, and neighborhoods, and focusing on prevention and early intervention.
These changes were not easy. They required courage, foresight, and a willingness to let go of long-standing models in favor of approaches proven to create better outcomes. Beech Brook consistently chose prevention over reaction, long-term impact over short-term fixes, and courage over complacency.
Today, Beech Brook’s work reflects generations of learning. Our services focus on addressing the root causes of adversity—trauma, poverty, instability, and isolation—before they become crises. We meet children and families where they are, strengthening the systems around them so they can grow, heal, and thrive.
Reaching 174 years places Beech Brook among a very small group of American organizations that have endured since the mid-19th century. That endurance belongs not to an institution alone, but to the thousands of staff members, caregivers, partners, donors, and community members who believed—across generations—that children deserve safety, opportunity, and hope.
As we mark this milestone and look ahead to our 175th anniversary next year, we do so with both pride and responsibility. The world continues to change, and Beech Brook will continue to change with it. What will remain constant is the belief that investing in children and families strengthens the entire community.
That belief began in 1852 with a simple but powerful act: seeing children in need and stepping in.
One hundred seventy-four years later, it is still who we are.

It takes many partners who share our vision of a future where every child and family thrives to keep our mission alive.
1 of 22