- This qualitative study identifies factors that influence staff hopefulness in their work with individuals with schizophrenia. Fifteen mental health professionals from both inpatient and community settings were interviewed via a semi-structured questionnaire. Subjects described the following as important to their hopefulness: knowing clients as people, sharing client successes, and receiving recognition for their accomplishments. Several educational, research, and system issues were also identified as influencing hopefulness. Respondents also described barriers to hopefulness arising from clients, coworkers and public attitudes. The relevance of these findings to promoting hopeful working environments is discussed.