Background Based on an organic farm and education centre, Grow2Grow offers young people with complex mental health needs both clinical mental health support and vocational opportunities. Methods Change in functioning (CGAS), vocational outcomes and client satisfaction were assessed for all young people completing Grow2Grow placements between June 2010 and July 2014. Results Twenty‐one young people completed Grow2Grow placements, achieving increased CGAS scores (p < .001) and reporting high levels of satisfaction with the project. Eighty‐one per cent achieved educational and/or employment outcomes. Conclusion This innovative approach to working with hard‐to‐reach young people is achieving high levels of engagement and positive vocational and mental health outcomes.

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