Many patients at the Pennsylvania Psychiatric Institute, an 89-bed facility affiliated with Pennsylvania State University, suffer from schizophrenia, substance abuse, depression, or bipolar disorder. They cannot complete the "activities of daily living," the hospital’s inpatient clinic states. Some are "suicidal, aggressive, or dangerous to themselves or others." During their stay, which is often involuntary, patients participate in group counseling, learn strategies for stress management, have their medication adjusted, and interact with therapy animals. They can also partake in a less orthodox therapeutic activity: registering to vote.