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Keystone Hall


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Keystone Hall, formerly known as the Greater Nashua Council on Alcoholism, is a non-profit organization offering comprehensive residential and outpatient treatment for men and women struggling with substance abuse and co-occurring disorders.

Located in Nashua, New Hampshire, Keystone Hall was founded in 1983 by Paul Lacasse, a former marine and recovering alcoholic who made it his personal mission to help others get sober, while working to reduce the stigma associated with addiction. His mission appears to be intact; Keystone Hall has provided more than 13,000 individuals with the life-saving gift of treatment since its inception.

Accommodations and Food

In 2012, Keystone Hall purchased a 26,000-square-foot, two-story commercial building less than five miles from downtown Nashua. Inside, the décor is homey and simple, but this is not a private home so there is still industrial lighting and flooring and communal showers at the end of the halls.

There are two gender-specific programs for adult men and women. The 28-day program has 22 beds for men and 12 beds for women and the 90-day transitional program has room for 12 men and six women. Men and women are on separate units and kept segregated throughout treatment. Rooms are double occupancy, with twin beds, a nightstand and a shared half bath. Meals are served in the first-floor cafeteria and prepared by kitchen staff. The four food groups are always provided, with a salad bar at dinner. Unlike some places, caffeine is not restricted here. Residents are responsible for kitchen clean up, personal chores and laundry.

Treatment and Staff

The 90-day program is called Transitional Living and focuses on individuals with co-occurring disorders who have completed the 28-day program.

All clients attend group and individual therapy and two AA meetings per week, both on and off campus. Group topics consist of relapse prevention, addiction studies, 12-step study, coping skills and family dynamics. Family education day is on Saturday afternoons and participation is strongly encouraged. Topics include co-dependency, effects of addiction and communication skills. A licensed substance abuse counselor facilitates all therapy.

Days at Keystone Hall start at 7 am with breakfast and chores and the first group is at 8 am. Groups continue until lunchtime and resume at 1:30 pm until dinner. Men and women have separate common areas and on the nights where there are no groups or meetings, residents can watch TV.

The core treatment staff at the main Keystone Hall facility is made up of three Master’s-level therapists, six LADCs and eight technicians.

The Cynthia Day Family Center treats pregnant women and women with children for substance abuse. It has its own unit in the main facility, with beds for 16 women and 36 children and a separate kitchen where women learn about nutrition, preparing family meals with the assistance of a licensed dietitian. The program is very similar in structure to the adult residential program, but the women are also provided with parenting classes, babysitters and tutors for their children while they are in group.

Keystone Hall also offers two levels of adult and adolescent outpatient services just down the street from the residential program. Group size is limited to 15 participants and a licensed alcohol and drug counselor facilitates all groups.The Intensive Outpatient Program (IOP) is 12 weeks in duration and meets three nights a week for three-hour sessions. Included in that nine hours is one 60-minute individual therapy session and one family session, which includes the client.

Outpatient clients only meet once a week for a 60-minute group and individual therapy is scheduled on an as-needed basis. While the length of this program depends on the individual, clients are encouraged to attend for six weeks. In all outpatient programs, clients are also expected to participate in the local 12-step community as part of their ongoing recovery plan.


Another one of the outpatient services is Suboxone detox. In order to qualify for this, potential clients must undergo a medical assessment; duration of treatment and dosage are based on this initial evaluation.

In Summary

Keystone Hall offers comprehensive substance abuse treatment for residents of New Hampshire, including new mothers, and a unique, longer-term program for people with co-occurring disorders, a subset of addiction that is becoming more recognized. With a sliding scale option and government funding available, no one is turned away for lack of funds. There is a three-month waiting list, which could be a problem for someone in dire need of treatment.

Keystone Hall Location

615 Amherst St
Nashua, NH 03060

Keystone Hall Cost

Sliding scale. Reach Keystone Hall by phone at (603) 943-7971 or (603) 881-4848 or by email at Find Keystone Hall on Facebook and Flickr

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