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Tri-County Community Action Program


Tri-County Community Action ProgramThe Basics

Tri-County Community Action Program is a mental health agency that opened its doors exclusively to New Hampshire residents in May 1965. It has multiple programs located in Coos, Carroll and Grafton counties, which form a diamond around the White Mountains’ imperious Mt. Washington. Friendship House is a Tri-County residential treatment program north of the mountains. Other facilities offer outpatient programming geared toward youth and families in recovery from alcohol and other drug abuse. Tri-County is traditional in its use of 12-step principles during treatment.

Treatment and Staff

There are three phases of treatment at Tri-County CAP. The first, Step One, is a voluntary outpatient program for adults in crisis who want to get sober and may need medical detox. The program includes three to seven days of detox in a clinical setting. Clients who do not necessarily need treatment long-term can opt for just detox and counseling, receiving help for up to 10 days. Step One includes on-site 12-step meetings and scheduled peer activities.

The second phase of treatment, or Step Two, is the residential program at Friendship House, which is a clinically-managed facility with sobriety maintenance services. Clients must participate in a phone interview for admission and their case is reviewed to see if they are eligible for the program. Residents who qualify stay for 28 days of treatment and up to 26 weeks in transitional housing. Clients must be detoxed prior to admission and financial screening determines the cost of care for individual clients.

Friendship House is not a mental health or medical facility. There are 18 beds, 12 of which are reserved for men and six for women. Clients, who must be 18 years or over, live two to a room. Residents attend one-on-one sessions with LDACs on staff once a week. Friendship House provides a structured program with psychoeducational classes, individual and group therapy, recreational therapy and on-site 12-step meetings every day.

The third phase of treatment, or Step Three, is a transitional care program lasting up to six months. Clients are able to work or study at Friendship House or in the community while in extended care.  Staff assist clients with employment and vocational counseling.


The Impaired Driver Intervention Program for DWI offenders is available to court-mandated clients. Clients who are homeless are eligible for the extended care program. Clients with children are  eligible for childcare services.

In Summary

Tri-County Community Action Program is a staple of the New Hampshire mental healthcare landscape. The agency has been in business for 45 years, providing outpatient and residential treatment to New Hampshire residents. The outpatient program allows clients to decide for themselves what level of care they receive after detox, and the residential program provides structure for clients who choose to participate in more intensive treatment.

Tri-County Community Action Program
30 Exchange St
Berlin, NH 03570

Friendship House
2957 Main St
Bethlehem, NH 03574

Tri-County Community Action Program Cost: Sliding scale. Reach Tri-County Community Action Program by phone at (603) 752-7001 or by email at [email protected]. Find Tri-County Community Action Program on Facebook

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