ABOUT KEYSTONE HALL
Located just outside downtown Nashua, N.H., Keystone Hall is a nonprofit organization that offers residential and outpatient treatment for adults and adolescents struggling with substance use and co-occurring mental health disorders. Priority for treatment, including clinically managed detox and a center for pregnant and postpartum women, is given to New Hampshire residents who are under-insured or face difficulties covering costs. Services are available in both English and Spanish. Keystone, formerly known as the Greater Nashua Council on Alcoholism also operates a primary health care clinic on-site.
TREATMENT & ASSESSMENT
Walk-in appointments to get started at with outpatient treatment are available, and all clients begin admission with a two-hour intensive assessment and intake process. Treatment at Keystone Hall is culturally responsive, trauma-oriented, and evidence-based, emphasizing 12-step concepts and gender-specific individual and group counseling.
The facility’s 28-day, high-intensity residential program targets substance abuse alone, while a 90-day program is based in dual diagnosis treatment. Intensive outpatient (IOP) groups meet three times a week, for three hours each session and adult IOP clients can also receive aid in securing supportive housing. Keystone staff coordinate with parole and probation officers, and with schools and caregivers for adolescent IOP clients.
Additional available services include medication-assisted therapy, according to information provided to Best-rehabs.com by the facility, and support groups for specialized groups, including veterans, according to Keystone’s Facebook page.
STAFF CREDENTIALS
Job postings on the Keystone Hall website indicate that a potential staff member’s experience working with diverse clients is a priority. In addition to a master’s degree in therapy or social work, one counselor description listed notes, “Must have a great sense of humor!” The facility also employs licensed professional nurses, certified recovery support workers, and licensed alcohol and drug counselors. Staff in recovery must have two years of sobriety before hiring.
ACCOMMODATIONS & AMENITIES
There is currently no information provided on the facility’s website regarding its living arrangements and related offerings, but the eight individuals polled by Best-rehabs.com to date indicated strong satisfaction. They awarded average ratings of 4.25 stars out of five for meals and nutrition, 4.1 for the facility’s cleanliness and upkeep, and four for phone use policies. However, a 3.1-star rating for exercise and leisure activities suggested limited offerings outside of treatment and general accommodations. The Keystone Hall building is located on a public bus line.
WHAT ALUMNI SAY
At the time of this writing, six alumni polled by Best-rehabs.com each awarded five out of five stars for their likelihood to recommend Keystone Hall to others. All six also rated the effectiveness of treatment five stars. In overwhelmingly positive reviews, they frequently praised the staff along with the combination of individual and group therapies.
The staff’s level of training and experience received 4.3 stars. In a representative review, alum E.C. wrote: “Recovery, good staff, clean. Changed my life.” Two reported long-term positive outcomes, including a good job and maintaining sobriety. Two alumni noted the need for clients to want and work for their recovery while in rehab.
Several areas for improvement were identified in the facility’s flexibility and range of offerings. Metrics measuring holistic therapy offerings, options in counseling approaches, and the program’s capacity to treat co-occurring conditions each received lower ratings of 2.3 to 3.6 stars. On the other hand, one alum commented that he “kept busy.”
In addition three reviewers warned of long waiting lists for residential services.
WHAT FRIENDS & FAMILY SAY
The two reviews submitted to Best-rehabs.com by loved ones at the time of this writing offered opposing feedback of the facility, split between mainly five-star and mainly two-star ratings for 15 metrics measured. Both agreed with alumni, however, on a lack of holistic care, with just one and two stars granted. Data revealed polarized evaluations of family participation, counseling options, staff experience, and the loved one’s likelihood to recommend Keystone Hall.
The more critical reviewer described the facility as understaffed and needing more individualized treatment plans. They described staff as “not knowledgeable about Co occurring disorders.” The other loved one cited limited exercise equipment as a weakness but praised the staff as caring, writing that their parent received the “best treatment.”
WHAT STAFF SAY
The one staff member surveyed by Best-rehabs.com, D.H., indicated that they had no concerns about care, highlighting the “client respect and diversity,” as well as evidence-based therapy. They agreed about limited exercise opportunities, also concurring with alumni about limited space. On the other hand, the effectiveness of treatment and staff training and experience received five stars apiece.
FINANCING
According to the facility’s website, no one is denied services based on an inability to pay. Services are offered on a sliding fee scale and most insurances are accepted. Fees are listed for several services, including $350 for an evaluation, $3,460 for 14 IOP sessions, and $550 per day or $15,400 for 28-days of residential treatment.