800-784-1361
About White River Junction VA Medical Center – Keene CBOC
Keene VA Community Based Outpatient Clinic is located in Keene, New Hampshire. Keene VA Community Based Outpatient Clinic offers outpatient Behavioral Health Services.
Keene VA Community Based Outpatient Clinic honors America’s Veterans by providing exceptional health care that improves their health and well-being. They hope to serve the nation’s veterans following President Lincoln’s promise “To care for him who shall have borne the battle, and for his widow, and his orphan”.
ACT is a form of behavior therapy, grounded in mindfulness practice. The goal of therapy is to help individuals be more skillful, effective and flexible in handling challenges that might interfere with their pursuit of a vital life. ACT asks the following question – “Given what is important to me, what am I willing to do and experience to move me in that direction in this moment?”
Pain Management Group is a support group for veterans suffering with chronic pain. They check-in with the participants each week and chart their pain level, energy and mood over the past week. It is a forum for sharing information between participants and facilitators and for lending support.
Military Sexual Trauma (MST) includes persistent sexual harassment (comments, gestures, cornering, inappropriate touch, suggestions or pressure for sexual favors). It also includes gender and/or sexual orientation pressure or threats, sexual assault and/or rape. Male and female veterans may have experienced MST. A safe environment to report military sexual trauma is maintained at the WRJ VA. All veterans, male and female, are asked by VA medical and/or mental health providers whether they may have experienced MST.
Anger management provides education and support to individuals who have had difficulty managing anger. It is available in a group or individual setting. Anger management provides education about a variety of techniques and strategies to effectively deal with anger. It provides support to help each individual identify his or her triggers and cues and to develop skills to cope with anger.
Veterans are able to see a psychiatrist on the computer with the help of a webcam. This allows veterans to receive specialized care without having to drive long distances. The White River Junction VA Mental Health Service and the Richford Health Center, in Richford, Vermont, have begun a new program to bring VA Mental Health services to veterans in Northwestern Vermont at the Richford clinic, using audiovisual communications (television and microphone).
Specialized Geriatric Psychiatry services are provided through the Geriatric Evaluation and Management (GEM) team. This team includes geriatric specialists from Internal Medicine, Psychiatry, Neurology and Social Work. Patients are seen by the entire team at the first visit and follow-up plans made according to need. In addition, a board certified Geriatric Psychiatrist is available to provide consultation for other mental health clinicians caring for older veterans.
Mental Health Intensive Case Management (MHICM) is a community based program for veterans with very disabling mental health problems who live within an hour’s drive of the WRJ VAMC. The program provides mental health services to eligible veterans in their homes and communities. The goal of the MHICM program is to support veterans in their recovery goals and minimize demoralizing crises.
Payment Options
Private insurance 
Self-pay options 
Military insurance 
Medicaid 
Medicare - Military Insurance
Levels of Care
Outpatient
Outpatient Programs (OP) are for those seeking mental rehab or drug rehab, but who also stay at home every night. The main difference between outpatient treatment (OP) and intensive outpatient treatment (IOP) lies in the amount of hours the patient spends at the facility. Most of the time an outpatient program is designed for someone who has completed an inpatient stay and is looking to continue their growth in recovery. Outpatient is not meant to be the starting point, it is commonly referred to as aftercare.
Intervention Services
Intervention services helps family or friends of addicts stage an intervention, which is a meeting in which loved ones share their concerns and attempt to get an addict into treatment. Professional intervention specialists can help loved ones organize, gather, and communicate with an addict. They can guide intervention participants in describing the damage the addict's behavior is causing and that outside help is necessary to address the addiction. The ideal outcome of an intervention is for the addict to go to rehab and get the help they need.
12-Step
12-step programs are addiction recovery models based on Alcoholics Anonymous (AA). A number of substance abuse programs (including some drug and alcohol rehab centers) use the 12 steps as a basis for treatment. Beginning steps involve admitting powerlessness over the addiction and creating a spiritual basis for recovery. Middle steps including making direct amends to those who've been hurt by the addiction, and the final step is to assist others in addiction recovery in the same way. 12-Step offshoots including Narcotics Anonymous (NA), Cocaine Anonymous (CA), Dual Recovery Anonymous (DRA), Sex and Love Addicts Anonymous (SLAA) and Gamblers Anonymous (GA).
Aftercare Support
The Continuing Care Group is a psychotherapy group open to inpatients and outpatients. The focus of the group is on current issues in the person's life including relationship difficulties, depression, anxiety, and substance use. Group members are encouraged to talk about their experiences and offer feedback and support to fellow group members Completing a drug or alcohol rehab program shouldn’t spell the end of substance abuse treatment. Aftercare involves making a sustainable plan for recovery, including ongoing support.
Programs
Adult program
Elderly program
LGBTQ program
White River Junction VA Medical Center is committed to providing top-quality care to all Veterans, including LGBT and questioning Veterans, and they deliver culturally competent, patient-centered care to all who come to White River Junction or our community-based outpatient clinics (CBOCs).
Military program
Program for men
Program for women
Young adult program
Settings & Amenities
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Private setting -
Art activities
Treatment
Mental Health
Mental health rehabs focus on helping individuals recover from mental illnesses like bipolar disorder, clinical depression, anxiety disorders, schizophrenia, and more. Mental health professionals at these facilities are trained to understand and treat mental health issues, both in individual and group settings.
Clinical Services
Cognitive Behavioral Therapy
This psycho-educational group provides skills to create successful change. This involves the initiation of abstinence, the prevention of relapse, and the development of new ways to cope with negative thoughts. Cognitive Behavioral Therapy (CBT) is a therapy modality that focuses on the relationship between one's thoughts, feelings, and behaviors. It is used to establish and allow for healthy responses to thoughts and feelings (instead of unhealthy responses, like using drugs or alcohol).
Couples Therapy
Whether a marriage or other committed relationship, an intimate partnership is one of the most important aspects of a person's life. Drug and alcohol addiction affects both members of a couple in deep and meaningful ways, as does rehab and recovery. Couples therapy and other couples-focused treatment programs are significant parts of exploring triggers of addiction, as well as learning how to build healthy patterns to support ongoing sobriety.
Creative Arts Therapy
Creativity is inherently healing, and can help those in recovery express thoughts or feelings they might not otherwise be able to. Creative arts therapy can include music, poetry/writing, painting, sculpting, dance, theater, sandplay, and more. Unlike traditional art, the final product matters far less than the experience of creation and expression itself.
Dialectical Behavior Therapy
Dialectical Behavior Therapy (DBT) is a modified form of Cognitive Behavioral Therapy (CBT), a treatment designed to help people understand and ultimately affect the relationship between their thoughts, feelings, and behaviors. DBT is often used for individuals who struggle with self-harm behaviors, such as self-mutilation (cutting) and suicidal thoughts, urges, or attempts. It has been proven clinically effective for those who struggle with out-of-control emotions and mental health illnesses like Borderline Personality Disorder.
Electroconvulsive Therapy
ECT is a form of treatment in which controlled electric currents are passed through the brain, sometimes causing short seizures. Treatments are done under general anesthesia. ECT appears to change brain chemistry for the better, and has been shown to provide fast and sometimes dramatic improvements in severe mental health conditions that can exist alongside addiction, including depression, bipolar disorder, psychosis, and suicidality. ECT is also often used by those who prefer it to taking medication.
Experiential Therapy
Experiential therapy is a form of therapy in which clients are encouraged to surface and work through subconscious issues by engaging in real-time experiences. Experiential therapy departs from traditional talk therapy by involving the body, and having clients engage in activities, movements, and physical and emotional expression. This can involve role-play or using props (which can include other people). Experiential therapy can help people process trauma, memories, and emotion quickly, deeply, and in a lasting fashion, leading to substantial and impactful healing.
Family Therapy
Research clearly demonstrates that recovery is far more successful and sustainable when loved ones like family members participate in rehab and substance abuse treatment. Genetic factors may be at play when it comes to drug and alcohol addiction, as well as mental health issues. Family dynamics often play a critical role in addiction triggers, and if properly educated, family members can be a strong source of support when it comes to rehabilitation.
Group Therapy
Group therapy is any therapeutic work that happens in a group (not one-on-one). There are a number of different group therapy modalities, including support groups, experiential therapy, psycho-education, and more. Group therapy involves treatment as well as processing interaction between group members.
Individual Therapy
In individual therapy, a patient meets one-on-one with a trained psychologist or counselor. Therapy is a pivotal part of effective substance abuse treatment, as it often covers root causes of addiction, including challenges faced by the patient in their social, family, and work/school life.
Life Skills
Life skills trainings involve all the skills a person must have in order to function successfully in the world. These include time management, career guidance, money management, and effective communication. Truly successful addiction recovery is based on the ability to not only live substance-free, but to thrive. Life skills teaches the practical necessities of functioning in society, which sets clients up for success in life, and therefore sobriety.
Nicotine Replacement Therapy
Nicotine Replacement Therapy (NRT) is a way of getting nicotine into the bloodstream without smoking. It uses products that supply low doses of nicotine to help people stop smoking. The goal of therapy is to cut down on cravings for nicotine and ease the symptoms of nicotine withdrawal.
Nutrition Therapy
Nutrition therapy, aka medical nutrition therapy (MNT), is a way of treating physical, emotional, and medical conditions through diet. Specific dietary plans are designed by professional nutritionists or registered dietitians, and patients follow them in order to positively affect their physical and mental health.
Trauma Therapy
Trauma therapy addresses traumatic incidents from a client's past that are likely affecting their present-day experience. Trauma is often one of the primary triggers and potential causes of addiction, and can stem from child sexual abuse, domestic violence, having a parent with a mental illness, losing one or both parents at a young age, teenage or adult sexual assault, or any number of other factors. The purpose of trauma therapy is to allow a patient to process trauma and move through and past it, with the help of trained and compassionate mental health professionals.
Accreditations
Joint Commission
The Joint Commission, formerly known as JCAHO, is a nonprofit organization that accredits rehab organizations and programs. Founded in 1951, the Joint Commision's mission is to improve the quality of patient care and demonstrating the quality of patient care.
Joint Commission Accreditation: Yes
Contact
(603) 358-4900 
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