Acute Care Services

If you or someone you know is facing an immediate mental health crisis right now, call our emergency help line at 603-357-4400.

Monadnock Family Services’ Acute Care Program’s Emergency Services Team steps in to help people and families that face a mental health crisis – an emergency that’s happening right now.  Our expert, experienced staff clinicians are available to help either by phone or in person 24 hours every day of the year.  They know how to help persons in crisis to stay safe and to restore and maintain calm until more comprehensive treatment can be arranged.

When help can't wait, our Emergency Services clinicians can meet with individuals and families either at our offices at 17 93rd Street in Keene from 8:30 AM - 5:00 PM, or after hours at the emergency room of the Cheshire Medical Center. In situations that are less urgent, a full assessment appointment can be scheduled for a person to meet with one of the Acute Care Program's intake clinicians in the office, usually within one to two weeks.

 No one is denied our help because of an inability to pay for our services.

 Here’s how we help:

 Last summer a young, unemployed, homeless woman from the Keene area -- we'll call her Esther, but that's not her real name -- who was actively psychotic, was brought to MFS's Emergency Services office by our homelessness outreach worker.  An Emergency Services clinician immediately recognized the severity of her situation, made a full evaluation of her needs, coordinated with her primary care medical provider to initiate anti-psychotic medication, and gave her useful ideas to help her calm herself and manage her behavior.

He then contacted the homelessness worker and Southwestern Community Services to find a place for Esther at a shelter, and arranged for an intake appointment with MFS to expedite the availability of further services.  He scheduled Esther for several crisis stabilization appointments with Emergency Services to make sure she would remain safe while awaiting case management, ongoing therapy with one of MFS's psychotherapists, and an appointment with our psychiatrist for further medication management

Esther was able to regain her stability over the next few weeks and has continued to receive services at MFS.  She continues to use her medications regularly, works well with her case manager and psychotherapist, has her own apartment, is enrolled in our Supportive Employment program, is seeking part-time employment, and is considering applying to a local college for the new semester.