Riverbend Community Mental Health – Counseling Associates

About Riverbend Community Mental Health – Counseling Associates

Riverbend Community Mental Health Pillar House is a behavioral health treatment site in Concord, New Hampshire operated by Riverbend Community Mental Health, a nonprofit community mental health center serving central New Hampshire.

The Pillar House location supports outpatient behavioral health care, integrated dual diagnosis treatment and community based adult services.

Riverbend’s approach centers on meeting people where they are, combining harm reduction principles with whole person care for mental health and substance use challenges.

Dual Diagnosis Care

Pillar House is associated with Riverbend’s outpatient and dual diagnosis capable services, supporting adults living with co-occurring mental health and substance use conditions.

As part of a community mental health center founded in 1963, the program is rooted in decades of experience serving central New Hampshire.

Care may include individual psychotherapy and group therapy, case management and psychotropic medication, with evidence based modalities such as cognitive behavioral therapy, DBT and trauma focused therapy.

Sessions are designed to address underlying mental health concerns alongside addiction recovery with a harm reduction framework guiding treatment decisions.

Community Based Adult Support

Beyond clinical therapy, Pillar House anchors Riverbend’s community based adult services including psychosocial rehab, illness management and recovery, supported employment and intensive case management.

This wraparound model helps adults, young adults and seniors stabilize, build coping skills and reconnect with meaningful daily life.

Getting Started

Pillar House is located at 40 Pleasant Street in Concord and serves clients across central New Hampshire through in person outpatient care, with addiction specific services available through Riverbend’s nearby Choices program.

The program accepts Medicaid and Medicare, private and military insurance, self pay, state mental health agency funds and offers sliding fee scale assistance.

Edited by: Natalie Scott

Addiction Treatment Programs

Dual Diagnosis
It’s common to have both a mental health disorder and substance use problems. The right rehab in New Hampshire can treat both issues. Part of treatment will include managing your mental health symptoms so you aren’t tempted to use substances to self-medicate. This can be done without counseling and medication.
Adult Program
An adult program in New Hampshire helps clients overcome substance use and address issues such as employment and family. These treatment programs offer detox, inpatient treatment, and outpatient care tailored to the specific needs and challenges of adults.
Senior Rehab
The best way to achieve long-term recovery, if you are older in New Hampshire, could be to find a senior rehab. These treatment programs offer detox, inpatient treatment, and outpatient care tailored to the unique needs and challenges of older adults, such as chronic pain, mental health concerns, and more.
Men's Rehab
Those who join a men’s rehab program in New Hampshire are given training in key life skills to help them address their unique challenges. These treatment programs offer detox, inpatient treatment, and outpatient care tailored to the unique needs and challenges men face, which may include questions about career, fatherhood, family relationships, emotional vulnerability, and more.
Women's Rehab
Women need unique support, and a women’s rehab in New Hampshire can help them manage gender-specific concerns while overcoming addiction. These treatment programs offer detox, inpatient treatment, and outpatient care tailored to the unique needs and challenges of women. They generally also include life skills training tailored to the client’s needs.
Young Adult Rehab
A young adult rehab in New Hampshire can provide every level of care while addressing the unique needs of young adults. These treatment programs offer detox, inpatient treatment, and outpatient care tailored to the unique needs and challenges of young adults.
Addiction Treatment and Recovery Services
This program at Riverbend Community Mental Health delivers a full range of outpatient services for individuals and families affected by substance use disorders, combining counseling, education, and recovery support.
Medication Assisted Treatment
Medication Assisted Treatment is available at Counseling Associates for individuals with opioid use disorder, supporting withdrawal management and long-term recovery alongside counseling services in Concord, NH.
SBIRT
Screening, Brief Intervention and Referral to Treatment services help identify substance use concerns early, connecting individuals in the Concord community to appropriate levels of care and support.
Children's Services
Riverbend Community Mental Health provides a continuum of care for children, youth, and families, addressing emotional and behavioral needs alongside the organization’s broader substance use treatment offerings.
Home and Community Based Services
Home and Community Based Services deliver intensive in-home supports to children and families, extending Riverbend’s coordinated, community-based approach beyond the Pleasant Street office.
School-Based Services
School-based services support students’ emotional and behavioral needs, reflecting Riverbend Community Mental Health’s broader commitment to community-based care across the Concord, NH area.

Insurance Coverage

Medicaid
When you’re planning to use Medicaid to pay for rehab in New Hampshire, there are a few details to keep in mind. Using Medicaid keeps your costs, if there are any, very low. You can access any type of care, including detox, inpatient, and outpatient.
Private insurance
In New Hampshire, using private insurance to pay for rehab can save you time and money. Be sure to contact the insurance company to find out what centers are in-network with your plan and to learn other coverage details.
Self-pay options
Paying for treatment in New Hampshire can be done several ways, including self-pay. When you use a medical loan, a check, or electronic money transfer to pay for rehab, you can choose whichever treatment center you prefer. Check on the fee structure, which may vary depending on the level of care.
Sliding scale payment assistance
In New Hampshire, finding a rehab with a sliding scale payment plan can allow you to get the care you need. Whether you need detox, inpatient treatment, or outpatient care, you can qualify for a lower cost based on your income and family size.
Medicare
If you have Medicare, you can use it to help pay for substance use treatment in New Hampshire. Your coverage can pay some or all of the costs of rehab. Different Medicare plans have different coverage details, and it’s important to choose a center that accepts your plan.
Military insurance
In New Hampshire, using military insurance to pay for rehab can allow you to get the care you need. You may have out-of-pocket costs such as a deductible or copay, and you’ll want to look for a treatment center in-network with your insurance coverage.

Levels of Care

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Outpatient Rehab
Riverbend Community Mental Health’s Counseling Associates location on Pleasant Street in Concord provides a full continuum of outpatient addiction treatment, including assessment, counseling, and ongoing recovery supports.

Therapies

Cognitive Behavior Therapy
Cognitive behavioral therapy acknowledges that your thinking impacts your emotions and actions and helps you create healthier thought patterns. Learning which thought distortions you are most susceptible to can help you challenge unhelpful thoughts, create better interpretations of situations, and choose healthier responses.
Dialectical Behavior Therapy
Dialectical behavioral therapy acknowledges that your confidence and coping skills have a big impact on your substance use habits. Learning to develop a healthier mindset through stress management skills gives you the ability to create better circumstances in your life, and choose healthier responses to challenges.
Experiential Therapy
Experiential therapy in New Hampshire gives you a unique way to express your emotions, which helps you overcome challenges that are holding you back from a better life. During treatment, you may take part in art projects, musical expression, or physical challenges like an obstacle course. These allow you to process emotions in a non-traditional way.
Group Therapy
Group counseling and education are offered at Riverbend Community Mental Health to support recovery and relapse prevention, helping clients build coping skills alongside peers in treatment.
Individual Therapy
Counseling Associates in Concord offers assessment and outpatient counseling for individuals affected by substance use, integrating mental health support as part of a coordinated treatment plan.
Trauma Therapy
During trauma-informed therapy in New Hampshire, clients will receive support that acknowledges what they’ve been through and helps them craft a healthier response. Trauma-informed therapy is a normal part of evidence-based treatment programs and may be a part of inpatient treatment, outpatient care, or both. Methods include sharing of experiences, peer support, mindfulness practices, and more.
Family Therapy
Family-focused supports are woven into recovery planning at this Concord, NH location, addressing how substance use affects loved ones and strengthening the home environment during treatment.