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Step Up, Step Down (SUSD)

A Voluntary Peer-Run Residential Mental Health Program

Step-Up Step-Down is a peer driven voluntary 30-90 day mental health residential program, whose mission is to create an environment that will facilitate hope-based recovery, and increase mental, physical and emotional well-being for those who participate. Located in a beautiful historical building in Keene, New Hampshire, the environment serves as a landing space for gradual integration back into the individual’s community, deepening connections to supportive networks and increasing chances of personal success. Each individual has their own private bedroom, along with shared common areas. Participants are able to come and go as they please, enabling them to continue work, attend school, and visit with family, friends, or groups outside of the home. Step-Up Step-Down is free to everyone. Free transportation services are also made available.

How to Begin?

To find out more about becoming a Step-Up Step-Down guest, or to refer someone you know, please email You can also fill out the referral form below, and attach to the email as well.

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