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Typical Day at Keystone Treatment Center

Adolescent Typical Day

For teens at Keystone, a typical day begins at 6:30 a.m. with a hearty breakfast and time to complete workbook assignments and study. The rest of the day is packed with therapy groups, lectures, recreation and personal time. Throughout the day, teens meet with staff and therapists who represent the hospitality and warmth of small-town, rural living.

We enjoy all four seasons at Keystone and offer a variety of indoor and outdoor activities to help teens discover the joys of sober fun. In between lectures and therapy sessions, patients are free to play sports or games, run on our regulation-size track, read, socialize, or enjoy the view of our 30-acre campus on the South Dakota plains.

Each day winds down with a family-style dinner in our dining hall, a recap of the day, and time for rest and quiet reflection. Lights out is called at 10 p.m.

Once a week, teens have the opportunity to participate in a purification ceremony, or "inipi, a Native-American sweat lodge, where they sing songs, pray and connect spiritually. Those who wish to attend religious services are able to visit the many churches located nearby. On Sundays, visitors are welcome from 2 p.m. to 4:30 p.m.

Example Adolescent Girl's Schedule     Example Adolescent Boy's Schedule

  • AA/NA Group
    This group, which follows the structure of AA or NA, gives teens an opportunity to see what 12-Step meetings in the community will be like after they complete treatment at Keystone. Patients choose a topic and lead the meeting, or a special outside speaker acts as host.

    Community Group
    In a safe, supportive environment, Community Group gives teens a chance to give and receive feedback from staff and peers and set goals. Patients practice using "I feel" statements and expressing themselves in a respectful way.

    Lecture
    Educational sessions designed to teach teens about the disease of addiction. Patients watch educational videos and discuss a variety of issues related to addiction and treatment.

    Quiet Time/Self Time
    This is a time for teens to learn how to be still. They can meditate, write in their journal, sleep, pray or engage in some other quiet activity.

    Recap Group
    The purpose of this group is to bring closure to the day. Teens discuss the positive aspects of the day and set goals for the following day.

    Personal Inventory
    Each day ends with a personal inventory, which is a time for reflection. Patients may use a worksheet that helps them evaluate their day or they can use this time to journal.



  • Contracts
    Teens present their homework and receive honest and constructive feedback from their peers

    Corrective Thinking Group
    This group is designed to help adolescents identify thought patterns that result in unwanted feelings, actions and consequences, and learn ways to correct these patterns. Patients work through nine lesson plans and complete a series of worksheets and assignments.

    Cultural Group
    Facilitated by our cultural advisor, this group exposes teens to different world views and cultures and increases their awareness of their own culture.

    Exercise Group
    Led by our recreational therapist, this group allows teens to play active games, walk, practice yoga or tai chi, or engage in another form of exercise to strengthen their physical body while learning to use physical activity as a coping tool.

    Expressions Group
    Teens explore healthy ways to express their emotions through art projects, poetry writing, music, games, drama and other creative activities.

    Family Issues Group
    Led by our family program counselor, the purpose of this group is to discuss family-related issues and teach skills to resolve family conflicts and improve communication.

    Family Processing Group
    A time devoted to discussion of family issues and to bring closure to family visits, if applicable.

    Interpersonal (IP) Group
    In this group, teens learn to cope with feelings by sharing them with others. Group members practice active listening, offer feedback and share in a group discussion.

    Reading Group
    Teens have an opportunity to read aloud from the AA/NA book or other pertinent material, listen to others and share their life story.

    Spirituality Group
    A group designed to help teens gain a broader perspective and to find meaning and purpose in life. Activities may include meditation, lectures, guided imagery, community service projects, group discussions, and arts and crafts.

    Topic Group
    This is a group that takes various forms, depending on the needs of the group. Activities may include educational lectures, group processing, collage work and many others.

    EEG – Experiential Growth Group
    A hands-on learning group that takes place on our low ropes course, EGG is designed to teach lessons and bring the group together with initiatives that promote problem solving. Themes include honesty, safety, caring for self and others, goal-setting, being in the here and now, and letting go and moving on.

    Women's Issues/Men's Issues Group
    In a safe, supportive group setting, males and females can discuss issues pertaining to life as a young man or woman in recovery. Common topics include healthy relationships, body image, dating and many others.



  • Talking Circle
    An optional Native-American spiritual ceremony run by one of our spiritual advisors that provides a safe, private place for teens to explore their emotions and spirituality.

    Purification Ceremony
    This ceremony, which is also called "inipi," is a Native-American sweat lodge experience that takes place on Saturdays.





Adult Typical Day

Each day at Keystone begins in the spirit of hope and promise. Patients wake up to views of the South Dakota plains and head to our dining room for a 7:30 a.m. breakfast and an enlightening lecture about the disease of addiction. The day progresses with a series of group therapy sessions, individual counseling and 12-Step meetings.

In between lectures and therapy sessions, patients are free to play sports or games, run on our regulation—size track, read, socialize, or enjoy the view of our 30–acre campus from a picnic bench or a shady patch of lawn. In the evenings, patients attend 12–Step meetings on and off campus and gather around the fireplace for a reading from the Big Book or a discussion about spirituality and other recovery-related topics.

On Saturday afternoons patients may participate in a purification ceremony, or "inipi," a Native—American sweat lodge, where they sing songs, pray and connect spiritually. The remainder of the day is filled with group therapy and 12–Step work, ending with a movie and other activities.

On Sunday, patients wake up to a delicious breakfast buffet and ongoing group therapy sessions. Those who wish to attend religious services are able to visit the many churches located nearby. Visitors are welcome at Keystone from 2 p.m. to 4:30 p.m.

Example Adult Women's Schedule     Example Adult Men's Schedule

  • Women's Issues/Men's Issues Group
    In a safe, supportive group setting, males and females can discuss issues pertaining to life as a man or woman in recovery. Common topics include healthy relationships, body image, career, family and many others.

    Interpersonal (IP) Group
    In this group, patients learn to cope with feelings by sharing them with others. Group members practice active listening, offer feedback and share in a group discussion.

    Reading Group
    Patients read aloud from the AA/NA book or other recovery-related material, listen to others and share their life story.

    Spirituality Group
    A group designed to help patients gain a broader perspective and to find meaning and purpose in life by connecting with a higher power. Activities may include meditation, lectures, guided imagery, community service projects, group discussions, and arts and crafts.

    Contracts
    Patients discuss their workbook assignments and receive honest and constructive feedback from their peers.

    Topic Group
    This is a group that takes various forms, depending on the needs of the group. Activities may include educational lectures, group processing, collage work and many others.

    Family Issues Group
    Led by our family program counselor or another staff member, the purpose of this group is to discuss family related issues and to teach skills to resolve family conflicts and develop better communication skills.

    Family Support/Review Group
    A time devoted to discussion of family issues, and to prepare for and bring closure to family visits, if applicable.

    Gambling Group
    This is a group processing session led by our certified gambling counselor that is geared toward individuals struggling with compulsive gambling or gambling addiction.

    Relapse Prevention
    Patients identify the people, places and things that trigger their desire to use drugs and alcohol and create a written action plan for coping with those triggers.

    Discharge Planning
    Patients who are preparing to complete treatment with us work on a continuing care plan that may include AA/NA/GA meetings in the community, ongoing therapy and other forms of aftercare.



  • Talking Circle
    An optional Native-American spiritual ceremony run by one of our spiritual advisors that provides a safe, private place for patients to explore their emotions and spirituality.

    Purification Ceremony
    This ceremony, also called "inipi," is a Native-American sweat lodge experience that takes place on Saturdays. All patients are welcome to attend.



  • Lecture
    Educational sessions designed to teach patients about the disease of addiction. Patients watch educational videos and discuss a variety of issues related to addiction and treatment.

    Free Time
    This is a time for patients to meditate, pray, complete workbook assignments, play sports or games, run on our regulation-size track, workout on our exercise equipment, read, or socialize.



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