Twitchell House

Twitchell House is a 15-bed residential treatment program for adults suffering from severe and persistent mental illness, whose symptoms interfere with their daily functioning to the point that they require 24 hours of staffed care. Trained residential staff is present to work with residents on managing symptoms of their mental illness and to develop social, cooking and housekeeping skills. Three meals and a snack are provided daily for residents. Assistance is given throughout the day through supervision and verbal cues to aid in completion of Activities of Daily Living (ADL’s) and to work together on each individual’s treatment plan and goals.

The program provides the necessary residential, psychiatric and rehabilitative services aimed at empowerment and promotion of the person’s active and positive participation in the broader community, for those people who would otherwise be institutionalized, incarcerated, homeless and indigent and display a deteriorating clinical course and a poor quality of life. Our staff is trained to provide developmentally appropriate services to aging people who typically have co-morbid medical problems, but the program is not limited to aging individuals.

Twitchell House is a certified residence by the Division of Behavioral Health. It is licensed annually by the State of NH, Department of Health and Human Services Office of Operations Support. It is a caffeine free and non-smoking facility, but does have a designated outdoor smoking area.


Admission guidelines/eligibility

  • Adults/elders who meet state eligibility.
  • Priority is given to individuals currently residing within Merrimack County or in close proximity.
  • Adults/elders will be assessed for appropriateness in the milieu.
  • Residents are encouraged to participate actively in their recovery-based treatment plan in order to manage symptoms of their mental illness.
  • Residents must be able to manage Activities Daily Living (ADLs) with verbal prompts.
  • Residents must be able to recognize and respond to emergencies such as the fire/smoke alarm with an independent evacuation within three (3) minutes.
  • Residents must be capable of and willing to manage incontinence independently.


For questions or to learn more, please call: (603) 226-7547