Keystone provides comprehensive individualized continuum of care for chemically dependent patients and their families. Keystone is a free standing residential facility for adults and adolescents. There is also an outpatient program in nearby Sioux Falls, South Dakota. Gambling treatment is also provided in both the residential program and the out patient program. Keystone is committed to rendering treatment in and atmosphere of trust honesty and responsibility through using cognitive therapies, group and individual counseling, medical management, psycological and spiritual care. Family program is held weekly. It is held in a group setting, providing education and focus on family skills. The patient, their family and the counseslor have a conjoint session discussing family issues and recovery plans. The 12 step philosphy is an integral part of all our programs. Individual counselors and clergy help guide the patients through the Steps.