St. Joseph's established the first outpatient clinic in 1987. Since then the services expanded, providing more than 18,000 units of services annually. We currently serve residents of Franklin and Essex Counties at five outpatient services clinics. These clinics are currently located in Malone, Saranac Lake, Elizabethtown, Lake Placid (Mountain Lakes Academy), and Ticonderoga.

At these clinics, we offer intensive case management, assessment, individual and group counseling addressing Early Recovery Skills, Recovery Issues, Relapse Prevention, Continuing Care and Co-Dependency. We offer assessment, and individual and group counseling for Vocational Rehabilitation Services. Referrals for services based on clients' needs to Medical Services, Mental Health/Psychiatric Services, Career/Employment/Educational, Financial Counseling, Legal Services, and Self Help & Recovery Groups are also available through the clinics.

In addition to the services offered at the outpatient clinics, we provide assessment, individual and group counseling addressing Early Recovery Skills, Recovery Issues, Relapse Prevention, Continuing Care and Co-Dependency, and after-care planning at the Franklin and Essex County Jails.
We are active members in both Franklin and Essex County Treatment Courts and Community Services Boards.
We strongly emphasize a "team'' approach, with the client being the primary participant in their "team", and included in every aspect of treatment planning. St. Joseph's Outpatient Clinics view the relationship with the client, family, and community as a partnership.


Our admissions process is completely confidential and is dedicated to assisting those experiencing difficulties with Alcohol and other Substances and their Families. Prospective clients may call us on their own, or be referred by family, physicians, employers, health care agencies, school personnel, legal professionals, insurance companies and or private practitioners. Treatment is covered by most third-party payors, health plans and Medicaid. However, in the event that a health care plan does not cover this level of care, a self pay agreement can be discussed and implemented based upon need. For admission, prospective clients may Contact our Outpatient Services at outpatient@stjoestreatment.org, call or walk in at the following outpatient clinics:

Saranac Lake:

91 Woodruff Street, Saranac Lake, NY 12983
Phone: 518-891-5353
Fax: 518-891-7361


458 East Main Street, Malone, NY 12953
Phone: 518-483-6566
Fax: 518-481-4213


Court Street, Elizabethtown, NY 12932
Phone: 518-873-9144
Fax: 518-873-9158


50 Montcalm Street, Ticonderoga, NY 12883
Phone: 518-585-7934
Fax: 518-585-9132


1703 Front Street
Keeseville, NY 12944
Phone: 518-834-5550
Fax: 518-834-5557



Family Crisis Interventions (free to families of Franklin and Essex Counties and we'll entertain close county neighbors)
Intensive Case Management
Individual counseling
Early Recovery Skills Groups

  • Men's Issues
  • Women's Issues
  • Alcohol Management

Relapse Prevention Groups
Continuing Care Groups
Co-dependency Groups
Relapse Analysis
Social Support Groups

Referrals for Services of Major Life Area

Medical Services
Mental Health/Psychiatric Services
Financial Counseling
Legal Services
Self Help & Recovery Groups

Celebrating Families

A pilot program at the Malone Clinic, Celebrating Families!™ is a successful, evidence-based 16 week curriculum that addresses the needs of children and parents in families that have serious problems with alcohol and other drugs. The curriculum engages every member of the family, ages three through adult, to foster the development of healthy and addiction-free individuals.

Violence Intervention Program

Provided at the Saranac Lake and Malone Clinic, SJRC staff uses The Duluth Model, recognized nationally and internationally as the leading tool to help communities eliminate violence in the lives of women and children. The model seeks to eliminate domestic violence through written procedures, policies, and protocols governing intervention and prosecution of criminal domestic assault cases. The Duluth Model was the first to outline multi-disciplinary procedures to protect and advocate for victims.

Jail Program

Inmates at the Franklin and Essex County Jails are given the opportunity to access substance use treatment, as well as follow-up aftercare after an inmate is released from jail. The programs offered are foundational and are NOT inpatient treatment. Inmates can pursue inpatient/ residential treatment after being released from jail. 

St. Joseph's Addiction Treatment & Recovery Centers

Celebrating 40 years of healing individuals, reuniting families, and strengthening communities.