Home Treatments Fentanyl Addiction
★★★★★ 5.0 Stars — [X Reviews on Google]

Fentanyl Addiction Treatment in Salem, NH

Fentanyl is the #1 cause of drug overdose death in New Hampshire. Every use risks a fatal overdose. Our PHP, IOP, and MAT programs provide the urgent, evidence-based care needed to break free from fentanyl addiction.

Programs That Treat Fentanyl Use Disorder

Fentanyl addiction requires specialized, urgent care. At Trailhead Treatment Center, we offer multiple levels of outpatient care with immediate MAT initiation to stabilize recovery and prevent fatal overdose.

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Partial Hospitalization (PHP)

Mon–Fri, 9:00 AM – 3:30 PM

Our highest level of outpatient care for fentanyl addiction. Structured daily programming with group therapy, individual sessions, and NP evaluation with MAT initiation within 24 hours. Average 20–30 days.

Learn About PHP →
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Intensive Outpatient (IOP)

Morning, Afternoon, or Evening Sessions

Step-down from PHP with flexible scheduling. Choose from 9 AM, 12:30 PM, or 6 PM sessions. Continued MAT management and weekly individual therapy. 60–90 day program.

Learn About IOP →
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Evening Professional Track

Mon–Thu, 6:00 PM – 9:00 PM

Designed for working adults who need fentanyl addiction treatment without disrupting their career. IOP-level intensity during evening hours with continued MAT support.

Evening Track Details →
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Outpatient Program (OP)

Once Per Week

Ongoing support and maintenance after completing PHP or IOP. Individual therapy, one group session weekly, and continued MAT management with your assigned clinician.

Learn About OP →
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Telehealth

Virtual & Hybrid Options

All program levels available virtually. Participate from home or mix in-person and virtual sessions to fit your schedule.

Telehealth Options →
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Medication-Assisted Treatment

Suboxone & Methadone Available

On-site Nurse Practitioner manages MAT for fentanyl addiction. Suboxone, Methadone, and Vivitrol combined with counseling and behavioral therapy. MAT is critical for fentanyl recovery and overdose prevention.

MAT Details →
JCAHO Accreditation [Pending]
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Licensed in New Hampshire
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Licensed in Massachusetts
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CARF Accreditation [Pending]

What Our Clients Say About Recovery

★★★★★ 5.0 out of 5 — [X Reviews on Google]
★★★★★

[Client testimonial about fentanyl addiction recovery at Trailhead Treatment Center. Discusses the life-saving MAT program, supportive environment, and quality of clinical staff — placeholder for real review.]

[Client Name]
[Date] — Google Review
★★★★★

[Client testimonial about the IOP evening track for fentanyl treatment. Highlights MAT support, flexibility of scheduling, and the ability to maintain work while getting help — placeholder for real review.]

[Client Name]
[Date] — Google Review
★★★★★

[Family member testimonial about a loved one's fentanyl recovery journey at Trailhead. Praises the Narcan training, family support groups, and communication from staff — placeholder for real review.]

[Family Member Name]
[Date] — Google Review

11 Advantages of Our Fentanyl Addiction Program

01

Specialized Fentanyl Programming

Evidence-based therapies specifically designed for fentanyl and opioid use disorder, including CBT, DBT, relapse prevention, and immediate MAT initiation.

02

On-Site NP — MAT Within 24 Hours

Nurse Practitioner evaluation and Suboxone/Methadone initiation within 24 hours of admission to PHP. Immediate MAT is critical for fentanyl recovery.

03

DBT & CBT Skills Groups

Structured group therapy targeting fentanyl-specific triggers, cravings, and the thought patterns that drive opioid-seeking behavior.

04

Flexible Scheduling

Morning, afternoon, or evening sessions. Switch between time slots daily based on your work and family commitments.

05

12:1 Counselor-to-Client Ratio

Small caseloads ensure your clinician has time for personalized treatment planning and individualized attention.

06

Weekly Individual Therapy

One-on-one therapy with your assigned clinician every week, regardless of program level. Collaborative goal setting from day one.

07

MAT Options — Suboxone, Methadone & Vivitrol

Suboxone, Methadone, and Vivitrol for fentanyl cravings and overdose prevention, managed by our on-site Nurse Practitioner. MAT is often long-term for fentanyl recovery.

08

Family Therapy & Education

Individual family therapy sessions plus monthly Zoom family education groups covering codependency and family systems.

09

Holistic Approaches

Breathwork, yoga, and meditation integrated into programming. Experiential activities including equine therapy and hiking.

10

Case Management Support

Dedicated case manager for life skills development, employment support, housing referrals, and aftercare coordination.

11

Same-Day or Next-Day Admissions

When clinically appropriate, start treatment within 24–48 hours of your initial call. Multiple weekly admission opportunities.

Fentanyl Recovery Timeline

Every recovery is unique. Fentanyl treatment typically begins with external detox coordination, followed by immediate MAT initiation and structured outpatient care at Trailhead.

1
Days 1–10

External Detox & MAT Initiation

  • Coordinated external detox (5–10 days)
  • Admission to Trailhead within 24–48 hrs post-detox
  • NP evaluation & MAT initiation within 24 hours
  • Suboxone or Methadone stabilization
  • Narcan/naloxone training for client & family
2
Weeks 2–4

PHP — Intensive Stabilization

  • Daily group therapy (CBT, DBT, ACT)
  • Weekly individual therapy sessions
  • Ongoing MAT management & dosage adjustment
  • Psychoeducation on fentanyl & overdose prevention
  • Begin DBT/CBT skills foundation
3
Weeks 5–12

IOP — Integration & Step-Down

  • Transition from PHP to IOP
  • Continued MAT (often long-term/ongoing)
  • Family therapy sessions & Narcan training
  • Relapse prevention & overdose safety planning
  • Fentanyl test strip education
4
Ongoing

MAT Continuation & Aftercare

  • MAT continuation (often long-term/indefinite)
  • OP or continued IOP sessions
  • Alumni program enrollment
  • Narcan access for family & support network
  • Long-term recovery & overdose prevention planning

Where Healing Happens

A comfortable, home-like environment designed to support your recovery journey.

[Photo: Meditation Room]

Meditation Room

Quiet space for breathwork, yoga, and mindfulness practice.

[Photo: Serenity Room]

Serenity Room

Calm decompression space when you need a quiet moment.

[Photo: Game Room]

Game Room

Ping pong, foosball, and Xbox for fellowship and sober fun.

[Photo: Outdoor Area]

Outdoor Area

Fresh air, walks, and social space between sessions.

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Dining Area

Lunch provided for PHP clients, snacks and coffee for all.

Fentanyl Kills — Get Help Today

Every use of fentanyl risks a fatal overdose. Most clients begin treatment within 24–48 hours. Call now.

Meet the People Behind Your Recovery

Our staff combines professional credentials with lived recovery experience — they understand addiction from both sides.

[Staff Photo]

[Clinical Director]

Clinical Director, LCMHC, CCTP

Oversees all clinical operations and treatment planning. Specializes in evidence-based approaches for fentanyl, opioid, and substance use disorders.

[Staff Photo]

[Lead Therapist]

Lead Therapist, LADC

Master’s-level clinician with 10+ years treating opioid and fentanyl addiction. Leads group therapy and individual counseling sessions.

[Staff Photo]

[Nurse Practitioner]

Nurse Practitioner

Manages medication-assisted treatment including Suboxone, Methadone, and Vivitrol. Evaluates all PHP clients and initiates MAT within 24 hours of admission.

[Staff Photo]

[Case Manager]

Case Manager

5+ years in behavioral health. Coordinates life skills training, employment support, housing referrals, and aftercare planning.

Signs & Symptoms of Fentanyl Addiction

Fentanyl addiction can escalate rapidly due to its extreme potency. If you or a loved one is showing any of these signs, seek help immediately — every use risks a fatal overdose.

Mild

Early Warning Signs

  • Using more fentanyl than prescribed or intended
  • Needing fentanyl to feel normal or function
  • Anxiety or restlessness between doses
  • Obtaining fentanyl from non-medical sources
Moderate

Escalating Patterns

  • Extreme sedation or “nodding off” during daily activities
  • Social isolation and neglecting responsibilities
  • Financial problems or selling possessions for drugs
  • Mixing fentanyl with other substances (alcohol, benzos, other opioids)
  • Track marks or nasal damage from use
Severe

Life-Threatening Indicators

  • Overdose episodes — blue lips, stopped breathing, unresponsive
  • Extreme tolerance requiring dangerously high doses
  • Severe withdrawal: muscle pain, vomiting, diarrhea, insomnia
  • Complete inability to function without fentanyl

If you or a loved one is experiencing any of these signs, we can help.

Call (857) 312-1697

Don’t Wait — Fentanyl Doesn’t Wait

Every day without treatment is another day at risk of fatal overdose. Our admissions team is ready to help you now.

The Fentanyl Crisis in New Hampshire

Fentanyl is the deadliest drug in New Hampshire. The numbers are staggering.

72%
Of NH Drug Deaths Involve Fentanyl
Source: NH DHHS, 2023
477
Fentanyl-Related Deaths in NH (2023)
Source: NH Medical Examiner
50x
More Potent Than Heroin
Source: DEA / CDC

Insurance Coverage for Fentanyl Treatment

We accept most major insurance plans. Verify your coverage in minutes.

Verify Your Insurance Coverage

Fill out the form below and our admissions team will verify your benefits within minutes. Most clients start treatment within 24–48 hours.

Your information is secure and confidential. We’ll never share your data.

Trailhead Treatment at a Glance

4:1
Staff-to-Client Ratio
Approximately 16 staff members for every 60 clients ensures attentive, responsive care.
12:1
Counselor Caseload
Small caseloads allow for personalized treatment planning and weekly individual sessions.
24-48hrs
Admission Timeline
From your first call to starting treatment. Multiple weekly admission opportunities available.
~70
Client Capacity
Adults ages 18–80 in our Salem, NH facility. Co-ed programming across all levels of care.

How to Help a Loved One with Fentanyl Addiction

Fentanyl addiction is a life-or-death emergency. Every use could be fatal. Here is what you can do right now to help save their life.

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Carry Narcan (Naloxone)

Naloxone (Narcan) reverses opioid overdoses and is available without a prescription in NH. Keep it in your home, car, and bag. We provide Narcan training for families.

Know the Signs of Overdose

Blue or gray lips and fingernails, stopped or shallow breathing, unresponsive to stimulation, pinpoint pupils, gurgling or choking sounds. Call 911 immediately and administer Narcan.

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Get Fentanyl Test Strips

Fentanyl test strips can detect fentanyl in other drugs. Available at pharmacies and harm reduction organizations in NH. Any illicit drug use now carries fentanyl risk.

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Family Therapy & Narcan Training

Trailhead offers individual family therapy sessions, monthly Zoom education groups, and Narcan administration training for all family members.

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Act with Urgency

Unlike other substances, fentanyl does not allow time to “hit bottom.” A single use can be fatal. The time to act is NOW — not after the next overdose.

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Have the Conversation

Be direct about the danger: “Fentanyl kills people every day, and I’m terrified of losing you.” Offer specific help — “I will drive you to treatment today.”

URGENT: If your loved one is using fentanyl, every day without treatment is a day they could die. Call now.

Call Now — (857) 312-1697

What If They Refuse Treatment?

It’s common for people struggling with fentanyl addiction to resist treatment. But with fentanyl, the stakes are life or death — every use carries the risk of fatal overdose. A different approach may be needed.

1

Consider a Professional Intervention

A structured, guided intervention led by a professional can break through denial. With fentanyl, emphasize the immediate danger — this is not about “someday,” it’s about surviving today.

2

Use Motivational Approaches

Rather than confrontation, express concern with empathy. Motivational interviewing techniques focus on their own reasons for wanting change.

3

Set Clear Boundaries

Follow through on consequences you’ve communicated. Boundaries protect your wellbeing and can motivate change.

4

Understand Stages of Change

People move through precontemplation, contemplation, preparation, action, and maintenance. Meeting them where they are is more effective than pushing.

5

Know When to Call 911

If there’s immediate danger — overdose symptoms (blue lips, stopped breathing), suicidal thoughts, or severe withdrawal — call 911 immediately and administer Narcan if available.

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We Can Help Even If They’re Not Ready

Our admissions team can guide you through next steps, discuss intervention options, and help you prepare for when your loved one is ready to accept help.

Call (857) 312-1697

Monthly Family Education Groups

Our family support program provides education, Narcan training, and community for anyone affected by a loved one’s fentanyl addiction.

💻 Monthly via Zoom
👥 Open to Family Members 18+
📚 Set Curriculum
🤝 Past & Present Clients

Topics include Narcan/naloxone training, fentanyl test strips, codependency, family systems, and building a recovery-supportive home.

Call for Family Support

Fentanyl Addiction Treatment in Salem, NH & Beyond

Trailhead Treatment Center is located in the medical and behavioral health corridor of Salem, New Hampshire. We provide fentanyl addiction treatment with immediate MAT access for adults throughout greater New Hampshire and northern Massachusetts.

⚲ 103 Stiles Rd, Suites 1 & 2, Salem, NH 03079

Conveniently accessible via I-93 and Route 28, with clients commuting from:

Salem Derry (~15 min) Nashua (~25 min) Manchester (~35 min) Concord (~55 min) Lowell, MA (~20 min) Boston, MA (~45 min) Northern MA

Dually licensed in New Hampshire and Massachusetts — serving clients from both states.

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Fentanyl Addiction Treatment FAQ

Fentanyl is 50–100 times more potent than morphine. A lethal dose is just 2 milligrams — smaller than a few grains of salt. Fentanyl is also frequently mixed into other drugs like counterfeit pills, cocaine, methamphetamine, and heroin without the user’s knowledge, making any illicit drug use potentially fatal.

External detox typically takes 5–10 days. After detox, our PHP program runs 20–30 days, IOP runs 60–90 days, and medication-assisted treatment (MAT) with Suboxone or Methadone is often ongoing for months or years. Most clients benefit from a step-down approach with long-term MAT continuation.

Trailhead does not provide medical detox on-site. However, we coordinate closely with trusted detox facilities and can admit clients to our PHP program within 24–48 hours of completing detox. Our admissions team will arrange the transition and initiate MAT immediately upon arrival.

Our on-site Nurse Practitioner manages MAT with Suboxone (buprenorphine/naloxone), Methadone, and Vivitrol. MAT is critical for fentanyl recovery — it reduces cravings, prevents withdrawal, and significantly lowers the risk of fatal overdose. Medication is combined with therapy and counseling for comprehensive care.

Yes. Our Evening Professional Track (6–9 PM, Monday through Thursday) is specifically designed for working adults. We also offer afternoon IOP sessions and telehealth options. You can switch between time slots daily based on your work schedule.

Most major insurance plans cover fentanyl addiction treatment, including MAT. We are in-network with Anthem BCBS, Point 32 Health (Harvard Pilgrim + Tufts), Tricare, Uprise Health, and WellSense (NH Medicaid). Our admissions team can verify your benefits in minutes — call (857) 312-1697 or use our online form.

YES. Naloxone (Narcan) reverses opioid overdoses and is available without a prescription in New Hampshire. If someone you love is using fentanyl or any illicit drugs, keeping Narcan on hand could save their life. Trailhead provides Narcan training for clients and family members as part of our program.

Yes. Fentanyl is increasingly found in counterfeit prescription pills (fake Percocet, Xanax, Adderall), cocaine, methamphetamine, and heroin throughout New Hampshire. Any illicit drug use now carries fentanyl risk. Fentanyl test strips can help detect contamination, but the only safe approach is treatment and recovery.

Aftercare planning starts from day one. Options include stepping down to IOP or OP, MAT continuation (often long-term or indefinite), enrolling in our alumni program, Narcan training for your support network, referrals to external therapists and psychiatrists, and sober living coordination. Fentanyl recovery is a lifelong journey.

Our differentiators include: on-site Nurse Practitioner for immediate MAT initiation (Suboxone, Methadone, Vivitrol), 12:1 counselor caseloads for personalized attention, staff with both professional credentials and lived recovery experience, Narcan training for clients and families, a family-style environment, and same-day admission availability when clinically appropriate.

Break Free from Fentanyl — Call Now

Fentanyl recovery is possible. MAT, therapy, and a team that understands — your new life starts with one call.

Call Now — (857) 312-1697