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

Heroin Addiction Treatment in Salem, NH

Evidence-based heroin addiction treatment through our PHP and IOP programs. Medication-assisted treatment with Suboxone, Methadone, and Vivitrol combined with individualized therapy in a supportive, family-style environment.

Programs That Treat Heroin Use Disorder

At Trailhead Treatment Center, we offer multiple levels of care for heroin addiction. Your treatment plan is tailored to your needs, schedule, and recovery goals.

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Partial Hospitalization (PHP)

Mon–Fri, 9:00 AM – 3:30 PM

Our highest level of outpatient care. Structured daily programming with group therapy, individual sessions, and NP evaluation 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. Weekly individual therapy included. 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 treatment without disrupting their career. IOP-level intensity during evening hours.

Evening Track Details →
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Outpatient Program (OP)

Once Per Week

Ongoing support and maintenance after completing PHP or IOP. Individual therapy and one group session weekly 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 heroin addiction. Suboxone, Methadone, and Vivitrol options combined with counseling and behavioral therapy for comprehensive care.

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 heroin addiction recovery at Trailhead Treatment Center. Discusses the supportive environment, quality of clinical staff, and effectiveness of the PHP program with MAT — placeholder for real review.]

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

[Client testimonial about the IOP evening track for heroin treatment. Highlights the flexibility of scheduling, Suboxone management, 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 heroin recovery journey at Trailhead. Praises the family support groups, Narcan training, and communication from staff — placeholder for real review.]

[Family Member Name]
[Date] — Google Review

11 Advantages of Our Heroin Addiction Program

01

Specialized Heroin & Opioid Programming

Evidence-based therapies specifically designed for heroin use disorder, including CBT, DBT, trauma-informed care, and relapse prevention strategies.

02

On-Site NP Within 24 Hours

Nurse Practitioner evaluation and MAT initiation with Suboxone within 24 hours of admission to PHP. Methadone and Vivitrol also available.

03

DBT & CBT Skills Groups

Structured group therapy targeting heroin-specific triggers, cravings, and unhealthy thought patterns that drive addictive 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 heroin cravings and withdrawal management, overseen by our on-site Nurse Practitioner. Client choice on approach.

08

Family Therapy & Education

Individual family therapy sessions plus monthly Zoom family education groups covering codependency, overdose prevention, 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 completing detox. Multiple weekly admission opportunities.

Heroin Recovery Timeline

Every recovery is unique, but here is a general framework for what to expect during heroin addiction treatment at Trailhead.

1
Days 1–10

External Detox Coordination

  • Coordinated placement at trusted detox facility
  • Medical detox for heroin withdrawal (5–10 days)
  • Trailhead admissions team stays in contact
  • Transition planning begins during detox
  • MAT initiation with Suboxone within 24 hours of PHP admission
2
Weeks 2–4

PHP & Stabilization

  • Comprehensive clinical assessment
  • NP evaluation and MAT management
  • Daily group therapy (CBT, DBT, ACT)
  • Weekly individual therapy sessions
  • Begin DBT/CBT skills foundation
3
Weeks 5–8

Integration & Step-Down

  • Transition from PHP to IOP
  • Real-life skill application
  • Family therapy sessions
  • Relapse prevention planning
  • Community engagement activities
4
Weeks 9–12+

Maintenance & Aftercare

  • OP or continued IOP sessions
  • Alumni program enrollment
  • Continued MAT if appropriate
  • Narcan training for client and family
  • Long-term recovery 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.

[Photo: Dining Area]

Dining Area

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

Start Heroin Addiction Treatment Today

Most clients begin treatment within 24–48 hours of completing detox. Call now for a free, confidential consultation.

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 heroin and opioid use disorders.

[Staff Photo]

[Lead Therapist]

Lead Therapist, LADC

Master’s-level clinician with 10+ years treating heroin and opioid 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 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 Heroin Addiction

Heroin addiction can escalate rapidly from first use to life-threatening dependence. If you or a loved one is experiencing any of these signs, help is available.

Mild

Early Warning Signs

  • Using heroin more frequently than intended
  • Failed attempts to quit or cut back
  • Spending increasing time and money obtaining heroin
  • Craving heroin between uses
Moderate

Escalating Patterns

  • Track marks or injection site infections
  • Neglecting work, school, or home responsibilities
  • Social withdrawal and isolation
  • Lying about use and financial devastation
  • Continued use despite relationship problems
Severe

Critical Indicators

  • Severe withdrawal: muscle/bone pain, vomiting, diarrhea, cold flashes, insomnia
  • Tolerance requiring larger or more frequent doses
  • Overdose risk — especially with fentanyl-laced supply
  • Collapsed veins, risk of HIV and Hepatitis C

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

Call (857) 312-1697

Don’t Wait — Recovery Starts Now

Our admissions team is available to help you take the first step today.

Heroin & Opioid Crisis in New Hampshire

Understanding the scope of heroin and opioid misuse in our community.

347
Heroin/Opioid Overdose Deaths in NH (2023)
Source: NH DHHS Drug Monitoring Report
83%
Of NH Heroin Users Started with Prescription Opioids
Source: SAMHSA, 2022
2x
NH Overdose Rate vs. National Average
Source: CDC WONDER, 2022–2023

Insurance Coverage for Heroin 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 completing detox 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 Heroin Addiction

Heroin addiction is a life-threatening emergency. Every use carries overdose risk, especially with fentanyl-laced supply. Here are steps to help.

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Learn the Overdose Signs

Blue lips, pinpoint pupils, slow/no breathing, unresponsiveness. Keep Narcan (naloxone) accessible at all times — it reverses opioid overdoses and saves lives. Available at most NH pharmacies without a prescription.

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Get Narcan Training

NH offers free Narcan kits and training through local harm reduction programs. Trailhead provides Narcan education for families. Learn to use it — you may need to save a life before treatment begins.

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Avoid Enabling

Stop covering for their behavior, providing money, or shielding them from consequences. Enabling delays the moment they recognize they need help. This is not tough love — it’s necessary love.

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Know the Signs of IV Drug Use

Track marks on arms or legs, wearing long sleeves in warm weather, spoons, cotton, or syringes. Needle exchange programs exist to reduce disease spread — they are not endorsing use.

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Take Care of Yourself

Your mental health matters too. Consider therapy for yourself, join Nar-Anon or a support group, and maintain your own routines and boundaries. You cannot pour from an empty cup.

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Act with Urgency

Heroin kills. With fentanyl contamination, every use could be the last. Don’t wait for them to “hit rock bottom.” Call us now — we can guide you on next steps even if they’re not ready.

Our family support program is open to all family members 18+, past and present clients.

Call for Family Support

What If They Refuse Treatment?

It’s common for people struggling with heroin addiction to resist treatment. But with heroin, the stakes are different — every use could be fatal due to fentanyl contamination. This is a medical emergency that requires urgent action.

1

Consider a Professional Intervention

A structured, guided intervention led by a professional can break through denial and help your loved one see the immediate danger of continued heroin use.

2

Emphasize the Fentanyl Danger

Most heroin in New Hampshire now contains fentanyl. There is no “safe” dose. Help them understand that every use is Russian roulette — this isn’t about hitting rock bottom, it’s about survival.

3

Set Clear Boundaries

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

4

Keep Narcan Available

While you wait for them to accept help, having naloxone (Narcan) on hand can mean the difference between life and death. Free kits are available throughout NH.

5

Know When to Call for Help

If there’s immediate danger — overdose, suicidal thoughts, or risk of harm — call 911 immediately. Administer Narcan if available. Then call the 988 Suicide & Crisis Lifeline.

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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, coordinate detox placement, 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 and community for anyone affected by a loved one’s heroin addiction.

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

Topics include codependency, family systems, substance use education, overdose prevention, and building a recovery-supportive home.

Call for Family Support

Heroin Addiction Treatment in Salem, NH & Beyond

Trailhead Treatment Center is located in the medical and behavioral health corridor of Salem, New Hampshire. We provide heroin addiction treatment 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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Heroin Addiction Treatment FAQ

Common signs include track marks or needle marks on the arms or legs, pinpoint pupils, nodding off or extreme drowsiness, significant weight loss, secretive behavior, finding drug paraphernalia (spoons, syringes, rubber tubing, tin foil), and sudden financial problems or stealing.

Detox is coordinated externally and typically lasts 5–10 days. After detox, our PHP program runs 20–30 days, IOP runs 60–90 days, and MAT may be ongoing for months or longer. Most clients benefit from a step-down approach — starting with higher intensity and gradually transitioning to less structured support.

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

Our on-site Nurse Practitioner can prescribe Suboxone (buprenorphine/naloxone), which prevents withdrawal and reduces cravings. We also coordinate Methadone maintenance and offer Vivitrol (naltrexone) injections. Medication is always combined with therapy and counseling. Client choice on approach is respected.

No. Suboxone is an FDA-approved medication that prevents withdrawal symptoms, reduces cravings, and blocks the euphoric effects of opioids. When combined with therapy, it is one of the most effective treatments for heroin addiction. It stabilizes brain chemistry, allowing clients to focus on recovery. Suboxone saves lives.

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 heroin 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.

We use a combination of evidence-based therapies including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), trauma-informed care, 12-Step facilitation, SMART Recovery, relapse prevention, and holistic approaches like breathwork, yoga, and meditation.

We plan for aftercare from day one. Options include stepping down to IOP or OP, continued MAT if appropriate, enrolling in our alumni program, Narcan training for you and your family, referrals to external therapists and psychiatrists, and sober living coordination. Recovery is a lifelong journey and we provide ongoing support.

Extremely dangerous. The vast majority of heroin sold in New Hampshire is now laced with fentanyl, a synthetic opioid 50–100 times more potent than morphine. This means every single use carries the risk of fatal overdose — even for experienced users. There is no way to know the potency of street heroin. Treatment is urgent and potentially life-saving.

Begin Your Recovery Journey Today

Your recovery begins with a single phone call. We’ll handle the rest.

Call Now — (857) 312-1697