Intensive daily treatment from 9am–3:30pm for adults struggling with substance use and co-occurring mental health disorders. Structure your recovery while living at home.
[Client testimonial placeholder — PHP graduate describing the structured daily programming and how it helped them establish healthy routines during early recovery.]
[Client testimonial placeholder — Family member describing the transformation they witnessed during their loved one's PHP treatment at Trailhead.]
[Client testimonial placeholder — Former client praising the staff's lived recovery experience and the family-style environment of the PHP program.]
Structured therapy Monday–Friday while living at home or in sober living
Mix morning, afternoon, and evening sessions to fit your life
Medication evaluation within 24 hours of admission — no waiting weeks
Shared meals create fellowship and community, building recovery bonds
Daily skills groups in Dialectical Behavior Therapy for emotional regulation
One-on-one sessions regardless of program level — every client, every week
Therapy style matched to your preferences — no rigid, one-size-fits-all curriculum
Multiple weekly admission opportunities — no long wait periods to start treatment
Integrated admission day assessment gets you into programming faster
Life skills, resume building, job search help, court paperwork, sober housing referrals
Licensed in both New Hampshire and Massachusetts, ensuring broader insurance acceptance and serving clients across the region
Industry benchmarks. Individual results vary. Trailhead is committed to tracking and publishing outcomes.
Multiple dedicated spaces for different group therapy sessions, designed for comfort and focus during evidence-based therapeutic work.
Quiet space for breathwork, yoga, and mindfulness practice.
Calming decompression space when you need a moment of quiet.
Where PHP clients share daily lunch and build community bonds.
Ping pong, foosball, Xbox — healthy socialization between sessions.
Fresh air and nature breaks throughout your treatment day.
Our PHP follows a structured four-phase approach, moving you progressively toward independence and lasting recovery.
Your journey begins with a comprehensive clinical assessment. Within 24 hours of admission, you'll meet with our Nurse Practitioner for a medication evaluation and work with the clinical team to develop your individualized treatment plan. This phase focuses on stabilization, establishing safety, and orienting you to the program structure.
The core of PHP. You'll engage in evidence-based group therapy (CBT, DBT, ACT), weekly individual therapy, and psychoeducation sessions. Collaborative goal-setting ensures your treatment targets what matters most to you. Daily skills groups build your toolkit for managing triggers, emotions, and cravings.
Put your new skills into practice in real-life situations. This phase incorporates sober activities (equine therapy, hiking, community events), family involvement through therapy and support groups, and practical life skills work. You'll begin testing your recovery toolkit in the world outside the treatment room.
As you prepare to transition, the clinical and case management team coordinates your aftercare. This includes step-down to IOP or outpatient, external therapist referrals, alumni program enrollment, sober living arrangements if needed, and continued family support group access. Recovery doesn't end here — it evolves.
When you're ready for help, we move fast. Our streamlined admission process gets you into treatment quickly.
Call (857) 312-1697. Our admissions team verifies your insurance and answers your questions on the spot.
A comprehensive evaluation by licensed clinicians determines your appropriate level of care and creates your treatment plan.
Meet your assigned therapist and case manager. Tour the facility. Get oriented to the program schedule and expectations.
Start therapy within 24–48 hours. Your NP evaluation happens day one. No weeks of waiting — your recovery begins now.
Same-day admissions available. Call now to begin your recovery journey.
Oversees all clinical operations and treatment programming. Specializes in trauma-informed care and evidence-based treatment approaches for substance use and co-occurring disorders.
Over 10 years of clinical experience in addiction treatment. Combines professional credentials with personal recovery experience to connect with clients on a deeper level.
Supports clients with life skills development, employment resources, housing coordination, and aftercare planning. Your advocate for navigating recovery beyond the treatment room.
The average PHP duration is 20–30 days, but your length of stay is determined by your clinical team based on your individual progress and needs. Some clients transition to IOP sooner, while others benefit from additional PHP time.
PHP runs from 9:00 AM to 3:30 PM, Monday through Friday, which makes working a standard job challenging. However, if you need to work, our IOP Evening Professional Track (6–9 PM) provides intensive treatment while accommodating your work schedule. Many clients transition from PHP to evening IOP when they're ready.
Most of our PHP clients use insurance, and we're in-network with Anthem BCBS, Point 32 (Harvard Pilgrim + Tufts), Tricare, Uprise Health, and WellSense NH Medicaid. We also offer affordable self-pay rates and can connect you with scholarship foundations. Call (857) 312-1697 for a free insurance verification.
Most major insurance plans cover PHP as it's a recognized level of addiction treatment. We're in-network with Anthem BCBS, Point 32, Tricare, Uprise Health, and WellSense NH Medicaid. For out-of-network plans, we can help verify your benefits. Our admissions team handles the prior authorization process for you.
Yes. We offer a telehealth hybrid option where you can attend some sessions virtually and some in-person. This is ideal for clients with transportation challenges or those who live further from our Salem, NH facility. All the same therapeutic programming is available via secure video.
PHP is our most intensive outpatient level, running 9:00 AM–3:30 PM with lunch provided. IOP is a step down, running 3.5 hours per session (morning, afternoon, or evening options). PHP is ideal for early recovery or those needing more structure; IOP works well for those who've stabilized and can manage more independence.
Absolutely. We offer individual family therapy coordinated with your primary therapist, plus monthly family support groups via Zoom. These groups cover codependency, family systems, and substance use education. They're open to any family member 18+, including families of past clients.
Most PHP clients step down to IOP for continued support, which can be morning, afternoon, or evening sessions. Your case management team also coordinates external therapist referrals, alumni program enrollment, sober living arrangements, and continued family support access. Your aftercare plan is built throughout your PHP stay.
PHP is ideal for adults (18+) who are stepping down from detox or residential treatment, actively using and needing intensive daily structure, or struggling with co-occurring mental health and substance use disorders. You don't need to be in crisis — PHP is also for those who recognize they need more support than outpatient alone can provide.
Several things set us apart: flexible scheduling that adapts to you, a family-style environment where staff and clients feel like a community, most staff having lived recovery experience alongside professional credentials, 12:1 counselor caseloads for truly personalized attention, and our value-based care model focused on outcomes, not just hours logged.
We work with major insurance providers to make PHP treatment accessible.
Out-of-network benefits may also apply. Flexible self-pay options available. Call to discuss your coverage.
Comprehensive care for substance use disorders and co-occurring mental health conditions.
Trailhead Treatment Center is located in the medical and behavioral health corridor of Salem, New Hampshire. Our PHP program serves adults throughout the greater New Hampshire and northern Massachusetts region.
Conveniently accessible via I-93 and Route 28, with clients commuting from:
Your recovery begins with a single phone call. We'll handle the rest.
