Flexible outpatient treatment with morning, afternoon, and evening schedules — including our Professional Evening Track for working adults. Continue your recovery while maintaining your daily life.
“The evening IOP track let me keep working while getting real treatment. The flexibility made all the difference — I stepped down from PHP and never missed a beat. Trailhead’s IOP gave me my life back.”
Our IOP is built around three core pillars. Each reinforces the others, creating a flexible treatment experience that addresses the whole person — while letting you maintain your daily life.
Every IOP client receives weekly individual therapy paired with evidence-based group sessions. Our clinical team draws from CBT, DBT, and ACT to build a framework of skills you'll use long after treatment ends. A Nurse Practitioner meets with you within 72 hours of admission for medication evaluation and management.
Choose the schedule track that fits your life: Morning (9:00am–12:30pm), Afternoon (12:30–3:30pm), or our Professional Evening Track (6:00–9:00pm, Mon–Thu). Each 3.5-hour session includes group therapy, psychoeducation, and case management — with snacks provided during sessions.
Recovery doesn't happen in isolation. Our IOP builds connection through fellowship time and sober activities outside the clinic. Clients participate in equine therapy at Blue Sky Farm, group hikes, bowling outings, and local recovery events — building a sober support network that extends beyond these walls.
Family members are part of the process too. Monthly Zoom support groups, individual family therapy sessions, and education on codependency and family systems help your loved ones understand addiction and support your recovery. Family groups are open to any family member 18+, including families of past clients.
IOP isn't just about maintaining stability — it's about building a life worth staying sober for. Case management support covers resume building, job searching, court paperwork, and daily life skills. You'll apply therapeutic skills in real-world situations while living your daily life — the ideal bridge between intensive care and full independence.
When you're ready, we coordinate your transition to our standard Outpatient Program, alumni network, and community resources. No one leaves Trailhead without a clear plan forward.
Morning (9:00–12:30pm), Afternoon (12:30–3:30pm), or Evening (6:00–9:00pm). Choose the track that fits your life and switch if your needs change.
Our Mon–Thu evening sessions (6:00–9:00pm) are designed for working adults who can't attend daytime treatment. Keep your job, keep your recovery.
IOP is the natural next step after PHP. You'll maintain therapeutic momentum with less daily time commitment as you transition back to independent living.
Medication evaluation and ongoing management with our on-site NP. Prescriber access without long waits or outside referrals.
Every IOP client gets dedicated one-on-one time with a licensed therapist each week — not just group sessions.
CBT, DBT, ACT, 12-Step, SMART Recovery, and Dharma Recovery groups form the core of your IOP experience. Your recovery, your approach.
Your treatment plan is built with you, not for you. Goals, modalities, and schedule are tailored to your unique situation and adjusted as you progress.
IOP gives you time to practice recovery skills in real life. The extended timeframe builds lasting habits and deeper therapeutic progress.
No long wait lists. Call in the morning, complete your clinical assessment, and begin programming as soon as the next available session.
Life skills, resume building, job search assistance, court paperwork, and aftercare coordination — we help with the practical side of recovery too.
Licensed in both New Hampshire and Massachusetts, ensuring broad access for clients across the region.
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Your IOP journey begins with a comprehensive clinical assessment. Together with your assigned therapist and case manager, you'll develop a personalized treatment plan that addresses both substance use and any co-occurring mental health conditions. You'll choose your schedule track — Morning, Afternoon, or Evening — and meet with our Nurse Practitioner within 72 hours for medication evaluation and management. This phase is about finding your footing and mapping your path forward.
With your treatment plan in place, you'll move into the heart of the program. Group sessions build your toolkit — CBT helps you identify and reframe negative thought patterns, DBT teaches emotion regulation and distress tolerance, and ACT helps you develop psychological flexibility. Weekly individual therapy goes deeper into your personal story. Psychoeducation groups give you the knowledge to understand what's happening in your brain and body during recovery.
Your 3.5-hour sessions are structured around group therapy, psychoeducation, and skills practice. Between sessions, you're applying what you've learned in real life — at work, at home, in relationships. That immediate application is what makes IOP so effective.
As your confidence grows, the focus shifts from learning skills to mastering them in everyday situations. You're managing stress at work, navigating family dynamics, and building healthy routines — all while attending IOP sessions that reinforce your progress. Sober activities like equine therapy, hiking, and community events help you discover that life in recovery can be genuinely fulfilling. Family involvement deepens through therapy sessions and monthly Zoom support groups.
Before you complete IOP, we build a bridge to what comes next. Your care team coordinates your step-down to our standard Outpatient Program, connects you with our alumni network, and sets up any external referrals you may need. If sober living is part of your plan, we help arrange that too. You'll leave with a clear aftercare plan, ongoing support, and the knowledge that Trailhead's community remains open to you.
From your first call to your first group session — we move fast because recovery can't wait.
Call us at (857) 312-1697. Our admissions team will verify your insurance coverage in minutes and answer any questions about the program. We accept Anthem BCBS, Point 32, Tricare, Uprise Health, and WellSense NH Medicaid.
A comprehensive evaluation reviewed by licensed clinical staff. We assess substance use history, mental health, medical needs, and personal goals to build your individualized treatment plan.
You'll be assigned a primary therapist and case manager, take a facility tour, and meet your fellow clients. We handle the logistics so you can focus on showing up.
Start therapy within 24–48 hours of your first call. You'll enter group sessions, meet with the NP, and begin building the skills that will carry your recovery forward.
Take the first step. Our admissions team is ready to help.
Licensed clinical professional with extensive experience in substance use treatment and co-occurring mental health disorders. Oversees all clinical programming, treatment plan development, and staff training. Brings both professional credentials and a deep understanding of what it takes to build a recovery-first culture.
Licensed Mental Health Counselor specializing in CBT, DBT, and trauma-informed care. Leads individual therapy sessions and supervises group therapy programming. Known for building trust quickly and creating a safe space where clients feel comfortable doing the hard work of recovery.
Behavioral health professional focused on the practical side of recovery — life skills, employment support, housing coordination, and aftercare planning. Works directly with clients to ensure that when treatment ends, a stable, supported life is waiting.
Don't see your plan? Call us — we may still be able to help.
Verify Your CoverageOur IOP treats a full range of substance use disorders including alcohol, opioids, heroin, fentanyl, cocaine, methamphetamine, benzodiazepines, marijuana, kratom, and prescription drug abuse. We also address less common dependencies including synthetic drugs, hallucinogens, inhalants, stimulants, barbiturates, and MDMA. Whatever the substance, our clinical framework adapts to your specific needs.
Many clients come to us with more than just a substance use disorder. We treat co-occurring anxiety, depression, PTSD, bipolar disorder, OCD, panic disorders, trauma, and self-harm behaviors. Our dual-diagnosis approach ensures both conditions are addressed simultaneously — because treating one without the other rarely leads to lasting recovery.
Trailhead Treatment Center is conveniently located in Salem, New Hampshire — easily accessible from the greater New Hampshire and Massachusetts areas. Our facility serves adults throughout the region who are seeking intensive outpatient addiction treatment in a supportive, community-focused environment.
Call now to speak with our admissions team. Same-day assessments available.
