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Medication-Assisted Treatment (MAT) in Salem, NH

FDA-approved medications combined with counseling and behavioral therapy. Our Nurse Practitioner-managed MAT program supports your recovery with Suboxone, Vivitrol, and other evidence-based medications.

JCAHO Accredited
Dual NH/MA Licensed
4:1 Staff Ratio
“They treated me like family from day one. I finally felt safe enough to be honest.”
— [Client testimonial placeholder]
What Clients Say About MAT

“The MAT program gave me my life back. The NP listened to my concerns, helped me find the right medication, and I never felt judged. For the first time in years, the cravings stopped controlling me.”

[MAT client testimonial placeholder] — Google Review

MAT Program Details
At a Glance: Your MAT Program

Our MAT program pairs FDA-approved medications with behavioral therapy for a whole-person approach. An on-site Nurse Practitioner manages your medication from day one, and you choose whether to taper or maintain long-term.

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Medications & Provider

Nurse Practitioner-Managed Care

Our on-site Nurse Practitioner oversees every aspect of your medication-assisted treatment. You'll meet with the NP within 24–72 hours of admission for a comprehensive medical assessment and medication evaluation. Available medications include Suboxone (buprenorphine/naloxone), Vivitrol (injectable naltrexone), Naltrexone (oral), and Subutex (buprenorphine) — prescribed based on your individual needs, history, and preferences.

Regular follow-up appointments ensure your dosage is optimized and side effects are managed. The NP collaborates directly with your therapist and case manager so your medication plan stays aligned with your overall recovery goals.

Suboxone Vivitrol Naltrexone Subutex On-Site NP
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Your Choice

Taper or Maintenance — You Decide

At Trailhead, we believe the decision to taper off medication or maintain long-term is yours. There's no one-size-fits-all timeline. Some clients use MAT as a bridge to stabilize before gradually tapering, while others benefit from ongoing maintenance that keeps cravings at bay and supports lasting sobriety.

Your NP and clinical team will provide medical guidance and honest recommendations, but the final decision always rests with you. We support both paths equally — because recovery looks different for everyone, and the best plan is the one that keeps you alive and moving forward.

Client-Led Decisions Gradual Taper Option Long-Term Maintenance Ongoing Monitoring
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Integrated Care

MAT Across All Program Levels

MAT doesn't stand alone — it integrates seamlessly with every level of care at Trailhead. Whether you're enrolled in PHP, IOP, or standard outpatient, medication management runs alongside your therapy, group sessions, and case management. This means your medication and behavioral treatment are always coordinated, never siloed.

We also coordinate with local pharmacies to ensure uninterrupted access to your prescriptions. If you're transitioning between program levels or stepping down, your MAT continues without gaps — because medication consistency is critical to recovery success.

PHP Integration IOP Integration Outpatient Integration Pharmacy Coordination
Why Choose Our MAT Program
11 Reasons Trailhead Stands Apart
1

On-Site Nurse Practitioner

Your prescribing provider is right here in our facility — not at a separate office across town. Same-building access means faster adjustments and better coordination with your clinical team.

2

FDA-Approved Medications

We offer the full range of evidence-based MAT medications: Suboxone, Vivitrol, Naltrexone, and Subutex — prescribed based on your unique medical history and recovery goals.

3

Taper or Maintenance — Your Choice

No pressure to stop medication on someone else's timeline. We support both gradual tapering and long-term maintenance equally, because the best plan is the one that works for you.

4

Integrated With All Levels of Care

MAT runs alongside PHP, IOP, and outpatient programming. Your medication management never operates in a silo — it's woven into your full treatment plan.

5

Rapid Medication Access

NP evaluation within 24–72 hours of admission. No weeks-long waits to see a prescriber — we move fast because withdrawal and cravings don't wait.

6

Evidence-Based Approach

MAT is backed by decades of research showing it reduces opioid cravings, prevents relapse, and lowers overdose risk. We follow clinical best practices at every step.

7

Ongoing Monitoring & Dosage Optimization

Regular check-ins with your NP ensure your medication is working. Dosage adjustments happen proactively — not reactively — so you stay stable throughout recovery.

8

Collaborative Treatment Decisions

Your NP, therapist, and case manager communicate constantly. Medication decisions are made with full knowledge of your therapeutic progress, not in isolation.

9

Combined With Therapy

Medication alone isn't enough. MAT at Trailhead includes individual therapy, group sessions, and behavioral interventions — because lasting recovery needs both chemistry and skills.

10

Pharmacy Coordination

We work directly with local pharmacies to ensure uninterrupted access to your prescriptions. No gaps, no confusion, no missed doses during transitions between care levels.

11

No Stigma, No Judgment

MAT is medicine, not a crutch. Our entire team — clinical and support staff — treats medication-assisted treatment as the evidence-based, life-saving intervention it is.

Results That Matter
MAT Treatment Outcomes
75% reduction

Reduced Cravings

89% rate

Client Retention

24 hours

NP Access After Admission

5 options

Medication Options

Our Space
Tour Our Facility
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“Where breakthroughs happen”

Group Therapy Rooms

Comfortable, light-filled spaces designed for open dialogue. Each room holds small groups for the intimate, focused sessions that drive real change.

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“A place to breathe”

Meditation & Serenity Room

A quiet refuge for breathwork, yoga, and meditation. Soft lighting and calming design help you decompress and practice mindfulness skills.

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“Recovery can be fun”

Game Room & Common Areas

Ping pong, foosball, Xbox, and comfortable lounge space. Fellowship time is built into the schedule because connection is part of healing.

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“Breaking bread together”

Dining Area

Daily lunch served family-style. Shared meals build community and create natural opportunities for peer connection and support.

Your MAT Journey
Medication Management Process
Day 1–3

Medical Assessment

Your MAT journey begins with a comprehensive medical and clinical assessment. Our Nurse Practitioner evaluates your substance use history, current withdrawal status, medical conditions, and previous medication experiences. Blood work and screening are completed to determine which medication is safest and most effective for your situation. Together, you and the NP discuss your options and preferences — because informed consent and collaboration start on day one.

Week 1

Medication Induction

Once your assessment is complete, medication induction begins under close NP supervision. For Suboxone, this means a carefully timed first dose to avoid precipitated withdrawal. For Vivitrol, we ensure you've cleared the required opioid-free window before the injection. The NP monitors your response closely during this critical phase, adjusting as needed to manage any side effects and ensure you're comfortable as the medication takes hold.

Weeks 2–4

Dosage Optimization

With your initial dose established, the NP fine-tunes your medication over the next several weeks. The goal is finding the dosage that effectively manages cravings and withdrawal symptoms without excessive sedation or side effects. Regular check-ins track how you're feeling physically and emotionally. Your therapist provides feedback on your progress in sessions, which the NP factors into dosage decisions — a truly integrated approach.

Ongoing

Therapeutic Integration

With your medication stabilized, the focus shifts to building the behavioral skills that support long-term recovery. Individual therapy, group sessions, and psychoeducation run alongside your medication management. You'll learn coping strategies for triggers, develop relapse prevention plans, and address any co-occurring mental health conditions. Medication keeps the cravings manageable; therapy builds the life skills that make sobriety sustainable.

Long-Term

Maintenance or Taper

When you and your care team are ready, you'll have an honest conversation about next steps. Some clients choose a gradual, medically supervised taper — reducing their dose over weeks or months as they build confidence in their recovery. Others find that long-term maintenance is the safest, most effective path forward. Both are valid, both are supported, and the decision is always yours. Regular NP appointments continue regardless of which path you choose.

Getting Started
Start MAT in 24–72 Hours

From your first call to your first NP appointment — we move fast because cravings and withdrawal don't wait.

Contact & Verify Insurance

Call us at (857) 312-1697. Our admissions team will verify your insurance coverage for MAT in minutes and answer any questions about medication options. We accept Anthem BCBS, Point 32, Tricare, Uprise Health, and WellSense NH Medicaid.

Medical & Clinical Assessment

A comprehensive evaluation by our NP and clinical team. We assess substance use history, withdrawal status, medical conditions, previous medication experiences, and recovery goals to determine the best MAT approach for you.

NP Consultation & Medication Selection

Meet with our Nurse Practitioner to discuss medication options, review your medical history, and choose the right medication together. You'll understand exactly what to expect before any prescription is written.

Begin Medication & Therapy

Start your medication induction under NP supervision and enter therapy programming. MAT integrates with your chosen care level — PHP, IOP, or outpatient — so medication and behavioral treatment begin together.

Start MAT Treatment Today

Take the first step. Our admissions team is ready to help.

Meet Your Team
The People Behind Your Recovery
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[Clinical Director]

Clinical Director
“Recovery isn't one-size-fits-all. We meet every client where they are.”

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.

[Photo]

[Lead Therapist]

Lead Therapist, LMHC
“The therapeutic relationship is the foundation everything else is built on.”

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.

[Photo]

[Case Manager]

Case Manager
“Recovery is about building a life, not just stopping a substance.”

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.

Common Questions
MAT Program FAQs
We offer several FDA-approved medications including Suboxone (buprenorphine/naloxone), Vivitrol (injectable naltrexone), oral Naltrexone, and Subutex (buprenorphine). Your Nurse Practitioner will recommend the best option based on your medical history, substance use pattern, and personal preferences.
No — but you can if it's the right choice for you. Some clients use MAT as a short-term bridge to stabilize, then gradually taper off under medical supervision. Others find long-term maintenance is the safest path. At Trailhead, you and your NP make that decision together, and both paths are fully supported.
This is a common misconception. MAT medications are carefully dosed, medically supervised, and don't produce the euphoric high associated with drug abuse. They stabilize brain chemistry, reduce cravings, and block the effects of opioids — allowing you to focus on therapy and rebuilding your life. Research consistently shows MAT reduces overdose deaths, improves retention in treatment, and supports long-term recovery.
Our NP can see you within 24–72 hours of admission. After your medical assessment and medication selection, induction typically begins within your first week. We move quickly because withdrawal and cravings are urgent — there's no reason to suffer while waiting for help.
Most major insurance plans cover medication-assisted treatment, including the medications themselves and the associated clinical services. We're in-network with Anthem BCBS, Point 32 (Harvard Pilgrim + Tufts), Tricare, Uprise Health, and WellSense NH Medicaid. Call (857) 312-1697 to verify your specific coverage in minutes.
Absolutely — in fact, we strongly recommend it. At Trailhead, MAT integrates with every program level: PHP, IOP, and standard outpatient. Medication manages the physical cravings while therapy addresses the behavioral patterns, triggers, and underlying issues that drive addiction. The combination is far more effective than either approach alone.
Side effects vary by medication but may include headache, nausea, constipation, or mild drowsiness — most of which resolve within the first few weeks. Your NP monitors you closely during induction and dosage optimization to minimize discomfort. Any persistent side effects are addressed promptly, and medication switches are always an option.
Yes. Research shows that MAT combined with behavioral therapy produces significantly better outcomes than medication alone. Therapy helps you develop coping skills, process trauma, build healthy routines, and address the psychological roots of addiction. At Trailhead, every MAT client participates in individual and group therapy as part of their treatment plan.
Yes. Not every medication works the same for every person. If your current medication isn't managing cravings effectively, causes problematic side effects, or doesn't feel right, your NP can transition you to a different option. We offer multiple FDA-approved medications specifically so we can find the best fit for you.
If you and your NP decide tapering is right for you, it's done gradually over weeks or months to minimize withdrawal symptoms. Your care team increases therapeutic support during the taper period, and your NP monitors you closely throughout. If at any point the taper isn't going well, you can pause or reverse course — no judgment, no pressure.
MAT Insurance Coverage
We Work With Your Plan

Don't see your plan? Call us — we may still be able to help.

Verify Your Coverage
Conditions Treated with MAT
What MAT Addresses

Opioid Use Disorders

MAT is most commonly used for opioid dependence, including heroin, fentanyl, oxycodone, hydrocodone, morphine, codeine, and other prescription opioids. Medications like Suboxone and Vivitrol reduce cravings and block the euphoric effects of opioids, giving you the stability to engage fully in therapy and rebuild your life.

Alcohol Use Disorder

Naltrexone (both oral and injectable Vivitrol) is FDA-approved for alcohol dependence. It reduces the rewarding effects of alcohol and helps decrease cravings, making it easier to maintain sobriety. MAT for alcohol use disorder is often underutilized — at Trailhead, we make sure every client who could benefit has access to these medications.

Co-Occurring Mental Health

Many MAT clients also experience co-occurring anxiety, depression, PTSD, bipolar disorder, and trauma. Our NP coordinates MAT medications alongside any psychiatric medications you may need, ensuring there are no harmful interactions and that both conditions are treated as part of a unified plan.

Location
Serving Salem, NH & Beyond

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.

Trailhead Treatment Center
103 Stiles Rd, Suites 1 & 2
Salem, NH 03079
(857) 312-1697
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Your Recovery Starts Here

Call now to speak with our admissions team. Same-day assessments available.