Three flexible tracks — morning, afternoon, and evening — with 3.5 hours of daily programming over 60 to 90 days. The ideal step-down from PHP, or a direct entry point for working professionals seeking evidence-based treatment on their schedule.
Cognitive Behavioral Therapy helps you identify and reshape negative thought patterns, while Dialectical Behavior Therapy builds emotional regulation skills and healthy coping strategies you'll use for life.
Acceptance and Commitment Therapy guides you toward psychological flexibility — learning to accept difficult feelings while committing to values-driven action and meaningful change.
Using Cognitive Processing Therapy (CPT), our clinical team helps you safely process trauma when appropriate — always with your full consent and at a pace that feels manageable.
Weekly one-on-one sessions with a licensed therapist — every client, regardless of program level. Your therapist coordinates with group facilitators so everything works together.
Choose the recovery approach that resonates with you — 12-Step principles, SMART Recovery's science-based methods, or Dharma Recovery's mindful approach. No rigid one-size-fits-all curriculum.
Meet with our on-site Nurse Practitioner within 72 hours of enrollment. Medication-Assisted Treatment options include Suboxone, Vivitrol, and Naltrexone — your choice on approach.
The morning track begins with a check-in and grounding exercise, followed by an evidence-based group therapy session — practicing DBT techniques, working through CBT exercises, or exploring ACT principles. A skills workshop rounds out the morning, with individual therapy sessions scheduled throughout the week. Snacks are provided during breaks.
The afternoon track mirrors the morning curriculum but runs on a later schedule — ideal for those who have morning commitments or prefer an afternoon rhythm. Group therapy, psychoeducation, and individual sessions fill the 3.5-hour block with the same evidence-based programming and clinical attention.
Designed specifically for working adults and students, the evening track delivers condensed IOP programming four nights per week. Group therapy, skills workshops, and psychoeducation are structured into the 6-9pm window so you can maintain your job, school, or family obligations during the day while prioritizing recovery in the evening.
Treatment extends beyond the walls of our facility. Throughout your time in IOP, you'll have opportunities to participate in sober activities — hiking local trails, equine therapy at Blue Sky Farm, bowling outings, and community recovery events. These experiences help you apply skills to real-world settings and build a life worth sustaining in recovery.
IOP is designed to fit around your real life. With three schedule tracks, you can maintain employment, school, or family responsibilities while still receiving intensive, structured treatment.
Recovery affects the whole family. Individual family therapy sessions and monthly Zoom support groups (open to any family member 18+) address codependency, family systems, and education.
As you progress, your team coordinates a smooth transition — whether that's stepping down to standard outpatient care, connecting with community providers, or establishing a long-term aftercare plan.
Graduation doesn't mean goodbye. Our alumni program keeps you connected through community events, support groups, and continued access to resources — a lasting network for your recovery journey.
Need housing support? We help coordinate sober living arrangements so you have a stable, recovery-focused environment as you transition back to independent living.
Continue individual therapy at the outpatient level, attend alumni events, and lean on the peer connections you built during IOP — your recovery network grows with you.
Days of structured programming to build lasting skills and sustainable recovery
Flexible schedule tracks so treatment fits your life — not the other way around
See our Nurse Practitioner within 72 hours for medication evaluation
Your therapist has the capacity to know you — not just your chart
Your journey begins with insurance verification and a comprehensive clinical assessment. Together, we determine the right schedule track (morning, afternoon, or evening) and create an individualized treatment plan. Most clients start programming within 24 to 48 hours of their initial call.
The core of your IOP experience. You'll engage in evidence-based group therapy (CBT, DBT, ACT), weekly individual sessions, and psychoeducation groups with your clinical team. NP access within 72 hours ensures medication needs are addressed early. This phase builds the foundation of coping skills and emotional regulation.
Now you apply your skills to daily life. With IOP's flexible schedule, you're already balancing treatment with work, school, or family — and this phase focuses on strengthening that balance. Sober activities, family involvement, and real-world skill application deepen your recovery toolkit.
As you approach the end of IOP, your team coordinates your next steps — whether stepping down to standard outpatient care, connecting with community providers, or establishing a long-term aftercare plan. You'll be welcomed into our alumni program so graduation feels like a beginning, not an ending.
Call us at (857) 312-1697 or complete our online form. Our admissions team will verify your insurance coverage quickly — Anthem BCBS, Point 32, Tricare, and more accepted.
A comprehensive evaluation reviewed by our licensed clinical team determines the right level of care for your needs and creates the foundation for your treatment plan.
You'll be matched with your primary therapist and case manager, receive a facility tour, and get oriented to programming — everything you need to feel prepared on day one.
Start therapy within 24-48 hours. Meet your Nurse Practitioner, join your first group session, and begin building the skills and community that support lasting recovery.
Take the first step toward lasting recovery. Our team is ready to help.
Oversees all clinical operations and ensures every client receives individualized, evidence-based care tailored to their unique recovery journey.
Over a decade of experience in addiction treatment, bringing deep expertise in CBT, DBT, and relapse prevention to every session.
Provides medication evaluation within 72 hours of enrollment and ongoing MAT support throughout your program.
Your advocate for life beyond treatment — helping with employment, housing, legal needs, and building the practical skills for independent living.
Don't see your provider? Call us — we may still be able to help.
Verify Your CoverageTrailhead Treatment Center is centrally located in Salem, NH — easily accessible from across southern New Hampshire, the Merrimack Valley, and northern Massachusetts. Our dual state licensing means we serve clients from both NH and MA.
Conveniently located near I-93 and Route 28, with ample parking and a welcoming, private setting.
Our admissions team is available to answer questions and guide you through the process.
