Flexible AM, PM, and Evening tracks designed to fit your life. Step down from PHP or start fresh with 60-90 days of evidence-based group therapy, individual sessions, and medication management.
[Client testimonial placeholder — The IOP evening track let me keep my job while getting the help I needed. I never thought recovery and work could coexist, but Trailhead made it possible.]
[Client testimonial placeholder — Stepping down from PHP to IOP was a smooth transition. The same therapists, the same support — just at a pace that let me start rebuilding my life.]
[Client testimonial placeholder — The group therapy sessions in IOP were incredible. Hearing others share their stories while building real coping skills changed my perspective on recovery.]
[Client testimonial placeholder — Having three schedule options meant I could attend morning sessions some weeks and evenings on others. That flexibility kept me in the program when life got complicated.]
Three flexible tracks — Morning (9:00–12:30pm), Afternoon (12:30–3:30pm), and Evening (6:00–9:00pm) Monday through Thursday. Choose the schedule that fits your life while maintaining consistent clinical engagement.
Start your day with group therapy, skills workshops, and individual check-ins. Ideal for those with afternoon work commitments or family obligations.
Midday programming that works around morning responsibilities. Same clinical curriculum delivered in the afternoon hours.
Condensed evening sessions designed for working professionals. Full therapeutic programming Mon-Thu after business hours.
Most IOP clients engage for 60 to 90 days depending on clinical progress, insurance authorization, and individual recovery needs.
Group therapy, weekly individual therapy, NP evaluation within 72 hours, psychoeducation workshops, and snacks provided during all sessions.
Step-down from PHP, working professionals needing flexible scheduling, or anyone who needs more than traditional outpatient but less than full-day programming.
Each session is structured to maximize therapeutic engagement within your chosen track. Here's what a typical morning or afternoon session looks like.
Brief mindfulness exercise and group check-in. Share wins, challenges, and set intentions for the session ahead.
Clinician-led process group focused on relapse prevention, coping skills, and peer support. The core of IOP programming.
Rotating psychoeducation topics — CBT thought restructuring, DBT distress tolerance, ACT values work, and recovery pathway planning.
One-on-one therapy with your assigned clinician. Personalized treatment planning, progress review, and goal adjustment.
Session summary, homework assignments, and peer accountability check. Set goals for between-session practice.
The 6-9pm evening track covers the same therapeutic content in a focused, condensed format. Group therapy, skills work, and check-in/out — all within three hours.
Ongoing medical oversight throughout your IOP journey. Our Nurse Practitioner ensures your physical and mental health needs continue to be addressed as you progress in recovery.
Every IOP client meets with our Nurse Practitioner within 72 hours of enrollment for a comprehensive medication and health assessment.
Options including Suboxone, Vivitrol, and Naltrexone. Client choice on taper vs. maintenance — we support your decision without judgment.
Regular check-ins with our NP throughout your program. Adjustments as needed to ensure your treatment plan evolves with your recovery.
Mental health and substance use disorders treated simultaneously. No need for separate programs — integrated care under one roof.
Morning, afternoon, and evening sessions — choose the track that fits your life, or switch between them as your schedule changes.
6-9pm Monday through Thursday — specifically designed for working professionals who need treatment without sacrificing their career.
Continue with the same clinical team and therapeutic approach as you transition from PHP to IOP — no starting over with new providers.
Every IOP client sees our Nurse Practitioner within 72 hours of enrollment for medication assessment and health evaluation.
Small caseloads mean your therapist actually knows your story. Personalized attention that larger programs simply cannot provide.
Evidence-based therapeutic approaches tailored to your needs. Cognitive restructuring, distress tolerance, and values-driven action.
One-on-one sessions with your assigned therapist every week — not just group work, but personalized clinical attention.
Yoga, meditation, breathwork, and equine therapy complement clinical programming. Recovery engages the whole person.
Licensed in both New Hampshire and Massachusetts, ensuring broad regional access and insurance acceptance across state lines.
Monthly Zoom family groups with structured curriculum on codependency, family systems, and substance use education. Open to any family member 18+.
No months-long waitlists. Begin IOP programming within 24 to 48 hours of your initial call.
Your IOP journey begins with a clinical assessment and schedule selection. NP evaluation within 72 hours of enrollment.
Build your recovery foundation through group therapy, individual sessions, and psychoeducation workshops.
Apply therapeutic skills to real-world situations while maintaining work, family, and personal responsibilities.
Prepare for your next step with a comprehensive aftercare plan and continued support resources.
From your first call to your first IOP session — typically within 24 to 48 hours.
Call (857) 312-1697 for a confidential conversation. We'll verify your insurance coverage in minutes.
Comprehensive evaluation reviewed by our licensed clinical team to determine the right level of care.
Meet your therapist and case manager. Tour the facility. Get oriented to the program structure.
Start therapy within 24-48 hours. No long waitlists — your recovery begins when you're ready.
Same-day admissions available. Most insurance accepted. Confidential.
IOP is a structured outpatient treatment program that provides group therapy, individual counseling, and psychoeducation several days per week. It offers a higher level of support than standard outpatient while allowing you to live at home and maintain daily responsibilities like work or school.
PHP (Partial Hospitalization) runs 9am-3:30pm with lunch provided and is our most intensive outpatient level. IOP is a step down — shorter sessions (3-3.5 hours) with three schedule tracks. Both include weekly individual therapy and evidence-based groups, but IOP is designed for those who need more flexibility.
The typical IOP duration is 60 to 90 days, though your clinical team will work with you to determine the right length based on your progress, clinical needs, and insurance authorization.
A typical session includes a mindfulness check-in, clinician-led group therapy, a skills workshop (CBT, DBT, or ACT), and a wrap-up with goal-setting. Weekly individual therapy sessions are scheduled separately. Snacks are provided at all sessions.
Yes — IOP is specifically designed to fit around work and daily life. Our evening track (6-9pm Mon-Thu) is built for working professionals. Morning and afternoon tracks also allow you to maintain part-time work or other commitments.
Our Professional Evening Track runs Monday through Thursday from 6:00-9:00pm. It delivers the same clinical curriculum as daytime sessions in a condensed format, specifically designed for those who work during the day.
IOP sessions run Monday through Thursday (4 days per week). Each session is approximately 3 to 3.5 hours depending on your chosen track. Weekly individual therapy is scheduled in addition to group sessions.
Our IOP uses evidence-based modalities including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Acceptance & Commitment Therapy (ACT), and trauma processing when clinically appropriate. We also incorporate holistic approaches like yoga, breathwork, and equine therapy.
Most major insurance plans cover IOP. We're in-network with Anthem Blue Cross Blue Shield, Point 32 (Harvard Pilgrim + Tufts), Tricare, Uprise Health, and WellSense NH Medicaid. We verify coverage within minutes — call us for a free check.
Absolutely. Most of our PHP clients step down to IOP as part of their recovery journey. You'll continue with the same clinical team and therapeutic approach — no starting over with new providers or repeating intake assessments.
Don't see your provider? Call us — we work with many plans and offer affordable self-pay options.
Confidential, no obligation — takes 30 seconds.
HIPAA protected. 100% confidential.
Clients do NOT need a substance use diagnosis. Pure mental health treatment available on a separate track.
Trailhead Treatment Center is conveniently located in Salem, NH — easily accessible from across southern New Hampshire and northern Massachusetts.
Call today for a confidential assessment. Same-day admissions available.
