Home Admissions Insurance Blog Contact Call (857) 312-1697
Home  /  Treatments  /  Opioid Addiction

Opioid Addiction Treatment in Salem, NH

Comprehensive opioid addiction treatment with Vivitrol, Sublocade and Brixadi MAT options, flexible scheduling, and a family-style approach to lasting recovery.

24-48hr
Admission
24-48hr
Staff Ratio
NH
Licensed
MAT
Available
Recognize the Signs

Signs & Symptoms of Opioid Addiction

Opioid use disorder exists on a spectrum from misuse to physical dependence. Understanding the warning signs can help determine the right level of care.

Mild

Taking opioids in larger amounts or for longer than prescribed
Unsuccessful attempts to cut down or stop using opioids
Spending increasing time obtaining, using, or recovering from opioids
Pinpoint (constricted) pupils even in dim lighting

Moderate

Increased tolerance — needing higher doses to achieve the same pain relief or euphoria
Excessive drowsiness, nodding off, or appearing sedated at unusual times
Doctor shopping or obtaining prescriptions from multiple providers
Neglecting work, school, or family responsibilities due to opioid use

Severe

Withdrawal symptoms when not using (muscle aches, vomiting, diarrhea, chills, insomnia)
Continued use despite knowledge of physical or psychological harm
Switching from prescription opioids to illicit sources (heroin, fentanyl)
Inability to function normally without opioids — severe physical dependence

Experiencing any of these symptoms? Our clinical team can help determine the right level of care.

Get a Free Assessment

Start Opioid Addiction Treatment Today

Same-day admissions available. Most insurance accepted. Confidential.

Treatment Programs

Programs for Opioid Addiction

Multiple levels of care designed to meet you where you are in recovery. Step up or down as your needs evolve.

Partial Hospitalization Program

Our most intensive outpatient level. Full-day programming with clinical assessments, group therapy, individual sessions, and holistic activities. Ideal for those stepping down from detox or needing intensive structure.

Learn More About PHP
ScheduleMon–Fri, 9am–3:30pm
Duration20–30 days
IncludesLunch provided
NP AccessWithin 24 hours
TherapyWeekly individual

Intensive Outpatient Program

A structured step-down from PHP. Continued group therapy and individual sessions with more flexibility for work, school, or family commitments.

Learn More About IOP
ScheduleMon–Fri, 9am–12:30pm
Duration60–90 days
FlexibilitySwitch sessions daily
TherapyWeekly individual

Evening Professional Track

Designed specifically for working professionals. The same evidence-based programming as our daytime IOP, delivered in the evening so you can maintain your career.

Learn More
ScheduleMon–Thu, 6pm–9pm
Ideal ForWorking adults
FlexibilityMix AM/PM daily
TherapyWeekly individual

Outpatient Program

Step-down support for continued recovery. Less intensive than IOP but maintains therapeutic momentum with weekly groups and individual sessions.

Learn More About OP
Schedule1–3 sessions/week
DurationOngoing as needed
FocusRelapse prevention
TherapyWeekly individual

Telehealth Services

Full access to our programming from anywhere. Secure video platform for groups, individual therapy, and psychiatric consultations. Same clinical rigor, added convenience.

Learn More About Telehealth
PlatformHIPAA-compliant video
OptionsFull or hybrid attendance
StatesNH residents
GroupsLive participation

Medication-Assisted Treatment

FDA-approved injectable medications (Vivitrol, Sublocade, Brixadi) combined with counseling and behavioral therapies. Our clinical team manages Vivitrol, Sublocade, and Brixadi referrals to stabilize withdrawal and reduce cravings.

Learn More About MAT
MedicationsVivitrol, Sublocade
ProviderClinical Team
EvalWithin 24 hours
ApproachClient-directed
JCAHO Accredited
NH Licensed
MA Licensed
LegitScript Certified
Client Reviews

What Our Clients Say

★★★★★

“[Client testimonial about opioid recovery at Trailhead — the Sublocade program saved my life. The staff made me feel like family from day one and the flexible scheduling let me keep working.]”

— [Client Name], Google Review
★★★★★

“[Client testimonial about the personalized approach — my therapist understood me and the NP got my medication right within the first week. I finally feel hopeful.]”

— [Client Name], Google Review
★★★★★

“[Client testimonial about opioid-specific treatment — the combination of MAT and DBT skills gave me a real chance. I’m celebrating 8 months free from opioids.]”

— [Client Name], Google Review
★★★★★

“[Family member testimonial — the family support program helped us understand addiction and rebuild our relationship. We couldn’t have done this without Trailhead.]”

— [Family Member], Google Review
Why Trailhead

11 Reasons to Choose Trailhead for Opioid Treatment

01

Live at Home, Heal During the Day

Intensive daily programming while maintaining your home life, family connections, and sober living arrangement.

02

Flexible Scheduling

Mix morning or evening sessions to fit your work, family, or personal commitments. Switch tracks daily.

03

Clinical Team Available Same Day

Every client sees our clinical team within a day of admission for medication evaluation and health assessment.

04

MAT for Opioids — Vivitrol, Sublocade & Brixadi

FDA-approved medications that stabilize withdrawal, reduce cravings, and block the euphoric effects of opioids, managed by our our clinical team.

05

Daily DBT Skills Groups

Dialectical behavior therapy builds the emotional regulation, distress tolerance, and mindfulness skills essential for lasting recovery.

06

Weekly Individual Therapy

One-on-one sessions with a licensed therapist at every program level — not just when insurance allows it.

07

Client-Driven Approach

Your therapeutic modality is individualized — CBT, ACT, [Recovery framework — TBD], Reiki. We adapt to you, not the other way around.

08

Rapid Admission

Multiple weekly admission opportunities. Begin programming within 24 to 48 hours of your first call.

09

Family-Style Environment

Staff know every client by name. Shared lunches build fellowship. This isn’t a factory — it’s a family.

10

Holistic & Experiential

Yoga, meditation, breathwork, nature-based therapy, and sober recreational activities complement evidence-based treatment.

11

Dual State Licensing

Licensed in New Hampshire, ensuring broad regional access and insurance acceptance.

Recovery Timeline

Your Path Through Opioid Treatment

01

Weeks 1–2: Stabilization

Following medical detox (coordinated externally), your first weeks focus on clinical assessment, MAT stabilization, and building your treatment team.

  • Comprehensive biopsychosocial evaluation
  • NP evaluation [timeline TBD]
  • Sublocade or Brixadi induction if clinically appropriate
  • Therapist and case manager assignment
02

Weeks 3–4: Active Treatment

Immerse in intensive therapeutic programming. Daily group sessions, individual therapy, and skill-building exercises.

  • Daily DBT, CBT, and ACT skills groups
  • Weekly individual therapy sessions
  • Psychoeducation on opioids’ impact on the brain and nervous system
  • Relapse prevention planning begins
03

Weeks 5–8: Integration

Apply your new skills to real-life situations. Step down from PHP to IOP as you build independence and confidence.

  • Real-world skill application exercises
  • nature-based therapy, hiking, sober activities
  • Family therapy and support groups
  • Transition planning begins
04

Weeks 9–12+: Maintenance

Continued outpatient support, alumni program, and aftercare coordination to sustain your recovery long-term.

  • Step-down to OP or ongoing individual therapy
  • Alumni program enrollment
  • Sober living coordination if needed
  • External provider referrals
Our Facility

Tour Trailhead

Group Room Photo

Group Therapy Rooms

Comfortable spaces designed for open dialogue during group sessions.

Meditation Room Photo

Meditation Room

Quiet sanctuary for mindfulness practice and breathwork.

Yoga & Meditation Studio Photo

Yoga & Meditation Studio

Private space for decompression and sensory regulation.

Dining Area Photo

Dining Area

Where fellowship happens — shared lunches and community bonds.

Wellness Room Photo

Recreation Room

yoga, meditation, and breathwork — recovery can be fun.

Outdoor Area Photo

Outdoor Space

Fresh air and green space for breaks between sessions.

Your Clinical Team

Meet the People Behind Your Recovery

Photo

Alysia LaGambina

LCMHC, CCTP
[Clinical Director] oversees all clinical operations at Trailhead, bringing specialized training in trauma processing and evidence-based addiction treatment.
Photo

[Lead Therapist]

LADC, Master’s Degree
With over 10 years of experience in addiction counseling, [Lead Therapist] specializes in DBT skills groups and individual therapy for substance use disorders.
Photo

[prescribing provider]

APRN, Psychiatric NP
Our our clinical team manages medication-assisted treatment, psychiatric evaluations, and ongoing medication management for all clients.
Photo

[Case Manager]

5+ Years Behavioral Health
Your advocate for life beyond treatment — employment support, life skills, resume building, court paperwork, and sober living coordination.
The Reality

The Opioid Crisis in New Hampshire

0
Annual Opioid Overdose Deaths in NH
New Hampshire consistently ranks among the highest per-capita opioid death rates in the nation.
%0
Involve Fentanyl
The majority of NH opioid deaths now involve illicit fentanyl mixed into the drug supply.
%0
Receive Treatment
Only about 1 in 10 people with opioid use disorder in NH receive medication-assisted treatment.
Insurance & Payment

We Accept Most Major Plans

[Insurance Provider — TBD]
Harvard Pilgrim [verification pending]
Tufts [verification pending]
[Insurance Provider — TBD]
[Insurance Provider — TBD] (Laborers Union)
Medicaid [verification pending]

Don’t see your provider? Call us — we work with many plans and offer affordable self-pay options.

Verify Coverage

Check Your Insurance

Confidential, no obligation — takes 30 seconds.

Your information is secure and confidential. HIPAA protected.

By the Numbers

Trailhead at a Glance

Rapid Admission
24-48hr
Counselor Caseload
low
Admission Timeline
24-48hr
Adults Served
18+

Your Recovery Is Worth Fighting For

Take the next step. Our team is here to guide you through the process.

For Family Members

How to Help a Loved One with Opioid Addiction

Supporting someone through addiction is challenging. These evidence-based approaches can help.

📚

Educate Yourself

Opioid addiction is a medical condition, not a moral failing. Understanding how opioids hijack the brain’s reward system helps you respond with compassion.

🛑

Stop Enabling

Stop covering for their behavior or shielding them from consequences. Enabling delays the moment they seek help.

🤝

Set Boundaries

Communicate limits with love. “I care about you, and I won’t support behaviors that fuel your addiction.”

👥

Family Therapy

Individual family therapy sessions and monthly Zoom education groups on codependency, family systems, and recovery.

💚

Self-Care First

Your mental health matters. Consider therapy, join Nar-Anon or Al-Anon, and maintain your own routines and social connections.

💬

Start the Talk

Choose a sober moment. Use “I” statements: “I’m worried about you” not “You have a problem.”

Our family support program is open to all family members 18+, past and present clients.

Call for Family Support
When a Loved One Won’t Seek Help

What If They Refuse Treatment?

It’s common for people struggling with opioid addiction to resist treatment. These approaches can help.

Consider a Professional Intervention

A structured, guided intervention led by a certified specialist can break through denial and help your loved one see the real impact of their opioid use on themselves and those around them. Professional interventionists know how to frame the conversation with compassion rather than confrontation.

Use Motivational Approaches

Rather than confrontation, express concern with empathy. Motivational interviewing techniques focus on their own reasons for wanting change. Ask open-ended questions: “What would your life look like without opioids?” Let them arrive at their own motivation.

Set Clear Boundaries

Follow through on consequences you’ve communicated. Boundaries protect your wellbeing and can motivate change. Be specific: “If I find opioids in the house, I will stay at my sister’s.” Then follow through consistently — empty threats enable continued use.

Understand the Stages of Change

People move through precontemplation, contemplation, preparation, action, and maintenance. Your loved one may not be ready for action yet — but that doesn’t mean they won’t be. Meeting them where they are is more effective than pushing them where you want them to be.

Know When to Call for Help

If there’s immediate danger — suicidal thoughts, signs of overdose (blue lips, slow breathing, unresponsiveness), or risk of harm to self or others — call 911 immediately. Administer Narcan (naloxone) if available. Opioid overdose can be fatal within minutes.

Our admissions team can guide you even if your loved one isn’t ready.

Call (857) 312-1697

Monthly Family Education Groups

Our family support program provides education and community for anyone affected by a loved one’s opioid addiction.

Monthly via Zoom Open to Family Members 18+ Set Curriculum Past & Present Clients

Topics include codependency, family systems, substance use education, and building a recovery-supportive home.

Call for Family Support
Service Area

Opioid Addiction Treatment in Salem, NH & Beyond

Trailhead Treatment Center is located in the medical and behavioral health corridor of Salem, New Hampshire. We provide opioid addiction treatment with MAT for adults throughout greater New Hampshire and northern Massachusetts.

Trailhead Treatment Center
103 Stiles Rd, Suites 1 & 2
Salem, NH 03079

(857) 312-1697

Conveniently accessible via I-93 and Route 28. Licensed in NH.

Salem Derry (~15 min) Nashua (~25 min) Manchester (~35 min) Concord (~55 min) Lowell, MA (~20 min) Boston, MA (~45 min) Northern MA
Map Placeholder
Frequently Asked Questions

Opioid Addiction Treatment FAQ

Common signs include pinpoint pupils, excessive drowsiness or nodding off, withdrawal symptoms when not using (muscle aches, vomiting, diarrhea, chills), taking more than prescribed, doctor shopping for multiple prescriptions, and continuing to use despite negative consequences to health, work, or relationships.
Opioid addiction often begins with a legitimate prescription for pain. Over time, the body builds tolerance, requiring higher doses for the same relief. Physical dependence develops, and stopping causes painful withdrawal. Warning signs include taking more than prescribed, running out early, seeking prescriptions from multiple doctors, or switching to illicit opioids like heroin or fentanyl.
Trailhead does not provide medical detox on-site. However, we coordinate closely with trusted detox facilities and can often admit clients to our PHP program with Sublocade stabilization within 24–48 hours of completing detox. Our admissions team will arrange the transition.
Treatment length varies by individual need. PHP typically lasts 20–30 days, IOP runs 60–90 days, and ongoing outpatient support continues as needed. Many opioid clients benefit from long-term MAT combined with therapy, sometimes for a year or more.
Our clinical team prescribes injectable MAT medications including Vivitrol (naltrexone), Sublocade (buprenorphine extended-release), and Brixadi (buprenorphine extended-release). These are injectable only — we do not prescribe daily oral medications like Suboxone or methadone on-site. These medications stabilize withdrawal, reduce cravings, and block opioid receptors. Medication is always combined with therapy for a comprehensive approach.
We use CBT, DBT, ACT, trauma-informed care, EMDR, relapse prevention, and holistic approaches including yoga, meditation, breathwork, and nature-based therapy. Your treatment plan is individualized to your needs.
Yes — family involvement is encouraged. We offer individual family therapy sessions and monthly Zoom family education groups covering codependency, family systems, and substance use education. Open to any family member 18+.
Most major insurance plans cover treatment. We’re in-network with [Insurance Provider — TBD], Harvard Pilgrim / Tufts [verification pending], [Insurance Provider — TBD], [Insurance Provider — TBD], and Medicaid [verification pending] NH Medicaid. Our admissions team can verify your benefits in minutes.
Absolutely. Our IOP Evening Program (6–9 PM, Mon–Thu) is designed for working adults. We also offer telehealth. You can switch between time slots daily based on your schedule.
We plan for aftercare from day one. Options include stepping down to IOP or OP, enrolling in our alumni program, referrals to external therapists, continued family support groups, and sober living coordination.

Begin Your Recovery Journey Today

Your recovery begins with a single phone call. We’ll handle the rest.

Call Now — (857) 312-1697