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Chapter One · Medication-Assisted Treatment

Medication-Assisted Treatment

FDA-approved medications combined with evidence-based therapy — managed by our on-site Nurse Practitioner. Whether you choose tapering or long-term maintenance, MAT at Trailhead is your choice, your pace, your path forward.

Medications
5 Options
NP Access
24–72 Hours
Philosophy
Client Choice
JCAHO Accredited
NH
NH Licensed
MA
MA Licensed
Dually licensed for substance use & mental health treatment
Stories Shared

What Our Clients Say About MAT

★★★★★

"MAT gave me my life back. The cravings that used to control every waking moment finally quieted down, and I could focus on the real work of recovery."

— MAT Client
★★★★★

"I was afraid of the stigma around medication, but Trailhead treated it like any other medical decision. The NP explained everything and let me choose what felt right."

— MAT Graduate
★★★★★

"My daughter had tried to quit so many times. MAT was the missing piece — the medication stabilized her enough to actually engage in therapy. We're so grateful."

— Family Member
Your MAT Program

The Medication Management Process

MAT isn't a shortcut — it's a clinically proven approach that combines FDA-approved medications with therapy and counseling. Here's how your medication journey unfolds at Trailhead.

Chapter I

NP Assessment

Everything begins with a comprehensive evaluation by our on-site Nurse Practitioner within 24 to 72 hours of admission. This isn't a rushed checklist — it's a thorough medical, psychiatric, and substance use history review designed to understand your unique physiology, your history with substances, and which medication approach will serve you best.

Your NP reviews prior treatment experiences, current medications, co-occurring mental health conditions, and your personal goals. We discuss all five medication options openly — Suboxone, Vivitrol, Naltrexone, Subutex, and Methadone referral — so you can make an informed decision about your own care.

NP EvaluationMedical HistorySubstance Use AssessmentMedication OptionsClient Choice
Chapter II

Medication Selection

Once your assessment is complete, your NP presents a personalized medication recommendation based on your specific needs. Suboxone (buprenorphine/naloxone) for opioid dependence with daily dosing flexibility. Vivitrol (extended-release naltrexone) for those preferring a monthly injection. Oral Naltrexone for daily craving reduction. Subutex for patients where the combination formula isn't appropriate. Methadone referral for cases requiring the highest level of opioid agonist therapy.

The final decision is always yours. Our philosophy centers on client autonomy — whether you prefer the goal of tapering off medication entirely or maintaining long-term pharmacological support, we respect and support your choice without judgment.

SuboxoneVivitrolNaltrexoneSubutexMethadone Referral
Chapter III

Stabilization & Therapy

With your medication established, the stabilization phase begins — careful dosage adjustment combined with integrated therapy. Your NP monitors side effects, efficacy, and comfort level with regular check-ins during the critical first weeks. Dosing is individualized and adjusted as needed until you reach a stable, effective level.

Simultaneously, you engage in individual therapy, group counseling, and psychoeducation sessions. MAT clients participate in the same evidence-based programming as all Trailhead clients — CBT, DBT, relapse prevention, and motivational interviewing — because medication alone isn't treatment. Family education sessions help your loved ones understand how MAT works and how to support your recovery journey.

Dosage AdjustmentIndividual TherapyGroup CounselingPsychoeducationFamily Education
Chapter IV

Regular Reviews & Long-Term Planning

Recovery with MAT is an ongoing process. Regular medication reviews with your NP ensure your dosing remains appropriate as your recovery progresses. These aren't just prescription refills — they're clinical conversations about how you're feeling, what's working, and what might need to change.

For clients choosing to taper, we develop a gradual reduction plan guided by clinical best practices and your readiness. For those choosing long-term maintenance, we establish sustainable prescribing relationships and coordinate with external providers for continuity of care. Either path is valid. Either path is supported. Your NP and clinical team work together to ensure your medication management integrates seamlessly with your broader recovery plan.

Medication ReviewsTaper PlanningMaintenance SupportProvider CoordinationAftercare
Why Trailhead

Notes in the Margin

01
FDA-Approved Medications
All medications used in our MAT program are FDA-approved, clinically proven to reduce cravings, prevent relapse, and support long-term recovery.
02
On-Site Nurse Practitioner
Your prescribing NP is right here at Trailhead — no outside appointments or referral delays. Medication management happens where your treatment happens.
03
Client Choice Philosophy
Taper or maintenance — the decision is yours. We provide clinical guidance and respect your autonomy in choosing the path that feels right for your recovery.
04
Reduces Cravings
MAT medications work at the neurological level to significantly reduce cravings and withdrawal symptoms, letting you focus on the therapeutic work of recovery.
05
Combined with Therapy
Medication is never the only tool — MAT at Trailhead includes individual therapy, group counseling, CBT, DBT, and psychoeducation alongside pharmacological support.
06
Available at All Levels
MAT integrates with every program level we offer — PHP, IOP, and outpatient. Your medication management continues seamlessly as you step through care.
07
Individualized Dosing
No standard dose fits every person. Your NP calibrates medication type and dosage to your specific physiology, history, and response over time.
08
Regular Medical Reviews
Ongoing check-ins with your NP ensure your medication remains effective — dosage adjustments, side effect monitoring, and clinical conversations at every stage.
09
Family Education
We help your loved ones understand how MAT works, dispel common myths, and learn how to support your medication-assisted recovery effectively.
10
Dual NH & MA Licensed
Licensed in both New Hampshire and Massachusetts, serving clients across the region with full regulatory compliance and insurance acceptance.
11
Stigma-Free Environment
MAT is medicine, not a crutch. Our staff and clinical culture treat medication-assisted recovery with the same respect as any evidence-based approach to healing.
By the Numbers
We offer 5 medication options with NP access within 24 hours of admission. MAT integrates across All program levels with counselor caseloads of just 12:1 for personalized care.

These aren't just statistics — they're commitments to evidence-based, individualized medication management.

Our Space

Snapshots from the Trail

Group therapy room
Meditation & yoga space
Game room — ping pong, foosball, Xbox
Serenity room for quiet reflection
Dining area — fellowship over lunch
Outdoor walking area
Your Journey

How Your Story Unfolds

Dear You,
Medical Assessment —

Your MAT journey begins with a thorough medical evaluation by our on-site Nurse Practitioner. We review your substance use history, previous treatment attempts, current health status, and personal goals. This conversation is the foundation of everything that follows — and it's designed to ensure the medication we recommend is the right one for you.

Induction & Stabilization —

Once your medication is selected, the induction phase begins with careful medical supervision. Your NP monitors your response, adjusts dosing as needed, and ensures you're comfortable and stable. During this critical period, you'll also begin engaging in individual therapy and group sessions — because medication works best when paired with the skills and insights that therapy provides.

Maintenance & Therapy —

With your medication stabilized, the deeper therapeutic work takes center stage. Individual counseling, group therapy, psychoeducation, and family education sessions run alongside your ongoing medication management. Regular NP reviews ensure your dosing remains optimized. This is where recovery truly takes root — the cravings quiet, the mind clears, and the real work of rebuilding your life begins.

Long-Term Planning —

Whether you choose to taper off medication gradually or maintain long-term pharmacological support, we build a sustainable plan for your future. Your clinical team coordinates with external prescribers, therapists, and support networks. Aftercare planning ensures continuity of both your medication management and therapeutic progress — because your recovery story doesn't end when you leave our building.

With belief in your healing,
The Trailhead MAT Team
Getting Started

Start MAT in 24–48 Hours

i.

Call & Verify

Call (857) 312-1697. Our admissions team verifies your insurance coverage for MAT and answers every question about the medication process.

ii.

Medical Assessment

Meet with our Nurse Practitioner for a comprehensive evaluation — medical history, substance use assessment, and discussion of all medication options.

iii.

Medication Induction

Begin your selected medication under medical supervision. Your NP monitors your response and adjusts dosing for comfort and effectiveness.

iv.

Integrated Treatment

Start therapy alongside your medication management. Individual counseling, group sessions, and psychoeducation begin within days of your first call.

Start MAT Treatment Today

FDA-approved medication combined with expert therapy. Call today or verify your insurance — we're ready when you are.

Your Team

The People Behind Your Story

[Clinical Director]

LCMHC, CCTP

Oversees all clinical operations and treatment planning. Brings years of experience in trauma-informed care and a deep commitment to evidence-based practice.

[Lead Therapist]

LADC, Master's Level

Over a decade of experience guiding individuals through recovery. Specializes in CBT, DBT, and relapse prevention with a compassionate, personalized approach.

[Case Manager]

5+ Years Behavioral Health

Your advocate for life beyond treatment — from employment support and housing to court paperwork and community resources. Five-plus years helping people rebuild.

Questions & Answers

Frequently Asked Questions

MAT combines FDA-approved medications with counseling and behavioral therapies to treat substance use disorders. It's a whole-person approach — medication reduces cravings and withdrawal symptoms while therapy addresses the underlying causes of addiction.

We offer five medication options: Suboxone (buprenorphine/naloxone), Vivitrol (extended-release naltrexone injection), oral Naltrexone, Subutex (buprenorphine), and Methadone referral for cases requiring full opioid agonist therapy. Your Nurse Practitioner will recommend the best option for your specific situation.

No. MAT medications are FDA-approved, clinically proven treatments that normalize brain chemistry, reduce cravings, and block the euphoric effects of opioids. It's no different than taking medication for diabetes or high blood pressure — it's medical treatment for a medical condition.

Duration is individualized. Some clients choose to taper off medication gradually once they feel stable in recovery. Others choose long-term maintenance. At Trailhead, the decision is always yours — we provide clinical guidance and support whichever path you choose.

Most insurance plans cover MAT, including the medication and associated therapy. We accept Anthem BCBS, Point 32 (Harvard Pilgrim + Tufts), Tricare, Uprise Health, and WellSense NH Medicaid. Call (857) 312-1697 for a free, confidential insurance verification.

• • •

Yes. MAT integrates with all program levels at Trailhead. Whether you're in our Partial Hospitalization Program, Intensive Outpatient Program, or standard outpatient care, medication management continues seamlessly alongside your therapy and counseling.

Most clients can begin MAT within 24 to 48 hours of their first call. Our on-site Nurse Practitioner conducts the medical assessment and can initiate medication promptly — no long waiting lists or external referral delays.

Side effects vary by medication but are generally mild and manageable. Common effects may include nausea, headache, or drowsiness during the initial adjustment period. Your NP monitors your response closely and adjusts dosing to minimize discomfort.

While most MAT medications are specifically designed for opioid use disorder, Naltrexone (oral and Vivitrol) is also FDA-approved for alcohol use disorder. Your NP will assess whether MAT is appropriate for your specific substance use pattern.

Absolutely. Medication alone isn't treatment — it's one component. Every MAT client at Trailhead participates in individual therapy, group counseling, psychoeducation, and family education. The combination of medication and therapy is what makes MAT so effective.

MAT Insurance Coverage

Don't Let Cost Edit Your Story

Anthem BCBS
Point 32 Health
Tricare
Uprise Health
WellSense NH

We accept most major insurance providers and offer affordable self-pay options. Scholarship foundations and financial assistance available for those who qualify. Our admissions team handles all the paperwork.

Verify Your Coverage

Takes less than a minute. Completely confidential.

HIPAA protected. No obligation.

Conditions Treated with MAT

Every Chapter Has Complexity

Substance Use Disorders

Alcohol Addictionmost common
Opioid Use Disorderincl. fentanyl
Heroin Addiction
Cocaine & Stimulants
Benzodiazepine Abuse
Prescription Drug Abuse
Methamphetamine
Marijuana Dependency
Kratom & Synthetics
Polysubstance Useco-occurring

Mental Health Conditions

Depressionstandalone or co-occurring
Generalized Anxietystandalone or co-occurring
PTSD & Complex Trauma
Bipolar Disorder
Panic Disorders
OCD
Adjustment Disorder
Self-Harm Behaviors

Find Us

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

Phone: (857) 312-1697
Hours: Mon-Thu 9am-9pm, Fri 9am-5pm
Salem NH Nashua Manchester Concord Derry Haverhill MA Lawrence MA Lowell MA
Map placeholder — 103 Stiles Rd, Salem NH

Start your MAT journey with a single call

Medication-assisted recovery is within reach. Call today — we're ready when you are.

Call Now — (857) 312-1697