Opioid use disorder exists on a spectrum. Understanding where you or your loved one falls can help determine the right chapter of treatment.
If any of these resonated, our clinical team can help determine the right level of care.
Get a Free AssessmentSame-day admissions available. Most insurance accepted. Completely confidential.
Multiple levels of care designed to meet you where you are. Step up or down as your recovery evolves — each chapter builds on the last.
Our most intensive outpatient level. Full-day programming with clinical assessments, group therapy, individual sessions, holistic activities, and daily lunch. The foundation for lasting change.
A structured step-down from PHP. Continued group therapy and individual sessions with more flexibility for work, school, or family. Morning, afternoon, or evening tracks.
Designed for working adults who can’t attend daytime programming. The same evidence-based IOP curriculum, delivered in the evening.
Step-down support for continued recovery momentum. Less intensive than IOP but maintains therapeutic continuity with weekly groups and individual sessions.
Full access to our programming from anywhere. HIPAA-compliant video sessions for groups, individual therapy, and psychiatric consultations.
FDA-approved medications (Suboxone, Subutex, Vivitrol, Methadone) combined with counseling. Our on-site Nurse Practitioner manages your medication plan with your input and without judgment.
“[Client testimonial about opioid recovery at Trailhead — the staff made me feel like family from the very first day. The Suboxone stabilization combined with therapy gave me my life back.]”— [Client Name] • Google Review
“[Client testimonial about the personalized approach — my therapist truly understood what I was going through. The combination of DBT skills and medication management changed everything for me.]”— [Client Name] • Google Review
“[Family member testimonial — the family support program helped us understand addiction as a disease, not a choice. We learned how to support recovery without enabling. It saved our family.]”— [Family Member] • Google Review
1. Live at home, heal during the day. Our outpatient model means you sleep in your own bed, maintain family connections, and build recovery skills in the real world from day one.
2. Flexible scheduling across three tracks. Morning, afternoon, or evening sessions — switch daily based on your work, family, or personal commitments. Our Evening Professional Track (6–9 PM) is built specifically for working adults.
3. On-site Nurse Practitioner within 24 hours. Every client meets our NP within a day of admission for medication evaluation, health assessment, and MAT initiation if appropriate.
4. Medication-Assisted Treatment for opioids. Suboxone, Subutex, Vivitrol, and Methadone reduce cravings and prevent withdrawal. Your choice on approach — we support client-directed decisions.
5. Daily DBT skills groups provide the emotional regulation, distress tolerance, and mindfulness foundation that makes lasting recovery possible.
6. Weekly individual therapy with a licensed therapist at every program level. One-on-one sessions aren’t a luxury — they’re a standard.
7. Client-driven therapy choice. CBT, ACT, 12-Step, SMART Recovery — your modality is based on your preferences and clinical needs, not a rigid curriculum.
8. Rapid admission. Multiple weekly admission opportunities. No months-long waitlists — begin programming within 24 to 48 hours of your first call.
9. A family-style environment where staff know every client by name. Shared lunches build fellowship. This isn’t a factory — it’s a family.
10. Holistic & experiential programming including yoga, meditation, breathwork, equine therapy at Blue Sky Farm, and sober recreational activities.
11. Dual state licensing in both New Hampshire and Massachusetts ensures broad regional access and insurance acceptance across both states.
We work with most major insurance providers. Verify your coverage in minutes.
| Provider | Network Status |
|---|---|
| Anthem Blue Cross Blue Shield | In-Network |
| Point 32 Health (Harvard Pilgrim) | In-Network |
| Point 32 Health (Tufts) | In-Network |
| Tricare | In-Network |
| Uprise Health | In-Network |
| WellSense (NH Medicaid) | In-Network |
Don’t see your provider? We may still be able to help. Call or submit the form below.
Submit the form below and our admissions team will verify your benefits within minutes.
Your information is secure and confidential. We will never share your data.
Once you make it, we handle everything else. Admissions, insurance, scheduling — all of it.
If you are reading this, you are probably worried about someone you love. That worry is a sign of something good — it means you haven’t given up. And we want you to know: you shouldn’t.
Opioid addiction is a medical condition, not a character flaw. The person you knew before the pills or the needle took hold is still there. But they need professional help to find their way back — and you may need guidance too.
Start by educating yourself. Understand the disease model of addiction, how opioids hijack the brain’s reward system, and why willpower alone is rarely enough. Stop covering for their behavior — making excuses, paying their bills, shielding them from consequences. This is called enabling, and while it comes from love, it delays the moment they recognize they need help.
Set clear boundaries, and mean them. “I love you, and I will not participate in behaviors that support your addiction.” Have the conversation when they are sober, using “I” statements rather than accusations. Offer specific next steps: “I found a program in Salem that offers Suboxone and therapy — can we call together?”
Take care of yourself, too. Consider therapy, Nar-Anon, or our monthly family education groups on Zoom. You cannot pour from an empty cup. Trailhead offers individual family therapy sessions and ongoing family support — for all family members ages 18 and up, past and present clients. Keep Narcan (naloxone) on hand — it saves lives.
Resistance to treatment is common. It doesn’t mean recovery is impossible — it means a different approach may be needed. Below, our clinical team answers the questions families ask most.
Our family support program is open to all family members ages 18+, past and present clients.
Trailhead Treatment Center is located in Salem, New Hampshire — minutes from the Massachusetts border and easily accessible from communities across southern New Hampshire and northeastern Massachusetts.
103 Stiles Rd, Suites 1 & 2, Salem, NH 03079If opioid use is causing problems in your health, relationships, work, or daily functioning — or if you’ve tried to cut back and couldn’t — treatment may be appropriate. You don’t need to hit “rock bottom” to deserve help. Our clinical team can conduct a free assessment over the phone to help determine the right level of care.
PHP clients attend Monday through Friday, 9:00 AM to 3:30 PM. A typical day includes group therapy (CBT, DBT, or ACT), an individual session with your assigned clinician, psychoeducation, holistic activities like breathwork or yoga, and lunch. You go home each evening — this is outpatient treatment, not residential.
PHP (Partial Hospitalization Program) is full-day treatment, typically 5–6 hours per day, 5 days a week. IOP (Intensive Outpatient Program) is a step-down offering 3–4 hours per day with more scheduling flexibility — morning, afternoon, or evening tracks. Both include group and individual therapy. Most clients start in PHP and transition to IOP as they progress.
Yes. Our on-site Nurse Practitioner manages medication-assisted treatment using FDA-approved options like Suboxone (buprenorphine/naloxone), Subutex (buprenorphine), Vivitrol (extended-release naltrexone), and Methadone. These medications reduce cravings, prevent withdrawal, and can be started within 24 hours of your PHP admission. Medication decisions are always collaborative — you choose what feels right with clinical guidance.
Most major insurance plans cover substance use treatment, including MAT for opioid addiction. We are in-network with Anthem BCBS, Point 32 Health (Harvard Pilgrim and Tufts), Tricare, Uprise Health, and WellSense (NH Medicaid). Use the verification form above or call our admissions team — we can typically verify benefits within minutes.
Most clients begin treatment within 24 to 48 hours of their initial call. We have multiple admission windows each week. If your situation is urgent, same-day admission may be available when clinically appropriate.
Yes. Our IOP program offers morning (9 AM), afternoon (12:30 PM), and evening (6 PM) tracks specifically designed for people who need to maintain employment. You can even switch between time slots on a daily basis. Telehealth options provide additional flexibility.
Yes. Many clients present with polysubstance use — opioids alongside alcohol, benzodiazepines, or stimulants. Our clinical team is trained to treat co-occurring substance use disorders as well as dual diagnosis conditions like anxiety, depression, PTSD, and chronic pain. Your treatment plan is individualized to address everything you’re dealing with.
When you’re ready to move from reading to recovering, we’re here.
