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Chapter One · Outpatient Program

Outpatient Program for Lasting Recovery

Our Outpatient Program offers the lightest clinical level of care — once-a-week sessions designed for ongoing maintenance, helping you sustain the progress you've made and continue writing your recovery story with confidence.

Schedule
Once Per Week
Duration
Ongoing
Level
Maintenance Care
JCAHO Accredited
NH
NH Licensed
MA
MA Licensed
Dually licensed for substance use & mental health treatment
Stories Shared

What Our Clients Say About Outpatient

★★★★★

"Outpatient at Trailhead gave me the weekly touchpoint I needed to stay on track. Knowing I had that session each week kept me accountable and grounded."

— Outpatient Client
★★★★★

"Stepping down from IOP to outpatient felt like the right move. I could work full-time, be present for my family, and still have professional support every week."

— OP Graduate
★★★★★

"The outpatient program helped my daughter maintain everything she gained in IOP. The weekly check-ins and group sessions made the transition back to normal life feel safe."

— Family Member
Your Program

Your Weekly Rhythm of Recovery

Our Outpatient Program is built around a once-a-week schedule with your clinician — the lightest level of structured care, designed for ongoing maintenance and sustained independence.

Chapter I

Weekly Individual Session

Once a week, you meet one-on-one with your therapist to check in on your progress, address emerging challenges, and refine the coping strategies you built during PHP or IOP. These sessions use evidence-based approaches — CBT, DBT, and motivational interviewing — tailored to wherever you are in your recovery journey.

Individual therapy at the outpatient level is focused and forward-looking. Your clinician helps you identify early warning signs, process real-world stressors, and strengthen the skills that keep you grounded. Medication management continues through coordination with your prescriber, ensuring continuity of care without disruption.

CBTDBTIndividual TherapyMedication ContinuityRelapse Prevention
Chapter II

Weekly Group Session

Group therapy remains a cornerstone even at the outpatient level. Once a week, you join a small group of peers for a structured session focused on relapse prevention, emotional regulation, and real-world application of recovery skills. The group provides accountability and community — two things that matter most in long-term sobriety.

Groups are facilitated by licensed clinicians and cover rotating topics including stress management, healthy relationships, grief and loss, and life transitions. The shared experience of recovery creates bonds that extend beyond the session room and into your daily life.

Group TherapyPeer SupportRelapse PreventionStress ManagementAccountability
Chapter III

Independent Recovery

Between sessions, the real work of outpatient care happens in your daily life. You apply the skills you've developed — managing triggers at work, maintaining healthy boundaries in relationships, and building the routines that support long-term wellness. Case management support continues as needed for employment, housing, and community resource referrals.

Your clinical team remains accessible for external referrals — connecting you with psychiatrists, support groups, community organizations, and family therapy resources. Outpatient is not the end of the story; it's the chapter where you prove to yourself that the foundation you've built is strong enough to carry you forward independently.

Case ManagementExternal ReferralsFamily SupportCommunity ResourcesAlumni Transition
Why Trailhead

Notes in the Margin

01
Flexible Weekly Schedule
Just one session per week with your clinician — designed to fit seamlessly around your work, school, and family life.
02
Step-Down from IOP
A natural transition from Intensive Outpatient — maintaining clinical support while giving you more independence in your recovery.
03
Continued Individual Therapy
Weekly one-on-one sessions with your therapist keep you connected to evidence-based care and personalized treatment goals.
04
Weekly Group Support
Peer group sessions provide accountability, shared experience, and continued skill-building in a supportive clinical environment.
05
Ongoing Case Management
Continued support with employment resources, housing coordination, and community referrals — practical help for real-world recovery.
06
External Referrals
Your clinical team connects you with psychiatrists, community support groups, and specialized providers to build a lasting support network.
07
Work/Life Balance
Minimal time commitment means you can maintain full-time employment, attend school, and be present for your family while staying in treatment.
08
Medication Continuity
Seamless coordination with your prescriber ensures medication management continues without interruption as you step down in care.
09
Family Support Access
Family therapy sessions and monthly Zoom support groups remain available, helping your loved ones stay engaged in your recovery journey.
10
Alumni Transition
When you complete outpatient, you join our alumni community — a lifelong network of graduates with ongoing events, support, and connection.
11
Dual NH/MA Licensing
Licensed in both New Hampshire and Massachusetts, providing broader access and regional coverage for outpatient services.
By the Numbers
Our outpatient clients attend 1x/Week with their clinician, receiving 2 sessions each week — individual plus group — on an Ongoing basis for sustained maintenance, with counselor caseloads never exceeding 12:1 for personalized attention.

These aren't just statistics — they're commitments to the people who continue their recovery with us.

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,
Transition Planning —

as you step down from IOP, your clinical team creates a tailored outpatient plan. We review your progress, identify ongoing goals, and establish the weekly rhythm that will carry you forward. Your therapist and case manager coordinate with any external providers so nothing falls through the cracks during this important transition.

Supported Independence —

each week, you meet with your therapist one-on-one and attend a peer group session. These touchpoints keep you accountable while giving you the space to practice independence. You'll process real-world challenges, refine your coping strategies, and build confidence in your ability to navigate daily life on your own terms.

Community Integration —

outpatient isn't just about maintaining — it's about growing. Your case manager helps connect you with community resources, employment support, and external recovery groups. Family therapy sessions and monthly Zoom support groups keep your loved ones engaged. This is where recovery becomes part of your whole life, not a separate chapter.

Graduation & Alumni —

when you and your clinical team agree you're ready, you graduate into our alumni program — a lifelong community of people who understand what you've been through. You'll have access to alumni events, ongoing support, and the knowledge that Trailhead is always just a phone call away. Your story continues, and we'll always be proud to be part of it.

With belief in your story,
The Trailhead Clinical Team
Getting Started

Start Outpatient in 24–48 Hours

i.

Contact & Verify

Call (857) 312-1697. Our admissions team verifies your insurance and answers every question — no judgment, no pressure.

ii.

Transition Assessment

Your clinical team reviews your IOP progress and creates an outpatient care plan with weekly goals and ongoing support strategies.

iii.

Schedule Your Sessions

Choose a weekly time that fits your life. Your individual and group sessions are scheduled around your work, school, and family commitments.

iv.

Begin Outpatient

Start your weekly sessions within 24-48 hours. Seamless transition from IOP ensures no gap in your recovery support.

Start Outpatient Treatment Today

Continue your recovery with weekly professional support. 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

Outpatient clients attend once per week, with a weekly individual therapy session and a weekly group session. This schedule is designed for ongoing maintenance while allowing you to live your life fully.

Outpatient care is ongoing — there is no fixed end date. You and your clinical team collaborate on duration based on your progress, goals, and readiness to transition to alumni-level support.

Absolutely. With just one session per week, outpatient is specifically designed to fit around full-time work, school, and family responsibilities. Sessions can be scheduled at times that work for your life.

Most insurance plans cover outpatient behavioral health services. We accept Anthem BCBS, Point 32 (Harvard Pilgrim + Tufts), Tricare, Uprise Health, and WellSense NH Medicaid. Call (857) 312-1697 for a free verification.

IOP involves 3-4 sessions per week at 3-3.5 hours each. Outpatient is a step down from IOP — just once a week with your clinician. It provides continued clinical support with maximum independence for clients who have stabilized in their recovery.

• • •

Yes. Telehealth and hybrid options are available for outpatient clients. You can attend sessions virtually or mix in-person and virtual based on your preferences and schedule.

Outpatient is ideal for adults stepping down from IOP who have demonstrated stability in their recovery, those seeking ongoing maintenance therapy, or anyone who needs continued professional support while living independently.

When you and your clinical team agree you're ready, you graduate into our alumni program — a lifelong community with ongoing events, peer support, and the knowledge that Trailhead is always available if you need to step back into care.

Yes. Individual family therapy sessions remain available, and our monthly family support groups via Zoom are open to any family member 18+. Family involvement continues to be an important part of sustained recovery.

Flexible scheduling, seamless step-down from our IOP and PHP programs, continued access to case management and external referrals, 12:1 counselor caseloads, and a genuine alumni community. We don't just discharge you — we support you for the long haul.

Coverage

Outpatient Insurance Coverage

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.

What We Treat

Conditions Treated in Our Outpatient Program

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 Outpatient Treatment Today

Your recovery story keeps going. Call today — we're here to support every chapter.

Call Now — (857) 312-1697