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Home Treatments Fentanyl Addiction
★★★★★ 5.0 Stars — [X Reviews on Google]

Fentanyl Addiction Treatment in Salem, NH

Evidence-based fentanyl addiction treatment through our PHP and IOP programs. Suboxone and Methadone MAT options with individualized care from licensed clinicians.

Treatment Programs

Programs for Fentanyl Recovery

Multiple levels of care, all designed around evidence-based fentanyl addiction treatment and your personal recovery goals.

Partial Hospitalization Program (PHP)

Mon–Fri, 9:00 AM – 3:30 PM • 20–30 days

Our highest level of outpatient care. Structured daily groups including DBT, CBT, and psychoeducation. On-site NP for medication management including Suboxone induction within 24 hours of admission.

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Intensive Outpatient Program (IOP)

Morning, Afternoon, or Evening • 60–90 days

Step-down from PHP or direct entry. Three scheduling options to fit your life. Weekly individual therapy and daily group sessions focused on fentanyl recovery and relapse prevention.

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Evening Professional Track

Mon–Thu, 6:00 PM – 9:00 PM

Designed for working adults. Same evidence-based programming in evening hours so you can maintain your career while pursuing recovery from fentanyl dependence.

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Outpatient Program (OP)

Once per week • Ongoing maintenance

Ongoing individual and group therapy for sustained recovery. Ideal for clients stepping down from IOP or those needing flexible, long-term support after fentanyl treatment.

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Telehealth

Virtual sessions • All program levels

Attend groups and individual sessions remotely. Full therapeutic experience from the comfort of your home with secure video platform.

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Medication-Assisted Treatment (MAT)

Integrated with all programs

Suboxone (buprenorphine/naloxone) and Methadone referral options managed by our on-site Nurse Practitioner. MAT reduces cravings, prevents withdrawal, and blocks the effects of fentanyl — working alongside therapy, not instead of it.

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Trailhead Treatment Center is ☑ State Licensed by the State of New Hampshire for substance use and mental health treatment, with ☑ Dual Licensing serving clients from both NH and MA. ☑ JCAHO Accreditation in progress.

Patient Testimonials

Stories of Recovery

Real experiences from people who have walked this path before you.

★★★★★
“[Client testimonial about fentanyl recovery at Trailhead — placeholder. Suboxone saved my life, and the therapy here gave me the tools to actually stay clean.]”
[Client Name]
Google Review • [Month 2026]
★★★★★
“[Client testimonial about the flexible scheduling and evening program — placeholder. Being able to work and get treatment at the same time changed everything.]”
[Client Name]
Google Review • [Month 2026]
★★★★★
“[Client testimonial about MAT and comprehensive care — placeholder. They didn’t just put me on medication and send me home. The therapy, the groups, the support — it all works together.]”
[Client Name]
Google Review • [Month 2026]
Why Trailhead

Advantages of Our Fentanyl Treatment

What makes our approach to fentanyl addiction different — and effective.

1 Specialized fentanyl addiction programming with evidence-based therapies
2 On-site Nurse Practitioner for Suboxone induction within 24 hours
3 DBT and CBT skills groups targeting addiction triggers and cravings
4 Flexible scheduling — morning, afternoon, or evening sessions
5 12:1 counselor-to-client ratio for personalized attention
6 Individual therapy weekly regardless of program level
7 MAT options: Suboxone and Methadone referral for fentanyl dependence
8 Family therapy and monthly family education groups
9 Narcan training and fentanyl test strip education for harm reduction
10 Case management for life skills, employment, housing support
11 Same-day or next-day admissions when clinically appropriate
Recovery Timeline

Your Path Through Treatment

A structured journey from stabilization to lasting recovery.

Week 1–2

Stabilization & Assessment

  • Comprehensive clinical assessment
  • NP evaluation within 24 hours, Suboxone induction if appropriate
  • Introduction to group therapy, daily structure
  • Begin DBT/CBT skills foundation, Narcan training
Week 3–4

Active Treatment & Skill Building

  • Daily group therapy (CBT, DBT, ACT)
  • Weekly individual therapy — collaborative goal setting
  • Psychoeducation groups on fentanyl, overdose risk, and brain recovery
  • MAT medication adjustments monitored by NP
Week 5–8

Integration & Step-Down

  • Transition from PHP to IOP
  • Real-life skill application — managing cravings and triggers
  • Family therapy sessions
  • Relapse prevention planning with overdose safety plan
  • Community engagement (equine therapy, hiking, bowling)
Week 9–12+

Maintenance & Aftercare

  • OP or continued IOP with ongoing MAT
  • Alumni program enrollment
  • External therapist/psychiatrist referrals
  • Ongoing family support group access
Our Facility

Tour Our Salem, NH Center

A comfortable, home-like environment designed to support your recovery journey.

Photo placeholder — Group Therapy Room

Group Therapy Room

Multiple group therapy rooms provide comfortable, private spaces for evidence-based sessions including DBT, CBT, and ACT skills groups. Each room accommodates small groups for focused, intimate therapeutic work.

Start Fentanyl Addiction Treatment Today

One phone call can change everything. Reach out — we’re here to help.

Treatment Team

Your Care Team

Licensed clinicians with professional credentials and lived recovery experience — they understand the journey.

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[Clinical Director]

LMHC / LICSW

Experienced in addiction treatment with specialized training in evidence-based modalities. Leads the clinical team with compassion and expertise.

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[Lead Therapist]

LADC

Specializes in substance use disorders with focus on opioid and fentanyl addiction. Brings both clinical expertise and understanding of recovery.

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[Nurse Practitioner]

NP / Prescriber

Manages all medications including Suboxone and MAT protocols. Evaluates new clients within 24 hours and provides ongoing medication oversight throughout treatment.

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[Case Manager]

Behavioral Health

Connects clients with community resources, assists with life skills, employment, and housing. Ensures continuity of care beyond treatment.

Signs & Symptoms

Recognizing Fentanyl Use Disorder

Fentanyl is 50–100x more potent than morphine. Even small amounts can cause fatal overdose. Understanding the warning signs can save a life.

Mild Moderate Severe

Mild Symptoms

  • Using more fentanyl than intended
  • Unsuccessful attempts to cut down or stop
  • Extreme sedation and drowsiness (“nodding off”)
  • Spending excessive time obtaining or recovering from use

Moderate Symptoms

  • Respiratory depression — slow, shallow breathing
  • Failing to fulfill responsibilities at work, school, or home
  • Social withdrawal and isolation from friends/family
  • Continued use despite known dangers and overdose risk

Severe Symptoms

  • Overdose risk — blue lips, unresponsiveness, stopped breathing
  • Severe withdrawal (muscle pain, vomiting, insomnia, agitation)
  • Tolerance requiring increasingly dangerous doses
  • Complete inability to function without fentanyl

If you or a loved one is experiencing any of these signs, call us at (857) 312-1697. For overdose emergencies, call 911 and administer Narcan immediately.

Recovery Starts with One Call

Don’t wait for the perfect moment — reach out today and let us help you find your way.

Local Statistics

Fentanyl Crisis in New Hampshire

New Hampshire has been disproportionately impacted by the fentanyl crisis. The numbers underscore why treatment matters.

73,838
US overdose deaths involving synthetic opioids in 2022
CDC WONDER 2023
85%+
Of NH opioid deaths involving fentanyl
NH DHHS 2023
490
Drug overdose deaths in NH in 2023
NH Chief Medical Examiner 2024
50-100x
More potent than morphine
DEA / CDC 2023
Insurance

Insurance We Accept

We work with most major insurance plans to make fentanyl addiction treatment accessible.

Anthem BCBS
In-Network
Point 32
In-Network
Harvard Pilgrim
In-Network
Tufts Health
In-Network
Tricare
In-Network
Uprise Health
Accepted
WellSense
NH Medicaid
Cigna
Out-of-Network
Aetna
Out-of-Network
UnitedHealth
Out-of-Network

Verify Your Insurance

Find out what your plan covers in minutes. No obligation, completely confidential.

HIPAA protected. No obligation. Self-pay and financial assistance available.

By the Numbers

Treatment at a Glance

4:1

Staff-to-Client Ratio

More staff means more personalized attention

24h

Admission Timeline

From call to program start within 24–48 hours

~70

Client Capacity

Right-sized for community, not a number

18-80

Age Range

Adults of all ages welcome

For Families

How to Help a Loved One

Supporting someone through fentanyl addiction is terrifying. These tips can make the conversation easier — and potentially save a life.

Get Narcan (Naloxone)

Keep Narcan on hand at all times. It reverses opioid overdoses and is available at pharmacies without a prescription in NH. Learn how to use it — it could save their life.

Learn About Fentanyl Test Strips

Fentanyl is often mixed into other drugs without the user’s knowledge. Test strips can detect its presence and are a proven harm reduction tool. Available through community health organizations.

Avoid Enabling

There’s a difference between helping and enabling. Stop covering for them, making excuses, or providing money that may fund their use.

Join Family Therapy

Trailhead offers monthly Zoom family education groups. Open to all family members 18+, past and present clients. Curriculum covers codependency, family systems, and more.

Set Boundaries with Love

Clear boundaries protect both of you. Be firm but compassionate — “I love you, and I can’t watch you destroy yourself.”

Know the Overdose Signs

Blue lips, pinpoint pupils, slow or stopped breathing, unresponsiveness. If you see these: call 911, administer Narcan, and perform rescue breathing. NH’s Good Samaritan law protects you.

Our family support program is open to all family members 18+. Call (857) 312-1697

When They’re Not Ready

What If They Refuse Treatment?

It’s painful when someone you love won’t accept help. With fentanyl, the stakes are life and death. Here are steps that can make a difference.

1

Don’t Wait for Rock Bottom

With fentanyl, “rock bottom” can mean death. Every use carries overdose risk. The conversation cannot wait — start it now.

2

Use Compassionate Language

Express concern without judgment. “I’ve noticed...” instead of “You always...”. Motivational interviewing techniques can help guide the conversation.

3

Practice Harm Reduction

If they won’t stop, keep them alive. Provide Narcan, fentanyl test strips, and educate them on overdose response. Harm reduction saves lives while the door to treatment stays open.

4

Consider Professional Intervention

A trained interventionist can facilitate a structured conversation. This is not about ambushing — it’s about organized, loving support.

5

Know When to Call for Help

If there’s immediate danger — overdose, unresponsiveness, stopped breathing — call 911 and administer Narcan. NH’s Good Samaritan law protects callers. For guidance on next steps, call us anytime.

Our admissions team can guide you through next steps — even if your loved one isn’t ready yet.

☎ Call (857) 312-1697

Call Us for Family Support

You don’t have to navigate this alone. Our family program provides education, support, and community.

📚 Monthly Zoom education groups
👥 Open to any family member 18+
💡 Codependency & family systems curriculum
Call (857) 312-1697
Location

Fentanyl Addiction Treatment in Salem, NH

We provide fentanyl addiction treatment for clients throughout Salem, NH, and Greater New Hampshire. Conveniently located just minutes off Route 93 with dual NH/MA licensing.

Trailhead Treatment Center
103 Stiles Rd, Suites 1 & 2, Salem, NH 03079
(857) 312-1697 • 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
Common Questions

Fentanyl Treatment FAQ

What are the signs of fentanyl addiction?

Key signs include extreme sedation (“nodding off”), pinpoint pupils, respiratory depression, social withdrawal, inability to control use, and continued use despite overdose risk or near-death experiences.

What is Suboxone and how does it help?

Suboxone (buprenorphine/naloxone) is an FDA-approved medication that reduces cravings, prevents withdrawal, and blocks the effects of fentanyl. It allows you to focus on therapy and recovery without constant physical distress.

How long does fentanyl addiction treatment take?

PHP typically lasts 20–30 days, followed by IOP for 60–90 days. Many clients continue MAT long-term alongside outpatient therapy and alumni support for sustained recovery.

Do you provide Narcan training?

Yes. We educate all clients and their families on Narcan (naloxone) administration and overdose response. Narcan reverses opioid overdoses and is available at NH pharmacies without a prescription.

What are fentanyl test strips?

Fentanyl test strips detect the presence of fentanyl in other substances. They are a harm reduction tool that can prevent accidental overdose. We educate clients on their use as part of our safety planning.

Can I work while in fentanyl treatment?

Absolutely. Our Evening Professional Track (6–9 PM, Mon–Thu) is specifically designed for working adults who need treatment without disrupting their careers.

Will insurance cover fentanyl addiction treatment?

Most major insurance plans are accepted, including Anthem BCBS, Point 32, Tricare, and WellSense NH Medicaid. Use our verification form or call us to check your coverage.

Is Methadone available at Trailhead?

Methadone is not dispensed on-site (it requires a federally licensed clinic), but we coordinate Methadone referrals and provide Suboxone as our primary MAT option for fentanyl addiction.

What happens after fentanyl treatment ends?

Clients step down to IOP or OP with ongoing MAT, join our alumni program, receive external therapist referrals, and maintain access to family support groups for continued growth.

What makes Trailhead different for fentanyl treatment?

Suboxone induction within 24 hours, Narcan and fentanyl test strip education, specialized opioid programming, family-style environment, flexible scheduling, staff with lived recovery experience, and same-day admissions.

Every Clear Day Starts with One Step

You don’t have to wait for the storm to pass. Call today — a brighter path is waiting.

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