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

Heroin Addiction Treatment in Salem, NH

Evidence-based heroin addiction treatment through our PHP and IOP programs. Medication-assisted treatment with Suboxone, Methadone referral, and Vivitrol alongside intensive therapy.

Treatment Programs

Programs for Heroin Recovery

Multiple levels of care, all designed around evidence-based heroin 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 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.

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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.

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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.

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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, Methadone referral, and Vivitrol options managed by our on-site Nurse Practitioner. MAT is the gold standard for heroin use disorder — it saves lives and supports long-term recovery.

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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 heroin recovery at Trailhead — placeholder. I never thought I could get off heroin, but the Suboxone program and therapy here gave me my life back.]”
[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 the NP — placeholder. The NP understood exactly what I was going through with withdrawal and got me stabilized fast. That made all the difference.]”
[Client Name]
Google Review • [Month 2026]
Why Trailhead

Advantages of Our Heroin Treatment

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

1 Specialized heroin addiction programming with MAT as the cornerstone
2 On-site Nurse Practitioner for Suboxone/Vivitrol management within 24 hours
3 DBT and CBT skills groups targeting heroin cravings and triggers
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, Vivitrol, Methadone referral
8 Family therapy and monthly family education groups
9 Holistic approaches: breathwork, yoga, meditation
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 & MAT Induction

  • Comprehensive clinical assessment
  • NP evaluation within 24 hours, MAT induction (Suboxone/Vivitrol)
  • Withdrawal symptom management and stabilization
  • Introduction to group therapy, daily structure
Week 3–4

Active Treatment & Skill Building

  • Daily group therapy (CBT, DBT, ACT)
  • Weekly individual therapy — collaborative goal setting
  • Psychoeducation groups on heroin addiction and the brain
  • MAT dose stabilization, monitoring, and adjustment
Week 5–8

Integration & Step-Down

  • Transition from PHP to IOP
  • Real-life skill application and trigger avoidance
  • Family therapy sessions
  • Relapse prevention planning specific to heroin use
  • 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
  • Long-term MAT management and tapering plan
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 Heroin 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 heroin and opioid addiction. Brings both clinical expertise and understanding of recovery.

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[Nurse Practitioner]

NP / Prescriber

Manages all MAT medications including Suboxone and Vivitrol. 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 Heroin Addiction

Heroin addiction develops rapidly and carries extreme risk. Recognizing the signs early can save a life.

Early Signs Progressing Severe

Early Warning Signs

  • Pinpoint pupils and drowsiness
  • “Nodding off” at unusual times
  • Secretive behavior and new social circles
  • Small bags, burnt foil, or unusual paraphernalia

Progressing Symptoms

  • Track marks or bruising on arms and legs
  • Chronic constipation and nausea
  • Withdrawal sickness between doses (aches, chills, sweating)
  • Neglecting hygiene, work, and relationships

Severe Symptoms

  • Collapsed veins and injection site infections
  • Severe withdrawal (vomiting, diarrhea, bone pain, insomnia)
  • Overdose risk — blue lips, slow breathing, unresponsiveness
  • Inability to function without heroin

If you or a loved one is experiencing any of these signs, call us at (857) 312-1697

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

Heroin & the Opioid Crisis in New Hampshire

New Hampshire has been devastated by heroin and fentanyl. Understanding the crisis shows why treatment is urgent.

396
Opioid overdose deaths in NH (2023)
NH DHHS 2023
89%
Of NH heroin now contains fentanyl
NH Forensic Lab 2023
3x
NH heroin death rate vs. national avg
CDC WONDER 2023
11%
Of those with heroin use disorder who get treatment
SAMHSA NSDUH 2023
Insurance

Insurance We Accept

We work with most major insurance plans to make heroin 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 heroin addiction is terrifying. These tips can help you take the right steps.

Educate Yourself

Learn about heroin addiction as a brain disease, not a choice. Heroin rewires the brain’s reward system so profoundly that quitting without help is nearly impossible.

Get Narcan (Naloxone)

Keep Narcan on hand — it reverses heroin overdoses and is available at most NH pharmacies without a prescription. Learn how to recognize overdose signs and administer it.

Avoid Enabling

There’s a difference between helping and enabling. Stop covering for them, lending money, or removing natural consequences of 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.

Take Care of Yourself

You can’t pour from an empty cup. Seek your own therapy, attend Nar-Anon meetings, and prioritize your mental health too.

Understand MAT Is Real Recovery

Suboxone and Methadone are not “replacing one drug with another.” MAT is FDA-approved, evidence-based medicine that reduces overdose death by 50% or more.

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. Here are steps that can make a difference.

1

Don’t Wait for Rock Bottom

With heroin, “rock bottom” can mean death. Fentanyl-laced heroin makes every single use potentially fatal. Earlier intervention saves lives.

2

Use Compassionate Language

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

3

Set Clear Boundaries

Boundaries aren’t ultimatums — they’re statements of what you will and won’t accept. Enforce them consistently with love.

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, blue lips, slow breathing, unresponsiveness — call 911 and administer Narcan if available. 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

Heroin Treatment in Salem, NH

We provide heroin 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

Heroin Treatment FAQ

What are the signs of heroin addiction?

Key signs include pinpoint pupils, nodding off, track marks on arms, withdrawal sickness between doses, secretive behavior, small bags or burnt foil, and dramatic changes in appearance and hygiene.

How long does heroin addiction treatment take?

PHP typically lasts 20–30 days, followed by IOP for 60–90 days. MAT may continue for months or years. Many clients continue with outpatient therapy and alumni support long-term.

Do you offer detox for heroin?

We don’t provide medical detox on-site but coordinate closely with trusted detox facilities. Most clients can begin our program within 24–48 hours after completing detox or once stabilized on Suboxone.

What medications are used for heroin treatment?

Our MAT options include Suboxone (buprenorphine/naloxone), Vivitrol (naltrexone injection), and Methadone referral. Our on-site NP manages all prescriptions and adjusts dosing as needed throughout treatment.

Can I work while in heroin 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 heroin addiction treatment?

Most major insurance plans are accepted, including Anthem BCBS, Point 32, Tricare, and WellSense NH Medicaid. The Mental Health Parity Act requires insurers to cover substance use treatment. Use our verification form or call us.

Is Suboxone just replacing one drug with another?

No. Suboxone is FDA-approved medicine that reduces cravings, prevents withdrawal, and blocks the euphoric effects of heroin. Research shows MAT reduces overdose death by over 50%. It stabilizes brain chemistry so clients can engage in therapy.

Can family members be involved in treatment?

Yes. We offer family therapy sessions and monthly Zoom family education groups. These are open to any family member 18+, covering codependency, communication, and family systems.

What happens after heroin treatment ends?

Clients step down to IOP or OP, continue MAT as needed, join our alumni program, receive external therapist referrals, and maintain access to family support groups for continued recovery.

What makes Trailhead different for heroin treatment?

Same-day MAT induction, family-style environment, flexible scheduling, staff with lived recovery experience, 12:1 counselor caseloads, Narcan education for families, and comprehensive wrap-around support.

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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