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Intensive Outpatient Program

Intensive Outpatient Program

Flexible AM, PM, and evening IOP tracks designed as a step-down from PHP. 60-90 days of evidence-based therapy, group support, and real-world skill building — on your schedule.

3 Tracks
AM / PM / Evening
60–90 Days
Typical Duration
NP Within 72 Hrs
Medical Access
12:1
Counselor Ratio
NH Licensed
MA Licensed
JCAHO Accredited
LGBTQ+ Inclusive
Field Reports

What Our Clients Say About IOP

"The evening IOP track let me keep my job while getting real treatment. I never thought I could balance both, but Trailhead made it work."
Michael R.
IOP Graduate
★★★★★
"Stepping down from PHP to IOP felt seamless. The same team, the same support — just more space to practice everything I learned in real life."
Sarah T.
IOP Graduate
★★★★★
"IOP gave me the flexibility I needed as a working parent. Group therapy and weekly individual sessions kept me accountable without disrupting my family."
David K.
IOP Alumni
★★★★★
Google Reviews — 5.0 Average
Program Details

Expedition Log

Log Entry 01 — Schedule & Structure

Three Tracks, Your Choice

IOP runs Monday through Thursday with three flexible tracks: Morning (9:00 AM – 12:30 PM), Afternoon (12:30 – 3:30 PM), and Evening (6:00 – 9:00 PM). Choose the track that fits your life — work, school, or family obligations don't have to compete with your recovery.

Each 3-3.5 hour session packs group therapy, psychoeducation, and skills building into a focused, structured block. Snacks are provided at every session. The program typically runs 60-90 days, with duration adjusted to your progress and clinical needs.

Morning TrackAfternoon TrackEvening Track60-90 Days
Log Entry 02 — Daily IOP Sessions

A Session at Basecamp

Each IOP session follows a focused rhythm: AM check-in to ground your mindset, group therapy for peer connection and accountability, skills training in CBT, DBT, and ACT techniques, and a wrap-up with goal setting for the next 24 hours.

Weekly individual therapy pairs you with a licensed clinician for focused one-on-one work — processing triggers, deepening insight, and building personalized coping strategies. Within 72 hours of enrollment, you'll meet with our Nurse Practitioner for medication evaluation and management.

Group TherapyIndividual TherapyNP Within 72 HrsCBT/DBT/ACT
Log Entry 03 — Skills & Psychoeducation

Building Your Toolkit

Evidence-based skills groups form the backbone of IOP. Dialectical Behavior Therapy builds emotional regulation and distress tolerance. Cognitive Behavioral Therapy reshapes thought patterns that fuel addiction. Acceptance and Commitment Therapy teaches psychological flexibility for real-world challenges.

Psychoeducation groups deepen your understanding of addiction, co-occurring mental health conditions, and relapse prevention. Your recovery approach adapts to your preferences — 12-Step, SMART Recovery, Dharma Recovery, or a personalized blend that resonates with you.

DBTCBTACTRelapse PreventionPsychoeducation
Log Entry 04 — Who IOP Is For

The Right Fit

IOP is designed for adults stepping down from PHP who need continued structure, working professionals who can't attend full-day programs, and anyone whose clinical assessment indicates intensive outpatient as the right level of care. The evening track (6-9 PM) is specifically built for people balancing work or school.

Family therapy — available individually and through monthly Zoom support groups — helps repair relationships and gives your loved ones education on supporting recovery. Fellowship between sessions creates the bonds that become your long-term recovery community.

Step-Down from PHPWorking ProfessionalsFamily TherapyEvening Track
Log Entry 05 — Transition & Aftercare

Life Beyond Basecamp

Case management covers the practical realities of rebuilding — resume writing, job search assistance, court paperwork, and connecting you with housing resources including sober living options. Transition planning begins early, not as an afterthought.

Your clinical team coordinates step-down to outpatient care, connects you with external therapists and psychiatrists, and enrolls you in our alumni program — a lifelong community of graduates who understand. Your time at Trailhead may end, but the support never does.

Case ManagementLife SkillsTransition PlanningAlumni ProgramAftercare
Why Trailhead

The Field Manual

AdvantageWhat It Means for You
Three TracksMorning (9-12:30), Afternoon (12:30-3:30), or Evening (6-9 PM) — choose what fits your life.
Evening TrackMon-Thu 6-9 PM sessions designed specifically for working professionals and students.
Step-Down from PHPSeamless transition from PHP with the same clinical team, same facility, and continued care plan.
NP Within 72 HoursOn-site Nurse Practitioner meets every new IOP client within 72 hours for medication evaluation.
12:1 RatioSmall counselor caseloads mean more personalized attention and deeper therapeutic relationships.
CBT/DBT/ACTEvidence-based skills groups in all three modalities build real-world coping strategies.
Weekly Individual TherapyEvery IOP client receives weekly one-on-one sessions with a licensed clinician.
Holistic PracticesBreathwork, yoga, mindfulness, and motivational exercise complement clinical programming.
Dual NH/MA LicensingLicensed in both New Hampshire and Massachusetts, ensuring broader access and regional coverage.
Family SupportIndividual family therapy plus monthly Zoom family support groups for loved ones 18+.
Same-Day AdmissionsMultiple weekly admission opportunities — first call to first IOP session in 24-48 hours.
By the Numbers

Summit Markers

60-90
Days Typical Duration
3
Flexible Tracks
72hr
NP Access After Enrollment
12:1
Counselor Caseloads
Base Camp

Tour the Facility

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.
A quiet, calming room dedicated to breathwork, yoga, and mindfulness practices. Designed to help you reconnect with your body and find peace in the present moment.
Ping pong, foosball, and Xbox create opportunities for relaxation and peer bonding between sessions. Fellowship happens in the informal moments too.
A softly lit decompression space for quiet reflection. When sessions feel heavy, the Serenity Room offers a calm retreat to reset before continuing.
Snacks are provided at every IOP session. Fellowship between sessions builds the connections that become your recovery community.
Fresh air, walking paths, and a designated space to take a break. Stepping outside between sessions helps clear your mind and recharge.
Your Journey

Setting Up Camp

Our clinical team conducts a comprehensive assessment to understand your needs, history, and goals. Whether you're stepping down from PHP or entering IOP directly, we build a personalized treatment plan and assign you to the track (AM, PM, or evening) that fits your life.

Within 72 hours of enrollment, you'll meet with our Nurse Practitioner for medication evaluation and management. Group therapy, psychoeducation, and weekly individual sessions establish the structure and support system that anchors your recovery.

CBT, DBT, and ACT skills groups give you practical tools for real-world situations. You practice applying what you've learned between sessions — managing triggers, building routines, and strengthening relationships while living your daily life.

Your case manager coordinates step-down to outpatient care or external support. You're connected with therapists, housing resources, and enrolled in our alumni community — a lifelong network of people who understand where you've been.

Getting Started

Start IOP in 24–48 Hours

T-4

Contact & Verify

Call (857) 312-1697. Our admissions team verifies your insurance and answers every question — no judgment, no pressure. Most verifications take less than a minute.

T-3

Clinical Assessment

A comprehensive evaluation determines the right IOP track for your schedule — morning, afternoon, or evening — and builds your personalized treatment plan.

T-2

Track Assignment & Orientation

Meet your therapist and case manager, choose your IOP track, tour the facility, and get settled. You'll feel at home before your first session begins.

T-1

Begin IOP

Start IOP within 24-48 hours of your first call. Same-day admissions available when you're ready. Your basecamp is set — the climb begins.

Start IOP Treatment Today

Flexible morning, afternoon, and evening tracks. Our compassionate team is ready to help you take the next step — today.

Your Crew

Camp Counselors

[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

Field FAQ

About the Program

Most clients complete IOP in 60 to 90 days, though duration is individualized based on progress and clinical recommendation. Your treatment team adjusts the timeline to your needs.

Yes — that's one of IOP's biggest advantages. Our evening track (6-9 PM, Mon-Thu) is designed specifically for working professionals and students. Morning and afternoon tracks are also available for maximum flexibility.

PHP is our most intensive level — full days (9 AM-3:30 PM) with lunch provided. IOP is a step-down: focused 3-3.5 hour sessions with morning, afternoon, or evening options. Both include individual therapy, group work, and medication management.

Each session includes an AM check-in, group therapy, evidence-based skills training (CBT, DBT, ACT), and a wrap-up with goal setting. Evening sessions run 6-9 PM with the same structure. Snacks are provided at every session.

Yes. Telehealth and hybrid options are available for all program levels. You can attend IOP sessions virtually or mix in-person and virtual based on your needs.

Getting Started

Most clients have some or all of IOP covered by insurance. We accept Anthem BCBS, Point 32 (Harvard Pilgrim + Tufts), Tricare, Uprise Health, and WellSense NH Medicaid. Affordable self-pay options and financial assistance are also available.

We verify your insurance before admission — it takes less than a minute. Call (857) 312-1697 or use our online form for a free, confidential verification.

IOP is ideal for adults stepping down from PHP, working professionals who need intensive support without full-day programming, or anyone whose clinical assessment indicates intensive outpatient as the right level of care.

Your treatment team coordinates a step-down to outpatient care, connects you with external therapists and psychiatrists, and enrolls you in our alumni program for ongoing community support.

Absolutely. Individual family therapy sessions are available, and we host monthly family support groups via Zoom — open to any family member 18+, covering codependency, family systems, and how to support recovery effectively.

IOP Insurance Coverage

Supply Check

Anthem BCBS Point 32 Health Tricare Uprise Health WellSense NH

Verify Your Coverage

Takes less than a minute. Completely confidential.

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

Conditions Treated in Our IOP

Trail Register

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
42.7886° N · 71.2009° W

Find Basecamp

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 IOP Treatment Today

Your basecamp for recovery is here. Three flexible tracks, evidence-based care, and a team ready to support you — today.

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