Flexible AM, PM, and evening IOP tracks in Salem, NH — 60 to 90 days of evidence-based therapy, step-down from PHP, designed for real life.
IOP at Trailhead offers three flexible tracks: Morning (9:00 AM – 12:30 PM), Afternoon (12:30 – 3:30 PM), and Evening (6:00 – 9:00 PM), Monday through Thursday. Choose the track that fits your work, family, or school schedule — and switch between tracks as your life changes.
The program runs 60 to 90 days, with duration individualized based on your progress and clinical recommendation. IOP is our primary step-down from PHP, giving you continued intensive support while you re-engage with daily life.
Group therapy is the core of IOP at Trailhead. Each session includes focused skills groups in CBT, DBT, and ACT — building emotional regulation, distress tolerance, and psychological flexibility. Psychoeducation groups deepen your understanding of addiction and co-occurring mental health conditions.
Relapse prevention sessions equip you with concrete strategies for real-world situations. Your treatment plan adapts to your preferences — 12-Step, SMART Recovery, Dharma Recovery, or a personalized blend. Snacks are provided during every IOP session.
Within 72 hours of admission, you'll meet with our on-site Nurse Practitioner for a comprehensive medical evaluation and personalized medication management plan — including Suboxone, Vivitrol, or other FDA-approved medications when clinically appropriate.
Weekly individual therapy pairs you with a licensed clinician who works one-on-one using Cognitive Behavioral Therapy to reshape the thought patterns that fuel addiction. Collaborative treatment planning ensures every clinical decision aligns with your goals. The 12:1 counselor-to-client ratio means you get the attention you deserve.
IOP is ideal for clients stepping down from PHP who need continued intensive support, working professionals who can't attend full-day programming, and anyone whose clinical assessment indicates a need for structured outpatient care while maintaining their daily responsibilities.
The evening track (6:00 – 9:00 PM) is specifically designed for people who work during the day. You don't have to choose between recovery and your career — IOP at Trailhead lets you do both.
Every IOP client receives group therapy sessions, weekly individual therapy, Nurse Practitioner evaluation within 72 hours, psychoeducation curriculum, snacks during sessions, and holistic programming including yoga, meditation, and breathwork.
Family therapy is available individually and through monthly Zoom support groups. Case management helps with employment, housing, and transition planning. Your clinical team coordinates step-down to outpatient care and enrolls you in our alumni program for lifelong support.
Morning, afternoon, or evening sessions — choose the track that fits your schedule and switch as needed.
6:00 – 9:00 PM Mon–Thu designed for working professionals who need recovery without career disruption.
Seamless transition from PHP to IOP — same team, same facility, continued support at a flexible pace.
On-site Nurse Practitioner meets every new IOP client within 72 hours for medication evaluation.
Low counselor-to-client caseloads mean more personalized attention and better clinical outcomes.
Evidence-based modalities build emotional regulation, cognitive flexibility, and distress tolerance.
Every IOP client receives weekly one-on-one therapy with a licensed clinician — not just group work.
Yoga, meditation, breathwork, and motivational exercise groups integrated into your IOP experience.
Licensed in both New Hampshire and Massachusetts, ensuring broader access and regional coverage.
Individual family therapy plus monthly Zoom support groups help repair relationships and build understanding.
Multiple weekly admission opportunities — first call to first day in 24-48 hours when clinically appropriate.
Multiple group rooms provide comfortable, private spaces for evidence-based sessions including DBT, CBT, and ACT skills groups.
A quiet, calming room dedicated to breathwork, yoga, and mindfulness. Designed to help you reconnect with your body.
Ping pong, foosball, and Xbox create opportunities for relaxation and peer bonding between sessions.
A softly lit decompression space for quiet reflection. When sessions feel heavy, this room offers a calm retreat.
Snacks are provided during IOP sessions. Shared breaks create community — recovery bonds form over a table.
Fresh air, walking paths, and a designated space to take a break. Stepping outside between sessions helps clear your mind.
Our clinical team conducts a comprehensive assessment to understand your needs, history, and goals. Within 72 hours, you'll meet with our NP for medical evaluation and medication planning. Together, we build a personalized IOP treatment plan.
Your first weeks in IOP establish structure and routine. Group therapy, individual sessions, and psychoeducation build the foundation. You select your track — morning, afternoon, or evening — and begin applying skills immediately.
Recovery deepens as you apply CBT, DBT, and ACT skills in real-world settings. Family therapy, holistic practices, and community engagement expand your support network beyond the clinic walls.
Your case manager coordinates step-down to outpatient care or external support. You're connected with therapists, psychiatrists, housing resources, and enrolled in our alumni community for lifelong support.
Call (857) 312-1697. Our admissions team verifies your IOP insurance coverage and answers every question — no judgment, no pressure. Most clients have coverage verified within minutes.
A comprehensive evaluation by licensed clinicians confirms IOP as the right level of care and builds your personalized treatment plan. Reviewed and approved by our clinical director.
Meet your therapist and case manager, tour the facility, and select your IOP track — morning, afternoon, or evening. Your first group session is scheduled before you leave orientation.
Start IOP within 24-48 hours of your first call. Same-day admissions available when clinically appropriate. Your new season begins.
You don't have to walk this trail alone. Call today or verify your insurance — flexible tracks are waiting for you.
Oversees all clinical operations and treatment planning. Years of experience in trauma-informed care with a deep commitment to evidence-based practice and individualized treatment.
Over a decade guiding individuals through recovery. Specializes in CBT, DBT, and relapse prevention with a compassionate, personalized approach rooted in lived experience.
Your advocate for life beyond treatment — from employment support and housing to court paperwork and community resources. Five-plus years helping people rebuild.
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 — not the other way around.
Absolutely — that's one of IOP's biggest advantages. Our evening track (6:00–9:00 PM, Mon–Thu) is designed specifically for working professionals. Morning and afternoon tracks also allow flexibility around work, school, or family obligations.
We offer three tracks: Morning (9:00 AM – 12:30 PM), Afternoon (12:30 – 3:30 PM), and Evening (6:00 – 9:00 PM), all Monday through Thursday. You can switch between tracks as your schedule changes.
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. We verify your coverage before admission — call (857) 312-1697 or use our online form.
PHP is our most intensive level — full days (9 AM–3:30 PM) with lunch provided. IOP is a step-down: 3 to 3.5-hour sessions with morning, afternoon, or evening options, running 60–90 days. Both include individual therapy, group work, and medication management.
Yes. Telehealth and hybrid options are available for all program levels including IOP. You can attend sessions virtually or mix in-person and virtual based on your needs and preferences.
IOP is ideal for clients stepping down from PHP who need continued intensive support, working professionals who cannot attend full-day programming, and anyone whose clinical assessment indicates a need for structured outpatient care while maintaining daily responsibilities.
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.
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 and lifelong connection.
Three flexible tracks including an evening option, NP access within 72 hours, 12:1 counselor caseloads, CBT/DBT/ACT evidence-based modalities, weekly individual therapy, holistic programming, dual NH and MA licensing, family support, and same-day admissions. We adapt to your life instead of demanding you adapt to ours.
Takes less than a minute. Completely confidential.
HIPAA protected. No obligation. Self-pay and financial assistance available.
Start your IOP journey today. Call now — a new season is waiting.
