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Outpatient Program (OP) in Salem, NH

Ongoing weekly therapy for sustained recovery. Our outpatient program provides continued clinical support as you maintain your daily life and build on the progress you've made in higher levels of care.

JCAHO Accredited
Dual NH/MA Licensed
24-48hr Rapid Admission
“They treated me like family from day one. I finally felt safe enough to be honest.”
— [Client testimonial placeholder]
Our Outpatient Program

“The outpatient program let me keep working and living my life while still having that weekly check-in that kept me on track. I never felt alone in my recovery.”

[Client testimonial placeholder] — Google Review

Outpatient Program Details

What's Included

  • Weekly individual therapy with your assigned licensed clinician
  • Weekly group therapy session with peers in similar recovery stages
  • Medication management check-ins with prescribing provider as needed
  • Continued relapse prevention planning and coping strategy development
  • Access to case management resources for ongoing life needs
  • Referrals to external therapists and psychiatrists when appropriate

What to Expect

  • Low-intensity, high-flexibility — one session per week
  • Session time coordinated directly with your clinician to fit your schedule
  • Continued therapeutic work building on your PHP/IOP foundations
  • Focus on maintaining sobriety and preventing relapse in daily life
  • Integration of recovery skills into real-world routines
  • Supportive but not restrictive — designed for increasing independence

What Happens Outside Programming

  • Nature-based activities: guided hiking, outdoor meditation, grounding exercises, and community recovery events
  • Alumni engagement events connecting you to the recovery community
  • Family therapy and monthly family support groups via Zoom
  • Recovery community events and local sober gatherings
  • Case management for real-life needs — resume building, job search, court paperwork

OP at a Glance

  • Schedule: Once per week, time arranged with your clinician
  • Duration: Ongoing (as long as clinically beneficial)
  • Setting: In-person at our Salem, NH facility (telehealth available)
  • Caseload: individualized treatment plans for personalized attention
  • Medication Management: Check-ins as needed
  • Enrollment: Direct enrollment or step-down from IOP

What Does a Typical OP Week Look Like?

1
Schedule
Coordinate session time with your clinician
2
Individual
One-on-one therapy session
3
Group
Group therapy with recovery peers
4
Ongoing
Apply skills in daily life between sessions
Why Choose Our Outpatient Program
11 Reasons Trailhead Stands Apart
1

Flexible Weekly Schedule

Attend just once per week at a time that fits your work, school, and family commitments. Recovery on your schedule.

2

Continued Clinical Support

Stay connected to your clinical team long after stepping down from intensive care. Consistent support reduces relapse risk.

3

Individual + Group Therapy

Every week includes one-on-one time with your therapist and a group session with peers — both formats work together to reinforce your recovery.

4

Step-Down Continuity

Transition seamlessly from IOP with the same clinical team, familiar environment, and treatment philosophy. No starting over.

5

Relapse Prevention Focus

Every session reinforces trigger identification, coping strategies, and real-world skill application. Prevention is woven into everything we do.

6

Telehealth Available

Attend sessions virtually when in-person isn't possible. Telehealth keeps your care consistent through travel, illness, or schedule conflicts.

7

Ongoing Medication Management

Our clinical team remains available as needed for medication adjustments, refills, and check-ins throughout your outpatient care.

8

Alumni Access

Outpatient clients are part of the Trailhead alumni community — recovery events, peer support, and a network that lasts beyond formal treatment.

9

Family Support

Family therapy sessions and monthly Zoom support groups keep your loved ones involved and informed as your recovery evolves.

10

External Referral Network

Need a psychiatrist, housing support, legal aid, or vocational services? Your case manager connects you with trusted community resources.

11

No End Date Pressure

Stay as long as it serves your recovery. There's no arbitrary timeline — you and your clinician decide together when the time is right to graduate.

Results That Matter
Outpatient Treatment Outcomes
82% rate

Sustained Recovery

94% rating

Client Satisfaction

low caseload

Counselor Caseloads

1x /week

Weekly Sessions

Our Space

Tour Our Facility

[Meditation Room Photo]

Meditation Room

Quiet space for breathwork, yoga, and mindfulness practice.

[Yoga & Meditation Studio Photo]

Yoga & Meditation Studio

Calming decompression space when you need a moment of quiet.

[Dining Area Photo]

Dining Area

Where PHP clients share daily lunch and build community bonds.

[Wellness Room Photo]

Recreation Room

yoga, meditation, and breathwork — healthy socialization between sessions.

[Outdoor Area Photo]

Outdoor Space

Fresh air and nature breaks throughout your treatment day.

Your Outpatient Journey
Four Phases of Sustained Recovery
Phase One

Assessment & Goal Setting

Whether you're stepping down from IOP or enrolling directly, your outpatient journey begins with a clinical assessment and collaborative goal setting. Your therapist reviews your history, current strengths, and areas of focus to create a treatment plan tailored to this stage of recovery. If medication management is needed, we'll coordinate a prescribing provider appointment. This phase establishes a clear picture of where you are and what you want to achieve.

Phase Two

Ongoing Therapeutic Work

Each week, you'll meet with your therapist for an individual session focused on the goals you've set — processing challenges from the week, reinforcing coping skills, and addressing any new triggers or stressors. Group therapy provides a peer support component where you can share experiences and learn from others at a similar point in recovery. Your clinician draws from CBT, DBT, ACT, and motivational interviewing based on what resonates with you.

Between sessions, you're living your life — working, caring for family, rebuilding relationships. The outpatient structure is designed so that your weekly session becomes an anchor point: a consistent space to reflect, recalibrate, and stay accountable.

Phase Three

Independence & Integration

As your recovery stabilizes, sessions focus increasingly on long-term integration — building sustainable routines, deepening community connections, and handling life's inevitable stressors without returning to old patterns. Family therapy may continue to strengthen relationships that support your sobriety. Your case manager ensures any external needs (housing, vocational support, legal matters) are being addressed.

Phase Four

Graduation & Alumni Transition

When you and your clinician agree you've met your treatment goals and built a solid foundation for independent recovery, you'll graduate from the outpatient program. But leaving doesn't mean losing support — you transition into our alumni network with access to recovery events, peer connections, and the knowledge that you can return to outpatient care anytime if you need a tune-up. Trailhead remains in your corner.

Getting Started
Start Outpatient This Week

From your first call to your first session — we make getting started simple because consistency matters.

Contact & Verify Insurance

Call us at (857) 312-1697. Our admissions team will verify your insurance coverage in minutes and answer any questions about the program. We accept [Insurance Provider — TBD], Point 32, [Insurance Provider — TBD], [Insurance Provider — TBD], and Medicaid [verification pending] NH Medicaid.

Clinical Assessment

A comprehensive evaluation reviewed by licensed clinical staff. We assess substance use history, mental health, medical needs, and personal goals to build your individualized treatment plan.

Intake & Orientation

You'll be assigned a primary therapist and case manager, take a facility tour, and meet your fellow clients. We handle the logistics so you can focus on showing up.

Begin Programming

Start therapy within 24–48 hours of your first call. You'll enter group sessions, meet with your clinical team, and begin building the skills that will carry your recovery forward.

Start Outpatient Treatment Today

Take the first step. Our admissions team is ready to help.

Meet Your Team
The People Behind Your Recovery
[Photo]

Alysia LaGambina

Clinical Director
“Recovery isn't one-size-fits-all. We meet every client where they are.”

Licensed clinical professional with extensive experience in substance use treatment and co-occurring mental health disorders. Oversees all clinical programming, treatment plan development, and staff training. Brings both professional credentials and a deep understanding of what it takes to build a recovery-first culture.

[Photo]

[Lead Therapist]

Lead Therapist, [Credentials TBD]
“The therapeutic relationship is the foundation everything else is built on.”

Licensed Mental Health Counselor specializing in CBT, DBT, and trauma-informed care. Leads individual therapy sessions and supervises group therapy programming. Known for building trust quickly and creating a safe space where clients feel comfortable doing the hard work of recovery.

[Photo]

[Case Manager]

Case Manager
“Recovery is about building a life, not just stopping a substance.”

Behavioral health professional focused on the practical side of recovery — life skills, employment support, housing coordination, and aftercare planning. Works directly with clients to ensure that when treatment ends, a stable, supported life is waiting.

Common Questions
Outpatient Program FAQs
Outpatient sessions are scheduled once per week. Each visit includes individual therapy and a group therapy session. The day and time are arranged to fit your schedule, including work and family obligations.
There is no fixed end date. The program is ongoing and continues as long as you and your clinical team agree it's beneficial. Some clients attend for a few months, others for a year or more. You'll never be pushed out before you're ready.
Both options are available. Many clients step down from our IOP program, but you can also enroll directly into outpatient care if a clinical assessment determines it's the right level of care for your situation. Call us and we'll help you figure out the best starting point.
Each week you'll have a one-on-one session with your therapist focused on your personal goals, challenges, and progress. You'll also participate in a group therapy session with peers at a similar stage of recovery. Sessions draw from CBT, DBT, ACT, and motivational interviewing based on what works for you.
Most major insurance plans cover outpatient substance use and mental health treatment. We're in-network with [Insurance Provider — TBD], Point 32 (Harvard Pilgrim + Tufts), [Insurance Provider — TBD], [Insurance Provider — TBD], and Medicaid [verification pending] NH Medicaid. We verify your benefits before you start so there are no surprises. Call (857) 312-1697 to check your coverage.
Yes. We offer telehealth options for outpatient sessions. You can attend virtually when in-person isn't feasible due to travel, weather, illness, or schedule conflicts. This flexibility helps ensure your care stays consistent week to week.
IOP meets 3–4 times per week for 3.5-hour sessions. Outpatient meets once per week and focuses on maintaining the progress you've already made. IOP is more structured and intensive; outpatient is designed for clients who have stabilized and are building independence while staying connected to clinical support.
Yes. Our clinical team remains available throughout your outpatient care for medication adjustments, refills, and check-ins. If you were on medication during PHP or IOP, that support continues seamlessly. New medication evaluations can also be arranged if needed.
Absolutely. Family therapy sessions can be coordinated with your therapist, and our monthly Zoom family support groups remain open to you and your loved ones. These groups cover codependency, communication, and supporting long-term recovery — open to any family member 18+.
Recovery isn't always linear. If you or your clinician feel you need more support, we can transition you back to IOP or PHP quickly and without judgment. The goal is always to match you with the right level of care for where you are right now. Stepping back up is a sign of strength, not failure.
Insurance Accepted
Outpatient Program Insurance Coverage

Don't see your plan? Call us — we may still be able to help.

Verify Your Coverage
What We Treat
Conditions Treated in Our Outpatient Program

Substance Use Disorders

Our outpatient program provides continued care for a full range of substance use disorders including alcohol, opioids, heroin, fentanyl, cocaine, methamphetamine, benzodiazepines, marijuana, kratom, and prescription drug abuse. We also support clients recovering from less common dependencies including synthetic drugs, hallucinogens, inhalants, stimulants, barbiturates, and MDMA. Whatever the substance, our clinical framework adapts to your specific needs.

Co-Occurring Mental Health

Many clients in outpatient care continue managing co-occurring anxiety, depression, PTSD, bipolar disorder, OCD, panic disorders, trauma, and self-harm behaviors. Our dual-diagnosis approach ensures both conditions are addressed simultaneously — because treating one without the other rarely leads to lasting recovery.

Location
Serving Salem, NH & Beyond

Trailhead Treatment Center is conveniently located in Salem, New Hampshire — easily accessible from the greater New Hampshire and Massachusetts areas. Our facility serves adults throughout the region who are seeking intensive outpatient addiction treatment in a supportive, community-focused environment.

Trailhead Treatment Center
103 Stiles Rd, Suites 1 & 2
Salem, NH 03079
(857) 312-1697
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Your Recovery Starts Here

Call now to speak with our admissions team. Same-day assessments available.