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Medication-Assisted Treatment in Salem, NH

Medication is not a crutch. It is an FDA-approved treatment that reduces opioid overdose deaths by half. Call 978-915-8317. Your first call is confidential and pressure-free.

Trailhead Treatment Center provides outpatient medication-assisted treatment (MAT) in Salem, NH for opioid use disorder and alcohol use disorder. We offer three injectable MAT medications: Vivitrol, Sublocade, and Brixadi. Each can be paired with therapy, combined with a full treatment program, or administered as a standalone service.

Trailhead is recovery-owned. Our co-founders, Caitlin and Mike DiBlasi, built this program because they know what it takes to stay in recovery.

If you’ve been told that MAT is “replacing one addiction with another,” you’ve been given outdated information. The research is clear: medication combined with therapy reduces overdose deaths, sustains long-term recovery, and gives people a real chance at stability.

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What is MAT

What is Medication-Assisted Treatment?

Medication-assisted treatment (MAT) combines FDA-approved medications with behavioral therapy to treat substance use disorders. The clinical field has shifted toward the term MOUD (Medications for Opioid Use Disorder), but MAT remains the most widely recognized term and applies to both opioid and alcohol use disorder treatment.

MAT works by reducing cravings, blocking the euphoric effects of opioids or alcohol, and stabilizing brain chemistry so that therapy and behavioral change can take hold. For many people, medication is what makes recovery possible.

At Trailhead, MAT is integrated into a full clinical program. You receive medication management alongside individual therapy, group sessions, and holistic programming. Your clinical team coordinates your medication and your therapy as one plan.

Addressing MAT Stigma

The Truth About MAT and Recovery

If someone has told you that taking medication for addiction means you are not truly in recovery, they are wrong.

You may have heard it from a sponsor, a family member, or someone else in recovery whose opinion matters to you. That makes it harder to dismiss. But the belief has kept people from effective care and contributed to preventable overdose deaths.

The evidence is clear:

Some people use medication for months. Others use it for years. Your clinical team adjusts the plan based on your progress and your needs.

At Trailhead, our leadership team understands the internal conflict that comes with choosing medication. We use medication, therapy, and community to support recovery, and we don’t judge which tools someone relies on.

If you’re ready today, we can start tomorrow. Call 978-915-8317. Your first call is confidential and pressure-free.

Medications We Offer

Medications We Offer

Trailhead offers three injectable medications. Injectable formats mean you receive your dose at the facility on a set schedule. No daily pills to manage, no risk of diversion, and no daily clinic visits.

Vivitrol (Naltrexone Injection)

Vivitrol is a monthly injection that blocks opioid receptors and reduces alcohol cravings. It treats both opioid use disorder and alcohol use disorder. Vivitrol does not contain opioids. It works by preventing opioids and alcohol from producing their rewarding effects, which reduces the drive to use.

Vivitrol requires full detox from opioids before the first injection. It is often the medication of choice for people who have completed detox at another facility and are transitioning to outpatient care.

Sublocade (Buprenorphine Injection)

Sublocade is a monthly injection for opioid use disorder. It delivers a steady dose of buprenorphine, which reduces cravings and withdrawal symptoms without producing a high at therapeutic doses. Sublocade eliminates the need for daily oral buprenorphine (Suboxone) and provides consistent medication levels throughout the month.

For people who have struggled with daily medication adherence, the monthly injection removes one barrier from the recovery process.

Brixadi (Buprenorphine Injection)

Brixadi is a newer formulation of injectable buprenorphine for opioid use disorder. It offers weekly and monthly dosing options, giving prescribers more flexibility when starting or adjusting treatment. Brixadi and Sublocade use the same active ingredient but differ in their delivery systems.

The weekly option is particularly useful during the early weeks of treatment when clinical teams are finding the right dose.

Not sure which medication is right for you? That gets determined during your clinical assessment, not before. Call 978-915-8317 to start the conversation. Your first call is confidential and pressure-free.

How MAT Works at Trailhead

How MAT Works at Trailhead

MAT at Trailhead fits your situation. We offer three service models based on what you need and where you are in recovery.

Injection + Full Program (PHP or IOP)

You receive your injectable medication while participating in our Partial Hospitalization Program or Intensive Outpatient Program. This combines daily or multi-day clinical programming with medication management. It is the most comprehensive option for people early in recovery or managing co-occurring mental health conditions.

Injection + Individual Therapy

You receive your medication alongside regular individual therapy sessions. This works if you don’t need or want group programming but benefit from ongoing clinical support in addition to your medication.

Standalone Injection

You come in for your injection on schedule and maintain your recovery independently. This option is for people in stable recovery who are receiving therapy elsewhere or have completed a program and need continued medication management only.

Clinical Director Alysia LaGambina, LICSW, and your clinical team determine the right model through an ASAM assessment during intake. The assessment evaluates your substance use history, mental health, medical needs, and recovery environment to match you with the appropriate level of care.

Every month without effective treatment is a month where cravings make decisions for you. MAT changes that timeline.

Collaboration

Working With External MAT Providers

Trailhead does not dispense methadone on-site. If you are receiving methadone from an outside clinic, you can still participate in any of our programs. We coordinate care with your external MAT provider so that your medication and your therapy work together.

If you have a prescriber outside of Trailhead managing your buprenorphine or naltrexone, our clinical team communicates with your existing providers to ensure continuity and avoid gaps in care.

Combined With Any Program

MAT Combined With Any Program Level

MAT can be added to any level of care at Trailhead:

You do not have to choose between medication and a full treatment program. At Trailhead, they work together. Medication handles the cravings. Our holistic programming, including yoga, breathwork, meditation, and grounding exercises, helps with the stress and anxiety that drove the use in the first place. People in our MAT program describe feeling lighter, less tense, more grounded.

Trailhead is dual licensed by the State of New Hampshire for substance use and mental health treatment. Learn more about our clinical team and approach.

Insurance

Insurance and Payment for MAT

Trailhead Treatment Center is in-network with major insurance providers:

Blue Cross Blue Shield Harvard Pilgrim Tufts

Self-pay is accepted for all MAT services. Insurance verification happens during your first call. We handle prior authorization so you know what’s covered before your first appointment.

Don’t let insurance uncertainty stop you from calling. Call 978-915-8317 to verify your benefits. Your first call is confidential and pressure-free.

Verifying your insurance does not commit you to treatment. It gives you information so you can make a decision when you’re ready.

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FAQ

Frequently Asked Questions About MAT

MAT (medication-assisted treatment) is the broader term covering FDA-approved medications combined with therapy for substance use disorders. MOUD (medications for opioid use disorder) is a newer, more specific term focused on opioid treatment. At Trailhead, we use MAT because our medication options treat both opioid and alcohol use disorders.

Trailhead offers injectable forms of buprenorphine (Sublocade and Brixadi) rather than daily oral formulations like Suboxone. Injectable medications provide consistent dosing, reduce the risk of missed doses, and eliminate the need for daily pill management.

Yes. Trailhead offers standalone injection services for people in stable recovery who need medication management only. You can also pair your injection with individual therapy sessions without enrolling in PHP or IOP.

No. Trailhead does not dispense methadone on-site. If you are receiving methadone from an outside provider, you can still participate in Trailhead’s therapy and programming. Our team coordinates with your methadone clinic to ensure continuity of care.

Treatment duration varies by individual. Some people benefit from medication for several months during early recovery. Others maintain medication for years as part of long-term stability. Your clinical team reviews your progress regularly and adjusts the plan based on your needs, not a fixed timeline.

No. Medications like Vivitrol, Sublocade, and Brixadi are FDA-approved, evidence-based treatments that stabilize brain chemistry and reduce cravings. They do not produce a high at therapeutic doses. The National Institute on Drug Abuse, the World Health Organization, and the American Society of Addiction Medicine all support MAT as a frontline treatment for opioid and alcohol use disorders.

Trailhead is in-network with Blue Cross Blue Shield, Harvard Pilgrim, and Tufts. Self-pay is accepted for all services. Call 978-915-8317 to verify your specific benefits during a confidential conversation.

Most clients begin treatment within 24 to 48 hours of their first call. Call 978-915-8317 to get started.

You speak with someone from our admissions team. They ask about your situation, verify your insurance, and help you schedule an assessment. No one will pressure you into a program or a medication. If Trailhead is not the right fit, we tell you that and help you find the right provider.

Start MAT at Trailhead Treatment Center

Call 978-915-8317 to speak with our admissions team about medication-assisted treatment in Salem, NH. We verify your insurance on the first call and can schedule your intake within 24 to 48 hours.

Your first call is confidential and pressure-free.

If you have tried treatment before, that experience matters. It taught you something. Bring it with you.

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