The opioid crisis has taken a severe toll on the close-knit rural communities of the Granite State. For several years in a row, New Hampshire has had among the highest per capita rates of fentanyl-related overdose deaths anywhere in the country —more than three times the national average in 2016.
Fortunately, there is help for those suffering from opioid, alcohol, or other substance use disorders. New Hampshire is home to a wide variety of rehabilitation centers and addiction-related services at many different pricing options and levels of care.
Best Rehab Centers in New Hampshire
Farnum Center provides a full spectrum of drug and alcohol rehabilitation services. Their program combines the 12-Step system with a “Health Realization” approach that encourages patients’ innate resiliency. They operate in Manchester and Franklin. Farnum Center’s main location in Manchester is also equipped with a medical detox unit.
Their residential treatment programs generally last 3-4 weeks and are overseen by a licensed, interdisciplinary team of addiction specialists, as well as an on-site team of clinical and medical staff. The program revolves around individual and group therapy sessions, educational classes, and medication-assisted treatment (which is also available at their outpatient clinic). Their inpatient program boasts terrific food and a loving, empathetic atmosphere. Their facilities feature a saltwater pool and a variety of recreational activities, such as music classes, basketball, and meditation.
In Franklin, Farnum Center also runs a men-only residential program, as well as a co-ed treatment center with separate programs for men and women. They all have excellent aftercare support, including assistance with finding housing and establishing peer support networks.
Gatehouse Treatment provides gender-specific rehabilitation programs for adults and adolescents struggling with drug and alcohol addictions. Their master’s level clinicians have the bedside manner to make patients feel like family, along with the expertise to effectively treat a host of co-morbid disorders. Patients are assigned a personal case management team to customize their treatment program and assist them with any legal and financial issues.
The group runs a partial hospitalization program in which patients attend individual and group therapy 6 hours a day, 6 days a week while living in clean, comfortable, and supervised quarters off-site. Therapy focuses on CBT and brain/body trauma assessment, while including EMDR, biofeedback, experiential psycho-dramas, and equine therapy.
The young adults' program features a similar approach, but with additional emphasis on patients’ emotional and developmental needs — Seacoast Youth Services provides similar services on an outpatient basis.
Gatehouse Treatment’s outpatient programs combine regular counseling sessions with ongoing medication management, peer support, and community housing. Case management services are also available to help patients with employment, financial support, and relapse prevention.
Willows Substance Use Treatment Center
The Willows Substance Use Treatment Center is run by Families in Transition-New Horizons, a comprehensive homeless services organization. They run an intensive outpatient treatment program that provides evidence-based, specialized treatment for substance use disorders and mental health issues.
They provide individual and group therapy for 3 hours a day, 3 days a week (their regular outpatient program is 3 hours a day, two days a week). Patients learn to recognize, examine, and understand the effects of substance abuse and trauma on their lives and those of their families.
Like Granite Recovery Centers, the organization also runs a Transitional Living facility, with safe, affordable, gender-specific housing. Residents can stay for up to six months. Their Recovery Housing facility is a residence specifically for single women with children. Residents at both places are assigned a treatment team to support their transition back to the community and to help them work towards self-sufficiency.
The center also provides childcare services as needed, as well as transportation to the program for patients who live in Manchester, based on program eligibility.
The Counseling Center of New England
The Counseling Center of New England runs an expansive network of mental health and substance use clinics across New Hampshire. They have 13 locations in total, including in Nashua, Manchester, and Londonderry. They provide an outpatient treatment track for those with alcohol and substance abuse problems, assisting patients in making the motivational, lifestyle, and social changes necessary to maintain sobriety. Therapy takes place in individual and group settings, directed by specialized psychologists and licensed alcohol and drug counselors.
They use a wide variety of therapeutic approaches, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR), and Acceptance and Commitment Therapy (ACT). They also offer a Suboxone (buprenorphine + naloxone) maintenance program in conjunction with therapeutic support services for family members.
The Counseling Center of New England also specializes in behavioral addictions, such as gambling, pornography, and sex. They offer their services on a sliding payment scale, and are very accommodative in working around your schedule.
Blueprint Recovery Center
The Blueprint Recovery Center offers a full continuum of personalized, gender-specific addiction treatment and recovery services for men and women with alcohol and substance use disorders. Treatment takes place in a comfortable, communal setting. Their experienced staff genuinely listen and get to know you as a person in order to customize your unique pathway to recovery.
While they are primarily focused on treating addiction to opioids, they also offer programs for those with alcohol use disorder. Their partial hospitalization program allows patients to either live at home or reside at their spacious, newly renovated community housing apartments while they undergo treatment.
Patients attend individual and group counseling sessions that emphasize building healthy coping skills and dealing with the mental health concerns underlying their addiction. Their trauma-focused therapeutic approach combines CBT, motivational interviewing, and expressive therapies. Medication-assisted treatment is provided on-site for those who require it. Patients can also access many of these services on an outpatient basis.
Balance Recovery Center
Similar to The Counseling Center of New England, Balance Recovery Center is a network of outpatient clinics that provide addiction-related services across the state. They operate in Nashua, Manchester, Concord, Merrimack, Derry, and Dover.
They specialize in opioid use disorder, prescribing their patients with Suboxone (buprenorphine + naloxone) or Vivitrol (naltrexone) in combination with regular substance abuse counseling. They allow people the space to recover from their addiction, regain their composure, establish a peer support system, and find employment.
Family-owned and founded by people directly impacted by substance abuse, their team of highly trained and empathetic professionals provides a safe and supportive environment that really cares about their clientele. From the front desk receptionist to the director, their genuine compassion for their patients is evident throughout the entire staff.
Along with those services directly related to addiction recovery, they are also dedicated to assisting patients with legal, financial, or family issues, as well as finding housing.
Harbor Care is the shared name for a group of organizations focused on community health and wellbeing. They provide a high-quality level of care overseen by licensed, clinical professionals —many with “lived experience” of substance abuse themselves.
The group runs a residential treatment program at Keystone Hall, with integrated psychiatric services and medication-assisted treatment on-site. Modeled on the 12-Step program, treatment is individualized and gender-specific, and includes individual and group counseling sessions, as well as yoga and acupuncture. Patients are housed in safe, private accommodations, with food and essentials provided. They offer both high and low intensity programs with variable lengths of stay.
Like Road to a Better Life, Harbor Care offers recovery services for pregnant and postpartum women. Treatment takes a holistic, clinically intensive, and family-centered approach. Children are able to live on-site, with access to daycare and pediatric medical services. Alternatively, they can assist patients in arranging regular visitations with their children or planning family reunification.
Harbor Care also provides medication-assisted treatment, peer support, recovery coaching, and dual diagnosis counseling on an outpatient basis. Their MERIT Program provides specialized treatment for homeless patients with methamphetamine use disorder. In partnership with Rockingham County Drug Court, they also offer treatment programs as an alternative to prison-sentencing for drug-related offences.
The primary drawbacks with Harbor Care are that it can be difficult to schedule an appointment as a new patient, and there are relatively long waiting room times for outpatient services.
Oasis Recovery Centers
Operating in Nashua, Concord, and Bedford, Oasis Recovery Centers offer a full spectrum of outpatient treatment services for opioid use disorder. Their medication-assisted treatment program lasts approximately 18 months, and is split into four phases: induction, stabilization, maintenance, and tapering. Treatment is personalized, with prescriptions to either Suboxone Suboxone (buprenorphine + naloxone) or Subutex (buprenorphine) available at varying doses based on your unique physiology.
While patients are not required to attend therapy and peer support sessions, Oasis highly recommends them as means of addressing the psychological aspects of their addiction —they can also provide referrals to off-site counselling services, if patients prefer.
For those who became addicted to opioids through the use of prescription painkillers, Oasis Recovery Centers also has an experienced team of anesthesiologists and physiotherapists who can provide alternative pain management options.
Avenues Recovery Center
You will feel instantly at home in the Avenues Recovery Center, which offers a comfortable, safe environment amongst an active recovery community. Staffed by a team of experienced and dedicated addiction professionals, the program uses a combination of clinical, peer, and community-based supports to promote a sustainable recovery lifestyle.
Their 28-40 day program combines the 12-Step system with experiential therapies like art, music, role-playing, and outdoor adventure activities (through their Thrive Outdoors affiliate program). Like Riverbank House, they also incorporate aspects of Eastern spirituality into the program. Patients consult with a primary therapist or psychiatrist to design a customized program that also integrates patients’ families into the treatment process.
Avenues Recovery Center also offers an intensive outpatient program in which patients attend educational classes and individual and group counseling sessions to help identify triggers, plan their recovery, and avoid relapse.
Granite Recovery Centers
Granite Recovery Centers provide a full continuum of addiction-related services through their network of facilities across the state. Their gender-specific and LGBTQ-friendly programs use the traditional 12-Step curriculum in combination with modern psychotherapy techniques such as CBT, DBT, motivational interviewing, and EMDR.
The organization runs residential treatment programs at the Green Mountain Treatment Center in Effingham and at the New Freedom Academy in Canterbury —the former offers medical detox and abstinence or harm-reduction based recovery programs; the latter specializes in medication-assisted treatment and patients with co-occurring mental health and substance use disorders. Patients can also access these services while living at home by enrolling in their intensive outpatient program.
Granite Recovery Centers run sober living facilities in Manchester, with separate apartments for men and women. The company employs a caring and capable multidisciplinary team of clinicians, 12-Step facilitators, and case workers. However, older patients may feel alienated by the fact that the staff are all relatively young, for the most part.
The Process Recovery Center
Nestled in a tranquil wooded glen by the riverside, The Process Recovery Center is widely recognized as one of the premier rehabilitation centers in New England. Their beautiful facility provides a safe and nurturing recovery environment, staffed by a team of compassionate and highly trained caregivers and addiction specialists. Their clinical knowledge and personal experiences have given each of them a thorough understanding of the nature of addiction, and they will work with you to create an individualized program tailored to your specific needs.
Although the center is not an inpatient facility, they offer a partial hospitalization program and an intensive outpatient program that both provide high-intensity treatment services. Patients attend daily individual and group counseling sessions that incorporate CBT, DBT, mindfulness, and deep breathwork. They also have an on-site Vivitrol (naltrexone) clinic for medication-assisted treatment and equipment for neurofeedback therapy.
The Process Recovery Center also works in conjunction with several sober living homes, where patients can reside during treatment. Their aftercare planning employs a “Matrix Model” support system to build intrinsic motivation, prevent relapse, and promote sustainable recovery.
Riverbank House runs a long-term residential rehabilitation program that combines current best practices in addiction treatment with Eastern spirituality —as part of the Buddhist Recovery Network, they even have a resident monk!
Their program uses a “Many Pathways to Recovery” treatment model that incorporates the 12-Step system, “SMART” (Self-Management And Recovery Training) therapy, yoga, and mindfulness, as well as medically managed withdrawal and opioid antagonist maintenance (if required). Their SOLO NO MORE program utilizes scientific techniques that actually repair the neurological damage caused by opioid dependency.
Riverbank House is located in the scenic Lakes Region of New Hampshire near White Mountains National Forest and the Appalachian Trail, where residents can enjoy a wide variety of outdoor activities, like hiking, skiing, and kayaking.
Residents can expect a welcoming, supportive community based on the principles of mutual respect and self-reflection. While there is a 28-day program available, Riverbank believes in longer-term treatment (up to a year or more) and will accommodate residents for an unlimited duration of time. Residents progress at their own pace, with flexible transition timing through their sober living facilities.
The Plymouth House
The Plymouth House styles itself as a “Twelve Step Retreat”, with an all-inclusive inpatient facility situated on an expansive 21-acre rural campus in the foothills of the White Mountains. Residents are assigned a personal contact person for the duration of their stay who tailors the program to suit their specific needs and provides ongoing support.
Men and women are housed in separate facilities, and the treatment program itself —premised on the 12-Step system— uses a gender-specific approach to the therapeutic process. Residents participate in a rigorous program of individual and group counseling sessions in a highly structured, supportive environment overseen by thoughtful, compassionate, and dedicated staff members. The food is exquisite (with much of it grown in their own vegetable garden), and residents can enjoy yoga, hiking, and meditation, as well as volunteering with local community organizations.
Prior to being discharged, patients draw up a recovery plan to help prevent relapse. Former residents can attend family recovery meetings at several locations around New England. They also provide employment, education, and legal assistance to their program alumni.
The main drawback of Plymouth House is that they do not accept insurance of any sort, due to the fact that it would constrain their program by requiring certain therapeutic modalities.
New Season Treatment Centers
New Season Treatment Centers in Manchester, Concord, Franklin, and Swanzey combine pharmacological interventions with behavioral treatment, creating a customized care plan for each patient under a doctor’s guidance. Patients are prescribed either methadone or Subutex (buprenorphine), and receive regular monitoring during the induction phase until they reach a stable dosage of the appropriate medication.
This medical maintenance continues while the psychological and social factors underlying the patient’s addiction are resolved. This is done through regular counseling sessions that help to establish recovery goals and achieve a steady state of wellbeing, balancing work and social obligations outside treatment.
The staff are incredibly welcoming and friendly. New Season Treatment Centers are also remarkably efficient with scheduling new patients. Generally speaking, there are no long wait times for treatment, however, they are only open in the early morning on weekends.
Norton Health Care
Norton Health Care is a fully integrated addiction treatment center for those struggling with opioid dependency issues. They provide a holistic recovery program run by knowledgeable and caring medical professionals, with a custom treatment plan based on the personal needs of each patient. They offer office-based opioid treatment via Suboxone (buprenorphine + naloxone) or Subutex (buprenorphine) in combination with group counseling and peer group interactions. For severe cases at risk of dangerous withdrawal symptoms, they provide a medically supervised detoxification process with round-the-clock monitoring by highly-trained specialists.
Uniquely, they offer a methadone transition service for those already enrolled in medication-assisted treatment elsewhere, and can switch you to a Suboxone-based recovery plan. While they are based in Salem, they are currently extending their service areas to Manchester and Lawrence, as well.
Aware Recovery Care
Aware Recovery Care provides an especially unique intensive outpatient treatment program called the In-Home Addiction Treatment (IHAT) model. In this program, patients “recover in the real world” without having to leave the comfort of their own home. Treatment consists of virtual and in-home visits from specialized addiction practitioners that provide integrated and compassionate medical and behavioral care and monitoring.
Despite not having a brick-and-mortar facility, Aware Recovery Care still offers a full spectrum of addiction services, such as psychiatric evaluations, medication-assisted treatment, educational sessions, and individual, marital, and/or family counseling. Patients are assigned a whole team of experts that includes a primary care provider, a therapist, a care coordinator, and a certified recovery specialist. They have an extremely caring and committed staff that meet your specific recovery needs and provide ongoing support to maintain your sobriety.
Health Care Resource Centers
Health Care Resource Centers are a network of outpatient clinics in Hudson, Somersworth, and Newington that provide medication-assisted treatment for patients with opioid use disorder. Consultations with the intake counselor include a physical exam and comprehensive assessment, as well as referrals for off-site services if needed. They offer prescriptions for methadone and Subutex (buprenorphine) in combination with individual, group, and family counseling that focuses on CBT, healing relationships, and building life strategies for recovery.
Their program aims to broaden patients’ professional and peer support systems and address the trauma underlying their addiction while allowing patients to recover at their own pace. The nurses and mental health counselors at Health Care Resource Centers are capable, helpful, welcoming, and non-judgemental.
While their services are a little backed up and there are occasional delays to get seen, they have recently extended their hours and now offer counseling on weekends.
Phoenix House New England
With locations in Keene and Dublin, Phoenix House New England provides a full spectrum of substance use disorder services. They offer a short-term, high-intensity residential treatment program, and in Keene they also run a clinic with a variety of outpatient services, including medication-assisted treatment and smoking cessation. They also offer individual and group therapy with a person-centered approach, where patients learn life skills, develop support systems, and identify triggers.
They employ a holistic approach, with evidence-based group curriculums involving mindfulness, yoga, meditation, classes on nutrition and expressive arts, anger management, gender seminars, and continuing care planning. They employ the “Matrix Model” to relapse prevention, building peer support networks, and connecting you to community agencies and services after being discharged.
If you cannot afford treatment, the New Hampshire Department of Health and Human Services Bureau of Drug and Alcohol Services can provide you with funding.
Road to a Better Life
Road to a Better Life provides patients with an abstinence-based, medication-assisted outpatient treatment program in a welcoming, LGBTQ-friendly environment with attentive and respectful staff. The “ROAD Program” begins with a comprehensive intake evaluation, followed by regular individual, family, and group counseling sessions that incorporate CBT, DBT, motivational interviewing, life skill development, and interpersonal process groups. Vivitrol (naltrexone) prescriptions are provided for opioid and alcohol disorders, as well as adjunctive medications for co-morbid problems.
Although Road to a Better Life operates in Somersworth, Newington, Merrimack, Concord, and Wolfeboro, their intensive outpatient program is only available at their Somersworth location. This program provides specialized treatment for patients with dual diagnosis, with a higher intensity counseling regimen. They also have a program available for pregnant women with substance use issues.
Best of all, there are no wait lists and most people can be seen on the same day they register for treatment.
Seacoast Youth Services
Seacoast Youth Services provides an assortment of outpatient treatment programs for young people. Their main program —the Adolescent Substance Abuse Program (ASAP)— consists of twelve individual, group, and family therapy sessions designed around a Motivational Enhancement Therapy/CBT treatment model. Following their comprehensive assessment and evaluation, patients collaborate with a team of addiction specialists to create an individualized treatment plan and determine their specific goals for treatment.
Their Student Assistance Program (available for students at Hampton Academy and Seabrook Middle School) provides a short-term educational, counseling, and referral service for young people experiencing academic and behavioral issues due to their substance abuse. A student assistance counselor will meet with them regularly to offer support and guidance, as well as to coordinate universal prevention activities.
Finally, the Odyssey Intensive Outpatient Program (OIOP) is a structured, intensive, hands-on treatment experience for kids 14-17 years of age with co-occurring mental health and substance use disorders. Meeting 4 days a week after school, the group partakes in adventure therapy and learns mindfulness-based recovery skills.