New Hampshire has faced a severe opioid crisis for more than a decade, consistently ranking among the states with the highest per capita overdose death rates in the U.S. Although progress has been made in recent years, fentanyl continues to drive the majority of fatal overdoses, often mixed with other substances like cocaine or methamphetamine.
According to the New Hampshire Department of Health and Human Services, synthetic opioids were involved in nearly 90% of the state’s overdose deaths in a recent year. The crisis has deeply affected both urban centers like Manchester and Nashua and rural communities throughout the state, where access to treatment is often limited by geography, transportation challenges, and workforce shortages.
While New Hampshire did not initially expand Medicaid under the Affordable Care Act, it later adopted the New Hampshire Health Protection Program, which now provides insurance coverage for thousands of low-income residents and supports a range of addiction treatment services including MAT (medication-assisted treatment), detox, and outpatient care.
Nonetheless, many areas still struggle with a lack of inpatient beds and qualified behavioral health professionals. Telehealth has played a significant role in increasing access to care, particularly for rural residents in the North Country, but broadband limitations and technology barriers remain.
The state has made harm reduction a cornerstone of its public health response, offering wide access to naloxone, supporting syringe service programs, and implementing public education campaigns to reduce stigma. Peer recovery networks and recovery-friendly workplaces have expanded in recent years, helping to support individuals after treatment and improve long-term outcomes.
Youth substance use remains a concern, with increasing reports of vaping, cannabis, and alcohol misuse in high school populations. School-based prevention programs and community coalitions are active across the state, but funding can be inconsistent.
Culturally competent care is also an emerging need, particularly for immigrant and refugee populations in southern New Hampshire, who often face language barriers and limited awareness of available services. Faith-based recovery programs are active and provide community support, especially in rural areas, though they may not offer clinical treatment.
The state’s drug court system has expanded to offer alternatives to incarceration for nonviolent offenders, and reentry services for individuals leaving jail or prison are being strengthened. Despite its small size, New Hampshire’s diverse geography and decentralized health systems pose challenges to statewide coordination.
Continued investment in behavioral health infrastructure, rural provider recruitment, and integrated care models will be essential to reducing overdose deaths and supporting recovery for all Granite Staters..
 | Addiction Recovery ServicesAddiction Recovery Services, located at 23 Stiles Rd #108, Salem, NH, is dedicated to providing comprehensive treatment options for individuals struggling with substance use disorders. The center offers a range of services, including outpatient treatment, counseling, and support groups, designed to meet the unique needs of each client. With a focus on individualized care and evidence-based practices, Addiction Recovery Services aims to empower individuals on their path to recovery. The experienced and compassionate team is committed to creating a supportive environment that fosters healing, resilience, and personal growth. Discover the effective programs available at Addiction Recovery Services and take the first step towards a healthier, sober lifestyle. 23 Stiles Rd #108, Salem, NH 03079 | Levels of Care:Outpatient Payment Options:Medicaid Private insurance Self-Pay Options | ||
 | Adult and Teen Challenge New HampshireAdult and Teen Challenge New Hampshire, located at 147 Laurel St, Manchester, NH, is committed to providing effective addiction recovery support for individuals of all ages. The center focuses on a faith-based approach to treatment, offering programs designed to empower individuals struggling with substance use disorders. Services include residential treatment, life skills training, and individual counseling, all aimed at fostering personal growth and long-term recovery. With a compassionate team dedicated to guiding clients through their healing journey, Adult and Teen Challenge New Hampshire creates a supportive community that promotes hope, healing, and transformation. Discover the impactful programs available and take the first step toward a brighter future. 147 Laurel St, Manchester, NH 03103 | Levels of Care:Inpatient Payment Options:Self-Pay Options | ||
 | Avenues Recovery Center: Drug & Alcohol Rehab – DublinAvenues Recovery Center, located at 3 Pierce Rd, Dublin, NH, specializes in providing effective drug and alcohol rehabilitation services tailored to the needs of individuals seeking recovery. The center offers a range of programs, including detoxification, residential treatment, and outpatient services, all designed to support clients on their journey to sobriety. With a focus on evidence-based practices and holistic therapies, Avenues Recovery Center addresses the physical, emotional, and social aspects of addiction. The dedicated team of professionals is committed to creating a compassionate environment that fosters healing and personal growth. Explore the comprehensive services available at Avenues Recovery Center and take the first step towards a healthier, substance-free life. 3 Pierce Rd, Dublin, NH 03444 | Levels of Care:DetoxInpatientOutpatient Payment Options:Private Insurance Self-Pay Options Financial Aid Medicaid Free | ||
 | Avenues Recovery Center: Drug & Alcohol Rehab In New EnglandAvenues Recovery Center, located at 2 Chenell Dr, Concord, NH, specializes in providing comprehensive drug and alcohol rehabilitation services for individuals seeking recovery in New England. The center offers a variety of programs, including detoxification, residential treatment, and outpatient services, all tailored to support clients on their journey to sobriety. With a focus on evidence-based practices and holistic therapies, Avenues Recovery Center addresses the physical, emotional, and psychological aspects of addiction. The compassionate and experienced staff are dedicated to creating a supportive environment that fosters healing and personal growth. Explore the transformative programs available at Avenues Recovery Center and take the first step towards a healthier, substance-free life. 2 Chenell Dr, Concord, NH 03301 | Levels of Care:DetoxInpatientOutpatient Payment Options:Private insurance Self-Pay Options Military Insurance | ||
 | Aware Recovery CareAware Recovery Care, located at 15 Constitution Dr #2N, Bedford, NH, specializes in providing innovative and individualized addiction treatment services. The program focuses on delivering in-home care, allowing clients to engage in recovery while maintaining their daily routines and responsibilities. Aware Recovery Care offers a comprehensive approach that includes personalized therapy, life skills training, and family support, all designed to foster long-term recovery and wellness. The dedicated team of professionals is committed to empowering individuals on their journey to sobriety, creating a supportive environment where healing and growth can thrive. Discover the unique programs available at Aware Recovery Care and take the first step towards a healthier, fulfilling life. 15 Constitution Dr #2N, Bedford, NH 03110 | Levels of Care:DetoxInpatientOutpatient Payment Options:Private Insurance Self-Pay Options | ||
 | Bedford Counseling AssociatesBedford Counseling Associates, located at 2 Wall St, Manchester, NH, provides professional counseling and mental health services designed to support individuals and families in their journey toward emotional well-being. The center specializes in a range of therapeutic services, including individual therapy, couples counseling, and support for substance use disorders. With a team of experienced and empathetic counselors, Bedford Counseling Associates is committed to creating a safe and nurturing environment for clients to explore their challenges and develop effective coping strategies. Discover the personalized care available at Bedford Counseling Associates and take the first step towards a healthier, more fulfilling life. 2 Wall St, Manchester, NH 03101 | Levels of Care:DetoxOutpatient Payment Options:Private insurance Self-Pay Options Financial Aid Medicare Military Insurance Medicaid | ||
 | Behavioral Health ServicesBehavioral Health Services, located at 50 Chestnut St, Dover, NH, is dedicated to providing comprehensive mental health care and support for individuals facing various challenges, including anxiety, depression, and substance use disorders. The center offers a range of services, including individual therapy, group counseling, and crisis intervention, tailored to meet the unique needs of each client. With a compassionate and experienced team of professionals, Behavioral Health Services focuses on empowering individuals to achieve emotional stability and improve their overall well-being. Explore the effective programs available at Behavioral Health Services and take the first step towards a healthier, more fulfilling life. Behavioral Health and Developments55 Washington Street D Dover NH, 03821(603) 749-3244 | Levels of Care:Outpatient Payment Options:Private Insurance Self-Pay Options | ||
 | Blueprint Recovery CenterBlueprint Recovery Center, located at 2 Chenell Drive, Concord, NH, is committed to providing personalized addiction treatment services for individuals seeking recovery from substance use disorders. The center offers a comprehensive range of programs, including outpatient treatment, individual therapy, and group support, designed to cater to the unique needs of each client. With a focus on holistic healing and long-term recovery, the dedicated team at Blueprint Recovery Center works collaboratively with clients to create effective treatment plans that promote emotional wellness and life skills development. Discover the supportive environment and transformative programs available at Blueprint Recovery Center and take the first step towards a healthier, sober life. 2 Chenell Drive, Concord, NH 01169 | Levels of Care:Outpatient Payment Options:Self-Pay Options | ||
 | Bonfire Recovery ServicesBonfire Recovery Services, located at 10 Grove Street, Dover, NH, specializes in providing compassionate and comprehensive addiction recovery services for individuals seeking to overcome substance use disorders. The center offers a variety of programs, including outpatient treatment, individual therapy, and support groups, all designed to foster personal growth and long-term sobriety. With a dedicated team of experienced professionals, Bonfire Recovery Services emphasizes a holistic approach to recovery, focusing on emotional, mental, and physical well-being. Discover the supportive community and effective recovery programs at Bonfire Recovery Services, and take the first step towards a healthier, fulfilling life. 10 Grove St, Dover, NH 03820 | Levels of Care:Outpatient Payment Options:Self-Pay Options | ||
 | Bresnahan & Ball Substance Abuse Counseling ServicesBresnahan and Ball Counseling Services, located at 1B Commons Dr UNIT 7, Londonderry, NH, offers specialized outpatient therapy designed to support individuals and families in their journey toward mental wellness. The center provides a wide range of services, including individual therapy, family counseling, and group sessions, tailored to meet the diverse needs of clients. With a team of qualified and compassionate counselors, Bresnahan and Ball emphasize a client-centered approach that fosters personal growth and emotional resilience. Explore the effective outpatient programs available at Bresnahan and Ball Counseling Services and take the first step towards a healthier, happier life. 1B Commons Dr UNIT 7, Londonderry, NH 03053 | Levels of Care:Outpatient Payment Options:Private Insurance Self-Pay Options | ||
 | Cambridge Eating Disorder CenterCambridge Eating Disorder Center, located at 105 Loudon Rd Building 2, Concord, NH, is dedicated to providing specialized treatment for individuals struggling with eating disorders. The center offers a comprehensive range of services, including individual therapy, group therapy, and nutritional counseling, all designed to create a supportive environment for healing and recovery. With a team of experienced professionals who understand the complexities of eating disorders, Cambridge Eating Disorder Center focuses on personalized treatment plans that address the physical, emotional, and psychological aspects of recovery. Discover the compassionate care and effective programs available at Cambridge Eating Disorder Center and take the first step toward a healthier relationship with food and body image. 105 Loudon Rd Building 2, Concord, NH 03301 | Levels of Care:Outpatient Payment Options:Medicaid Private insurance Self-Pay Options | ||
 | Canterbury Behavioral Health - Inpatient Mental Health TreatmentCanterbury Behavioral Health, located at 367 Shaker Rd, Canterbury, NH, specializes in inpatient mental health treatment for individuals facing acute mental health challenges. The facility provides a safe and supportive environment where patients receive comprehensive care tailored to their specific needs. With a team of experienced mental health professionals, Canterbury Behavioral Health offers a range of therapeutic interventions, including individual therapy, group therapy, and medication management. Committed to fostering recovery and resilience, the center focuses on holistic approaches to healing, ensuring that each patient is treated with dignity and respect. Explore the dedicated services available at Canterbury Behavioral Health and take the first step towards improved mental well-being. 367 Shaker Rd, Canterbury, NH 03224 | Levels of Care:DetoxInpatientOutpatient Payment Options:Private Insurance Self-Pay Options Financial Aid Medicaid | ||
 | Center for Life ManagementCenter For Life Management, located at 10 Tsienneto Rd, Derry, NH, is dedicated to providing comprehensive mental health services aimed at supporting individuals and families in their journey toward emotional well-being. The center offers a wide range of services, including therapy, counseling, and crisis intervention, tailored to meet the diverse needs of the community. With a team of compassionate and experienced professionals, Center For Life Management emphasizes a holistic approach to mental health care, focusing on empowerment and personal growth. Explore the supportive environment and effective programs available at the Center For Life Management and take the first step towards a brighter future. 10 Tsienneto Rd, Derry, NH 03038 | Levels of Care:DetoxOutpatient Payment Options:Private Insurance Self-Pay Options Financial Aid Medicare Military Insurance Medicaid | ||
 | Center For Life Management - SalemCenter For Life Management - Salem, located at 103 Stiles Rd, Salem, NH, is committed to providing quality mental health services that empower individuals and families to achieve emotional well-being. The center offers a comprehensive range of services, including individual therapy, group counseling, and crisis support, tailored to address the unique needs of each client. With a dedicated team of licensed professionals, Center For Life Management - Salem emphasizes a client-centered approach that promotes healing and personal growth. Discover the compassionate care and effective programs available at the Center For Life Management - Salem and take the first step towards a healthier, happier life. 103 Stiles Rd, Salem, NH 03079 | Levels of Care:Outpatient Payment Options:Medicaid Private insurance Self-Pay Options Medicare | ||
 | Cheshire Medical CenterCheshire Medical Center Behavioral Health, situated in Keene, New Hampshire, is a premier private rehab facility specializing in comprehensive treatment for various substance abuse addictions, including co-occurring mental health disorders. They provide residential care that ensures long-term support for successful addiction recovery. Their specialty rehab programs include age-appropriate treatment for teens, focusing on adolescent-specific challenges, as well as age-sensitive addiction treatment tailored for older adults, considering their unique health and life-stage issues. Additionally, they offer accessible addiction treatment utilizing sign language and adapted communication methods to accommodate all individuals seeking help. 580 Court St, Keene, NH 03431 | Levels of Care:Inpatient Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Medicare Military Insurance | ||
 | Christian Aftercare MinistriesChristian Aftercare Ministries, located at 50 Lowell St #39, Manchester, NH, is dedicated to providing supportive recovery services for individuals seeking to rebuild their lives after addiction or trauma. The ministry offers a range of programs, including counseling, support groups, and life skills training, all rooted in Christian principles. With a compassionate team that emphasizes faith-based support and community, Christian Aftercare Ministries aims to empower individuals on their journey to healing and personal growth. Discover the transformative programs available at Christian Aftercare Ministries and take the next step toward a fulfilling and sober life. 50 Lowell St #39, Manchester, NH 03101 | Levels of Care:Outpatient Payment Options:Free | ||
 | Chrysalis Recovery CenterChrysalis Recovery Center, located at 20 Canal St, Franklin Business Center (up one floor), Franklin, NH, is dedicated to providing compassionate and effective addiction treatment services. The center offers a variety of programs, including outpatient therapy, group counseling, and relapse prevention, designed to support individuals on their journey to recovery. With a team of experienced professionals, Chrysalis Recovery Center focuses on personalized treatment plans that address the unique challenges of each client. Discover the supportive environment and comprehensive resources available at Chrysalis Recovery Center and take the first step toward a healthier, substance-free life. 20 Canal St, Franklin Business Center - up one floor, Franklin, NH 03235 | Levels of Care:Outpatient Payment Options:Medicaid Private insurance Self-Pay Options | ||
 | Community Improvement AssociatesCommunity Improvement Associates, located at 160 Emerald St, Keene, NH, is dedicated to enhancing community development and improving the quality of life for residents. The organization focuses on various initiatives aimed at providing resources, support, and advocacy for local projects that promote social, economic, and environmental improvement. With a commitment to collaboration and community engagement, Community Improvement Associates works alongside residents and local organizations to address challenges and create sustainable solutions. Discover the impactful programs and services offered by Community Improvement Associates and join the effort to strengthen the Keene community. 160 Emerald St, Keene, NH 03431 | Levels of Care:Outpatient Payment Options:Medicaid Private insurance Self-Pay Options | ||
 | Community Resources For JusticeCommunity Resources For Justice, located at 1490 Elm St, Manchester, NH, is dedicated to promoting social justice and providing support for individuals impacted by the criminal justice system. The organization offers a range of services, including reentry programs, advocacy, and community education, aimed at fostering rehabilitation and reducing recidivism. With a focus on empowering individuals and building stronger communities, Community Resources For Justice works collaboratively with local partners to create pathways toward success and reintegration. Explore the vital programs and resources available at Community Resources For Justice and contribute to a more just and equitable society. 1490 Elm St, Manchester, NH 03101 | Levels of Care:InpatientOutpatient Payment Options:Self-Pay Options Medicaid Financial Aid Medicare Free | ||
 | Concord HospitalConcord Hospital | Payment Options:Medicaid |
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Drug and alcohol rehab is a structured treatment program designed to assist individuals struggling with substance use disorders. These programs focus on helping participants stop using drugs or alcohol, learn about the nature of addiction, and develop coping strategies to maintain long-term sobriety. Rehab may include a combination of medical care, counseling, and therapeutic activities tailored to each individual’s needs.
Rehab programs generally fall into two primary categories:
The duration of rehab can vary significantly based on individual circumstances, the severity of addiction, and the chosen program. Traditional programs may last:
Participants can expect a structured environment that emphasizes healing and recovery. Key components of the rehab experience may include:
Many health insurance plans provide coverage for drug and alcohol rehab, but the extent of coverage can vary. It’s important to:
Detoxification, or detox, is the process of ridding the body of harmful substances while managing withdrawal symptoms. Detox may be necessary for individuals with severe physical dependence on drugs or alcohol, and it can involve:
Rehab centers utilize a variety of therapeutic approaches to address addiction. Common therapies include:
Aftercare is a crucial component of the recovery process, providing ongoing support to individuals after they complete their rehab program. Key aspects of aftercare include:
Yes, many rehab programs encourage family involvement as a critical aspect of healing. Family participation may include:
Selecting the right rehab center involves careful consideration of various factors:
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