How outpatient care and detox coordination work
Here is the honest shape of what we do: it is all outpatient. We run Intensive Outpatient (IOP), Partial Hospitalization day treatment (PHP), standard Outpatient (OP), Medication-Assisted Treatment (MAT), and a mental-health track, and that is the whole menu, because we keep no detox beds and no residential rooms. When someone has to withdraw safely first, we coordinate medical detox with trusted partner facilities, then step that person into our outpatient program once they are stable. For a Manchester resident, that means you complete the structured part of your day with us in Londonderry and still sleep in your own bed, keep a job in the Millyard, or stay close to family on the West Side. Our medical director, Dr. Richard Marasa, reviews this clinical content; he is board-certified in Addiction, Emergency, and Internal Medicine.
Hillsborough County carries the state's heaviest overdose burden
In 2024, Hillsborough County, which includes Manchester, had the highest drug-related fatality rate of any New Hampshire county at 25.8 deaths per 100,000 residents. Statewide deaths fell sharply that year, but Manchester still records the most suspected opioid overdoses of any city in the state, which is exactly why accessible local treatment matters here. (Source: New Hampshire Fiscal Policy Institute analysis of NH DHHS data, reported by
Manchester Ink Link.)