Substance use disorder is hard on mothers and expectant mothers, who face not only great stigma and high rates of postpartum depression, but who also live in fear of losing their children. As a single-mom, especially, it can be hard to find the time, childcare, and transportation to get help.

The Cynthia Day Family Center offers a unique set services, including specialized residential and outpatient treatment programs designed to meet the recovery needs of pregnant, parenting, and post-partum women and their young children. Services help women enter recovery, become self-sufficient, and care for their families. Please contact us for a confidential, over-the-phone assessment to help you determine what path towards recovery is the best way forward, based on your unique needs.

For Clients

How It Works

Cynthia Day is well-known in New Hampshire for her dedication to substance use treatment. Named in her honor, the Cynthia Day Family Center (CDFC) provides a holistic, family-centered treatment approach for women with a substance use disorder while allowing them to care for their young children.

In our high-intensity residential programming, women and their children live on-site. There, mothers receive clinically-intensive rehab treatment in a secure, home-like environment and learn to better care for themselves and their new families. Our outpatient programming offers intensive outpatient services as well as individualized treatments. These include one-on-one and family counseling, as well as other services. Outpatient services are integrated with women’s health and pediatrics primary care services, oral health care services, psychiatry, and mental health care. 

The CDFC attends to all levels of recovery. Our facility is open 24 hours a day, 365 days a year, and is staffed by licensed clinical professionals. Our substance use disorder treatment services are gender-specific, evidence-based, and clinically intensive.

Location

Services occur at Keystone Hall, our residential substance use disorder rehab treatment center, located at 615 Amherst St., Nashua, and at our Harbor Care Health and Wellness Center at 45 High St. in Nashua. Hours vary by location.

Qualifications, Cost, and Application

The program works with women in New Hampshire who are experiencing a substance use disorder and are pregnant and/ or parenting. It is not necessary that children be in a mother’s custody; however, parental rights should not have been terminated at time of application. Thanks to the support of many donors and funders, we offer care to all those in need, including those without insurance or ability to pay for services, using a sliding fee scale based on income. We accept most insurances, including Medicaid and private insurance. Please contact us with any questions about insurance or payment, or to schedule an appointment with our Patient Navigator, who can help you understand and apply for any insurance you may be eligible to receive.

Treatments

While in CDFC’s specialized residential treatment program, clients access:

• Medication Assisted Treatment (MAT) for opioid and/or alcohol dependency.

• Specialized treatment for stimulant use disorders.

• Individual one-one-one evidence-based counseling with licensed clinical staff and addiction specialists.

• Group counseling, including relapse prevention groups.

• Individual parenting support, education, and skill building.

• “Nurturing Parenting” groups.

• Access to 12-step programming and meetings.

• Family therapy & peer support.

• Employment assistance and job retention services.

• Primary and mental health care for both mother and child.

• Oral health care.

• Transportation to and from appointments.

• Case management, including referral and coordination of other necessary services.

• Visitation or reunification planning with Division of Children, Youth and Families (DCYF).

• Food, clothing & essential items.

• Personal care items.

• Child care during treatment.

In the best of circumstances, ending opioid or alcohol addiction is a difficult, painful process. In the most challenging of circumstances, the addictions are almost impossible to overcome. Medication-Assisted Treatment (MAT) is often a critical tool that, when combined with therapy and other supports, can help a person enter into and maintain recovery. If you or someone you know might benefit from Medication Assisted Treatment (MAT) services, contact us today to learn more about how we can help.

How It Works

Medication Assisted Treatment (MAT) is a proven, effective treatment. In MAT, clients receive medication sometimes daily or monthly that curbs cravings and the body’s need for opioids or alcohol. For many, it reduces:

• Relapse, compared to abstinence-only (“going cold turkey”)

• Cravings

• Anxiety

• Sleep disturbances

Our MAT team, comprised of Medical Doctors and Advanced Nurse Practitioners, licensed alcohol and drug counselors, licensed social workers, medical assistants, and recovery support workers, structures treatment to meet the patient’s needs or goals. A multi-pronged approach helps patients achieve—and sustain—recovery. Patients may be encouraged to pursue other treatments, such as:

• Residential rehab treatment  

• Outpatient counseling or behavioral therapy 

• Intensive Outpatient treatment 

Patients in these programs have access to MAT.

Treatment Medications

Our medication may include:

• Suboxone

• Subutex

• Vivitrol

• Subclade

Insurance & Enrollment

Thanks to the support of many donors and funders, we offer care to all those in need, including those without insurance or ability to pay for services, using a sliding fee scale based on income. We accept most insurances, including Medicaid, Medicare, and private insurance. Please contact us with any questions about insurance or payment, or to schedule an appointment with our Patient Navigator, who can help you understand and apply for any insurance you may be eligible to receive.

Outpatient Substance Use Disorder treatments offer day-to-day supports to understand addiction and build recovery, while clients continue to live and work on their own. Our program provides the intensity of inpatient care with the flexibility of outpatient services.

Please contact us for a no-obligation, over-the-phone assessment to see which path to recovery is best for you or a loved one.

Harbor Care High Intensity Outpatient Services: A Bridge to Recovery

Intensive Outpatient Care for Substance Use Disorders

At Harbor Care, our High Intensity Outpatient Program (HIOP) offers a structured and supportive environment for individuals seeking recovery from substance use. Our program provides a balanced approach to treatment, combining the intensity of inpatient care with the flexibility of outpatient services.

What is a High Intensity Outpatient Program?

A High Intensity Outpatient program, also known as day treatment, is an intensive form of outpatient rehab that allows you to live at home while receiving daily treatment. At Harbor Care, our High Intensity Outpatient Services typically involves treatment for 3 to 7 days per week in 6- to 8-hour time blocks, offering a level of care that is more intensive than traditional outpatient programs but less intensive than inpatient treatment.

Who Can Benefit from High Intensity Outpatient Services?

Our PHP is suited for individuals who:

• Have completed detox or do not require it.

• Do not need 24-hour supervision but still require a structured treatment environment.

• Have a supportive home environment or access to sober living arrangements.

• Are able to commit to regular and intensive treatment sessions.

How It Works

Outpatient Programs include licensed clinicians and addiction specialists delivering evidence-based, trauma-informed services that are gender-specific and customized to each client’s unique needs. In general, services help clients and patients address a wide rage of topics including, relapse prevention and recovery, trauma issues, and even anger management and a driver intervention program.

Specific Services Include:

• Adult and youth one-on-one counseling and therapy.

• Group Outpatient Program Counseling (OP).

• Group Intensive Outpatient Counseling (IOP).

• Medication Assisted Treatment (MAT), for opioid and/or alcohol dependency, and specialized groups.

• Yoga, Acupuncture, and other holistic integrative services.

• Eye Movement Desensitization and Reprocessing (EMDR).

• Substance Use Disorder/Dual Diagnosis evaluations.

• Licensed Drug and Alcohol Counselor (LADC) evaluations.

• Specialized services for:

  • Pregnant and parenting women through the Cynthia Day Family Center.

  • Justice-involved individuals through the Rockingham County Drug Court Program.

• Recovery Support, Alumni Groups, and Aftercare.

The Difference Between High Intensity Outpatient Program (HIOP) and IOP

While HIOP and IOP are both structured outpatient treatments, HIOP offers greater intensity, requiring more weekly programming hours and offering a broader range of therapies. It's ideal for those needing more support than IOP yet maintaining some independence. Outpatient Programs, staffed by licensed professionals, provide personalized, evidence-based care focusing on various issues like relapse prevention, trauma, and anger management.

Start Your Journey with Harbor Care

If you or a loved one is considering treatment for substance use, our HIOP at Harbor Care provides a supportive and effective pathway to recovery. Contact us today to learn more about our program and how we can help you reclaim your life.

Treatment Objectives and Services

Our High Intensity Outpatient program aims to achieve the following goals:

• Foster abstinence from substance use.

• Support behavior changes for a drug- and alcohol-free lifestyle.

• Enhance coping and problem-solving skills.

• Encourage participation in community-based support systems.

• Address psychosocial issues, such as employment and housing.

• Develop a positive social network.

Location

All outpatient services are offered at 45 High Street, Nashua, NH, co-located and integrated with Harbor Care Health & Wellness Center. Outpatient schedules are developed on an individual basis and include both in-person and telehealth services. 

Insurance & Enrollment

Thanks to the support of many donors and funders, we offer care to all those in need, including those without insurance or the ability to pay for services, using a sliding-fee scale based on income. We accept most insurances, including Medicaid, Medicare, and private insurance. Please Contact Us with any questions about insurance or payment, or to schedule an appointment with our Patient Navigator, who can help you understand and apply for any insurance you may be eligible to receive.

Contact Harbor Care:

• Phone: 603-821-7788

• Email: hope@harborcarenh.org

Recovery from substance abuse is often a life-long process, and it helps to have a community of support. Harbor Care has helped guide the growth of Peer Recovery Support Services throughout New Hampshire’s Recovery Community Organizations. Visit NH Recovery Hub to find services in your area. 

How They Work 

People entering recovery often need to significantly change their lives—from how they have fun to how they maintain recovery. Peer Recovery Support Services offers both the community and services people need to stay healthy. Supports include:

• Recovery coaching

• Telephone support services

• Groups

• Treatment service navigation and connection

• Education

• Recreational and wellness activities (e.g., yoga, art, music, etc.)

While Harbor Care does not run these organizations, we continue to help them grow through technical assistance and capacity building, acting as a business incubator and passing through millions of dollars in state funding to the Recovery Community Centers that subcontract with us. They are a key part of NH’s Resilience and Recovery Oriented System of Care, and essential to the life-long recovery of many in New Hampshire. 

Location

There are more than 20 Recovery Centers around New Hampshire, visit NH Recovery Hub to find a Recovery Center near you.

Qualifications & Cost

Individual recovery centers have their own policies, but none charge for services.

Addiction is more than just habit, and to begin treatment in earnest, it is important to step outside of daily routines and into a healing space. Harbor Care’s residential rehab treatment, known throughout the community as Keystone Hall, help hundreds of men and women from throughout New Hampshire begin recovery. 

To join Harbor Care’s recovery community, please call (603) 881-4848. Mothers and expectant mothers can also explore our Cynthia Day Family Center. 

How It Works

Residential treatment is designed to help you focus on recovery and better understand your addictions. Our facility is open 24 hours a day, 365 days a year, and is staffed by licensed clinical professionals, nurses, and recovery support workers, many with “lived experience” who can relate to the challenges with overcoming addiction 

Our providers understand the disease of addiction and offer the latest evidence-based treatments. Treatment services are:

• Individualized, gender-specific, and culturally-responsive.

• Safe, with private accommodations, food, and other essentials.

• Integrated with everything clients need, including: mental health care, psychiatric care, primary care, Medication Assisted Treatment, case management, aftercare, 12-step programs, yoga, acupuncture, and more.

Treatment ranges from “high-intensity” to “low-intensity,” with lengths of stay unique to each client’s needs.  

Above and Beyond

Our clinicians are dedicated to your health and well-being. We have a medical clinic on site, and we work hard to bring you the most effective treatments—including alternative but proven treatments such as yoga and acupuncture. Call to find out more.

Location

Our residential 66-bed treatment facility is located at 615 Amherst Street (101A) in Nashua. It is close to a bus line, five miles from downtown Nashua, and three miles from the Everett Turnpike/Route 3. 

Insurance & Enrollment

Thanks to the support of many donors and funders, we offer care to all those in need, including those without insurance or ability to pay for services, using a sliding fee scale based on income. We accept most insurances, including Medicaid and private insurance. Please contact us with any questions about insurance or payment, or to schedule an appointment with our Patient Navigator, who can help you understand and apply for any insurance you may be eligible to receive.

Drug Courts offer an alternative to prison sentencing for drug-related offenses. Rather than prison time, participants get substance abuse treatment and additional supports in a supervised manner. The program is extremely effective, and provides the rehabilitation services clients need to get well. 

How It Works

In partnership with the NH Department of Justice, Harbor Care and Keystone Hall work with the Rockingham County Drug Court to provide treatment services that are appropriate for clients and that comply with court orders.

New Hampshire’s Drug Courts redirect individuals from the prison system to treatment services. Under the supervision of a judge and parole officer, participants meet recovery workers, while they live and work in the community. Connected with their families and others supports, participants are much more capable of sustaining life-long recovery. 

Given the expense of prison, Drug Courts are seen not only as a compassionate alternative, but a cost-effective one as well. Over the last decade, nearly every county of New Hampshire has adopted a drug court program. 

Location

Services are typically provided in Rockingham County.

Qualifications & Cost

The Rockingham Drug Court Program serves individuals sentenced to that program. It does not cost anything for participants.