You are not alone. Help is less than an hour away.
The Doorway at Dartmouth Hitchcock Medical Center (DHMC) is one of nine locations in New Hampshire and part of a statewide initiative to provide supports and services for individuals with substance use disorders. It is designed to make screening, evaluation, and care coordination services more centralized, available, and accessible. The Doorway at DHMC provides a single point of entry for people seeking help for substance use, whether they need treatment, support, or resources for prevention and awareness.
Anyone in need of help can always call 211
If you or someone you know is experiencing an addiction-related crisis, call 211 now.
211 NH is the connection for New Hampshire residents to the most up-to-date resources they need from specially trained Information and Referral Specialists. 211 NH is available 24 hours, 365 days a year. Multilingual assistance and TDD access is also available. For those outside of New Hampshire, call 1-866-444-4211.
Services
Services offered by The Doorway include:
Screening and crisis stabilization
The Doorway at DHMC offers walk-in screening and crisis stabilization services Monday through Friday, 8 am to 5 pm These services help determine the level of risk faced by the individual in crisis and assess the most appropriate type of response to meet the individual's needs.
Diagnostic evaluation
We evaluate your needs and match you to the appropriate type of treatment. Evaluation includes a clinical interview. This interview focuses on:
- Medical interview as needed
- Substance use history
- Breath analysis
- Urine toxicology
You and your referring physician, if any, receive timely feedback regarding treatment recommendations.
Treatment, including medication for addiction treatment (MAT)
Through the Doorway, we can prescribe medication to help you stop using substances, including:
- Buprenorphine/naloxone (Suboxone)
- Extended-release buprenorphine (Sublocade and Brixadi)
- Extended-release naltrexone (Vivitrol) for opioid use disorder
We can also prescribe medication to help you stop using alcohol or tobacco.
Case management and coordination
As a participant in the Doorway program, you will receive case management and care coordination. These services help individuals to:
- Access and overcome barriers to care.
- Improve health and well-being.
- Optimize the use of resources and their outcomes.
- Reduce duplication of services.
We will advocate for you and your continuity of care.
Peer recovery support
The Doorway recovery coach brings their lived experience of recovery. Combined with training and supervision, a coach:
- Assists others in initiating and maintaining recovery.
- Provides both emotional and informational support.
Resource specialist assistance
Our resource specialist is available to you through the Doorway and can provide support accessing various resources. They identify and locate resources, assess eligibility and facilitate access to those resources. These resources may include:
- Housing
- Insurance
- Transportation
- Residential treatment
Facilitated referrals
Individuals will receive assistance connecting with appropriate treatment recommendations and services.
Prevention, including naloxone distribution
The Doorway at DHMC offers naloxone to all those who come in for a screening. Harm reduction kits are also available upon request for distribution to those at high risk or to individuals who know of someone at high risk.
Jessica believes that loss, despair, and disconnection can keep someone from seeking the help they need. She also believes that each and every person has the strength to recover.
Recovery has taught Alex to find hope and opportunity even in his most challenging moments.
For more information and stories of recovery, please visit Doorway NH at the New Hampshire Department of Health and Human Services (NH DHHS). New Hampshire's Doorway program receives funding from the U.S. Substance Abuse and Mental Health Administration (SAMHSA) State Opioid Response (SOR) grant and is led by the NH DHHS.
How to get to the Doorway at DHMC
Our location
We are located at the Rivermill Complex at 85 Mechanic Street, Suite 3-B1, Lebanon, New Hampshire.
Once at the Rivermill Complex:
- Go through the small courtyard to the large brick building.
- Then go through the double glass doors.
- Take a left to the wooden double doors.