Opioid Rehab Near You: MAT, Detox & Recovery Programs
Browse SAMHSA-listed opioid rehab programs across all 50 states — filter by MAT type (buprenorphine, methadone, naltrexone), level of care (OTP, OBOT, residential, IOP, telehealth), and insurance acceptance. MAT reduces opioid overdose deaths by more than 50% (NIDA), yet fewer than 20% of people with OUD receive it. Synthetic opioids (primarily fentanyl) drive ~75% of US opioid overdose deaths — CDC reports over 80,000 annually. After the 2023 MAT Act, any licensed prescriber can offer buprenorphine in office-based or telehealth settings.
Found 9,319 rehab centers specializing in opioid addiction across the United States.
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Browse opioid treatment centers below. Filter by MAT availability, state, insurance, and level of care to find the right program for your recovery needs.
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Situated in Kaneohe, HI, Habilitat Inc delivers extensive long-term residential care for detoxification and substance use disorders. This center features distinct programs designed for adolescents, adult men, and adult women, addressing the needs of both young adults and older individuals. Emphasizing 12-step principles, anger management strategies, and cognitive behavioral therapy, Habilitat Inc customizes its treatment plans to meet the unique requirements of each client. The facility provides residential detox services and round-the-clock supervision, guaranteeing continual assistance. Catering to both genders, this center is committed to offering high-quality care and individualized treatment to promote sustainable recovery.
HOPE Community Services Inc, located in Oklahoma City, OK, is dedicated to providing thorough care for individuals struggling with substance abuse, particularly those also managing serious mental health concerns or supporting children with emotional challenges. They offer diverse outpatient options, including intensive programs and targeted support for active military personnel, young people, and adult men. Utilizing methods such as 12-step guidance, anger control techniques, and brief support strategies, the center serves a broad demographic of adults and seniors. HOPE Community Services Inc is committed to delivering personalized, high-quality treatment in a nurturing setting, establishing itself as a key provider of effective recovery services.
Hackettstown Medical Center in Hackettstown, NJ, delivers focused substance abuse recovery services within a professional and encouraging setting. Available programs include intensive outpatient, standard outpatient, and day treatment options, serving both adults and young people. The center employs strategies such as 12-step facilitation, brief intervention, and cognitive behavioral therapy. It provides distinct programs for adult men, adult women, and adolescents, ensuring personalized care. Clients receive thorough assistance and custom recovery strategies aimed at sustained sobriety. Hackettstown Medical Center is dedicated to high-standard care for all individuals pursuing freedom from addiction.
Situated in Hagerstown, MD, the Hagerstown Treatment Center specializes in outpatient treatment for substance use, emphasizing options like methadone, buprenorphine, and naltrexone therapies. This center delivers tailored care with a range of services including anger management, brief intervention strategies, and cognitive behavioral therapy. Additionally, it features distinctive programs designed for adult men and women as well as individuals affected by intimate partner or domestic violence. The center provides comprehensive, individualized support for both adult and young adult clients of all genders who are on the path to recovery from substance use challenges.
Nestled in Brookline, MA, HRI Hospital stands as a premier institution dedicated to providing extensive addiction recovery solutions for adults and young adults. This facility offers inpatient hospital detoxification and therapeutic interventions for individuals grappling with substance use disorders and co-occurring mental health conditions. Recognizing diverse needs, HRI Hospital has developed tailored programs for adult men, adult women, and survivors of intimate partner violence, guaranteeing that each client receives personalized attention. Employing proven methodologies such as cognitive behavioral therapy and anger management, the center is committed to delivering superior, individualized care aimed at fostering sustained sobriety. For those in search of expert addiction treatment within a hospital environment, HRI Hospital is a reliable and esteemed option.
Situated in Haltom City, TX, Haltom City Treatment Services LLC delivers extensive outpatient rehabilitation services catering to both adults and young adults. The center specializes in detoxification and treatment for substance use disorders, offering outpatient detox options as well as treatments involving methadone, buprenorphine, or naltrexone. The program employs various approaches, including anger management, brief interventions, and cognitive behavioral therapy, to effectively meet the unique needs of each client. Aiming to assist adult men, adult women, and individuals with dual diagnoses of mental health and substance use disorders, this facility provides personalized care for every client. Haltom City Treatment Services LLC is committed to offering high-quality support and specialized programs that foster sustainable recovery for both male and female clients.
HOPE Recovery Clinic in Shreveport, LA, delivers outpatient services for individuals grappling with substance use issues. Their program focuses on medication-assisted treatment, incorporating methadone, buprenorphine, or naltrexone. The clinic also offers crucial support through 12-step integration, relapse prevention strategies, and individual counseling. They serve adult men and women, including those affected by intimate partner or domestic violence. HOPE Recovery Clinic is committed to providing personalized care for all clients, fostering a nurturing atmosphere to support enduring recovery and overall wellness.
Outpatient medication-based treatment with buprenorphine and naltrexone is available at the HCC Network location in Carrollton, Missouri. Programs address pregnant and postpartum women, military families, people with HIV or AIDS, and clients with trauma histories. Medicaid, Medicare, TRICARE, SAMHSA block grants, and a sliding fee scale are accepted.
The HCC Network office in Lexington, Missouri, delivers outpatient substance use treatment with buprenorphine and naltrexone for children, adolescents, and adults. Programs serve veterans, pregnant and postpartum women, criminal justice clients, and people with co-occurring disorders. Medicaid, Medicare, SAMHSA block grants, and a sliding fee scale are accepted.
The HCC Network clinic in Buckner, Missouri, offers outpatient treatment using buprenorphine and naltrexone. Clients served include pregnant and postpartum women, veterans, military families, criminal justice clients, and people with co-occurring pain or trauma. Medicaid, Medicare, TRICARE, SAMHSA block grants, and a sliding fee scale are accepted.
HEAL Behavioral Health in West Palm Beach, Florida combines outpatient day treatment, partial hospitalization, and intensive outpatient care with transitional housing and sober home services. Programs serve veterans, military families, criminal justice clients, and trauma survivors. Buprenorphine and naltrexone are used in treatment, with private insurance and self-payment accepted.
Bellevue Hospital's CDOP Clinic in New York City combines outpatient detoxification, intensive outpatient treatment, and regular outpatient care for adults with substance use and co-occurring mental health disorders, using buprenorphine and naltrexone. Medicaid, SAMHSA block grants, and a sliding fee scale are accepted. Spanish and sign language services are available.
HINTON in Jamestown, North Carolina, provides outpatient day treatment, partial hospitalization, and intensive outpatient care for substance use and co-occurring mental health disorders. Buprenorphine is used in treatment. The program serves adults and seniors, including veterans, pregnant and postpartum women, and trauma survivors. Medicaid and self-payment are accepted.
Situated in Minneapolis, MN, the HCMC Addiction Medicine Program provides outpatient care for adults and young adults dealing with substance use issues. The center specializes in methadone or buprenorphine as well as naltrexone treatment, employing various evidence-backed methods such as brief intervention, cognitive behavioral therapy, and the Matrix Model. Prioritizing tailored care, the program serves both male and female clients. HCMC's commitment to high-quality treatment and customized care plans positions it as an important option for individuals seeking thorough and effective addiction support.
HMHI Park City Behavioral Hlth Clinic in Park City, UT, delivers thorough care for adults managing substance use disorders alongside significant mental health conditions. The clinic features robust outpatient services, such as medication-assisted treatment with methadone, buprenorphine, or naltrexone. Employing proven therapeutic methods like cognitive behavioral therapy and motivational interviewing, the facility supports adult men and women, older adults, and survivors of intimate partner violence. Through individualized treatment plans, HMHI Park City Behavioral Hlth Clinic is dedicated to providing exceptional support for individuals pursuing recovery from addiction and mental health struggles.
Situated in Chicago, IL, HRDI stands out as a leading rehabilitation facility dedicated to detoxification, treatment for substance use disorders, and addressing co-occurring mental health issues in both adults and children. The center offers various programs, including long-term residential care, detoxification services, and around-the-clock residential assistance. HRDI employs evidence-based methods such as 12-step facilitation, brief intervention techniques, and cognitive behavioral therapy. The center serves a range of demographics, including male adults, senior citizens, and young adults, and features specialized programs for active military personnel, adult men, and those who have faced intimate partner violence. HRDI prioritizes high-quality care and personalized treatment plans, fostering a nurturing atmosphere conducive to recovery and wellness.
In Mahwah, NJ, Hackensack Meridian Carrier Clinic is a facility dedicated to providing individualized care for those addressing substance use challenges. They offer a range of treatment levels, including intensive outpatient services, standard outpatient programs, and medication-assisted treatment employing methadone, buprenorphine, or naltrexone. The clinic's approach incorporates anger management, brief intervention strategies, and cognitive behavioral therapy, serving both adult men and women, as well as young adults. They also feature distinct programs for active duty military members. Hackensack Meridian Carrier Clinic is committed to offering effective support throughout the recovery process.
Nestled in Belle Mead, NJ, Hackensack Meridian Carrier Clinic provides extensive detox and addiction recovery services. Their offerings include hospital-based inpatient detoxification, round-the-clock inpatient care, and robust outpatient treatment, all tailored for adults and young adults. The clinic emphasizes 12-step facilitation, anger management, and brief intervention strategies, serving active military, adult men, and women. Through gender-specific care and customized recovery paths, this establishment is dedicated to client welfare, delivering excellent support for individuals pursuing sobriety.
Hamilton Center Inc, located in Terre Haute, IN, provides outpatient services for individuals of all ages dealing with substance use challenges alongside significant mental health concerns. The center employs various treatment methods, including cognitive behavioral therapy, anger management, and brief interventions, among others. With dedicated programs designed for adolescents, adult males, and adult females, Hamilton Center Inc is equipped to meet the diverse needs of its clientele. The facility is committed to offering personalized care for adults and seniors of any gender. For those in search of supportive and effective rehabilitation options, this center offers a wide range of treatment solutions aimed at facilitating recovery.
HRDI/Harriet Tubman Womens, situated in Chicago, IL, is a dedicated facility providing extended residential care for adult women struggling with addiction and co-occurring mental health issues. This center offers onsite detoxification and continuous support within a secure and nurturing setting. Utilizing therapeutic modalities like 12-step integration and cognitive behavioral therapy, HRDI/Harriet Tubman Womens addresses the specific challenges faced by clients who have endured domestic abuse. Catering to a diverse age range including adults, seniors, and young adults, the center is committed to delivering tailored recovery services for women seeking to overcome substance dependence and past trauma.
Opioid Use Disorder (OUD): Key Facts
Classification
Opioid Use Disorder (OUD)
Prevalence
2.1 million adults with OUD in the US (SAMHSA)
Overdose deaths
80,000+ opioid overdose deaths/year in US (CDC)
Primary substances
Fentanyl, heroin, oxycodone, hydrocodone
Gold standard treatment
Medication-Assisted Treatment (MAT)
MAT effectiveness
Reduces overdose deaths by 50%+ (NIDA)
FDA-approved medications
Buprenorphine (Suboxone), Methadone, Naltrexone (Vivitrol)
Emergency reversal
Naloxone (Narcan)
Opioid Overdose Emergency: Know the Signs
An opioid overdose can kill within minutes. If you see these signs, act immediately:
Overdose warning signs
- Blue or purple lips and fingernails (cyanosis)
- Pinpoint (extremely small) pupils
- Slow, shallow, or stopped breathing
- Unresponsive to shouting or sternal rub
- Gurgling or choking sounds
- Limp body, pale or clammy skin
What to do
- Call 911 immediately — most states have Good Samaritan laws protecting callers
- Administer naloxone (Narcan) if available — nasal spray or injection
- Perform rescue breathing — one breath every 5 seconds
- Place in recovery position (on their side) to prevent choking
- Give a second dose of naloxone after 2-3 minutes if no response
- Stay until help arrives — naloxone wears off in 30-90 minutes
National Overdose Prevention Hotline: 911 | SAMHSA Helpline: 1-800-662-4357 (24/7, free, confidential)
What Is Opioid Use Disorder?
DSM-5 diagnostic criteria
Opioid Use Disorder (OUD) is a chronic, relapsing brain condition defined by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). It is diagnosed when a person meets at least two of eleven criteria within a 12-month period, including: taking opioids in larger amounts or for longer than intended, persistent desire or unsuccessful efforts to cut down, spending excessive time obtaining or using opioids, cravings, failure to fulfill major obligations, continued use despite social or interpersonal problems, giving up important activities, use in physically hazardous situations, continued use despite physical or psychological problems, tolerance, and withdrawal.
Severity classification
OUD severity is classified based on the number of criteria met: mild (2-3 criteria), moderate (4-5 criteria), and severe (6 or more criteria). Severe OUD carries the highest risk of overdose death and typically requires the most intensive treatment, including medication-assisted treatment. Even mild OUD warrants professional intervention, as the disorder tends to progress without treatment.
Opioids vs. opiates
The term "opiates" refers specifically to natural compounds derived from the opium poppy (morphine, codeine). "Opioids" is the broader term that includes opiates plus semi-synthetic drugs (oxycodone, hydrocodone, heroin) and fully synthetic drugs (fentanyl, methadone, tramadol). All opioids bind to mu-opioid receptors in the brain, producing pain relief, euphoria, and respiratory depression — the mechanism that causes fatal overdoses.
The Opioid Epidemic: Fentanyl Crisis
Three waves of the opioid epidemic
The US opioid crisis has unfolded in three distinct waves. The first wave (1990s) was driven by aggressive marketing of prescription opioids — OxyContin, Vicodin, Percocet — leading doctors to overprescribe and millions of patients to develop dependence. The second wave (around 2010) saw a surge in heroin use as people with prescription opioid addiction shifted to cheaper, more accessible heroin. The third wave (2013-present) is defined by illicitly manufactured fentanyl and its analogs, which now account for the majority of opioid overdose deaths in the United States.
Why fentanyl changed everything
Fentanyl is a fully synthetic opioid that is 50-100 times more potent than morphine and approximately 50 times more potent than heroin. A lethal dose of fentanyl is just 2 milligrams — roughly the size of a few grains of salt. Because fentanyl is cheap to manufacture and extremely potent by weight, drug traffickers mix it into heroin, cocaine, methamphetamine, and counterfeit prescription pills. Many people who die from fentanyl overdoses did not know they were consuming it. Counterfeit pills made to look like oxycodone (M30), Xanax, or Adderall frequently contain lethal doses of fentanyl.
Current impact
According to the CDC, over 80,000 Americans die from opioid overdoses each year, with synthetic opioids (primarily illicit fentanyl) responsible for roughly 75% of those deaths. Opioid overdose is now the leading cause of accidental death for Americans under 50. The crisis affects every demographic, geographic region, and socioeconomic group in the country.
Opioid Withdrawal Timeline
Opioid withdrawal is intensely uncomfortable but rarely life-threatening on its own. The timeline varies depending on whether the person was using short-acting opioids (heroin, oxycodone, hydrocodone) or long-acting opioids (methadone, extended-release morphine).
Short-acting opioids (heroin, oxycodone)
- 6-12 hours: Onset of symptoms — anxiety, muscle aches, sweating, yawning, runny nose
- 24-48 hours: Escalation — insomnia, diarrhea, nausea, vomiting, abdominal cramps, dilated pupils
- 48-72 hours: Peak severity — intense cravings, body aches, goosebumps, rapid heartbeat
- 5-7 days: Acute symptoms begin to subside
- 1-2 weeks: Most physical symptoms resolve
Long-acting opioids (methadone, ER morphine)
- 24-48 hours: Delayed onset of symptoms
- 3-5 days: Symptoms escalate and peak
- 5-10 days: Peak and plateau of acute withdrawal
- 10-20 days: Gradual improvement of physical symptoms
- 2-3 weeks: Most acute symptoms resolve
Post-Acute Withdrawal Syndrome (PAWS)
After acute withdrawal resolves, many people experience Post-Acute Withdrawal Syndrome (PAWS) — a set of prolonged symptoms including anxiety, depression, insomnia, fatigue, difficulty concentrating, and mood swings that can persist for weeks to months. PAWS is the leading cause of relapse in the first year of recovery and is a key reason why ongoing treatment and support are essential after detox.
Why medical detox matters
While opioid withdrawal itself is rarely fatal, the extreme discomfort drives many people to relapse during detox — and relapse after a period of abstinence is when overdose risk is highest, because tolerance has decreased. Medically supervised detoxification uses medications like buprenorphine, clonidine, and comfort medications to manage symptoms safely, dramatically reducing relapse during the withdrawal period.
Medication-Assisted Treatment (MAT)
Medication-Assisted Treatment is the gold standard for opioid use disorder, combining FDA-approved medications with counseling and behavioral therapies. Research from NIDA shows MAT reduces opioid overdose deaths by more than 50%, decreases illicit opioid use, reduces criminal activity, improves social functioning, and increases treatment retention. Despite this evidence, fewer than 20% of people with OUD receive MAT — a treatment gap that costs tens of thousands of lives each year.
Buprenorphine (Suboxone)
Type: Partial opioid agonist
Buprenorphine activates opioid receptors just enough to prevent withdrawal and cravings without producing the intense euphoria of full agonists. It has a "ceiling effect," meaning higher doses do not increase effects — significantly reducing overdose risk. Suboxone combines buprenorphine with naloxone to deter misuse.
Setting: Can be prescribed by any licensed prescriber in office-based settings (OBOT), pharmacies, or telehealth.
Methadone
Type: Full opioid agonist
Methadone is a long-acting opioid that stabilizes brain chemistry, eliminates withdrawal symptoms, and blocks the euphoric effects of other opioids at proper doses. It has the longest track record of any MAT medication, with over 50 years of evidence supporting its effectiveness.
Setting: Must be dispensed daily at a certified Opioid Treatment Program (OTP/methadone clinic). Take-home doses earned over time with compliance.
Naltrexone (Vivitrol)
Type: Opioid antagonist (blocker)
Naltrexone completely blocks opioid receptors, preventing any opioid from producing effects. The extended-release injection (Vivitrol) is administered monthly and eliminates the need for daily medication adherence. Unlike buprenorphine and methadone, naltrexone has no abuse potential and is not a controlled substance.
Requirement: Patient must be fully detoxed (7-14 days opioid-free) before starting naltrexone to avoid precipitated withdrawal.
MAT medication comparison
The three FDA-approved MAT medications differ in mechanism, dispensing model, and patient fit. The table below summarizes the key distinctions:
| Medication | Type | DEA Schedule | Setting | Dispensing | Best for |
|---|---|---|---|---|---|
| Buprenorphine (Suboxone, Sublocade, Subutex, Zubsolv, Brixadi) | Partial agonist with ceiling effect | III | OBOT, telehealth, retail pharmacy | Take-home from day 1 (or monthly injection) | Most patients; rural areas; daily clinic not feasible |
| Methadone | Full mu-opioid agonist | II | OTP only (42 CFR Part 8) | Daily at clinic → take-home after 90 days | Severe OUD; prior buprenorphine failure; long-standing dependence |
| Naltrexone (Vivitrol) | Opioid antagonist (blocker) | Not controlled | Any prescriber; injection at clinic | Monthly IM injection (380 mg) | Highly motivated; post-detox (7-14 days opioid-free); no abuse potential desired |
All three are effective; the best choice is the one the patient will actually take consistently. Adherence, not pharmacology, is the dominant predictor of outcomes. Buprenorphine and methadone are first-line for active opioid use; naltrexone requires complete detox before initiation.
Types of Opioid Treatment Programs
OTP / Methadone Clinics
Opioid Treatment Programs are federally certified clinics that dispense methadone and provide comprehensive services including counseling, drug testing, and case management. Patients visit daily initially, earning take-home privileges over time.
OBOT (Office-Based Treatment)
Office-Based Opioid Treatment allows any licensed prescriber to treat OUD with buprenorphine in a standard medical office or via telehealth. This model dramatically increases access, especially in rural areas with no OTPs. Patients fill prescriptions at regular pharmacies.
Residential (inpatient) programs provide 24/7 structured care for 30-90 days. Best for severe OUD, polysubstance use, co-occurring mental health disorders, or patients who need separation from their environment. Most residential programs offer MAT as part of treatment.
IOP programs provide 9-20 hours of structured treatment per week while allowing patients to live at home. Combines group therapy, individual counseling, and MAT. Effective for moderate OUD or as a step-down from residential treatment.
Standard outpatient involves 1-2 sessions per week — typically individual therapy and/or group sessions combined with MAT. Suitable for mild to moderate OUD or as a long-term maintenance level of care after completing more intensive treatment.
Medical detox provides 3-7 days of supervised withdrawal management using medications to ease symptoms. Detox alone is not treatment — it must be followed by ongoing MAT and/or behavioral therapy. Detox without continued care has very high relapse rates.
Naloxone: The Overdose Reversal Medication
What naloxone does
Naloxone (brand name Narcan) is an opioid antagonist that rapidly reverses opioid overdose by displacing opioids from receptors in the brain. It restores normal breathing within 2-5 minutes in most cases. Naloxone has no effect on people who do not have opioids in their system and has virtually no abuse potential. Since 2023, Narcan nasal spray is available over the counter at pharmacies nationwide without a prescription.
How to use naloxone nasal spray
Using Narcan nasal spray requires no medical training:
- Peel back the package and remove the device
- Tilt the person's head back and insert the nozzle into one nostril
- Press the plunger firmly to deliver the full dose
- If no response in 2-3 minutes, administer a second dose in the other nostril
- Continue rescue breathing and call 911 — naloxone wears off in 30-90 minutes, and the person may stop breathing again
Where to get naloxone for free
Many harm reduction organizations, health departments, and community pharmacies distribute naloxone for free or at low cost. SAMHSA's Opioid Overdose Prevention Toolkit and state naloxone access programs provide resources. Most states have standing orders allowing pharmacists to dispense naloxone without an individual prescription. If you or someone you know uses opioids, carrying naloxone can save a life.
Frequently Asked Questions About Opioid Treatment
What is medication-assisted treatment (MAT) for opioid addiction?
Medication-Assisted Treatment (MAT) combines FDA-approved medications — methadone, buprenorphine (Suboxone), or naltrexone (Vivitrol) — with counseling and behavioral therapies. These medications reduce cravings, prevent withdrawal symptoms, and normalize brain chemistry, allowing people to focus on recovery. MAT is the most effective treatment for opioid use disorder: it reduces overdose deaths by more than 50%, decreases illicit drug use, and improves treatment retention rates (NIDA).
How long does opioid withdrawal last?
The withdrawal timeline depends on the opioid used. Short-acting opioids like heroin and oxycodone cause symptoms within 6-12 hours that peak at 48-72 hours and subside over 5-7 days. Long-acting opioids like methadone produce delayed symptoms starting at 24-48 hours, peaking at 3-5 days, and lasting up to 2-3 weeks. Post-acute withdrawal symptoms (PAWS) — including anxiety, insomnia, and mood instability — may persist for weeks to months after acute withdrawal resolves.
Is buprenorphine (Suboxone) just replacing one addiction with another?
No — this is one of the most harmful misconceptions in addiction medicine. Buprenorphine is a partial opioid agonist prescribed at stable, controlled doses as part of comprehensive treatment. It does not produce euphoria when taken as directed, eliminates cravings, prevents withdrawal, and allows people to function normally — work, care for families, and rebuild their lives. Taking buprenorphine for OUD is no different than taking insulin for diabetes: it is evidence-based medication for a chronic medical condition.
What should I look for in an opioid treatment center?
Look for centers offering MAT options (buprenorphine, methadone, and/or naltrexone), accreditation from CARF or The Joint Commission, licensed medical staff experienced in addiction medicine, comprehensive assessment with individualized treatment plans, evidence-based therapies (CBT, contingency management), family support services, and strong aftercare planning. Verify they accept your insurance and offer the appropriate level of care for your situation.
Can I work while in opioid treatment?
Yes, especially with outpatient MAT programs. Outpatient treatment — including OBOT (office-based buprenorphine) and standard outpatient counseling — allows you to maintain work, family, and social responsibilities while receiving care. Intensive Outpatient Programs (IOP) typically meet 9-20 hours per week and can often be scheduled around work. Many employers are required to support recovery under the ADA and FMLA. Residential treatment requires time away but provides the most intensive support for severe cases.
What is fentanyl and why is it so dangerous?
Fentanyl is a fully synthetic opioid that is 50-100 times more potent than morphine. A lethal dose is just 2 milligrams. It is increasingly found in the illicit drug supply, mixed into heroin, cocaine, methamphetamine, and counterfeit prescription pills — often without the user's knowledge. Fentanyl is now responsible for roughly 75% of all opioid overdose deaths in the United States. Treatment for fentanyl addiction typically requires MAT (often at higher buprenorphine or methadone doses), naloxone training, and comprehensive behavioral support.
How long does MAT treatment last?
There is no fixed duration for MAT — treatment length should be individualized. Research consistently shows that longer treatment produces better outcomes. The American Society of Addiction Medicine (ASAM) recommends a minimum of one year of MAT, and many addiction specialists recommend indefinite maintenance for people with severe OUD, as the risk of fatal overdose is highest in the period after discontinuing MAT. The decision to taper off medication should be made collaboratively with a treatment provider when the patient is stable, has strong support systems, and is not facing major life stressors.
Is fentanyl in the drug supply near me?
Almost certainly yes. Fentanyl has been detected in the illicit drug supply in all 50 states. It is routinely found in heroin, counterfeit prescription pills (especially fake oxycodone M30s, Xanax, and Adderall), cocaine, and methamphetamine. DEA lab testing shows that 7 out of 10 counterfeit pills seized contain a potentially lethal dose of fentanyl. Fentanyl test strips — which can detect fentanyl before use — are available for free from many harm reduction organizations, health departments, and community pharmacies. The safest assumption is that any illicit substance may contain fentanyl.
Medical Review and Sources
Trusted Resources
Substance Abuse and Mental Health Services Administration
Federal agency providing information, resources, and treatment locator for substance abuse and mental health.
Helpline: 1-800-662-4357
National Institute on Drug Abuse
NIH institute advancing science on drug use and addiction causes, consequences, and treatment.
National Institute on Alcohol Abuse and Alcoholism
NIH institute supporting research on alcohol's impact on health and providing treatment resources.
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