Heroin is an illicit opioid with a high risk of dependence, withdrawal, and addiction. Its impact can touch every part of life, but effective treatment makes recovery possible. At Red Ribbon Recovery Colorado, our heroin rehab programs address both the immediate physical effects of opioid use and the deeper factors that sustain addiction.

Treatment is provided in a safe, structured setting by a team experienced in treating opioid use disorder. Services include medical support, behavioral therapies, and recovery planning. Every program is evidence-based and individualized to fit the needs of each client, supporting both short-term stability and long-term recovery.

What is heroin? 

Heroin is derived from morphine, a natural substance taken from the opium poppy. It is classified as a Schedule I controlled substance in the United States, meaning it has no accepted medical use and carries a high potential for misuse.

The highly addictive opioid drug can appear as a white or brown powder or as black sticky substance known as black tar heroin. People may inject, smoke, or snort it, producing intense euphoria and sedation. However, repeated use quickly builds tolerance, leading to dependence and addiction.

According to the National Institute on Drug Abuse (NIDA), many individuals turn to heroin after misusing prescription opioids prescribed for pain. Regardless of the form, all heroin use carries the risk of overdose, serious health complications, and long-lasting psychological harm.

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What is heroin use disorder?

Heroin use disorder falls under the medical diagnosis of opioid use disorder (OUD). It refers to a pattern of heroin use that causes major health, social, and behavioral problems. Other terms include heroin addiction, heroin dependence, or opioid addiction.

The risks are severe. In 2024, nearly 80,400 fatal overdoses in the U.S. were linked to heroin. In 2019, the drug was involved in more than 28% of all opioid-related deaths. Beyond overdose, heroin addiction is widespread: an estimated 2.7 million Americans were living with addiction to heroin or other opioids in 2020.

This condition affects much more than the body. It alters brain chemistry, damages mental health, strains relationships, and disrupts employment and daily life. Without professional treatment, the cycle of dependence usually intensifies.

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What causes heroin addiction? 

Heroin addiction develops through a combination of biological, psychological, and environmental factors. One of the strongest drivers is physical dependence, which occurs when the body adapts to the presence of the drug and requires it to function normally. Over time, tolerance builds, meaning larger or more frequent doses are needed to achieve the same effect, which increases the risk of addiction.

Many people begin using heroin after misusing prescription opioids, often prescribed for chronic pain. Others may start due to emotional distress, peer influence, trauma, or underlying mental health conditions. Repeated use changes brain chemistry and disrupts the brain’s reward system, making it increasingly difficult to stop without professional help.

Addiction is a chronic medical condition—not a sign of weakness—that requires comprehensive treatment. At Red Ribbon Recovery Colorado, care focuses on addressing both the physical dependence and the emotional and behavioral factors that contribute to substance use, giving individuals the tools to stop heroin use and start long term sobriety.

Long-term consequences of heroin abuse

Heroin abuse can have devastating long-term effects on both physical health and emotional well-being. Prolonged use damages vital organs, weakens the immune system, and increases the risk of infectious diseases such as HIV and hepatitis due to unsafe injection practices. It also impacts cognitive function, decision-making abilities, and emotional stability.

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), individuals who struggle with heroin addiction often face additional challenges, including unemployment, strained relationships, and legal issues. Many also experience co-occurring mental health disorders, which can worsen without proper treatment.

The longer heroin abuse continues, the harder it becomes to regain stability. At Red Ribbon Recovery Colorado, we focus on restoring your overall well-being by treating both addiction and any co-occurring conditions through a personalized, integrated approach to care.

Opioid use and the risk of overdose

The U.S. is struggling under the weight of a staggering opioid epidemic. It is one of the most severe public health crises ever faced in this country. The Centers for Disease Control and Prevention (CDC) reports that approximately 5% of fatal overdoses involve heroin. However, much of the heroin in the U.S. includes the synthetic opioid fentanyl, the leading cause of opioid overdose deaths.

Oftentimes, fentanyl is added to the heroin without the user knowing, because it is less expensive to manufacture. The potency of this drug increases the risk of overdose.

Signs of an overdose include shallow or slow breathing, discoloration of the skin and nail beds, and pinpoint pupils. An opioid overdose is a medical emergency that requires crisis treatment with addiction medication such as Naloxone.

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When to consider a heroin addiction treatment program for substance use

Family members are often the first to notice subtle shifts in behavior or observe physical symptoms that come with heroin abuse, such as weight loss, track marks, or chronic infections. However, seeking professional treatment for heroin addiction or any substance-use disorder is a very personal decision. The criteria for making that choice are different for everyone.

Whether deciding for yourself or someone you love, heroin rehab should be a serious consideration if you notice a loss of control over drug use. In other words, the use of heroin is continuing or increasing despite promises to stop.

Cravings and withdrawal symptoms, when attempting to stop drug use, are clear indicators of a problem that often requires professional intervention. It is especially critical to enter a heroin addiction treatment program if there is a history of relapse or overdose, as well as co-occurring mental health conditions, such as anxiety or depression.

Colorado substance abuse treatment for heroin addiction

Opioid dependence is a chronic and complex illness that requires a comprehensive, evidence-based approach to care. Effective heroin addiction treatment focuses on the whole person—not just the drug use itself. A well-rounded program should address:

  • Mental health
  • Physical health
  • Work and education needs
  • Legal challenges
  • Family relationships and stress

Lifestyle changes are also an important part of the recovery journey. Becoming involved in peer groups and the recovery community can provide encouragement, accountability, and support alongside professional, evidence-based treatment. Common options include:

Avoiding the people, places, and routines tied to heroin use is equally important. Replacing them with recovery-focused activities and surrounding yourself with positive influences can strengthen your path toward lasting change.

For those facing heroin addiction, treatment often begins with medically supervised detox, ensuring safety and stability during withdrawal before transitioning into ongoing care.

Medical detox

Detox provides 24/7 medical oversight to help clients safely withdraw from heroin. While withdrawal symptoms are rarely life-threatening, they can be highly uncomfortable. Supervised detox eases this process and prepares individuals for long-term treatment.

Heroin withdrawal symptoms

Withdrawal from heroin begins just a few hours after the last dose and can last up to 10 days. Symptoms of withdrawal range from mild to severe and include:

  • Nausea
  • Vomiting
  • Anxiety
  • Hot and cold flashes
  • Muscle cramps
  • Perspiration
  • Insomnia
  • Watery discharge from both the eyes and nose
  • Diarrhea
  • Stomach cramps
  • Yawning
  • Headaches
  • Tachycardia
  • High blood pressure

Medication assisted treatment in Colorado

Medication-assisted treatment (MAT) uses FDA-approved addiction medications to reduce withdrawal symptoms and cravings, making the early stages of recovery more manageable. This evidence-based approach is a highly effective component of heroin addiction treatment and is offered as part of our comprehensive care at Red Ribbon Recovery Colorado.

Common medications used in MAT for heroin addiction include:

  • Buprenorphine. A partial opioid agonist that activates the same receptors as heroin but without producing a euphoric high. It helps ease withdrawal symptoms and significantly reduces cravings.
  • Methadone. A long-acting opioid agonist that binds to the same receptors as heroin, preventing withdrawal and cravings without delivering the same intense effects.
  • Naltrexone. Used after detox is complete, naltrexone is an opioid antagonist that blocks the effects of heroin. It’s often part of a relapse prevention strategy, helping individuals stay engaged in their recovery.

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Levels of care for heroin addiction treatment 

Finding the right heroin addiction treatment program is critical, especially in the early stages of recovery. An effective heroin addiction treatment program should meet people struggling with opioid use where they are—whether that means addressing physical dependence or the underlying causes that drive continued use.

Both the Colorado Department of Human Services and SAMHSA emphasize that effective addiction care must address a person’s full range of physical, emotional, and social needs. In places like Colorado Springs, many programs combine medical care, counseling, and supportive services, offering a range of treatment options that can make recovery more sustainable. Some centers even include wellness supports such as chef prepared meals to promote overall health during treatment.

Research from the National Institute on Drug Abuse shows that blending medical support with behavioral therapies across different levels of care leads to better long-term outcomes. For individuals in Colorado, this approach helps ensure that heroin addiction treatment is not just about stopping drug use, but about building a foundation for lasting recovery.

Inpatient treatment

Inpatient or residential treatment offers 24-hour care in a safe and supportive environment. Clients follow a structured daily routine that includes individual and group behavioral therapies designed to target the root causes of addiction. As part of this program, a medical team may provide addiction medicine and medication management to ease withdrawal symptoms and support stability.

Residential rehab addresses every aspect of recovery, from nutritious meals and physical wellness to emotional support and family involvement. One of its most important benefits is constant monitoring, which protects individuals from the compulsive drug-seeking behaviors that are common in heroin addiction. This level of care is especially beneficial for those who are physically dependent on heroin and need intensive support in early recovery.

Outpatient programs

Outpatient treatment offers a flexible option for individuals who have a strong support system at home but still need structured, effective treatment. These programs provide the same evidence-based therapies found in inpatient rehab, allowing clients to continue their recovery while managing work, school, or family responsibilities.

  • Partial Hospitalization Program (PHP). PHP provides the highest level of outpatient care, offering full-day treatment sessions with medical and clinical support. Clients return home or to a sober living environment at night, making it a strong option for those who need intensive structure but not 24/7 residential care.
  • Intensive Outpatient Treatment (IOP). IOP is designed for individuals stepping down from PHP or beginning treatment with a moderate level of support. These programs typically involve several therapy sessions each week, balancing structured care with the flexibility to manage daily responsibilities.
  • Traditional Outpatient Program (OP). OP is best suited for individuals further along in recovery who need less intensive services. Sessions may occur a few times a week and focus on relapse prevention, building coping strategies, and maintaining long-term progress.

Aftercare programs 

Recovery doesn’t end when treatment does. Aftercare services help individuals stay grounded in their sobriety by offering ongoing support, counseling, and connection to a strong recovery community. Aftercare is an important part of maintaining long-term success and continuing to work through the underlying causes of addiction, even after the more structured phases of treatment have ended.

Rehab might feel like a big step, but remember why you're here—you’re looking for a way forward. We can help.

Red Ribbon Recovery: One of the best heroin rehabs Colorado has to offer

Reaching out for help with heroin addiction can start in many ways, by talking with a trusted friend, consulting a healthcare professional, or searching online for resources. Our treatment center can also help—contact us through our online contact form or call us at (308) 219-3980 to speak with a specialist about treatment in Colorado.

Not every treatment program will be the right fit, but the goal is to find the approach that works best for your needs. Being open and honest with yourself and your care providers is key to getting the right support. Recovery is most effective when treatment combines medications, therapy, and healthy lifestyle changes. Heroin addiction is difficult, but treatment works—and support is available.

We are here to help you or a loved one find addiction treatment near you.

Admitting you have a substance abuse problem and asking for help is not always easy. If you or a loved one are struggling with drug addiction, alcohol addiction or another substance use disorder, help is available. Call SAMHSA’s National Helpline at (303) 219-3980 to learn about resources in your area or reach out to our team for personalized treatment.

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Sources

  1. MedlinePlus. (2017). Opioid addiction.
  2. National Institute on Drug Abuse. (June 2025). Treatment approaches for drug addiction DrugFacts.
  3. National Institute on Drug Abuse. (March 2025). Medications to treat opioid use disorder.
  4. Drug Enforcement Administration. (April 2020). What is heroin? What is its origin?.
  5. National Institute on Drug Abuse. (April 2021). Heroin Research Report: What are the immediate (short-term) effects of heroin use?
  6. National Institute on Drug Abuse. (April 2021). Heroin Research Report: What are the long-term effects of heroin use?
  7. National Institute on Drug Abuse. (April 2021). What are treatments for heroin use disorder?.
  8. Centers for Disease Control and Prevention. (February 2024). Vulnerable areas for infectious diseases in persons who inject drugs.
  9. World Health Organization. (2009). Withdrawal management.
  10. Centers for Disease Control and Prevention. (June 2025). Heroin.
  11. Substance Abuse and Mental Health Services Administration (SAMHSA). (November 2024). Managing life with co-occurring disorders.
  12. Colorado Health Institute. (December 2018). Strategic Plan for Primary Prevention of Substance Abuse.
  13. National Institute on Drug Abuse. (April 2021). Heroin Research Report: What is heroin and how is it used?
  14. Substance Abuse and Mental Health Services Administration (SAMHSA). (n.d.). Behavioral health treatment services locator.
  15. Substance Abuse and Mental Health Services Administration (SAMHSA). (n.d.). SAMHSA’s national helpline.
  16. Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (July 2025). Key substance use and mental health indicators in the United States: Results from the 2024 National Survey on Drug Use and Health.
  17. Heroin Anonymous World Services. (n.d.). Heroin anonymous.
  18. SMART Recovery. (n.d.). SMART recovery, life beyond addiction.

About the content

Publish date: Jul 14, 2025
Last updated: Dec 02, 2025
Jodi Tarantino (LICSW)

Written by: Carli Simmonds. Carli Simmonds holds a Master of Arts in Community Health Psychology from Northeastern University. From a young age, she witnessed the challenges her community faced with substance abuse, addiction, and mental health challenges, inspiring her dedication to the field.

Jodi Tarantino (LICSW)

Medical reviewed by: Jodi Tarantino, LICSW. Jodi Tarantino is an experienced, licensed Independent Clinical Social Worker (LICSW) and Program Director with over 20 years of experience in Behavioral Healthcare. Also reviewed by the RRR Editorial team.

Red Ribbon Recovery is committed to delivering transparent, up-to-date, and medically accurate information. All content is carefully written and reviewed by experienced professionals to ensure clarity and reliability. During the editorial and medical review process, our team fact-checks information using reputable sources. Our goal is to create content that is informative, easy to understand and helpful to our visitors.

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