Examining the current landscape of heroin use and addiction recovery in America
If you’re wondering why heroin hasn’t been talked about as much lately, you’re not alone. While the opioid epidemic continues to impact communities across the country, heroin use has declined as synthetic opioids like fentanyl have taken its place. However, many individuals are still living with the effects of current or past heroin use disorder.
Reviewing past heroin addiction recovery statistics remains important for understanding the broader context of opioid use disorder treatment. Examining substance use trends over the past decade helps researchers and providers develop strategies to address today’s challenges, particularly in the fentanyl crisis. Read on to learn more about heroin addiction recovery statistics and factors that influence treatment outcomes.
The Rise and Shift of Heroin Use
Editor’s note: This blog discusses recovery rates for individuals with a history of heroin use. While heroin use has declined, many people have transitioned to synthetic opioids like fentanyl, making this information valuable in understanding long-term opioid recovery trends.
Heroin, an opiate derived from the poppy plant, has existed for centuries. In the 1990s, heroin use surged in the United States, contributing to widespread overdoses. This was soon followed by a significant rise in opioid addiction due to overprescribing of medications such as OxyContin. Many individuals, unintentionally dependent on these medications, turned to heroin when prescriptions became difficult to obtain.
Heroin was often cheaper and more accessible than prescription opioids, and many people began using it intravenously for stronger effects. This led to rapid dependence and devastating personal consequences, sparking a public health crisis.
The Shift to Fentanyl and the Fourth Wave
Today, we are experiencing the fourth wave of the opioid epidemic, with fentanyl—a potent synthetic opioid—largely replacing heroin on the streets. During the COVID-19 pandemic, fentanyl use spiked due to its affordability and high potency. While heroin is still present in some areas, many people with prior heroin addiction have transitioned to fentanyl or sought heroin addiction help through treatment.
This shift underscores the importance of continued access to effective opioid use disorder treatment and long-term heroin recovery support services.
Heroin Addiction Recovery Statistics
Although heroin use has declined, it still poses a serious risk. Relapse rates for heroin remain a concern, especially for individuals early in heroin addiction recovery. Here are some key heroin addiction statistics:
- In 2018, over 800,000 people reported using heroin, a significant rise from 153,000 in 2007.
- In 2021, about 0.4% of individuals aged 12 or older (1.1 million people) reported past-year heroin use.
- In 2022, heroin use was reported by:
- 0.3% of 8th graders
- 0.2% of 10th graders
- 0.3% of 12th graders
- In 2021, 0.4% of individuals 12 and older experienced a heroin use disorder.
- That same year, approximately 9,173 people died from heroin-involved overdoses.
- Heroin relapse statistics show rates of 40%–60% within the first year of treatment.
- Over a lifetime, up to 80% of people may experience at least one relapse.
With the ongoing risks associated with fentanyl and heroin, now is a critical time to strengthen access to addiction treatment programs and long-term recovery support.
What Affects Heroin Recovery Outcomes?
Heroin addiction is a chronic condition that affects brain function. Like other substance use disorders, it can be managed successfully through evidence-based care. While relapse is common, many individuals achieve long-term heroin recovery with the right support.
Key Factors That Improve Recovery Success:
- Personalized treatment plans: Tailored care improves engagement and outcomes.
- Medication-assisted treatment (MAT): Therapies like methadone and buprenorphine reduce cravings and withdrawal symptoms.
- Outpatient heroin treatment: Many individuals prefer outpatient care, which offers flexibility while maintaining structure.
- Behavioral therapy and counseling: These services help individuals process trauma and build coping skills.
Recovery is not one-size-fits-all. The most effective programs recognize that each person’s journey is unique.
Start Your Recovery with BAART Programs
At BAART Programs, we understand that heroin addiction is a complex, chronic condition—but recovery is possible. Our compassionate providers and experienced care teams work closely with each patient to create a personalized recovery plan that supports long-term success.
If you or a loved one is seeking heroin addiction help, BAART is here to support you every step of the way. Fill out our contact form to begin your journey toward heroin addiction recovery today.
