Behavioral Health Business February 19, 2025
Morgan Gonzales

Overdose deaths and fentanyl use have declined nationally, representing a rare glimmer of hope for the substance use disorder (SUD) treatment industry.

However, new research shows that people are increasingly using heroin and methamphetamine, suggesting potentially dangerous broader reasons for the decline in fentanyl use.

Heroin use among fentanyl users increased by 18% nationwide from 2023 to 2024, according to the annual Signals Report from Millennium Health. This uptick in heroin use occurred suddenly and dramatically, according to Eric Dawson, vice president of clinical affairs for Millennium Health.

“Last July, I would have said, we almost see no heroin in urine specimens in that population using fentanyl. It’s almost exclusively fentanyl,” Dawson told Addiction Treatment Business. “In September, I...

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