Heroin in 2025: Almost Always Fentanyl-Contaminated
Street heroin in New Jersey is rarely pure heroin anymore — it's almost always adulterated with fentanyl, and often with xylazine. That means detox planning has to account for fentanyl exposure, even when the caller identifies the substance as heroin.
What Heroin Detox Looks Like
Buprenorphine (Suboxone) or methadone induction, 5–7 days of medical monitoring, comfort medications, and direct transition to residential. Programs we refer to use evidence-based protocols and have MAT capacity throughout the continuum.
Residential After Detox — Why It Matters
Heroin use typically has strong environmental and social triggers — specific places, people, routines. A residential program (28–90 days) breaks that pattern and builds coping skills before reentry. Insurance usually covers at least 28 days under NJ parity law; longer stays are often approved when medical necessity is documented.