Safe, medically supervised care for prescription and illicit opioid dependence — with medication-assisted options and steady support at every step.
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Opioid addiction often begins in the most ordinary way — a prescription after surgery or an injury, a way to quiet physical or emotional pain. Over time, the body adapts, tolerance builds, and what once felt manageable can become a cycle that’s genuinely hard to break. If you or someone you love is caught in that cycle, it’s important to know this: opioid use disorder is a medical condition, and it is treatable with the right support.
At Twin River, opioid treatment is grounded in safety, dignity, and evidence-based care. We treat dependence on both prescription opioids and illicit opioids, and — when clinically indicated — we incorporate medication-assisted treatment to ease withdrawal, reduce cravings, and lower the risk of relapse and overdose. From your first day, one connected team helps you stabilize, understand what’s driving the use, and build a recovery that can last.
Round-the-clock nursing through withdrawal and stabilization, with someone always nearby if symptoms change.
Physician-guided plans shaped around your opioid history, health, and goals — including medication-assisted options when appropriate.
A calm, judgment-free environment and staff who understand that addiction is not a choice or a character flaw.
When indicated, medications such as buprenorphine or naltrexone are prescribed and monitored to support recovery.
Opioids include a wide range of substances — from prescription pain relievers to illicit drugs like heroin and illicitly manufactured fentanyl. Understanding how dependence takes hold, and how today’s drug supply has changed, can help explain why professional treatment matters so much.
Opioids relieve pain and can produce a sense of calm or well-being by acting on receptors in the brain and body. With continued use, the body adapts: it takes more to feel the same effect (tolerance), and stopping brings on uncomfortable withdrawal symptoms (dependence). For many people, continued use becomes less about feeling good and more about avoiding the distress of withdrawal — a cycle that can escalate quickly and is very difficult to break alone.
Prescription opioids — medications given for pain — and illicit opioids such as heroin act on the same receptors and carry many of the same risks. Some people who develop dependence on a prescription later transition to illicit sources when prescriptions end. Whatever the path, the underlying condition is the same and responds to the same compassionate, medically informed care.
Opioids slow breathing, which is what makes overdose so dangerous. That risk has grown sharply because fentanyl — a powerful synthetic opioid — is increasingly found in the illicit drug supply, sometimes without the person’s knowledge and in counterfeit pills. Because even a small amount can be dangerous, the risk of overdose is higher than many people realize. Naloxone (Narcan) can reverse an opioid overdose if given in time, and professional treatment dramatically lowers ongoing risk.
Signs that opioid use may have become a problem can include:
Overdose is a real and rising danger. Because fentanyl is now common in the illicit supply, the risk of accidental overdose is significant — even for people who feel they know what they’re taking. If you suspect an overdose, call 911 immediately and administer naloxone if it’s available. Reaching out for treatment is one of the most powerful ways to reduce this risk over the long term.
You don’t have to wait for a crisis to ask for help. Consider reaching out if you notice any of the following:
Recovery happens in stages, and each calls for a different kind of support. At Twin River, your care is coordinated by one connected team from your first day forward.
Care usually begins with medically supervised detox to manage withdrawal safely and comfortably. When clinically indicated, medication-assisted treatment — using medications such as buprenorphine or naltrexone — can ease withdrawal, quiet cravings, and support a more stable start to recovery. Our clinical team monitors you closely and tailors every decision to you.
One-on-one sessions help you understand what’s driving the use — chronic pain, trauma, anxiety, or depression — and build practical skills to manage cravings, triggers, and high-risk situations.
Guided groups offer connection, honesty, and accountability. Learning alongside others who understand the pull of opioids reduces isolation and strengthens recovery.
Opioid addiction affects the whole family. With your consent, we help loved ones understand the condition, repair trust, and learn how to support recovery — including overdose awareness and safety at home.
Sleep, nutrition, movement, and time in nature all support healing. Our peaceful setting and whole-person programming help restore the body and steady the mind as you rebuild.
Recovery grows stronger with continued support. Before you leave, we build an aftercare plan with you that may include ongoing therapy, continued medication-assisted treatment where appropriate, connection to community and peer-support resources, overdose-prevention planning, and a clear path for the transition home. Our aim is that you leave with the insight, tools, and support system that make lasting recovery possible.
Honest answers to some of the questions we hear most often. If you don’t see yours here, our team is only a phone call away.
Medication-assisted treatment combines FDA-approved medications — such as buprenorphine or naltrexone — with counseling and therapy. When clinically indicated, these medications can ease withdrawal, reduce cravings, and lower the risk of relapse and overdose, making it easier to focus on recovery. Whether MAT is right for you is a decision made together with your care team.
Opioid withdrawal is rarely life-threatening on its own, but it is intensely uncomfortable — and quitting alone carries a high risk of relapse. That’s dangerous, because tolerance drops quickly during a break, which raises the risk of overdose if a person returns to their previous amount. Medically supervised detox keeps you safer and far more comfortable.
Fentanyl is a powerful synthetic opioid that is increasingly found in the illicit drug supply — including in counterfeit pills and mixed into other substances, often without the person knowing. Because even a small amount can be dangerous, it has dramatically increased the risk of accidental overdose. This is one of the biggest reasons professional treatment is so important today.
Yes. Prescription opioids are effective for pain, but the body can develop tolerance and dependence even when they’re taken as prescribed. For some people, that can progress to opioid use disorder. This is nothing to be ashamed of — it reflects how these medications affect the brain and body, and it is treatable.
Naloxone, often known by the brand name Narcan, is a medication that can rapidly reverse an opioid overdose if given in time. It’s increasingly available without a prescription, and having it on hand can save a life. As part of care and aftercare planning, we help people and families understand overdose awareness and safety.
Many major plans help cover detox, medication-assisted treatment, and addiction care. The simplest way to find out is to let our admissions team verify your benefits confidentially — usually in just a few minutes. There’s no obligation, and it won’t affect your coverage.
Cost should never be the reason someone doesn’t reach out. Many major insurance plans help cover the cost of opioid detox and treatment, and our admissions team will review your benefits confidentially, often in just a few minutes so you understand your options before deciding anything.
