Heroin and Fentanyl in Maryland: Why Baltimore Became Ground Zero
Baltimore has long been the epicenter of heroin use in the mid-Atlantic. Now fentanyl has made a dangerous situation even deadlier. Learn the history, the data, and how to help.
Struggling with addiction in Maryland? Our counselors connect you with local treatment in Baltimore, Annapolis, and across the state — free, confidential, available around the clock.
Simple Process
Dial our free number anytime — day or night. A trained counselor answers within minutes, not a recording.
Share your situation in your own words. We listen without judgment and ask questions to understand your needs.
We connect you with the right local programs in Maryland based on your substance, insurance, and preferences.
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What We Cover
Our counselors connect you with appropriate treatment regardless of your substance, situation, or location in the state.
See what happens when you callHelp for dependence on opioids, prescription pills, methamphetamine, cocaine, and other substances.
Confidential support for alcohol use disorder, connecting you with detox and treatment options.
Integrated treatment for co-occurring addiction and mental health conditions like depression or PTSD.
Guidance for families of people with addiction, including intervention resources and Al-Anon referrals.
Connections to medically supervised detoxification programs for safe, comfortable withdrawal.
Help with step-down care, sober living options, and ongoing support after primary treatment.
Real Stories
Names and identifying details have been changed to protect privacy. Shared with permission.
I called from Baltimore at my lowest point. The counselor didn't judge me — she just helped. I found a program that day and I've been in recovery for 18 months.
My brother had been struggling with heroin for years. The hotline helped us find a medication-assisted treatment program in Annapolis that finally worked for him.
As a parent watching my kid struggle, I felt helpless. The counselor gave me a plan — what to say, where to call, what to do next. Finally I felt like I could help.
Local Help
Education & Resources
Baltimore has long been the epicenter of heroin use in the mid-Atlantic. Now fentanyl has made a dangerous situation even deadlier. Learn the history, the data, and how to help.
When a family member struggles with addiction, the whole family suffers. This guide helps Maryland families understand the disease, set healthy boundaries, and find support.
Maryland has one of the highest overdose death rates per capita in the U.S. This guide examines the opioid crisis in Baltimore City, the suburbs, and rural Maryland, and where to find help.
Addiction Screening
Answer a few questions to see if substance use may be impacting your life. Takes about 60 seconds.
Screening tool only — not a clinical diagnosis. Only a licensed healthcare provider can diagnose a substance use or mental health condition.
Our counselors are standing by right now — free, confidential, and ready to help you find treatment in Maryland.
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