Medically Reviewed By: Dr. Bryon Mcquirt, MD
Dr. Byron McQuirt leads works closely with our addictionologist, offering holistic, evidence-based mental health and addiction care while educating future professionals.
If you or someone you love is struggling with opioid addiction or dependency, evidence-based treatment is available at Hope Harbor Wellness. You do not have to figure this out alone.
Opioid use disorder (OUD) is the clinical classification for addiction to opioid substances — a category spanning prescription pain medications (oxycodone, hydrocodone, morphine, codeine), synthetic opioids (fentanyl, tramadol), and semi-synthetic opioids (heroin). In Georgia, opioids — primarily fentanyl — are the leading cause of drug overdose death, with the GDPH reporting record overdose mortality in 2022 driven overwhelmingly by fentanyl. OUD is a medical condition with proven, effective treatment. The most important obstacle to reducing Georgia’s overdose death toll is not the absence of effective treatment — it is the gap between people who need treatment and those who actually receive it.
Hope Harbor Wellness exists to close that gap in the Northwest Metro Atlanta corridor. Our Hiram facility serves clients from Cobb, Douglas, Paulding, Cherokee, Bartow, and Carroll counties — communities that have been significantly affected by the opioid crisis and where treatment access has historically lagged behind urban centers. We provide the full outpatient continuum: Outpatient Detox, PHP, IOP, Virtual IOP, and MAT — all evidence-based, all covered by most major insurance plans.
The single most important message for anyone with opioid use disorder reading this: Medication-Assisted Treatment with buprenorphine reduces overdose mortality by more than 50 percent. It is available today. You do not need to reach a “rock bottom.” You do not need to complete a waiting period. You can call 770-573-9546 right now and start the process.
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What Is Opioid Addiction?
Opioids — a class that includes naturally occurring (morphine, codeine), semi-synthetic (heroin, oxycodone, hydrocodone), and fully synthetic (fentanyl, methadone, tramadol) compounds — all act primarily on mu-opioid receptors distributed throughout the brain, spinal cord, and periphery. Receptor activation produces analgesia, euphoria, sedation, and — at supraphysiological doses — respiratory depression. Physical dependency develops through receptor downregulation: with continuous opioid stimulation, the brain reduces receptor sensitivity and density, creating a state where opioids are needed for normal function rather than for their original pain-relieving or euphoric effect.
Opioid use disorder is formally diagnosed using DSM-5 criteria: 11 items across tolerance, withdrawal, loss of control, craving, and continued use despite consequences. Mild OUD requires 2 to 3 criteria; moderate requires 4 to 5; severe requires 6 or more. The diagnosis informs treatment level — severity guides whether PHP, IOP, or standard outpatient is the appropriate starting point, and whether MAT is indicated (it typically is for moderate to severe OUD).
Opioid Addiction in Georgia — What the Data Shows
Understanding the scope of opioid addiction in Georgia and Metro Atlanta helps explain why accessible treatment in Northwest Georgia matters so much.
Georgia GDPH provisional mortality data for 2022 shows approximately 2,700 drug overdose deaths — the highest on record — with opioids, primarily fentanyl, present in the majority. Georgia’s opioid mortality rate places it above the national average. The trajectory has been worsening: the combination of prescription opioid overprescribing in the 2000s creating a large population with opioid use disorder, followed by displacement of prescription opioids by heroin and then by fentanyl, has created a three-wave epidemic that continues to accelerate.
Northwest Georgia counties served by Hope Harbor Wellness — Paulding, Douglas, Carroll, Bartow — appear consistently in GDPH overdose data. Douglas County’s overdose death rate per 100,000 residents has tracked among the highest in the Metro Atlanta region for several years. The relative lack of opioid treatment capacity in this corridor, compared to urban Atlanta, means that patients who need MAT either go without treatment or face significant geographic and logistical barriers to accessing it. Our facility is specifically positioned to address this access gap.
Signs and Symptoms of Opioid Addiction
These are the clinical indicators most commonly associated with opioid use disorder. A formal diagnosis requires a clinical assessment — but these signs are worth taking seriously.
- Using opioids beyond prescription guidelines — higher doses, more frequent use
- Daily use to prevent withdrawal rather than for pain management
- Withdrawal symptoms within hours of the last dose
- Multiple prescribers or pharmacy shopping for opioid medications
- Using opioids obtained outside of pharmacy channels
- Prior overdose or close call — including friends or family members dying of overdose
- Escalating doses as tolerance develops
- Continued use despite clear consequences to employment, relationships, or health
- Using alone — one of the highest risk behaviors for fatal overdose
- Preoccupation with when the next dose will happen
- Failed attempts to cut down or stop
- Transition from oral prescription opioids to snorting, injecting, or using street opioids
Health Risks of Opioid Use
Beyond the addiction itself, opioid use carries significant health risks that make early treatment both medically and practically important.
Opioid overdose kills by respiratory depression — the person stops breathing. The opioid receptor activation in the brainstem respiratory centers suppresses the drive to breathe. Naloxone (Narcan) reverses this by competitively binding opioid receptors and displacing the opioid. Naloxone is available without prescription at pharmacies in Georgia. Anyone with OUD, and anyone who lives with or knows someone with OUD, should have naloxone and know how to use it.
The contamination of the broader drug supply with fentanyl creates overdose risk for people who do not identify as opioid users — people using cocaine, meth, counterfeit Xanax, or counterfeit Adderall may be using fentanyl without knowing it. Fentanyl test strips — available at harm reduction organizations in Georgia — provide some protection, but they cannot identify all fentanyl analogs. The safest strategy is to never use alone and to always have naloxone available.
Opioid Questions? Talk to Our Clinical Team.
Confidential consultations. 24/7 admissions line. 770-573-9546.
Opioid Withdrawal — What to Expect
Understanding the withdrawal process helps you prepare — and helps explain why clinical support during this window dramatically improves outcomes.
Opioid withdrawal timelines vary by the specific opioid’s half-life. Short-acting opioids (heroin, oxycodone, hydrocodone, fentanyl) produce withdrawal onset within 6 to 24 hours. Long-acting opioids (methadone, extended-release morphine) produce later onset (24 to 72 hours) and longer duration. Symptoms across all opioids include severe muscle and bone pain, abdominal cramping, nausea and vomiting, diarrhea, insomnia, sweating, chills, anxiety, and overwhelming craving. Not directly fatal, but severe enough to drive relapse in the vast majority of unmedicated attempts.
Buprenorphine induction — beginning MAT — eliminates or dramatically reduces withdrawal symptoms within one hour of the first dose. This is not magic: it is pharmacology. Buprenorphine’s high opioid receptor affinity displaces shorter-acting opioids and activates opioid receptors at a partial level sufficient to prevent withdrawal while not producing full intoxication.
How Hope Harbor Wellness Treats Opioid Addiction
Our clinical approach is individualized, evidence-based, and built on the understanding that addiction is a medical condition — not a moral failure.
Our clinical approach to opioid use disorder is built on the ASAM (American Society of Addiction Medicine) criteria and the clinical evidence base for OUD treatment. MAT is offered to all clients with moderate to severe OUD as the medically indicated standard of care. We do not require abstinence before beginning MAT, we do not require clients to “earn” their medication through a period of behavioral treatment, and we do not frame MAT as “not real recovery.”
Beyond MAT, our behavioral programming addresses the psychological and social dimensions of OUD: the grief of years lost, the trauma that often underlies use, the relationships that have been damaged, and the practical challenges of rebuilding a life in recovery. Individual therapy, group therapy, family therapy, EMDR for trauma, and case management for housing and employment are all available within our programming.
We also address the chronic pain dimension of OUD explicitly — many of our clients have legitimate pain conditions that were the original reason for opioid prescribing. Treating OUD without addressing the underlying pain creates an unsustainable situation. Our clinical team coordinates with pain management specialists and provides guidance on non-opioid and minimally opioid-dependent pain management approaches.
Your First 30 Days of Opioid Treatment at Hope Harbor Wellness
Here is what the first month of treatment looks like — in concrete terms — for most clients with opioid addiction.
Days 1–3 — Induction and stabilization: MAT induction if indicated. Medical assessment including chronic pain evaluation, HIV/HCV screening if injection use history, and cardiovascular assessment. Withdrawal management. Psychiatric screening.
Days 4–14 — Full programming entry: PHP or IOP. Psychoeducation, group therapy, individual therapy intake. Dual diagnosis evaluation. MAT dose stabilization and monitoring.
Days 15–21 — Deepening clinical work: Trauma assessment and EMDR initiation if indicated. CBT for relapse prevention. Chronic pain management planning if applicable. Family therapy and social support assessment.
Days 22–30 — Recovery planning and re-entry preparation: High-risk situation planning. Naloxone access and training. MAT continuation planning. Step-down and aftercare planning. Employment and housing resources if needed.
Evidence-Based Therapies Used in Opioid Treatment
Our clinical team selects therapies based on what the evidence shows works — not on habit or convenience.
- MAT: Suboxone, Vivitrol
- EMDR for trauma
- CBT for relapse prevention
- Chronic pain management consultation
- Family therapy
- Naloxone training
- DBT skills
- Motivational Enhancement Therapy
Treatment Programs for Opioid Addiction at Hope Harbor Wellness
Every client starts with a comprehensive clinical assessment that determines the appropriate level of care. Here is the full continuum available.
Outpatient Drug Detox
Who it’s for: Medically monitored withdrawal management in an outpatient setting — appropriate when clinical assessment indicates medical supervision is needed for safe withdrawal without inpatient hospitalization.
→ Learn More About Outpatient Drug Detox
Partial Hospitalization Program (PHP)
Who it’s for: Five days per week of structured programming — the most intensive outpatient level, comparable to residential care without overnight stay. Appropriate for early recovery, high relapse risk, and post-detox transition.
→ Learn More About Partial Hospitalization Program
Intensive Outpatient Program (IOP)
Who it’s for: Three days per week. Structured clinical treatment that accommodates work and family responsibilities. Often used as a step-down from PHP or as an initial level for appropriate candidates.
→ Learn More About Intensive Outpatient Program
Virtual IOP
Who it’s for: Clients who prefer telehealth due to transportation, schedule, or other barriers. Available to all Georgia residents.
→ Learn More About Virtual IOP
Medication-Assisted Treatment (MAT)
Who it’s for: Evaluated individually. FDA-approved medications for opioid and alcohol use disorder, integrated with behavioral programming.
→ Learn More About Medication-Assisted Treatment
Dual Diagnosis Treatment
Who it’s for: Clients with co-occurring mental health conditions alongside addiction — treated simultaneously.
→ Learn More About Dual Diagnosis Treatment
Why Choose Hope Harbor Wellness for Opioid Addiction Treatment?
Hope Harbor Wellness is a Joint Commission Accredited outpatient addiction and mental health treatment center in Hiram, GA — built by people in recovery, for people in recovery.
- Joint Commission Accredited — the gold standard of behavioral health quality certification
- Run by people in recovery — lived experience shapes every aspect of our care
- Full continuum — Detox, PHP, IOP, Virtual IOP, MAT, Dual Diagnosis, Aftercare
- Evidence-based programming — CBT, DBT, EMDR, MI, Contingency Management, MAT, Biosound Therapy, Art and Music Therapy
- Individualized treatment plans — built from your assessment, not a template
- Insurance-friendly — in-network with BCBS, Anthem, Cigna, Optum, Oscar, TriCare, Humana Military, and VACCN
- Metro Atlanta accessible — 126 Enterprise Path, Suite 208, Hiram, GA 30141 — serving 15+ communities across 6 counties
Insurance Coverage for Opioid Addiction Treatment
The Mental Health Parity and Addiction Equity Act requires most commercial insurers to cover opioid addiction treatment at parity with other medical conditions.
We are in-network with BCBS/Anthem, Cigna, Optum/UnitedHealthcare, Oscar, TriCare, Humana Military, and VACCN. We also accept out-of-network benefits from many other plans and offer CareCredit financing for out-of-pocket costs.
→ Verify your coverage
→ Call: 770-573-9546
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Related Programs and Pages at Hope Harbor Wellness
- Fentanyl addiction treatment
- Heroin addiction treatment
- Oxycodone addiction treatment
- Medication-Assisted Treatment
- Drug rehab near Acworth
- Atlanta drug rehab
- Atlanta drug rehab hub page
- PHP vs IOP — which program is right for you?
- How much does rehab cost in Georgia?
- Areas we serve
Frequently Asked Questions — Opioid Addiction Treatment
What is the difference between opioids and opiates?
Opiates are naturally occurring or semi-synthetic compounds derived from the opium poppy — morphine, codeine, heroin. Opioids is the broader term including fully synthetic compounds like fentanyl, methadone, and tramadol. In clinical practice, opioid is the preferred inclusive term covering the full class.
Is MAT available at Hope Harbor Wellness?
Yes. We provide buprenorphine/naloxone (Suboxone) and naltrexone (Vivitrol) MAT integrated with our PHP and IOP behavioral programming. Same-day MAT evaluation and induction is often possible. Call 770-573-9546.
Do I need inpatient treatment for opioid addiction?
Not necessarily. Most people with opioid use disorder are clinically appropriate for outpatient treatment. PHP — five days per week of structured clinical programming — provides an intensity comparable to residential care without requiring an overnight stay. The clinical assessment determines the appropriate level of care for your specific situation.
What if I have been treated for OUD before and relapsed?
Relapse does not mean treatment failed — it means OUD is a chronic condition that may require multiple treatment episodes. MAT significantly reduces relapse rates by addressing the neurobiological drivers of relapse. Many people who ultimately achieve sustained recovery have had prior treatment episodes. Call 770-573-9546.
How do I help a family member with opioid addiction?
Call 770-573-9546 and speak with our admissions team about family intervention options. We can help you understand OUD, what treatment looks like, and how to have a conversation with your family member that is more likely to result in them accepting help. We also offer family therapy within our programming.
Does insurance cover opioid addiction treatment?
Yes. OUD treatment including MAT is covered by most commercial plans. We are in-network with BCBS/Anthem, Cigna, Optum, Oscar, TriCare, Humana Military, and VACCN. Call 770-573-9546 or verify at hopeharborwellness.com/insurance/.
Begin Opioid Addiction Treatment Today
Hope Harbor Wellness | 126 Enterprise Path, Suite 208, Hiram, GA 30141 | 770-573-9546