NEWARK (Jan. 18, 2023) – Today, Lieutenant Governor Bethany Hall-Long, along with top leaders from the Delaware Department of Health and Social Services (DHSS) and Delaware Department of Safety and Homeland Security (DSHS), led a community response briefing to provide the latest information about suspected drug overdose deaths in the state, current and emerging dangers of illicit drug use, and a clear call to action to reduce overdose deaths through collaboration and innovative programs.

In 2021, Delaware reported 515 overdose deaths, an increase of more than 15% over 2020, according to the Delaware Division of Forensic Science (DFS). In Kent County, overdose deaths increased 74% from 50 in 2020 to 87 in 2021. DFS also reported that 425 of the 515 deaths involved fentanyl, a synthetic pain reliever that is 50-100 times more potent than morphine.

“As a nurse, Chair of the Behavioral Health Consortium, and Lt. Governor, I hear every day from Delawareans and their families about the challenges they face battling substance use disorder and receiving the treatment services they so desperately need,” said Lt. Governor Bethany Hall-Long. “We are working hard across our systems to expand access and connect individuals to quality treatment services. In 2020, Delaware was one of only four states to experience a decrease in the rate of overdose deaths thanks to the hard work of those who are committed to this fight. Still, too many families have an empty seat at the table because their loved one lost the battle to substance use disorder. The current data is alarming. We have to do even more to support them and ensure critical treatment and recovery services are ready and available, and to stop the loss. Delawareans deserve a behavioral health system that works for everyone.”

During the event, DHSS’s Division of Substance Abuse and Mental Health (DSAMH) announced the establishment of the Opioid Response Center, which will soon utilize overdose incident data to dispatch targeted community outreach teams who will distribute Narcan and share information about how individuals can get help if they are struggling with addiction. The center is also planning to provide follow-up outreach to community members who have overdosed but who refused subsequent medical care.

DSAMH Director Joanna Champney underscored the sense of urgency among state leadership regarding opioid overdoses and introduced plans to hold quarterly briefings going forward to keep the public informed about the State’s ongoing work to reduce overdoses and respond to the opioid epidemic.

“With overdose deaths continuing to rise, we must escalate our sense of urgency through regular and targeted discussions about the emerging dangers so people know exactly how they can get help.” Champney said.

Nathaniel McQueen, Secretary for the Delaware Department of Safety and Homeland Security spoke of the agency’s commitment to reducing opioid deaths and pointed to the importance of collaboration among agencies and community partners.

“It is our hope that by increasing awareness of the great work done across our state and providing our citizens with data and resources associated with these programs, it will spark a call to action so that we are all better informed and can collectively join the efforts to combat substance use disorder, ultimately reducing the number of overdose deaths in Delaware,” said Secretary McQueen.

According to John Evans, Director of the Division of Forensic Science, preliminary reports show that there were 406 confirmed overdose deaths in the first three quarters of 2022, with approximately 124 suspected overdose deaths still pending final testing from the last quarter of 2022. This compares to 374 confirmed overdose deaths in the first three quarters of 2021.

“Unfortunately, the number of accidental drug overdose deaths occurring in the State has seen a 19% increase over the last three years,” said Evans. “Fentanyl continues to be the most frequently found compound, with it being identified in 82.5% of the overdose deaths. If you are a white male between the ages of 30-59, you are the most likely to die in our state as the result of a drug overdose.”

Captain Joshua Bushweller, Intelligence Commander and Director of the Delaware Intelligence and Analysis Center (DIAC) at the Delaware State Police shared that more than 5,000 drug related crime incidents occurred in 2022, with 19% being cocaine related, 19% heroin related, 3% methamphetamine, 2% hallucinogen., 2% amphetamine, 1% opium, and 3% other. Marijuana comprised 32% and paraphernalia 19%. New Castle County continues to have the highest incidence of opioid crime incidents compared to the other counties. Capt. Bushweller displayed a heatmap showing drug incident hotspots, calling attention to the top five cities with drug incidents in the last five years. The cities in order of prevalence are Wilmington, Dover, Newark, New Castle, and Seaford.

“The Delaware Information and Analysis Center remains committed, determined, and focused with our partners in reducing drug overdoses in Delaware,” said Bushweller. “We understand substance use disorder not only affects its victims, but their families and our communities are deeply impacted as well. The DIAC will continue to strive to serve as a meaningful partner by providing real time data, thorough analysis, and quality feedback to the various stakeholders as we collectively work together towards a healthier Delaware.”

Brent Waninger, DSAMH’s Director of Programs and Grant Administration, provided updated information on the state’s Police Diversion Program, a partnership between Delaware State Police and DSAMH. Individuals who are arrested with certain drug-related offenses are offered the option of meeting with a DSAMH representative who offers information about entering a substance use treatment program. Individuals who agree to enter treatment are eligible to be diverted from prosecution. Waninger was flanked during the briefing by clinicians and peers from DSAMH who are embedded at Delaware State Police Troop locations statewide, as well as State Police personnel instrumental in the program’s launch.

“These are some of the friendly faces who stand ready to talk with you about treatment, said Waninger. These are the people whose commitment, work ethic, real-life experience, and personal compassion have ensured that of the more than 1,000 referrals the PDP has connected with, nearly 40% have accepted the program, and of those, almost 70% were successfully connected to treatment services.”

Dr. Greg Wanner, Chief Physician for the Division of Public Health, provided a demonstration of the use of fentanyl test strips that are now included in the Narcan kits being distributed. The test strips are highly sensitive and will detect fentanyl down to 0.1 mcg/ml.

“The use of fentanyl test strips is an important part of a comprehensive harm reduction strategy to reduce overdose deaths in the state,” said Dr. Wanner. “Fentanyl is the leading cause of drug overdose deaths in Delaware. The test strips are a preventive measure. After a test strip detects fentanyl, an individual can choose not to use the drug based on the additional risk. We will continue to discourage drug use and encourage people to seek treatment, but for persons with substance use disorder, we are using a compassionate approach to help raise awareness and empower those individuals to make informed choices.”

Brandywine Counseling and Community Services CEO Dr. Lynn Morrison discussed community outreach efforts happening across the state, including their various drop-in centers as well as Outreach Packs that are available for distribution increase in several programs including distributing Naloxone statewide, providing access to their mobile treatment and syringe services, and providing technology-based behavioral interventions.

“Recovery, hope, empowerment, and innovation – those concepts are what we must embrace every day if we want to tackle the overdose crisis in our communities,” said Dr. Morrison. “By intensifying our boots-on-the-ground approach to high-risk communities, we are confident we can reach those who need our services and support. Brandywine Counseling and Community Services has always been a welcoming and innovative organization – and we are determined to build stronger communities, by giving hope –and help – to the most vulnerable among us.”

DHSS Cabinet Secretary Molly Magarik closed the briefing with a call to action, encouraging Delawareans who need support – whether they are actively using substances or not – to reach out to trusted sources for help.

“We’re urging people who are struggling with addiction to consider different paths towards help,” said Secretary Magarik. “You can ask for the Police Diversion Program if you get in trouble with the law and are ready to get help. You can visit HelpIsHereDE.com to get information about Bridge Clinics where you can walk in and talk to someone who is in recovery themselves and who can help you explore your options for treatment. You can order fentanyl test strips from HelpisHereDE.com so you know what’s in the drugs you’re using and so you can make smart choices about protecting yourself. And you can connect with Brandywine Counseling’s drop-in centers to get help.”

To help address behavioral health needs of Delawareans, DHSS has several ways for individuals or their family members to connect:

• Call the 24/7 Delaware Hope Line at 1-833-9-HOPEDE or 1-833-946-7333 – a single point of contact in which callers can connect to a variety of resources and information, including support from clinicians and peer specialists plus crisis assistance.
• Stop by one of DHSS’ Bridge Clinics for an in-person assessment.
• Visit TreatmentConnection.com to find out which treatment providers are located near you.
• Visit HelpIsHereDE.com, DHSS’ one-stop website where Delawareans can search for treatment services and resources in Delaware or nearby states.
• Call 988 if the individual is in crisis and needs immediate support.
• Call 911 if someone has overdosed and needs emergency medical attention.
• Learn where to find Narcan training, get the medication through the mail, and download the OpiRescueDE App here.

Health Officials Fear Opioid Epidemic Has Not Plateaued

NEW CASTLE (Dec. 8, 2022) – In a heartbreaking sign that the opioid epidemic has not plateaued in Delaware, deaths from suspected overdoses in November set a new monthly high total, according to death investigation reports from the Division of Forensic Science.

In November 2022, 43 people died from suspected overdoses in Delaware. That surpasses the previous monthly high total of 42 set in May of this year. The 43 deaths included 21 people from New Castle County, 18 from Sussex County and four from Kent County.

Through Nov. 30, preliminary reports from the Division of Forensic Science show that 376 people have died from suspected overdoses in Delaware. That total is an 18% increase over a similar period in 2021. In 2021, Delaware reported 515 overdose deaths, with more than 80% involving the use of fentanyl, a synthetic pain reliever that is 50 to 100 times more potent than morphine. November’s total of 43 deaths is about 50% higher than the average total deaths for the month of November, dating back to 2015.

“These deaths are heartbreaking for families across our state,” said Department of Health and Social Services (DHSS) Secretary Molly Magarik. “We understand that the COVID-19 pandemic will have long-term consequences for society, and behavioral health issues – including substance use disorder – is one of those consequences. The holiday season can add another layer of stress and anxiety to people’s lives, so we encourage Delawareans who need support – whether they are actively using substances or not – to reach out to talk with trained counselors, their own doctor, or another person they trust. At DHSS, we will continue to prioritize such harm-reduction strategies as training more loved ones to use Narcan, the medication that can reverse an opioid overdose, and helping more people get connected to the treatment they need to begin their recovery.”

To help address behavioral health needs of Delawareans, DHSS has several ways for individuals or their family members to connect:

• Call the 24/7 Delaware Hope Line at 1-833-9-HOPEDE or 1-833-946-7333 – a single point of contact in which callers can connect to a variety of resources and information, including support from clinicians and peer specialists plus crisis assistance.
• Stop by one of DHSS’ Bridge Clinics for an in-person assessment.
• Visit TreatmentConnection.com to find out which treatment providers are located near you.
• Visit HelpIsHereDE.com, DHSS’ one-stop website where Delawareans can search for treatment services and resources in Delaware or nearby states.
• Call 988 if the individual is in crisis and needs immediate support.
• Call 911 if someone has overdosed and needs emergency medical attention.
• Learn where to find Narcan training, get the medication through the mail, and download the OpiRescueDE App here.

Joanna Champney, director of the Division of Substance Abuse and Mental Health (DSAMH), urged individuals in active substance use to consult with a medical provider immediately or call DHSS’ Delaware Hope Line to discuss treatment options. “Every day, we see the impact that the COVID-19 pandemic has had on people’s lives,” Champney said. “Especially for those who are vulnerable, it has added stress to their lives, negatively impacted their mental health, and isolated them too often from services. Plus, we know the holidays are an additional stressor.”

“DSAMH is funding expansions of the continuum of care for substance use treatment services in each county,” Champney added. “We have increased our withdrawal management capacity by about 43% and our residential treatment by 22%. We have bolstered outpatient services by about 36% and our sober living recovery residences are up 3% overall. “For people who are uninsured or underinsured, the State will fund their treatment services. We’re also funding mobile treatment services and we have transportation services available. We want to reduce as many barriers to health care as possible.”

Champney encouraged anyone who is using substances or suffering from addiction to call for help, see a medical provider, or ask a police officer or another first responder for help. Family members can reach out on behalf of their loved ones, too. “Our first priority is to save lives,” she said.

Under Delaware’s 911/Good Samaritan Law, people who call 9-1-1 to report an overdose and the person in medical distress cannot be arrested for low-level drug crimes.

Interim Division of Public Health Director Dr. Rick Hong urged those in active use to get Narcan through one of DSAMH’s Bridge Clinics, at a participating pharmacy – where no prescription is required – or at a Narcan training session.

“Narcan saves lives,” Dr. Hong said. “We urge anyone who needs access to Narcan to go to a Bridge Clinic, a training class or distribution event, or to a participating pharmacy to buy the overdose-reversing medication. We also encourage Delawareans to download OpiRescue Delaware, a smartphone app that provides lifesaving step-by-step instructions on how to respond to an overdose, including administration of Narcan.”

To find the Bridge Clinic in your county, training or distribution events, or a participating pharmacy, go to HelpIsHereDE.com, and click on the overdose prevention tab.

In addition, Dr. Hong praised Brandywine Counseling and Community Services’ Syringe Services Program, which provides outreach statewide. Brandywine Counseling’s mobile sites offer Narcan, fentanyl testing strips, and syringe services, and have a positive track record of connecting people to care for substance use disorder.

The Division of Substance Abuse and Mental Health’s Bridge Clinic locations and hours:

NEW CASTLE COUNTY
DSAMH Central Office
14 Central Ave.
New Castle, DE 19720
24/7
302-255-1650

New Castle County Hope Center
365 Airport Road
New Castle, DE 19720
Mon-Fri: 8:30 a.m.-9:30 p.m.
Sat-Sun: 8:30 a.m.-6:30 p.m.
302-544-6815

KENT COUNTY
James W. Williams State Service Center
805 River Road, Third Floor
Dover, DE 19901
Mon-Fri: 8:30 a.m.-4 p.m.
302-857-5060

SUSSEX COUNTY
Thurman Adams State Service Center
546 S. Bedford St.
Georgetown, DE 19947
Mon-Fri: 8:30 a.m.-4 p.m.
302-515-3310

DOVER, DE (Oct. 6, 2022) ­– The Delaware Division of Public Health (DPH) has created new resources and a new webinar specifically for pharmacists as part of its ongoing work to reduce substance use disorder.  DPH has worked with partners in the medical community to develop Delaware-specific, evidence-based education materials, aiming to reduce the risk of unintentional opioid prescription overdose deaths in the state. These materials are available on the health care provider page at HelpIsHereDE.com, including the new content created specifically for pharmacists.

According to the 2019 Annual Surveillance Report on Drug-Related Outcomes from the Centers for Disease Control and Prevention (CDC), Delaware ranked first in the nation for both high-dose opioid prescribing and long-acting opioid prescribing. In 2020, Delaware ranked third-highest among all states in overdose death rates (CDC, 2021). Of those overdose deaths, 88% involved opioids.

DPH partnered with Alosa Health, Inc., to provide one-on-one education for pharmacists. DPH and Alosa created a webinar (available on HelpIsHere.com) to educate pharmacists on the effects of co-prescribing naloxone (Narcan) with certain opioid prescriptions. Pharmacists who complete the webinar curriculum will be eligible to apply for Continuing Education credits (CEs). Among other topics covered in the webinar, pharmacists are encouraged to co-dispense naloxone with any opioid prescription exceeding 50 Morphine Milligram Equivalents (MME) or upon discretion as outlined in the Centers for Disease Control and Prescription’s Guideline for Prescribing Opioids for Chronic Pain.

Pharmacies can participate in the Community-Based Naloxone Access Program (CBNAP) to deliver naloxone without a doctor’s prescription under a Standing Order. Naloxone is an opioid receptor antagonist used to reverse opioid overdose and opioid-induced respiratory depression, which can prevent death and brain damage from lack of oxygen. Naloxone is covered in full through Delaware Medicaid insurance.

If you or a loved one is struggling with addiction in Delaware, call the DHSS 24/7 Crisis Hotline to be connected to treatment and recovery options.  In New Castle County, call 1-800-652-2929. Or in Kent and Sussex counties, call 1-800-345-6785.

For free 24/7 counseling, coaching, and support, as well as links to mental health, addiction, and crisis services call the Delaware Hope Line at 1-833-9-HOPEDE. To search for treatment and recovery services in Delaware or nearby states, visit HelpIsHereDE.com.

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The Delaware Division of Public Health (DPH), a division of the Delaware Department of Health and Social Services, is a nationally accredited public health agency recognized by the Public Health Accreditation Board for its outstanding dedication to driving change through innovation. DPH is committed to improving the quality of the lives of Delaware’s citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. 

Anyone who is deaf, hard of hearing, Deaf-Blind, or speech-disabled can contact DPH by first dialing 711 using specialized devices (i.e., TTY, TeleBraille, voice devices). The 711 service is free; to learn more about how it works, visit delawarerelay.com.

DOVER, DE (August 30, 2022) – The Division of Public Health (DPH) is releasing a 2020 State Unintentional Drug Overdose Reporting System (SUDORS) fact sheet on all drug overdose deaths that occurred in Delaware. This snapshot contains fatality data abstracted from the state’s Overdose Data to Action (OD2A) collaborative. DPH collects and analyzes unintentional drug overdose death data from death certificate information, medical examiner reports, forensic toxicology results, and law enforcement reports.

The fact sheet provides information on the drugs listed as the cause of death on the death certificate and drugs identified as present by toxicology or medical examiner reporting. Almost all heroin overdose deaths had fentanyl present (99%). Furthermore, fentanyl was the drug most frequently listed as the cause of death (84%). Most overdose deaths had more than one drug present (78%) and (84%) of all cocaine overdose deaths had fentanyl. Similarly, fentanyl presence is high among methamphetamine (79%) and benzodiazepine (79%) overdose deaths.

“As we commemorate International Overdose Awareness Day on August 31 and remember the lives lost to overdose, it is important for all Delawareans and visitors to the state to know that no illicit drug is safe,” said DPH Interim Director Dr. Rick Hong. “Assume that drugs not prescribed by your doctor contain, or are laced with, fentanyl. The information analyzed by the Overdose Data to Action collaborative clearly shows that fentanyl is present in not only opioids, but also cocaine, and counterfeit prescription medications.”

DPH is finalizing its strategy to distribute fentanyl test strips in bulk. Currently, the public can receive two test strips in any DPH Narcan kit, which are available through mail order and at points of distribution (POD) events listed on HelpisHereDE.com. To prevent overdose death, in addition to having Narcan on hand and utilizing fentanyl test strips, a person in active substance use should never use alone and go slow so that someone they trust can monitor them for any adverse side effects.

To prevent the spread of infectious diseases, DPH encourages persons with substance use disorder (SUD) to engage with Brandywine Counseling & Community Services for more information and syringe exchange services by visiting BrandywineCounseling.com or calling 302-656-2348. 

DPH encourages those struggling with SUD to visit HelpIsHereDE.com to connect to treatment online, in person, or by phone.

Friends and family need to recognize the signs and symptoms of a SUD. It is also important that parents, educators, counselors, and other influential members recognize the seriousness of fentanyl and have conversations about the risk of overdose when experimenting with drugs. 

If you or a loved one is struggling with addiction in Delaware, call the DHSS 24/7 Crisis Hotline to be connected to treatment and recovery options.  In New Castle County, call 1-800-652-2929. Or in Kent and Sussex counties, call 1-800-345-6785.

For free 24/7 counseling, coaching, and support, as well as links to mental health, addiction, and crisis services call the Delaware Hope Line at 833-9-HOPEDE. To search for treatment and recovery services in Delaware or nearby states, visit HelpIsHereDE.com.

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The Delaware Division of Public Health (DPH), a division of the Delaware Department of Health and Social Services, is a nationally accredited public health agency recognized by the Public Health Accreditation Board for outstanding dedication to driving change through innovation. DPH is committed to improving the quality of the lives of Delaware’s citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. 

Anyone who is deaf, hard of hearing, Deaf-Blind or speech disabled can contact DPH by first dialing 711 using specialized devices (i.e., TTY, TeleBraille, voice devices). The 711 service is free and to learn more about how it works, visit delawarerelay.com.