Delaware Officials Provide Latest Updates, Underscore Urgency Surrounding Youth, Opioids, and Prevention Programs

MILFORD (June 6, 2023) – Lieutenant Governor Bethany Hall-Long and leaders from the Department of Health and Social Services (DHSS), Department of Education (DOE), and Department of Services for Children, Youth and their Families (DSCYF) led a community response briefing on Friday to provide the latest information regarding the state’s efforts to address substance use among Delaware youth, and to highlight innovative educational and outreach programs taking place across the state in coordination with schools and community partners.

Organized by the DHSS Division of Substance Abuse and Mental Health, these quarterly briefings aim to inform the public about the State’s ongoing work to reduce overdoses and respond to the opioid epidemic.

“As a mom, nurse and professor, I want our kids to be on the best possible path. That path begins with prevention and engagement. I will continue to work with our state agencies, community advocates and partners to deliver a behavioral health system that works for everyone – that’s what our kids deserve,” said Delaware Lt. Governor Bethany Hall-Long and Chair of the Behavioral Health Consortium. “Today, we examined the numbers around youth substance use and prevention, and it’s so important to back up that data with action. A strong, healthy Delaware means everyone has the chance to be successful and follow their dreams and that starts with our kids.”

DOE Secretary Mark Holodick and DSCYF Secretary Josette D. Manning opened the event and underscored the need to assure the safety of Delaware youth.

“Our schools in Delaware have a unique opportunity to provide education to students and families about avoiding substance abuse. Students spend an average of 1,000 hours each year in school, so we know that schools need to be an active partner in helping our kids and their families navigate the changing landscape of substance abuse,” Secretary of Education Mark Holodick said.

Dr. Rochelle Brittingham, Associate Scientist for the Center for Drug & Health Studies at the University of Delaware shared data from the most recent Youth Risk Behavior Survey (YRBS). While self-reported drug use among school-aged individuals has decreased in Delaware, attitudes about drug use are becoming more casual, which raises concerns, noted Dr. Brittingham. Only 56% of high schoolers think using prescription drugs without a prescription poses a great risk, while 37% believe it poses slight or moderate risk, and 7% believe it poses no risk at all, according to the YRBS in 2021.

Data from the Centers for Disease Control and Prevention show that although middle school and high school aged youth in the U.S. reported using fewer illicit drugs in 2020, there was a 94% increase in overdose deaths from 2019 to 2020 among this age group and a 20% increase from 2020 to 2021.

DSCYF Secretary Manning pointed to the CDC statistic that shows median monthly overdose deaths among individuals aged 10 to 19 years old increased 109% from 2019 to 2021.

“The data is shocking,” DSCYF Secretary Josette D. Manning said. “We must take action to help our children. The best way for parents to safeguard their children is to educate themselves and to talk openly with their children about drugs and alcohol, long before they start experimenting with it.”

Despite reporting less illicit drug use among this population overall, the CDC points to the potency of the drugs as a major contributing factor to the increase in overdose deaths among youth. Approximately 90% of overdose deaths involved opioids, and 83.9% involved illicit manufactured fentanyl.

The Division of Public Health’s Chief Physician Dr. Michael Coletta underscored the need for the community to support adolescents and teens by implementing programs to prevent adverse childhood experiences. The Division of Public Health created the #MyReasonWhyDE social media campaign to provide teens a platform to share their reason to remain drug free and embrace a resilient mind frame.

Sabra Collins, education associate for physical education, health and wellness for the Delaware Department of Education provided updates regarding new regulations supporting substance use prevention education (referred to as Regulation 551), news about mental health literacy, and information on drug and alcohol training courses provided by the agency.

DSAMH Director Joanna Champney highlighted the Talk2KidsAboutDrugs toolkit. The toolkit can help inform parents, caregivers and educators about substance use and addiction risks among teens. The toolkit, available at HelpisHereDE.com, contains resources such as facts sheets, educational materials, and social media messaging that schools can implement to support drug and alcohol prevention. Parents and educators can find the full toolkit at www.helpisherede.com/talk-2-kids-about-drugs.

Tom Morrison, Family Services Program Administrator with DSCYF’s Division of Prevention and Behavioral Health Services advised parents to make their home as safe as possible by securing medication, safely disposing of medications, and to consider obtaining Narcan and training on when and how to use it if there are opioids or opioid users in the child’s life.

Peggy Geisler, Executive Director of the Sussex County Health Coalition, shared how her organization serves as a catalyst for state agencies, community-based organizations and health care providers to support a wide breadth of initiatives, programs, resourcing, and education for community-based issues concerning social determinants of health. The coalition’s campaign Delaware Goes Purple reaches 100,000 Delawareans and encourages them to stand up, to erase the stigma around addiction and support people who need it most.

“We know that young people’s brains are still developing well into their early 20’s, and education alone is not enough during years when impulse control is still developing. So providing meaningful activities for teens is crucial. The more we can build social safety nets around our teens, where they connect with caring adults and learn positive skills, the more we lower the risk of teens turning to unhealthy behaviors,” DHSS Secretary Molly Magarik said.

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.

Delaware Health and Social Services 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.


DPH to Distribute Overdose-Reversing Medication Naloxone Friday, Sept. 6 in Millsboro

MILLSBORO  — In response to six suspected overdose deaths, including four in Sussex County, that occurred over the holiday weekend, the Division of Public Health (DPH) will hold a Community Naloxone Training and Distribution event in Millsboro on Friday, Sept. 6, 2019. DPH will distribute free naloxone kits to members of the public from 10 a.m. to 2 p.m. at Millsboro Fire Company, 109 East State St., Millsboro, DE 19966.

Each kit contains two doses of naloxone, and members of the community who attend these events will receive one-on-one training on how to administer the overdose-reversing medication. The Division of Substance Abuse and Mental Health (DSAMH) will also have representatives on hand to answer any questions about access to treatment for those struggling with substance use disorder. 

“We know that 80 percent of overdoses happen in a residence,” said DPH Director Dr. Karyl Rattay. “If family or friends of someone overdosing have naloxone immediately accessible, it can mean the difference between life or death for that person. We urge anyone who might ever have a need for access to naloxone to attend this distribution event, and also to download OpiRescue Delaware, a new smartphone app that provides lifesaving step-by-step instructions on how to respond to an overdose, including administration of naloxone.”

For more information about OpiRescue Delaware, go to HelpIsHereDE.com, and click on the overdose prevention tab.

Within three to five minutes after administration, naloxone can counteract the life-threatening respiratory depression of an opioid-related overdose and stabilize a person’s breathing, which buys time for emergency medical help to arrive. DPH recommends calling 9-1-1 immediately if you find someone in the midst of a suspected overdose, starting rescue breathing, and then administering naloxone. Naloxone is not a replacement for emergency medical care and seeking immediate help and follow-up care is still vital.

As of today, Sept. 5, the Division of Forensic Science has reported a total of 194 suspected overdose deaths in Delaware this year. There is always a lag in terms of both toxicology analyses and death determinations. In 2018, there were 400 overdose deaths across the state, an increase of 16 percent from the 2017 total of 345 deaths. The Centers for Disease Control and Prevention (CDC) ranked Delaware as number six in the nation for overdose deaths in 2017.

In 2018, first responders administered 3,728 doses of naloxone, compared to 2,861 in 2017, a 30 percent increase.

Funding for the Community Naloxone Distribution Initiative comes from state funding built into DPH’s budget for the first time in state fiscal year 2019, thanks to the advocacy of Lt. Governor Bethany Hall-Long and the Behavioral Health Consortium.

Community access to naloxone has increased significantly since 2014, when legislation was enacted making it available to the public. In 2017, Governor John Carney signed additional legislation ensuring pharmacists had the same legal protections as doctors, peace officers and good Samaritans when dispensing the medicine without a prescription.

Information on pharmacy access and training for naloxone, along with resources regarding prevention, treatment and recovery, are available on HelpisHereDE.com.

A person who is deaf, hard-of-hearing, deaf-blind or speech-disabled can call the DPH phone number above by using TTY services. Dial 7-1-1 or 800-232-5460 to type your conversation to a relay operator, who reads your conversation to a hearing person at DPH. The relay operator types the hearing person’s spoken words back to the TTY user. To learn more about TTY availability in Delaware, visit http://delawarerelay.com.

Delaware Health and Social Services 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. DPH, a division of DHSS, urges Delawareans to make healthier choices with the 5-2-1 Almost None campaign: eat 5 or more fruits and vegetables each day, have no more than 2 hours of recreational screen time each day (includes TV, computer, gaming), get 1 or more hours of physical activity each day, and drink almost no sugary beverages.


DPH Announces Two Naloxone Training, Distribution Events in New Castle County

NEW CASTLE (March 28, 2019) – As part of its Community Naloxone Distribution initiative, the Division of Public Health (DPH) will hold two additional community naloxone distribution events in New Castle County next week. This initiative is part of a multi-pronged approach to address the opioid crisis and reduce the number of individuals dying from drug overdoses in Delaware.

In conjunction with National Public Health Week (April 1 through 7, 2019), DPH will distribute free naloxone kits to members of the general public during the following times:

  • Wednesday, April 3, 2019, 11:00 a.m. to 2:30 p.m.,
    Springer Building Gymnasium, DHSS Herman Holloway Campus
    1901 N. Dupont Highway, New Castle, DE 19720
  • Saturday, April 6, 2019, 10:00 a.m. to 2:00 p.m.
    Porter State Service Center509 West 8th St., Wilmington, DE 19801

Individuals are encouraged to stop by at any time during either event. Training takes approximately 15 minutes. Each naloxone kit will contain two doses of naloxone, and members of the community who attend these events will receive one-on-one training on how to administer the overdose-reversing medication.

“This training is so important that we wanted to have an event on our main campus that would be open not only to the public, but to state employees as well,” said Dr. Kara Odom Walker, Cabinet Secretary for the Department of Health and Social Services (DHSS). “We all can play a role in reducing harm among people suffering from substance use disorder and, potentially, in saving a life. I urge people to stop by either event to get trained on how to use naloxone.” Secretary Walker, a board-certified family physician, will do the training at the Holloway Campus event and receive a naloxone kit.

The Division of Substance Abuse and Mental Health (DSAMH) also will have representatives on hand to answer any questions about access to treatment for those struggling with substance use disorder.

About 80 percent of all overdoses happen in a private residence – whether it’s the home of the person who overdosed or someone else’s – which is why DPH is encouraging friends, family members, and those struggling with opioid addiction to have naloxone on hand. If family or friends of someone overdosing have naloxone immediately accessible, it can mean the difference between life or death for that person.

Within three to five minutes after administration, naloxone can counteract the life-threatening respiratory depression of an opioid-related overdose and stabilize a person’s breathing, which buys time for emergency medical help to arrive. DPH recommends calling 9-1-1 immediately if you find someone in the midst of a suspected overdose, starting rescue breathing, and then administering naloxone. Naloxone is not a replacement for emergency medical care and seeking immediate help and follow-up care is still vital.

Preliminary estimates for 2018 indicate 419 overdose deaths across the state, an increase of 21 percent from the 2017 total of 345 deaths, according to the Division of Forensic Science. The Centers for Disease Control and Prevention ranked Delaware number six in the nation for overdose mortality rate in 2017.

In 2018, first responders administered 3,728 doses of naloxone, compared to 2,861 in 2017, a 30 percent increase.

Funding for the Community Naloxone Distribution Initiative comes from state funding built into DPH’s budget for the first time in state fiscal year 2019, thanks to the advocacy of Lt. Governor Bethany Hall-Long and the Behavioral Health Consortium. In October, DPH also announced the agency was awarded federal funds to support the purchase of naloxone and other programs for first responders.

Community access to naloxone has increased significantly since 2014 when legislation was enacted making it available to the public. In 2017, Governor John Carney signed additional legislation ensuring pharmacists had the same legal protections as doctors, peace officers and good Samaritans when dispensing the medicine without a prescription.

Information on community training and pharmacy access to naloxone, along with resources regarding prevention, treatment and recovery are available at https://www.helpisherede.com/Get-Help/Overdose-Prevention.


DPH to Distribute Overdose Reversing Medication Naloxone March 20, 2019 in Dover

DOVER – In an effort to reduce the number of individuals dying from drug overdoses in Delaware, the Division of Public Health (DPH) will hold Community Naloxone Distribution events in each county throughout the month of March. DPH will distribute free naloxone kits to members of the general public from 5:30 p.m. to 8:30 p.m., on Wednesday, March 20, 2019, at Delaware Technical Community College, Terry Campus, 100 Campus Drive, Dover, DE 19904. The distribution event will be held in the Corporate Training Center, Rooms 408 and 412. Individuals are encouraged to stop by at any time during the event. Training takes approximately 15 minutes. 

Each naloxone kit will contain two doses of naloxone, and members of the community who attend these events will receive one-on-one training on how to administer the overdose-reversing medication. The Division of Substance Abuse and Mental Health (DSAMH) also will have representatives on hand to answer any questions about access to treatment for those struggling with substance use disorder.

About 80 percent of all overdoses happen in a private residence, whether it’s their own or someone else’s, which is why DPH is encouraging friends, family members, and those struggling with opioid addiction to have naloxone on hand. If family or friends of someone overdosing have naloxone immediately accessible, it can mean the difference between life or death for that person.

Within three to five minutes after administration, naloxone can counteract the life-threatening respiratory depression of an opioid-related overdose and stabilize a person’s breathing, which buys time for emergency medical help to arrive. DPH recommends calling 9-1-1 immediately if you find someone in the midst of a suspected overdose, starting rescue breathing, and then administering naloxone. Naloxone is not a replacement for emergency medical care and seeking immediate help and follow-up care is still vital.

Preliminary estimates for 2018 indicate 419 overdose deaths across the state, an increase of 21 percent from the 2017 total of 345 deaths, according to the Division of Forensic Science. The Centers for Disease Control and Prevention ranked Delaware number six in the nation for overdose mortality rate in 2017.

In 2018, first responders administered 3,728 doses of naloxone, compared to 2,861 in 2017, a 30 percent increase.

Funding for the Community Naloxone Distribution Initiative comes from state funding built into DPH’s budget for the first time in state fiscal year 2019, thanks to the advocacy of Lt. Governor Bethany Hall-Long and the Behavioral Health Consortium. In October, DPH also announced the agency was awarded federal funds to support the purchase of naloxone and other programs for first responders.

Community access to naloxone has increased significantly since 2014 when legislation was enacted making it available to the public. In 2017, Governor John Carney signed additional legislation ensuring pharmacists had the same legal protections as doctors, peace officers and good Samaritans when dispensing the medicine without a prescription.

Information on community training and pharmacy access to naloxone, along with resources regarding prevention, treatment and recovery are available at https://www.helpisherede.com/Get-Help/Overdose-Prevention.

A person who is deaf, hard-of-hearing, deaf-blind or speech-disabled can call the DPH phone number above by using TTY services. Dial 7-1-1 or 800-232-5460 to type your conversation to a relay operator, who reads your conversation to a hearing person at DPH. The relay operator types the hearing person’s spoken words back to the TTY user. To learn more about TTY availability in Delaware, visit http://delawarerelay.com.

Delaware Health and Social Services 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. DPH, a division of DHSS, urges Delawareans to make healthier choices with the 5-2-1 Almost None campaign: eat 5 or more fruits and vegetables each day, have no more than 2 hours of recreational screen time each day (includes TV, computer, gaming), get 1 or more hours of physical activity each day, and drink almost no sugary beverages.


Seek Treatment, Access to Naloxone: Three Suspected Heroin Overdose Deaths in Sussex Co. Involving Same Packet Stamp

NEW CASTLE (March 13, 2019) – Health and public safety officials are urging people in active use of heroin or other opioids and their families to seek immediate treatment and acquire the overdose-reversing medication naloxone on hand in the wake of three suspected heroin overdose deaths in five days in Sussex County involving the same packet stamp.

Through death investigations, the Division of Forensic Science identified the same stamp on packets that are suspected of being used by the three individuals or were found at the scenes of their deaths. The division is doing toxicology testing of the substances involved. The stamp is not being identified to prevent people in active use from seeking it.

The three suspected overdose deaths happened in Sussex County between March 9 and March 13, the Division of Forensic Science staff reported. As of today, March 13, the Division of Forensic Science has reported a total of 50 suspected overdose deaths in Delaware this year. Preliminary estimates for 2018 indicate 419 overdose deaths across the state, an increase of 21 percent from the 2017 total of 345 deaths.

“While the Division of Forensic Science determines the particular chemical make-up of the substances involved in these deaths, it is critical that people be aware of the dangers,” Department of Health and Social Services (DHSS) Secretary Dr. Kara Odom Walker said. “If you have a loved one in active use, please have naloxone in your home. If you see someone overdose, call 9-1-1 immediately, begin rescue breathing and administer naloxone, which can reverse the effects of an opioid overdose, and save the person in distress.”

“Naloxone saves lives,” said Division of Public Health Director Dr. Karyl Rattay. “With specific heroin packets appearing to be extremely dangerous, we urge anyone who needs access to naloxone to connect with Brandywine Counseling & Community Services, which operates the syringe services program for the Division of Public Health, attend a Community Naloxone Training class provided by Brandywine Counseling, come to one of the Division of Public Health’s free naloxone distributions or go to a participating pharmacy to buy the overdose-reversing medication. We also urge Delawareans to download OpiRescue Delaware, a new smartphone app that provides lifesaving step-by-step instructions on how to administer naloxone.” For more information, go to www.HelpIsHereDE.com and click on the overdose prevention tab.

In 2018, first responders administered 3,728 doses of naloxone, compared with 2,861 doses in 2017, a 30 percent increase.

Elizabeth Romero, director of the Division of Substance Abuse and Mental Health, urged individuals in active substance use to see a medical provider immediately or call DHSS’ 24/7 Crisis Services Hotline to be connected to trained crisis professionals who can discuss treatment options. In New Castle County, the number is 1-800-652-2929. In Kent and Sussex counties, the number is 1-800-345-6785. Individuals and families also can visit DHSS’ website, www.HelpIsHereDE.com, to find addiction treatment and recovery services in Delaware and nearby states.

Romero encouraged anyone who is using or suffering from addiction to call for help, see a medical provider, or to ask a police officer or another first responder for help. “Too many times, our police officers and other first responders see first-hand the dangers of fentanyl-related overdoses,” she said. “Our first priority is to save lives.”

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.

In 2017, the Division of Forensic Science (DFS) confirmed the presence of fentanyl in 210 of the 345 total fatal overdoses. Fentanyl is a synthetic painkiller that is up to 50 times more potent than heroin. In 2016, fentanyl was confirmed in 109 of the 308 total overdose deaths. The 2018 statistics are expected to be released later this year.

Drug dealers sell fentanyl in a variety of ways, according to the Drug Enforcement Administration (DEA). Dealers sell pure fentanyl in white powder form to users who assume they are buying heroin. They lace cocaine or heroin with fentanyl. And they press fentanyl into pills and pass them off as OxyContin.

When a user ingests fentanyl or a drug laced with fentanyl, it affects the central nervous system and brain. Because it is such a powerful opioid, users often have trouble breathing or can stop breathing as the drug sedates them. If someone is too drowsy to answer questions, is having difficulty breathing, or appears to be so asleep they cannot be awakened, call 9-1-1 immediately, start rescue breathing and administer naloxone if you have it at home.