unlassified new hampshire drug monitoring initiativemultiple doses may be administered during an...
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UNCLASSIFIED
New Hampshire Drug Monitoring InitiativeNew Hampshire Drug Monitoring Initiative New Hampshire Information & Analysis Center
Phone: (603) 223.3859 [email protected] Fax: (603) 271.0303
Purpose: The NH Drug Monitoring Initiative (DMI) is a holistic strategy to provide awareness and combat drug distribution and abuse. In line with this approach the DMI will obtain data from various sources (to include, but not limited to, Public Health, Law Enforcement, and EMS) and provide monthly products for stakeholders as well as situational awareness releas-es as needed.
UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE 1
Table of Contents:
Drug Environment Report—UNCLASSIFIED
Section Title Page #
Opioid Related Emergency Department Visits
Source: NH Division of Public Health Services
Heroin and Rx Opiate Treatment Admissions
Source: NH Bureau of Drug & Alcohol Services
EMS Narcan Administration
Source: NH Bureau of Emergency Medical Services (EMS)
EMS Narcan Administration Map
Drug Overdose Deaths
Source: NH Medical Examiner’s Office
Drug Overdose Deaths Map
Situational Awareness
Substance Abuse Treatment/Recovery Directory
Source NH Department of Health & Human Services
NHIAC Product #: 2016-2489 January 2016 Report 26 February 2016
UNCLASSIFIED
Opioid Related Emergency Department Visits* Data Source: NH Division of Public Health Services
UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE 2
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
Monthly Trends: The first chart below (ED Opioid Use Visits October 2015—January 2016) is based on the new que-ry method described above. There was a 29% increase in Opioid ED visits from December to January.
*The source of these data are New Hampshire’s Automated Hospital Emergency Department Data system, which includes all emergency depart-ment encounters from 26 acute care hospitals in New Hampshire. These data represent any encounter with the term “heroin or opioid” listed as chief complaint text and may represent various types of incidents including accidental poisonings, suicide, or other related types of events. These data also represent any encounter with an ICD-10 code that was designated for heroin and opioids. Currently all but two of the hospitals are sending ICD-10 data. Chief complaint and ICD-10 codes were combined to capture the maximum representation of heroin data in NH hospi-tals and deduplicated so encounters could only be counted once for a visit.
0
10
20
30
40
50
60
70
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
# o
f ED
Her
oin
Use
Vis
its
Source: NH Division of Public Health Services
Emergency Department Heroin Use Visits by Month - 2012-2015
2012
2013
2014
2015*
IMPORTANT NOTE– Data Source Change!!! Beginning with this edition of the UNCLASSIFIED DMI the data query for ER visits has been revised. The ER visit data has been expanded beyond heroin to include all opioids. Also in addition to a query of the chief complaint text, the Division of Public Health is conducting queries on ICD-10 diagnostic codes designated for heroin and opioids. This results in an apparent increase in the number of ER visits, which is NOT necessarily indicative of an actual increase, but rather due to a more representative way of tracking the information as a result of the switch from ICD-9 codes to ICD-10 codes beginning in October of 2015.
ED Heroin Use Visits, 2012-2015: The chart below is based on the OLD query method to provide a comparison.
347359
329
425
100
150
200
250
300
350
400
450
Oct Nov Dec Jan
# of
ED
Opi
oid
Use
Vis
its
Source: NH Div. of Public Health Services
Emergency Department Opioid Use Visits October 2015 - January 2016
UNCLASSIFIED
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
Opioid Related Emergency Department Visits (Continued)
UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE 3
NOTE: County represents where the heroin use patient resides
Top Counties for January: 1. Hillsborough 2. Strafford
Largest % Increase from Dec to Jan: 1. Belknap 2. Grafton
Top Age Group for January: 20-29 YOA
Largest % Increase from Nov to Dec:
60+ YOA
Largest % Increase from
December to January by Gender:
Male
Geographic and Demographic Trends: The following information identifies observable trends in opioid related Emergency Department visits on the basis of county of residence, age, and gender of patients.
1024
8 3
26
106
3545
59
13
30
4
22
5 10 9
117
31
51 49
7
2410 16
1 721
177
5038
59
6
40
0
20
40
60
80
100
120
140
160
180
200
# o
f E
D H
ero
in U
se V
isit
s
Source: NH Div. of Public Health Services
Emergency Department Opioid Use Visits by County
Nov
Dec
Jan
Age Nov Dec Jan % Change
0-9 1 0 0 0%
10-19 11 17 16 -6%
20-29 140 125 173 38%
30-39 94 99 136 37%
40-49 53 48 55 15%
50-59 42 32 28 -13%
60+ 18 8 17 113%
Totals 359 329 425 29%
Gender Nov Dec Jan % Change
Female 151 140 174 24%
Male 208 189 251 33%
Totals 359 329 425 29%
County Nov Dec Jan % Change
Belknap 10 4 10 150%
Carroll 24 22 16 -27%
Cheshire 8 5 1 -80%
Coos 3 10 7 -30%
Grafton 26 9 21 133%
Hillsborough 106 117 177 51%
Merrimack 35 31 50 61%
Rockingham 45 51 38 -25%
Strafford 59 49 59 20%
Sullivan* 13 7 6 -14%
Out of State 30 24 40 67%
TOTAL 359 329 425 29%
111
140
94
5342
18
0
17
125
99
48
32
80
16
173
136
55
2817
0
20
40
60
80
100
120
140
160
180
200
0-9 10-19 20-29 30-39 40-49 50-59 60+
# o
f E
D H
ero
in U
se V
isit
s
Source: NH Division of Public Health Services
Emergency Department Opioid Use Visits by Age Group
Nov
Dec
Jan
151
208
140
189
174
251
100
120
140
160
180
200
220
240
260
Female Male
# o
f ED
Her
oin
Use
Vis
its
Source: NH Division of Public Health Services
Emergency Department Opioid Use Visits by Gender
Nov
Dec
Jan
UNCLASSIFIED
Heroin & Rx Opiate Treatment Admissions Data Source: NH Bureau of Drug & Alcohol Services
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE 4
NOTE: County represents where the
patient resides
Monthly Trends: As displayed in the charts below, the number of treatment admissions for heroin decreased from November to December and then increased from December to January. The number of admissions for prescription opiates increased by 16% from December to January. When combining the number of heroin and prescription opi-ate treatment admissions, the overall number of admissions Increased by 15% from December to January.
Geographic Trends: The county with the largest number of residents admitted to a treatment program for heroin or prescription opiates during the month of January was Hillsborough County. Grafton county experienced the largest percent increase with an increase of 120% in the number of residents admitted to treatment programs from Decem-ber to January.
103
178
139 136
156
141
184
165153
161
138
159
26 2636 36 35 30 33 35
2533 32 37
0
50
100
150
200
Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan
# of
Tre
atm
ent A
dmis
sion
s
Source: NH Bureau of Drug & Alcohol Services
Heroin & Rx Opiate Treatment Admissions by Month February 2015 - January 2016
Heroin
RxOpiates
County Nov Dec Jan % Change
Belknap 7 12 13 8%
Carroll 2 3 3 0%
Cheshire 2 2 2 0%
Coos 5 3 3 0%
Grafton 12 10 22 120%
Hillsborough 60 69 74 7%
Merrimack 8 10 5 -50%
Rockingham 17 6 13 117%
Strafford 23 18 25 39%
Sullivan 4 1 1 0%
Out of State 3 3 1 -67%
Not provided 51 33 34 3%
Totals 194 170 196 15%
72 2 5
12
60
8
1723
4 3
12
3 2 310
69
106
18
1 3
13
3 2 3
22
74
513
25
1 10
10
20
30
40
50
60
70
80
90
100
# o
f T
rea
tme
nt
Ad
mis
sio
ns
Source: NH Bureau of Drug & Alcohol Services
Heroin & Rx Opiate Treatment Admissions by County
Nov
Dec
Jan
UNCLASSIFIED
Heroin & Rx Opiate Treatment Admissions (Continued)
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE 5
Demographic Trends: Treatment admissions for heroin and prescription opiates usage was broken down by age and gender as displayed in the charts below. Individuals 26 years of age or older exhibited the highest number of treat-ment admissions during the months of November, December and January. There were more males than females admitted to treatment programs during the months of November, December
and January. The number of males admitted to treatment programs increased by 14% from December to January and the number of females admitted to treatment programs increased by 17% during the same time period.
Age Group Nov Dec Jan % Change
< 18 0 0 0 0%
18 - 25 64 57 61 7%
>26 130 113 135 19%
Totals 194 170 196 15%
0
64
130
0
57
113
0
61
135
0
25
50
75
100
125
150
175
< 18 18 - 25 >26
# of
Tre
atm
ent A
dmis
sion
s
Source: NH Bureau of Drug & Alcohol Services
Heroin & Rx Opiate Treatment Admissions by Age Group
Nov
Dec
Jan
Gender Nov Dec Jan % Change
Male 105 100 114 14%
Female 89 70 82 17%
Totals 194 170 196 15%
105
89100
70
114
82
0
25
50
75
100
125
150
175
Male Female
# of
Tre
atm
ent
Adm
issi
ons
Source: NH Bureau of Drug & Alcohol Services
Heroin & Rx Opiate Treatment Admissions by Gender
Nov
Dec
Jan
UNCLASSIFIED
EMS Narcan Administration* Data Source: NH Bureau of Emergency Medical Services (EMS)
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE 6
Annual & Monthly Trends:
Incidents involving EMS Nar-
can administration increased
by 19% from December 2015
to January. From January 2015
to January 2016 there has
been a 5% increase in EMS
Narcan administration.
(Note: Narcan is administered in cases of cardiac arrest when the cause of the arrest cannot be deter-mined. It therefore cannot be con-cluded that all of the reported Nar-can cases involved drugs.)
Geographic Trends: The following chart displays the number of incidents involving Narcan administration by county for the months of November, December, and January. The county with the largest number of Narcan administrations for all three months is Hillsborough County with 68, 84, and 107 incidents, respectively. The largest percent increase in the number of incidents involving Narcan between December and January was observed in Coos County at 400%. See the following page for a map of EMS Narcan Administration Incidents by Town for the last 12 months, February 2015 through January 2016.
*Narcan data in this report involves the number of incidents where Narcan was administered, NOT the number of doses of Narcan
during a certain time period. Multiple doses may be administered during an incident.
County Nov Dec Jan
%
Change
Belknap 10 9 8 -11%
Carroll 6 7 9 29%
Cheshire 6 9 9 0%
Coos 5 1 5 400%
Grafton 4 5 4 -20%
Hillsborough 68 84 107 27%
Merrimack 7 17 10 -41%
Rockingham 36 35 47 34%
Strafford 28 10 16 60%
Sullivan 4 5 2 -60%
Total 174 182 217 19%
10 6 6 5 4
68
7
3628
49 7 9
1 5
84
17
35
1058 9 9 5 4
107
10
47
16
2
0
20
40
60
80
100
120
# o
f In
cid
en
ts I
nvo
lvin
g N
arc
an
Source: NH Bureau of EMS
EMS Narcan Administration by County
Nov
Dec
Jan
0
50
100
150
200
250
300
350
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
# o
f In
cid
en
ts I
nv
olv
ing
Na
rca
n
Source: NH Bureau of EMS
EMS Narcan Administration by MonthJanuary 2012 - January 2016
2012
2013
2014
2015
2016
Pittsburg
Lincoln
Alton
Errol
Mila n
Stark
Albany
Berlin
Bartlett
Lyme
Sandwich
Stra tford
Ossipe e
Weare
Con way
Odell
Hill
Bethle hem
Bath Jackso n
Gilford
Con cord
Carroll
Warner
Orford
Unity
Can aan
Dixvil le
Benton
Littleton
Success
Sutton
Warren
Derry
Franco nia
Bow
Columbia
Livermore
Cha tham
Enfield
Meredith
Loudon
Clarksvil le
Tamworth
Haverhil l
Stra fford
Groton
Jaffrey
Han over
Hollis
Gilmanton
Stoddard
Plainfield
Dee rfield
Cam pton
Keene
Dum mer
Milton
Wolfeb oro
Grafton
Thornton
Antrim
Rindge
Cornish
Jefferson
Lee
Woodstock
Alstead
Millsfield
Newport
Lancaster
Rum ney
Hen niker
Swanzey
Epsom
Wincheste r
Andove r
Ran dolph
Dover
Madison
Acworth
Shelbu rne
Lebanon
Cam bridge
Barrington
Moultonbo rough
Dub lin
Tufton boro
Wakefield
Walpole
Dan bury
Hop kin ton
Easton
Piermont
Rochester
Croydon
Barnstead
Eaton
Dalton
Wilmot
Newbury
Can dia
Salisbury
Sanbornton
Lyman
Claremont
Freedom
Not tingham
Bedford
Hoo kse tt
Springfield
Bra dford
Amherst
Wilton
Alexandria
Dorchester
Nashua
Salem
Can terbury
Lisbon
Washington
Gorham
Colebrook
Auburn
Dee ring
Che sterfield
Beans Purchase
Effing ham
Troy
Wentworth
Waterville Valley
Belmon t
Landaff
Hud son
Milford
Epping
Richmo nd
Goffstown
Marlow
Franklin
Han cock
Hillsborough
New Boston
MasonPelham
Whitef ield
Bristol
Lempster
Stewartstown
Fitzwilliam
Webste r
New Durham
Londonderry
Nelson
Che ster
Laconia
26
Farmin gton
Merrimack
Holderness
Monroe
Durham
Orange
Raymond
Exeter
Charl
estow
n
Plymouth
Kilke
nny
Temple
Northfield
Dun barton
SurryManchester
Windha m
GoshenPittsfield
Peterboro ugh
Grantham
Suna
pee
Northwood
New Hampton
New Ip swich
Greenfield
Hinsda le
Heb ron
Westmo reland
Boscawen
Kings
ton
Gilsum
SullivanFrance stown
Ellsworth
Brookfield
North
umbe
rland
Pembro
ke
Tilton
Sharon
Brookline
Lynde
borou
gh
Fremont
Harrisville
New Lo ndon
Chich
ester
Middlet
on
Allenstown
Second Colleg e
Grant
Dixs Grant
Langdon
Bridgewater
Sugar Hill
Litchfield
Stra th
am
Marlborough
Brentwood
24
Sandown Danv
ille
27
Roxbury
Ashland
Madbury
7
3
Atkinson
Mont Vernon
Newton
Greenland
Plaistow
Newmarket
Ham pstead
11
29
1
22
Windsor
18
20
6
16
25
23
5
31
Newfields
21
30
Greenville
12
17
19
4
9
13
8
14
15
28
2
10
0 10 20 305
MilesScale: 1:1,150,000
Prepared by:NH Information & Analysis Center
µ
EMS/Narcan Administration By Town2/1/2015 - 1/31/2016
Data source: New Hampshire Bureau of EMS
Belknap1 - Center HarborCarroll2 - Hales Location3 - Harts LocationCoos4 - Hadleys Purchase5 - Beans Grant6 - Cutts Grant7 - Sargents Purchase8 - Pinkhams Grant9 - Crawfords Purchase10 - Chandlers Purchase11 - Low & Burbanks Grant12 - Thompson & Meserves Purchase13 - Greens Grant14 - Martins Location15 - Ervings Grant16 - Wentworth Location17 - Atkinson & Gilmanton Academy Grant
Hillsborough18 - BenningtonRockingham19 - South Hampton20 - Seabrook21 - East Kingston22 - Kensington23 - Hampton Falls24 - Hampton25 - North Hampton26 - Rye27 - Portsmouth28 - New Castle29 - NewingtonStrafford30 - Rollinsford31 - Somersworth
INDEX
*Incidents Where Narcan Was Administered*
01 - 1011 - 2526 - 5051 - 100101 - 200201 - 500501 - 750
7
UNCLASSIFIED
Drug Overdose Deaths Data Source: NH Medical Examiner’s Office
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE 8
Annual Trends: The chart below displays overdose deaths annually from 2010 through 2015. 2015 totals are based on analysis completed as of 22 February 2016. Fourteen cases are still pending analysis and therefore these numbers are subject to change. The total number of drug related deaths is represented as well as deaths related to Heroin and/or Fentanyl.+ There are 60 cases from 2016 that are “pending toxicology”, and there are three confirmed drug deaths in 2016. Please see page 9 for a map of 2015 overdose deaths by town where the individual is believed to have used the drug(s). +Heroin and Fentanyl Related deaths are not mutually exclusive, several deaths involved both drugs.
177205
164193
325
420
128
90108
135
95114
0
50
100
150
200
250
300
350
400
450
2010 2011 2012 2013 2014 2015*
# of
Dea
ths
*2015 Drug Death numbers are based on analysis completed as of 22 Feb 2016 - many cases are stillpending analysis.
Drug Deaths vs. Traffic Deaths by Year Data Sources: NH Medical Examiner's Office / NH State Police
All Drug Deaths Traffic Crash Fatalities
177205
164193
325
420
13
44 38
7098 88
19 18 12 18
145
275
0
50
100
150
200
250
300
350
400
450
2010 2011 2012 2013 2014 2015*
# o
f D
rug
Dea
ths
*2015 Numbers are based on analysis completed as of 22 February 2016 - cases still pending+ Heroin & Fentanyl Related deaths are not mutually exclusive, several deaths involved both drugs
Overdose Deaths By YearData Source: NH Medical Examiner's Office
All DrugDeaths
HeroinRelatedDeaths+
FentanylRelatedDeaths+
Pittsburg
Lincoln
Alton
Errol
Mila n
Stark
Albany
Berlin
Bartlett
Lyme
Sandwich
Stra tford
Ossipe e
Weare
Con way
Odell
Hill
Bethle hem
Bath Jackso n
Gilford
Con cord
Carroll
Warner
Orford
Unity
Can aan
Dixvil le
Benton
Littleton
Success
Sutton
Warren
Derry
Franco nia
Bow
Columbia
Livermore
Cha tham
Enfield
Meredith
Loudon
Clarksvil le
Tamworth
Haverhil l
Stra fford
Groton
Jaffrey
Han over
Hollis
Gilmanton
Stoddard
Plainfield
Dee rfield
Cam pton
Keene
Dum mer
Milton
Wolfeb oro
Grafton
Thornton
Antrim
Rindge
Cornish
Jefferson
Lee
Woodstock
Alstead
Millsfield
Newport
Lancaster
Rum ney
Hen niker
Swanzey
Epsom
Wincheste r
Andove r
Ran dolph
Dover
Madison
Acworth
Shelbu rne
Lebanon
Cam bridge
Barrington
Moultonbo rough
Dub lin
Tufton boro
Wakefield
Walpole
Dan bury
Hop kin ton
Easton
Piermont
Rochester
Croydon
Barnstead
Eaton
Dalton
Wilmot
Newbury
Can dia
Salisbury
Sanbornton
Lyman
Claremont
Freedom
Not tingham
Bedford
Hoo kse tt
Springfield
Bra dford
Amherst
Wilton
Alexandria
Dorchester
Nashua
Salem
Can terbury
Lisbon
Washington
Gorham
Colebrook
Auburn
Dee ring
Che sterfield
Beans Purchase
Effing ham
Troy
Wentworth
Waterville Valley
Belmon t
Landaff
Hud son
Milford
Epping
Richmo nd
Goffstown
Marlow
Franklin
Han cock
Hillsborough
New Boston
MasonPelham
Whitef ield
Bristol
Lempster
Stewartstown
Fitzwilliam
Webste r
New Durham
Londonderry
Nelson
Che ster
Laconia
26
Farmin gton
Merrimack
Holderness
Monroe
Durham
Orange
Raymond
Exeter
Charl
estow
n
Plymouth
Kilke
nny
Temple
Northfield
Dun barton
SurryManchester
Windha m
GoshenPittsfield
Peterboro ugh
Grantham
Suna
pee
Northwood
New Hampton
New Ip swich
Greenfield
Hinsda le
Heb ron
Westmo reland
Boscawen
Kings
ton
Gilsum
SullivanFrance stown
Ellsworth
Brookfield
North
umbe
rland
Pembro
ke
Tilton
Sharon
Brookline
Lynde
borou
gh
Fremont
Harrisville
New Lo ndon
Chich
ester
Middlet
on
Allenstown
Second Colleg e
Grant
Dixs Grant
Langdon
Bridgewater
Sugar Hill
Litchfield
Stra th
am
Marlborough
Brentwood
24
Sandown Danv
ille
27
Roxbury
Ashland
Madbury
7
3
Atkinson
Mont Vernon
Newton
Greenland
Plaistow
Newmarket
Ham pstead
11
29
1
22
Windsor
18
20
6
16
25
23
5
31
Newfields
21
30
Greenville
12
17
19
4
9
13
8
14
15
28
2
10
Coos
Grafton
Carroll
Merrimack
CheshireHillsborough
Sullivan
Rockingham
Belknap
Strafford
0 10 20 305
MilesScale: 1:1,150,000
Prepared by:NH Information & Analysis Center
µ
Overdose Deaths by Town* - 2015+(Data Source: NH Medical Examiner's Office)
*Location where the drug(s) is suspected to have been used.+2015 data was reported on February 8, 2016.
There are many more deaths that are suspected to be drug related, but the official cause of death is pending
until the toxicology results are received.
Belknap1 - Center HarborCarroll2 - Hales Location3 - Harts LocationCoos4 - Hadleys Purchase5 - Beans Grant6 - Cutts Grant7 - Sargents Purchase8 - Pinkhams Grant9 - Crawfords Purchase10 - Chandlers Purchase11 - Low & Burbanks Grant12 - Thompson & Meserves Purchase13 - Greens Grant14 - Martins Location15 - Ervings Grant16 - Wentworth Location17 - Atkinson & Gilmanton Academy Grant
Hillsborough18 - BenningtonRockingham19 - South Hampton20 - Seabrook21 - East Kingston22 - Kensington23 - Hampton Falls24 - Hampton25 - North Hampton26 - Rye27 - Portsmouth28 - New Castle29 - NewingtonStrafford30 - Rollinsford31 - Somersworth
INDEX
1 - 45 - 1011 - 2526 - 5051 and greater
Number of Overdose Deaths by Town*Location where the drug(s) is suspected
to have been used.
9
UNCLASSIFIED
Situational Awareness:
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE 10
In the News...
Misuse of ADHD Drugs by Young Adults Drives Rise in ER Visits
According to nhpr.org, emergency room visits linked to misuse of the drug are on the rise. According to a study
published Tuesday in the Journal of Clinical Psychiatry found that nonmedical use of Adderall and generic versions
of the drug increased by 67% among adults between 2016—2011. “Young adults in the 10-25-year range are most
likely to misuse these drugs,” says Dr. Ramin Mojtabai, a professor at the John Hopkins Bloomberg School of Public
Health. The number of emergency room visits involving Adderall misuse increased from 862 visits in 2006 to 1,489
in 2011 according to data from the Drug Abuse Warning Network. ER visits linked to Ritalin, another well-known
stimulant used to treat ADHD, increased only slightly among young adults from 293 ER visits in 2006 to 310 in
2011. “The extended-release formulation of [Adderall] has a longer duration of action than [Ritalin], producing a
more steady effect,” says Dr. Ramin Mojtabai. A prior study found that college students have several justifications
for their use of ADHD medication, including the belief it could improve their smarts.
Governors from all 50 States Supporting Prescription Drug Monitoring Program
According to WMUR9, Chief executives from all 50 states are endorsing a plan to boost prescription drug monitor-
ing programs to present over-prescription. At the Serenity Place drug treatment center in Manchester, staff esti-
mate that 70 percent of patients who walk in the door seeking treatment started their path to addiction with pre-
scription from a doctor. They say it makes sense to focus more attention on that part of the problem. “It’s getting
worse here in New Hampshire, more specifically right here in Manchester,” Stephanie Bergeron said. “We know
that this is probably one of the main sources of the epidemic we’re seeing right now is the over-prescription of
opioids and to take a stop like this could really make a difference.” In a phone interview with Gov. Maggie Hassan,
she said national standards would naturally limit the supply of painkillers being handed out to the public.
“Particularly, how many doses of an opioid can be prescribed for a particular type of procedure.” President
Obama has expressed skepticism about limits for painkiller prescriptions, saying that won’t solve the problem, and
that “in some cases, addiction is already there.”
Nashua Schools to Stock Narcan
According to nashuatelegraph.com, the Nashua Board of Education approved stocking the opioid antagonist Nar-
can in district schools. Board member George Farrington said the move is a precaution, but a crucial one. “I hope
this isn’t construed anywhere in the public as an indication we have a drug problem in our schools, “ However,
there is a problem in the community and in the state. The Department of Health and Human Services is providing
the Narcan to the district at no charge. New legislation introduced limited liability for those who administer Nar-
can in good faith. The board could create similar policy for the administration of epinephrine. Farrington said, “I
don’t want our staff standing around wondering how much longer it’s going to take for the EMTs to get to our
schools.”
Tracked by NHIAC/HSEC SINs: 03,16 / 05,06
UNCLASSIFIED
Substance Abuse Treatment/Recovery Directory:
NH Drug Monitoring Initiative Drug Environment Report—UNCLASSIFIED
UNCLASSIFIED—AUTHORIZED FOR PUBLIC RELEASE 11
NASHUA
Greater Nashua Council on Alcohol-
ism
Keystone Hall
(Outpatient and Intensive Outpatient
Services for Adults, Adolescents and
Their Families.)
12 & 1/2 Amherst Street
Nashua, NH 03063
Phone: 603-943-7971 Ext. 3
Fax: 603-943-7969
The Youth Council
(Outpatient for Adolescents and Fam-
ilies.)
112 W. Pearl Street
Nashua, NH 03060
Phone: 603-889-1090
Fax: 603-598-1703
PORTSMOUTH
Families First of the Greater Seacoast
(Pregnant and Parenting Women,
Primary Care Setting, Outpatient.)
100 Campus Drive, Suite 12
Portsmouth, NH 03801
Phone: 603-422-8208 Ext. 150
Fax: 603-422-8218
MANCHESTER
Child and Family Services
Adolescent Substance Abuse Treat-
ment Program (ASAT)
(Intensive Outpatient Services for
Adolescents.)
404 Chestnut Street
Manchester, NH 03105
Phone: 800-640-6486
or 603-518-4001
Fax: 603-668-6260
Families in Transition
(Provides services for parenting wom-
en including pregnant women, inten-
sive outpatient services; housing and
comprehensive social services.)
122 Market Street
Manchester, NH 03104
Phone: 603-641-9441
Fax: 603-641-1244
The Mental Health Center of Greater
Manchester
(Outpatient Adolescent and Families.)
1228 Elm Street, 2nd Floor
Manchester, NH 03101
Phone: 603-668-4111
Fax: 603-628-7733
Manchester Alcoholism and Rehabil-
itation Center Easter Seals Farnum
Outpatient Services
(Intensive Outpatient 18 years and
older and Outpatient Services.)
140 Queen City Avenue
Manchester, NH 03101
Phone: 603-263-6287
Fax: 603-621-4295
CONCORD
Concord Hospital
The Fresh Start Program
(Intensive Outpatient 18 years and
older and Outpatient Services.)
250 Pleasant Street, Suite 5400
Concord, NH 03301
Phone: 603-225-2711 ext. 2521
Fax: 603-227-7169
DOVER
Southeastern NH Alcohol and Drug
Abuse Services (Dover)
(Outpatient and Intensive Outpatient
Services.)
272 County Farm Road
Dover, NH 03820
Crisis Center: 603-516-8181
Main: 603-516-8160
Fax: 603-749-3983
GILFORD
Horizons Counseling Center
(Intensive Outpatient 18 years and
older and Outpatient Services.)
25 Country Club Road Suite #705
Gilford, NH 03249
Phone: 603-524-8005
Fax: 603-524-7275
LEBANON
Headrest
12 Church Street
PO Box 247
Lebanon, NH 03766
Hotline: 603-448-4400 or 800-639-
6095
Phone: 603-448-4872
Fax: 603-448-1829
State funded treatment facilities in NH (NOT a complete list)—Source NH Department of Health & Human Services
A full list of Substance Abuse and
Treatment Facilities can be found
here.