Massachusetts Leads The Nation In Opioid-Related ER Trips

*Call Next Stop Sober at 1-888-407-4799 for a confidential consultation*

Massachusetts Leads The Nation In Opioid-Related ER Trips

By The Fix staff 06/19/17 

It’s essential that people who are addicted to heroin and other opioids access comprehensive opioid treatment.

Hanging saline bag in focus on blurry hospital in the background

Massachusetts has the highest rate of opioid-related emergency room visits out of 30 states that were surveyed for a recent US Department of Health and Human Services report. The finding highlights how the opioid epidemic continues to affect Bay State residents and other New Englanders.

In Massachusetts there were more than 450 emergency room visits for opioid-related reasons per 100,000 residents in 2014. The state’s spokesman for the state’s Health Policy Commission said that preliminary data shows that the rate of ER visits likely increased during 2015, along with the rate of opioid-related inpatient stays, according to The Boston Globe. The report showed that the rates of opioid-related emergency room visits were 71 percent higher in 2014 than they were in 2009.

The continuing rise of opioid-related medical emergencies and deaths underscores the needs for quality opioid treatment in Massachusetts.

People who are familiar with the opioid epidemic in Massachusetts said that the emergency room statistics represent progress while also highlighting the severity of the problem.

“The number of deaths [from opioids in Massachusetts] would have been much higher without the push to get people to get help,” said Traci Green, deputy director of the Injury Prevention Center at Boston Medical Center. Public awareness about overdose risk and the benefits of calling 911 during an overdose may have increased hospital visits, she said. At the same time, the prevalence of fentanyl in the state has increased the number of people overdosing.

“If anything, these data are just the tip of the fentanyl effects,” Green said. “Fentanyl is what is driving everything right now.”

Many times people are sent to hospital emergencies rooms in crisis when other treatment options are not available.

“Many people are told to go to the emergency room when they can’t find treatment somewhere else,” said Joanne Peterson, founder and executive director of Taunton-based Learn to Cope, a nonprofit support network for families of addicts.

In order to avoid emergency room visits, it’s essential that people who are addicted to heroin and other opioids access comprehensive opioid treatment. Treatment facilities that utilize insurance in Massachusetts are better able to address the needs of people detoxing from opioids, treating co-occurring disorders and seeking to achieve long-term sobriety.

“Hospitals are still overwhelmed with people waiting for help,” Peterson said. “We still have a lot of work to do. The good news is there’s more and more people in different sectors working on this.”

Nationally, the average rate for opioid-related emergency room visits was 225 per 100,000 residents, an increase of 65.5 percent between 2009 and 2014. In addition to Massachusetts, other New England states had high rates of emergency room visits. Rhode Island had the third-highest rate (about 298 visits) and Vermont was sixth (about 224 visits). Data for Maine and New Hampshire, which has one of the highest rates of heroin overdose in the country, were not included in the report.

Massachusetts has worked to address the opioid epidemic in the state. A new organization called RIZE Massachusetts is seeking to raise $50 million for treatment and prevention efforts. General Electric, Partners HealthCare, Blue Cross Blue Shield of Massachusetts are all involved in the effort.

“This is a relentless foe,” Massachusetts Governor Charlie Baker said at a RIZE Massachusetts event. “Relentless. If we aren’t willing to be relentless in response to what we’re up against, our chances for success will be significantly diminished.”

 

Opioid Addiction 2016 Facts and Figures

Sobering Facts from the American Society of Addiction Medicine

Opioid Addiction

• Opioids are a class of drugs that include the illicit drug heroin as well as the licit
prescription pain relievers oxycodone, hydrocodone, codeine, morphine, fentanyl and
others.
• Opioids are chemically related and interact with opioid receptors on nerve cells in the brain and nervous system to produce pleasurable effects and relieve pain.
• Addiction is a primary, chronic and relapsing brain disease characterized by an individual pathologically pursuing reward and/or relief by substance use and other behaviors.
• Of the 20.5 million Americans 12 or older that had a substance use disorder in 2015, 2
million had a substance use disorder involving prescription pain relievers and 591,000 had a substance use disorder involving heroin.
• It is estimated that 23% of individuals who use heroin develop opioid addiction.

National Opioid Overdose Epidemic

• Drug overdose is the leading cause of accidental death in the US, with 52,404 lethal drug
overdoses in 2015. Opioid addiction is driving this epidemic, with 20,101 overdose deaths
related to prescription pain relievers, and 12,990 overdose deaths related to heroin in
2015.
• From 1999 to 2008, overdose death rates, sales and substance use disorder treatment
admissions related to prescription pain relievers increased in parallel. The overdose death rate in 2008 was nearly four times the 1999 rate; sales of prescription pain relievers in 2010 were four times those in 1999; and the substance use disorder treatment admission rate in 2009 was six times the 1999 rate.
• In 2012, 259 million prescriptions were written for opioids, which is more than enough to give every American adult their own bottle of pills.
• Four in five new heroin users started out misusing prescription painkillers.
• 94% of respondents in a 2014 survey of people in treatment for opioid addiction said they chose to use heroin because prescription opioids were “far more expensive and harder to obtain.
Impact on Special Populations

Adolescents (12 to 17 years old)

• In 2015, 276,000 adolescents were current nonmedical users of pain reliever, with
122,000 having an addiction to prescription pain relievers.
• In 2015, an estimated 21,000 adolescents had used heroin in the past year, and an
estimated 5,000 were current heroin users. Additionally, an estimated 6,000
adolescents had heroin a heroin use disorder in 2014.
• People often share their unused pain relievers, unaware of the dangers of nonmedical
opioid use. Most adolescents who misuse prescription pain relievers are given them for
free by a friend or relative.
• The prescribing rates for prescription opioids among adolescents and young adults
nearly doubled from 1994 to 2007.

Women

• Women are more likely to have chronic pain, be prescribed prescription pain relievers,
be given higher doses, and use them for longer time periods than men. Women may
become dependent on prescription pain relievers more quickly than men.
• 48,000 women died of prescription pain reliever overdoses between 1999 and 2010.
• Prescription pain reliever overdose deaths among women increased more than 400%
from 1999 to 2010, compared to 237% among men.
• Heroin overdose deaths among women have tripled in the last few years. From 2010
through 2013, female heroin overdoses increased from 0.4 to 1.2 per 100,000.

IF YOU OR SOMEONE YOU LOVE NEEDS HELP, PLEASE CALL 1-888-407-4799.