UNCLASSIFIED

New Hampshire Drug Monitoring InitiativeNew Hampshire Drug Monitoring Initiative New Hampshire Information & Analysis Center

Phone: (603) 223.3859 NH.IAC@dos.nh.gov 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.