December 2018 - Extension Family & Consumer Sciences

State Statistics

Since 2000, more than 700 Montanans have died from opioid overdose. dphhs.mt.gov/publichealth/emsts/prevention/opioids.  299 of those deaths were people aged 45 and older (42.7%) Source: Montana DPHHS Epidemiology

Montana Hospitalizations Involving All Opioid Overdose Excluding Heroin

MT Region

2010

2011

2012

2013

2014

EASTERN

9

10

9

8

6

NORTH CENTRAL

10

23

19

16

27

SOUTH CENTRAL

30

34

37

38

24

SOUTHWEST

45

53

43

33

27

NORTHWEST

39

46

28

38

29

Montana Total

133

166

136

133

113

Source: Montana DPHHS

Many Opioid Cases Go Unreported or Misreported
journals.sagepub.com/doi/full/10.1177/0033354918774330 (2018)
Opioid Related Overdoses in MT In 2016, there were 42 “reported” opioid-related overdose deaths in Montana. Half of all deaths were related to pre-scription opioids and nearly half to synthetic opioids. For Montana, this is the lowest rate in over a decade and less than a third the national rate of 13.3 deaths per 100,000 persons. drugabuse.gov/drugs-abuse/opioids/opioid-summaries-by-state/montana-opioid-summary

The Centers for Disease Control and Prevention stated in October 2017 that death rates from drug overdoses in rural areas have now surpassed drug overdose death rates in urban areas.
usda.gov/media/press-releases/2018/10/30/usda-and-ondcp-unveil-latest-tool-help-rural-communities-address


Key Montana Facts & Resources

For every 100 Montanans, there are 61.1 painkiller prescriptions written annually in the state. (2017) cdc.gov/drugoverdose/maps/rxstate2017.html To view prescriptions by County, visit cdc.gov/drugoverdose/maps/rxrate-maps.html

One in seven high school students has taken prescription drugs without a doctor's prescription. (2011, 2013, 2015) dphhs.mt.gov/Portals/85/publichealth/documents/EMSTS/Opioids/AddressingSubstanceUseDisorder.pdf (scroll to pg. 31).

Nearly 500 Montanans visited emergency departments for complications related to opioid use in 2016-2017. ibis.mt.gov/topic/healthoutcomes/Opioids.html (click on “What is Known”)

The rate of opioid overdose deaths in Montana peaked in 2008-2009, and has decreased significantly since then, bucking national trends. dphhs.mt.gov/Portals/85/Documents/AddressingSubstanceUseDisorderInMontana.pdf Pg 10

Montana opioid overdose rate was 5.4 per 100,000 residents in 2013-2014. dphhs.mt.gov/Portals/85/Documents/AddressingSubstanceUseDisorderInMontana.pdf Pg 10

National Statistics

“More than 300,000 Americans have died from overdoses involving opioids since 2000.”
cdc.gov/media/releases/2016/p1216-continuing-opioid-epidemic.html

o·pi·oid
noun 1. an opiumlike compound that binds to one or more of the three opioid receptors of the body.
adjective 1. relating to opioid compounds.

When did the Opioid Crisis Start?
DHHS declared a public health emergency on October 26, 2017.

Adults aged 45-54 had the highest rate of drug overdose deaths in 2015. https://www.cdc.gov/nchs/data/databriefs/db273.pdf 

Drug overdose death rates increased for all age groups, with the greatest % increase among adults aged 55–64 (from 4.2 per 100,000 in 1999 to 21.8 in 2015). In 2015, adults aged 45–54 had the highest rate (30.0 per 100,000). cdc.gov/nchs/products/databriefs/db273.htm

How is Opioid Use/Misuse Affecting Older Adults?

Most older adults can no longer metabolize drugs quickly, placing them at
risk for sedation, respiratory depression, confusion, falls, toxicity and overdose. Medications can also cause memory problems, isolation and loss of motivation. Because older adults tend to take multiple prescription drugs, the chances of drug interactions are higher when they misuse opioids.
asaging.org/blog/rural-older-adults-hit-hard-opioid-epidemic

How is Opioid Use/Misuse Affecting Children?

Adverse Childhood Experiences (ACEs), such as childhood abuse & parental substance misuse, are associated with a higher risk of developing a mental and/or substance use disorder as an older adult (50+ years) (Choi et al. 2017).
Children with addicted parents are more likely to suffer from mental health disorders including their own issues with substance misuse and illnesses like
depression, anxiety or post-traumatic stress disorder.  Mainly because of the opioid crisis, studies revealed that there were 30,000 more children in foster care in 2015 than there were in 2012, which represents an 8% increase. In 14 states, the number of foster kids rose by 25% between 2011 & 2015.
goodencenter.org/opioid-addiction-treatment/

LIST OF OPIOIDS:

  • Codeine (only available in generic form)
  • Fentanyl (Actiq, Duragesic, Fentora, Abstral, Onsolis)
  • Hydrocodone (Hysingla, Zohydro ER)
  • Hydrocodone/acetaminophen (Lorcet, Lortab, Norco, Vicodin)
  • Hydromorphone (Dilaudid, Exalgo)
  • Meperidine (Demerol)
  • Methadone (Dolophine, Methadose)
  • Morphine (Kadian, MS Contin, Morphabond)
  • Oxycodone (OxyContin, Oxaydo)
  • Oxycodone and acetaminophen (Percocet, Roxicet)