Addiction & Mental Health Resources

Introduction

Crisis Next Door shows how fentanyl has destroyed the lives of thousands of North Carolinians, what the state is doing to fight this epidemic and what more is needed to save lives. North Carolina is in the grip of a drug overdose epidemic, with fentanyl being the primary culprit. More than 4,000 people in North Carolina died from drug overdoses in 2021, the most substance abuse related deaths ever recorded in the state. According to the North Carolina Department of Health and Human Services (NCDHHS), 77% of those deaths involved fentanyl.” [Taken from YT Description]

Quotes

“Fentanyl is an opioid, and what that means is it’s a painkiller. In its pharmaceutical forms, when it’s produced by pharmaceutical companies and approved by the FDA, it’s used for acute and chronic pain. Unfortunately, when we’re talking about fentanyl from a overdose perspective, we’re mostly talking about illicit fentanyl … produced by drug cartels and used for money making purposes, not for healthcare.”

“If you can put in a tiny amount of something and produce a big high, then you can make a lot more money. So obviously, if the dealer has the strongest stuff on the streets, that’s what these drug users are going to look for.”

“A little over 75% of drug overdoses in North Carolina involve fentanyl in some way. Unfortunately, in 2021, we lost the most North Carolinians we’ve ever lost to drug overdoses, and that was 4,041 individuals.”

“I see families that are very intact, and then a kid gets on fentanyl, cocaine, and heroin, and it ruins them, it ruins the family.“

“There was marijuana – people were not addicted and dying over it. Then cocaine came out and people were addicted to it, but they probably weren’t dying of it. Then crack came out, which is a whole lot more addictive, but it wasn’t killing them instantly. Now you have heroin that is laced with fentanyl and opioids. It’s killing people instantly.”

“Originally, we were seeing fentanyl flown in from China – that’s where a lot of the component chemicals are manufactured. But more recently, the fentanyl components are being sent to Mexico where they’re being manufactured there and driven across the border through border checkpoints. And those drugs are coming all across this country, and they’re absolutely devastating people’s lives.”

“There were three waves of this opioid epidemic. The first wave from 2000-2010/2012 had to do with prescription pills. The drug companies were aggressively promoting these pills to prescribers, asserting that they were effective at treating pain and they were not addictive – it turns out neither of those things are true. So millions of Americans got hooked on these pills while these companies were making billions and billions of dollars. When the pills became less available, folks started transitioning to using heroin, buying it on the street, because heroin was cheaper than the prescription pills. And now this third wave has to be with fentanyl which is even cheaper than heroin. And that’s what’s killing people because it’s incredibly potent.”

“We are making them [pharmaceutical companies] pay over $50 billion. North Carolina’s share is going to be about $1.4 billion. It has to go to prevention, harm reduction, treatment or recovery services.”

“Harm reduction is a safe space for people to come and get clean sterile supplies, Narcan, fentanyl test strips, basically anything a drug user needs to stay safe.” IN VIDEO: Wilkes Recovery Revolution

Fentanyl

• Detecting Fentanyl. Saving Lives.
• Fentanyl: America’s Grim New Opioid Addiction
• Fentanyl: One Pill Kills
• Fentanyl Accounts for A Majority of Fatal Overdoses. But ERs Aren’t Testing For It
• Fentanyl Facts (CDC)
• Fentanyl Plus Stimulants Drives ‘Fourth Wave’ of Overdose Epidemic in The U.S.
• How The Fentanyl Crisis’ Fourth Wave Has Hit Every Corner of the US
• Inside a Free Fentanyl and Heroin Clinic
• Responding to a Fentanyl Overdose: What California First Responders Need to Know
• Straight Talk: Street Fentanyl [PDF]
• The Impact of The Deadly Fentanyl ‘Plague’ On One American City
• Why Fentanyl Is So Incredibly Dangerous

Harm Reduction

• Do Supervised Consumption Sites Increase Crime? ‘The Answer To That Is A Flat No’
• Does Evidence Support Supervised Injection Sites?
• Fact Check: Dispelling Myths About Supervised Consumption Sites
• Harm Reduction: A B.C. Community Guide [PDF]
• Harm Reduction for Opioids: A Canadian Perspective
• Harm Reduction Practices in Communities
• How to Use Naloxone
• Indigenous Harm Reduction
• National Harm Reduction Coalition – Harm Reduction Truth
• Rapid Access Models for Substance Use Services [PDF]
• Why Safe Injection Sites Are Considered More Effective Than Needle Exchange Programs

Opioid Crisis

• Beyond Supply: How We Must Tackle the Opioid Epidemic [PDF]
• California’s Opioid Crisis
• Facts About Naltrexone [PDF]
• Fentanyl: America’s Grim New Opioid Addiction
• How America Got Hooked on Opioids
• How Good Intentions Contributed to Bad Outcomes [PDF]
• How the Government is Making the Opioid Crisis Worse
• Opioid Crisis: Addiction, Overprescription, and Insufficient Primary Prevention
• The Impact of the Deadly Fentanyl ‘Plague’ on One American City
• The Opioid Crisis in Canada: A National Perspective
• Understanding the Opioid Overdose Epidemic
• Unraveling the Start of the Opioid Crisis
• What Led to the Opioid Crisis – and How to Fix It
• Why Is There an Opioid Crisis?

Opioid Use Disorder

• 2-Minute Neuroscience: Opioids
• Drug Addiction: How Opioids Like Fentanyl Work
• How Do Opiates Affect the Nervous System?
• How Drugs Hijack Your Brain’s Mu Opioid Receptors
• Medications for Opioid Use Disorder
• Medications for Opioid Use Disorder
• Opiate Addiction | The Causes
• Opiate Addiction | The Signs
• Opiate Addiction | Why It’s So Intense
• Opiate Use Disorder or Opiate Addiction?
• Opioid Addiction (CAMH)
• Opioid Overdose (WHO)
• Opioid Use Disorder (NIH)
• Opioid Use Disorder: Medical Treatment Options
• Opioids & the Body: The Science of An Overdose
• Signs of Opioid Use Disorder
• Therapeutic Approaches to Opioid Use Disorder: What is the Current Standard of Care?
• This Is What Happens to Your Brain on Opioids
• Treatment of Opioid-Use Disorders
• What Causes Opioid Addiction, and Why Is It So Tough to Combat?