2 weeks Ago
THE “Live Free or Die” motto of New Hampshire reflects a laissez-faire approach to legislation across the Granite State. Unfortunately, this attitude contributes to our struggle with alcohol and substance use disorders, as the substance abuse crisis continues to impact our state. New Hampshire leads the nation in alcohol consumption, with approximately 4.
76 gallons per capita per year — more than double the target set by public officials in 2020. With the costs approaching $1 billion annually due to excessive alcohol use, it’s clear that alcohol abuse is a significant public health issue. The opioid crisis further complicates matters, as New Hampshire’s rural areas suffer from a shortage of resources, addiction specialists, funding, and insurance coverage, all of which impede access to treatment.
The introduction of involuntary emergency admissions (IEA) for substance use disorders could provide early intervention for individuals struggling with addiction. Massachusetts, our neighboring state, implements Section 35 to mandate treatment for individuals with substance use disorders at risk of serious harm. A similar approach in New Hampshire might help individuals move from precontemplation to contemplation or even action in their recovery journey.
Implementing IEA in hospital emergency departments during events such as overdoses or injuries could be a critical intervention point. Another potential use of IEA could be in high-risk scenarios such as intoxicated driving arrests or other significant legal issues, particularly for repeat offenders. Additionally, individuals experiencing a mental health crisis who do not meet the criteria for mental health IEA but do qualify through substance use could benefit from this approach, providing access to much-needed treatment.
As someone in recovery from alcohol and substance abuse, I reflect on my own experiences with frequent hospitalizations due to mental health issues tied to my addiction. Many of my ER visits lacked adequate care because of resource limitations. When admitted to inpatient mental health facilities, I was often recommended for substance use treatment, which I refused despite multiple suicide attempts, DUIs, and legal issues.
An involuntary treatment option might have spared me and my loved ones years of stress and trauma. Given recent headlines about accidents, deaths, and overdose trends, a substance-use disorder IEA could significantly impact the lives of many Granite Staters. It’s crucial to adopt this life-saving intervention to address the substance use crisis and prevent further loss.
No one should have to witness the death of friends or family due to inadequate addiction treatment resources when effective solutions are available..
