Long-term treatment options best solution to problem, expert says

BALTIMORE —New data shows that the number of heroin-related deaths in Maryland rose 29 percent between 2014 and 2015.

During that same time, the number of fentanyl-related deaths nearly doubled.

State health officials are continuing to look for ways to combat the heroin epidemic, and least one health expert said more treatment options are needed.

"It doesn't surprise me," substance abuse expert Mike Gimbel said of the rise in heroin-related deaths. "It saddens me because these people don't have to die."

According to newly released state data, 1,259 people died from overdoses in Maryland in 2015. Of those, 86 percent involved opioids, which include heroin, fentanyl and prescription drugs like oxycodone and methadone.

"This is about supply and demand and we're never going to stop the supply," Gimbel said. "We have to stop the demand, which is changing the behavior of the people using -- the drug addicts."

State officials said they are stepping up with solutions such as expanding the availability of naloxone, a drug that reverses opioid drug overdoses.

Since 2014, 23,000 people have been certified to obtain the drug, officials said.

"That's fine, but if you don't have treatment immediately after coming back from an overdose you're going to use again and then eventually you'll be another one of the statistics," Gimbel said.

The goal of the state's Survivors' Outreach Project is to prevent deaths by pairing overdose survivors with peer recovery specialists in the emergency department.

Peers work to enroll survivors in substance-use disorder treatment and support services.

"We have no treatment so what is that advocate going to do?" Gimbel said. "They're going to get on the phone and start calling for treatment, and there is none."

Gimbel said long-term treatment options are the only true solution to tackling the problem.

"Get them off the street and into long-term treatment out of their neighborhood so they don't have to be around their drug dealer, so they can concentrate on getting well," Gimbel said.

The state has also implemented a prescription drug monitoring program that gives doctors and pharmacists access to patients' histories of prescribed medications.

Maryland Medicaid has implemented a "corrective managed care program" to identify participants who use excessive amounts of controlled substances.