
For someone leaving an emergency room in withdrawal, the days before their next opioid addiction treatment appointment are often the most dangerous. Now, a Missouri hospital system says closing that gap has nearly tripled patient engagement. The Show-Me State has long featured many programs for substance misuse, including local Narcotics Anonymous chapters, and these expanded programs show residents and loved ones that help is always standing by.
Mercy Hospital Lebanon, in rural Missouri, is piloting a program that pairs emergency department patients who have opioid use disorder with a three-day supply of medication and a guaranteed virtual addiction specialist appointment within 72 hours of discharge. The hospital partnered with the Virtual Substance Use Recovery Program to build the model after staff noticed patients leaving the ER with few local options.
Opioids in Missouri
According to the CDC, 217 people died each day from opioid overdoses in the United States in 2023, with death rates running higher in rural areas. Jen Speer, Executive Director of Operations for Mercy Hospital Lebanon and Rolla, observed that visible gap firsthand. When ER discharges patients after delivering care for an overdose, “there are not a lot of resources in our community,” Speer relayed. “There may be one or two, but these patients are coming in the middle of the night, and so we were looking at how to create something that can help fill the gaps.”
Hospital officials said the highest-risk window is the first 72 hours after discharge, when a patient may be in active withdrawal while waiting up to weeks for an appointment with a psychiatrist or addiction specialist. That delay raises the chances of relapse and a return trip to the emergency room. Funding cuts also worsen the situation by reducing public services, such as naloxone distribution.
The pilot addresses the gap directly. Patients leave with three days of medication to manage withdrawal, then connect with an addiction specialist by video within those 72 hours, rather than being handed a list of phone numbers to call on their own.
Opioids & Harm Reduction
The broader picture shows how greater engagement is needed. Opioid use disorder is a chronic condition in which a person continues using opioids despite harmful consequences. Withdrawal can begin within hours of a person’s last dose and includes symptoms such as nausea, muscle pain, anxiety, and intense cravings. That’s partly why the first days after leaving a hospital or detox program carry such high relapse risk.
In the six months since launch, Mercy reported a 32% conversion rate from ER discharge into ongoing addiction treatment, compared with an average of 10-15% typically seen for opioid use disorder engagement. Patients who connect with an addiction specialist through the program stay engaged for around 230 days. The program is now available beyond the original Lebanon site, with access through Mercy hospitals in Aurora, Cassville and Carthage.
Models like Mercy’s underscore a broader harm reduction principle. The period right after a hospital discharge or overdose reversal is a critical window for preventing another overdose. Here are two common options:
Medication-assisted buprenorphine and methadone can be started or continued through many primary care and addiction medicine providers regardless of whether a hospital has a formal bridge program in place.
Also known as Narcan, naloxone can reverse an opioid overdose in progress and is usually available without a prescription. Family members and friends of someone with opioid use disorder should keep naloxone on hand and know the signs of an overdose, including slowed or stopped breathing, blue-tinted lips, and unresponsiveness.
NA: The First Step
People in Missouri or elsewhere leaving a hospital or detox program in withdrawal don’t have to wait for a model like this to reach their area. NA meetings offer free peer support the same day, and the fellowship lasts a lifetime.
Call 800-934-1582(Sponsored) to chat with an expert for opioid addiction treatment options, or find an NA meeting anywhere in the country through our searchable directory.

Amid an opioid crisis that keeps claiming lives, the search for a non-opioid painkiller has taken scientists to an unlikely place: the venom of a sea snail. Researchers have highlighted how cone snail venom already produces one powerful pain medicine that carries no known risk of opioid addiction, and scientists believe it could lead to more.
From Deadly Venom to Pain Medicine
The clearest proof so far is a drug called ziconotide, derived from the venom of the magician cone snail, known scientifically as Conus magus. The FDA approved ziconotide back in 2004 for severe chronic pain for those folks who don’t respond to conventional treatment.
However, unlike regular painkillers, ziconotide doesn’t interact with opioid receptors in the brain, which means it isn’t associated with addiction. Instead, it blocks N-type calcium channels that carry pain throughout the nervous system.
There’s a practical catch. Because ziconotide can’t easily cross the blood-brain barrier, it has to be delivered directly into the cerebrospinal fluid through an implanted pump, which limits it to specific cases.
Snails Impact the Opioid Crisis
Opioids remain a mainstay for treating serious pain, but long-term opioid use carries real risks, including dependence and overdose. A medicine that relieves severe pain without touching the brain’s opioid system is exactly the kind of tool clinicians have wanted.
Indeed, ziconotide showed that venom molecules can be turned into effective, non-addictive therapies. That’s why researchers are still mining cone snail venom for new leads.
Scientists’ Next Steps
Researchers say they have barely scratched the surface. One potential area involves alpha-conotoxins. These are a group of venom peptides that can interact with immune cells linked to chronic nerve pain. Scientists are now investigating whether these non-opioid alternatives might one day help treat conditions such as chemotherapy-induced neuropathy and diabetic nerve damage.
It’s important to note that most of this work is still investigational, and these potential treatments are years away from any pharmacy shelf.
Understanding Opioids and Addiction Treatment
Let’s take a step back. Generally, opioids are a class of drugs that includes prescriptions for pain such as oxycodone and morphine, as well as illicit heroin and fentanyl. They relieve pain but can lead to dependence. In higher doses, opioids can result in overdose, such as slowing down the breathing to a fatal level. Non-opioid options matter because they can treat pain while sidestepping that risk.
While scientists work on the next generation of pain drugs, proven tools already save lives today. Take a look:
- Naloxone/Narcan can reverse an opioid overdose.
- Medications for opioid use disorders, including methadone, buprenorphine, and naltrexone, are evidence-based treatments.
- Peer support through Narcotics Anonymous meetings helps many people in recovery.
Begin NA Today
If you or someone you love is affected by opioid addiction, don’t wait for snail venom to hit the shelves. Search NA meetings in any location via our browsable directory. Free and confidential meetings remain a first and long-lasting step to recovery.
You can also dial 800-934-1582(Sponsored) to ask about opioid treatment programs with an expert, and look into harm reduction resources like naloxone and fentanyl test strips.

The opioid crisis continues to leave a long trail, and some of the people carrying its weight are grandparents. As opioid addiction has pulled parents out of children’s lives through death or active substance use, older relatives have stepped in to raise the next generation. Now a handful of states plan to use opioid settlement funds to aid them.
About 300,000 grandparents across the United States are raising their grandchildren, a role that saves the child welfare system an estimated $10.5 billion a year. from 2011 to 2021, an estimated 321,500 kids in the U.S. lost at least one parent to a drug overdose.
Overdose deaths remain widespread but the death toll has eased since 2023. Roughly 70,000 Americans died of drug overdoses in 2025, down 14% from the previous year. Nevertheless, behind each death is a victim and the family members left behind to fill a hole in their lives.
The Settlement Money
The money set aside to address opioid addiction comes from companies tied to the crisis. In 2022, the three largest pharmaceutical distributors, Cardinal, McKesson and AmerisourceBergen, along with manufacturer Johnson & Johnson, settled for $26 billion.
In May 2026, Purdue Pharma and its owners, the Sackler family, settled for an additional $7.4 billion. States like Iowa are now deciding how to spend their shares, often through advisory boards that fund prevention, treatment, recovery and harm reduction.
States’ Responses
Advocates say grandfamilies have largely been left out of those spending decisions, and a few states are starting to change that. Some cities have spearheaded the effort. In Boston, officials are distributing up to $5,000 to families that lost a relative to opioid overdose.
Other states have broader programs. In the south, Alabama launched a pilot offering one-time grants up to $2,000, or $500 per grandchild, across 15 counties. Georgia’s share is $636 million over 18 years, and Illinois expects $1.4 billion by 2038, though neither state has a formal process to direct money to grandfamilies.
New Mexico exempts grandparents with legal custody from some childcare work requirements. Pennsylvania lawmakers introduced a bill to create a Grand-family Assistance Program Fund.
Some programs are still in development. In Ohio, a coalition’s proposal to fund a family emergency fund was denied. However, advocates plan to press on to assist vulnerable community members and their families.
Opioids and Overcoming Overdose
Opioids include prescription painkillers and other narcotics, some of them illicitly manufactured. Fentanyl remains especially far more potent than other opioids, which is part of why overdoses can happen so fast.
Naloxone, the reversal medication known as Narcan, can restore breathing during an opioid overdose and has no effect on someone without opioids in their system. Recognizing an overdose and carrying naloxone are simple life-saving steps for any family touched by opioid addiction.
Recovery looks different for different people. Options include medications for opioid use disorder, counseling, peer support, and mutual-aid groups such as Narcotics Anonymous. These paths can work together.
For instance, family support also means caring for children who’ve lived through loss and instability. At times, loved ones need extra trauma-informed mental health care to cope with their losses.
Starting NA to Fight Opioid Addiction
If you or someone you love deals with opioid addiction, help is available.
One of the easiest steps is to sign up at your local Narcotics Anonymous chapter. These programs offer free and confidential fellowship, with specialized groups conducted online, in Spanish or other languages, or with those who share your background.
Getting started consists of simply dialing 800-934-1582(Sponsored) to speak with an expert. Or, browse our directory to find a meeting anywhere in the United States.

Maine’s drug overdose deaths continue to decline as 2026 progresses. The drop shows that wider access to naloxone and treatment in The Pine Tree State has kept more people alive. Local Narcotics Anonymous chapters and other grassroots efforts have also played roles in keeping the numbers down.
The Opioid Crisis in Maine
Opioids such as prescription drugs like oxycodone slow breathing. An opioid overdose can stop you from breathing entirely.
The good news is that from January through April 2026, Maine recorded 109 overdose deaths, down from 132 over the same period in 2025. Deaths peaked in the state in 2022 at 723 and have declined every year since and fell to 390 in 2025.
Overdose deaths nationwide dropped 13.2% in 2025. One director of opioid response reported that Maine is getting better at keeping people alive but that the long-term focus needs to be prevention.
Driving the Change in Maine
One factor may be the shrinking role of fentanyl. The powerful synthetic opioid was present in 78% of Maine overdose deaths in 2023 and 72% in 2024 before dropping to the 50% percentile in 2026. At the same time, cocaine appeared in a larger share of deaths from 37% in 2023 to 45% in 2025. Maine is seeing less fentanyl, and that while cocaine is lethal, it doesn’t kill as readily.
Dr. Noah Nesin, a Bangor-area physician and opioid expert, cautioned that it’s hard to know why deaths are down since use doesn’t appear to have dropped.
However, nonfatal overdoses have moved in the other direction. They rose from 8,045 in 2024 to 9,072 in 2025 and climbed another 3.6% through the first four months of 2026.
Understanding Naloxone
Still, experts caution against drawing conclusions from that trend. Courtney Gary-Allen of the Maine Recovery Access Project observed that harm reduction works. She noted that clean syringes and naloxone keep people alive until they can get help. Maine’s 2022 Good Samaritan law has also made people less afraid to call 911.
Gary-Allen and other officials have credited naloxone, which is known by the brand name Narcan. Naloxone rapidly reverses an opioid overdose and has no effect on someone without opioids in their system.
Others enroll in medication-assisted treatment (MAT) for their opioid use disorders. MAT has proven to mitigate withdrawal symptoms and improve counseling retention.
Find Help with NA
People facing opioid addiction have several options that can work together. Peer support through Narcotics Anonymous is a popular first step and many folks combine NA with MAT and therapy.
You can search for NA meetings in Maine or anywhere else in the country by calling 800-934-1582(Sponsored) for opioid addiction treatment options. Or simply browse our directory for verified listings filtered by location.

Louisiana’s opioid crisis is increasingly a maternal health crisis, and a statewide summit is putting that connection front and center. The Northeast Delta Human Services Authority (NEDHSA) hosted its 10th Annual Opioid Summit focused on opioid addiction among mothers, infants, and families.
Louisiana features many inpatient facilities that can assist pregnant women, and local grassroots community centers and Narcotics Anonymous chapters exist in almost every neighborhood. But the concern that many residents have remains urgent, as infants have a high risk of being born with substance use disorders if their mothers take drugs. That’s where NEDHSA came in.
A Decade of Confronting Opioid Addiction
NEDHSA serves twelve parishes across Northeast Louisiana and marked a decade of convening the event.
The summit took place June 25, 2026, at the Bayou Pointe Event Center on the University of Louisiana Monroe campus. The theme featured “Addiction and Maternal Health: Opioid Use in Vulnerable Populations.” Over 200 healthcare leaders, behavioral health experts and professionals, local and state policymakers, and community advocates attended.
Maternal Opioid Use is in the Spotlight
NEDHSA noted that since 2018, accidental opioid overdose through fentanyl and other drugs has remained the leading cause of pregnancy-associated deaths in Louisiana. Behind those numbers are mothers and infants whose outcomes can change with early intervention and coordinated care.
“For far too long, addiction has eroded the health, stability, and promise of our communities,” noted Dr. Monteic A. Sizer, NEDHSA’s executive director. Sizer framed the summit as a push for solutions grounded in science and compassion. Presentations covered emerging trends in addiction treatment, stigma reduction, and recovery support.
New Treatment for Mothers & Families
NEDHSA recently expanded its care through the R.I.S.E. Treatment Center. The acronym stands for Reaching Independence through Support and Education and specializes in assisting pregnant women and mothers with substance miseuse. The program blends an interdisciplinary mix of behavioral counseling, primary care for moms and their kids, peer support and wraparound services. R.I.S.E. can help women recover while keeping families together.
Beyond clinical care, peer support is a backbone of long-term opioid recovery. Narcotics Anonymous offers free, community-based meetings where people recovering from narcotic addiction find accountability and support from others who understand.
For families touched by the opioid crisis, pairing treatment and peer recovery with access to naloxone, the overdose-reversal medication, gives communities more ways to keep people alive while they pursue recovery.
Find Opioid Treatment and NA Meetings
If you or someone you love faces an opioid addiction, help is within reach. Search for NA meetings and connect with local opioid treatment programs right in your community.
Don’t wait. Call 800-934-1582(Sponsored) for opioid addiction treatment and recovery resources, and our searchable directory lists NA chapters all across the nation.

Florida is among the states putting the most opioid settlement money to work against opioid addiction. The Sunshine State already features a wide range of care, from treatment and recovery programs to local grassroots Narcotics Anonymous chapters for community members. The incoming $3 billion, dispersed over the coming years, will greatly build up these services.
One community turning those dollars into services is Pasco County, where a local task force in New Port Richey says it is making measurable progress.
Florida’s Opioid Crisis
Residents in Pasco County experienced 2,500+ overdoses in 2024. Unfortunately, more than 200 of those overdoses were fatal; clinicians and first responders administered naloxone, the opioid-overdose reversal medication, more than 1,200 times. “We were actually one of the counties that were really hit hard,” recalled Missy Coyle, a nurse affiliated with the Alliance for Healthy Communities.
The Settlement Money
Five years after it was created, the Pasco County Opioid Task Force now channels settlement dollars into prevention, treatment and recovery. Coyle stocks a self-serve Narcan vending machine and connects folks to mental health services, recovery housing, and basic needs like clothing.
The All Ways Center in New Port Richey brings interventions and recovery under one roof through a partnership between the Alliance for Healthy Communities and The Hope Shot, supported by a federal grant.
Paula Baracaldo chairs the task force and noted the goal is an effective use of funds and to improve the county’s overall system of care. The task force recently partnered with the University of South Florida on a gap analysis and identified the high cost of services and unequal access across the county as key challenges.
Understanding Opioids & Naloxone
Opioid drugs include heroin and prescription pain medications. Fentanyl is a synthetic opioid and is responsible for much of the current overdose risks. Naloxone, sold under brand names including Narcan, can rapidly reverse an opioid overdose if given in time. That’s why community access is so important.
Naloxone is available without a prescription at many pharmacies and through community programs like the ones in Pasco County. Carrying it, and knowing the signs of an opioid overdose such as slowed or stopped breathing and unresponsiveness, can save a life.
Fentanyl test strips can also help people check for contamination in the drug supply.
Recovery from opioid addiction can take more than one form, including medications for opioid use disorder such as methadone and buprenorphine paired with counseling.
NA: The First Step
Narcotics Anonymous is one widely available, free peer-support option.
You can search for NA meetings in Pasco County and across Florida and the rest of the country through our directory. Or, call 800-934-1582(Sponsored) and ask an expert about local treatment options. The point is that recovery is not only possible, but can start today.

Every June 26, World Drug Day puts a simple idea at the center of the conversation about opioid addiction and drug use: accurate information saves lives. For people at risk of a drug overdose, the day is a reminder for them and their families that good facts from reliable sources are part of how recovery and overdose prevention actually happen.
World Drug Day
The International Day Against Drug Abuse and Illicit Trafficking, also called World Drug Day, is observed on June 26 each year to strengthen action toward a world free of drug misuse. The need reflects the growing drug market as new substances and markets pop up worldwide.
The first line of defense is to know the facts. The United Nations Office on Drugs and Crime (UNODC) frames the observance around sharing facts and combating misinformation. Their goal is to encourage people to know the facts and share information only from verified sources.
UNODC publishes the annual World Drug Report and emphasizes a science-based and health-focused approach. Its core message is direct: share the real facts on drugs to help save lives.
Facts Matter in the Opioid Crisis
Misinformation isn’t harmless. When people don’t know that fentanyl now contaminates much of the illicit drug supply, or that naloxone can reverse an opioid overdose, the gaps cost lives. Clear and accurate information helps someone recognize the signs of an overdose, understand that they can treat opioid use disorders, and know that effective options exist.
This is also where stigma does damage. Treating addiction as a moral failing rather than a health condition keeps people from asking for help. The facts point the other way. Recovery is possible and local support exists.
Recognize Opioids & Overdose
Opioids include prescription painkillers or street drugs like heroin and fentanyl. The latter is a synthetic opioid that’s often mixed with other street drugs. An opioid overdose can slow or stop breathing; signs include pinpoint pupils, unresponsiveness, and slow or absent breathing.
Naloxone can reverse it if given in time, which is why harm-reduction tools matter alongside treatment.
For folks with opioid use disorders, evidence-based options include medication-assisted treatment combined with counseling and peer support. These paths complement each other.
NA Meetings Support Recovery
For many people in recovery from narcotic or opioid addiction, Narcotics Anonymous offers ongoing peer support. For first-timers, NA meetings bring together people who understand drug addiction firsthand, are free to attend, and are available in person and online. NA welcomes people regardless of which substances they have used.
Help for Opioid Addiction via NA and Beyond
This World Drug Day, the most useful thing you can do may be the simplest: share accurate facts, and know where to turn. You can start by finding NA meetings anywhere in the country through our directory.
Or, feel free to chat with a specialist by dialing 800-934-1582(Sponsored) to locate opioid treatment programs. You can also access harm-reduction resources like naloxone and fentanyl test strips through local health departments and community organizations.

For anyone facing opioid addiction in San Francisco, or supporting someone who is, the spring of 2026 brought rare encouraging news. Monthly overdose deaths fell to their lowest level in years. The progress is real, but fentanyl remains a constant threat and understanding both halves of that picture matters when you are deciding what help to seek.
The Golden State has a wide breadth of programs for folks impacted by substance misuse. Enroll in an inpatient facility or connect with your neighbors in Narcotics Anonymous chapters. These combined approaches have driven the fatality numbers down.
Let’s take a look. San Francisco recorded 35 accidental overdose deaths in May 2026 and 34 in April, with 219 deaths through the first five months of the year. That five-month total is the lowest since at least 2021, down from 316 over the same period in 2025 and 348 in 2023.
Frisco’s Opioid Crisis
The longer trend shows how far the city climbed before this decline. The city’s overdose deaths peaked at 810 in 2023, then fell to 635 in 2024 and 621 in 2025, a roughly 23% drop from the peak. The first five months of each recent year tell the same story of improvement: 286 deaths in 2021 and a slow trend downward to 219 thus far in 2026.
The progress is real but fragile. Even with the decline, San Francisco’s overdose rate remains among the highest of any large U.S. county. Fentanyl continues to account for a large share of deaths. Officials have also warned that new synthetic opioids are turning up in counterfeit pills, a reminder that the illicit supply remains unpredictable.
Fentanyl’s Backdrop
Fentanyl is a synthetic opioid many times more potent than most other street drugs. Since it’s so strong and often mixed into other narcotics, people can take a fatal dose without knowing fentanyl is present. Signs of an opioid overdose include slow or stopped breathing, blue or gray lips and fingertips, pinpoint pupils, and unresponsiveness.
Lethal doses continue to take their toll. The folks behind these statistics are neighbors, family members and friends. But remember that recovery is possible and the number of survivors are climbing.
Driving the Change
City officials credit expanded treatment capacity and wider access to overdose-reversal medication. San Francisco added hundreds of treatment-focused beds, opened a crisis stabilization center, expanded street outreach teams citywide, and reorganized its response under a “recovery-first” policy. The city also revised harm reduction practices, including limits on distributing certain drug-use supplies in public.
These approaches are debated among public health experts. In fact, some analysts note that other hard-hit counties are improving faster. But the evidence consistently supports connecting people quickly to treatment and keeping naloxone widely available to save lives.
Finding Harm Reduction
Several tools reduce the risk of a fatal overdose and open a path to recovery:
- Naloxone (Narcan) can reverse an opioid overdose in minutes and is available without a prescription and in public venues, even on BART transit.
- Fentanyl test strips let people check drugs for the presence of fentanyl
- Medication for opioid use disorder reduces cravings and overdose risk and is strongly supported by evidence
- Peer recovery support, including Narcotics Anonymous meetings, offers free, ongoing community for people working toward recovery
These options are not in competition. Many people combine medication, counseling, and peer support such as NA.
Starting NA
Narcotics Anonymous remains one of the most effective (and inexpensive) ways to a healthier future. Participating in a NA meeting is free and confidential. You’ll connect with peers in your neighborhood and build a fellowship that lasts a lifetime.
Simply dial 800-934-1582(Sponsored) to explore treatment options with an expert or browse our directory to find NA meetings in any community throughout the USA.

Despite some early breakthroughs to treat methamphetamine addiction, clinicians still have no specific designated medication for this disorder, a gap that has frustrated health providers and victims for decades. But now, new laboratory research suggests an unexpected place to look for one: a link between brain inflammation and the immune system.
A Long Search for a Meth Medication
Unlike alcohol and opioid use disorders, which have several approved medications, methamphetamine addiction has none. For opioids, clinicians can prescribe buprenorphine or methadone. For alcohol, naltrexone or acamprosate.
People in treatment for meth currently rely on behavioral approaches such as counseling and contingency management, which rewards continued abstinence. A new study, however, points toward a possible biological target.
The Study’s Findings
Methamphetamine is a powerful stimulant that floods the brain’s reward system with dopamine and, with repeated use, drives inflammation throughout the body. Stimulant use disorder can affect anyone, and early abstinence often brings fatigue, low mood and a loss of pleasure that reflect a reward system in recovery.
Here’s where the researchers step in. A team led by Habibeh Khoshbouei at the University of Florida College of Medicine studied the ventral tegmental area, a cluster of dopamine neurons at the base of the brain’s reward system. Using electrical recordings from mouse brain slices, they watched methamphetamine speed up those neurons and change the shape of their electrical activity.
The researchers then applied TNF-alpha, an inflammatory molecule, with no drug present. The dopamine neurons reacted almost exactly as they had to meth. A compound called UCB-9260 blocks TNF-alpha signaling, which dulled meth’s effect on the cells and blocked the dopamine transporter that meth hijacked.
By using a sensor that detects dopamine release, the team confirmed that blocking TNF-alpha reduced the dopamine surge meth produced. Khoshbouei described the two systems as engaged in bidirectional crosstalk.
An Existing Drug Class Matters
The finding stands out because TNF-alpha blockers already exist. Medications such as etanercept and adalimumab have been prescribed for years for rheumatoid arthritis and Crohn’s disease, so health providers already understand their safety profiles. Now, TNF-alpha blockers have a new role in reducing the impact of stimulants on the brain.
As for the next steps, Khoshbouei’s team plans to seek NIH funding to test whether these existing drugs can reduce meth’s rewarding pull and lower relapse rates. Repurposing an approved medication is generally faster than developing a new one.
Indeed, it helps to keep Khoshbouei’s work in perspective. This early, preclinical work involved mouse tissue and cell cultures, not people. The researchers caution that no one should take an arthritis drug to manage cravings because blocking TNF-alpha also affects the body’s defenses against infection.
Treatment for Methamphetamine Addiction
For now, the most effective help for methamphetamine addiction combines behavioral therapy, contingency management and peer support.
Narcotics Anonymous, a 12-step program open to people recovering from any drug, can be part of that support. For those not sure about meeting peers in their neighborhood, consider that NA meetings are free, widely available and welcome people who use stimulants as well as opioids.
NA: The First Step
If you or someone you love has a methamphetamine addiction, seek help today. Find NA meetings in your area, explore stimulant treatment programs, and ask providers about contingency management. Call 800-934-1582(Sponsored) to speak with an expert or feel free to browse our directory for NA chapters across the nation.

A new approach to opioid addiction in southern Arizona is showing early results, and an honest look at the program’s first months offers a window into what low-barrier care can and can’t do. To be clear, The Grand Canyon State offers a wide range of treatment options from local Narcotics Anonymous groups to modern inpatient centers.
Residents out in Pima County now have their first medically monitored recovery facility. The center, known as SAFR, for Sobering Alternative For Recovery, opened in January 2026 at 250 S. Toole Avenue in Tucson. The staff has already served more than 130 people in its first three months. A University of Arizona evaluation team found patients staying longer over time while flagging staffing shortages and data-quality problems that still need attention.
Opioids in Pima County
Opioids include a wide variety of drugs, including prescription pain medications. An opioid overdose can slow or stop breathing and each time is a medical emergency.
The scale of the problem is the reason the center exists. Pima County recorded about 2,000 overdose deaths since 2020, and 97% of those deaths were accidental. Even though opioid overdoses have declined nationwide, cases remain high in Arizona overall.
In response, the county’s Board of Supervisors approved $1.8 million in 2025 from the Regional Opioid Settlement Advisory Council to fund the center. The center’s operations are run by Community Bridges.
The Center’s Programs
SAFR operates as an inpatient low-barrier deflection program. It provides medical care to voluntary walk-ins and to people who would otherwise be encountered by law enforcement or emergency services. The center offers 15 beds, is open 24 hours a day and encourages folks to stay 96 hours. Patients don’t need insurance to receive care, and the staffers provide clinical assessments, medications for opioid use disorder (MAT), and referrals for longer-term treatment.
The majority of referrals came through the Tucson Police Department, with others coming from friends, family and other local services.
Fentanyl’s Role
The patients arriving at SAFR reflect how thoroughly fentanyl now dominates the illicit opioid supply. Of those, 91% tested positive for fentanyl and 33% for opiates. Fentanyl is a synthetic opioid far more potent than other street drugs like heroin, which makes overdose far more likely and rapid.
Patients with opioid use disorders can begin or maintain buprenorphine prescriptions at the center. Buprenorphine is a medication used to treat opioid use disorder that reduces cravings and withdrawal and is one of the MAT options.
The Evaluation’s Findings
The University of Arizona RISE team studied the pilot period from January to March 2026. Patients have stayed longer as the program matures. The average stay rose from 10.7 hours in the first month to 89.3 hours in March, moving closer to the 96-hour goal. About 96% of patients received referrals to continued care on discharge.
The evaluators expressed candid remarks about the gaps. As of late March, Community Bridges had filled 11 of 19 staffing positions, leaving a shortage of nurses and behavioral health workers as fentanyl cases increase across the state. The team also flagged data-quality problems, which county health director Theresa Cullen noted must be addressed promptly.
County leaders will decide in the coming months whether to extend the pilot for a year.
Harm Reduction and Treatment Options
Low-barrier centers like SAFR reflect a broader shift toward meeting people where they are.
- Naloxone, often sold as Narcan, can rapidly reverse an opioid overdose and is available without a prescription in most states.
- In addition, fentanyl test strips help people check their supply.
- MAT with buprenorphine or methadone is supported by strong evidence for opioid use disorder.
- Crucially, peer support like Narcotics Anonymous meetings often complement medical treatment for many people in recovery.
If you or someone you love is facing opioid addiction, take a step tonight. Find NA meetings across Arizona and the U.S.,, ask local programs about prescription options, and keep naloxone on hand if you or someone close to you uses opioids.
Simply browse our directory to get started, or call 800-934-1582(Sponsored) to speak with an expert.