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Sacramento County, along with neighboring Placer and El Dorado counties, has consistently shown higher opioid overdose rates compared to the California average.
In addition, Sacramento County has experienced a dramatic surge in fentanyl-related deaths in recent years. In 2018, there were 17 fentanyl-related fatalities in the county. By 2022, this number had skyrocketed to 228 deaths.
Public health initiatives are focusing on increasing awareness of overdose symptoms and expanding access to naloxone, a life-saving medication that can reverse opioid overdoses.
However, disparities in access to medication-assisted treatment persist, calling for creative initiatives and policy changes. Additionally, culturally competent interventions are needed to target at-risk populations, including increasing awareness about synthetic opioids and expanding evidence-based interventions like naloxone distribution.
Key Statistics on Opioid Use in Sacramento
- In Sacramento County, fentanyl-related deaths increased from 17 in 2018 to 305 confirmed deaths in 2023.
- The opioid overdose rate in California as a whole is 10. In Sacramento County, it’s 30.
- There were 207 opioid overdose-related visits to Sacramento County emergency rooms in 2017.
- Between 2018 and 2020, non-heroin-related opioid emergency department visits more than doubled.
Opioid Overdose Statistics in Sacramento
- The opioid crisis in Sacramento reflects broader trends across California. In 2019, the state recorded over 3,200 opioid-related deaths. Between September 2021 and September 2022, California saw 5,942 deaths related to fentanyl, accounting for approximately 86% of all opioid-related fatalities in the state.
- Fentanyl was involved in 86% of all opioid-related deaths in California between September 2021 and September 2022.
Demographic Data & Insights
- Non-Hispanic white adults are 14 times more likely to receive medications for opioid use disorder compared to non-Hispanic Black adults.
- American Indian or Alaska Native and multiracial individuals have higher rates of substance use and substance use disorders.
- Young adults (18-34 years) have a higher risk for opioid misuse compared to older adults.
- Middle-aged adults (40-59 years) receive 45.7% of opioid prescriptions.
- Women report higher lifetime prescription opioid use (54.9%) compared to men (42.2%), indicating a gender disparity in opioid use patterns.
- Rural areas in the Central Valley and Northern California have higher opioid prescription rates than urban areas.
- Residents of large metropolitan areas are three times more likely to receive opioid use disorder medications than those in nonmetropolitan areas.
Common Opioids & Prescribing Trends
- While prescription opioid deaths decreased by 30% from 2011 to 2019, fentanyl-related deaths increased tenfold in the same period.
- Local law enforcement, including DEA officials, have identified fentanyl as the top drug threat in the Sacramento area.
- The number of amphetamine-related emergency department visits in Sacramento County increased nearly 50% between 2018 and 2020.
State Funds & Resource Allocation
- The CA Bridge Program has led to the rapid adoption of low-threshold buprenorphine treatment in California emergency departments.
- California has removed the Treatment Authorization Request (TAR) requirement for most buprenorphine medications under Medi-Cal.
- Sacramento is exploring new methods to address the evolving opioid crisis. One is a collaboration with Song for Charlie to highlight the dangers of self-medication and casual drug use in the fentanyl era. A partnership with AmeriCorps VISTA Program enhances community outreach and education efforts.
Resources and Support Groups in Sacramento
- MedMark Treatment Center
- Offers medications for addiction treatment and individual counseling
- Address: 7240 E. Southgate Dr., Ste G, Sacramento, CA 95823
- Phone: 916-330-3437
- C.O.R.E. Medical Clinic
- Offers medications for addiction treatment, detox, and medical services, including free treatment options
- Address: 2100 Capitol Ave., Sacramento, CA 95816
- Phone: 916-442-4985
Frequently Asked Questions
If you do not have insurance, the cost can vary based on the prescribed dose. Patients unable to afford buprenorphine/naloxone (Suboxone) (regardless of insurance coverage) can apply for cost-assistance. The company that makes Suboxone offers this type of program to help reduce out-of-pocket expenses. To learn more, go to: inSupport program.
You can also get discounted buprenorphine/naloxone (Suboxone) using pharmacy coupons or cash prizes. If you go to the GoodRx website (goodrx.com), you can enter in your zip code and find coupons and discounts at your pharmacy of choice. (On average, if you use GoodRx coupons/discounts, you can slash the typical price of generic Suboxone film from $395 to $118).
Before you are prescribed buprenorphine/naloxone (Suboxone), you will need to undergo an initial medical evaluation so that the doctor can ensure that it is an appropriate medication for you, though this does not require an in-person visit and can be done via telehealth (with video or telephone).
Once you have completed this assessment, the doctor will send a prescription to your preferred pharmacy. So, yes! You can find a licensed buprenorphine/naloxone (Suboxone) provider online and they can get you started on it via telehealth services without any in-person appointments.
- Buprenorphine/naloxone (Subxone) which is available in outpatient clinics (at your primary care doctor’s office or a psychiatrist’s office)
- Naloxone (Vivitrol) which is available in outpatient clinics (at your primary care doctor’s office or a psychiatrist’s office)
- Methadone, which is available only through methadone clinics
If you are interested in Buprenorphine/naloxone (Suboxone) offered entirely through telehealth services, visit bicyclehealth.com. To get help on finding other treatment options and levels of care (such as inpatient programs, intensive outpatient programs/IOPs, residential programs, and methadone clinics), call the SAMHSA helpline at:
1-800-662-HELP (4357).