What happened: The city of New Britain, Connecticut, reported a 51% decrease in opioid-related deaths after implementing a naloxone training and social service referral program. The initiative included training community members on naloxone administration, equipping EMS providers to act as recovery coordinators, and connecting individuals to addiction support services.
From 2023 to 2024, opioid deaths in New Britain, a city of 75,000 residents, fell from 43 to 21. While the raw numbers are small, the public health impact is significant, demonstrating how consistent harm reduction strategies can help curb opioid-related fatalities.
| More: Conn. city sees a significant drop in opioid deaths
Highlights
Watch as Ed Bauter, MBA, MHL, NRP, FP-C, CCP-C; and Daniel Schwester, MICP, highlight the significance of this development, including:
- Empowering EMS providers beyond emergency response. New Britain’s program positioned EMTs as recovery coordinators, enabling them to refer patients to addiction services and social support — a strategy that could be expanded in larger urban settings.
- Sustained commitment to harm reduction. The program’s success stems from long-term funding and persistence, even after the COVID-19 pandemic strained resources. The city maintained its grant funding and continued outreach efforts, proving that consistent intervention yields results.
- Scalability of community-based opioid response programs. While New Britain is a smaller municipality, its results suggest that similar initiatives could work in larger cities, potentially leading to 20-30% reductions in opioid-related deaths in more urban settings.
|More: Training Day: Naloxone indications and administration
The path forward
New Britain’s success underscores the importance of naloxone accessibility, community education, and EMS involvement in long-term addiction recovery. As more cities explore harm reduction programs, data-driven approaches and grant funding will be critical in sustaining these efforts.
With states like New Jersey also reporting declines in overdoses, it’s clear that treating opioid addiction as a public health issue rather than just a crisis response is making an impact. Future initiatives should expand EMS roles, integrate follow-up care, and prioritize long-term support for individuals struggling with addiction.
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