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The Fayetteville metropolitan area grapples with significant opioid abuse issues, ranking among the most affected regions in the United States. A 2016 report placed Fayetteville as having the 18th highest opioid abuse rate nationally.
One Fayetteville resident reported losing six friends to drug overdoses in a single year, underscoring the personal toll of the opioid crisis in the community.
The city has around 750 patients undergoing medication-assisted therapy for opioid use disorder. However, there is a need for continued efforts in prevention, treatment, and support for those affected by opioid use disorder in the metro area.
Key Statistics on Opioid Use in Fayetteville, NC
- Approximately 7.9% of Fayetteville residents are estimated to be using opioids.
- Across North Carolina, there was a 23% increase in overdose-related emergency room visits from 2019 to 2020.
- Fayetteville ranks among the top 100 most dangerous cities in the U.S., with over 93% of North Carolina communities having lower crime rates. Fayetteville’s high crime rates may be linked to its status as one of the top 25 cities for opioid abuse in the country.
Opioid Overdose Statistics in Fayetteville, NC
- Cumberland County emergency medical services responded to 1,397 overdose calls in 2019. In 2021, they responded to more than 1,950 overdose calls, which represents a 39.7% increase in just two years.
- Among opioid overdose emergency department visits, 68% now involve heroin and other illicit opioids, including fentanyl.
- For every opioid overdose death in North Carolina, there are approximately five non-fatal overdose ED visits. Each represents an opportunity to connect survivors with recovery resources and treatment.
Demographic Data & Insights
- Rural counties in North Carolina show lower illegal drug use rates (5%) compared to larger metropolitan areas (20.2%), suggesting a concentration of opioid issues in urban centers like Fayetteville.
- Fayetteville’s high opioid abuse rate puts local teens at increased risk of substance abuse.
Common Opioids & Prescribing Trends
- The rate of opioid prescriptions in Cumberland County has shown a notable decline. In 2019, there were 26.4 opioid prescriptions per 100 people. By 2020, this rate dropped to 20.8 prescriptions per 100 people.
- Cumberland County has one of the lowest opioid prescription rates compared to neighboring counties. In 2020, Buckingham County had 4.4 prescriptions per 100 people, while Cumberland had just 0.1 prescriptions per 100 people.
- Heroin is becoming easier and cheaper to obtain in Cumberland County. Heroin and other substances are increasingly being laced with fentanyl.
- In 2020, approximately 70% of drug overdose deaths in North Carolina involved fentanyl.
State Funds & Resource Allocation
- Widespread distribution of naloxone, a life-saving medication that can reverse opioid overdoses, is a key initiative in the area. Since October 2015, local police have administered naloxone to 281 individuals, and 83.4% of these interventions resulted in successful overdose reversals, saving 241 lives.
- Fayetteville has implemented the LEAD program, a pre-booking diversion initiative that redirects low-level drug offenders to community-based treatment and support services instead of arrest and prosecution. This approach aims to reduce recidivism, decrease the burden on the criminal justice system, and connect individuals with substance use disorders to resources.
- Governor Cooper proposed $12 million in statewide mental health funds to combat the opioid crisis, with an additional $2 million for local law enforcement efforts.
- North Carolina counties and municipalities will receive over $640 million over 18 years from opioid settlement litigation, with larger counties eligible for up to $1.5 million annually.
- In 2017, North Carolina received over $15.5 million through the 21st Century Cures Act to address the opioid crisis, focusing on prevention, treatment, and recovery support.
Resources & Support Groups in Fayetteville, NC
- Fayetteville Comprehensive Treatment Center
- Part of a national network of outpatient clinics
- Offers medication-assisted treatment and therapy for adults 18 and older
- Provides methadone and other effective medications
- Phone: 888-731-0272
- Carolina Treatment Center of Fayetteville
- Serves adults 18 and older
- Combines prescription medications with therapeutic interventions
- Focuses on all-inclusive medication-assisted treatment
- Phone: 910-900-6333
- Address: 3427 Melrose Rd, Fayetteville, NC 28304
- New Season Treatment Center
- Outpatient opioid treatment center
- Serves Fayetteville and surrounding areas
- Led by medical professionals who create customized treatment plans
- Phone: 910-483-0958
- Address: 418 Person St STE 103, Fayetteville, NC 28301
- Precious Haven
- Provides addiction treatment for children and adolescents ages 7 to 18
- Phone: 910-868-6092
- Address: 315 Dick St, Fayetteville, NC 28301
- Better Health of Cumberland County
- A nonprofit organization providing services for low-income and underserved populations
- Phone: 910-483-7534
- Address: 1422 Bragg Blvd, Fayetteville, NC 28301
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).