Today is National Fentanyl Awareness Day

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Today marks the first ever National Fentanyl Awareness Day, a day of action to raise public awareness about an urgent problem: people dying at alarming rates due to illegally made fentanyl.

But what is fentanyl?

Fentanyl is a powerful opioid many are unaware has entered the market. Fentanyl is a synthetic or “man-made” opioid that is 80-100 times stronger than other opioids like morphine and heroin.

There are two types of fentanyl: medical grade (prescribed by a doctor) and illegally made (illicit). Illegally made has been involved in the majority of U.S. drug deaths in recent years.

Fentanyl is very cheap and extremely addictive. There is an alarming nationwide trend of drug dealers mixing illegally made fentanyl with, and disguising it as, other common drugs like Oxycodone, Percocet and Xanax to increase profits. People may not be able to tell if fentanyl is present based on taste, smell, or the look of the drug. In Washington, fentanyl has been found in counterfeit pills made to look like prescription opioid pills, as well as in powders and black tar heroin. According to the WA Department of Health, people should assume that any drug not from a pharmacy could have fentanyl in it.

Most recent cases of fentanyl-related overdose and death have been linked to illegally made fentanyl. New data show that deaths from drug overdoses continue to increase for Washington residents and that fentanyl is a major driver. Preliminary data as of April 13 show drug overdose deaths involving synthetic opioids in all of 2020 is nearly twice the number in 2019. In 2021, the number of overdose deaths were 72% higher than overdose deaths in 2020. Fentanyl overdose deaths have increased about 10-fold since 2016.

What can Skagitonians do to help?

Know the facts about fentanyl and share them with your friends.

  • Fentanyl is extremely potent. As little as two milligrams of fentanyl, an amount equal to a few grains of salt, can kill a person.
  • Do you know where your pill came from? Any pill you don’t directly get from a pharmacy may contain a lethal dose of fentanyl. Real prescription drugs are not available on Instagram or Snapchat.

If you are a parent or educator, don’t avoid the topic.

  • Young people are dying from lack of information about this. 35% of youth ages 13-17 say they don’t know enough about fentanyl and its rate of danger, and 73% have never heard of fentanyl in counterfeit pills.
  • In our region, fentanyl is most commonly seen in blue, greenish, or pale colored counterfeit pills. There may be other colors. These pills may be marked as “M30” and sometimes as “K9,” “215,” and “v48.” Fentanyl may also be in white powders.

If you’re a person who uses drugs, or is considering using drugs, exercise caution.

What should you do if someone may be overdosing?

  • Under the statewide standing order, anyone can get naloxone at a pharmacy without seeing a doctor first.
  • The Good Samaritan Overdose law (RCW 69.50.315) says neither the victim nor people assisting with an overdose will be prosecuted for drug possession.

Help people struggling with opioid use disorder to find the right care and treatment. If you, or a loved one, want treatment or just want to learn more, see the Washington Recovery Helpline, or call 1-866-789-1511.

For information about what Skagit County is doing about the opioid and fentanyl crisis, for list of local treatment providers, or to learn how to use naloxone, go to www.skagitrising.org or call (360) 416-1500.

Connecting the Dots: Youth Alcohol Awareness!

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Did you know, April is Alcohol Awareness Month? If you haven’t already, now may be a good time to reflect on your drinking patterns and the role that alcohol plays in your life.

This year’s theme is “Connecting the Dots: Opportunity for Recovery, which focuses primarily on youth education and prevention. This specific group of individuals can be easily influenced by alcohol and other substances if not educated or informed about risks. For this reason, we are asking you to join us this month to help raise awareness in our communities, schools, and homes on alcohol use. 

Our youth in Skagit County

According to the 2021 Healthy Youth Survey, Alcohol use has been reported by youth as young as 6th grade, and prevalence of regular use increases each year. By 12th grade, approximately 1 in 5 12th graders reported drinking in the past month. This can be for many reasons, perhaps one being that children in these grades are not getting enough information about alcohol.

Why is it important?

Research shows that heavy alcohol use during teen years can permanently damage the still developing brain. Alcohol use at a young age is also associated with violence, poor school performance, suicide, and risky sexual behavior. The use of alcohol at this early age can lead to possible substance abuse later in life and Alcohol use disorder (AUD), which affects about 15 million adults in the United States. There are more than 380 deaths each day in the U.S. due to excessive alcohol use, making alcohol the third leading preventable cause of death in the nation.

Looking for something positive? Research also shows that about 50% of children who have conversations with parents about risks are less likely to use drugs and alcohol, than those who do not. That’s why “connecting the dots” with your child, sibling, cousin, niece, or nephew is so important.

What can we do to help spread awareness?

Although one month out of the year is not enough time to help educate and help everyone recover, continue to spread the word about the importance of alcohol awareness to friends and family.

Get creative and make informational flyers about the topic with resources and distribute them around your neighborhood town, local stores etc. Host a fundraiser to donate money to local non-profit treatment facilities.

For more information please visit:

Alcohol Awareness Month | AlcoholAwareness.org

Alcohol Awareness Month: Learn About Alcohol Use Disorder and Ways to Get Help | National Institute on Alcohol Abuse and Alcoholism (NIAAA) (nih.gov)

Skagit County | Addictions, Drug & Alcohol Institute (uw.edu)

HYS Fact Sheets (askhys.net)

Alcohol and Public Health | CDC

Aquí para ayudarlo a encontrar los servicios y tratamientos que usted o su familia están buscando.

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¡Hola, mi nombre es Aracely!

Comprender el sistema de atención médica puede ser difícil para la mayoría de nosotros. El sistema de atención de la salud conductual es aún más complicado. Soy una trabajadora de salud comunitaria / promotora que está aquí para ayudarlo a navegar por el sistema de atención de salud conductual para que usted y sus seres queridos puedan obtener la atención que necesita.

Primero, ¿qué es la salud conductual? La salud conductual abarca tanto los trastornos de salud mental como los trastornos por uso de sustancias (también llamados adicción). El tratamiento está disponible, pero encontrarlo y comprender los beneficios del seguro puede ser difícil.

Mi trabajo es trabajar con personas para ayudarlas a encontrar el tratamiento que necesitan. Además, estoy trabajando para crear conciencia y apoyo a la comunidad hispana / latina. Personalmente conozco las luchas y barreras que las personas de habla hispana pueden enfrentar cuando buscan atención, y quiero ayudar a romper esas barreras.

Esto es lo que puedo hacer para ayudarte:

  • Asistirte en inglés y español.
  • Conectarlo con proveedores de servicios.
  • Ayudarle a encontrar necesidades básicas como alimentos y ropa.
  • Ayudarle a aprender acerca de las opciones de tratamiento.
  • Ayudarle a encontrar un proveedor de atención de salud conductual.
  • Ayudarle a encontrar ayuda para inscribirse en el seguro o Medicaid.
  • Ayudarle a entender los beneficios de su seguro.
  • Ayudarle a obtener naloxona, el medicamento para revertir la sobredosis de opioides, y mostrarle cómo usarlo.

Estoy disponible de lunes a viernes, de 8 a.m. a 4:30 p.m. Me pueden contactar en:

  • Correo electrónico: aracelyp@co.skagit.wa.us
  • Teléfono de la oficina: 360-416-1544
  • Teléfono celular: 360-391-7201 (acepta texto)

Here to help you find the services and treatments you or your family are looking for.

Hi, my name is Aracely!

Understanding the healthcare system can be tough for most of us. And unfortunately, the behavioral healthcare system can sometime be even more complicated. I’m a Community Health Worker/Promotora who is here to assist you in navigating the behavioral healthcare system so you and your loved ones can get the care you need.

First, what is behavioral health? Behavioral health encompasses both mental health disorders and substance use disorders (also called addiction). Treatment is available but finding it and understanding insurance benefits can be difficult.

My job is to work with individuals to help them find the treatment they need. Additionally, I am working to bring awareness and support to the Hispanic/Latino community. I personally know the struggles and barriers that Spanish-speaking individuals can face when seeking care, and I want to help break down those barriers.

Here is what I can do to help you:

  • Assist you in English and Spanish.
  • Connect you with service providers.
  • Help you find basic needs like food and clothing.
  • Help you learn about treatment options.
  • Help you find a behavioral health care provider.
  • Help you find assistance signing up for insurance or Medicaid.
  • Help you understand your insurance benefits.
  • Help you get naloxone, the opioid overdose reversal drug, and show you how to use it.

I am available Monday-Friday, 8 am-4:30 pm. I can be reached at:

Teen Substance Use Prevention Starts with a Conversation

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Research suggests that one of the most important factors in healthy child development is a strong, open relationship with a parent or caregiver. Believe it or not, parents and caregivers are the most powerful influence in a child’s life and can make a huge impact when it comes to youth substance use prevention.

Parents and caregivers need to start talking to their children about alcohol and other drugs before they are exposed to them—typically in the early preteen years. But before you get talking, it is important to get prepared. Before beginning the conversation with your child, consider: What are your goals or what you like your child to walk away with?

If you’re overwhelmed by the idea of talking to your child about alcohol or other drugs, start with a game plan. Keep reading for a list of 5 helpful goals for when you talk to your child.

1. Show you disapprove of underage drinking and other drug misuse.

Studies have shown that over 80 percent of young people ages 10–18 say their parents are the leading influence on their decision whether to drink. It is important to send a clear and strong message that you disapprove of underage drinking and misuse of other drugs.

It is recommended that parents begin talking to their children about alcohol at 9 years of age. Need some ideas for how to start this conversation with your child? Check out Start Talking Now for some conversation starters.

2. Show you care about your child’s health, wellness, and success.

Young people are more likely to listen and internalize your message when they know you’re on their side. Reinforce why you don’t want your child to drink or use other drugs—because you want your child to be happy and safe. The conversation will go a lot better if you’re open and you show concern.

Children are also less likely to drink or use marijuana or other drugs when their parents or caregivers are involved in their lives and when they feel a close connection. Some ways to increase or improve family bonding include:

  • Giving your kids at least 15 minutes of one-on-one time every day
  •  Doing fun things together
  •  Giving positive feedback about the healthy choices your child makes
  •  Eating as a family five times per week

3. Show you’re a good source of information about alcohol and other drugs.

You want your child to make informed decisions about alcohol and other drugs with reliable information about their dangers. So where are they getting their information?

You wouldn’t want your child to learn about alcohol and other drugs from potentially unreliable sources—from friends or social media. So, establish yourself as a trustworthy source of information!

After all, kids who learn a lot about the risks of alcohol and other drugs at home are less likely to use. In Washington, 85.3% of 10th graders who report having clear family rules about alcohol and drugs don’t drink (Healthy Youth Survey, 2018).

So, before you begin the conversation, make sure you have the facts! To get started, visit Start Talking Now.

4. Show you’re paying attention and you’ll discourage risky behaviors.

Show that you’re aware of what your child is up to, as young people are more likely to drink or use other drugs if they think no one will notice or that there will be no repercussions. If possible, try to do this in a subtle way, without prying.

The best way to monitor your child’d behavior and stay engaged in their daily life is by having a conversation. Try asking some of these questions when they spend time with their friends:

  •  Where are you going?
  •  What will you be doing?
  •  Who will be with you?
  •  When will you be home?
  •  Will there be alcohol, marijuana or other drugs?

5. Build your child’s skills and strategies for avoiding underage drinking and drug use.

Even if you don’t think your child wants to drink or try other drugs, peer pressure is a powerful thing. Having a plan to avoid alcohol and drug use can help children make better choices. Talk with your child about what they would do if faced with a decision about alcohol and drugs.

You can help your child practice how to say “no” by visiting Start Talking Now.

Making sure that your child knows that they can come to you when they need you is also critical. Plan ahead—talk to your child about what they should do if they find themselves in a dangerous situation. Maybe it’s texting a code word for a no-questions-asked pick up.

Thankfully, you don’t need to accomplish all of the goals listed above in one conversation. It is important to chat about these topics frequently and beginning at a young age. In the end, the most important goal is to make sure that your child knows that they can come to you when they have questions or when they need help.

Want to get involved in teen substance use prevention initiatives in your community? Find out more about our local prevention coalitions:

Mount Vernon
MV HOPE – https://mvhope.com/
Coalition Coordinator – Bethany Sparkle (b.sparkle@skagitymca.org)

Burlington
Burlington Healthy Community Coalition – https://www.facebook.com/Burlington-Healthy-Community-Coalition-105142296193 
Coalition Coordinator – Liz Wilhelm (liz.wilhelm@unitedgeneral.com)

Sedro-Woolley
Sedro-Woolley RISE – https://www.facebook.com/SedroWoolleyRISE
Coalition Coordinator – Samantha Stormont (sstormont@swsd101.org)

Concrete
Concrete Resource Coalition – https://www.facebook.com/concreteresourcecoalition
Coalition Coordinator – Marlena White (marlena.white@unitedgeneral.org) 

Secure Medicine Return…Now Available Statewide!

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Secure medicine return has been a major area of focus for Skagit County Public Health for several years now. You may have seen return boxes popping up here and there over the past 2-3 years at police departments, pharmacies, and county buildings. You might have also taken part in one of our local take back events, hosted by law enforcement and prevention coalitions, which take place every April and October.

What you may not know though is that Washington State only just recently adopted a statewide Secure Medicine Return Program, which officially launched on November 21! If you have questions about the program, and about how to dispose of your unused or expired medication, please read on…

What is the Secure Medication Program?

Safe Medication Return is a unified, statewide program that gives Washington residents free, convenient, and environmentally responsible options to dispose of unwanted medication. Drug manufacturers fund the program at no cost to taxpayers.

Safe Medication Return is operated by MED-Project, which is the approved program operator. The Washington State Department of Health oversees the establishment of the program, monitors on-going operations, manages enforcement when compliance issues arise, and evaluates program effectiveness.

Why is secure medication disposal important?

Properly disposing unused and expired medication is a great way to protect your family and your community. Research has shown that unused, unwanted, and/or expired medicines in your home pose an increased risk for drug misuse/abuse. Local data has shown that the home medicine cabinet is one of the most common places for people to go when looking for drugs to get high.

Accidental poisoning is also of major concern. Many young children get poisoned by taking medicine not intended for them. If medication is left out or stored improperly, the likelihood of little hands getting hold of these medications is quite high.

Lastly, disposing of medications improperly is bad for the environment. When medicines are flushed down the toilet or thrown in the trash, it pollutes our water and soil.

How does it work?

There are two main ways to return your unused medication. Both options are FREE.

  • Mail in your unused medication
    • Request a free prepaid envelope and one will be sent to you by mail.
    • Place your unused medication in the envelope
    • Mail the package as you would any other parcel.
  • Take it to a drop off site
    • Find your nearest drop off site, and deposit your medication in the kiosk. That’s it!
    • You do not need to provide an ID, talk with anyone, or complete paperwork.

What medicines are accepted by MED-Project? 

Medicines in any form including solids, liquids or patches, inhalers and prefilled products containing a sharp and auto-injectors (such as Epi Pens). This can include:

  • Prescription and over the counter medicines
  • Brand name and generic medicines
  • Controlled substances
  • Pet medications 

What medicines are NOT accepted?

  • Vitamins or supplements
  • Herbal-based remedies and homeopathic drugs, products or remedies
  • Cosmetics, shampoos, sunscreen, toothpaste, lip balm, antiperspirants or other personal care products
  • Pet pesticide products contained in pet collars, powders, shampoos or other forms
  • Medical sharps (needles, syringes) and empty auto injectables (such as used Epi Pens)
  • Medical devices
  • Medicines generated by businesses

For more information, visit the WA Department of Health’s Secure Medication webpage here. You can also contact Skagit County Public Health either by email at eh@co.skagit.wa.us or by phone (360) 416-1500.

Thank you for taking this extra step to ensure the safety of your friends and neighbors!

Overdose Prevention: Preparedness Saves Lives

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Overdose deaths accelerated in Washington State in 2020, increasing by 38% in the first half of 2020 compared to the first half of 2019. Preliminary data show 835 overdose deaths in Washington State in the first six months of 2020 compared to 607 deaths in the first half of 2019. Fentanyl-involved deaths more than doubled from 137 to 309 during that time. Most deaths involved multiple substances and many involved fentanyl. In Skagit County, a total of 143 nonfatal and 28 fatal overdoses were reported in 2020. Of those, 18 nonfatal and 10 fatal were related to fentanyl.

Substance use disorder is a disease that impacts many in our community. Overdose deaths are preventable with preparedness, education, and community care.

Illicit fentanyl is a synthetic or “man-made” opioid that is 80-100 times stronger than other opioids like morphine and heroin. In Washington state, fentanyl has been found in counterfeit pills made to look like prescription opioid pills, as well as in powders and black tar heroin. People may not be able to tell if fentanyl is present based on taste, smell, or the look of the drug. According to the WA Department of Health, people should assume that any drug not from a pharmacy could have fentanyl in it.

Everyone can play a role in saving lives in our community. If someone in your life is struggling with substance use disorder, learn the the signs of opioid overdose including; the inability to wake up; slow or no breathing; and blue, gray or ashy skin, lips or fingernails.

If you are struggling with substance use, do your best not to use alone and start slow using a tester amount to determine strength. If you must use alone, call 800-484-3731 (Never Use Alone) to ensure someone can help in the event of an overdose.

Skagit County also encourages those dealing with substance use disorders to carry at least two doses of Naloxone. Naloxone (also called Narcan®) is a safe and simple medication that reverses the effects of opioid overdose. If someone may be overdosing, call 9-1-1, give naloxone, and perform rescue breathing.

Naloxone can be administered nasally or intramuscularly. There are currently four types of naloxone available. For more information, visit SkagitRising.

Naloxone is easy to access in Washington State:

Under the statewide standing order, anyone can get naloxone at a pharmacy without seeing a doctor first.

Remember, the Good Samaritan Overdose law (RCW 69.50.315) says neither the victim nor people assisting with an overdose will be prosecuted for drug possession.

Help people struggling with opioid use disorder to find the right care and treatment. If you or a loved one want treatment or just want to learn more, see the Washington Recovery Helpline, or call 1-866-789-1511.

For information about what Skagit County is doing about the opioid and fentanyl crisis, for list of local treatment providers, or to learn how to use naloxone, go to www.skagitrising.org or call (360) 416-1500.

Overdose Prevention & You

Reading Time: 3 minutes

Bob Lutz, Washington State medical advisor for COVID-19 response, states that “Washingtonians with substance use disorders may have found themselves using more frequently [during the COVID-19 pandemic], and unfortunately, the data suggests they are also overdosing more often.” Alarmingly, Skagit County has also observed an increase in opioid-related overdoses. Keep reading for preliminary, 2020 State- and County-level overdose data.

But first, a quick terminology refresher!

Overdose happens when a toxic amount of a drug, or combination of drugs, overwhelms the body. People can overdose on lots of things including alcohol, Tylenol, opioids or a mixture of drugs. When an opioid overdose occurs, the overdosing individual may experience slow or no breath, choking or snore-like sounds, pinpoint pupils, blue/ashy skin, nails and lips, unconsciousness and/or death. Fortunately, there are harm reduction practices and prevention interventions that can significantly reduce one’s chances of overdose and death. Visit SkagitRising to learn more.

Fentanyl is a synthetic or “man-made” opioid that is 80-100 times stronger than other opioids like morphine and heroin. There are pharmaceutical forms of fentanyl that are used for anesthesia and pain. However, most recent cases of fentanyl-related overdose and death have been linked to illegally made fentanyl. Any illicit drug in any form – powder, pill, etc. – could have fentanyl in it. You can’t necessarily tell if fentanyl is present based on taste, smell, or look of the drug. According to the DOH, we should assume that any drug not from a pharmacy could have fentanyl in it.

POTENTIAL TRIGGER WARNING:

In Washington, fentanyl has been found in counterfeit pills made to look like prescription opioids (often with an imprint of “M30” or “A215”), as well as in powders and black tar heroin.

Opioid Overdose Data

Last month, the Washington State Department of Health published a News Release, which includes preliminary overdose data for the first six months of 2020.

Here is a Brief Snapshot:

  • Overdose deaths in Washington State increased by 38% in the first half of 2020, compared to the first half of 2019. Most of this increase came from deaths involving fentanyl.
  • Fentanyl-involved deaths more than doubled from 137 to 309.
  • Most deaths involved multiple substances, sometimes called polysubstance use.

Skagit County also observed an increase in opioid-related deaths when compared to 2019. While Public Health and many other community partners have been working diligently to reduce the impacts of opioid misuse and overdose in our communities (see list of collaborative efforts here: https://skagitrising.org/what-is-being-done/), we need your help!

How YOU Can Help

We all play an important role in reducing opioid overdoses and saving lives in our communities.

  • The COVID19 pandemic has affected us all. Stress and social isolation may increase risk of substance misuse and overdose. Offer support to friends and family – send a text, call, video chat, get together in one-on-one or in a small group outside.
  • Know the signs of an opioid overdose and how to help.
  • Naloxone (also called Narcan®) is a safe medication that reverses the effects of an opioid overdose. If you use opioids or know someone who does, make sure to carry naloxone. You could save a life! Under the statewide standing order, anyone can get naloxone at a pharmacy without a prescription.
  • If you think someone is overdosing don’t hesitate to call 911. The Good Samaritan Law (RCW 69.50.315) protects you and the person overdosing from prosecution of drug consumption and drug possession.
  • Help those struggling with opioid use disorder find the right care and treatment. Buprenorphine and methadone, two medications used to treat opioid use disorder (MOUD), can cut the risk of a fatal opioid overdose in half, and support long-term recovery. Find local MOUD treatment programs by visiting https://skagitrising.org/  
  • If you use drugs, please practice harm reduction techniques. If you must use alone, call 800-484-3731 (Never Use Alone Hotline).

Additional Info

Feeling overwhelmed and/or don’t know where to start? You are not alone. Visit the WA Recovery Helpline (or call 1-866-789-1511) where they provide emotional support and connect callers with local treatment resources and community services. You can also learn about local resources by visiting https://skagitrising.org/resources/

If you have questions, want to learn more about behavioral health services in Skagit County, or would like to pick-up free naloxone or fentanyl test strips, contact McKinzie Gales, Community Health Education Specialist at mgales@co.skagit.wa.us or (360)416-1528.

SkagitRising: A New Opioid & Substance Use Resource

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Watch out, there is a new resource website in town!

Last week, Skagit County officially announced the launching of a new website pertaining to local opioid and substance use resources. This website is called SkagitRising and was created in partnership between Skagit County Public Health, the Population Health Trust and the Opioid Workgroup Leadership Team, to connect community members to pertinent behavioral health information and services. SkagitRising aims to provide community members—a.k.a you and me—with educational information, harm reduction/prevention techniques, local resources, tips for supporting others, and more.

Don’t know if SkagitRising houses the information you are looking for? Keep reading!

The Motivation Behind SkagitRising

In 2015, Public Health conducted a Community Health Assessment, and the community clearly identified the opioid crisis as a main public health concern. Over the last five years, Public Health, the Population Health Trust and the Opioid Workgroup Leadership Team have advocated for and acted on a variety of programs, services and policies to improve the lives of individuals impacted by substance use. One of the goals that these groups advocated for was the creation of an interactive, virtual “hub” that would make it easier to gain information and access to support services. SkagitRising is the result of this goal.

Navigating the behavioral health* system can be challenging. If you’ve done it, or know someone who has, then you know what I mean. SkagitRising breaks down barriers to accessing information and presents local resources and support services in an attempt to reduce stigma and the impact of substance use in our community.

*Behavioral health is a common Public Health term that encompasses both mental health and substance use disorders.

How to Access SkagitRising

To access SkagitRising, either type or copy and paste www.skagitrising.org into your browser’s address bar (also known as the URL bar). You can also search “skagitrising.org” or “skagitrising” using Google or a similar platform, and the website should auto populate as one of the first search results. SkagitRising is both browser and mobile friendly. If you have an internet connection, you should be able to access the website without any problem.

How to Know if SkagitRising Has Information for You

Are you interested in learning more about opioids, opioid use disorder or substance use disorders? Do you currently use either prescription or recreational drugs? Do you have a family member, friend, co-worker or neighbor who uses prescription or recreational drugs? If you answered “yes” to any of these three questions, then this website is for you. AND even if you didn’t answer “yes,” this website is still worth checking out.

When visiting skagitrising.org, you will find an abundance of information. You can:

  • Review data
  • Learn how opioids impact the brain
  • Find out common symptoms of addiction
  • Read tips for talking to your doctor, kids and/or elders
  • Learn how to help in an opioid overdose and how to reduce stigma
  • Read about treatment terms and types
  • Discover resources and support services
  • Find out what is being done in Skagit County
  • Find ways that you can get involved

P.S. There are more topics than those just listed … but I can’t give it all away! You’ll have check out SkagitRising for yourself.

Resources

While SkagitRising is an opioid and substance use resource website, we understand there are many factors that influence an individual’s ability to live a healthy life. This is why you will find resources not only pertaining to treatment and recovery, but also housing, urgent care, legal, veterans, and senior services. SkagitRising also offers resources for employers, community members and property owners, and medical providers and prescribers.  

Additionally, throughout SkagitRising, you will see several sections of text or images that are linked to external reputable websites such as stopoverdose.org, the WA Recovery Helpline, the WA State Department of Health, the Substance Abuse and Mental Health Services Administration, and the Centers for Disease Control and Prevention.

Help spread the word! Please consider sharing SkagitRising by word-of-mouth, by posting about this website on social media or by displaying SkagitRising Rack Cards (available in English and Spanish) in your place of business.

If you would like to request Rack Cards, add to or edit the listed resources, or have questions, please contact us here: https://skagitrising.org/contact/