Unintentional fatal overdoses: demographic profile.

Like many communities, Tompkins County has experienced an increase in unintentional overdose deaths. When reviewing these datasets it is important to always remember that they represent individuals who are sons and daughters, families and friends whose lives have been interrupted or tragically ended, in some cases without warning.

The graphs below provide demographic information about the 100 people who died in Tompkins County from accidental drug overdose from 2019-2023. The larger sample size provided by totaling across five years increases the confidentiality of the individuals, and the confidence in how the data is interpreted.

 
တၢ်သံလၢအဘၣ်ထွဲဒီးကသံၣ်မူၤဘှီး

The deaths in this dataset may include overdose deaths due to pharmaceutically and illicitly produced, naturally occurring, semi-synthetic, and synthetic drugs. These deaths may not be attributed to an overdose.

 
Overdose deaths

This dataset represents deaths from all opioids, including heroin, synthetics, and pharmaceuticals.

 
Emergency Department Visits and Hospitalizations

Emergency department visits and hospitalization rates help to show the extent of the opioid crisis in Tompkins County.  

 
EMS Suspected Opioid Overdose Incidents

 
Narcan Training and Distribution

Many individuals carry Narcan with them so they are ready to act if they see someone who appears to be overcome by a drug overdose. Tompkins County Whole Health and its partners are working to distribute Narcan to more residents and train them in how to use it.

     [How to give Narcan]

Across the state, the NYS Department of Health is setting up Opioid Overdose Prevention Program (OOPP) sites to distribute Narcan and train the public in its use. TCWH is a Registered OOPP, and members of the public may request Narcan at both our Brown Road and Green Street offices. A list of OOPP locations is below.

As part of its distribution program, TCWH is tracking the number of people trained and Narcan kits distributed by local OOPPs and reporting this information to the public. In the following graphs you can see how training dipped during the COVID-19 pandemic and has risen in the last three quarters of 2023.

The distribution of Narcan spray kits varies more from quarter to quarter since 2019, then increases at the end of 2023. Together, the graphs illustrate the increasing effort in Tompkins County to build a safety net across the community focused on reducing the number of deaths we experience due to drug overdoses.

 
In This Section

• How to lower the risk of opioid overdose
• Fentanyl
• Xylazine
• Drug Test Strips for Xylazine and Fentanyl
• NYS Drug Checking
• Naloxone (Narcan®)
• **How to give Narcan
• လီၢ်က၀ီၤတၢ်မၤစၢၤဒီးတၢ်ဆီၣ်ထွဲ

 
How to lower the risk of opioid overdose

• Never use alone. Use with others and take turns.
• Before using drugs, ask someone you trust to check on you regularly.
• If you are alone call the Never Use Alone hotline. Dial 1-877-696-1996. An operator will stay with you while you use, and call emergency services if needed.
• Test your drugs. Use test strips to test your drugs for Xylazine and Fentanyl. Drugs with one of these cut in can kill you.
• Always carry naloxone (Narcan®) with you.
• Go slow by taking small amounts, especially if you haven’t used for a while.
• Wait before taking more. Wait long enough to feel the effects of the drugs you took before taking more.
• Avoid mixing with alcohol or other drugs, especially drugs that make you sleepy.
• There is no safe dose of opioids.

Fentanyl

Fentanyl မ့ၢ်ဂာ်ပာ်ဖှိၣ်အပီးအလီတခါလၢအစဲတၢ်ဒိၣ်ဒိၣ်လၢတၢ်ထၢနုာ်လီၤဃုာ်အီၤလၢကျဲခိၣ်ကသံၣ်မူၤဘှီးလၢတဖိးသဲစးဒ်တၢ်လၢတၢ်သူအါထီၣ်အီၤတခါအသိးန့ၣ်လီၤ.မ့ၢ်စ့ၢ်ကီးကသံၣ်လၢအဘၣ်ထွဲဒီးတၢ်သံအတၢ်လီၤပျံၤလၢတၢ်သူအါတလၢဘၣ်အီၤအဃိလီၤ.Tompkins County တၢ်အိၣ်ဆူၣ်အိၣ်ချ့အ၀ဲၤကျိၤန့ၣ်ထုးထီၣ်ဟ့ၣ်လီၤ တၢ်အိၣ်ဆူၣ်အိၣ်ချ့အတၢ်ဟ့ၣ်ပလီၢ် လၢအဘၣ်ထွဲဒီးတၢ် Fentanyl အတၢ်လီၤပျံၤလၢအတၢ်အိၣ်အါထီၣ်လၢလီၢ်က၀ီၤအပူၤဒ်ကျဲခိၣ်ကသံၣ်မူၤဘှီးအသိးန့ၣ်လီၤ.

ကသံၣ်အတၢ်ဘၣ်ဒိဘၣ်ထံးလၢအမၤဟးဂူာ်ဟးဂီၤတၢ်တဖၣ်ပာ်ဃုာ် 

• Sedation, confusion, drowsiness, dizziness, nausea, vomiting, urinary retention, pupillary constriction, and respiratory depression.

တၢ်သူဘၣ်ကသံၣ်အါတလၢအပနီၣ်တဖၣ်ပာ်ဃုာ် 

• Stupor, changes in pupillary size (pinpoint size pupils), cold and clammy skin, cyanosis (blue discoloration of the skin), coma and respiratory failure leading to death. 

တၢ်ဒီသဒၢတၢ်သူတလၢဘၣ်ကသံၣ်မူၤဘှီးအတၢ်မၤအကျဲခိၣ်သ့ၣ်တဖၣ် 

• တဘၣ်သူထဲတဂၤနီတဘျီတဂ့ၤ
• Use fentanyl test strips as a precaution
• Carry Narcan and be trained in its use
• မၤန့ၢ်တၢ်ကူစါဒီးတၢ်ဆီၣ်ထွဲ

 
Xylazine

Xylazine (also called “tranq” or “tranq dope”) is a powerful non-opioid sedative or tranquilizer that is increasingly being found in the US illegal drug supply and linked to overdose deaths. Due to its impact on the opioid crisis, fentanyl mixed (adulterated) with xylazine has been declared an emerging threat by the White House’s Office of National Drug Control Policy. In one study, xylazine was found in almost 80% of drug samples that contained opioids (Maryland, 2021-2022). In another, xylazine was found in 31% of heroin and/or fentanyl overdose deaths (Philadelphia, 2019). [Source: CDC]

Symptoms and health risks of xylazine

• Sedation, difficulty breathing, dangerously low blood pressure, slowed heart rate, wounds that can become infected, severe withdrawal symptoms, death.

Reduce the overdose and the harms of overdose 

• Never use alone.
• Provide rescue breaths, especially for people who have used xylazine since xylazine causes breathing to slow down. Harm reduction experts also suggest rolling individuals on their side, into the recovery position.
• Carry naloxone and learn how to use it. Because xylazine is often mixed with opioids like fentanyl, naloxone should be given in response to a suspected overdose to reverse any possible opioid effects. Importantly, naloxone will not reverse effects of xylazine. In the event of an overdose, call 911 for additional medical treatment.
• Reduce injection-related risks by using sterile injection equipment, rotating injection sites, allowing skin veins time to heal before another use, and taking drugs in other ways besides injection.
• Test drugs before using. There are commercially available test strips to test for the presence of xylazine in a sample of drugs. Test strips are available free of cost at a variety of local programs (see "Local services and support" section below).

 
Test Strips for fentanyl and xylazine

• Fentanyl and Xylazine Test Strips can tell you if your drugs contain the synthetic opioid Fentanyl or the non-opioid sedative Xylazine. Both are frequently found in street drugs. Xylazine is always cut in with fentanyl, so drugs that test positive for xylazine will also contain fentanyl.
• If used correctly, these test strips can help to prevent overdose deaths and, with other risk reduction practices, save your life.
• Fentanyl Test Strips are blue and marked with the letters “FYL”.
• Xylazine Test Strips are red and marked with the letters “XYL”.

 
 PDF version for how to use xylazine and fentanyl test strips. 

 
NYS Drug Checking: Data on New York’s Unregulated Supply

New York's Drug Checking Service offers people who use drugs timely and detailed information on the contents of their drugs, helping them to make more informed decisions.

This service also shares information on New York's unregulated drug supply with harm reduction workers and clinicians to help them tailor the care they provide to people who use drugs, while informing advocacy, research, and policy.

The data page includes: Total samples, Monthly samples, Expected drugs, Expected vs. actual drug, Monthly trends, Noteworthy drug trends. The page also links to FAQs on drug checking, Drug Dictionary, Alerts, Resources.

 
Opioid Overdose Prevention Program (NYS OOP)

• NYS Opioid Overdose Prevention Initiative

Naloxone (Narcan®)

Naloxone (Narcan®) is a medication that can reverse the effects of an overdose from opioids, including fentanyl, heroin, and opioid-based pain killers. It is a tool that community members can use in emergency situations where opioid overdose occurs, providing a chance for individuals to receive further medical care and treatment.

 

Using Narcan

Used correctly, naloxone can reverse an opioid overdose. When Narcan is administered, it attaches to receptors in the brain and blocks opioids from having their usual effects. This helps to rapidly reverse an overdose by restoring normal breathing and providing an opportunity for medical assistance. There is no safety risk associated with naloxone.

 
How to Give Narcan:

1. Call 9-1-1
2. Carefully remove Narcan from packaging
3. Hold the nasal spray with your thumb on the plunger
4. Tilt the individuals’ head back
5. Place the tip of the nasal spray in either nostril of the person experiencing an overdose, firmly press the plunger and release the entire dose of medication.
6. Wait 2-3 minutes while checking for responsiveness
7. If there is no response, give additional dose, switching nostrils, until help arrives.

         

Click here to open a 5-step guide for giving naloxone nasal spray.
Remember to always DIAL 9-1-1 FIRST. (Click here for a PDF.)

 
Watch this 30-second video for a quick "Naloxone/Narcan How-To" (30 seconds).

 
The video below shows you the signs of an overdose and how to respond and take the steps to prevent opioid overdose.

 
For additional information on how to use Naloxone (Narcan®), dial 2-1-1 for information about where you can get trained on how to use Naloxone (Narcan®) in our community.

 
Carry a Narcan kit with you

Opioid Overdose Prevention Programs (OOPPs) are organizations that provide individuals with training and a FREE Narcan kit to carry and dispense this potentially life-saving medication. OOPPs are registered by NYS Department of Health.

FREE Narcan kits are available at one of the local registered OOPP community agencies listed below.

• TC Whole Health, 201 E. Green St., Ithaca (downtown), and 55 Brown Rd., Ithaca (northeast).
• Cayuga Addiction Recovery Services (CARS), 334 W. MLK/State St. Ithaca, 607-273-5500, ext. 5811.
• Cayuga Health Emergency Department, 101 Dates Dr., Ithaca
• REACH Medical, 1001 W. Seneca St., (First Floor), Ithaca
• Southern Tier AIDS Program (STAP), 314 W. MLK/State St., Ithaca. STAP also provides free Drug Checking services.

For additional options Dial 2-1-1 (1-877-211-8667) 24/7. Or text your Zip code to TXT211 (898211). Available M-F 9 AM to 4 PM

Pharmacy Standing Order:

A statewide pharmacy standing order allows anyone* to get naloxone (Narcan®) nasal spray at a pharmacy without a prescription in NYS. Ask for it at the pharmacy counter. Insurance covers up to $40 copay. If you don’t have insurance, you can buy naloxone at the pharmacy.

*Dispensing to adolescents under age 18 is at the discretion of the pharmacist.

Local and regional services and support

ဂ့ၢ်ဂီၢ်အူ

• ကိးဘၣ် 911 တဘျီဃီဖဲနၤမ့တမ့ၢ်ပှၤတဂၤလၢနသ့ၣ်ညါအံၤမ့ၢ်အိၣ်ဒီးတၢ်ဆူးတၢ်ဆါ အဂ့ၢ်ဂီၢ်အူတခါအခါန့ၣ်တက့ၢ်
• တၢ်ဒီသဒၢတၢ်မၤသံလီၤသးဒီးတၢ်သဘံၣ်သဘုၣ်အတၢ်မၤစၢၤ, Crisis Line, 9-8-8, ဟ့ၣ်၀ဲဒၣ်တၢ်သဘံၣ်သဘုၣ်အတၢ်တၢၣ်ပီၣ်တၢၣ်ပီလၢတလိၣ်ဟ့ၣ်အပှ့ၤဒီးတၢ်ပာ်အီၤလၢတၢ်ခူသူၣ်,လၢအအိၣ်၀ဲဒၣ် 24/7 န့ၣ်တက့ၢ်.

 
တၢ်ဒီသဒၢ

• Southern Tier AIDS Program (STAP)-ဟ့ၣ်၀ဲဒၣ် HIV/AIDS အတၢ်မၤစၢၤအတၢ်ဖံးတၢ်မၤအလၢအပှဲၤလၢ Southern Tier လၢအအိၣ်လၢ NY အပူၤန့ၣ်လီၤ.အ၀ဲသ့ၣ်ဟ့ၣ်၀ဲဒၣ် တၢ်သူတလၢဘၣ်အိပံးယွဲး(တ)အတၢ်ဒီသဒၢအတၢ်ရဲၣ်တၢ်ကျဲၤ , လၢအဟ့ၣ်နီၢ်တဂၤစုာ်စုာ်ဒီးတၢ်သိၣ်လိ, Naloxone ပီးလီ, ဒီးကသံၣ်သရၣ်တၢ်ပျဲတခါလၢတၢ်ကစိာ်ဒီးတၢ်ကဟ့ၣ်လီၤကသံၣ်လၢအမၤပူၤဖျဲးသးသမူသ့တခါအံၤန့ၣ်လီၤ.
• သးတၢ်အိၣ်ဆူၣ်အိၣ်ချ့အကရၢလၢTompkins County အပူၤ, ပှာ်ယဲၤသန့ကဘျံးပၤမိၢ်ပှၢ်, န့ၣ်ဘၣ်တၢ်မၤကဲထီၣ်အီၤဖဲ 1954, လၢတၢ်ကဃဲာ်လီၤဘှါလီၤသးတၢ်အိၣ်ဆူၣ်အိၣ်ချ့အတၢ်လိၣ်ဘၣ်လၢ Ithaca အပှၤတ၀ၢအပူၤန့ၣ်လီၤ.
  • Jenkins Center for Hope and Recovery မ့ၢ်တၢ်ဟဲနုာ်လီၤကူစါအသးအလီၢ်တခါလၢပှၤလၢအသူမ့တမ့ၢ်သူတ့ၢ်ဘၣ်သးအတၢ်အိၣ်ဆူၣ်အိၣ်ချ့အတၢ်မၤစၢၤတဖၣ်အဂီၢ်လီၤ. Jenkins Center ဟ့ၣ်၀ဲဒၣ်ခိၣ်ဃၢၤတၢ်အိၣ်၀းတရံးလၢအပူၤဖျဲးတခါဖဲသးတၢ်အိၣ်ဆူၣ်အိၣ်ချ့အပှၤမၤန့ၢ်သူတၢ်အိၣ်ဘှံးအိၣ်သါ,မၤန့ၢ်တၢ်သူၣ်ဖှံသးညီဃုာ်ဒီးပှၤလၢအသးတပြၢဃီဒီးအ၀ဲသ့ၣ်တဖၣ်,ဒီးနီၤဟ့ၣ်လိာ်သးတၢ်ဂ့ၢ်တၢ်ကျိၤဒီးတၢ်ဆီၣ်ထွဲန့ၣ်လီၤ.
• New York State Office of Addiction Services and Supports (နူယီးကီၢ်စဲၣ်၀ဲၤဒၢးလၢတၢ်စဲကသံၣ်အတၢ်မၤစၢၤဒီးတၢ်ဆီၣ်ထွဲတဖၣ်)တူၢ်လိာ်မၤ၀ဲဒၣ် “Project COPE”, အပှာ်ယဲၤသန့တခါလၢအဟ့ၣ်သဆၣ်ထီၣ်တၢ်သူတလၢဘၣ်ကသံၣ်အတၢ်ဒီသဒၢဒီးအတၢ်ဘၣ်ဒိဘၣ်ထံးအတၢ်မၤစှၤလီၤအတၢ်ကူၣ်ဘၣ်ကူၣ်သ့လၢနူယီးအပူၤန့ၣ်လီၤ.တၢ်မၤကဲထီၣ်သီတခါအံၤအတၢ်ပညိၣ်မ့ၢ်တၢ်ကဟ့ၣ်သဆၣ်ထီၣ်ပှၤလၢတၢ်ကမၤလိန့ၢ်မ့ၢ်တၢ်ကဒီသဒၢတၢ်သူတလၢဘၣ်ကသံၣ်ဒီးမၤပူၤဖျဲးသးသမူလၢအ၀ဲသ့ၣ်အပှၤတ၀ၢအပူၤဒ်လဲၣ်န့ၣ်လီၤ.
• ဆူညါတၢ်တိစၢၤမၤစၢၤတဖၣ်လၢတၢ်ဒီသဒၢအတၢ်မၤစၢၤတဖၣ်အဂီၢ် NYS AIDS Institute Provider Directory

 
Using

• တၢ်ထၢဖှိၣ်ဒီးစူးကွံာ် တၢ်ခိၣ်စူကနၣ်အ့ၣ်အလီၢ်လၢTompkins County အပူၤ
• Never Use Alone hotline. Dial 1-877-696-1996. An operator will stay with you while you use, and call emergency services if needed.
• Test strips for Fentanyl and test strips for xylazine are available for free at the Southern Tier AIDS Program, REACH Medical, Cayuga Addiction Recovery Services, and Tompkins County Whole Health's office at 201 E. Green St.
• Narcan, fentanyl testing strips and xylazine testing strips can be ordered free of cost and delivered to your home via NYS OASAS. Complete the order form online at: oasas.ny.gov/harm-reduction.
• MATTERS facilitates rapid referrals to outpatient treatment for opioid and substance use disorders. Referrals are submitted online 24/7, 365 days a year by participating referral sites throughout NYS. Individuals may request test strips through the MATTERS website. Find them at mattersnetwork.org. Get the MATTERS Network mobile app on the App Store or Google Play.
• ပှၤတ၀ၢ တၢ်ဆီၣ်ထွဲအကရူၢ်တဖၣ် န့ၣ်အိၣ်၀ဲဒၣ်လၢနီၢ်တဂၤစုာ်စုာ်အဂီၢ်လၢတၢ်ကမၤစၢၤကွၢ်ဃုနနီၢ်တဂၤအတၢ်ဂ့ၤထီၣ်က့ၤ,ဒ်န့ၣ်အသိးလၢတံၤသကိးဒီးဟံၣ်ဖိဃီဖိတဖၣ်လၢဘၣ်ဒိဘၣ်ထံးခီဖျိပှၤလၢအအဲၣ်၀ဲတဖၣ်အတၢ်သူ၀ဲဒၣ်ဂာ်အပီးအလီတဖၣ်အံၤအဃိလီၤ.

[ကဘျံးပၤအဖီခိၣ်]

တၢ်ကူစါယါဘျါ

• Cayuga Addiction Recovery Services (CARS) offers intensive residential and out-patient treatment services, including Medication Assisted Treatment (MAT). CARS offers Open Access Monday thru Thursday from 8:30 a.m.–4:00 p.m. Clients need only to bring an insurance card, if they have one. 607-273-5500.
• REACH Medical provides medical and behavioral services, including MAT. The REACH Project is a non-profit operating as a low threshold, harm reduction medical practice in Ithaca. Reach Medical offers a wide range of services including: opioid replacement therapy, medical cannabis certification, Hep C treatment, primary care and behavioral services, in a stigma-free, inclusive setting. 607-273-7000. REACH Project Facebook page.
• NYS ၀ဲၤဒၢးလၢတၢ်စဲကသံၣ်အတၢ်မၤစၢၤဒီးတၢ်ဆီၣ်ထွဲ (NYS Office of Addiction Services & Support, OASAS): တၢ်ဃုကွၢ်တၢ်ကူစါ
• About Medication Assisted Treatment (MAT)

တၢ်ဂ့ၤထီၣ်က့ၤ

• Ithaca Community Recovery, is a non-profit organization that provides a meeting and activity space for Ithaca’s recovering community. They host a variety of meetings, including Alcoholics Anonymous, Al-Anon Meetings, Narcotics Anonymous, and more. Go to their website for meeting schedules.
• Mental Health Association in Tompkins County was established in 1954 to address mental health needs in the Ithaca community.
  • Jenkins Center for Hope and Recovery မ့ၢ်တၢ်ဟဲနုာ်လီၤကူစါအသးအလီၢ်တခါလၢပှၤလၢအသူမ့တမ့ၢ်သူတ့ၢ်ဘၣ်သးအတၢ်အိၣ်ဆူၣ်အိၣ်ချ့အတၢ်မၤစၢၤတဖၣ်အဂီၢ်လီၤ. Jenkins Center ဟ့ၣ်၀ဲဒၣ်ခိၣ်ဃၢၤတၢ်အိၣ်၀းတရံးလၢအပူၤဖျဲးတခါဖဲသးတၢ်အိၣ်ဆူၣ်အိၣ်ချ့အပှၤမၤန့ၢ်သူတၢ်အိၣ်ဘှံးအိၣ်သါ,မၤန့ၢ်တၢ်သူၣ်ဖှံသးညီဃုာ်ဒီးပှၤလၢအသးတပြၢဃီဒီးအ၀ဲသ့ၣ်တဖၣ်,ဒီးနီၤဟ့ၣ်လိာ်သးတၢ်ဂ့ၢ်တၢ်ကျိၤဒီးတၢ်ဆီၣ်ထွဲန့ၣ်လီၤ.

တၢ်ဒီသဒၢတၢ်မၤသံလီၤသး

• တၢ်ဒီသဒၢတၢ်မၤသံလီၤသးဒီးတၢ်သဘံၣ်သဘုၣ်အတၢ်မၤစၢၤ, ဟ့ၣ်၀ဲဒၣ်တၢ်သဘံၣ်သဘုၣ်အတၢ်တၢၣ်ပီၣ်ဟ့ၣ်ကူၣ်ဟ့ၣ်ဖးလၢတလိၣ်ဟ့ၣ်အပှ့ၤဒီးတၢ်ပာ်အီၤလၢတၢ်ခူသူၣ်န့ၣ်လီၤ. Crisis Line န့ၣ်အိၣ်၀ဲဒၣ် 24/7 ဖဲ 9-8-8 န့ၣ်လီၤ.
• Tompkins County Suicide Prevention Coalition.
• Sophie Fund, Inc., မ့ၢ်တၢ်သူၣ်ကညီၤသးကညီၤတၢ်အကရၢလၢတဃုအနီၢ်ကစၢ်အဘျုးလၢတၢ်သူၣ်ထီၣ်အီၤဖဲ 2017 လၢတၢ်ကဆီၣ်ထွဲသးတၢ်အိၣ်ဆူၣ်အိၣ်ချ့အတၢ်မၤကဲထီၣ်လၢအမၤစၢၤသးစၢ်ဖိတဖၣ်လၢအအိၣ်လၢ၀့ၢ်ဒိၣ် Ithaca တၢ်လီၢ်တဖၣ်ဒီး Tompkins County တဖၣ်အပူၤန့ၣ်လီၤ.အဆီၣ်ထွဲ၀ဲဒၣ်တၢ်ရဲၣ်တၢ်ကျဲၤတဖၣ်ဒီးတၢ်တိာ်ကျဲၤတဖၣ်,မၤအါထီၣ်တၢ်သ့ၣ်ညါတၢ်ဂ့ၢ်ဒီးတၢ်ဒုးထီဒါတၢ်ပာ်သူၣ်ပာ်သးလၢအတဂ့ၤလၢအဘၣ်ထွဲဒီးသးတၢ်ဆူးတၢ်ဆါဒီးတၢ်ကူစါ,မၤဆူၣ်ထီၣ် “zero suicide” အတၢ်ပာ်သးတဖၣ်လၢပှၤတ၀ၢအပူၤ,ဒီးမၤတၢ်ဒ်ပှၤတ၀ၢအအခၢၣ်စးလၢသးစၢ်လၢအဘၣ်ဂဲၤလိာ်တၢ်ဒီးသးဂ့ၢ်၀ီတၢ်ဆူးတၢ်ဆါတဖၣ်အဂီၢ်န့ၣ်လီၤ. 

ထံကီၢ်

• SAMHSA National Helpline FindTreatment.SAMHSA.gov/, 1-800-662-4357 (မၤစၢၤ). Helpline ဟ့ၣ်၀ဲဒၣ်တၢ်ဂ့ၢ်တၢ်ကျိၤလၢတၢ်ဟ့ၣ်ကလီအီၤဒီးတၢ်ပာ်အီၤလၢတၢ်ခူသူၣ်လၢအဲးကလံးကျိာ်ဒီးစပဲနံးအကျိာ်လၢနီၢ်တဂၤစုာ်စုာ်ဒီးဟံၣ်ဖိဃီဖိလၢအဘၣ်လဲၤခီဖျိတၢ်သူကမၣ်ဂာ်အပီးအလီဒီးသးတၢ်အိၣ်ဆူၣ်အိၣ်ချ့အတၢ်ဂ့ၢ်ကီတဖၣ်လၢတသီ 24နၣ်ရံၣ်, တနွံ 7 သီန့ၣ်လီၤ.ပှာ်ယဲၤသန့အိၣ်စ့ၢ်ကီးဒီးတၢ်ဃုကွၢ်တၢ်အလီၢ်တခါလၢအမ့ၢ်တၢ်ကူစါအတၢ်မၤစၢၤအဘူးကတၢၢ်အိၣ်တၢ်လီၢ်လၢအဒိးသန့ၤထီၣ်လၢစံး(ဖ)အခိး(တ)နီၢ်ဂံၢ်လၢတၢ်ထၢနုာ်လီၤအီၤအဖီခိၣ်န့ၣ်လီၤ.
• SAMHSA ဂံၢ်ထံးတဖၣ် လၢဟံၣ်ဖိဃီဖိလၢအဘၣ်ဂဲၤလိာ်လဲၤခီဖျိကွံာ်သးဒီးကသံၣ်မူၤဘှီတၢ်သူအတၢ်ဘၣ်လီၢ်ဘၣ်စးတဖၣ်အဂီၢ်လီၤ

 Need help finding help?   Dial 2-1-1 (877-211-8667) for supportive referrals.