Rhode Island PR Campaign to Reduce Older Adult Overdoses

Published in RINewsToday on February 16, 2026

Four months ago, the State of Rhode Island joined an estimated 5,000 community coalitions across the nation and U.S. territories to participate in the 2025 National Substance Use and Misuse Prevention Month. The Substance Abuse and Mental Health Services Administration (SAMHSA), a branch of the U.S. Department of Health and Human Services, organizes this annual federal initiative to highlight the importance of early intervention and community-based prevention strategies.

During November, the State launched its 2025 public awareness campaign titled No Matter Why You Use, aimed at preventing overdose deaths among adults ages 45 to 64 and older. This demographic group faces unique and often complex health risks that increase the likelihood of fatal overdose, making the campaign an important component of the Ocean State’s comprehensive strategy to reduce overdose deaths and improve lives.

The initiative focuses on aging adults who use substances, providing education and resources to help them feel more connected. “It’s also about eliminating stigma and amplifying the voices of those with lived experience,” said Cathy Schultz, Director of the Governor’s Overdose Task Force, in the statement announcing the program.

The statement also included comments from Linda Mahoney of the state’s Behavioral Healthcare, Developmental Disabilities & Hospitals (BHDDH), who emphasized the campaign’s creative approach: “The approach we’ve used is designed to elicit a reaction of ‘this is my struggle,’ ‘that could be my friend,’ or ‘that could be my parent.’ The average person doesn’t typically connect substance use with older adults, but that’s part of the issue we face. If we can raise greater awareness of this reality, we can make meaningful strides in prevention, recovery, and eliminating stigma.”

Maria Cimini, Director of the Rhode Island Office of Healthy Aging, highlighting the state’s responsibility as its older adult population grows. “We must see the full humanity of older adults and confront the issues that too often remain hidden. Substance use is not a moral failing—it’s a public health challenge. By meeting people where they are, connecting them to care, and breaking the silence around stigma, we can build stronger, healthier communities for everyone.”

Data Reveals Rising Overdose Risks for Older Rhode Islanders

According to Joseph Wendelken, RI Dept. of Health’s Public Information Officer, national rates of accidental and undetermined fatal overdoses declined from 2023 to 2024 among adults ages 55–64 (from 51.8 to 41.1 per 100,000) and those 65 and older (from 13.4 to 12.5 per 100,000).

Wendelken noted that Rhode Island, however, experienced different trends. During the same period, the overdose rate increased among adults ages 55–64 (from 51.6 to 63.5 per 100,000) but decreased among those 65 and older (from 15.6 to 12.4 per 100,000).

While much of the national conversation about overdose focuses on younger populations, research shows that middle-aged and older Rhode Islanders often struggle with co-existing physical and mental health conditions, chronic pain, isolation, stigma, and limited access to care — factors that can contribute to rising rates of substance use and overdose, says RIDOH.

Among the key statistics driving the public relations campaign are findings from Rhode Island’s 2024 fatal overdose data. Individuals ages 45 to 64 are experiencing accidental drug overdose deaths at significantly higher rates than the statewide average.

Compared to previous years, the Health Dept. says that the rate of accidental drug overdose deaths continues to rise among individuals ages 55 to 64 in Rhode Island. Most overdose deaths in this age group (87%) occurred in private settings, such as homes.

Stimulants — including cocaine, crack cocaine, methamphetamine, and amphetamines — contributed to 65% of fatal overdoses in this age group, reflecting a growing public health concern beyond opioid-related deaths. Fentanyl was involved in more than half (51%) of fatal overdoses, underscoring its continued role as a primary driver of overdose deaths. A combination of fentanyl and cocaine contributed to 34% of overdoses in this population.

The greatest proportion of overdoses in this age group occurred among males (69%) and non-Hispanic white individuals (74%).

A Statewide Strategy to Prevent Overdose and Save Lives

“The No Matter Why You Use campaign raises awareness of substance use and overdose risks among middle-aged and older adults, provides clear prevention information, and directs Rhode Islanders to PreventOverdoseRI.org for treatment and recovery resources,” said Wendelken. Educational materials have been distributed to hundreds of community partners, including senior centers, healthcare providers, libraries, senior housing sites, and recovery community centers.

The No Matter Why You Use campaign is being led in partnership by the Rhode Island Executive Office of Health and Human Services (EOHHS), BHDDH, OHA, and RIDOH. .

This data-driven campaign supports Gov. Dan McKee’s Overdose Task Force “Roadmap,” which is built on four pillars: strengthening comprehensive prevention; expanding harm reduction and rescue efforts; increasing engagement in treatment; and supporting recovery,” Wendelken explained.

The state initiative is guided by cross-cutting strategies designed to promote an equitable response to the overdose epidemic. These strategies include embedding racial equity across all pillars; strengthening governance and community engagement; expanding data capacity and surveillance; and addressing social determinants of health throughout each pillar.

According to Wendelken, this evidence-informed approach aligns with Rhode Island’s broader overdose prevention strategy and ongoing efforts to save lives.

The state partnered with RDW Group on the No Matter Why You Use campaign. The initiative is based on formative research that included in-depth interviews with subject-matter experts and individuals with lived experience — including people in recovery, counselors, social workers, community advocates, and physicians. These authentic voices helped shape the campaign’s messaging, which emphasizes the impact of stigma, hopelessness, and emotional distress as common triggers for substance use among aging adults who may feel isolated or disconnected.

The campaign’s powerful, portrait-style imagery and first-person messaging acknowledge that people use substances for complex reasons — including isolation, pain, trauma, anxiety, and depression — while centering compassion at its core: No matter why you use, your life matters. Hope and help are here, adds RIDOH.

You can find stories of local Rhode Islanders sharing their powerful recovery stories on the RIDOH (go to https://pori.soapboxx.com).

Designed to help individuals feel safe, seen, and supported, the campaign connects Rhode Islanders to local treatment, recovery, and harm reduction resources at PreventOverdoseRI.org. Its media strategy uses data-driven insights from fatal overdose heat maps to target placements for aging adult audiences. Outreach includes digital advertising on social media, website and app display ads, local and streaming radio spots, and advertisements on gasoline pump televisions.

RIDOH notes that The No Matter Why You Use campaign also includes grassroots outreach to more than 250 organizations statewide. Its launch is part of a comprehensive and ongoing effort by Rhode Island to address substance use and related public health crises.

From Crisis to Recovery

The state’s new No Matter Why You Use campaign, aimed at reducing overdose deaths and addressing stigma among older adults, marks an important first step in combating substance use disorder, says Diane Dufresne, Director of the Pawtucket Prevention Coalition. The coalition is a community organization dedicated to addressing social issues such as substance use, poverty, and homelessness.

Dufresne emphasizes the importance of using precise, nonjudgmental language like “substance use disorder” to shape public perception and support recovery.

“The state’s campaign sloganis powerful because it centers compassion over judgment and makes one thing clear: every life is worth saving,” says Dufresne, who holds a degree in counseling and has been a certified prevention specialist for five years. She also brings more than 40 years of experience as a registered nurse, this extensive clinical background strengthening  her work in substance use prevention and advocacy.

Drawing on her frontline experience, Dufresne agrees with the state’s assessment that substance use and overdose rates are rising among adults age 45 and older. She attributes this trend in part to limited harm-reduction education available to this generation.

“Many older adults developed addictions through legitimate opioid prescriptions and now face complex health challenges, including dangerous interactions with medications prescribed for coexisting conditions,” she explains.

Dufresne notes that shame and stigma are primary drivers of isolation among older adults, increasing the risk of fatal overdoses. “Older adults are more likely to use substances alone in private settings. “Younger people have received more harm-reduction education and better understand the risks of using alone,” she says.

Dufresne also highlights significant barriers to treatment, including transportation challenges, insurance limitations, technology gaps, and reduced mobility. Addressing these obstacles, she says, will require increased state funding and more targeted outreach efforts.

“Increased funding is necessary for community organizations to expand anti-stigma education, provide training opportunities, and connect older adults with treatment and recovery services,” Dufresne says.

The No Matter Why You Use campaign acknowledges the unique challenges facing this demographic, including limited exposure to modern harm-reduction practices, a higher likelihood of addiction stemming from prescribed opioids, and increased social isolation.

Dufresne advocates pairing Narcan distribution with anti-stigma education and recommends practical strategies to reach isolated seniors.

“Effective outreach should include combined Narcan and anti-stigma training in senior housing and community centers, along with door hangers that provide service information for individuals in private residences,” she says.

Above all, Dufresne stresses that saving lives must remain the priority.

“The act of saving a life should never be influenced by judgments about a person’s history of addiction or previous overdoses,” she says.

A Physician’s Guide to Living Life Fully, Not Just Longer, with Dr. Ed Iannuccilli

Published in RINewsToday on October 12, 2025

Over two weeks ago, over 300 advocates, providers, and older adults gathered at the Senior Agenda Coalition of Rhode Island’s (SACRI) 16th Annual Conference and Expo, “Navigating Choppy Waters – Shelter from the Storm,” held at Rhode on the Pawtuxets in Cranston.

The Sept. 25 event featured a thought-provoking keynote address by Dr. Ed Iannuccilli, state legislative updates, unveiling a new award to recognize two advocates, along with a panel discussion exploring critical topics facing older adults.

“This conference, by all measure, was a tremendous success,” said Carol Anne Costa, Executive Director of the Senior Agenda Coalition of RI, noting that the new venue, the topics, the engagement of the audience was reflected in the energy in the room.

“We are collecting survey responses an the feedback has been overwhelmingly positive,” says Costa noting that people are craving the opportunities to reconnect in person and in conversation. “If our vision for this conference helped to achieve that, it’s a win,” she said. 

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Simple Tips on Aging Gracefully

 Dr. Ed Iannuccilli, a highly respected retired board-certified internist and gastroenterologist and the author of six published books, delivered an impassioned 31-minute keynote shifting the tone from legislation and program updates.  He offered common-sense advice on aging gracefully and called for changes in the state’s health care system to restore compassion and personal connection.

Looking back to the early days of his medical practice, Iannuccilli—who practiced medicine for over 30 years—recalled a conversation with a lively, healthy 80-year-old woman.

“In the innocence of my youth, I said admiringly, ‘At 80, you’re in marvelous condition. You don’t need to worry—age is just a number.’”

“She looked at me, twirled her ring, straightened her smock, squinted, pursed her lips, and said, ‘Young man, I have the number. Don’t you ever tell anyone that again,’” he said.

“And I never did,” he added. “It was an early lesson. As Oscar Wilde said, ‘With age comes wisdom, but sometimes wisdom comes with winters.’ Well, I have the winters now. I have the number. And I’m pleased to say that no one has dared call it just a number again,” said the Bristol resident.

As for reducing the stress of growing old, Iannuccilli shared: “I try to do happy things, avoid too much news, meet friends, and accept loss and mistakes with a spiritual shovel. No one’s judging anymore—history is history.”

He advised, “Don’t make living a long life your goal; living fully, is. If you’re at an age milestone—don’t panic. Laugh more. Call a friend. As Mark Twain said, ‘Don’t complain about growing old; it’s a privilege denied to many.’”

Iannuccilli said he stays curious, reads, writes, and keeps his mind active. “I even take piano lessons. I don’t need to go on a space mission; I’m already on a planet full of adventure,” he joked.

 He also emphasized that longevity and good health are tied to human connection. “Be a helper. Call a friend. Drive someone to a doctor’s appointment. Volunteer at a pantry. Fred Rogers’ mother was right—‘Look for the helpers.’ Better yet—be one,” urged Iannuccilli.

Navigating a Broken Health Care System

“We use words like quality, efficiency, deliverables, and outcomes—but what people want is access and comfort,” Iannuccilli observed. But, fewer long-term physician-patient relationships, financial barriers at every turn, and isolation among older adults all reflect systemic changes in today’s healthcare system, says Iannuccili.

According to Iannuccili, costs for care, medication, nursing homes, and even vaccines are rising. Too many seniors live alone and disconnected.

“When someone is sick, they want to be comforted. They want someone who listens and helps them navigate an increasingly impersonal system,” he says. 

Today it’s [often] a long phone queue, a chatbot, or a portal that needs a password and two-step verification,” he said. “You wait on hold and think, ‘This is my health I’m calling about, not my cable bill.’ We’ve lost the personal touch.”

“Be patient with emerging artificial intelligence,” Iannuccilli added. “With proper tuning, it can increase efficiency, help pair patients with the right provider, contain costs, and even promote equity. But nothing—nothing—will ever replace personal care.”

Patients are now called consumers, he said, a term he dislikes. “You’re not a consumer—you’re a patient. The word comes from the Latin patiens—one who suffers. It deserves respect.”

Recognizing Rhode Island’s Health Care Assets

Iannuccilli called for Rhode Islanders to stop focusing on negatives, like the bridge, and instead recognize their access to high-quality health care facilities.

“Within 20 miles you can reach some of the nation’s best hospitals—Rhode Island Hospital, Women & Infants, Hasbro Children’s, Butler, Bradley, Kent, South County, Newport, Miriam, Roger Williams, and Fatima,” he said.

According to Iannuccilli, the state’s health care system—from Brown University to URI—is “extraordinary,” featuring world-class nursing programs, physician assistant schools, and a top pharmacy school.

He believes Rhode Island can become a national model for universal access to health care.

“If we can assume our trash will be collected, our children educated, and our homes protected by firefighters, why can’t we assume access to health care for everyone?” he asked. “We have the talent. We have the infrastructure. What we need is the will.”

With a growing shortage of primary care physicians, Iannuccilli called for the creation of a medical school at the University of Rhode Island dedicated solely to training primary care physicians.

He concluded by issuing a call to action: “Let’s make Rhode Island the envy of the nation—a state where health care works for everyone, where education, research, and delivery come together. We can do better. We must do better. And guess what? We don’t have a choice.”

SACRI Recognition

At the conference, Costa recognized the advocacy of Ray Gagne Jr. for his advocacy work as Senior Organizer at RI Organizing Project and Sister Norma Fleming, RSM, for her direct work with adults with disabilities at ReFocus, Inc. by presenting them with the inaugural Marjorie Waters Award for Service. Honoring the legacy of Marjorie Waters—a Rhode Island College graduate, former Director of Information Technology for a Tribal Nation, Six Sigma Process Excellence Coach in the finance industry, and Executive Director of Providence’s Westminster Senior Center—the award celebrates her dedication as a lifelong community activist.

Legislative Greetings, and a Look to the Future

House Speaker K. Joseph Shekarchi (D-Dist. 23, Warwick) brought greetings from the House, emphasizing his strong commitment to supporting the state’s growing older population.

“As long as I’m Speaker of this House and I’m in Rhode Island government, you will have a friend in state government,” he pledged to the attending advocates and older adults.

The Warwick lawmaker shared how his 99-year-old father, who is battling Alzheimer’s and has mobility issues, has given him a personal understanding of older Rhode Islanders’ desire to remain at home—insight that has shaped his aging policy agenda.

Shekarchi highlighted several recent legislative successes, including the expansion of the Medicare Savings Program after 14 years of advocacy, which will save low-income beneficiaries over $2,000 annually. He also cited the state’s Accessory Dwelling Unit (ADU) Law, which allows in-law apartments or “granny flats” (in the colloquial), to help residents age in place in their homes.

Senate President Rep. Lauren Carson (D-Dist. 75, Newport), also detailed her legislative work on behalf of older Rhode Islanders. As Chair of the House Study Commission on Aging, she announced her intention to introduce legislation to make the commission permanent to help guide the state’s aging policy.

Another planned bill for next year would replace the term “senior citizen” with “older Rhode Islander” in state law to promote a more positive view of aging.

Maria Cimini, Director of the State’s Office of Healthy Aging, stressed that the guiding principle of her office’s work was to ensure older Rhode Islanders had the “choice to age as they wished” with dignity and independence.

She pointed out a significant demographic shift, noting that Rhode Island now had more people over 65 than under 18. “We are all aging. My goal is to be sure that Rhode Island is a great place to grow up and grow old,” she says.

A panel discussion followed the keynote, covering practical aspects of end-of-life planning, including legal documents such as wills and trusts, funeral pre-planning, financial planning for dependents with disabilities, suicide prevention, and the role of the long-term care ombudsman.

To watch SACRI’s Sept. 25th program, go to https://capitoltvri.cablecast.tv/show/11543?site=1