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.

Regular Folks Give Sound Advice to Class of 2016 for Future Success

Published in Pawtucket Times on June 6, 2016

As previous years, high-profile commencement speakers are coming to Rhode Island’s Colleges and Universities selected to give to the robed 2016 graduates their unique practical tips as to how one can have a rewarding personal and professional career. As I mentioned last May in my weekly commentary, these widely-recognized speakers can quickly bring prestige to the educational institution but they oftentimes command big bucks for their brief appearance. . . .

Like last year this writer calls for choosing regular folks to give commencement speeches to graduating College seniors. Their practical tips, suggestions and “words of wisdom” are honed each and every day at work and through their personal intimate relationships with family and friends and by the challenges faced throughout their life’s journey.

The following advice from these Rhode Islanders can be especially helpful to those graduating to cope in a very complex and changing world.

Doug Allen, 53, Douglas, Massachusetts (formerly from Lincoln, Rhode Island.), owner of Lincoln Associates. “Look around at your fellow graduates. There is at least one person here that you never spoke to, nor socialized with, that will someday become extremely successful. And they, unfortunately, will remember how they were treated in high school. Don’t make this mistake again. Every person you come in contact with could be that person who changes your life. Make it a point to say a kind word to everyone. Otherwise, you will never know if the next Mark Zuckerberg sat beside you in math class your sophomore year.”

Richard Blockson, 61, Providence, former general manager of The Pawtucket Times and Woonsocket Call, who currently works in the financial service sector. “Striving to be a person of sound character is an admirable goal. It cannot be bought, given to you or taken away. It levels the playing field between privileged and underprivileged. It will help guide you through troubled waters and grant you a path of good decisions during your lifetime.”

Carol Conley, 60, Pawtucket, assistant to the executive director, Rhode Island Film Office, Rhode Island. “Be grateful. Be kind. Karma is a real thing. Give to others what you would like to receive and it will eventually come back to you. Wait for it; trust the universe’s timing. Challenge yourself. Conquer your fears. Never, ever give up.”

Michelle DePlante, 29, Cumberland, director of programs, Leadership Rhode Island, “Discover who you are and what strengths you bring to the table. Engage with people who seem the least like you and listen to them to understand, not simply to reply. Become comfortable with the uncomfortable – you’ll grow as a person, and life will never be boring. Get to know your neighbors and be accountable to your community.”

Diane Dufresne, 63, Pawtucket, director at Pawtucket Prevention Coalition, “Take the knowledge and experience of those who have mentored you and invested in you, those who have helped mold your life and use that to become the best version of yourself that you can be……use what you have gained and contribute to make society better……one day you will have the opportunity to mentor others and you will impact another person to do the same.”.

Paul C. Harden, 56, Newport, director of Transportation Technology at New England Institute of Technology, “As a college graduate take every opportunity to learn, consider new ideas and develop new skills. You do not have to go back to school and get another degree. Trying reading books, taking a free online course or finding a mentor who can give you sound counsel.”

Mike Lyons, 73, East Providence, corporate and community partnerships, Pawtucket Red Sox Baseball Club, “Henry David Thoreau is the author of one of my favorite quotes: To affect the quality of the day, that is the highest of the arts.’ College Graduates in particular have both the opportunity and responsibility that their education has afforded them to make each day matter.”

John Resnick, 52, Cranston, entrepreneur, “I have learned that your parents may try to live their lives through you and your career choice. Never give up your own dreams to follow the dreams and plans your parents may have for you. The only thing that you owe your parents is the promise that you continually pursue happiness throughout the course of your life.”

Wayne Rosenberg, 60, Providence, real estate broker and construction manager, “Most college degrees are not going to be your ticket to financial freedom. Your most important challenge you will face is finding meaningful work. You must realize that no one can do this for you but yourself. Take charge. If you cannot find employment consider becoming your own boss and employ yourself.”

Joyce Silvestri, 62, Seekonk, Massachusetts, former banquet director at Twelve Acres, “As you are entering upon your post-graduation experience, it is important to remember that as much as you are all vying for possible jobs or post graduate education, the competition will be even greater than you have experienced so far. Reflecting on what you have heard and seen in this election year, you would be wise to entertain this workplace or educational competition without losing sight of civility. That would be your true success.”

Jim Tiernan, 55, Hamilton, owner of 80 Fountain Street, LLC, a Pawtucket mill that houses artists and creative sector companies. “It is important for graduating seniors to realize that not many people know what they want to be when they ‘grow up.’ Don’t fret about making that perfect choice or worry that you don’t have a passion for your chosen field of education. You won’t always make perfect choices, but with a little thought and feedback from your friends and those older your choice will lead you in a positive direction. Wherever you land, learn from those around you with more experience and become as fully engaged in life as you possibly can. You only go around once.”

Rico Vota, 34, Cranston, communications & constituent affairs officer, City of Pawtucket. “You never know when the last time you talked to someone, is going to be the last time you talk to someone. Make every interaction you have with people count for something.”

And this writer, concludes with his favorite quote from the Roman poet Horace’s Odes. “Carpe Diem , Quam Minimum Credula Postero.” Translation: “Seize the day, put very little trust in tomorrow.”