The opioid crisis has hit some District neighborhoods far harder than others. For example, Wards 7 and 8 accounted for nearly half of DC residents who died of opioid overdose in a recent year, despite representing a much smaller share of the District’s population.
Additionally, 85 percent of opioid overdose deaths District-wide occurred among Black residents. Of great concern is the finding that fentanyl has become almost universally present in these deaths. In fact, by 2023, fentanyl or a fentanyl analog was found in 99 percent of DC’s fatal opioid overdoses, up from just 22 percent in early 2015.
The District coordinates its response through LiveLongDC, a multi-agency strategic plan backed by $24.9 million in federal State Opioid Response funding in a recent single fiscal year. People looking for detox in the District of Columbia can often access care quickly through the city’s public treatment system. The Assessment and Referral Center at 75 P Street NE serves as the primary entry point, offering same-day assessments and referrals to certified treatment providers. Walk-ins are accepted without an appointment if they arrive before 3:30 pm.
The DC Department of Behavioral Health (DBH) is the District’s Single State Authority for substance use disorder treatment. It certifies the network of community-based providers that offer detoxification, residential, and outpatient SUD services. DC Health separately licenses facilities and controlled substance registrations, while the Office of the Chief Medical Examiner (OCME) tracks fatal overdose data through its Overdose Fatality Review Board.
