Delaware Hospitals Expand Opioid Addiction Treatment in ERs

Courtney Myers
Calendar icon Last Updated: 07/9/2026
opioid addiction treatment

Opioid addiction treatment in Delaware is about to look the same no matter which hospital you walk into.

State health officials and hospital leaders have adopted new statewide guidance that turns emergency room visits into starting points for recovery, aiming to reach people in the fragile hours after an overdose or during withdrawal.

What the New Guidance Does for Delaware Residents

The Emergency Department Opioid Use Disorder Treatment Guidance, unveiled at Bayhealth Hospital’s Kent Campus in Dover, sets a consistent standard of care across every Delaware hospital.

It encourages emergency departments to start medication for opioid use disorder sooner, connect patients with peer recovery specialists, and arrange follow-up care before discharge.

The goal, officials said, is that a patient gets the same response at any hospital, any hour, any day. “This is not a moral failing. This is a medical problem.

This is something that can be treated with medication,” said Dr. Robert Rosenbaum, the state’s EMS and Preparedness Section medical director.

Signs of Opioid Addiction and Overdose

Opioids include heroin, fentanyl, and prescription painkillers such as oxycodone and hydrocodone. Signs of opioid use disorder can include taking more than intended, strong cravings, withdrawal symptoms such as nausea and body aches, and trouble cutting back despite the problems use causes.

Overdose warning signs include slow or stopped breathing, very small pupils, and unresponsiveness. Officials urged Delawareans to learn these signs and to carry naloxone, the reversal medication known as Narcan.

The Numbers Behind the Change

Delaware is seeing early progress. About 8% of Medicaid patients now begin medication within 48 hours of leaving the emergency department, the highest rate the state has recorded.

Roughly 15% start within a week, and more than one in four eligible patients begin medication within 30 days. Officials were candid that gaps remain.

Nearly three out of four eligible Medicaid patients still are not connected to medication within a month, and opioid-related emergency visits have stayed above expected levels for five straight quarters.

Understanding Medication for Opioid Use Disorder

Medication for opioid use disorder, sometimes called MAT, uses medicines such as buprenorphine, methadone, or naltrexone alongside counseling to reduce cravings and withdrawal.

Starting it in the emergency department, when someone is already there and may be ready, can be a turning point.

Joanna Champney, director of Delaware’s Division of Substance Abuse and Mental Health, said the state is working to remove barriers such as transportation and insurance so a person who is ready can act on it.

Finding Addiction Treatment in Delaware

If you or someone you love is struggling, help is available across the state, including for people who are uninsured or underinsured through state-funded providers.

  • Search addiction treatment centers in Delaware
  • Learn the signs of opioid use disorder and carry naloxone
  • Visit HelpIsHereDE.com for Delaware treatment and recovery resources

Addictions.com lists verified rehab centers across the nation to help you find local options. Call 800-681-1058 (Info iconSponsored) to learn how to get started with your recovery.