This year may mark a significant shift in New Hampshire’s overdose statistics, with indications that fatalities among women could surpass those of men for the first time since tracking began. Data released by the New Hampshire Department of Health and Human Services (DHHS) in October reveals a notable contrast in trends, as overall overdose deaths have decreased sharply over the past three years, while the annual number of female victims has remained relatively stable.

Factors contributing to the overall decline in overdose fatalities include a diminishing stigma surrounding the pursuit of help for substance-use disorders, greater access to Narcan—an over-the-counter medication for reversing overdoses—and a broader range of treatment options. However, the treatment landscape for women is still fraught with challenges. Experts highlight that women face additional stigma connected to family obligations and societal expectations surrounding childcare, which complicates their access to recovery resources.

Between 2014 and 2022, New Hampshire averaged 305 overdose deaths among men annually, contrasted with 135 for women, according to DHHS. As of September 30 this year, fatalities recorded were 68 for men and 125 for women, although some cases remain under investigation and have not yet been included in the reports. Over the last four years, the decrease in overdose numbers has been about one-third for men, while women have experienced a reduction of approximately 20 percent.

Challenges specifically impacting women seeking recovery are significant. The short supply of treatment slots poses a barrier to recovery for many, and the dearth of female-specific residential treatment facilities intensifies this issue for women. Since the beginning of the opioid epidemic, inpatient treatment admissions have consistently favored men; by September 30, nearly 12,000 men had entered drug treatment programs in the state, compared to approximately 8,500 women.

Current data reveals that there are no recovery houses registered for women in the Keene area, leaving local women to travel to Nashua or Claremont for support. Meanwhile, the Recovery Housing Action Committee of Cheshire County, which includes professionals from recovery services and criminal justice, is making efforts to establish sober living arrangements for women in the region. A recent event at Keene State College aimed to galvanize support for this initiative. Logistical hurdles also play a role in women’s access to treatment, particularly for those who are primary caregivers. The emotional and practical challenges of leaving children while seeking help add another layer to the struggles women face, as noted by local treatment facility operators.