Big Sky Times

Department of Public Health and Human Services (DPHHS) officials have observed a significant increase in overdoses across Montana, prompting a reminder to residents about the recovery and treatment programs available to them.

“This current overdose spike serves as a startling reminder of the deadly consequences that fentanyl and opioid overdoses have for our communities,” DPHHS Director Charlie Brereton said. “Our administration is dedicated to ensuring Montanans have the awareness and necessary resources to combat this issue that has taken far too many precious lives.”

In March, Montana recorded 95 reports of suspected opioid overdoses, a figure that surpasses the monthly average of about 69 in 2024. The last comparable peak was in August 2023.

Data from March 1 to April 15, 2025, estimates there have been seven fatal and 132 nonfatal overdoses. Based on the current trend, April is expected to show a higher-than-average number of suspected opioid overdoses.

Reports suggest fentanyl is frequently involved in these cases, although laboratory confirmation is not always available. Anecdotal evidence of fentanyl use is often noted, along with mentions of other drugs such as methamphetamine or cocaine.

The DPHHS is working to enhance access to recovery programs to address these overdose challenges. The Behavioral Health System for Future Generations (BHSFG) Commission has allocated $300 million to reform Montana’s behavioral health and developmental disabilities service systems. This includes up to $400,000 for resources to respond to fentanyl and opioid overdoses by installing Wellness Kiosks across Montana to distribute fentanyl testing strips and naloxone.

The Healing and Ending Addiction through Recovery and Treatment (HEART) Fund continues its efforts to expand behavioral health services in Montana.

Recent overdose reports are not concentrated in any particular area but are primarily along major transportation routes like Interstates 90 and 15 and US Highways 93 and 2. Cascade, Flathead, Missoula, Silver Bow, and Yellowstone counties each reported 10 or more suspected overdoses.

“DPHHS wants to remind the public that when someone is experiencing an overdose, the timely administration of the emergency medication naloxone may successfully reverse their symptoms and save their life,” said DPHHS public health physician Dr. Maggie Cook-Shimanek. Naloxone's effects may not be permanent, so emergency services should always be contacted in overdose situations.

Signs of an overdose include difficulties such as respiratory distress. Dr. Cook-Shimanek urged, “If you suspect someone is experiencing an opioid overdose, call 9-1-1 immediately and administer naloxone if it is available.”

DPHHS advises regular opioid users to inform a trusted individual, ensure that person knows how to administer naloxone, and keep naloxone accessible in case of an overdose.

To monitor potential opioid overdoses, DPHHS uses several data sources in near-real-time. The data is preliminary, and not all reports are confirmed as overdoses. Counts may change as more information becomes available. Given the serious health implications of opioid overdoses, public awareness is crucial when an increase in overdose activity occurs.

Montana residents can obtain naloxone at no cost from specific community organizations. More details are available on the Montana DPHHS naloxone website.