CHARLESTON, W.Va. — State health officials have sent to Gov. Jim Justice and the Legislature their final plan for confronting the drug crisis killing hundreds of West Virginians each year, with a dozen major recommendations and cautioning there are “no quick fixes.”

They recommend limiting initial opioid prescriptions, increasing oversight to stop inappropriate painkiller prescribing and requiring all emergency responders to carry overdose antidotes.

The Department of Health and Human Resources also calls for expanding public awareness that addiction is a treatable disease, increasing treatment options for all patients and more diversion of criminal drug case defendants to treatment programs.

The report posted online at calls for expanded support for families and better access to contraceptives for people with drug disorders.

Overdose deaths increased to 884 statewide in 2016.