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opioid addiction

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By Fr. Francis Pizzarelli

Father Frank Pizzarelli

Recently Newsday carried a front-page story in its’ Sunday edition on the opioid epidemic and all of the Pharma money given to Suffolk County. It appropriately highlighted a number of exceptional professionals who are providing lifesaving support in the area of prevention and education for those who have been afflicted with addiction.

Education and prevention are vital services in reaching out to those who are struggling with this life-threatening affliction. We need to provide more funds in these areas and wider program opportunities for those in need.

Our county is sitting on millions of dollars due to the Pharma settlement. The County Executive has had access to millions of dollars due to the settlement for months. Unfortunately, no RFP (request for proposal) has been issued; no comprehensive task force has been announced that contains more than government bureaucrats. After 40 years of dealing with the government, I know their wheels regarding change in any kind of progressive action are slow. Unfortunately, we can no longer wait, we must act now!

How many families have to senselessly bury their children before we realize that we lack the important resources to save a life? Education and prevention are very important. However, right now in our county we do not have the necessary long-term residential treatment programs for those who need and seek them.

Chronic heroin relapse addicts are not going to get better in a 28-day program or a three-month program. Evidence-based research underscores that a year to 18 months is needed, if someone is genuinely going to learn the skills to sustain a life of recovery and wellness.

In our county, we have a desperate need for long-term residential treatment. The two programs that exist have endless waiting lists. Every day I get at least three or four desperate calls from parents who are afraid that their children are going to die and they have no place to turn. Every day I place another cross in our garden of remembrance for a young person who overdosed on heroin or fentanyl.

Our silence on this important life issue is deafening. We need to stand up, be counted and demand action before someone close to us dies senselessly — someone we might have been able to save if there was a place for him or her to go.

Insurance companies in our country set people up to fail and ultimately to die. The games they play with people’s lives is scandalous and reprehensible. We need to demand greater accountability for the money spent on healthcare; we need to create opportunities that will save people’s lives and empower them to wellness. Spring is a time for new beginnings, new life and renewed hope. Let’s be courageous and be that spring!

Father Francis Pizzarelli, SMM, LCSW-R, ACSW, DCSW, is the director of Hope House Ministries in Port Jefferson.

The use of Narcan is demonstrated on a dummy during a training class. File photo by Elana Glowatz

At Stony Brook University Renaissance School of Medicine, a new generation of doctors and dentists are involved in a novel approach to managing the opioid epidemic. The training includes instruction from reformed narcotic users, who act as teachers.

A 25-year-old woman recently explained to the first-year students how she became addicted to opioids at the age of 15, when a friend came over with Vicodin prescribed by a dentist after a tooth extraction.

Addiction, she said, is like having a deep itch inside that desperately needs to be scratched.

“There was nothing that could stand between me and getting high,” said the young woman, who wants to remain anonymous. “Most of the time it was my only goal for the day. At $40 a pill, I quickly switched to heroin which costs $10.” 

The university’s Assistant Dean for Clinical Education Dr. Lisa Strano-Paul, who helped coordinate the session, said that “patients as teachers” is widely practiced in medical education. This is the first year reformed narcotic users are participating in the program.

“People’s stories will stick with these medical students for the rest of their lives,” she said. “Seeing such an articulate woman describe her experiences was impactful.”

Gerard Fischer, a doctor of dental surgery candidate from St. James, took part in the patient-as-teacher session on narcotics.

“You learn empathy, a quality people want to see in someone practicing medicine,“ Fischer said. “People don’t choose to become addicted to narcotics. So, you want to understand.”

After working in dental offices over the last several years, he’s noticed that habits for prescribing painkillers are changing.

“Dental pain is notoriously uncomfortable because it’s in your face and head,” he said. “No one wants a patient to suffer.” Pain management, though, requires walking a fine line, he added, saying, “Patient awareness is increasing, so many of them now prefer to take ibuprofen and acetaminophen rather than a prescription narcotic, which could be a reasonable approach.”

Hearing the young woman tell her story, he said, will undoubtedly influence his decision-making when he becomes a practicing dentist. 

An estimated 180 medical and dental students attended the training last month. Overall, Strano-Paul said she’s getting positive feedback from the medical students about the session. 

The woman who overcame addiction and shared her insights with the medical professionals, also found the experience rewarding. 

We respect her request to remain anonymous and are grateful that she has decided to share her story with TBR News Media. For the rest of this article, we shall refer to her as “Claire.” 

Faith, hope and charity

“I told the doctors that recovery has nothing to do with science,” Claire said. “They just looked at me.”

Claire was addicted to drugs and alcohol for seven years and went to rehab 10 times over the course of five years. 

“I did some crazy things, I jumped out of a car while it was moving,” Claire said, shaking her head in profound disbelief.

She leapt from the vehicle, she said, the moment she learned that her family was on their way to a rehab facility. Fortunately, she was unharmed and has now been off pain pills and drugs for close to six years. She no longer drinks alcohol.

“Yes, it is possible to recover from addiction,” Claire said. 

People with addiction issues feel empty inside, Claire explained, while gently planting her fist in her sternum. She said that once her counselor convinced her to pray for help and guidance, she was able to recover.

“Somehow praying opens you up,” she said. 

Claire was raised Catholic and attended Catholic high school but says that she’s not a religious person. 

“I said to my counselor, “How do I pray, if I don’t believe or know if there’s a God?” 

She came to terms with her spirituality by appreciating the awe of nature. She now prays regularly. Recovery, she said, is miraculous.

Alcoholics Anonymous’ 12-step regimen, first published in 1939 in the post-Depression era, outlines coping strategies for better managing life. Claire swears by the “big book,” as it’s commonly called. She carefully read the first 165 pages with a counselor and has highlighted passages that taught her how to overcome addictions to opioids and alcohol. Being honest, foregoing selfishness, praying regularly and finding ways to help others have become reliable sources of her strength.

Spirituality is the common thread Claire finds among the many people she now knows who have recovered from addiction.

The traditional methods of Alcohol Anonymous are helping people overcome addiction to opioids.

Medication-assisted therapy

Personally, Claire recommends abstinence over treating addiction medically with prescription drugs such as buprenorphine. The drug, approved by the U.S. Food & Drug Administration since 2002, is a slow-release opioid that suppresses symptoms of withdrawal. When combined with behavior therapy, the federal government recommends it as treatment for addiction. Medication alone, though, is not viewed as sufficient. The ultimate goal of medication-assisted therapy, as described on the U.S. Department of Health & Human Services website on the topic, is a holistic approach to full recovery, which includes the ability to live a self-directed life.

“Medication-assisted therapy should not be discounted,” Strano-Paul said. “It improves the outcome and enables people to hold jobs and addresses criminal behavior tendencies.”

While the assistant dean is not involved with that aspect of the curriculum, the topic is covered somewhat in the clerkship phase of medical education during sessions on pain management and when medical students are involved in more advanced work in the medical training, she said. 

The field, though, is specialized.

The federal government requires additional certification before a medical practitioner can prescribe buprenorphine. Once certified, doctors and their medical offices are further restricted to initially prescribe the medicine to only 30 patients annually. Critics say no other medications have government-mandated patient limits on lifesaving treatment. 

The Substance Abuse and Mental Health Services Administration, a division of the U.S. Department of Health & Human Services, considers the therapy to be “misunderstood” and “greatly underused.” 

In New York state, 111,391 medical practitioners are registered with the U.S. Drug Enforcement Administration to prescribe opioids and narcotics. Only 6,908 New York practitioners to date are permitted to prescribe opioids for addiction treatment as at Aug. 31.

Strano-Paul for instance, pointed out that she can prescribe opioids, but is prohibited from prescribing the opioid-based drug used for addiction therapy. 

The narcotics education program is still evolving, Strano-Paul said. 

New medical student training now also includes certification for Narcan, the nasal spray antidote that revives opioid overdose victims. 

“It saves lives,” Strano-Paul said. 

In Suffolk County in 2017, 424 people died from an opioid overdose, which was 41 percent higher than the state average, according to a study titled “The Staggering Cost of Long Island’s Opioid Crisis.” The county is aware of 238 potentially lifesaving overdose reversals as of June 30 attributed to Narcan this year alone. Since 2012, Narcan has helped to save the lives of 3,864 people in the county. 

As for Claire, now a mother, she delivered her children through C-section. In the hospital, she was offered prescription opioids for pain. 

“No one will ever see me again, if you give me those pills,” she said.                

State senators at THRIVE press conference. Photo by Maureen Rossi

Advocates say new budget has wins for people in recovery

By Maureen Rossi

With the opioid epidemic still endemic throughout Suffolk County and beyond, New York State senators are hoping the new state budget will mean more help for those in the throes of addiction.

Measures woven into and passed in the state budget include increasing access for those suffering with substance use disorder to access 28-day inpatient and outpatient programs without prior insurance authorization.  They also include money for a recovery high school start -up and no prior authorization for medication- assisted treatment.  

“These are critical reform measures,” said New York State Sen. Monica Martinez (D-Brentwood). In addition, she touted another reform, which will require emergency rooms to enact screening, brief intervention and referral to treatment for all overdose patients before they are released. For the first time, emergency room doctors will also initiate medically-assisted treatment to overdose patients prior to their release, utilizing drugs like buprenorphine that alleviate the craving for opioids including heroin. 

Long Island advocates rally in Albany for the state to do more about the opioid crisis on LI Lobby Day in March. Photo from Friends of Recovery NY

Martinez was joined by her Democratic colleagues at a press conference in Islandia April 12.  Senators Anna Kaplan (D-Great Neck), James Gaughran (D-Northport), Kevin Thomas (D-Levittown) and Todd Kaminsky (D-Long Beach) gathered at THRIVE Long Island, a community center for people in addiction recovery whose funding was a legislative win three years back.

The Island’s Democrats were joined by stakeholders to celebrate critical initiatives passed in this year’s state budget to combat Long Island’s pernicious opioid epidemic. Those stakeholders include parents of those lost to the epidemic, those in recovery and those in the prevention and addiction field, including the CEO of Family & Children’s Association Jeffrey Reynolds, of Smithtown.

 “There is still much work to be done to combat the opioid epidemic we are seeing here on Long Island,” Martinez added.  She looked to Reynolds to the right of the podium and shared that he was tenacious in getting the Long Island’s senators’ attention as the hours dwindled in budget meetings. “He used social media and tagged every single one of us and let us know what funding was missing in the budget.”

Kaplan said the crisis affects every community, every school and every community.   

“Too many innocent souls have been lost to this disease, they have been failed time and again,” Kaplan said.  “We are done with half-measures — we will do everything we can to help people get into long-term recovery.”  

One such measure included and passed in the budget was the funding of another THRIVE center for Nassau in Hempstead. The doors are scheduled to open next month.

Kaminsky met with some Long Island parents who lost loved ones to the epidemic prior to the budget process. Figures released by the addiction experts on Long Island put that figure at 3,400 since 2010.

“When a parent tells you the story of how they found their child (dead), you want to make sure another parent doesn’t experience that,” said Kaminsky.   

When it came to budget negotiations that lasted around the clock, the state senator said they would not take no for an answer.  

Suffolk County has long been a powerhouse when it comes to shining a light on the opioid epidemic and taking legislative measures to address it. Packages of historic bills have been pushed through statewide by Suffolk County advocates. The county is one of the state’s hardest hit counties and they were the first county in the country to file a lawsuit against Purdue Pharma, the makers of the drug OxyContin.  

Reynolds addressed the senators on behalf of the sixty-plus advocates present.  “ ‘Thank you’ seems insufficient. You promised on campaign trails you would do good for Long Island. Thank you so much for your efforts,” he stated.

However, Reynolds promised that he and the Long Island advocacy movement will always ask the senators to do more. 

Stony Brook University hosts opioid forum featuring health care community

Medical professionals participate in an opioid ethics symposium at Stony Brook University Aug. 3. Photo by Kyle Barr

The opioid crisis has reached its tendrils out to touch every person in the U.S., and the doctors who prescribe those opioids for pain relief see the ethical dilemma; whether they should treat their patients’ pain or not out of concerns of misuse.

At an opioid ethics symposium hosted at Stony Brook University Aug. 3, Dr. Kevin Zacharoff, an expert in pain medicine and a sitting member of the Anesthetic and Analgesic Drug Products Advisory Committee of the U.S. Food and Drug Administration, said a number of doctors no longer prescribe opioids for pain management because of how quickly the repercussions of misuse will come down on them. 

“All the regulatory agencies are coming down and tightening the screws of people in primary care, and people in primary care are saying ‘I wash my hands of it,’” Zacharoff said. “This is all falling on the shoulders of health care providers — when people dying from heroin and fentanyl has overtaken pain medication.”

Dr. Kevin Zacharoff delivered the keynote speech and discussed the effects of regulatory agencies on addiction. Photo by Kyle Barr

The U.S. Department of Health and Human Services reports that nationally 116 people a day died from opioid-related drug overdoses in 2016. A U.S. Centers for Disease Control and Prevention report released in 2016 said that the rate of death from drug overdoses has increased 137 percent and a 200 percent increase in the rate of opioid overdose deaths from 2000 to 2014. 

CDC data shows that regulations on prescription opioids restrained the rise of overdose deaths involving legal drugs, but since 2011 there has been a spike in the number of deaths caused by illicit drugs such as heroin and other painkillers including fentanyl. Zacharoff said he fears that these regulations on opioid prescribing pushes stable patients who could have been using opioids to treat long-term pain into using illicit drugs.

“Prescription drug monitoring programs have made a positive impact, but they have also had a negative impact on health care providers, because it takes a lot of time and energy,” Zacharoff said. “Should we sacrifice our care for patients for the sake of people using the substances illicitly?”

For the past several years federal agencies, as well as state governments, have started to restrict the number of opioids available for pharmacies as well as scrutinizing how doctors prescribe that medication. A large number of federal agencies, such as the CDC, the FDA, the Drug Enforcement Administration, just to name a few, are involved in opioid research and regulations. This is on top of state prescription drug monitoring programs, which make doctors fill out forms on patients, saying whether they informed them of the dangers of the drugs and whether they asked if there was a person in the house with a history of addiction.

In April, Attorney General Jeff Sessions announced that the DEA would propose setting more limits on the numbers of opioids that a drug manufacturer could produce. Prescribing doctors said they have seen multiple problems with a shortage of opioids due to these limits on manufacturing and distribution.

“We are seeing an inability to get our prescriptions filled on Long Island,” said Laureen Diot, a nurse practitioner from East Patchogue.

Though that is not to say there have not been bad actors. In May, Merrick doctor Michael Belfiore was convicted of prescribing hundreds of opioids for profit and for causing the deaths of two men via overdoses. He wrote 5,000 prescriptions for 600,000 pain pills between January 2010 and March 2013, but Belfiore is asking a federal judge to dismiss the case, saying it was the pharmaceutical companies who promoted the drugs while downplaying their risks.

The issue, Zacharoff said, stems from doctors’ lack of education when it comes to pain medicine. A 2011 study in the National Academies Press showed that out of 117 U.S and Canadian medical schools only four U.S schools offer a required course on pain.

“That’s despite the fact that pain is the most common reason people seek medical attention,” Zacharoff said. “Doctors will often say to me, ‘I have to think about hypertension, diabetes, heart disease,’ but pain is more prevalent than diabetes, cancer and heart disease combined.” 

Suffolk County officials are hoping to see a decline in the number of opioid-related deaths this year. In a report presented at the May 31 Suffolk County Legislature’s health committee meeting Chief Medical Examiner Michael Caplan said that if numbers stay low, approximately 260 opioid-related deaths are expected this year — a near 100-person decrease compared to 2017. However, the county will not know the total opioid-related deaths until the year’s end.

There are options for nonopioid pain relief, such as rehabilitative and psychological therapies. Doctors at the symposium said they expect as opioid prescribing ebbs, then other practices or drugs will become more prevalent. While some medical professionals said medical marijuana might one day work as effective pain relief, it not being legal in New York and without the necessary number of tests, the drug is not viable at this moment.

“It’s too early to write the book on marijuana for chronic pain,” said Marco Palmieri, the director of the Center for Pain Management at Stony Brook University. “Some physicians have gotten around this by opting not to test for marijuana [when doing prescriptions]. Whether that’s right, I don’t know. There certainly needs to be more data available.”

Republican Larry Zacarese and Democrat Errol Toulon are vying for the Suffolk County sheriff position. Photo by Kevin Redding

By Rita J. Egan

Both candidates for Suffolk County sheriff will bring more than two decades of public service experience to the position if elected. The race does not feature an incumbent, as current Suffolk County Sheriff Vincent DeMarco announced in May he wouldn’t seek re-election after 12 years in the position. On Oct. 13, Republican candidate for sheriff Larry Zacarese and Democrat Errol Toulon visited the TBR News Media office to discuss their experiences and how they would handle the position if elected.

Zacarese, assistant chief of police and director of the office of emergency management at Stony Brook University since 2009, who is also an attorney, has been a New York City police officer and is currently a volunteer paramedic.

Toulon began serving as a correctional officer at Rikers Island in 1982 and retired as a captain in 2004. For two years he was assistant deputy county executive for public safety in Suffolk and in 2014 he was named deputy commissioner of operations for the New York City  Department of Corrections.

“I’ve been able to learn a lot on various levels inside of a correctional agency, and while that’s not the entire makeup of the sheriff’s department, it is a good portion of it.”

— Errol Toulon

Toulon said he feels from day one he would be able to manage the sheriff’s office effectively and will attempt to save taxpayers’ dollars through technology training and equipment.

“I’ve been able to learn a lot on various levels inside of a correctional agency, and while that’s not the entire makeup of the sheriff’s department, it is a good portion of it,” Toulon said.

Zacarese said he believes his experience would be an asset, especially with a need for capital planning, budgeting and managing grants in today’s tough economic climate, he said.

“My role as an emergency manager at Stony Brook is really broad based,” Zacarese said. “Not only am I involved in the day-to-day operations, planning, mitigation and response and recovery, but I oversee an office that handles all the electronic physical security, design, installation and maintenance for the entire campus, which is over 250 buildings.”

Both cited combating gang activities on Long Island as a priority for the next sheriff.

Toulon said his team at Rikers would gather intelligence from inside the jail as far as calls, visits and social media interactions before incarceration and then would work with law enforcement agencies to gather and disseminate the information. According to him, his team’s work brought down 37 members of the Bloods gang. He said using a database to collect intelligence gathered and sharing it with other agencies is vital in rounding up gang members, and he said he thought his experiences could translate seamlessly to the Suffolk position.

Zacarese is also familiar with combating gang problems. A case he worked on while at a precinct in Jackson Heights involved the investigation of narcotics trafficking by members of the Latin Kings. He said the county lost critical ground in the fight against gangs when the FBI removed two Suffolk County police detectives assigned to the bureau’s joint Long Island Gang Task Force by James Burke, former police department chief, who was found guilty of beating up a suspect and trying to cover it up.

“I have already had conversations and meetings with Homeland Security investigations, with people on the U.S. Marshals’ task force and making sure we have enough people on those task forces,” Zacarese said.

Toulon agreed with Zacarese that in addition to disseminating information, manpower is important.

“Task forces are very important, and keeping our members on these task forces is extremely important,” Toulon said.

“I have already had conversations and meetings with Homeland Security investigations, with people on the U.S. Marshals’ task force and making sure we have enough people on those task forces.”

— Larry Zacarese

The candidates touched on the subject of cooperation with Immigration and Customs Enforcement. Both said while the sheriff’s office doesn’t get involved with immigration issues, it’s important to cooperate with the federal agency. Zacarese said many illegal immigrants are held in jails due to being violent predicate felons and people who return to the country illegally after being deported. The two also agreed it’s important for law enforcement agencies to increase communication with immigrant communities to ensure law abiding citizens do not fear deportation from ICE agents, which makes building cases against gang members more difficult.

Both candidates said they want to work on getting more help for those with substance abuse problems while incarcerated, which may decrease the chances of being arrested again.

“There are people who are leaving the correctional facility without so much as a business card for a social worker or any outreach programs [now],” Zacarese said.

Toulon said while substance abusers are seen by a medical staff to be treated, he agreed when prisoners leave the jail, they need assistance with finding housing and jobs.

“What I propose is creating a resource map so in each particular town we would know where those particular resources are for an individual so when we give them a card or give them the information they would be able to connect and have someone in the sheriff’s they can call and be that conduit,” Toulon said.

Both agreed that combating the drug problem, especially opioid overdoses, needs to be a priority in the county. Better tracking of overdoses; where they are happening, how they’re happening and deaths due to overdoses to identify where people need help, were areas each candidate brought up as meaningful first steps. Zacarese said he believes in enforcing the laws on the books and “strict enforcement for the suppliers, help for the people who are there in the middle and giving them long-term treatment options.”

Toulon pointed out that increasing monitoring of physicians who dispense pain management is also needed and fostering communication with communities “to actually acknowledge the problem that our family and friends are having so that we can get the correct treatment for them.”

Suffolk County leads New York State in deaths related to heroin and opioid overdoses. Graphic by TBR News Media
Suffolk County leads New York State in deaths related to heroin and opioid overdoses. Graphic by TBR News Media

Suffolk County has a drug problem. And while it may be broken news, this is not breaking news.

Heroin and prescription opioid-related overdoses and deaths are increasing yearly across the nation, state and county, according to all available data, but the overall conversation lacks focus, those close to the issue have said. One Long Island man whose line of work leaves him with little insulation from the problem said it is worse than most would imagine.

Dan Moloney, who along with his brother Peter owns six Long Island locations of Moloney Family Funeral Homes, said in an exclusive interview that he believes the problem facing Suffolk County deserves a harsher spotlight. Moloney, who has an unenviable front row seat to the horrors that come from the addictive and powerful substance, said the problem reached a tipping point for him in 2009.

After a funeral for a Rocky Point student who overdosed, the Moloneys decided to try to use their platform to deliver an important message. They had posters made up with the words “Some kids are dying for a high” in bold letters on top of an image of a flower arrangement with a card that read, “With Deepest Sympathy, The class of ’10.” Below the image, the funeral director’s message read in part: “The last thing we want to see is a death that could have been prevented. Help us make sure we don’t.”

The Moloneys tried to distribute the posters to school districts around the Island, though they couldn’t find any takers.

Maloney’s Funeral home still has stacks of this poster. Photo by Alex Petroski
Moloney’s Funeral home still has stacks of this poster. Photo by Alex Petroski

“Nobody wants to talk about it,” Dan Moloney said. “Nobody wants to hear from the funeral director.”

On the surface, in Suffolk County, it would appear heroin abuse is a daily conversation in one way or another, from politicians sponsoring initiatives to news outlets covering arrests and overdoses, to firsthand accounts from former addicts in various forms.

Moloney said he wouldn’t agree — not only is the problem receiving too little attention, he said, but also the wrong people are doing the talking.

“Are people sitting in the bleachers talking about the heroin problem?” he said. “But if their kid had some sort of disease, they’d be talking about it. They’d be doing fundraisers to help them find a cure.”

The two go hand-in-hand — heroin and opioids — or at least they should, Moloney said. Heroin is an illegal and highly addictive version of an opioid, according to the Centers for Disease Control and Prevention. However, statistics reporting deaths related to one or the other are not always paired.

The CDC’s website said health care providers wrote nearly a quarter of a billion prescriptions for legal opioids in 2013. Supply and demand for prescription pain medication doesn’t always dry up at the same rate. When the prescribed pills are gone and the desire for more lingers, the cheaper, stronger drug becomes a logical alternative.

In 2013, New York State’s Internet System for Tracking Over-Prescribing — Prescription Monitoring Program, also known as I-STOP/PMP, went into effect. The system works as a registry for practitioners to consult and track dispensed prescription histories for patients. The program has restricted supply of opioids to addicts, though it has done nothing to curb their demand. No tracking system exists for the neighborhood heroin dealer.

Moloney said one of his business’s facilities held funerals for three heroin overdose victims in just one day earlier this year. The closest comparison he could come up with to a public health concern inflicting that much damage in one day is a car crash that kills a vehicle full of people. He said that in some years, only two to three motorcycle-related deaths occur over the course of entire summer, which the public tends to find alarming, but that pales in comparison to heroin- and opioid-related deaths.

The difficulties in securing relevant and timely statistics on overdose-related deaths in New York State has contributed to undermining the understanding of the severity of Suffolk County’s problem, according to Moloney.

“Are people sitting in the bleachers talking about the heroin problem? But if their kid had some sort of disease, they’d be talking about it. They’d be doing fundraisers to help them find a cure.”

— Dan Maloney

“New York State is terrible,” he said about the state’s demographic record-keeping, which is an insight few could offer outside of the funeral business. “Three years down the road — the latest data you have is from three years ago. With the technology we have today, there’s absolutely no reason for that. And I know from colleagues that I have in other states, when you can’t get the information about how many deaths occurred in a certain place for two or three years, or what they were — because all of that is tracked — I just think the data that’s out there is antiquated and the situation is worse than the data they’re using shows.”

Father Francis Pizzarelli, director of Hope House Ministries in Port Jefferson, has been a regular contributor of insight and opinions regarding heroin and opioid addiction among young people in Suffolk County for about as long. He, like Moloney, said the problem is likely worse than anyone in the county realizes.

“The level of denial among parents continues to be deeply disturbing,” Pizzarelli wrote in a April 2016 column featured in this newspaper. Alcoholics Anonymous and Narcotics Anonymous, “which are a vital lifeline and network in our community for those working on recovery and wellness, have to worry that drug dealers are now waiting outside these meetings to prey on men and women in early recovery.”

Pizzarelli said his tipping point, much like that of Moloney’s, came in 2009. So far, though, he added, it has not been enough.

Suffolk County Police Commissioner Tim Sini said in May there were 103 fatal heroin overdoses in Suffolk County in 2015. New York State Comptroller Tom DiNapoli (D) released a report on June 9 saying there were more than 200 deaths in which heroin or opioids played a role in Suffolk County in 2014.

Regardless of how and when the deaths are identified with a specific cause or a contributing factor being opioids, one thing is clear to Moloney: the number is higher than we think.

According to the Suffolk County Police Department, since the act of administering the medication Narcan to reverse an opioid overdose became commonplace in August 2012, more than 630 saves have been recorded through Sept. 22.

In addition to conflicting stats, Moloney said an issue that he encounters is the stigma parents feel about losing a child to an overdose and what it might suggest about their aptitude as a parent. Most of the time, parents decline to immediately identify a heroin or opioid overdose as their child’s cause of death, he said. In fact, Moloney estimated that nine out of 10 parents whose child died of an overdose don’t address the issue and the cause isn’t added to a death certificate until about three months later, when lab reports are complete.

“It almost creates an environment where there doesn’t have to be an acknowledgement —not publicly,” Moloney said. “Of course there’s a lot of shame.”

Suffolk County's drug problem will be discussed at a public forum Oct. 1. File photo by Erika Karp

Opioid addiction will be the topic of discussion at a community forum on Saturday, Oct. 1 at Stony Brook University. The free event, titled The Opioid Epidemic, will be hosted by the group Scientists for Policy, Advocacy, Diplomacy and Education at the Charles B. Wang Center Theatre from 4:30 to 6:30 p.m.  Hear from policy experts, community leaders and scientists on how to combat this growing threat to our community. A series of short presentations will be followed by a round-table discussion with community participation. Refreshments will be served.

Speakers will include state Sen. John Flanagan (R-East Northport), State Sen. Ken LaValle (R-Port Jefferson), Suffolk County Deputy Sheriff William Weick,  Director of Adult Inpatient Services at Stony Brook Constantine Ioannou and Columbia University Assistant Professor of Clinical Neurobiology Jermaine Jones.

Attendees are encouraged to bring excess or expired medication for the “Shed the Meds” disposal program. Narcan (opioid OD antidote) training is available after the event for selected pre-registered participants.

Free parking is available at the Administration parking lot across from the Wang Center.

For more information or to register online, visit opioidepidemicforum.eventbrite.com or call 267-259-7347.