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CVS Pharmacy

People might soon be able to grab their prescriptions, a bag of potato chips and pick up soap as they head into a new therapy service at their local CVS.

The nation’s pharmacy retail giant has started a new service at several of their stores across the U.S. — offering both walk-in and scheduled sessions for mental health treatment. These appointments are available beyond typical daytime hours, including nights and weekends.

According to a spokesperson with CVS Health, the company began adding licensed clinical social workers trained in cognitive behavioral therapy to 13 locations in the Houston, Philadelphia and Tampa metro areas in January of this year.

These providers will offer mental health assessments, referrals and personalized counseling either in person or via telehealth through MinuteClinics inside CVS HealthHUB store locations.

The spokesperson said the company is planning on expanding to 34 locations this spring. 

“We anticipate expanding mental health services into additional markets in the coming months,” the representative said in an email. “We expect to have more detailed information soon.”

Rite Aid and Walmart have started similar programs, too. 

Dr. Adam Gonzalez.
Photo from Stony Brook Medicine

And although MinuteClinics and the like are not available in New York state yet, Dr. Adam Gonzalez, director of behavioral health and founding director of the Mind-Body Clinical Research Center at the Stony Brook Renaissance School of Medicine, said this could potentially be a good day if such facilities were to come close to home. 

“The COVID-19 pandemic has brought about many challenges and disruptions to our way of life,” he said. “We have seen an increase in depression, anxiety, increased stress overall and grief responses. Recent mental health data from the CDC also highlights an increase in mental health problems, especially among young adults, and importantly, unmet mental health needs.”

According to Gonzalez, a recent CDC report indicates that during August 2020 through this February “the percentage of adults with recent symptoms of an anxiety or a depressive disorder increased from 36.4% to 41.5%, and the percentage of those reporting an unmet mental health care need increased from 9.2% to 11.7%. Increases were largest among adults aged 18–29 years and those with less than a high school education.” 

“There is a great need for mental health awareness and treatment at this time,” Gonzalez added. “A silver lining of the pandemic has been the expansion and use of telehealth as a platform for treatment, allowing patients to participate in mental health treatment from the comfort of their home. However, a limiting factor for accessing care is the availability of providers.”

He said throughout the pandemic, SBU’s Department of Psychiatry and Behavioral Health saw a great increase in the need for mental health care — so large, it developed a call center.

“Throughout the pandemic we have consistently been receiving over 7,000 calls per month,” the director said. “Evaluating our outpatient data for the three months before the pandemic and the current last three months, there has been a 50% increase in number of visits scheduled for outpatient mental health services. Of note, the number of visits scheduled is limited by the number of providers available to provide services.”

With the need for mental health providers continuing to grow, Gonzalez said additional services — like the ones at the CVS pharmacy chain — could be helpful.

“I think having services available at CVS could help with normalizing mental health treatment and increasing access to care,” he said. “The more mental health service options available to the community, the better. One consideration is the type and quality of care to be delivered. Although it is important to increase access, we also want to make sure that the quality of care being delivered is high.”

But if and when the retailers open up shop on Long Island, Stony Brook Medicine is working on finding ways to reduce feelings of hopelessness and distress. 

“We are actively working on investigating various methods of delivering care to help with increasing access to treatment and addressing the mental health needs of the community,” Gonzalez said. 

These methods include expanding group-based services, utilizing a collaborative care model that involves working closely with primary care physicians and behavioral health care managers for medication management, and utilizing skills-based single-session interventions. 

“We have been working with Dr. Jessica Schleider in the Department of Psychology at Stony Brook University to implement and study a problem-solving single-session intervention,” he added. “Initial data indicates that these sessions help with improving agency — motivation for change — and reduce feelings of hopelessness and distress.”

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Pixabay photo

By Leah S. Dunaief

Leah Dunaief

Probably because of COVID-19, there has been more discussion in the media about depression, anxiety and mental health in general. CVS, the nation’s largest retail pharmacy, and the one owned by the Melville Corporation, (the company started by local philanthropist Ward Melville by the way) is creating a new niche for its many stores. It has been hiring licensed clinical social workers for a pilot project in several cities and will offer walk-in sessions or by appointment. 

The social workers are trained in cognitive behavior therapy or CBT. I believe that is generally a form of short term therapy in which the immediate problem is discussed and treated using evidence-based techniques. According to an article in The New York Times, May 10, social workers will offer assessments, referrals and counseling. They will be available during the day and also on evenings and weekends, and also by telemedicine. They will partner with the company’s nurse practitioners and pharmacists for prescriptions when needed.  This will be yet another nonemergency health care service the chain is providing, as they have most recently offered coronavirus vaccines for the public.

Now others beside pharmacies like Rite Aid and Walgreens, who are also planning mental health care, are seeing opportunity in the health field. Albertsons, a grocery chain, offers injectable antipsychotic drugs as well as injectable medication to help treat substance abuse. And a while ago, I got my first shingles vaccine in a drug store.

What a change from the pharmacy of my childhood. I well remember walking down to the drug store five blocks away in New York City with my dad, before I was even of elementary school age, to buy ice cream. That was the only place with a freezer, and the selections were Breyer’s vanilla, or chocolate, or vanilla, chocolate and strawberry together in half gallon containers. They were in a freezer chest, like a foot locker, and when I leaned in to pick the selection, the cold took my breath away. The pharmacy also had a counter where we could sit and get sundaes and milkshakes. But most of the time, we carried the ice cream carton home, hurriedly so it wouldn’t melt, to eat together with the rest of the family.

Another recent focus in the mental health field is on food. And sadly the foods we typically turn to when we are stressed, inevitably sugar-laden and of high fat like ice cream, pastries, pizza and hamburgers, now are on the mental wellness bad list. Nutritional psychiatry is an emerging field which looks at the relationship between diet and mental health. The idea that what we eat can affect our physical health is an accepted one, and now the same concept is extended to our mental wellbeing with the following physiological specifics thanks to research. 

“A healthy diet promotes a healthy gut, which communicates with the brain through what is known as the gut-brain axis. Microbes in the gut produce neurotransmitters like serotonin and dopamine, which regulate our mood and emotions, and the gut microbiome has been implicated in mental health outcomes,” states The New York Times in a May 18 article by Anahad O’Connor.

People who eat a lot of nutrient-dense foods, like fruits and vegetables “report less depression and greater levels of happiness and mental well-being,” according to the NYT.

There is a bit of a chicken-egg conundrum here concerning which comes first? Do anxiety and depression drive people to eat unhealthy foods or are those who are happy and optimistic more likely to choose nutritious foods that further brighten their moods? Recent research has borne out that healthy foods do improve moods.

“Seafood, greens, nuts and beans — and a little dark chocolate” is the basic dietary advice of Dr. Drew Ramsey, a psychiatrist and assistant clinical professor at Columbia University College of Physicians and Surgeons. His jingle comes with the message that food can be empowering.

*This article was revised on June 1, 2021.

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Rite Aid

Rite Aid announced on April 30 it is now administering the COVID-19 vaccine at all locations, spanning more than 2,500 stores in 17 states. Following the latest guidance from the Biden Administration, all those aged 16 years or older are now eligible for vaccination, and Rite Aid encourages everyone to schedule an appointment as soon as possible.

While scheduling appointments in advance is recommended to reduce wait time and guarantee availability of the vaccine, Rite Aid is now also accommodating walk-in vaccines on a limited basis in every store. Enabling walk-in appointments supports customers that may not have access to internet while also meeting the need for flexibility for customers. People interested in a walk-in appointment are encouraged to visit their local Rite Aid to confirm availability.

“The availability of vaccines in every Rite Aid location is a major milestone in our ongoing effort to fight COVID-19. We’ve been on the front lines since the beginning of the pandemic, working across our store footprint to bring testing and vaccines directly to local communities,” said Jim Peters, chief operating officer, Rite Aid. “Vaccine availability is improving every day, and our pharmacists are ready to administer vaccines safely and efficiently, providing the benefits of pharmacist-administered vaccines in a safe and sterile environment right in your neighborhood. Also, in addition to the grassroots efforts we’ve undertaken with our community partners, the availability of these walk-in appointments provides another way for those with limited or no technology access to more easily obtain COVID vaccines. We encourage everyone to make an appointment, or walk-in, today.”

Through its participation in the Federal Retail Pharmacy Program and as an Official COVID-19 Vaccination Program Provider, Rite Aid has accelerated its COVID-19 immunization efforts as allocation has expanded. Rite Aid’s certified immunizing pharmacists are administering the Moderna, Pfizer-BioNTech and Johnson & Johnson (Janssen) vaccines.

Individuals ages 18 and over can schedule appointments using the Rite Aid scheduling tool found at www.RiteAid.com/covid-19. Those ages 16 and 17 can schedule an appointment with guardian consent at any store administering the Pfizer vaccine by contacting the store’s pharmacy directly. Those stores can be found here.

For more information about Rite Aid’s COVID-19 vaccine efforts, please visit www.RiteAid.com/covid-19.

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Photo from Town of Smithtown
Photo from Town of Smithtown
Photo from Town of Smithtown
Photo from Town of Smithtown
Photo from Town of Smithtown

The Town of Smithtown, Kings Park Central School District and Rite Aid successfully hosted a satellite vaccine site for residents, ages 50+ and school employees over the weekend. On Saturday, April 17, a temporary COVID-19 vaccine site was implemented at Kings Park High School. Rite Aid facilitated and administered 180 Moderna vaccines for the appointment-only event. Emergency response support for the day was provided by the Kings Park Fire Department. Assisting with logistics and registration at the event were roughly a dozen KPHS National Honor Society students, staff from the Smithtown Senior Center and Supervisor Ed Wehrheim’s office.

“The stars must truly align in order to implement an initiative of this magnitude. Without the assistance from Rite Aid, a fantastic relationship with surrounding School Districts, a phenomenal team in my office and our compassionate Senior Center staff, our volunteer first responders, and the leadership of Dr. Timothy Eagen at Kings Park Central School District, we could not help our local residents and school staff. This vital service was a success because we united together; the private sector, the public and various government agencies, to protect our community,” said Supervisor Wehrheim.

Several weeks ago, the Kings Park Central School District officially designated Kings Park High School as a potential vaccination site for the community. While most teachers throughout the township had been successful in obtaining vaccine appointments, many support staff such as School Aids and Bus Drivers were in need of a convenient process to suit their individual schedules. 

“The purpose of this event was to provide an important public health service for our employees and local area Senior Citizens. Many employees and residents have experienced a significant amount of frustration and anxiety while trying to make a vaccination appointment. We wanted to take this potential roadblock away for those who are eligible and willing to be vaccinated,” said Dr. Timothy Eagen, KPCSD Superintendent of Schools

An important objective was to provide an easy registration process for those individuals who may have previously struggled with the online method. Eligible Smithtown residents and school faculty in the four surrounding districts were able to book appointments by phone or through email. Additionally, a dozen KPHS National Honor Society students were on hand, volunteering their time to assist in the registration and logistical process.

“You will not find a place on Earth where students embrace service more than in Kings Park. It was heartwarming to see about a dozen students give up a portion of their Saturday to assist in this public health effort, added Eagen.

Approximately 180 Moderna vaccines were supplied and administered to Smithtown residents and surrounding school district employees courtesy of Rite Aid Pharmacy. Individuals who received the vaccine on Saturday will return to Kings Park High School in 28 days to receive the Moderna booster shot.

DID YOU KNOW?:

If you receive either the Pfizer or Moderna COVID-19 vaccine, you will need a booster shot to be fully protected.

COVID-19 vaccines are not interchangeable. If you received a Pfizer or Moderna COVID-19 vaccine, you must get the same product/brand booster shot.

The CDC recommends getting your second shot even if you have side effects after the first, unless a vaccination provider or your doctor tells you not to get it.

When you book an appointment for a COVID-19 vaccine it is critical that you show up or give ample notice of cancellation.

When you do not cancel for a vaccine, you could be taking a vaccine from as many as nine other people.

Photos courtesy of Town of Smithtown

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Christina Loeffler, the co-owner of Rely RX Pharmacy & Medical Supplies in St. James, works at one of the few non-major pharmacies in the county participating in the program to give low to no cost Narcan to those with prescription health insurance coverage. Photo by Kyle Barr

By Kyle Barr

The opioid crisis on Long Island has left devastation in its wake, and as opioid-related deaths rise every year, New York State has created an additional, more affordable way to combat it. To deal with the rash of overdoses as a result of addiction, New York State made it easier for people with prescription insurance to afford Naloxone, a common overdose reversal medication.

On Aug. 7, New York Gov. Andrew Cuomo (D) announced starting Aug. 9 that people with prescription health insurance coverage would be able to receive Naloxone, which is commonly referred to as Narcan, for a copay of up to $40. New York is the first state to offer the drug for such a low cost in pharmacies.

Narcan kit are now available for low to no cost at many New York pharmacies. File photo by Rohma Abbas

“The vast majority of folks who have health insurance with prescription coverage will be able to receive Naloxone through this program for free,” said Ben Rosen, a spokesperson for the New York State Department of Health.

Before the change, the average shelf cost of Narcan, which is administered nasally, was $125 without prescription with an average national copay of $10. People on Medicaid and Medicare paid between $1 and $3, Rosen said.

This action on part of the state comes at a critical time. Over 300 people from Suffolk County died from opioid-related deaths in 2016, according to county medical examiner records. On Aug. 10, President Donald Trump (R) declared the opioid issue a national emergency, meaning that there is now more pressure on Congress to pass legislation to deal with the crisis, as well as a push to supply more funds to states, police departments and health services to help deal with the problem.

The drug is available in over 3,000 pharmacies across New York and well over 100 pharmacies in Suffolk County. This includes all major pharmacies like CVS Health, Walgreens and Rite Aid, but also includes a few local pharmacies that already participate in the state Aids Drug Assistance Program and Elderly Pharmaceutical Insurance Coverage and Medicaid, according to Kathy Febraio, the executive director of the Pharmacists Society of the State of New York, a not-for-profit pharmacists advocacy group.

The program is only available for people who either have Medicare, Medicaid or health insurance with prescription coverage. Otherwise, officials said that those who lack insurance who need access can get it through a number of free Narcan training courses.

“We think that anything that can have an affect on this crisis is a good thing,” Febraio said. “This will certainly help. We need anything that will get Naloxone into the hands of those who need it.”

While Suffolk County Legislator and Presiding Officer DuWayne Gregory (D-Amityville) likes the idea of additional access to Narcan, he is skeptical about whether those who get it know how to properly administer it.

Narcan kits are now available for low to no cost at many New York pharmacies, like at Rely RX Pharmacy & Medical Supplies in St. James. Photo by Kyle Barr

“You don’t need a PHD to know how to use it, but there is some training that would help people be more comfortable, such as how to properly use it in an emergency situation and how to store it so that it is accessible while making sure children can’t get their hands on it,” he said. “Unfortunately the epidemic is so wide spread. Everyone knows someone who is affected.”

Christina Loeffler, the co-owner of Rely RX Pharmacy & Medical Supplies in St. James, one of the few non-major pharmacies in the county participating in the program, said though the business has not yet received many calls for Narcan, the state requires pharmacists to demonstrate how to use it.

“You have to counsel the patient and show them how to use it,” she said. “We were showed videos, we were given kits to practice on before we were certified to do it. I feel like it’s a good thing that they’re doing it.”

The county currently provides numerous Narcan training courses for locals, where they receive training and free supplies of the life-saving drug. Suffolk County Legislator Sarah Anker (D-Mount Sinai) said that she will be co-hosting a free Narcan training course Oct. 5 at Rocky Point High School with support from the North Shore Youth Council.

“They absolutely need to be trained,” she said. “Narcan is almost a miracle drug — it brings people back from death. However, people need to know what they’re doing so that it is administered correctly.”

Check on the New York State Department of Health website’s opioid overdose directories section for a full list of participating pharmacies.

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File photo by Victoria Espinoza

Suffolk County Police arrested a man for burglarizing a Selden pharmacy early March 6.

Sixth Precinct Police Officers Jennifer Mackey and Christopher Weiner responded to Rite Aid, located at 229 Independence Plaza, at approximately 5:05 a.m. after an employee called 911 to report someone attempting to break into the store, which was closed at the time.

When officers arrived, they apprehended Christopher Martinelli who was standing outside the store. Martinelli had broken a window with a baseball bat and reached inside the store and removed cigarettes and electronic cigarettes.

Martinelli, 43, of Selden, was charged with third-degree burglary, and was scheduled to be arraigned Monday, March 6 at First District Court in Central Islip.

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Ryan Frische mugshot from SCPD

Police arrested a man at a local motel after he allegedly stole prescription medication and cash from a Port Jefferson Station pharmacy on Tuesday morning.

According to the Suffolk County Police Department, Ryan Frische, an East Northport resident, first bought hypodermic needles at the pharmacy counter of the Rite Aid in Jefferson Plaza. He then allegedly made verbal demands and gave the clerk a note that demanded cash as well as “oxy.”

With three bottles of Oxycontin pills and cash, the suspect fled the store on foot, police said.

Officers interviewed witnesses and tracked Frische, 27, to the Americas Best Value Inn on Route 112, arresting him shortly after the incident.

The Elwood Road resident was charged with third-degree robbery and third-degree criminal possession of a controlled substance.

Attorney information for the defendant was not immediately available. He was scheduled to be arraigned on Wednesday.

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