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Long Island Council on Alcoholism and Drug Dependence

Suffolk County Executive Steve Bellone. File photo by Alex Petroski

During a press conference July 28 at the Long Island Council on Alcoholism and Drug Dependence, Suffolk County Executive Steve Bellone (D) and Nassau County Executive Laura Curran (D) made the case for what’s at stake for Long Island the day before heading to Washington to urge the congressional delegation to provide financial support for the area.

In the wake of the COVID-19 crisis, which claimed the lives of close to 2,000 Suffolk County residents, Bellone and Curran urged the federal government to appreciate what was at stake as residents continued to deal with the mental health consequences of a deadly virus, job losses, and ongoing fear and uncertainty.

Indeed, the 64-year-old LICADD has had a 20 percent uptick in calls as people grapple with mental health problems and anxiety, Steve Chassman, the executive director of LICADD said.

“Many people have crossed an imaginary line, where the 6 p.m. drink became the 2 p.m. drink,” Chassman said in an interview. For some, that has even developed into an “11 a.m. drink.”

Data from police have shown the number of opioid overdoses, both nonfatal and fatal, have increased dramatically since the start of the pandemic, rolling back almost two years of decreases.

At the press conference, Bellone and Curran said they believe the long road to recovery ahead for Long Islanders requires the ongoing support of services like LICADD and the Hempstead-based Family & Children’s Association.

Bellone said he and Curran were heading to Washington to make it clear “we’re talking about people’s lives and families in crisis.” These type of services, including public safety, public health, social services and mental health, are “even more important today” and will be critical as “we seek to recover from this over the next several years.”

Long Island has been battling an opioid crisis that has wreaked havoc throughout the region. The pandemic has increased the risks from opioids, among other drugs, even as Nassau and Suffolk are “still dealing with the direct impacts.”

Jeffrey Reynolds, the president and CEO of Family & Children’s Association, suggested that it “makes no sense to help save someone’s life from COVID-19 only to have them die from a fatal overdose or suicide.”

He called the current challenges among Long Island’s “darkest hour,” which is “exactly what we are seeing on the ground.”

Reynolds noted that social isolation has strained the mental health of individuals and families. In the last two weeks, Reynolds has seen three overdoses, including one of his former staff members.

Reynolds urged Washington to recognize the need for mental health services is just as critical as the need to protect people from viral infection.

“Nobody in Washington or in Albany, from either side of the aisle, would dare say, for the second, third or fourth wave of COVID that we don’t have enough money” for personal protective equipment. “This is the same. Untreated social anxiety and mental health conditions rank right up there and need our full attention.”

In an interview, Chassman added that residents have also self-medicated through other outlets, including gambling, online spending, emotional eating and sexually acting out.

“These are unhealthy coping mechanisms for fear, anxiety and stress,” Chassman said.

Reynolds offered support to the county executives as they head to Washington.

Turning to Bellone and Curran, Reynolds said, “You have our voice and our good wishes as you go forward” to make sure “these vital services” remain available to Long Islanders.

Sharon Richmond poses with her son Vincent D'Antoni in Battery Park on Mother’s Day 2016. “One day society will look back at this time period and think what a terrible atrocity we allowed to happen to our most vulnerable children,“ Richmond said. Photo by Sharon Richmond

I am educator, an advocate and most importantly a parent who lost her only child to the disease of addiction. Unfortunately, I know I am not alone. The truth is: I stand with more than 72,000 other parents who grieve the loss of their child to an overdose. 

When I speak publicly about addiction issues and look out at people, I see a small piece of me. When I look at your child, I see the beautiful potential of what could have been my child. If only mental health and the disease of addiction had the same basic human right to health care as other illnesses. I hope that by sharing my son’s story, I can create a future where all people are treated equally, no matter their ability or disability. 

My son Vincent was sensitive, kind, funny and insightful. He was popular, played almost every sport, and his teachers always said he brought conversations to the next level and stood up for those who couldn’t stand up for themselves. I will always stand tall and be proud of the person my son was. 

The one thing that most people never knew was that, no matter how hard he tried, Vincent still battled with serious mental health issues: ADHD, trichotillomania (hair-pulling disorder), anxiety and low self-esteem, which eventually led to a deep depression. Even though Vincent had a family that absolutely adored him and everyone he met thought he was handsome, smart and funny, Vincent … never saw himself that way. Children need to be taught how to communicate and be given a variety of strategies to cope in today’s world. We have to work together. It needs to be at the family, school and community level. 

Vincent started smoking marijuana in high school. Toward the end of my son’s life, he shared that “pot” had been his gateway drug to stronger drugs. After high school, he was hanging around with a different crowd. During college, his “A” grades started to falter. Then, he lost his job. Something wasn’t right. I searched his room and found what I feared most: Oxycodone had become Vincent’s drug of choice. We had heated discussions that oxycodone was extremely dangerous and addictive. He would show me research that denied it. As we all know, powerful companies can find ways around the law and can state just about anything they want and get away with it. 

The oxycodone amplified my son’s anxiety and depression. He began to isolate himself. He could hardly get himself to go to work or even out of the house. Vincent tried to self-detox and get drug free on his own, failing several times. 

Finally, Vincent agreed his addiction was out of his control. I had so much hope he was going to get the treatment he desperately needed. Over the course of just one year, prior to my son passing away, he would get denied by the insurance company over four times! 

The insurance company stated he didn’t fit “medical necessity.” First, he had supportive parents. Second, he was motivated to get better. By the third denial, I filed a complaint with the attorney general’s office. They were able to get my son 14 days. 14 days … is such a short time to physically and emotionally overcome addiction, and certainly not enough time for Vincent. My son came out and soon relapsed. This time to heroin. 

After battling with the insurance company for months, they finally approved my son. Regrettably, unbeknownst to us, insurance companies are allowed to back-deny services within 30 days of approval. After detox and 14 days, my son was back-denied, stating he had no other mental health illnesses, was highly motivated to get better, and had a supportive family. He was crying that he needed more time. He was extremely anxious and severely depressed. They placed Vincent on anti-anxiety and anti-depression medication, even though my son was denied treatment due to not having any mental health illnesses. 

My son was trying to get better. He went to out-patient almost every day, met weekly with his counselor, and attended meetings at night. 

In the next few weeks, Vincent stayed drug free … he was beginning to be himself again. However, without getting the services he desperately needed and deserved, my son relapsed and bought drugs unknowingly laced with the deadly drug fentanyl. My son Vincent had no chance. I lost my shiny star, my beautiful son, Vincent on Sept. 13, 2017. Last month would have been his 28th birthday. 

Vincent’s battle is one like too many others. In his honor, I advocate for change. He had so many barriers making it so difficult to get the help he needed: whether it be getting denied Suboxone for detox, incorrect information to determine appropriate services, or getting the Vivitrol shot to help prevent relapse. No one should ever have to fight so hard for the basic human right to health care. 

Insurance companies need to be held accountable. They need to cross reference information for accuracy prior to denying inpatient treatment. They need to comply with the Mental Health Parity and Addiction Equity Act. Federal law states that anyone with a mental health illness or the disease of addiction should get the same basic human rights to healthcare as those who have regular medical conditions. 

I couldn’t imagine if my son or anyone’s child had a regular health disease such as diabetes, a heart condition or cancer that they would get denied the medical care they needed, if they had a supportive family and were motivated to get better.

Over 200 loved ones die from an overdose every single day. We don’t have the luxury of time. In order to create any meaningful change, we need you to be a part of making a difference in our community. Your voice needs to be heard. It is so powerful and very important. If you truly want to see change … Reach out to your local and state representatives, ask them what their action plan is, and hold them accountable. Let them know how important it is for you and your children to have a future where everyone has the same right to get the care they need to be healthy. 

It is my hope that by sharing my son’s story, I can raise awareness, encourage the importance of communication, education and most importantly equality for basic human right to healthcare. 

Sharon Richmond lives in Northport and is part of the Town of Huntington’s Opioid Task Force. She is also a member of the Northport-East Northport Drug and Alcohol Task Force. She works closely with F.I.S.T (Families In Support of Treatment), LICADD (Long Island Council on Alcoholism and Drug Dependence), FCA (Family and Children’s Association),  the North Shore CASA (Coalition Against Substance Abuse) and Nassau County Heroin Prevention Task Force. She is a teacher at North Shore Schools in Nassau County.

Steve Chassman, executive director of Long Island Council on Alcoholism and Drug Dependence, speaks at a May 21 press conference. Photo from Suffolk County

Legislators are asking high school athletic coaches to help combat substance abuse in Suffolk County and are looking to give them the training needed to do so.

“This program will help save lives. I have no doubt about that.”

— Steve Bellone

On May 21, at a press conference held at Ward Melville High School in East Setauket, Suffolk County Executive Steve Bellone (D) and Legislator Kara Hahn (D-Setauket) announced a partnership with the nonprofit Long Island Council on Alcoholism and Drug Dependence. Bellone said a new, county-funded program will provide athletic coaches and trainers in middle and high schools with a 75-minute training course designed to combat substance abuse among student-athletes. Ward Melville coaches have already been through the awareness training that now will be offered to all county secondary schools.

“This program will help save lives,” Bellone said. “I have no doubt about that.”

Krista Bertschi, who lost her son Anthony Mazzella to drug addiction, attended the press conference, holding a photo of her son, to show support for the training.

Mazzella passed away Jan. 22, 2017, from an overdose of heroin and fentanyl. Bertschi said her son was a boxer who was clean for two years when he dislocated his shoulder before Thanksgiving of 2016. While he refused pain medication at first, as the pain lingered, he decided to take them.

The program, developed with LICADD and Stony Brook University, will look to provide coaches with the knowledge of the warning signs of drug and alcohol abuse in student-athletes and how to engage and intervene with team members suspected of abusing addictive substances. Bellone said a coach’s knowledge of an injury may be especially critical in that they may be able to link subtle changes in a player’s behavior to the treatment they are receiving as many times opioids are prescribed for pain.

Hahn had piloted the program with several local school districts, working alongside LICADD and SBU to develop the training. The county will be providing $100,000 to LICADD to aid in developing the program.

Hahn, a graduate of Ward Melville High School, said she was pleased to launch the program at her alma mater. As a former student-athlete and the mother of a recent Ward Melville cheerleader and current Three Village athlete, Hahn said she recognizes how influential a coach’s role can be in a student’s life both on and off the field. She added that the training course was customized to address the various scenarios coaches may encounter, from an injured teenager being prescribed opioids to a marijuana bag falling out of a backpack to team members talking about a big party coming up.

“It’s a unique place in a player’s life that is provided by the coach with an unparalleled opportunity to understand the circumstances the athlete is facing.”

— Kara Hahn

“It’s a unique place in a player’s life that is provided by the coach with an unparalleled opportunity to understand the circumstances the athlete is facing,” she said.

Hahn said social workers are still needed when a problem is identified but coaches can be the first line of defense.

“They can play an important role in the fight against student drug abuse, and through this training, we have invited them to be among the traditional stakeholders working to save lives,” she said.

Steve Chassman, executive director of LICADD, said the seeds of drug disorders usually start in high school, and he thanked the legislators and coaches for their help in solving what he called a public health crisis.

“We are encouraging the coaches to create a culture where people can work together and come forward not just from a disciplinary standpoint but from a public health standpoint,” he said.

Peter Melore, executive director of health, physical education, recreation and athletics for the Three Village Central School District, said during training the district coaches had numerous questions, including how to approach a student, and what to say if they were approached first.

“It’s been a privilege and an honor to be the first to do this,” he said. “I would be remiss if I did not thank our coaches for their engagement in the workshops.”

Bertschi said she believes the program will foster essential communication between coaches and parents if an issue is identified. She will continue to support awareness and prevention programs such as the coach training course, she said, “In memory of my beautiful son and all of the other angels gone too soon to this horrific disease so that no other parent has to walk in the ugly shoes that I walk in every day.”

Districts interested in participating in the program can reach out to LICADD at 631-979-1700 to schedule a training session.

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

By Jill Webb

For five years the Suffolk County Department of Health’s Opioid Overdose Prevention Project has been doing their part to help community members save lives. To commemorate the project’s fifth anniversary an Opioid Overdose Prevention class was held July 31 at the William J. Lindsay County Complex in Hauppauge.

The class trained participants in the essential steps to handling an opioid overdose: recognizing the overdose, administering intranasal Narcan, and what to do while the Emergency Medical Service teams are en-route. These training procedures meet the New York State Department of Health requirements, and at completion of the course, students received a certificate along with an emergency resuscitation kit, which contains the Narcan Nasal Spray.

Narcan, also known as Naloxone, is administered to reverse an opioid overdose, and has saved many lives. Before the project was put into place, only advanced Emergency Medical Services providers could administer Narcan to overdose victims.

“The No. 1 incentive is to receive a free Narcan kit,” Dr. Gregson Pigott, EMS medical director and clinical director of the Opioid Overdose Prevention Program, said. “That’s really the draw.”

He said the class appeals to many people in the field, such as nurses or treatment professionals.

AnnMarie Csorny, director of the department of health’s community mental hygiene services, said another motivation to take the class is “to be better informed, and to have a kit available on you that you would be able to use should you see someone. It doesn’t always have to be your loved one, it could be someone in the community.”

Starting in 2012, the department of health services’ division of emergency medical services has held more than 278 classes. Within this time, approximately 9,000 participants have learned how to recognize an opioid overdose and administer Narcan. Since its start, Narcan has saved the lives of over 3,000 individuals.

Those who have been trained in administering Narcan include EMTs, school district staff and opioid users themselves. The program has developed from how to handle an overdose into adding a discussion of opioid addiction.

“Initially it was just about recognizing signs and symptoms of overdose, how Naloxone is packaged, what it does, what it doesn’t do, what to expect when you administer it, and how to get a refill,” Pigott said.
Now, the program integrates treatment aspects along with prevention techniques.

“I don’t wanna say we just give them Narcan and say, ‘OK here’s how to give it out.’ Pigott said. “I’d like to give them a little bit more background on the epidemic and how we got to where we are, and resources. You have a lot of parents in there who are anxious that they have a son or daughter who is hooked on this stuff. They don’t just want Narcan, they want help for their son or daughter.”

Taking it a step further, in 2016 the county health department started to work with local hospitals to get Narcan kits to those who are at risk of an opioid overdose. They also help educate them along with their families on the risk factors, signs, and symptoms of an opioid overdose.

Suffolk County also operates, with the help of the Long Island Council on Alcoholism and Drug Dependence, a 24/7 substance abuse hotline at 631-979-1700. The line was established in April 2016 for crises, and has received 1,217 calls as of May 31.

On the Opioid Overdose Prevention Program’s impact, Csorny believes it’s a start to tackling a huge issue.

“I think it’s certainly opened the discussion of lines of communication,” Csorny said. “It has, I believe, empowered people to get the support they need and to talk about the things that are not there.”

While the program has educated hundreds of people, and saves many lives, Pigott knows more needs to be done in handling the opioid epidemic.

“I’m realizing that Narcan isn’t the answer,” Pigott said. “It’s a nice thing to say, ‘Hey I got a save, this person was turning blue, not breathing, and then I squirted the stuff up the nose and we got them back.’ But then on the backside of that, the person wakes up and they’re like, ‘Ugh, what just happened to me?’ and then all of a sudden withdrawal kicks in.”

Pigott said after the withdrawal kicks in the users will decide to get treatment or not to, and if they chose the latter they will most likely start using again — administrating Narcan isn’t going to change that.
“That’s the biggest problem we have: it’s a quick fix, and you’re really not fixing anything,” Pigott said. “It’s much more complicated than just giving out Narcan.”

The next step in handling the opioid epidemic, according to Pigott, is getting better treatment options. He said most of the county’s treatment programs are abstinence-based; detox programs in learning how to be drug-free.

“It might be effective at the time but once you’re out of the program it’s easy to get tempted, easy to relapse,” Pigott said. “I think treatment needs to be addressed more and I think there needs to be more options for people.”

File photo

The path to overcoming opioid addiction will soon be just a phone call away, thanks to a new initiative that the Suffolk County Legislature announced last week.

A new full-service substance abuse hotline will serve as what officials called a lifeline to residents battling drug addiction, which lawmakers have been struggling to address across Long Island for years. To get there, the county teamed up with Stony Brook Medicine and the state’s health department as well as the county’s private and public community partners in the substance abuse field to allow residents to call to get screenings, referrals and follow-ups.

The Long Island Council on Alcoholism and Drug Dependence will operate the 24-hour hotline and direct callers to those resources. Providing a single phone number to call for a myriad of resources and services is key to assisting those who are battling addiction and their families, officials said.

“Like many places in this country, Suffolk County is facing an opioid epidemic of historic proportions,” County Executive Steve Bellone (D) said in a statement. “We need to tackle this epidemic on all fronts — including prevention, treatment and law enforcement.”

Bellone said his administration has made it a top priority to “explore and launch new, evidence-based tools” to help address the region’s fight against heroin and opioid use.

“The creation of a local 24/7 hotline is now another tool in our arsenal to assist those who are battling opioid and heroin addiction and their families,” he said.

The hotline will become live by April, Bellone said, and the Suffolk County health department will provide oversight and analyze data to monitor its effectiveness and identify trends and emerging issues in the community.

“Every second counts to a mother whose son or daughter was found and saved from overdosing,” said Suffolk Legislator Kara Hahn (D-Setauket). The majority leader was the author of several laws credited with preventing more than 1,000 opioid overdoses in Suffolk County since the summer of 2012, including one that gave police access to Narcan, a medicine that stops such overdoses. “And every hour and every day that slips by trying to find quality, affordable, accessible treatment is critical.”

Suffolk County Legislature Presiding Officer DuWayne Gregory (D-Amityville) said the initiative is essential, as heroin deaths in the county have nearly tripled since 2010.

“This alarming data demands our immediate attention,” he said. “A centralized hotline for people in crisis is a critical step toward saving lives, but we must do more. My colleagues and I look forward to our continued work with both the county executive and officials from Nassau County as together we fight to stem Long Island’s heroin epidemic.”

County Legislator William “Doc” Spencer (D-Centerport) echoed the same sentiments and said the area’s substance abuse issue was pervasive and touched the lives of more than those who suffered from addiction.

“This initiative will provide [the] opportunity for addicts to reach out during their time of need and access treatment and support options easily,” he said. “Often, there is a critical and brief period of time when a person sees clarity and makes the decision to seek help. This hotline can be fertile ground for change and recovery as it can quickly link residents to crucial health care services.”

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Jay Matuk

As a high school principal for the past 17 years, I am deeply troubled by the Alcohol and Tobacco Tax and Trade Bureau’s recent decision approving the labeling of a new form of powdered alcohol called Palcohol. This substance can be easily mixed with water or any other beverage, making it a camouflaged cocktail drink that is as easy to make as lemonade or iced tea. On so many levels, I find this decision by the manufacturer, Lipsmark LLC, to market this product a truly disturbing one.

Schools across the nation are engaged in an ongoing struggle to address the rampant alcohol and substance abuse issues that plague our communities. Each year, educational leaders and support staff must be able to identify in our students the physiological symptoms caused by the latest “designer” drugs; each year, it seems some new pharmaceutical grade substance becomes popularized in mainstream teenage culture, and before you know it, you have an epidemic on your hands. Just look at the impact that misuse of opiates has had on young adults over the past few years. I know of far too many school districts that have seen current students or graduates succumb to this or other narcotics. I weary of attending more gut-wrenching funerals for children lost to this plague. Now we have the addition of a powdered alcohol mix, which can be added to any bottled beverage while hundreds of students occupy a cafeteria. There is just no level of adult supervision that could prevent the creation of such a cocktail in school. Adolescents being risk-takers by nature, one can only imagine the out-of-school “drinking game” opportunities this new substance would create as well.

For the last three years, I have served on the Board of Directors of the Long Island Council on Alcoholism and Drug Dependence (LICADD). This organization provides outreach and counseling services to thousands of individuals and families facing addiction issues on Long Island and in New York City. LICADD also works with dozens of school districts to provide training, counseling and program assistance to overwhelmed support staff employees (counselors, social workers, psychologists) who are valiantly attempting to address alcohol and drug dependence issues in students as young as 12 years old. We are appalled that such a product has the potential for sale in New York State. Since Palcohol has already been approved by the Food and Drug Administration, it is now solely in the hands of individual states to legislate this new product and keep it off the shelves of the convenience stores that no doubt would be a prime location for its marketing and sales campaign.

If there has been one constant that I have observed in my 33 years in public education, it is that our schools have always functioned as a laboratory for observing the impact of all that ails us as a society. Financial struggles, broken families, mental illness, domestic abuse, overuse and abuse of prescription medications, teenage and adult alcohol/drug dependence, the rapidly increasing use and public acceptance of marijuana — we see it all.

To be candid, the weight of these issues dwarfs our ongoing public debate regarding Common Core education and the use of standardized testing for student and professional evaluations. I have shared with parents for years that nothing, not even getting into the best colleges, is as important as the safety and well being of our children. We cannot sit by and allow the emergence of yet another product, FDA-sanctioned or not, to add to the growing list of destructive substances that are afflicting our students and their families.

Jay Matuk, a member of the LICADD Board of Directors, also serves as the principal of Cold Spring Harbor Junior/Senior High School and is an adjunct professor at the C.W. Post Graduate School of Education Department of Educational Leadership.

Suffolk officers revive two people days after department puts overdose-ending medicine into police cars

File photo

Jeff Reynolds recently attended a funeral in Huntington for a young woman, a heroin addict who had gotten clean but died of an overdose after a relapse. Reynolds, the executive director of the Long Island Council on Alcoholism and Drug Dependence, said two weeks later, the young woman’s boyfriend also died from an overdose.

Drug use has become more and more of a problem on Long Island in recent years. According to a special grand jury report from the Suffolk County District Attorney’s office, there were 231 overdose deaths from controlled substances in Suffolk County last year.

Opioid painkillers accounted for 75 percent of them.

But an initiative to combat opioid overdoses — from drugs like heroin, Vicodin and Percocet — is already showing promise, just days after it was launched. Suffolk County Police Department’s Michael Alfieri, an officer in the 7th Precinct, responded to a call of an overdose in Mastic Beach last week. According to the police, Alfieri found a 27-year-old man unresponsive and not breathing, and revived him by intranasally administering Naloxone, an opioid blocker known by its brand name, Narcan. The officer also gave the man oxygen before he was transported to the hospital. That overdose victim survived.

Officers Thomas Speciale and David Ferrara revived a woman in Lake Ronkonkoma who had overdosed on heroin on Aug. 5. The 4th Precinct officers responded to a 911 call at 1:20 pm and found the 21-year-old woman in a parked car, unresponsive and barely breathing, police said. Speciale administered Narcan and Ferrara provided additional medical care before the woman was transported to the hospital for treatment.

The New York State Department of Health piloted a program that allows those in certain counties, including Suffolk, with basic life support training, such as volunteer emergency medical technicians, to administer Narcan. Previously, it was limited to those with advanced life support training.

Legislator Kara Hahn (D-Setauket) sponsored a bill, which the county Legislature adopted, that expanded this to include officers in the Suffolk County Police Department, many of whom have basic life support training. A police spokesperson said it is being piloted in the 4th, 6th and 7th Precincts and the Marine Bureau, and 267 officers have already been trained to administer the intranasal medicine.

“Our officers are first on the scene in virtually all medical emergencies,” Dr. Scott Coyne, SCPD’s chief surgeon and medical director, said in a phone interview. He said it is important that officers have resources like Narcan to treat people because “it’s really during those first critical minutes that they mean the difference between life and death, particularly in overdose situations.”

Last Monday was the first day the officers were on the street with Narcan, according to the police department. Alfieri saved the man who overdosed two days later, and Speciale and Ferrara saved the Lake Ronkonkoma woman on Sunday.

“There was one less mother grieving for her child,” Hahn said in a phone interview after the first incident. She expressed her hope that the program would save more lives in the future.

Reynolds said Narcan works by quickly surrounding opiate receptors, blocking the drug’s ability to access the brain. “The person will experience some withdrawal but the overdose will come to an immediate end.”

Other benefits of the medicine are that it’s inexpensive and there aren’t any negative consequences if it is administered to someone who has not overdosed on opioids, Reynolds said. Signs of an overdose include blue nail beds, blue lips, unconsciousness and the inability to remain upright.

Dr. Coyne said, “Undoubtedly this pilot program will be a great benefit to the citizens of the county and particularly it’s going to result in, I believe, many lifesaving events.” Dispatchers are receiving more and more calls about drug overdoses, he said, adding that 60 police cars now carry Narcan.

Other states have had success with similar programs. According to The Boston Globe, Narcan reversed more than 1,000 opioid overdoses in 12 Massachusetts cities between 2007 and 2011 through a pilot program that allowed substance abuse treatment centers to train people how to use the overdose antidote.

Dr. Coyne said the SCPD precincts piloting the Narcan program were selected because they appeared to have more overdoses. The Marine Bureau was chosen because it serves Fire Island, and the time it takes to transport someone to a hospital could be longer than in other places.

Dr. Coyne and Hahn both said they would like to see the local program expanded and Reynolds said Narcan “should be in every police car,” and even school nurses and parents of addicts should carry it.

For friends and family of those addicted to opioids, LICADD trains people to identify an overdose and administer Narcan through an injection into the leg — different from the police department’s aspirator — and sends trainees home with two vials of Narcan and two syringes.

Reynolds said the best way to prevent an overdose is to not use drugs in the first place, but that Narcan is an important measure in helping those struggling with addiction survive long enough to receive help.

He said Narcan “gives these kids a second shot.”