Tags Posts tagged with "Overdose"

Overdose

The Suffolk County Police Department has saved more than 600 lives since 2012 using Narcan to reverse opioid or heroin overdoses. Data from SCPD.Graphic by TBR News Media

Medical professionals, law enforcement and government officials gathered at Stony Brook University this past weekend to have an open and honest dialogue about the growing opioid problem facing the North Shore and the rest of Suffolk County.

The complexity of the problem and how it relates to communities across the county was the topic of the discussion Oct. 1. A common theme among the speakers was opioid addiction should be treated like a legitimate medical crisis and not a moral failing.

Dr. Constantine Ioannou, director of Stony Brook Medical Center’s Adult Inpatient Unit addressed the current opioid crisis in the United States and specifically in Suffolk County during the event.

“This is not the first opioid epidemic in the United States — this is one of many,” Ioannou said. He likened the current state of opioid prescribing and subsequent widespread addiction to a period in the late 1800s when morphine was first developed. He said doctors overprescribed the powerful painkiller and, in turn, opioid dependence skyrocketed.

SCPD Deputy Sheriff Mike Kern speaks about the opioid crisis in Suffolk County. Photo by Alex Petroski
SCPD Deputy Sheriff Mike Kern speaks about the opioid crisis in Suffolk County. Photo by Alex Petroski

The director traced the origin of the current crisis back to two events in 1995. Purdue Pharma, a pharmaceutical company, began marketing OxyContin, its version of the powerful opioid oxycodone, to doctors. In addition the American Pain Society, an organization dedicated to advocating for public policies to reduce pain-related issues, named pain as the fifth vital sign. Like the other four — pulse rate, temperature, respiration rate and blood pressure —  pain would be monitored in patients from then on. Pain was the only one of those five vital signs that is completely subjective and based on what a patient tells a nurse or doctor, Ioannou said.

Those two events, in accordance with nurse ratings and even payment being tied to patient satisfaction and reduction, created an environment of overprescribing, Ioannou said. He also said training of doctors in pain management needs to be addressed — he graduated from medical school in 1985 with “zero” training in pain management.

“There are states in the United States where there are more prescriptions for opiate pain medications than there are people — this is a staggering number,” Ioannou said.

Jermaine Jones, Ph.D., an assistant professor of clinical neurobiology in the Department of Psychiatry at Columbia University, also spoke and reiterated some of what Ioannou said regarding the United States’ views on pain management.

“I’ve had friends from other countries say that unless you come into the E.R. with an arm missing, you’re not going to get a prescription that you could get here for having a root canal,” Jones said. “We make up about 5 percent of the world’s population yet we consume about 80 percent of the prescription opioid [painkillers].”

Jones is involved in a study called Risks and Benefits of Overdose Education and Naloxone Prescribing to Heroin Users and spoke about some of his findings. Naloxone, commonly known by the brand name Narcan, is a drug used to reverse opioid overdoses.

“We’re trying to better understand how to tease apart ways to attenuate what people like about opioids,” Jones said of the five-year study, which is currently in its second year.

Jermaine Jones, Ph.D., an assistant professor of clinical neurobiology in the Department of Psychiatry at Columbia University, was on the opioid discussion panel. Photo by Alex Petroski
Jermaine Jones, Ph.D., an assistant professor of clinical neurobiology in the Department of Psychiatry at Columbia University, was on the opioid discussion panel. Photo by Alex Petroski

He said the study was created to monitor people who are administered naloxone and see if it is being used for the correct purposes. One concern in the creation of an overdose reversal drug is that users will be more confident in their ability to combat an overdose and may decide not to call 911 if that day ever comes. Other potential unintended consequences of naloxone, including how to deal with a user who may be irate after being saved from an overdose and is now “dope sick” and without the expensive drug they just bought, are the focus of the study. They are also researching some potential new medications or existing ones that could work in accordance with opioids to reduce pain, while reducing the effects that lead to addiction.

“We know that detox by itself is actually one of the highest risk factors for opioid overdose because you’re tolerance decreases,” Jones said. “So once someone comes out of a detox program they swear they’re never going to touch this stuff again, but relapse is very, very common. So they use again thinking that if they were using two bags before, they can continue using two bags now that they’ve gotten out, but their physiological tolerance has decreased and people overdose as a result.”

Ioannou indicated he’d like to see changes in treatment options for addicts.

“We treat all addiction by the same model,” he said. “You have a five-day detox, 28-day rehab and you have an after care that is all based on 12 steps. That is the model of care in the United States. We need to realize with a complex disease, you need a complex set of interventions.”

Suffolk County Police Department Deputy Sheriff Mike Kern is an expert in recognizing drug users. He called overdoses the most powerful “advertisement” for drug dealers because it is a clear indication of how strong their product is. He echoed sentiments from both doctors about the dangers of overprescribing and to what it can lead.

“Why can a doctor prescribe an OxyContin to a 16-year-old or a 15-year-old who just had a root canal?” Kern asked. “It just doesn’t make any sense.”

By Tracey Farrell

In 2002, my 16-year-old son Kevin had surgery on his shoulder for a football injury. He was prescribed 60 Vicodin pills with no other instructions but to take one or two of them every four to six hours for pain.

I didn’t know they weren’t like antibiotics, and you weren’t supposed to take all 60. He was still in pain, so they gave him 60 more. Well, guess who is now addicted to them? He was buying them during lunch.

This is the high school quarterback. His girlfriend is the cheerleading captain. He is beautiful, loving, fun and funny. His friends love him. His teachers and coaches love him. He has not an enemy in the world. He graduates. He works. He is a great kid.

Kevin chose to smoke pot instead of taking the pills soon after high school, but at some point he went back to the pills — especially since I was on him all of the time to stop smoking. He had multiple concussions over his high school football career. After his last one, I saw a change in his personality. He was easily angered, depressed, anxious — all things he was not before.

I didn’t know at the time that marijuana and opioids help make all of those symptoms so much better. The drugs make them disappear. I didn’t know that the only enemy he did have was the one within himself.

Tracey Farrell and her son Kevin Norris in 2010. Photo from Tracey Farrell
Tracey Farrell and her son Kevin Norris in 2010. Photo from Tracey Farrell

When Kevin went back to the pills, he began snorting them this time. A lot of them. Once I saw a powder residue on his glass desk and, only knowing what I saw on TV, I put it on my tongue to see if it would numb it.

Nope, not cocaine.

I knew deep down something was going on. He didn’t shower as often or take care of his teeth. Changes in his habits were starting to happen.

These Oxycodone pills are expensive, and make you painfully sick when you don’t have them. An addict becomes so desperate that they will beg, borrow and steal to get them — literally. Eventually when you have exhausted stealing your family’s available cash, you steal their jewelry, sports memorabilia and anything else of value you can sneak out of the house. You write bad checks from your mom’s bank account. Eventually you realize there’s an alternative available and you turn to heroin. It’s cheap, and readily available. You just have to put money in your mailbox and drugs appear moments later.

That point happened some time in 2011. I assume he started snorting it before he shot it.

Nine years in and I am still clueless, uneducated, unaware to so much of it. Kevin never, ever looked high in front of me. I was missing spoons, which are used to melt the heroin down to a soluble form, but I still thought maybe they were thrown out by mistake? Yes, he had been to rehab, but I didn’t know that it didn’t fix you. I didn’t know that me giving him no option but to enter rehab wouldn’t work. I didn’t know that he had to want to be in recovery.

I learned how to be manipulated. I enabled everything. I believed every lie he told me and would hand over money in fear he would be killed for the money he owed.

Eventually, he must leave the house. Kevin would live in his car, on which I was now making the payments and insuring. It’s winter and I cannot fathom the thought of him in a car at Christmas, so I get him an apartment. I sent his stepfather over many times to see if he was alive when I couldn’t get in touch with him. I even called 911 on him when I thought he was suicidal, which resulted in a short hospital hold. I started to understand that he does not want this for himself, but doesn’t know how to stop. He fears withdrawal, and I hear his pain and cries when he begs me for money because he is so sick. He is eventually hospitalized for a blood infection. I realize I can no longer keep him in that apartment.

I clean the place out.

He didn’t need much food. The only thing in the fridge was water. I find all the things he has used as a tourniquet. There is an amazing amount of plastic garbage bag drawstrings removed from bags, Q-tips everywhere with the cotton taken off which are used as filters. So many water bottle caps. So many syringes.

“There were times I threw money into his car so angrily when he asked me. I struggled between loving him and hating him.”

I didn’t want my son to die, but I’m realizing I’m making it more comfortable for him.

Through most of his addiction he was highly functioning, always holding down a job. This was no longer the case.

He gets out of the hospital and is back to his car. I’m giving him $20 a day. He gets food stamps and Medicaid from the Department of Social Services. I find he sells what’s on his food stamp card. I pump gas in his car, but I do not hand over more cash. There were times I threw money in his car so angrily at him when he asked.

I struggled between loving him and hating him.

He began living in a hotel with his dealer and got arrested for possession of a syringe. He’s assigned a public defender, but of course Mom pays the fees and it’s knocked down.

But a few days prior, he made the choice on his own — which is key — to seek help.

He made the calls on his own, instead of me doing all of the legwork, to enter South Oaks Hospital in Amityville. His third try at rehab. But now, he wants it.

I went to a family meeting about 10 days in.

There he is. My son, my real son. Thank you, thank you and thank you.

He was enrolled in a 28-day program. He went to Mainstream House in Riverhead, a sober house. We do family things together again. We shop, we go to lunch, dinner. He wanted to be around us again. I haven’t had this in years. We laugh, we cry.

He got kicked out of sober living for having Ambien, a prescription drug, because he had a hard time sleeping. I let him back home. Kevin has a new job, a new girlfriend. He seems happy.

Tracey Farrell, a Rocky Point resident and founder of North Shore Drug Awareness Advocates, displays her luminaire in memory of her son Kevin during the third annual Lights of Hope event in Port Jefferson on Aug. 31. Photo by Nora Milligan
Tracey Farrell, a Rocky Point resident and founder of North Shore Drug Awareness Advocates, displays her luminaire in memory of her son Kevin Norris during the third annual Lights of Hope event in Port Jefferson on Aug. 31. Photo by Nora Milligan

I didn’t go to the classes I should have. I didn’t learn that someone new to recovery does not want their past thrown at them. One day at a time is their mantra. Yesterday is the past. He’s going to his meetings on a regular basis, but now that he is working, that starts to not be as often. Anything that goes missing I automatically accuse him. He wants a new phone because his is old and cracked. I bought him a new one and he “lost” it. I still tell him that if he didn’t sell it he would have it. He tells me he is working an honest program and that he has told me everything — including that he did not sell the phone. I apologize and tell him I am proud of him.

Kevin is working for a company which does party rentals.

One Sunday, in September 2012, he came home looking tired. He was thrilled that they gave him a $100 tip. They even gave him the leftover cake, which we of course ate together. We spoke of the cotton candy on his sneakers, because he worked the cotton candy machine. He thought it was fun.

The next day, his sister found him dead in bed. It was an accidental overdose.

They say money is a trigger.

I will never know what led him back. I know now I didn’t cause it. I couldn’t control it and I couldn’t cure it. I prepared myself that this day could come, but I thought he was in the clear. Our very last conversation was about cotton candy, one of the things I craved most when I was pregnant with him.

I still have the cotton-candy-covered shoe laces. I miss him every day. I still struggle with not doing the things I now know I should have done, and I try to teach people every day to not make the same mistakes I did. Learn from me please. Let me tell you anything and everything that may help you or your loved one. It helps me to help you.

I just went to a celebration meeting of one of his best friends celebrating one year of sobriety on Sunday, and he said, “I think he may have died so I can live.”

Tracey Farrell, formerly Tracey Budd, is a Rocky Point resident who, since her son’s passing, educates others on drug abuse and assists in finding help for those who are struggling, or know someone who is struggling, with addiction. She is the founder of North Shore Drug Awareness Advocates and also a 2015 TBR Person of the Year.

Graphic by TBR News Media.
Graphic by TBR News Media.

Commentators on the rising opioid crisis in the United States commonly say dealing with the problem requires a multi-pronged approach, and the Suffolk County Police Department agrees.

The department has expanded efforts to combat the many fronts of the opioid crisis, including prevention, treatment and enforcement.

Police Commissioner Tim Sini said in an interview that the opioid problem is the number one public safety and public health issue in Suffolk County.

“We have over 100 opioid-related overdoses every year for the past several years, and then when you consider the more than 500 Narcan saves on top of that, the tragic loss of life and the near tragic loss of life is just shocking,” he said at police headquarters in Yaphank.

It’s no secret the SCPD has their job cut out for them — in 2014 Suffolk County had the highest number of overdose deaths involving heroin, and was the leader in deaths where prescription opioids were a factor in the state, according to a report by the New York State Comptroller’s office from June.

In 2014 Suffolk County had the highest number of overdose deaths with heroin, and was the leader in deaths where prescription opioids were a factor in NY

Sini also highlighted how crime is so closely associated with an increase in drug activity.

“Addicts often resort to burglaries and larcenies, and sometimes they elevate to robberies,” he said. “And now we’re seeing our gangs getting involved in the heroin trade because there is a lot of money to be made and there are so many customers.”

The commissioner said the department is working as hard as it can to ensure it’s as inconvenient as possible to sell drugs in Suffolk County.

At the end of March, SCPD started a program that encourages residents to call 631-852-NARC, an anonymous hotline encouraging residents to call in with drug tips they have. If the tip leads to an arrest, the resident is entitled to a cash reward. This initiative works in conjunction with Crime Stoppers, a program that connects local police departments with the public and media to help find suspects and collect information that can lead to arrests.

“Since we rolled [the drug hotline] out at the end of March, we’ve received over 500 tips on that line, and many of those have resulted in investigations and search warrants,” Sini said. “We’ve seized kilogram quantities of narcotics as a result of this initiative, over a million dollars in drug money, dozens and dozens of weapons, and over 200 arrests under this initiative. It’s important because not only does it take drugs off the street but it sends the message that we’re not going to tolerate drug dealing in our communities.”

The police department has said open communication with the public is an important part of this fight, because the more communities speak up and help the department, the better work the police can do.

Sini said since he took over, there has been almost a 200 percent increase in the amount of search warrants executed, and many of these are due to tips from residents.

“[Search warrants] are very important because it disrupts drug operations before they become too significant,” Sini said. “It takes guns and drugs off the streets, and also strengthens the partnership between the police department and the community. It encourages people to be more informative.”

Relationships with federal law enforcement partners have also been re-established, Sini said, and five detectives now work with the Drug Enforcement Administration; four focus on the heroin trade and the fifth investigates doctors and pharmacists who have been reported to unlawfully dispense or prescribe pain medication.

The police department has also focused resources on treating drug addicts who are in the throes of addiction.

Inmates at the Suffolk County Correctional Facility in Yaphank have the option of receiving voluntary medical assistance while still in jail. The department offers inmates who are eligible for the program, meaning they don’t have any drugs currently in their system and have said they want to commit to getting clean, an injection of Vivitrol, a drug that works as an opioid antagonist, blocking the opioid receptors in the brain and preventing someone from getting high for 30 days.

“It gives you that mental clarity and stability to essentially not relapse, so you can stay in treatment,” Sini said. “It’s highly effective but most addicts don’t want to use it because once you take that shot, you know you can’t get high for thirty days. So it takes someone who is really committed to getting help.”

Sini said the program starts in jail, and they look for inmates who have essentially been incarcerated because they are addicted to drugs, with arrests due to burglaries, possession, and other drug-related crimes. Incarcerated individuals receive their first shot in jail, and then are set up with a treatment provider in their community to work with when they are released.

“This is a multifaceted problem that creates issues for families, schools, the police department, probation, courts, medical examiners, churches and more. And everyone has got to be at the table.”
— Tim Sini

Suffolk County officers are also dedicated to providing programs that help with prevention.

The Ugly Truth is a program meant to educate school districts and community groups on the dangers this growing problem poses for all different age groups in Suffolk County. There are many other programs in effect right now being taught throughout the county.

“If we can prevent someone from ever going down that road, that’s where you’ll get your biggest bang for your buck,” Sini said.

The commissioner said he is only interested in working with evidence-based programs, which are resources that have been studied by analysts to prove their effectiveness.

Certain police officers are also designated as school resource officers. They are assigned to specific districts to participate in awareness programs with the students.

Sini said despite all the resources the department provides, more needs to be done.

“The silver lining is, among the experts there is consensus,” Sini said. “We don’t sit there and debate if addiction is a disease or if the cops can solve this problem. We all get it; this is a multifaceted problem that creates issues for families, schools, the police department, probation, courts, medical examiners, churches and more. And everyone has got to be at the table.”

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.”

by -
0 192
Geoff, Bob, Karen and Patrick Engel at a previous Hoops for Hope event in memory of their family member. File photo by Kevin Redding

By Kevin Redding

In the face of tragedy, there’s one of two directions you can go. You can react to it optimistically and see what good can come out of it, or you can let it control your life and pin you down. The Engel family, of Miller Place, refuses to be pinned down. In fact, they’re well on their way to making great strides in their community.

Tuesday marked the 2nd Annual Jake Engel Hoops for Hope fundraiser at Cedar Beach in Mount Sinai — a day of competitive basketball all in the memory of a wonderful student and athlete taken too soon.

After Engel’s passing from a heroin overdose last year, his younger brother Patrick acted quickly and — with the help of his family and friends — put the event together in just a few short days, raising more than $5,000 for Hope House Ministries, a center in Port Jefferson where Jake Engel lived for two years, which provides care to young people and families in crisis.

Friends take to the court for some 3-on-3 basketball action in support of Jake Engel, a Miller Place resident who died of a heroin overdose last year, during the second annual Hoops for Hope fundraiser. Photo by Kevin Redding
Friends take to the court for some 3-on-3 basketball action in support of Jake Engel, a Miller Place resident who died of a heroin overdose last year, during the second annual Hoops for Hope fundraiser. Photo by Kevin Redding

Knowing that they wanted to expand on what they accomplished last year, the Engel family — Bob, Karen, Geoff and Patrick — set out to raise money this time around not just for Hope House but for the development of a scholarship at Miller Place High School and nonprofit organization in their son and brother’s name.

“We wanted something that was actually about Jake — In his name, dedicated to him,” said Patrick Engel. “Hope House is wonderful and we love Hope House … but we want something separate from it to remember him more personally.”

Both programs-to-be are in the beginning stages, but even though the qualifiers for the scholarship are not set in stone quite yet, the core mission certainly is. The Engel family is determined to raise awareness about the all-too prevalent drug problem sweeping Long Island and wants to do everything they can to prevent any drug-related tragedies in the future.

“The idea behind the scholarship and nonprofit is to be educating kids in the school district about these types of things,” said Geoff Engel, Jake Engel’s brother. “So we thought that setting up a scholarship would be a good way to promote that. The nonprofit could also hopefully provide housing for kids who are not able to get into rehabs or other types of organizations.”

Bob Engel, Jake Engel’s father, is especially determined to zero in on youth.

“Kids have to be educated,” he said. “It’s out of control out there, and I really want to gear everything toward the younger kids. They gotta get it in their head. Start in 5th grade with lectures every month and a half. The drug dealers aren’t going away no matter what, so at this point it’s about the education of younger people. The community needs to know what’s going on. [Hoops for Hope] is a good thing. This money is going toward educating these kids.”

Karen Engel, Jake Engel’s mother, said the family is still finalizing the details of the scholarship but are thinking of awarding it to someone who has overcome adversity and who does well academically because “that was Jake.”

“He was a very good student and loved his academics, and school and learning,” she said. “So that’s kind of the direction we’re going in.”

She hopes that both the scholarship and organization will encourage more people to become actively involved.

Geoff Engel plays some hoops in support of his brother Jake, who died last year of a heroin overdose. Photo by Kevin Redding
Geoff Engel plays some hoops in support of his brother Jake, who died last year of a heroin overdose. Photo by Kevin Redding

If this year’s fundraiser was any indication, people are ready to turn their attention to this issue.

Geoff Engel said that while last year’s fundraiser was very spontaneous and slapped together quickly, this year’s was a lot more organized.

“We’ve done a much better job promoting the event,” said Geoff Engel, who recently appeared on 103.9 WRCN-FM to spread the word. “We’re really hoping to raise at least twice as much as last year. It’s a much bigger event.”

For starters, last year’s basketball tournament had about 15 teams of 3, and this year boasted 26, with a donation of $15 per team to participate. But the event’s biggest source of income came with the addition of event T-shirts at $10 each, provided by the company Inkterprise, and a raffle.

Some of the donated items included a 32-inch flat-screen TV, a 3-month membership to Planet Fitness and a car care basket with three auto inspections provided by Rapid Inc. The Town of Brookhaven also supported the fundraiser and donated four box seat tickets to the Yankee game this upcoming Saturday, a $100 Modell’s gift card and the basketball court at Cedar Beach, waiving the standard $400 fee to rent it.

“I live right next door in Rocky Point and so many communities on the North Shore have been devastated with overdoses,” said Brookhaven Councilwoman Jane Bonner (C-Rocky Point). “We decided to take a stronger role this year … we all collectively decided to roll up our sleeves and become more involved and bring more awareness.”

For the Engel family, whose constant strength and selflessness has perpetuated this call for awareness, the focus is making sure the scholarship and nonprofit organizations get off the ground. If things go as planned, that should be the case by graduation next year.

“We’re trying to do anything we can just so people will talk about it,” Karen Engel said. “We want people to be aware that they can reach out to get help.”

This version corrects the spelling of the company name Inkterprise.

People at an anti-drug forum stay afterward to learn how to use the anti-overdose medication Narcan. Above, someone practices spraying into a dummy’s nostrils. Photo by Elana Glowatz

Residents from all Brookhaven communites are welcomed and encouraged to attend Brookhaven Town Youth Bureau’s free substance abuse awareness and opioid overdose prevention program training class, provided by Suffolk County EMS, on June 7 at Brookhaven Town Hall.

The training will discuss what an opioid overdose is, the signs and symptoms that will help identify an overdose, what to do until EMS arrives, and how to administer nasal Narcan to reverse an overdose.

Substance abose treatment information resources will be available from 5:30-6:30 p.m., and Narcan training will be held from 6:30-7:30 p.m.

Brookhaven Town Hall is located at 1 Independence Hill in Farmingville. Call 631-451-8011 for more information or to RSVP by May 27.

by -
0 1703
People at an anti-drug forum stay afterward to learn how to use the anti-overdose medication Narcan. Above, someone practices spraying into a dummy’s nostrils. Photo by Elana Glowatz

We’ve been hit with some staggering figures. The Centers for Disease Control and Prevention reported more than 28,000 overdose deaths in 2014 as a result of heroin or opioid abuse, the highest number on record. Last year alone Suffolk County suffered 103 fatal heroin overdoses. Suffolk tallied more heroin-related overdose deaths than any county in New York from 2009 to 2013, according to the New York State Opioid Poisoning, Overdose and Prevention 2015 Report.

Although local and national initiatives have come from all different angles to try to combat the rise in heroin and opioid abuse, we think lawmakers lack focus.

Most recently, U.S. Rep. Lee Zeldin (R-Shirley) endorsed a large legislation package that would review and update guidelines for prescribing opioids and pain medication and require a report to Congress on the availability of substance abuse treatment in the country, among many other provisions. While we applaud any earnest effort to combat the widespread problem, there needs to be more focus from one specific angle: prevention.

With treatment and recovery options across the North Shore and with the rate at which the county is now taking down drug dealers, enforcement and rehabilitation are not our biggest problems. Instead, more needs to be done to deter kids from ever considering to try drugs in the first place. While some schools have begun to work on this, working with police to hold Narcan training sessions and informational forums, students should be seeing more than just numbers and figures, police officers or counselors.

Tracey Budd, of Rocky Point, helped Suffolk County create a public service announcement, “Not My Child,” that has been shown in schools. Budd lost her son to a heroin overdose and her message is powerful. Kids need to see the struggles that addicts and their families go through to help hammer home how dangerous drugs are.

We also urge parents to be more aware and involved. You know your child — look, listen and ask questions. There are signs in mood, behavior, habit and appearance that could warn you that there’s a serious problem. And don’t be afraid to set boundaries or to talk both about drugs and other topics that may seem difficult or awkward. Many people are drawn to drugs because of an underlying emotional issue, but letting a teenager know that nonjudgmental ears are listening could be a solution.

Frederick Douglass once famously said, “It is easier to build strong children than to repair broken men.” Building those stronger children is how we should tackle our country’s growing drug problem.

Event attendees learn how to use Narcan to counteract opioid overdoses. Photo by Giselle Barkley

By Giselle Barkley

Parents and students alike walked out of Mount Sinai High School knowing the ugly truth about heroin and opioid use and addiction. But they also walked away with a lesson about Narcan.

Event attendees learn how to use Narcan to counteract opioid overdoses. Photo by Giselle Barkley
Event attendees learn how to use Narcan to counteract opioid overdoses. Photo by Giselle Barkley

The school district held it’s first “The Ugly Truth” presentation on Tuesday in the Mount Sinai High School auditorium. Suffolk County Police Department officer George Lynagh, EMS officer Jason Byron and county Medical Examiner Michael Caplan tackled the origins of heroin and trends among addicts over the years. Suffolk County Legislator Sarah Anker (D-Mount Sinai) and Town of Brookhaven Councilwoman Jane Bonner (C-Rocky Point) also spoke at the event.

But residents didn’t simply learn about heroin on the Island, they also left with their own Narcan kits after Byron led a Narcan training class. According to Sgt. Kathleen Kenneally of the police department’s Community Response Bureau, Narcan, also known as Naloxone, was successfully administered around 530 times since the opiate antidote was introduced to the police department in July 2012.

Narcan, which reverses the effect of heroin or other opiate-based overdoses, can be administered via an injection or nasal spray. Mount Sinai resident Susan Matias said the spray is a friendly option for community members.

“Here, it’s introduced through the nasal passages — there’s no harm done, you’re not afraid of administering a needle and/or sticking yourself in the moment of chaos,” Matias said. “I think that’s why people are more open to partake and participate in the training.”

The nasal spray also makes it easier for people who still have a stigma about drug addicts and users. Byron reminded residents that the face of addicts has evolved and they’re not the only ones in need of drugs like Narcan.

“Sadly, the connotation is, we think people that could have overdosed are dirty when really it doesn’t have to be,” Byron said. “For opiate overdose, it doesn’t mean that it’s someone addicted to heroin. It could be somebody who’s possibly on pain management for cancer, end of life care, hospice care. It’s not the stereotypical — I hate to say it — junkie. That’s not what we’re seeing out there.”

According to Caplan, in the last few years, drug addicts who’ve overdosed on the substance have gotten younger and younger. The rate of opiate overdose deaths has increased by 140 percent since 2000. Synthetic opioids, like fentanyl, are responsible for 80 percent of these death rate increases.

Fentanyl, which some dealers or users will mix with another drug like heroin, is 50 times more potent than heroin and 100 times more potent than morphine. Combining this drug with others can make it difficult when administering Narcan.

“One of the problems with Fentanyl is, because it’s so potent, because it acts so fast, you may need to give multiple doses of Naloxone,” Caplan said.

According to Lynagh, the police department is starting to see higher levels of Fentanyl. He added that in his more than three decades as a police officer, the drug is one of the more addictive drugs he has seen. Lynagh added that heroin was initially introduced to combat morphine addiction.

“We don’t have too many people addicted to morphine now,” Lynagh said. “We have this heroin addiction, so sometimes we mean to do something well or combat a drug or something bad, with something else that’s bad.”

Anthony Forte, left, leaves behind his mother Debbie Carpinone, right, and 21-year-old brother Christopher. Photo from Debbie Carpinone

Anthony Michael Forte was a 24-year-old who got good grades in high school and went home to a loving family. He dreamed of a pursuing a career in the entertainment or food industries — until he died of a heroin overdose on May 2, 2015.

Forte is the new face of heroin addicts on Long Island.

While the drug problem continues to rise, his mother, Debbie Carpinone, is doing what she can to keep her spirits high and her son’s alive. Last October, Carpinone, of Port Jefferson, created Anthony’s Angels and established a $1,000 scholarship in Forte’s name.

The scholarship will help send one Mount Sinai High School senior to college this year. Carpinone, who works as a teaching assistant for the Mount Sinai Elementary School, wanted to pay it forward and give one student a chance to do the one thing her son couldn’t — go to school.

“He was so smart,” she said. “He wanted to go to school so bad, but he just couldn’t get his act together due to his addiction.”

The teaching assistant of 13 years sold 128 “Anthony’s Angels” T-shirts last year for the fundraiser of the same name. She raised $1,610 and also established a Facebook group. She approached Mount Sinai Elementary School Principal John Gentilcore in January regarding her son’s death and her scholarship, Gentilcore said.

He said it was easier for the small school district to spread the word about the scholarship. Forte was Carpinone’s eldest son, who went to Comsewogue High School until 2006, before he graduated from Newfield High School in 2008. His mother said even when he hit tough times, Forte remained loving and always had a smile on his face.

According to Carpinone, her son started using heroin in his junior year of high school. He told her about his addiction around two years later, and was in and out of sober houses.

“Talking about the loss of a child, if that doesn’t move you, if that doesn’t evoke a response to support and help … then I’d be surprised,” Gentilcore said. “She was honoring her son. To be able to do that in a way that helps others is a wonderful thing.”

Forte’s autopsy showed high levels of fentanyl in his system. According to the National Institute on Drug Abuse, fentanyl is more potent than morphine. Carpinone said she discovered the identity of her son’s dealers, their address and their contact information. She provided Detective Ghyslaine McBean with this information, but said the detective hasn’t returned her call since November. McBean didn’t respond to media inquiries prior to publication.

While tackling the issue of drug use on Long Island is important for many communities across Long Island, acknowledging the evolution of heroin addicts and other drug abusers is also vital.

Carpinone said some people still think all heroin users are dirtbags or come from terrible homes, which is not the case. Tracey Budd, who lost her son to a heroin overdose four years ago, met Carpinone last year. Budd, who helps families dealing with addiction, said nowadays, anyone could become a drug addict.

“The majority of people I know [who are affected by a drug addiction] all come from good families or good homes,” Budd said. “The thing we learn in addiction is, we didn’t cause it.”

Port Jefferson Trustee Larry LaPointe stands with code officers, from left, James Murdocco, John Vinicombe, Paul Barbato and Gina Savoie as they pose with their proclamations. Photo by Elana Glowatz

Port Jefferson Village honored five code enforcement officers on Monday night who officials say went above the call of duty to serve the community.

Two helped save an overdosing man’s life, one attempted to revive a car crash victim, another thwarted a burglary and a lieutenant protected the village during the recent heavy snowstorm. The board of trustees presented them with proclamations for their service to cheers from the audience at Village Hall.

Gina Savoie was commended for preventing a break-in at a home in the Harbor Hills area earlier this month after she saw suspicious activity and called for police assistance. According to code bureau Chief Wally Tomaszewski, two Coram residents were arrested for loitering as a result.

Paul Barbato, who received a proclamation last year for reviving a man in cardiac arrest at a Port Jefferson restaurant, was honored again Monday for attempting to save a Belle Terre man trapped inside a Lamborghini that had crashed into a pole on East Broadway. Barbato, the first on the scene of the mid-December crash near High Street, got inside the car and performed CPR.

Lt. John Borrero is honored. Photo by Elana Glowatz
Lt. John Borrero is honored. Photo by Elana Glowatz

Although his attempt ultimately proved unsuccessful, he “tried desperately to save his life,” Tomaszewski said in a previous interview. “Believe me, his boots were filled with blood.”

A couple of weeks later, James Murdocco and John Vinicombe responded to an opioid overdose at the Islandwide Taxi stand near the Port Jefferson Long Island Rail Road station. Mayor Margot Garant said Monday that the officers were told the young victim was dead, and they found no pulse or respiration. Murdocco and Vinicombe each administered the anti-overdose medication Narcan and Murdocco performed CPR.

The man regained consciousness and “became violent,” she said, and had to be restrained.

Garant added an unplanned honor to Monday night’s affair, commending Lt. John Borrero for his work during the blizzard, commonly dubbed Winter Storm Jonas, that hit Long Island hard on Jan. 23.

“I cannot tell you what this one gentleman did, on tour all day, making sure our streets are safe, shutting down roads, calling other code enforcement officers in during a massive blizzard — he’s out there helping employees get to work at St. Charles Hospital,” the mayor said. “Your service to this community is just invaluable, John. I cannot tell you the amount of respect you earned that night.”

She told the audience that there is more to the code enforcement bureau than meets the eye.

“These officers are not merely giving out tickets,” Garant said, “but they’re saving lives.”