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Walgreens

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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.

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.