Institute for Community Living (ICL)
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Author Archive

Opioid Addiction Wears Many Different Faces

Opioid addiction wears many different faces. It is time to open the door to stop the epidemic of people addicted to opioids. Some people going into surgery come out needing medication for pain. In a book by Arwen Podesta, MD, called Hooked: a Concise Guide to the Underlying Mechanics of Addiction...

Pain and Its Impact on the Opioid Epidemic

In several past articles on the opioid epidemic in America, I have complained that the problem of severe, chronic pain has been overlooked as a contributing factor. It appears that that is no longer true. For example, a very recent report by the National Academies of Science to the Food and Drug...

Taking a Holistic Approach to Treating Opioid Addiction

Opioid overdoses led to more than 33,000 deaths in the U.S. in 2015—an average of 91 per day, according to the Centers for Disease Control. That national death toll is the “equivalent to America enduring another 9/11 attack every two-and-a-half weeks,” says New Jersey governor Chris...

Reducing Opioid Overdose Deaths: NYC Department of Health and Mental Hygiene Responses

Let us address the epidemiology of overdose deaths in New York City. Like cities and states around the United States, New York City is in the midst of an opioid overdose epidemic. In 2016, someone died every seven hours of an overdose in New York City, resulting in 1,374 confirmed deaths. More New...

Taking Care into the Streets to Reduce Harm and Save Lives: The Vital Role of Needle Exchange and Harm Reduction Services within the Healthcare Delivery System

Harm Reduction is rooted in acknowledging that a person who is an active drug user deserves to be treated with dignity and respect, including being offered safe access to clean syringes and naloxone. This work can be done while building trust and opening the door to recovery options. Harm reduction...

The Doctor Will Actually See You Now

In New York City only 1 out of 10 adults struggling with substance use issues accesses any form of clinical care. This profound treatment gap – the mismatch between community need and clinical care – perpetuates our city’s escalating opioid crisis. Barriers to addiction treatment are well...

Collaborative Impact Needed for the Opioid Epidemic

Acacia Network, the leading Latino integrated care nonprofit in NY, began in 1969 to address the consequences of heroin in the South Bronx. Our founding leaders, Carlos Pagan, Julio Martinez, Gumersindo Martinez, Hector Diaz, Evalina Lopez Antonetty, and Lorraine Montengreo, among others,...

Addressing Behavioral Health and Opioid Use Disorder in Primary Care Settings

The Staten Island Partnership for Community Wellness (SIPCW) is a non-profit organization established to promote wellness and to improve the health of the Staten Island community through collaboration and a multidisciplinary approach. For more than 20 years, SIPCW has addressed critical public...

A Person-Centered Approach to Substance Use: Lessons from the Barbershop

When you walk into your favorite barbershop or hair salon to get a shape-up, a trim, or a new look, what happens? Likely you’re greeted with smiles and welcoming words. If it’s a bit fancy, maybe an assistant offers you something to drink. Somebody takes your coat, offers you a seat. There is a...

Wraparound and Wellness: A Catalyst for Recovery

Grappling with the ever-growing population of youth experiencing opioid abuse in New Jersey necessitates bold action. Is getting back to the basics of wellness and community connectedness too basic for this complex dilemma? Wellness and community connectedness are essential components for a...